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Home My WebLink About030-240-046�= ---' - - ' � Bett WellsSVQS_ Tres Vias Rd., app.2,XIO mi.F wo, Wilbur Rd., Oroville�SUPPORT STRUCTURE P_COMPACTION TEST! REQ.30-24-46 S/S Tres Vias _2 1 Oroville 30-24-46 �et �ito,173-83B(wood burning stove/SF) -030-240-04_6PERMIT#9.5-0590 HOWELL, Laurence 3395 Tres Vias,',Or'oville Cont:' Four Season.s,Roofing e3 _T HOWELL, LAWRENCE 3395 TRES VIAS OROVILLE CONT: WATTS PLUMBfNG CHANGE H20 HEATER 'J030-240-046' 03-0806 HOWELL, LAWRENd. CONT: MATTOX, KEN �~�� ~ _ ^r_ | ` ^ pp-", 030-240-046, 1 03-0906.V4' HOWELL, LAWRENCE 3395 TRES i/lAs R-D-,'6R"O-V-I-LtE-.4-,"' CONT: MATTOX, KEN RE -'ROOF 11 -- 7 70� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - UILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone 530) 538-7541 PERMIT IVO. (Rev. 12/96) APPLICATION AND PERMIT 03-0806 ASSE s C`E4NL(M-Bk�i, 6 ZONING BUILDING PERMIT OWNED ��...�(J HOWIM .+ . TELEPHONE SO. Fr, OCC. BUILDING VALUATION . OWNER'S �IA�UJ�NG d1DORFrSSr.' s3.� r VIAS RD, OR(yVILLE 95965 5nn CONTfiACTO_A•SL-J<1j PDX TELEPHONE 533-2934 CONTgAC1Tj'S'Alufl MI PW RD OROVILU 95965 CONSTRUCTION LENID'fE1R. LENDER'S MAILING ADDRESS Fireplace Total Valuation $ QrY1 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 1 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDt�j9YESS___ VW RD OROVILIZ Energy Plan Checking Fee $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 6 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Othersp Describe Work;F"Rrw iJ��'� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service x00A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.�y License Class (_r 3 Lic. No. r) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. a ACC. BIOS. SO 3.5¢FT_ MULTI.OUTLET NON-REOSINEW D. T. 97,50 DOWER APPARATUS a sINOLE ourLET cIR. Ex. Occup. OUTLET OR FD(TURES 20 Q 10 BAL @ .550 Ex. Occup. ouT>Frs RAID°E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' -compensation insurance carrier and policy number are: Carrier J i`! Te t---,,-4 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number 71 - 1*7 1 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance,of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation- provisions of section 3700 of the Labor Code, I shall forthwith Comply'with those provisions. I X �?+ /" / - _ _ Date `S �� ' C_� Signature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 43.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work o or which fees have been paid. 3 a 4By Date 1' ds PERMIT EXPIRES ON De(e f Receipt No. J/J/l7�*43'W WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 03-0806 ASSES OR ARCELNUMBER �3b-2..40-046 ZONINp BUILDING PERMIT OWNER LATrIRENCE HOWELL TELEPHONE Sp, Fr, OCC. BUILDING VALUATION OWNMAILING ADDRESS T395 TRES VIAS RD OROVILLE 95965 19 S CONfRACTO R'S NAME KEN MATTOX TELEPHONE 533-293 CONTRACTOR'S MAILING ADDRESS 11595 MILLER PEAK RD OROVILLE 95965 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDING ADDRESS 3395 TRES VIAS RD 0 Ener Plan Checking Fee $ Energy g $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF M Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherYD Describe Wor�F,$�n�)i��(�1P'� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 "OOVOR LE Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. ' / License Class 0---3-7 Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. i DWELLING oCCUP. ORw OONSNS. ( &ACC. so 3.5QFT; S. NON•RESID. 97.50 POWER APPARATUS d SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL @';50 Ex. Occup. o unErs Actio)EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 i 'I PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' mp nSIR on insurance carrier and policy number are: Carrier F,4 MECHANICAL PERMIT Fling Fee 20.00 Heating Coolingd Hood 1 6.50 Ventilation I PERMIT FEI= $ Policy Number __Z ) 3- / '7- 6 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date _� OC �" (13 ``� Signature f Applicant - ❑ Owner ontractor ❑ Agent An OSHA ermit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. II Mobile Home Installation Fee $ Energy Inspection Fee $ cc corsT. TYPE $not 43.00 MAz, D. FEES ETOTALEE COF I PARCEL I PD I HD ISSUE NY This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work d a e r which fees have been paid. DateReceiptNo. 1By T EXPIRE O ate 375775 43.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .. � + { . ,�:� ..�, a. �: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT G T/- 41 ASSESSOR PARCEL NUMB � r ' /K+�t ZONING BUILDING PERMIT OWNER c�-�+� TELEPHONE x33 SO. FT. OCC. BUILDING VALUATION OWNERS'.�.CwALJ }i� M:A .Y CONTRACTOR) 7. ^"am % N � 015290 CONTRACTOR,'$,• MA/1 JG ,;DRESS _ CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 33q5 "',R n � Qc�� .1�.� Energy Plan Checking Fee $ $ nn ,,,eems� Orr / &� t....I PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF�Duplex ❑ Mobilehome ❑ Other � sPECIFv Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK j❑ Other ❑ New ❑ Addition ❑/ �Remo/d��ell 0 Utilities ❑ Installation [3 Describe .Work: ( - (J� �' "1.-C t 4 7C H ' y �lfi C A Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT I Filing Feel 20.00 Main Service zo.A VOOR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION � I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. /� ` License Class -///%, 00 LiLLic. No. C•: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owned of the property, am exclusively contracting with licensed contractors to construct the project. L ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' -'COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations. ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensa o insurance carrier and policy number are: Carrier X177/)/__& - %-rC✓��t-7 Main Service POA TO 4DWELLING.00 NEW CONST. ( DWELLING OCCUP. SO BLCCU so OR ADONS. E ACC. DS. 3.50FT. NON -RES D. MULTI -OUTLET @7,50 POWER APPARATUS 6 SINOL E OUTLET CIR. EX. Occup. OUTLET OR FDTTUREs .00 BAL O I.50 FIXED APPINS. OR Ex. Occup. oLITIETS(RESIO; EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE' S MECHANICAL PERMIT. Fling Fee 20.00 Heating Cooling Hood. 6.50 Ventilation _ PERMIT FEt $ / Policy Number %56"-J 4w .r `1[• (The above sections need not be completed if the permit is for work'of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �. �`• (�` �� /r/� / / X l i '�• �`-,�/C,i✓` Date Signature of�Applicant - ❑ Owner 0 Contractor ❑ Agent' / An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ �� CONST. TYPE i TOTAL FEE $. (y'Q HAZ. D. FEES IMP FLOOD CDP PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicatedabove for which fees have been paid. /jam /� By fr �.% _ t! & Date PERMIT EXPIRES ON Date Receipt No. _11y 11 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT __ _ _---._�- -• �. -. ��, .a .a• Flow- ,+"Ys+ r+•v.�'x a+"rr.ew.+�.,sw ,,,, ..•.,.�,...,.._...+.ey ./r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT G ��>S ASSESSORPARCELNUMB -.e p�� /J1 U V ZONINOU BUILDINGPERMIT OWNER TELEPHONE 633_(v6(,SO. FT. OCC. BUILDING VALUATION .OWNER LX QBE6S �d (J^ NAM CONTRACTOR' '- TELEPHONE co r 6Ma ADBREss CONSTRUCTION LENDER Fireplace LENDER'S MAUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ Oroo/ ae$ I CA PERMIT FEE _ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF f)(Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 1 g'5.00 , ,00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ R odel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: W � Gas piping sy2tem 1 • 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S (� ELECTRICAL PERMIT Filing Fee 20.00 600VOR LE Main Service p A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,N and my license is in full forc d effect.'7 License Class Q ZLic. No. 3� OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensaVon insurance carrieI policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' com a , ton laws of California, nd agree that if I should become subject to the workers compensation provi 'ns of section 3700 of the Labor Code, I shall foowitq comply with rs vis -0 S. / /X Date l Signat Applicant - ' Owner 01 -Contractor ❑ Agent SH permit is required for excavations over 5'0" deep and demolition or construction u tures over 3 stories in height. Main Service 46.00so Yn200A NG rCU000A NEW CONST. OWEWNG OCCUP. SO OR ADDNS. ( 8 ACC. S.3.50FT. a°esIU MULTI.OUTLEi @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FIXTURES 20 @ I'00 Ex. Occu BAL @ .so Ex. Occup. oimFis R61D.OFR.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FET= $ Mobile Home Installation Fee $ Energy Inspection Fee $ cc _3 CONST. TYPE i TPTAL FEE $, HAZ. D. FE IMP r FLOOD COF PARCEL PO HD ISS UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated bove for which fees have been paid. By Date 3le.' 61 PERMIT EXPIRES ON 3 Ao'dZ— ate EReceiptNo. E-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 7 030240-0461 -'PERMIT#95' 05 90'`'.' 11 '-'HOWELL, Laurence '3395 Tres Vias, Oroville �Cont: Four" Seasons Roofing . Reroof/SF m COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING'DIVISION y 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75� ��PER, IT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 030-240-046 ZONING B ING PERMIT OWNER TELEPHONE S6.. FT. OCC. BUIL{DIING VALUATION 28 2 68" OWNERS MAILING ADDRESS 3395 TRES VIAS, OROVILLE CONTRACTOR'S NAME FOUR SEASONS ROOFING895-0418 TELEPHONE CONTRACTOR'S MAILING ADDRESS 21158, 740YRR WAY, (.qTrf) 49926 Fireplace CONSTRUCTION LENDER UNIwOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 39.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3395 TRPS VIAS OROVIiLE PERMITFEE $ 59.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF 'M Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REROOF Mobile Home S G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service a00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class C ' Lic. No. C S 70 7 3 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR. SO. OR ADDNS. ( 8 ACC. BLDS. ) 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 @ I.00 BAL 50 Ex. Occup. ( OUTLETS(RES D.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers IcorpW �t.- - 1 —pensatiion insu ante carrier and policy number are: Carrier WSW MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number 3 (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply ith those provisions. q _ X Date / / ��_ Signature of Ap icant - ❑_ Owner 13'Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 59.00 H9z, Dr FEES IMP FLOG HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to-do work indicated above for which fees have been paid. By Date ��' ✓� PERMITEXPIRESON /�� Fd T I (D Receipt No. ) WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF.:rDEVELOPMENT SERVICES - BUILDING DIVISIO 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT NO. APPLICATION AND PERMIT �^ ASSESSOR PARCEL NUMBER -- 030240046 70NI- B INGPERMIT OWNER TELEPHONE SO, Fr, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1195 TRES WAS, DROVIT.I.E. 'I 28 1 f 680 CONTRACTOR'S NAME FOUR SEASONS ROOFING TELEPHONE p -0 8 CONTRACTORS MAILING ADDRESS 9358 MOYER WAY, CHICO 95996 Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 39.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 3395 TRES VIAS OROVILLE PERMITFEE $ 59.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump Water heater 23,00 USE OF STRUCTURE SF W Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REROOF Mobile Home S I G W 1 920.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filing Fee 20.'00 Main Serviceeoov OR LESS ( zooA oR LEss ) 23.00 Main Service ( zooA TO ,00OA ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class �� Lic. No. � .S s� i 3 WNER-BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR SO. OR ADDNS. ( 8 ACC. BLOB. ) 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( 8POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL Ex. Occup. ouTlFrs PaE IS o.OEA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' co , pensation insuf ance carrier and policy number are: Carrier ,.c r1 {f : MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number 3yy.rZ l:f- (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions- of section 3700 of the Labor Code, I shall forthwith comply ith those provisions. c, , _ X _� Date _y! /n��_ Signature of Ap licant - ❑ Owner IxContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 59.00 AZ. 0. FEES IMP FLOOD I COF PAR EL PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. q By%Date V 1 PERMITEXPIRESON 7_ /4Z (Date) Receipt No._ � WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PL -5 �� 5— J r % PERMIT NO. 7-83B,P,E,M PERMIT EXPIRES �4�v •G� OWNER LAWRENCE HOWELL JR. CONTR. Owner 111 ASSESSOR PARCEL 30-24-46 LOCATION S/S Tres Vias Rd, app 2/10 mi W Wilbui Rd, ORoville RRr�g� f Temp. Power Pole Called PG&E Temp. Elec. Service eP 4 -� 3 Called PC Temp. Gas Sei Cal led PG JOB FINALE[ t b Signature a J OK' 0 = Not OK - = Not Applicable MOBILEHOMES = Not Ready 1 MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'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/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood 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. - Card -BI Date Card -BI . Date Y Card -BI Date Card -BI Date Card -BI Date Card -BI ; Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Date _ POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances' 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 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 Approvals 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-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date - r I V = OK "y 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Singled and .Duplex) Date UNDERF OR (Ppa< OK except #'s Date FRAMING (Continued) 1 oning requirements -Setbacks -Easements 48. ewall & Openings tg. Main; Soils -Steel -EI d.- / r Ftg. Depth Ext. Doors -One 3' -Check Garage -3rd story, 2 exits tg., Garage; Soils -Steel- f Ftg. Depth m -Rise -Run -Landing -Fire Protection • 4. Ftg. Porches & Decks; Soils -Steel- / /" Ftg. Depth emwalls, Main; Steel-Blockouts-Wrappe Sla wood on oof Overhang -Attic Vents -Rafter Outriggers _ iding Na' n eneer ¢mwalls, Garage; Steel-Blockouts-WrappePt.reed-Fdn. Vents-Underflr. Access 7. P' _ -Fireplace Ftg.-Steel - .W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test lazing Area -Glass Protection -Skylights -Plastic ear Walls; Nailing -Bolts V'Gas Pipe; Size -Anchors 14—.Water Pipe; Test -Anchors -Regulator -Service Test _ 11. Electric; Underground Plenums &Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date C BIXW Date 3Card-BI Date Cord -BI Date Card -BI Date C Be, DateiL%g Card -BI Date Date F NALOK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except ft's xt. Steps -Door & Sidelight Protectio m e Det"or _4P4. Water Ht.: Vent -Access -Combustion Airurnacd Clearance -Comb. Air -Connector- In G rage; ove Floor -Ducts -Meth. Protection edroom Exiting _ WaT it ter Pipe Anchors -N Protecti ors -N rotection 17. Floor -Tub Access F.I. & Bath Fixtures & Tub Access _ er, 2nd Floor -Tub Access 6.1. Elec. Trim & Subpanel; Breaker Sizes -Labels _ 1 . Pipe; Size &Anchors 62. Stairs & Rails _ _ _Gas 63 Fireplace or Stove; Clearances -Hearth §t__eec. Outlets at Wood Panel; Int. & Ext. Card -BI Date . ;;Card—Bl Date 60e"Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date *!Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's arage Fire Door; Swing -Landing -Closer in Garage -Damper -- 2 Fixture & Transformer Clearance -Ins. Protection Wtr. Htr.;�1 arart Cotnb.-Air-Connector-P.R.V.= I Garage; Above Floor -Meth. Protection 05 E c. Receptacles Spacing -Lights &Switches at Doors Plb., Elec. & Mech. Equip. Listed for Location Size Boxes & No. of Conductors -Stapled lec. Receptacles in Garage; (G.F.I.)-Romex Protec. Romex Installed Close to Edge of Studs & C.J. ip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic Yes 2 Appliance Circuits in Kitchen & Conductor Size ck Construction -Post Caps _ 2% " a v'' --aize / / ga. Cu or AI-A.C. Wire Size / ga. u or AI 74. Fdn. Vents & Crawl Hole oor-Drainage & Wood -Earth Clearance Looked under Floor Yes 27. Range Circ. / / ga. C or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral 4 es ❑No 75, Following instldd—y Drive s E] No; Walks L es ❑ No; Planters E -Res El No ervice Riser ductor Main Disconnect 76. Stucco; Brown -Finish --2 quip. Clear nets- oor ch. Equip. A . Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet _ __— -- fight -Shower Light —_ Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. --------------------___--- ----__ _ Card B -I _Date �� Card BI ai .�g CLQ B -I Date 1 Card -BI Date W ter Well; Disconnect, Electrical, Plumbing E terior Elec. Trim; G.F.I. Receptacle -Underground Vntilalion throughout House Glass Protection Date MECHANICAL (Permit) OK except N's 83. Correcti rom Previous Inspections 84� Ga es Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation &Support _ enaust above Insulation ��_._l_Fan; Exh_. -- 33. _Condensate Drain _& Overflow; Size & Grade 8 ater & Sewer Connected -C/O to Grade -HD Approval 8 Energy Compliance Certificate -Other Certificates -b _ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic -- - - ------ -- - -------------- Card -BI Datedd /�` dfiard-BI Date -- �T I �f Card -BI Date Card -BI Date G �— Card -BI Date -4M Card -BI Date CoDate Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRA G(Plans) OK except q's _ Sills; Proper Material & Anchors_ _ 3illls: Studs -Nailing, Spacing & B_racing-_Plat_es_-Sound Xearing Walls over Girders & Floor_Nailing___aft Stop in Walls (rat proof)Stops; Furred Ceilings -Stairs -Chase Tub er &Beam -Size &Bearing 4 Hangers -Post Caps -Anchors -Connectors Ing. Joist-Rftr. Ties-PurH -Roof Brac.�hthn'._Rfnq. Fireplace Ties or Type u Fireplace Th j,Aic Access: Size - R_-- ome rotecti raf_ Ins: les _ qg/Bdrm. Windows or Exiting Doors -Sill Hgt. imensions _ arage Fire Protection Framing -- — (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORI(t 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 �p r BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, �'please contact �tLhiis- office immediately. � -v. A-, InsP ector %��" Date 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 s /s Q ' \) (�,n % BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this �;ma�tter,or,ed additional explanation, please contact this office immediately. IV i".10. -✓i 10� z v Inspector f pi .__Ei, W W A Y000M e7 J0 0 j/ � Date 9 — .1^`.f`", fi .(.�, .Yif.1 �-i, . Yit�A A 7� • t �1,i _ �'Yl .'�1L /5� % Y. 4�'/! �{ � L1�1 V' �/ •I 7 /� � .tr i✓iY. i� t/t`•'1 ,�f'7'71l'L.lX 0 e< r � Z"�� /1, � �a/�► � t�� 473'T �t 1;4J • V . `S��\`J r o� � , 0-4Z VC -C` D 0'W% T111A 17 J"Iz1lif,( An [/ 1 /� lr-� yrs? t rC n t �. n �:� r�,r , ✓'Z ?r•} 4-D IV i".10. -✓i 10� z v Inspector f pi .__Ei, W W A Y000M e7 J0 0 j/ � Date 9 — RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE - THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT 3 W f hll l g i .4 P,--) A J Z/>; , c (location) BU ILD ING PERMIT NO. 7- �' A .'P. NO. �O' 2v-(-14 THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED.PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge Fdn*Walls Floors Walls Z' Ceiling/Roof Ducts t�— Circulating Pipes_ APPROVED HEATER APPROVED WTR.HTR. GLAZING: Single Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. w� BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPLIANCES I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name4 Signature of (please print) Insulation Applicator State Contractors License No. General Contractor/Owner Name Signature of (please print) General Contractor/Owner-r_. .rk i Date o State ontractors License No. I THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Calltornla 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT 0. ASSES OR PARCEL UMBER ,. ZO ING BUILDING PERMIT OW. ER r TELEPHONE 33 �3 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS a� CONTRACTOR' TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNK O[J W�{� I/ Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING DDRESS -,` e s PLUMBING PERMIT Filing Fee 10.00 r . w l/V Each Trap 2.00 Solar Water Heater 20.00 T Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ®Duplex ❑ Mobi Iehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New El Addition [I Remodel ElUti lities [IInstallation❑ Other L Describework: WO.ZC4 lourKI1^0v — 7r-. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR LESS Main service 600 AMP OR OR LESS 10.00 1 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2t/20sgft 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 CONSTR ULTI-OUTLET 2,50 ea NO ",.REBRANCH CIRC ITS NEW CONSTR POWER APPARATUS &1 NON.R ESI D, SINGLE OUTLET CIR. 20@50a Ex. Occup(D TS OR FIXTURES BAL®90Q FIXED APP LHS, OR FIXED Ex. QCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Horne Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 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 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 cqrsequence of he granting of this permit. X Date �' �.3 Signature of Applicant — Owner ontractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuresover3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCuP. GROUP I TYPE OF CONST. PARCEL PD 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. PUBLIC WORKS 1 CF/I (/Receipt By0Date 7 PERMIT EXPIRES ate No. O� �� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cal.i'fornia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR_ PQ,RC NUp4�ER 3VM 22 Nn ZONINZ_ BUILDING PERMIT op 4W ^ ✓ / � /mss' /�� / ��' /y'-c/IN L -L/ 3� � S0. FT. OCC. BUILDING VALUATION r 00 OWI//�EER''SS M5LiV.G A(D�DCR•ESS y `3ZO L1D/�!� CT e �/(/G/C/ � 5 5 , o CONTRACTOR'S N.$�i�- I / TELEPHONE �j ,O CONTRACTOR'S MAILING ADDRESS Fireplace CLQ NSTRI}t TION Lj&rWj 14Qr14"� UNKNOWN Total Valuation $ Qv Filing Fee $ 10.00 LLEl/NDDEER''S �ji�L/N�J,N/�G gRESS �/T 1/9/7 Y11 4 U %Y`J IE � Permit Fee, $ �r ba ARCHITECT OR ENGINE LICENSE NO. Plan Checking Feb.$' 50 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Z�,9Y� BUkNG AD R S ZPLUMBING V/� pn� A�0. /v Mi /�>�/J N PERMIT Filin Fee 10.00 9 Each Trap 2.00 pp Solar Water Heater 20.00 Water piping 5.00 ;pp LOT NO. SUBDIVISION NAME PARCEL MAP Each das water heater or vent 5.00 .00 Gas piping system 1 -5 outlets 5.005-'00 �- / USE OF STRUCTURE SF [e Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 , Mobile Home S G W 10.00e TYPE OF WORK New e Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: — Permit Fee $ ,C>a Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP ORV OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 �U OR ADONS.NEW CONST. ( ACCLBLDGS rJ &) 21/20sgft 52, 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 m license is in full force and 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. (Sec. 7044) y 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 CONSTPOWER APPARATUS 8, NON- RRESID. ( SINGLE OUTLET CIR. Ex, OR FIXTURES eAL@301 Ex. Occup(o XED A PP LNS. OR FIXED A `` Ex. Occup. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 , Permit Fee $ , 0 Contractor • MECHANICAL PERMIT FiIingFee 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. e. 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 6645-1-P 6 .00 6!P J?J /od t70 C, Cooling C- VAP 00 Hood 3.00 Ventilation permit Fee $ lto 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. 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 con equence of granting of this permit. /> 3 --R3 ��✓li .a?� Date Signature of Applicant — Owner ontractor ❑ 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 $,57Y . (00 OCCUP. GROUP R- TYPE aF co 5T. JPAyJ,�7J.ZIV' This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF P BLIC / ,.. By - �' ` ` �- PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ^!r%r DIEL Receipt No. 7-/J�J� �/ WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT i V f Return t<o_•DPW• AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 83- 418 FOR RESIDENTIAL DEVELOPMENT h C, Section 26-8.1 of the Butte County, Code requires this acknowledgemen �4t3�JrY �T,V_ be recorded prior to issuance of a building permit. DS The property described hereinjis adjacent to land or included within an area zoned for agricultural purposes, and residents of N gECKE�' this property may be subject to inconveniencesor discomfort anis KD�Rje()RDER, frim the use of agricultural chemicals, including, but not limitedC o herbicides, F pesticides, and fertilizers; and from the pursuit of agricultural operations including,. but not limited to cultivation, plowing, spraying, pruning,.and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established.agricul- tuxal zones Vhich have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property sh9uld be prepared to accept such inconvenience or discomfort from normal, necessary farm -operations. . i All that real property situate in the County of Butte, State of California ._ described as"follows: Date: I _ I State of SS. County of ?VTT 73 ) &Z,., , l ,Li On this the 6_774 day of 19 , before me, the undersigned Notary Public, personally appeared tiG known to me to be the persons) whose name(s) iS subscribep to the within instrument and acknowledged that L executed the*same for the purposes therein contained. IN WITNESS WHEREOF, I hereunfo,'se han a d official seal. Notary Publ OFFICIAL SEAL 17) DANIEL F. HUNT NOTARY PUBLIC CALIFORNIA PRINCIPAL OFFICE IN BUTTE COUNTY MY COMMISSION EXPIRES OCT. 1, 1986 &Z,., , l ,Li On this the 6_774 day of 19 , before me, the undersigned Notary Public, personally appeared tiG known to me to be the persons) whose name(s) iS subscribep to the within instrument and acknowledged that L executed the*same for the purposes therein contained. IN WITNESS WHEREOF, I hereunfo,'se han a d official seal. Notary Publ , y DESCRIPTION: 1 it I All that cer`ain real property situate in the County.of Butte, State of California, described as follows: 1 I All that real property situated in the Northeast quarter of Section 17, Township 19 North, Range, 3 East, M.D.B. & M., Butte County, i California and being more particularly described as follows: i B-E-GINNING—a-t a—point on t -he -'North line of said �ection 17 from which the Northeast corner of said Section 17 bears North 87° 28' 04" East 1180.27 feet; thence from the point of, beginning South 02° 31' 56" East 421.12 feet to a one-half inch rebar tagged LS 4202; thence South 870 28' 04" West 589.79 feet to a point on the Easterly bound-aryiline of a piece of land as described i -n Deed to the -State of California recorded March 23, 1964, in Book 1303 of,Official Records, Butte County, at Page 545; thence Northerly along said line North 20° 23' 59" East 391.44 feet to Department of Water Resources' Monument #TPP & A -11A; thence'North '76° 16' 00" West 216.40 feet to the North line of said Section 17; thence Easterly along said North line North 870 28" 04" East 645.00'feet to the point"of beginning. l 1 I I i I i i 1 l ✓ 77 3"V ✓-Oft-� �/cr`3 .a( 1 l II u r h-� 0 0 6 i ��INCOLN of MOBILE HOMES TO: MRS. BETTY WELLS Mrs. Wells, i� This is an authorization to allow Dermis I Vandervort of Olympic Mobile Home Sales, also my employee, to set up your Mobile Home. k Thank you, Larry M. Septembery130, 1980 2628 Lincoln Blvd. • Oroville, CA 95965 • (916) 534-7774 f u to LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Director 7 COUNTY CENTER DRIVE, OP.OVIL.L-E, CALI FORMA 95965 Tolonhono: (916) 534-4541 H. W. McDONALD Deputy Director r September 24, 1900 .... PR Utilities Betty Wells RE: SIMiPermit #'2749-80 1134 14th S t A. P. # 3 -24-% �ici►v11�.a I.. X596 D"r Me. Well$:! With reference 'to the above subject','we have been advised' by one of our building inspectors that you have not obtained the required permits and inspections from this office for the work you are doing as follows: y1'' A ai6bila oiva Haat lostalled oik your �r"erty on Ties VIA* mad, Otwilles uithou ':havins the utilities inspected and epp=ved by this office ana without a mobileh me iut tollation pamit as sequ red by State anti Coaity imam. Since permits,and inspections are required by both State and County laws, please contact_this,office within ten (10) days of the date of.•tfiis letter, submit two (2) complet s o plans apply for the required permits,'and pay the appropriate f e e s e `c�� ®�- Com. All work must stop until you obtain these permits and are authorized by our field inspector.to proceed. This field authorization cannot be made until the existing work is inspected and approved. Your cooperation in resolving this matter would certainly be.appreciated. Should you have any questions concerning this matter, please contact this office. Yours very truly, Clay Castleberry. Director of Public Works JFG:dd cc: Building Inspector Assseaset s Office, oroville J.F. Glander Chief Building Inspector ,. u to LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Director 7 COUNTY CENTER DRIVE, OP.OVIL.L-E, CALI FORMA 95965 Tolonhono: (916) 534-4541 H. W. McDONALD Deputy Director r September 24, 1900 .... PR Utilities Betty Wells RE: SIMiPermit #'2749-80 1134 14th S t A. P. # 3 -24-% �ici►v11�.a I.. X596 D"r Me. Well$:! With reference 'to the above subject','we have been advised' by one of our building inspectors that you have not obtained the required permits and inspections from this office for the work you are doing as follows: y1'' A ai6bila oiva Haat lostalled oik your �r"erty on Ties VIA* mad, Otwilles uithou ':havins the utilities inspected and epp=ved by this office ana without a mobileh me iut tollation pamit as sequ red by State anti Coaity imam. Since permits,and inspections are required by both State and County laws, please contact_this,office within ten (10) days of the date of.•tfiis letter, submit two (2) complet s o plans apply for the required permits,'and pay the appropriate f e e s e `c�� ®�- Com. All work must stop until you obtain these permits and are authorized by our field inspector.to proceed. This field authorization cannot be made until the existing work is inspected and approved. Your cooperation in resolving this matter would certainly be.appreciated. Should you have any questions concerning this matter, please contact this office. Yours very truly, Clay Castleberry. Director of Public Works JFG:dd cc: Building Inspector Assseaset s Office, oroville J.F. Glander Chief Building Inspector File No. BUTTE COUNTY Public Works Dept. Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. D&C / Traffic Const. Rd. Des. Br. Des. Sur. & Loc. T ra n sp. R/W Mapping Land Dev. Ref. Disp. Drng. / S.I. Sub. & Pcl. Me Permits (For Action 1, 2,3) (For Information ✓) j Owner:_ Address:' BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTIOR REPORT n'M Tenant: — 1 Building Location: _ -_5_,-2C . •eo Type of Inspection requested: 1. Housing L/ 2. Financing A. P. # _,q0SG�'R a. Date of Inspection g-5� Inspector , 3. Change of Occupancy to 4. Other (specify) ' 'Present use. of building: A. Sanitation (Housing) 1. Water closet:, 3 2. Lavatory: - 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating'facilities:- 7. Natural light and ventilation: 8. Room and space requirements: 9.• Bedroom window or door for -second exit: 10. Infestation'of insects, vermin, or rodents: 11. Connectior' to sewage disposal: 12. Connection to. water' supply: 13. Rubbish and garbage facilities: 14. Comments• B. Structural 1. Piers and footings: 2. Floor construction: J. Wall construction: 4. Ceiling and'roof construction: 5. Fireplaces: 6. Comments= C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: ' D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Cas heating. vents: 4.. Comments: (continued on back).. E. Other 1 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5., Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings le Roof covering: 2. Distance to property lines: 3. P1rysically handicapped: 4. restroom floors and walls: 5. Exits' 6. Improvements: 7. Zoning:_.. _ 8. Comments" G. Field Problemis or Violations 1. Problem orjiiolation (�;i 2. '.khat 3.. What act z.ox� nded: 77 A. inforuution only - file. . Hold for ten. (10) days, then write letter. C. Write letter. 77D. Other: I FiEROY NO. PERMIT EXPIRES 6, Betty Wells OWNER Glen'Flanary, Oroville CPNTR. 30-24-36 port. -LOCATION (A.P. t. S/S Tres Via6 Rd., app.2/10 mi.W.of Wilbur Rd., Oroville a II Power ower Pole P P Pailed PG&E Te p. Elec. Serv. Called PG&E emp. Gas,Serv. Called ailed PG&E JOB 0 APO FINALED Z— (Date) (SignatureV i J .apiR-�. ve ; LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WOnKS CLAY CASTLEBERRY, Director 7 COUNTY CENTER DPIVE, OROVILLE, CALI FORNIA 95965 Toloohono: (916) 534-4541 H. W. McDONALD Deputy Director September 24, 1980 Mei Utilities Betty Wells RE: SOUMMgPermit #2743-80 1134 14th St. P A.P. # 30-24-36 Oroville, CA. 95965 ` Dear Ms. Welle: With reference to the above subject, we have been advised by one of our building inspectors that you have not obtained the required permits and inspections from this office for the work you are doing as follows: A mcibilehome was Installed on your property on Tres Vias Road, 0roville, without having the utilities inspected and approved by this office and without a mobilehom)e installation permit as required by State and County laws. Since permits and inspections are required by both State and County laws, please contact this office within ten (10) days of the date of this letter, submit two (2) complete sets of plans, apply for the required permits, and pay the appropriate fees, Includi>ai& Rggalty fees. All work must stop until you obtain these permits and are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Your cooperation in resolving this matter would certainly be appreciated. Should you have any questions concerning this matter, please contact -this office. JFG:dd cc: Building�I�Ce' ss ville Yours very truly, J Clay Castleberry Director of Public Works Original signed J. F. Glander J.F. Glander Chief Building Inspector i • 0 � COUNTY OF BUTTE 7 COUNTY CENTER DRIVE DEPARTMENT OF PUBLIWORKS OCROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the reTitle 25, Chapter 5, undquer permit ire ents of the California Administrative Code, ��. fie d �6 --1y".9'_ for the following location: / number j J - Owner /,— �Y - _ Owner's Address—//l8.�f Year / Model Mobilehome Mfg, 7`12 y Serial No. Insignia No. y at the above described location an It is hereby certified for occupanc may be occupied. Director of Public Works �{ By Date '� �Y , 61 WHEN MOBILEHOME IS RELOCATED THIS CERTIFICATE IS VOID . White -Owner, Yellow - Installer, Pink - D.F.W. N 13 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleand v ue, Chico F Phone 343-4211, Ext. 70 7 County rive, Oroville — Phone 534=4551 Skyway and Elliott Road, Paradise — Phone 871-3435 . If CORRECTION NOTICE F BUILDING OR PROPERTY DDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office u when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediatelv. II �i Inspector Date 9. Electrical A. Is service large enough to provide adequate a}nperage__to mobilehome (must equal , a_tirs oft mobilehome with a minimum of 100- amp) and other facilities. on 1,5, J*,,e. , water pumps, garage, cabana, etc.? Yes �o_ t B. Is there proper clearances around panels? Yes No_ C. Is power supply cord or feeder assembly properly fused? Yes1-11-0 �No_ D. Is continuity test satisfactory as pet the following procedure? Yes_ 1. De -energize electrical wiring system of the mobilehome.at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply. conductor,,including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length Width 12- Vehicle 2Vehicle Serial No. 2q Z State Identification No. Additional Information or Comments: 0 r MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with ,required separation from lot lines and buildings and generally conform to plot plan? Yes_ o_ 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes vNo 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes ' o 4. Is the mobilehome level? (Sec. 5088) Yes Z'_No If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes_ No_ 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Y e slzgo B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes t—N-o' Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No_ 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yeses/No B. Does it have minimum V per foot slope and is it properly supported? YesL/No_ C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No If coach i -s not State of California approved, does station have required trap and vent? Yes_ No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobile,dme gas line inlet without reductions other than the mobilehome connector. YesNo� B. Test OK as per following procedure? Yes -�No_ 1, Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"--14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop, 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No I i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS. BUILDING INSPECTIONRECORD BUILDING BUILDING (Cont'd) PLUMBING Set k firewall ski PIpIn Forms P a ets 1 t Floor Main IlIdg. ResNroom Finish-., 2n Floor' FootNgs Wind o s 3rd koor Stemw II SidingN To out Slab Roof She Water Pii Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwa I I Garage Vents • Insulation Water Htr. Heaters Slab Carport Footings Slab Prov. for physic ly handica ed Conformance of ex. structure Final V Appliances Gas Pip ng & Test Temp. Gas Sanitation Patio FI LACE Final Footings Footing ECTRIC Masonry Walls Thmnf o.....ti Bond Be RE SPRINKI-EkS Motors Framina Test Water Htr. Stucco Final Sub ane Mesh/ MECHANICAL Grd. F It Prot. t►yown \ I CoolirA \ I Timb. Pole \ finish Duc nder round terior Lath Ve tilation Permanent oor Closer Final Final MOBILEHOME UTILITIES ----------•------- Elec. Service -260A. ✓ Elec. Pedestal Water Piping S7 Sewer T� Gas Piping �� O OBILEHOME INSTALLATION - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS UC 113�4 _-A" zc_ -� ��. 10- Cf (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-454 APPLICATION'AND PERMIT PER IT N0". . T ASSESSOR'P RCEL NUMBER w ZONING /(,f /UCij B DING PER %Q OWNE L TELEPHONE S33_ 13 SO- FT. OCC. BUILDING VALUATION OWNER'S MA LING ADD sAe C A DR'S A �)9 TELEPHONE TRTORS M I A DR CIO� CONSTRUCTIO LENDER%'�� UNKNOWN �(® Fireplace Total Valuation $ LENDER'S MAILING ADD DRESS Permit Fee $ &_ARCHITECT OR E GINEER LICENSE No. Plan Checking Fee t $ Penalty $ ARCHITECT R ENGINEER'S MAILING ADDRESS Permit fee $ BUILD G DDRESS •�9.� �� 0,� PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF ST SF ❑ • Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORKPermit New ❑ Addition ❑ RemocJeIEJ I stat Iation ❑ Utilities Other ❑ Describe work: - i r— �n pXf . �% Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service i°oo AMP ORV OR LESS5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADONIS. 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 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 kfor 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 ULT' -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS .&) NON.RESID. (SINGLE OUTLET CIR. EX 2q . OCCUp\OUTLETS OR FIXTURES gAL ,�v FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ot®OoQ 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 r , ��`—� % - Date / Signature of Applicant Owner FL Contractor ❑ Agent 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 $ ,Ejp Land Development Fee $ TOTAL PERMIT FEE OCCUR. GROUP I TYPE OF CONST. PARCEL PD NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT R F PUBLIC By P Ill EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. U WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT MOB ILEHOME SUPPORT DATA .. If other than single wide, Mobilehome Mfr, rL.i–�'Z�'�,,�- furnish Setup Model No. Year Width' / •a --eft.) Box•Length3:57,(ft.) Tagalong or Expando Size t. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation .manual and structural setup sheets (if not on file with the County of Butte). .All center supports measured from front of mobilehome unless otherwise specified. ' Footings (check one) Single �1. Wood either.. pressure treated or foundation grade. 2. Other (specify) Supports (check one) 1: Concrete block. ,2. Other (specify) !r—Tagalong or Expando,' show support details. (ft.)(in.) (in) Typical Support (in.) (in.) Footing Size <[i=n( (ft.)(in.) �y -- Max. Pier Spacing (ft.)(in.) xMax. Overhang (ft.) (in.) (in.) (in.) �- - (ft.)(in.) Z743.8a !BUTTE COUN FY BUILDING DEPARTMENT .*If center piers are other than drawn above, A +'" r" 1`C O V E b draw in. -locations, spacing,.and dimensions. x (ft.Xin.) (in.) (i ) Center support Cente support locat ons* foo ng sizes (in.) (ft.)(in.) (in.) (in.) pressure treated or foundation grade. 2. Other (specify) Supports (check one) 1: Concrete block. ,2. Other (specify) !r—Tagalong or Expando,' show support details. (ft.)(in.) (in) Typical Support (in.) (in.) Footing Size <[i=n( (ft.)(in.) �y -- Max. Pier Spacing (ft.)(in.) xMax. Overhang (ft.) (in.) (in.) (in.) �- - (ft.)(in.) Z743.8a !BUTTE COUN FY BUILDING DEPARTMENT .*If center piers are other than drawn above, A +'" r" 1`C O V E b draw in. -locations, spacing,.and dimensions. j- 5-2.3-7 BUTTE COUNTY DEPARTMENT OF PUBLIC - WORKS 7 County Center Drive, Oroville, CA.. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2 tom. , Z 2. Installer's name: 3. Is .the site currently under permit? Yes No / / • (If yes, furnish permit number 2.`7�. evp-lz—) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. .Will, the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No ( If no, clarify - 5. What is the mobilehome electrical rating? ----------------------- 3 Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes No P(If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site'gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU)_ (This information not' required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 - - APPLICATIOWAND PERMIT PERMIT N0. D ASSESSOR PARCEL NUMBER / ,_. �. 0 .3 ZONINr- BUILDING PERIA141 ow t8R ET7 `l GSELL S TELEPHONE 5� �- L3 SQ. FT. OCC. BUILDING VALUA N /�^^^ ) O [J/ Fi5 AyAI LI SS w� � - (:/I�+�'/V / � qJ �-,j'— //�j�,/ J y 1 CO/t�LT31;A/�g/--O l NAMPZ qSAJ�p `/N&"S- TELEF NONE. C OR'e\/'/S MAI -/ DRE S_ AVE �/�a 6/ S(//J C S Kms/ VI �, V/ CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINE' " /��%�( LICENSE No. Plan Checking Fee - $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BuILD Gss ADD7-S PLUMBING PERMIT Filing Fee 3.00 �/t /J Q U� - Each Trap 2.00 Repair drainage or vent piping 2.00 0� l( Water piping 0100 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets oQ USE OF ,SOther SPECIFY TRUCTURE SF [:] Duplex❑ Mobilehom ems,/ Building sewer 1Q, pp Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities Z,"Installation ❑ Other ❑ Describe work: Permit Fee $ ,0v Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 !.00 Main service EA. ADD'L 100 AMP Za5 Q 2.50NEW CONST. DWELING OR ADDNS. ( ACCLBLOGS.CCUP.&� 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1 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) F -1I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR UL TI.OUTLE NON-RESID BRANCH CIRCT ITS 2,50 ea NEW_CON( POWER APPARATUS &I NON RESD. SINGLE OUTLET CIR. Ex. Occup(o XD so L zsc OR FIXTURES BAL@10C A PP LNSOR Ex. Occup.(FIXEED AOUTLETS (RESI.D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 -00 Misc. Wiring 6.25 Z 2 0 Permit Fee -'a $ 2- D Contractor MECHANICAL PERMIT FiIingFee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 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 1 shall not employ any person in any manner so as to become subject I� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ag st said County in consequencethe granting of this permit. X !tel/ Date'7 'aZ�i� Signature of Applicant — OwnerA 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 $ Land Development Fee $ `J-00 TOTAL PERMIT FEE $ O Ji5 OcCUP. GROUP I TYPE OF CONST. PAR L PD ND 1S9D This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR R OF PUBLIC P MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 6-9-8 i) % / p Receipt No. S fffBy WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT tt S. I 3 , � i .I 1 ' r I 1t e +{ II I rl r 41 �. .. ... ...0�r .. .,.,. ., :. . . ,r..., x .. : r.. ,. ,. ....., '�. ,. ,. ., _:. 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