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HomeMy WebLinkAbout030-211-011• T .AP 30-211-11 �917 argaretann Mullins !- 4 ..DeGR00T, Mr. •307-67B Harlan • = I i - " 256-67E `µ Ave., Oroville 7- •. Permit 4647-75P (install sewer line/rest home &annex ; ,30-211-11b { 30-211-11 917 � Harlan Ave . , Oroville CONTR: Harmony Builders, P.O. Box 578,Orovi. Llt_ Contr: Erwin Roofing, Oroville (coriverb garage to living area) Permit 1863-81 "- # (re oo /resthome) f 30-211-11 Co tr: ParadiseModular Concepts Perm' 139-84P,E(util, MH) r - - ELEC 2-9 19A i GAS SUPPORT" S rRUCT REQ, •./LM, - �� 6 COMPACTION TEST RE tiw Q/g /g DeGR00T' S REST HOME Y 200=68B . 30-211-11 F 0-211-11 Contr ! Per�k138-84MHI 917 Harlan Ave., Oroville j sued CONTR: John G. Maloney Automatic, Sprinkler Go..' t ^� �" �y I 6729 Flamingo Way, Sacr ento � 30-211-11 (automatic sprinkler system) 6 -6 r Contr: PMC Permit#541-84P(repair broken gas line _ -• to .existing house); -4 %kj 30-211-11 Permit#931-84B o en.dec MH _ Bfi.E4,JTON Herbert W. 2041E �Q ,•_ 1522P n . 0-211-11 w/s Harlan Ave. 600' off Lateral, erma ito ,I CONTR: Cardinal Homes, 800 Colusa Ave.,( Yuba j (new, single family) City • a r i f Teriann's Child Care 917 Harlan Avenue Oroville, CA 9596.5 Dear Sir: August 19, 1991 RF: Day Care Fire Inspection (A.P. 30-211-11) The Department of Social Services Community Care Licensing in Chico has made a request to this office for a fire safety inspection of your proposed day care facility (maximum capacity, 12) at 917 Harlan Avenue in Oroville. Your property is located within. an AR zone which requires a use permit from the Butte County Planning Department prior to business operation. Please contact them at (916).538-7601 between 10:00a.m. -and 3:p.m. for information on how to proceed. When you ,have made the application for the use permit and paid the appropriate fees, you may apply to this office for a Special Inspection for the fire inspection. For the Special Inspection we will require a plot plan showing the .building location on the property, a floor plan showing room uses, windows, doors, mechanical equipment etc., and the appropriate fee and the application signed by the' property owner. After we make the Special Inspection, we will write a letter advising you of any improvements and building permits that may be required. We will notnotify the Department of Social Services of any clearances until you have been issued a use permit and complied with both the Planning and Building Department requirements. 1. Should you have any questions concerning this matter, please contact this office. JFG:dms cc: Department of Social Services Planning Department Yours very truly, William Cheff Director of Public Works d:Tv J.F. Glander Manager, Building Inspection STATE FIRE MARSHAL COPY DISTRIBUTION: 1 -3 -STATE FIRE MARSHAL SEE REVERSE OF COPIES 2 AND 5 FOR INSTRUCTIONS FOR COMPLETION FIRE SAFETY INSPECTION REQUEST 2 -FIRE AUTHORITY QUEST DATE 2. PROGRAM STD850(REV.8/86) 4 -5 -LICENSING AGENCY 787/91 3. AGENCY CONTACT 4. TELEPHONE NO. DSS COMMU IT (916) 895-5033 jF707EVATOR P. SEXTON 6. SFM REGION 7. SFM I.D. NO. S. REQUESTING AGENCY FACILITY NO. 9. REQUEST CODE 041373716 3/A CODES 1. ORIGINAL A. FIRE CLEARANCE 2. RENEWAL B. LIFE SAFETY 3. CAPACITY CHANGE DEPARTMENT OF SOCIAL SERVICES 4. OWNERSHIP CHANGE f0. AGENCY COMMUNITY CARE LICENSING S. ADDRESS CHANGE NAME 6. NAME CHANGE 520 COHASSET ROAD, SUITE 6 AND PREVIOUS NAME ADDRESS L CHICO, CA 95926 7. OTHER DATE OF ORIGINAL REO. 11.AMBULATORY NONAMBULATORY TOTAL CAP. DATE OF LAST FIRE CLEARANCE CAPACITY AGE RANGE (YEARS) PREVIOUS CAPACITY AGE RANGE (YEARS) PREVIOUS TO 18 18 TO 16S AND CAPACITY TO 18 18 TO 65 AND CAPACITY 19. FACILITY �12 65 OVER X 1 0 65 OVER 12 CODE 13/FDC 12. FACILITY NAME 13. NO. BLDGS CODES TERIANN' S CHILD CARE �: 11 1. GACH 7. ICF/OT 2. GACH/R 8. ICF/DD 14. STREET ADDRESS (ACTUAL LOCATION) P.O. BOX 15. RESTRAINT 917 HARLAN AVENUE -ANO 3. SH 9. ADHC 4. APH 10. CLINIC CITY ZIP CODE 16. HOURS OROVILLE , CA 1959WD 5:30-12:00 5. PHF 11. JAIL 6. SNF 12. ICF /DDN 17. FACILITY CONTACT PERSON TELEPHONE NO. 16A. SPECIAL TERESA ANN FOPH ( 916) 533-9560 13. OTHER TO BE COMPLETED BY - INSPECTING AUTHORITY 26. CLEARANCE CODE 18. FIRE ATTi, JACK PIRISKY AUTHOR STATE FIRE MARSHALL CODES NAME 4 WILLIAMSBURG LANE, SUITE A 1. FIRE CLEAR, GRANTED AND CHICO, CA 95926 2. FIRE CLEAR, DENIED ADDRESS L 3. FIRE CLEAR, WITHHELD 27. DENIAL CODE TO BE COMPLETED BY INSPECTING AUTHORITY CODES 21. INSPECTOR'S NAME TELEPHONE NO. 22. CFIRS 23. T-19 OCC. ID NO. CLASS 1. EXITS 2. CONSTRUCTION 3. FIRE ALARM 24. INSP. DATE 25..INSPECTOR'S SIGNATURE 4. SPRINKLERS 5. HOUSEKEEPING 28. EXPLAIN DENIAL OR LIST SPECIAL CONDITIONS 6. SPECIAL HAZARD 7. OTHER a STATE FIRE MARSHAL USE ONLY F 20. REGION. DEPARTMENT OF SOCIAL SERVICES OFFICE COMMUNITY CARE LICENSING AND 520 COHASSET ROAD, SUITE 6 ADDRESS CHICO, CA 95926 L STATE FIRE MARSHAL COPY DISTRIBUTION: s FIRE SAFETY INSPECTION REQUEST 1 -3 -STATE FIRE MARSHA[ ,. SEE REVERSE OF COPIES' 2 AND 5 FOR I.» INSTRUCTIONS FOR COMPLETION 2 -FIRE AUTHORITY 1. REQUEST DATE 2. PROGRAM STD 850 (REV. 8/86) 4 -5 -LICENSING AGENCY 8/7, 3. AGENCY CONTACT 4. TELEPHONE NO.ro;P. VALUTOR DSS COMMUNITY CARE LIC (916) 895-5033 SEXTON 6. SFM REGION 7. SFM I.D. NO. S. REQUESTING AGENCY FACILITY NO. 9. REQUEST CODE 041373716 3/A CODES 1. ORIGINAL A. FIRE CLEARANCE .s 2. RENEWAL B. LIFE SAFETY / F 3. CAPACITY CHANGE 4. OWNERSHIP CHANGE DEPARTMENT OF SOCIAL SERVICES f0. AGENCY COMMUNITY•CARE LILENSING 5. ADDRESS CHANGE NAME COHASSET ROAD, SUITE 6 6. NAME CHANGE AND PREVIOUS NAME (520 CHICO, CA 95926 7. OTHER ADDRESS y - DATE OF ORIGINAL REO. 11. AMBULATORY NONAMBULATORV _ TOTAL CAP, _ DATE OF LAST FIRE CLEARANCE t CAPACITY AGE RANGE (YEARS) PREVIOUS CAPACITY Af_E RANGE (YEARS) PREVIOUS - j TO 18 18 TO 65 AND CAPACITY TO 18 18 TO 65 AND CAPACITY - - 19. FACILITY Q12 X 65 OVER 0 65 OVER 12 CODE 1/ ` 12. FACILITY NAME 13. NO. BLDGS CODES 1. GACH 7. IGf /OT 2. GACH/R 6. ICF/DD TERIANNAS CHILD CARE: ,- 1 14. STREET ADDRESS (ACTUAL LOCATION) P.O. BOX 15. RESTRAINT 917 HARLAN AVENUE �� HQ 3. SH 9. ADHC 4. APH 10. CLINIC CITY - -% `�, ZIP-- ODE6. HOURS 1:30-12:00 OROVILLE CA 95965 5. PHF 11. JAIL , 6. SNF , 12. ICF/DDN 17. FACILITY CONTACT PERSON TELEPHONE NO. - 16A. SPECIAL TRUNA ANN ECREF (916) 533-9560 13. OTHER TO BE 4OMPLETED BY INSPECTING AUTHORITY 26. CLEARANCE CODEKY_. 18. FIRE ATTL JACK PIRIS "STT�A7TTE CODES AUTHOR FIRE MATR�SHALL NAME 4 I � •f .IAMSBURG LANE, SUITE A 1. FIRE CLEAR, GRANTED AND CHICO, CA 95926 2. FIRE CLEAR, DENIED ADDRESS 3. FIRE CLEAR, WITHHELD 27. DENIAL " CODE A TO BE COMPLETED BY INSPECTING AUTHORITY CODES 21. INSPECTOR'S NAME TELEPHONE NO. 22. CFIRS 23. T-19 OCC. rt ID NO. CLASS ' L'EXITS 2. -CONSTRUCTION 3. FIRE ALARM 24. INSP. DATE 25. INSPECTOR'S SIGNATURE r \ 4. SPRINKLERS 5. HOUSEKEEPING 28. EXPLAIN DENIAL OR LIST SPECIAL CONDITIONS 6. SPECIAL HAZARD 7. OTHER STATE FIRE MARSHAL USE ONLY 20. REGION, DEPARTMENT OF SOCIAL SERVICES OFFICE COMMUNITY CARE LICENSING AND 520 COHASSET ROAD, SUITE 6 ADDRESS CHI CO, CA 95926 L INSTRUCTIONS This foim is designed for use with a window envelope. To use, fold at marks indicated in the left margin.. Licensing or Requesting Agencies—Complete the following 20 sections on this form before submitting it to the State Fire Marshal 1. REQUEST DATE. Enter the date request was. prepared. 2. PROGRAM. Licensing agency use. 3. AGENCY' CONTACT, 4. TELEPHONE NO., 5. EVALUATOR. Enter the name and telephone number of agency contact person. 6. SFM REGION. Insert one of the following 3 numbers for the SFM Regional Office in whose area the facility is located: 350 Coastal, 330 Northern, 370 Southern. 7. SFM ID NO. This is the SFM identification Number and initially will be assigned by the State Fire Marshal. Licensing Agency—Insert this number on all r.learance requests subsequent to the initial request. REQUESTING AGENCY FACILITY NO. This is the tele number assigned by the licensing agency. 9. REQUEST CODE. Use the seven codes shown and insert the_ appropriate number in the box following "Request Code". If NAME CHANGE, please list previous nafne. Insert date of original request when request is other than an original. - 10. AGENCY NAL�E AND ADDRESS. Enter the name and address of the licensing facility requesting the inspection. 11. AMBULATORY--NON-A;ABULATORY. Capacity: Insert, in, the 'appioprlate section, the capacity of licensed ambulatory or non- ambulatory occupants covered by this request. Age Indicate the age range of the licensed Range: occupants., Previous If request is for renewal or capacity Capacity: change, .. insert capacity of previous clearance. TotiF Show total licensed capacity. If the facili- Capacity, ty-is intended to house part ambulatory and part nori-ambulatory, show the total of the two types of occupants. 12. FACILITY NAME. Insert the name of the facility as it will appear on the license. List identifying sub name rly if known (i.e., Hacienda Corp/Medina Lodge). 13. NO. BLDGS. Insert the total number of buildings to be used for housing of the occupants covered by the license. 14. ADDRESS. Insert street address and city only. A post office -box is not acceptable as only location. 15. RESTRAINT. Indicateif physical restraint (locked in a room or "the t trilding is to be used in the housing of the occupants. 16. HOURS Indicate the number of hours the occupants are housed at the facility (less than 24 or 24+). 16a. SPECIAL. Use to designate persons who are determined to be non-ambulatory for reasons other than a physical handicap. _ 17. FACILITY CONTACT PERSON—TELEPHONE NO. Indicate the name and telephone number Qf the responsible individual at the facility to be contdcted by the fire authority. 18. FIRE AUTHOR, NAME AND ADDRESS. Insert the name and address of the fire authority where the facility is. located. 19. FACILITY CODE. (1) General Acute Care Hospital (GACH), (2) General Acute CareH" pital/Rehab (GACH/R), (3) Special Hospital (SH), (4) Acute Psychiatric Hospital (APH), (5) Psychiatric Health Facility (PHF), (6) Skilled Nursing --facility (SNF), (7) Intermediate Care Facility/Other (ICF/OT), (8) Intermediatrt Care Facility/ Developmentally Disabled Habilitative (ICF/DDH), (9) Adult Day Healtli ' Care (ADHC), (10) Clinic, (11) Jail, (12) Intermediate Care Facility/ Developmentally Disabled Nursing(IGF/DDN),.or(13) Other. 20. REGION, OFFICE AND ADDRESS. Insert the name and address of the State Fire Marshal Regional Office in whose area the facility is located. FIRE ,AUTHORITY CONDUCTING THE INSPECTION -COMPLETE THE FOLLOWING: F ry 21. INSPECTOR'S NAME. Print the initial of the in- spector's first name and. full. -last name. insert the _ telephone number' where the inspector may be con- tacted. 22. CFIRS ID. NO. Insert the fire department's number assigned by.CF1RS. 23. TITLE - 19 OCC. CLASS. Use Title 19 occupancy classifications and insert the occupancy determined by the inspector. 24. INSP. DATE. Enter the actual date; of the in- spection. 25. INSPECTOR'S SIGNATURE. To be signed by inspector conducting the inspection. 26. CLEARANCE CODE. Use the ttiree codes shown and insert -the appropriate number iR the, box follow- ing "Clearance Code". . �- NOTE: If Code 2 (Denied) or Code -3 (withheld) is -used, explain. - 27. DENIAL CODE. Use only the seven codes shown and insert the appropriate number in the box follow- ing "Denial Code". If No. 7 "Other" is used, explain at Item 28. NOTE: Fire Clearance cannot be denied for other than lack of confor- mance with the provisions of Title 19. 28. EXPLAIN DENIAL. If Clearance Code No: 2 or 3 is usedgbriefly explain,reasgn. This space is also to be used to explain Denial Code item noted. 96 96650 STATE FIRE MARSHAL COPY DISTRIBUTION: SEE REVERSE OF COPIES 2 AND 5 FOR r.►r►r- n w r_r_Tv u►c+e►rnT►nu nrn► ►rear ._� Orme 0100 uADQUAI INSTRUCTIONS FOR COMPLETION Firic omrr- 1 T imor-CV 1 IVI\ 1' E-mur-o i 2 -FIRE AUTHORITY 1. REQUEST DATE 2. PROGRAM STD 850 (REV. 8/86) 4 -5 -LICENSING AGENCY 8/7/91 3. AGENCY CONTACT 4. TELEPHONE NO. 5. EVALUATOR DSS COMMUNITY CARE LICENSING (916) 895-5033 0105/P. SEXTON 6. SFM REGION 7. SFM I.D. NO. S. REQUESTING AGENCY FACILITY NO. 9. REQUEST CODE 041373716 3/A CODES 1. ORIGINAL A. FIRE CLEARANCE 2. RENEWAL B. LIFE SAFETY 3. CAPACITY CHANGE DEPARTMENT OF SOCIAL SERVICES 4. OWNERSHIP CHANGE 10. AGENCY COMMUNITY CARE LICENSING 5. ADDRESS CHANGE NAME �+ 5220/�COHASSET ROAD, SUITE 6 6. NAME CHANGE AND PREVIOUS NAME CHICO, CA 95926 7. OTHER ADDRESS L J DATE OF ORIGINAL REO. 11. AMBULATORY NONAMBULATORY TOTAL CAP. DATE OF LAST FIRE CLEARANCE CAPACITY AGE RANGE (YEARS) PREVIOUS CAPACITY A4E RANGE (YEARS) PREVIOUS TO 18 18 TO 65 AND CAPACITY TO 18 18 TO 65 AND CAPACITY 19. FACILITY C12 X 65 OVER I O 65 OVER 12 CODE /} 12. FACILITY NAME 13. N_O_BLDGS CODES TERIANNr'?S CHILD CARE1 1. GACH 7. ICF/OT 2. GACH/R 8. ICF/DD 14. STREET ADDRESS (ACTUAL LOCATION) P.O. BOX 15. RESTRAINT 917 HARLAN AVENUE -NO 3. SH 9. ADHC 4. APH 10. CLINIC CITY ZIP CODE 16. HOURS OROVILLE CA 95965_-= 5:'D-12:00 5. PHF 11. JAIL , 6. SNF 12. ICF/DDN 17. FACILITY CONTACT PERSON TELEPHONE NO. 16A. SPECIAL T90A AM FEET (916) 533-9560 13. OTHER TO BE COMPLETED BY INSPECTING AUTHORITY F 26. CLEARANCE CODE 18. FIRE ATT; JACK PIRISKY AUTHOR STATE FIRE MARSHALL CODES NAME 4 WILLIAMSBURG LANE, SUITE A 1. FIRE CLEAR, GRANTED _ AND CHICO, CA 95926 2. FIRE CLEAR, DENIED ADDRESS I J 3. FIRE CLEAR, WITHHELD 27. DENIAL CODE TO BE COMPLETED BY INSPECTING AUTHORITY CODES 21. INSPECTOR'S NAME TELEPHONE NO. 22. CFIRS 23. T-19 OCC. ID NO. CLASS -- _ 1. EXITS 2. CONSTRUCTION 3. FIRE ALARM 24. INSP. DATE 25. INSPECTOR'S SIGNATURE 4. SPRINKLERS 5. HOUSEKEEPING 28. EXPLAIN DENIAL OR LIST SPECIAL CONDITIONS. 6. SPECIAL HAZARD 7. OTHER STATE FIRE MARSHAL USE ONLY F 20. REGION. DEPARTMENT OF SOCIAL SERVICES OFFICE COMMUNITY CARE LICENSING AND 520 COHASSET ROAD, SUITE 6 ADDRESS CHICO, CA 95926 L PERMIT NO. X931—$4B i PERMIT EXPIRES 1 OWNER MARGARET ANN MULLINS CONTR. owner ASSESSOR PARCEL 30-21111 LOCATION 917 Harlan Avenue, Oroville Temp. Power Pole_ Called PG&E _ ( Temp. Elec. Service Called PG&E_ } Temp. Gas Service _ Cal led PG&E L JOB FINALED (Date) �/ V Signature — J — OK' O = Not OK — = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS i U Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DE07S, COV S, CARPORTS, ETC. !PI OK except #'s 1. Zoning Requirements—Setbacks—Easements o 'ng Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch _ ooti gs; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—Concrete ecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4 Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing_ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location.Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. d -BI Car I Date 4 4f and -BI Date _ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Date _ POOLS ( ) OK exce t #'s 1. Setbacks—Easements 2.. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers-Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.: Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10, Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date JOK 0 - Not OK •� ' Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) _ Date UNDERFLOOR (Plans) OK excepta's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Fig., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers _ 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. 13. Plenums & Ducts; Clearance -Material -Support -Ins. ' Girders -Sills -Anchor Bolts -Joists -Vents -Cripples _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except hi's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection -- 21. t Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location _ 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size v t _26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al. 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes __ 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75, 76. 77, Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 28. 29. 30. Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light _ 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ------- 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground ---- ---.- Card B -I Date Card BI _ Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 83. _ Corrections from Previous Inspections 84. 85. 86. Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/0 to Grade -HD Approval Energy Compliance Certificate -Other Certificates i- 31. A.C. Ducts; Insulation & Support 32. 34. Vent Fan; Exhaust above Insulation Condensate Drain _& Overilow; Size & Grade Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet Card -BI Card -BI 35. ---- -- Attic Access & Platform if Furnace in Attic -•----- - __Date_--- Card -BI +Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: _ 36. _37. 38. 39. _40. Sills; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing --- Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 43. 44. Header &_Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Trac.-Truss-Shthnq.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access: Size &Romex Protection -Draft Stop -Ins. Baffles 46. 47. _ Bdrm._Windows or Exiting Doors -Sill Hgt. & Dimensions-- -__ Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) .a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 1, APPLICATION AND -PERMIT PERMIT NO. 13L ASSESSOR PARCEL NU BER, I sr) �� ZONING BUILDING PERMIT OWNE 1� lJ f I� S ELEPHONE SO. FT. OCC. BUILDING VAL TI ER'S M ADDRESS D XCOy�fItAC 1 TO 'S NA"F---,, LEPHONE 3 CONTRACTOR'S NG ADDRESS S Fireplace CONSTRUCTION LENDER •LENDER'S O "• ` UNKNOWN Total Valuation 1 $ Filing Fee $ 10,00 MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER p LICENSE No. Plan Checking Fee $ .� Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BU I G� ESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OFSRUCTURE SF ❑ ❑ DuplexMobilehome Other SPECIFY Building sewer 5.00 Mobile Home S G W __10.00e TYPE OF WORK New ❑ Addition Remodel R Utilities ❑ Installation❑ Other ❑ Describe work: S 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.&( OR ADDNS. ( ACC. BLDGS. 2h2Sgft 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 Coe and my license is in ull force and effect. pp�� License No. b 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 NON -RESIT R BRANCH CIRCTITS. 2.50 ea NEw CONSTR POWER APPARATUS &'\ NON-RESID. (SINGLE OUTLET CIR. / 1 zo@s0e Ex. Occup(OUTLETS OR FIXTURES 9AL®ao FIXED APPLNS. OR `` Ex. OCCup. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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 Countyof 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 Cointy in consequence of the granting of this permit. y^1-9 x Date Q Signatur of Applicant — Owner ❑ ContractoZ � Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 st 'es in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 1 A OCcu P. GROUP I TYPE OF CONST. I VPAR EL PD/ NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �- Receipt No. WHITE-D.P.W.. YELLOW -AS FSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT I A THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE O,ROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name: —3 Date: Address: Acct. No: A.P. No.: Phone: No. Units: Applicant/Agent: Agents Proof: Address: Fees: Phone: Application Arrearage Preliminary Review By: Date: CSA 26 Remarks: SC -OR 1st Mo. S.C. Other A -l"', Total Fees Collected By.; Date: Field Review By: Date: Remarks: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval 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 - AFPLICANT, PINK - DPW, GOLDENROD - DPW to TID to o �o / ---, " 2r,4, F6 .2 -2 q —PEAMIT NO. 139-84P.E(MH) PERMIT EXPIRES /// q /�s OWNER MARGARET ANN MULLINS CONTR. Paradise Modular Coneepts ASSESSOR PARCEL 30-211-11 LOCATION 917 Harlan Ave% Oroville fr OFFICE COPY Address 4414 GAS Meter BvY—Date ELECTRIC Meter By Date OFFICE (COPY A X 'Temp. Power pAddress Called PG1 GAS Meter By Date. Temp. Elec. Se ELECTRIC Meter By Date Called PG!_ ALF— Temp. Gas Service Cal led PG&E JOB FINALED (Date) Signature Y� 10 J = OK' 0 = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES s) OK except q's oning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N'S 1. Zoning Requirements—Setbacks—Easements Coolcili; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors Y_-<wer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails titer; Location—Test—Easement Needed.(Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shing.—Rfg.—Bracing_ 5. Electricity; Location—Clearances—Grnd —/ Q Amp—Concrete _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap: (p"'L" ft./ f "tJat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors t lity Clearance 7. Elec. g^ ---- - Card -BI to — — and -BI Date a Card -BI Date Card -BI Date Card -BI Date I Card -BI Date Card -BI _ Date Card -BI Date Date' MOBIL HOME INSTALLATION (Plans) OK except H's Date _ POOLS (Plans) OK except N's Zoni equirements—Setbacks—Easements 1. Setbacks—Easements glklot2gs,, Size—Spacing- Triage Line 2. Soils; Compaction—Structure Stability as; MH Test—De d—Vafr Connd, 3. 'Pool Structure: Steel—Connections—Thickness—Dead Men—Lining ectricity; MH Test—Cr overs—Brews—CleaFences 4. Elec.; Receptacles and Lighting; Distances—GFI in; MH Tq0;,F_41J-F Connector 5. Elec.; Pool Lighting; 15 volts—GFI 'der; MH TBsKRego&v5r`—Co or 6. Elec.; Enclosures; Conduit Entries—Terminals'—Listed Water and Sewer Connected /0 to Grade—HD Approval 7• Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. gAeand Electricity Ta ged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit xi Insp.—Sketch ej��,'ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -131 Date r J = OK 0 = Not OK W ot'yable' #- Not Ready RESIDENTIAL (Single, and Duplex) Date UNDERFLOOR Plans OK except N's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth- 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic _ 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's l 56. Ext. Steps-DooG & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except N's 14. Water Ht.: Vent -Access -Combustion Air 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting _ 17. Shower Pan; Test, First Floor -Tub Access ' 60. G.F.I. & Bath Fixtures & Tub Access _ 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels _ __19_. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage: Above Floor-Mech. Protection -- - 21. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Size Boxes & No. of Conductors -Stapled 71. 72. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic E] Yes Guard Rails & Deck Construction -Post Caps -_ 23. Romex Installed Close to Edge of Studs & C.J. - 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 25. 2 Appliance Circuits in Kitchen & Conductor Size _ --Looked 26. Subieed Wire Size / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al. 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance under Floor ❑ Yes - 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ]Yes ❑No 75. Following in lDrive [I Yes ❑ No; Walks El Yes C] No; Planters Yes ❑No ❑ye - 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet _- 30T-ClotClothes Closet Light -Shower Light - 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ---------------------- Card B -I Card B -I _ --- -- _Date_ -- _ Card -BI Date - - _ Date Card -BI Date 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82, Glass Protection Date MECHANICAL (Permit) OK except #'s 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric _- 31. A.C. Ducts: Insulation & Support 85. 86. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates ___33. 32. Ven t -Fan: Exhaust above Insulation Condensate Drain _& Overilow; Size & Grade 34. Furnace-Ve_nt;_Access-Comb._Air-Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI ------- Card -BI -- - -- ---------------- Date Card -BI Date - --- - - ----- - Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except q's 36. 37. 38. 39. 40. Sills; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing__ _ Draft Stop in Walls (rat proof) _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill H_g_t. & Dimensions_ Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the Calif nia Administrative Code, Title 25, Chap er j`� under permit number 1 �k`'�� for the following location: `l1 /+'�-lirixlAwe Owner /U o 1 1 11 L, s Owner's Address M j9 r7 ;::� Y /n7 e) le-, Mobilehome Mfg. ���7 +� WO-Modellkiq— .11 Year Ay Insignia No.=���- q '117? g43 Serial No.5-S7Z SC (RA -5 It is hereby certified for occupancy at the above described location and may be occupied. Director ofcPublis WWoorrk-s– Date � � By 0. ' `�k•� :=�. 11k A THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - O.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE k ) I JJJ 'AAe,% 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. " -^-J JD c rw PV 1L 14 sZAa r1�tg f -r (o,r7 �►cht �a A, A l% I` A /' I 1 f---7 Inspector �� Date :� t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS A. w, 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle — Phone: 534-4541 -- — -- Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE M I "-1 I.39- r hWKIPD DCDRAIT Kli 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 ?ate, or need, additional explanation, please contact this office .i mediately. q,2, U InspectorC�r' t/ Date P COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891- 2751 7 County Center Drive, Oroville — Phone: 534-0541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE /3 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. Inspector / Date __ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE �-//.�: /3y_ 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. V � - Inspector �' r-- - Date _ W 1 71 COUNTY OF BUTTE ,DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 ' 7 County Center Drive, Oroville — Phone: 5344541 - Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE T 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. Inspec Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 Galinty Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESS(QJR/�PARCEL NUMBER ,pi 0 vim'/ — / — .0 // ZONING_ BUILDING PI OW R TELEPHONE SQ. FT. OCC, BUILDING VWLUAT 0 O N R' MAILING ADDRESS CO TRAC OR'S NAbdoE5 ITELEPHONE c c blue a c 01�-Ssy!/ ONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LEIN DER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING A D ESS I ', Permit Fee $ ARCHITECT OR ENGIN ER LICENSE NO. PPllaang}Chheecking Fee ,$' r/�ev,�^' — /�v� "� $ ARCHITECT OR ENGI EER'S MAILING ADDRESS Permit fee $ .6 - BUILDING AD ESS A PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 IV14 Id- 194 OA/k Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP o l Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF S CTURE SF ❑ Duplex ❑ Mobi lehome Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK / New ❑ Additionp, Remodel ❑ Uti li ' s ❑ I tallation Other ❑ Describe work: '� 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 NEW CONST. ( DWELLING OCCUP.& OR ADDNS. C ACC. BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I dl:e�clareernalty of perjury (Check one): under provisions of Chapt. 9, Div. 3 of the Business anrofessi s Code and m license is in ful force nd effect. y 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. (S 44) ❑ I, as the wner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR.. U TI.OUTLET 2,50 ea NO N.RESID BRANCH CIRC ITS. NEWCONSTR POWER APPARATUS&'NON.RESID. SINGLE OUTLET CIR,ensed Ex. Occu 20@50C P.OUTLDTS OR FIXTURES BAL®30 FIXED APP LNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ave placed on file with the County of Butte Building Department c.— a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. a agree to save, i demnify and keep harmless the County of Butte against all liab 'ties, judgme s, costs, and expenses which may in any way accrue against sa County in nsequenc f the granting of this p rmit. X Date , Si afore o licant - Own Contractor ❑ Agent An 0 it 's required for xcavations OVe 5'0" deep and d olition or construct- ion of structures over 3 stories i height. Mobile Home Installation Fee $ ' TOTAL PERMIT FEE95 $ OCCUP. GROUP TYPE OF CONST, PARCEL PD HD 155 E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF BLIC Z By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 43 Receipt No. 01 S —� WHITE-O.P.W., TELLOW-ASSES R, PINK-INSPE T R, GOLDENROD -A PLICANT 46 .,;.BUTTE COUNTY .DEPARTMENT OF PUBLICWORKS 7 County Center Drive, Oroviile;-CA. - • PHONE: 534-4541 f_.._._ 1:"'l-L'.,'117:iL« _r. .. _ ,. .n.•z + •1�.. _S.. T._' t� .I1t':i :?:'a •'"•`?�'•, c: t ...a �- af. ' �. r - MOBILEHOME-INSTALLATION SHEET .'altw1wk�BlIIBm@:_ MODULAR CONCf TS,':( ' 2. `installer's name:`"�o BR33 SKYWAY T 1 V", PARADISE, ;CA. 95969 a �, 3. J' 3s9 the �:s`ite currently RBripj11541 . Yep-�No •/ '' - - ` - -• -(If es, .famish permit number OR". 'Is .~' _'�ty !M - -. • .. J'IsAthe site an existing site? Yes 1- No S (If yes, furnish two (2) plot plans.) 4.- Will .the mobilehome be located at least 5 ft. .away from septic tank and leach fields and .clear of all setbacks -and easements? Yes / / No I (If no, clarify ) 5. -What is the mobilehome electrical rating? ----------------------- /G cD Amps 6. What is the mobilehome site service rating? --------------------- 200 Amps 7.. What is the mobilehome site circuit breaker rating? ------------- 8. Is there any other electric load to be served by the mobilehome siteservice? -------------------------------------------- ------- (I£ yes, identify the load and size: (Load) 9. What is the mobilehome site gas pipe size? ---------------------- ",-00 Amps Yes _� No (Amps) 10. What is the type of gas service? ----------------------------- Natural 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehame gas demand? ------------------------------ 4',70,000 (BTU) PAX. haoldED. (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) LPG / / (ft.) MOBILEHOME SUPPORT DATA it other tnan single wia , Mobilehome Mfr.. �n t4.,�'_i. jw, furnish Setup Model No. C� . , ����/ Year. / C iv Width(ft.) Box Length S r (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Single /,I- x_3D . (in.) (in.) nter upport Center support locat ons* footing sizes J (in.) 2 ��x (ft. (in.) Z (in.) (in.) 0 r (ft.) in.) a *; in. in. Footings (check one .. Wood either pressure treated foundation grade. 2. Other: ( specify) Supporta (check orae. *4: Concrete block,. -2. Other.(specify) —Tagalong or Expando, show support detail.o ��- x 3D - Typical Support (in. (in.)' Footing Size =- Max. Pier Spacing It r Max., Overhang Sol G D MEIN71 APPROVED '44o' qk�r.{' .y .�i ° •r :1-�. �� :b.,p; : � •. i i �'1'}':'H7 •Z��.'. •' }'' ' S , Y,�-t.",i. ., Iv O A F.#.a . M.�.OM.�•Oj '� - 12'1 p 1„1.x. ? M.s 36 •� M.�.O .. • . A V4t FLEX d L x -OUNTY w4 12�',R �'� 1 DJNGI DEPARTMENT �r I�Ip°x112 APPROVED SUPPORT PIERS Aclxl' ; r==Gb�J1'Irj'lJ�'i I� GOLDEN WEST O CAPACITY HOMES FOOTING SIZE CAPACITY FOOTING SIZE � � M SO. FT•- uwE.WANEHAMST. (1) 2000 8000 MODEL NO. SANTA ANA CA !7)(1! O 40001{ 12 x24 ° 48"X24" °'ni'"0 CARPET LAYOUT AND RIDGE .� PHONE, 17141 L542M 24"x24" m 10 000 60"x24" BEAM FIELD SUPPORT PIERS T- D —Cll 6000# 36"x 2 4" ORAWN'IY . .. T w � ✓l�i�>i53 oawa No. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS /PE�iMI N0. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 _ APPLICATION AND, PERMIT ASSESSOR PARCEL NUMBER 6 d ZON NG , 2 " BUILDING PERMIT QYVNER 4141-114 _. _tJQA1AJ U ' T LE PHONE SO. FT. OCC. BUILDING VALUATION WNER MAILING ADDRESS , O TRACT 'S NAM i D UiJ ELEP ONE SLI TWICTOR• M IL NG ADDRESS 3/Q 1,"151 (� !V1&)e Fireplace C STR CTION L NDER UNKNOWN Total Valuation Is Filing Fee $ LENDER' MAILING ADDRESS Permit Fee $ ARCHITE T OR ENGINEER LICENSE NO. Plan Checking Fee ,$' IQ Penalty $ ARCHI ECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING AD a2 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 61-v Water piping 5.00 LOT NO. J&DIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF ST TURE SF ❑ Duplex[]Mobilehome Other SPECIFY Building sewer • 5.00 Mobile Home 10.00 e r TYPE OF WORK New❑ Addition❑ Remodel❑ UtilitiesInstallation❑ Other❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 00 AMP OR LESS 10.00 vo- Main service EA. ADD'L 100 AMP 2'.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLOGS. 2I/20sgft CONTRACTORS LICENSE LAW I declare r penalty of perjury (check one): I 'am licensed under provisions .of Chapt. 9, Div. 3 of the Business and Professi de nd my license is in f for c 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 CONSTR ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS. NEW CONSTR. (POWER APPARATUS &'1 .NON-RESID. (POWER OUTLET CIR. / 20050c Ex. Occup(o OR FIXTURES eALeso FIXED FIXED APPLNS: OR A Ex. Occup. OUTLETS (RESID.) EA.) 2.00 • Temporary service10.00 Mobile Home Facilities 15.00 SOD Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department Certificate of Workmen's Compensation Insurance -or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 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 utte to enter upon the above-mentioned property for inspection purposes. I a agree to save, indemnify and keep harmless the County of Butte against all Iia Iities, judgme ts, costs, a expenses which may in any way accrue against s 'd Count i onsequence the granting of this p mit. 1 /7 Date Signature of pplicant — Owner ❑ Contractor ❑ Agent ❑ An S ermit is required for excavations over 5'0" deep and demolition or construct- on of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ an OCCUP. GROUP TYPE of CONST. . PARC P H ss This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC By?2�� PERM EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date — % — /'�-r FPIS _ w Receipt No. l®ql_ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT FOR RESIDENTIAL DEVEt,LN,ENTUTTC Section 26-8.1 of the Butte County Code requires this acknowledgemen�F;P .be recorded prior to issuance* of a building 'permit:1b� ' fir" 84.. 2 The property described herein is adjacent to land or included JAN 17 10 30�Ql .within an area zoned for agricultural purposes, and residents of thi�l .AN -0.8 h. ?-';,,I;ER property may be subject to inconveniences or discomfort arising from'=FifOF;s?t the use of, agricultural chemicals, including, but not, limited to herbicides, pestic6s, and. fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural 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 as _follows:" of California, described A.P. #.30-21-1-011 PARCEL CNE. LATS 37 and 38, as shown on that certain Map entitled "Official Maps of Howard Subdivision", which Map was recorded in the office of the Recorder of the County of Butte, State of California, July 25,1927 in Book9 of Maps, at page 38 A. Excepting therefrCxn the Southerly 49 feet of said lot 37. Datg NOT COMPARED WITH PROPERTY OWNER ORIGINAL DpCUM P. �, S. � ENt STATE OF CALIFORNIA COUNTY OF Butte 4 SS. On _ January 17, 1984 ,before me, the undersigned, a Notary Public in and for said County and State, per- sonally appeared JOAN G. WENZEL personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within Instrument (or proved to be such by the oath of a credible Witness who is personally known to me), as a subscribing Witness thereto, who being by me duly sworn, deposes and says. That she resides in Paradise and that I0AN r. WENZEL was present and saw MARGARETANN MULLINS , personally known to her to be the same person described in and whose name is subscribed to the within and annexed Instruments as 1st Part Y thereto, execute and deliver the same, and she acknowledged to said affiant that she execute,d the Barye; and that said affiant subscribed n t �t s a W' ness� Signature RHONDA N. DILLENBECK Name (Typed or Printed) Notary Public in and for said County and State NOTARY PUBLIC -CALIFORNIA " Gutta CounlrCY y My Commission Expires Aug. 20, 1986 ' ch v FOR NOTARY SEAL OR STAMP "`^sr3b►++-'Vc.�S�wd+�'^T•*�?r.'�e..,�'Y�"."�Ykr'sa�.R:��..v'.rv-+w�rt�ys sir ---s. �r,�v. v�-�Y_.-.ti...�-. �r J.. ..� i✓ !I OFFICE COPY J Address� ify� GAS Meter By Date2 ELECTRIC Meter By Date e i a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER -I'n 1 (- l I ZONING BUILDING PERMIT OWNER'� �1 TELEPHONE ,SQ. FT. OCC. BUILDING VALUATION OWNER'S MAI LIf19 ADDRESS CONTRACTOR'S yy AME 17TELEPHONE ,k: (- ^ x tti A . f r^^ '1 ', S CONTRACTOR'S MAILING ADDRESS q-) ,� , - Fireplace CONSTRUCTION LENDER I UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER / r LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS } I f� PLUMBING PERMIT Filin Fee 10.00 9 r Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each gas water heater or vent 5,00 ,•_� ,n' J Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Q' Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation❑''Other 0r Describe work: 1600V Permit Fee $ 0 {) Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR LESS Main service 100 AMP OR LESS 10.00 tt i Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2t/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p I y (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 CONSTR ULTI-OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS &') NON.RESID. SINGLE OUTLET CIR, / EX. OCCUp�OUTLETS OR FIXTURES eA 030 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESIDJ 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 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against 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 -- r - I 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 $ TOTAL PERMIT FEE $ OCCUP, GROUP I TYPE of CONST. PARCEL PD ND 195UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DlAiCT_OR OF PUBLIC BY /�! /% PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ,-Date- 1 r f`'- Receipt No. i -� ", "� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2"51 w 7 County Center Drive, OroviIIe — Phone: 5344541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE I Y i / j J .1i -'nn l �iz - /39- 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 /l matter, or need additional explanation„ please contact thisffice immediately: 9- J �l. /I /l Inspector Date III COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIONrAND PERMIT PERMIT N9. Sw�- ASSES OR PARCEL NUMBER a I ZONING BUILDING PERMIT OWN rPA U I TELEPHONE SQ. FT. OCC. BUILDING VALUATION OW ER' MAIL( ADORES J f� CO T ,R'S ME n C �1 ELEP ONE CONTRACTOR'S MAILING ADRESS _ Fireplace CONS RUCTION LENDFR UNKNOW Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADORE S Permit fee $ BUILDI ADDRESS ' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ET' Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New❑ Addition Remodel[—] Utilities❑ Installation❑ Other Describe work: VS' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2t/20sgft CONTRACTORS LICENSE LAW I declar under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions (�CCode and my license is in f 11 Cforcg and effect. License No. 2: OM 11 (moo 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 NON.RES'DRANCH CIRC ITS CONSTR BULTI-OUTLET 2,50 ea NEW CONSTR. /POWER APPARATUS &'` NON-RESID. (SINGLE OUTLET CIR. / zoesom Ex. Occup OR FIXTURES 9AL®30 FIXED A EX. OCCUp. OUTLETS P(RESID,)LINIS REA.) 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): n The permit is for $100.00 (valuation) or less. I2" l have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again t Id Cou In consequence of the granting of this permit. X 24.4 �l� Date Z _ �3 _ �L 11 Signature of Applicant — Owner Contractor El 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which nROF PUBLIC By PERMIT EXPIRES D to3 the applicable provi- resolutions to do fees have been paid. WORKS Date^ --D3 C56 Receipt No. / WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1 a • ' PERMIT NO. 1863-81B PERMIT EXPIRES 51/22.82 • OWNER MARGARET MULLINS CONTR. Erwin Roofing, Oroville i r ASSESSOR PARCEL 917 Harlan Avenue, Orov it 1. LOCATION30-211-11 4r e 1 �t I, • f� t` 1 1' Temp. Power Pole t Called PG&E Temp. Elec. Service Called PG&E t Temp. Gas Service Called PG&E JOB FINA LED (Date) r. Signature i J =OK O = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except p's 1, Zoning Requirements—Setbacks—Easements- Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1, Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rfirs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nal. or/ /"L "ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date POOLS (Plans) OK except Ws 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5, Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7• Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes— Enc losures— Pane lboards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date ♦. 4 = OK = Not OK = Not Applicable , = Not Ready RESIDENTIAL (Single and Duplex) ' Date UNDERFLOOR Plans OK except N's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. Card -BI 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Date Card -BI Date Card -BI Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except k's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except ft's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. 71. Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ED No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B-1 Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates _ ___33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - ---- Card -BI Date Card -BI Date Card -BI _ Date _- _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date t Date FRAMING(Plans) OK except p's Comments at Final: 36. 37. _Si I Is; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. 39. 40. Bearing Walls over Girders & Floor Nailing _ Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub _41I. 42. 43. 44. -Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-R g. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiling Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) Z COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ER RAI 49 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-454 APPLICATION AND PERMIT / ,� —� ASSES AR�% =UMBER — ZONING BUILDING PERMIT 0X33�, 6Ai�?t/GU�JS TELEPHONE SQ. FT. OCC. BUILDING VALUATION 93 MT5_06 OWNER'S MAILING ADDRESS WAYV /IV NAMF{��/V0�/ `-'v�JAppf2E$s ✓7� // / CONTRACTOR'S MAILING/y n C�— Fireplace CONSTRUCTION LEND E UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ Q (� ARCHITECT OR ENGIN LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ r Q Bu I ADDRF�$S V A ,(//y"//'�� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 '/ Ifl)ea l[ J Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF M Duplex ❑ Mobilehome❑ Other- Z&FT � T�' SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lit' s ❑ Installation 4 Other Describe work: ''�©y W CO�� 9,#1A JC—S Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.51 OR ADDNS. ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions C de an my license is in full force andel effect. License No. Classification `7 El1, 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) [L] I am exempt under Sec. Business and Professions Code for this reason NON.RESID R BRANCH CMULTI-OUTRCTITS) 2.50 ea NEW CONSTR. IPOWER APPARATUS e� NON.RESID. %SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES BA�@1 00 FIXED APPLNS. OR EX. QCCUp.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities ' gments, costs, and expenses which may in any way accrue against sai o ty in conse ce of the granting of this perm 't. X r e lfJ 11 L -P IF Signature of Applicant — Owner ❑ Contractor5211" Agent ❑wo An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 50.00 OCcUP. GROUP TYPE OF CONST. PARCEL PD ND 99UE This rmit is hereby issued under the applicable provi- sion the Butte County Code and/or resolutions to do icat d ab ve for which fees have been paid. TOR OF PUBLIC WORKS G Datte_ ,� PERMIT EXPIRES Date ✓ r�` �/ 5-10 Receipt NO. J 1 d� WHITE-D.P.W., YELLOW -ASSESSOR INK -INSPECTOR. GOLDENROD -APPLICANT i5 ;'; i � f1+ :;;r- ';. t ,i� i � t;i� � / .. �.. � 1� �' :a �'{ � , . l I ` � / i5 ;'; i J PERMIT NO. 4647-75P P E M MH UTIL. PERMIT NO. t PERMIT EXPIRES s !OWNER Margaretann Mullins ;CONTR. owner 30-211-11 LOCATION (A.P. I ) t 917 Harlan Ave., Thermalito s' 1 } i i� Temp. Power Pole Called PG&E Temp. Elec..Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING'(Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Pi in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS n C/ O k/. THERMALITOr IRRIGATION DISTRICT ''QQ 410 GRAND AVENUE F OLS OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: n ++-I Owner's Name::Z:�- C) �im._ , ., ....,, Y��' 1� r., Date: (i- 13 —1 t•; Address: - �.1 — *, _ Acct. No:R`3 +1 R � Q A.P. No.•A,�,_� ►►- 11 Phone: Y No. Units: Applicant/Agent: t )R Agents Proof: N /R Address: Fees: Phone: Application $ / Arrearage Preliminary Review By 11 Date: 1Z1-'7, i" CSA 26 / Remarks: `� SC -0 R 1st mo. S.C. Other Total Fees Y)01n-E , Collected By: Date: Field Review By: Date: s l 7 Remarks: - i ry 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 4-r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive — Oroville, California 95915 T&phos V 534-4541 APPLICATION AND PERMIT v authorize representatives of the county of tsutte to enter upon the above-mentioned property for inspection purposes. ate .s figne of Permitee or Agent �cNo. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. By �D RECTOR OF PUBLIC WORKS 7 'ualDate permit expires Date 9 �� BUILDING Owner . SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address 3� , Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Z Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s ni Fire Dept. Fire Zone Use Permit Building sewer 5.00 ,S EQA Parkinfi Plans Parcel Declaration parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 ns ec I Parcel Approval I Plans Approval Permit Fee $ ao ,$ OG NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (morethan 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Otherso Range, Cook -top or Oven1.00 Water Heater or Space Heater 1.00 Light fixtures b0� 10 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar, disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. �,rQl I certify that in the performance of the work for which this 4M permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ I FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ OG authorize representatives of the county of tsutte to enter upon the above-mentioned property for inspection purposes. ate .s figne of Permitee or Agent �cNo. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. By �D RECTOR OF PUBLIC WORKS 7 'ualDate permit expires Date 9 �� f+