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030-350-001
B. F. ATKIN A.P. 30-35-1 .'1685=12th St., Oroville TPermit _1826-73P.,E_-N* - ; g �3= (utilities for mobi e home)" AP 30-35-1 j B.F. Atkins 1685 12th _Str.e.et,-Orov-i- le - Permit# 2644-74B C _ (porch an ex. MH) // �•� 030-350-001 PERMIT#98-0121 GENTRY, Bill &-Dorothy, 1685 12th St., Oroville"- Cont: roville`-Cont: Skycrest MHI. Ex Site Aw" 030-35-0-001 98-0188 P,E GENTRY, Bill & Dorothy 1685 12th•St, Oroville (util/MH) upgrade ,V ELEC - GAS COMP TEST REQ? .,SUPPORT STR',REQ? - rcoP 1 "-6_� 1601 03-3695 COMCAST COMM, SEE ATTACHED, OROVIILLE Cont: WESTCOAST PLACE CATV POWER SUPPLY i T 1 _- 1 B. F. ATKIN A.P. 30-35-1 .'1685=12th St., Oroville TPermit _1826-73P.,E_-N* - ; g �3= (utilities for mobi e home)" AP 30-35-1 j B.F. Atkins 1685 12th _Str.e.et,-Orov-i- le - Permit# 2644-74B C _ (porch an ex. MH) // �•� 030-350-001 PERMIT#98-0121 GENTRY, Bill &-Dorothy, 1685 12th St., Oroville"- Cont: roville`-Cont: Skycrest MHI. Ex Site Aw" 030-35-0-001 98-0188 P,E GENTRY, Bill & Dorothy 1685 12th•St, Oroville (util/MH) upgrade ,V ELEC - GAS COMP TEST REQ? .,SUPPORT STR',REQ? - rcoP 1 "-6_� 1601 03-3695 COMCAST COMM, SEE ATTACHED, OROVIILLE Cont: WESTCOAST PLACE CATV POWER SUPPLY i 1` O M 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 - nx I C" ASSESSOR PARCEL NUMBER SEE ATTACHED ZONING BUILDING PERMIT OWNER COMCAST COMMUNICATIONS I TELEPHONE- SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 4350 PELL DR SACRAt= CA 95838 CONTRACTOR'S NAME WESTCOAST COMMUNICATIONS 343-2 73 TELEPHONE CONTRACTORS MAILING ADDRESS 140 ME M S ST CHICO CA 95828 CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDING ADDRESS 10 OROVILLE LOCATIONS SEE ATTACHED Energy Plan Checking Fee $ $ PERMIT FEE S LAT NO. SUBDIVISIONS NAME AR PCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uilities ❑ Installation ❑ Other ❑ Describe Work: PLACE CATV ROM SUPPLY Gas piping system 1 - 5 outlets 15.00 Buildina sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600OR LESS Main Service zoOA OR LESS 0 23.o0 2jO.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. OWNER -BUILDER DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License P nY P I N P 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' compensation insurance carrier and 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 certifythat in the performance of the work for which this permit is issued, I shall P p 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' compensatio visions of section 3700 of the Labor Code, I shall fo it comp) it a provisions. �, i X Date L Signa ure of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service To 46.00so WEE200A CCU000A NEW CONST. DWELLING OCCUP. SO OR ADONS. ( s �. EILDS. 3.5¢FT; NON-RESID. NEW CONSI. MULTI.OUTLEr @7,50 POWER APPARATUS a SINGLE. r. as EX. Occup. OUTLET ORFlxruREs 20 s @L;50 Ex. OCCU • FIXEDA IFIES, OR oMD RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 250.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI= $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 250.00 HAZ. D. FEES IMP FLOOD COF PARCEL PD HD 6SUE This permit is hereby issued under of the Butte County Code and/or indicat d bove for which fees have y RMIT EXPIRES O the applicable provisions Resolutions to do work been paid. Dat O Dto Receipt No. WHITE-D.D.S.-B.D. CANARY-ASSESTOFF J P1N&#r4SPECTCM GOLDENROD -APPLICANT r RESIDENTIAL 030-350-001 PERMIT#98-0121 GENTRY, Bill & Dorothy PERMIT NO. 1685 12th` St .-, Oroville Cont: Skycrest PERMIT EXPI. MHI 'Ex Site��/�� OWNER och A szi�/ CONTR. ASSESSOR PARCEL LOCATION A 1 14 Dc p4. Ar cj3 e ofi motes r *-19V y �A OFFICE COPY Address i GAS r Meter By D3 vt/ ELECTRIC Meter By ae - Temp. Power Pole ,r Called PG&E ) ~Temp. Elec. Service Called PG&E { Temp. Gas Service Called PG&E ' JOB FINALED (Date) �� f , tt Signature V=OK 0 = Not OKNotAp '=NotRepadyble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; Soils-Size-Depth-Spacing-Corvwctors-Steel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 3. Sewer, Location-Test-Fall-CN-Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 4. Water, Location-Test-Easement Needed (Sketch) 5. Alum. Awn.; Columns-ConnectionsSplice-Decal-Enclosures 5. Electricity; Location-Clearances-Gmd-/ /Amp-Concrete 6. Carports; Windows -Doors 6. Gas; Location-Test-Wrap; / /Vtt / /Nat. or/ /"L"ft./ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Fang; Sils-AnchorsStuds-Rttrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements- Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size-Spacing-Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test-DemandVahe-Connector - 1. Setbacks -Easements 4. Electricity; MH Test-Crossovers-Breakers-Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test-Fall-Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test-Regulator-Connector r 4. Elec.; Receptacles and Lighting, Distance -GR 7. Water and Sewer Connected-C/O to Grade-HD Approval 5. Elec.; Pool Lighting; 15 Volts-GFI '8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs-Type-Installation Cert. +S 7. Elec.; Bonding; Metal WS -Circulating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Boxes-Encosures-Panelboards-Ins. to Main in Conduit 11. Cert of Occupancy 9. Health Department Approval 12. Permanent Foundation Only: License Decal 10. Plumb.; Cir. Test -Water Supply Test ## Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MISCELLANEOUS Date DECKS,.COVEAS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Depth-Spacing-Corvwctors-Steel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-ConnectionsSplice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fang; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall, Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GR 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal WS -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Boxes-Encosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I ✓_ OK O = Not No OK RESIDENTIAL (Single & Duplex) - = Not Applicable z * = Not Ready Date UNDERFLOOR (Plans) OK except Vs 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /' Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ / Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts4Nrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers-Fireplaoe Ftg.Stee1 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test Anchors-RegulatorSeNce Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except A's 17. Water Htr; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sae & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Cirouts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Ciro. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower UghtSpa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Cana B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except Ws 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation-Walls-Cedings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext 72. Kit Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr:; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive 0 Yes 0 NoANalks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance- fireplace -Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas-Eleciric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: r. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Califnrnia 95965 - Telephone (916) 538-7 41 ERMIT NO. (Rev. 12/96) ^ APPLICATION ASID PERMIT L ASSES!rr-YURAR � � 1bBO1 (� Z°"Ai° BUILDING PERMIT ""ILL AND DOROTHY GENTRY T qNS853 SO FT. OCC. BUILDING VALUATION OWNE OMAdVffAshA DRIVE, OROVILLE 95966 CONTW9p'SRTT TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee - $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 1685 12TH ST, OROVILLE Energy Plan Checking Fee $ PRE INSP $ 23.00 PERMIT FEE $ LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing ee • 0.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome EXXOther SPECIFY Each Trap 7.00 Solar or heatpump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation IN Other ❑ Describe Work: MHI/EXISTING SITE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoonoa.ss 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,N and my license is in full force and effect. License Class r Lf 7 p ( LIC. NO. a -4 1 -, `OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I 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' comp ensation insurance carrier and policy number are: Carrier Zo(_ DGlV E � 9 CpLG— Main Service 200A To ,000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. B; s0 -R ;o, =OUTLU 97.50 PowER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES zo p t.00 SAL p .w Ex. Occup. ouiiETs REESSID.°EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 L±1 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number /V WC. 37c -;7;Z70 I (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 fo hwith comply with those pro isions. XRT i _ _ Date _� Signat re of Applicant - ❑Owner �C nt ctor ❑Agent An OSHA permit is required for excavation er 60" deep and demolition or construction�j of structures over 3 stories in height. Mobile Home Installation Fee $ Wu. UU Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 166.00 :HAZ. °. PEES IMP _ FLOOD CDF PARCEL HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By 4,24J.1b J1tJ47_PJ PERMIT EXPIRES ON! I the applicable provisions Resolutions to do work been paid. Date �l f Dara ReceiptNo. 57q WHITE-D.D.S.-B.D. CANARY-ASSESS0R PINK -INSPECTOR GOLDENROD -APPLICANT Ing COUNTY OF BUTTE- DEPARTMENT OP`D 7 COUNTY CENTER DRIVE - OROVILLE, OPMENT SERVICES - B ULEDLYG DIVISION 95965 - TELEPHONE (916) 71-'7 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL ER:� -- Proposed Building Use: S Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permA pro4essing and/or issuance: Date Received By ❑ 1. All iiems have been submitted -------------------------------------------------------------------------------------- El 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 117. --------------------------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- ❑ 8. Hazardous Material Form. ❑ 9. Manufactured Home data and installation instructions Fees of $ -------------------------- pact fees as shown on the attached schedule.G,CI ❑ 12. California Department of Forestry plan approval/fee Tie Down Specifications. 0113. Flood elevation certificate. --------- -- -- ----------------------- *-'_`_z_- ffWSanitation and plot plan approval ealth Department. -- ❑ 15. City of Chico plumbing peimit.------------------------------------------ ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: - O 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. W01 ❑ 1. 9. Encroachment Permit f vewa construc 'on approval prior to occupancy) - -------- 06re-inspection for tJ�'� required. Request to Building Inspector on $ (Date) 1]21. Contractor's license information. (dumber, Name Style, Classification). --------------------- -=------------- ❑22. Workers' Compensation carrier and policy number. --------------------- 1123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). ❑ 24. Letter of signature authorization. ------------------------------------------ 025. Recorded copy of Agricultural Acknowledgment Statement. ----------- Letter of intent on building use.-------------------------------------------------------------=--------------------- 27anufactured Home utility clearance. - ---fuer----—OR---fikLv!_ -} ---G-A6-------------- 028. Existing violations and/or expired permits.---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 1130. Other: When you issue the p rmi oces as follows Cl Mail to owner, op to contractor. KTelephone� and hold for pickup at op �' office. ❑ Deliver with inspector. 8V_CZ04?C/ ,Applicant: -- l v Date: 1 Z 27 9 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, Air Pollution Date: By: Copy of plans sent ❑ Health Department, 11Fire Department, ❑ 0th Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: ap frac esigner, owner, was advised of the above required data by Mphone, ❑ mail, ❑ Building Division counter, by Date: jF-3-j Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Z Sets of plans on hold in ❑ Plan Cabinet,1)ek.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. THERMALITO IRRIGATION DISTRICT A '410 GRAND 1� AVENUE U 2036 OROVILLE, CALIFORNIA 95965 TELEPHONE: (916) 533-0740 FAX: (916) 533-9243 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: 1685 12th St. sewer 658 Owners Name: Bill & Dorothy Gentry Date: Jan 27, 1998 Address: 1685 12th St. Acct. No.: 05089000 0 oville CA 95965 A.P. No.: 030-350-001 Phone: 589-5853 New Unit: Applicant/Agent: Skycrest Enterprises, Inc. Adding Units: Address: 13468 Hwy 99 Chico, Ca/.95926 Fees: Phone: X42-2694 Permit: $ 30 00 T.I.D.: Preliminary Review By: Date: Ext. Fees: ' Remarks: ' SC -OR: Inspection only. Lateral: Re Ike old moble home with new one. Clean out to grade at, Other: property line. Refer to permit 658 Total Fees: Amount Paid: orb Collected By: Finaled By: Date: Location: Size Line: Signature of Owner/Agent: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON COMPLETION Date Billed: Computer: Paid SC -OR: A.P. File: (R.F.C.) Blue Book: Paid SC -OR: Meter Book: (S/C HG's) Rev. 6/96 q�► COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 zev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER PERMIT FEE OWNER yJ ELECTRICAL PERMIT OWNERSMAIy ADO SS i CONT CTO R'S NAME 23.00 CONTRACT R MAILING ADDRESS 200A TO 1000A CONSTRUCTION LENDEA NEW CONST. OR ADONS. LENDER'S MAILING ADDRESS _ 3.S2 ARCHITECT OR ENGINEER MULTI -OUTLET ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS EX. OCCU OUTLET OR FORURES LAT NO. SUBDIVISIONS NAME - USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome rl Other PERMIT NO. BUILDING PERMIT SO. FT. I OCC. I BUILDING VALUATION rlreplace Total Valuation Is LICENSE NO. Filing Fee $ Permit Fee $ Plan Checking Fee $ Energy Plan Checking Fee $ I PERMIT FEE S PARCEL MAP PLUMBING PERMIT TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: 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. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. , Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I 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 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 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.) O 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent i An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. i Receipt No. vy WHITE-D.D.S.-B.D SESSOR PINK -INSPECTOR GOLDENROD - Each Trap Solar or heat pump water heater Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Building sewer _+ Mobile Home I S I G I W 20.00 (ling Fee 20.00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 PERMIT FEE S Mobile Home Installation Fee $ J� Energy Inspection Fee $ ocC CONST- TYPE TOTAL FEE $ HA2. I D. FEES I IMP FLOOD COF PARCEL I PD I HD I 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 PERMIT EXPIRES ON Date PERMIT FEE S ELECTRICAL PERMIT Filing Feel 20.00 Main Service 00v� oa Lss 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. OR ADONS. OCCUPso. DWELLING BLDS.. ( & ACC. 3.S2 NEW CONST. NON-RESID. MULTI -OUTLET @7.50 POWER APPARATUS 6 SINGLE OUTLET CI R. EX. OCCU OUTLET OR FORURES B20 .00 (1.50 EX. Occup. OUTEIETs R6 of 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 PERMIT FEE S Mobile Home Installation Fee $ J� Energy Inspection Fee $ ocC CONST- TYPE TOTAL FEE $ HA2. I D. FEES I IMP FLOOD COF PARCEL I PD I HD I 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 PERMIT EXPIRES ON Date ..., .vsnr'v:n. - ..�,.. � ..+�...r.r..-..+.r+^.....,r.'r.....r-.q,,,M'� f"'"'.'_'Sr"�'.'.xr--w. `war.+n....+T.-�",�.".'+""•.r+��.-.,,�.:,.--r....��s,� •g:l �+..,�r••y.'1 tg BUTTE COUNTY SCHOOLS IMPACT. FEE CERTIFICATION FORM (One form per Building)1A, 1� % L ' School District. Ur Uvi I if 01 Building Department No. v A.P. Number CJ()'� —(�� Jurisdiction: City County Property Owner Property Location/A Subdivision -``� Lot No. Residential Development E� / Sq. Footage No of Living Mobile Home Addition nt/(Group R�.,) Units Installation .r r�- 0 & 60, Commercial/Industrial ding Department Rer is riot Identificatio 0 l / New 4q.'�F 6 o t a A�ge Addition (Including Exterior resenta v'e r (Floor Plans reviewed by School District Personnel) 980087 ' �-- School District certifies tli t — (Street 'ddr�,s1 I ,,,,, (City) J has complied with the requirements of Resolution No. representing School District Representative ° square feet. Paid by Check # Remarks: Roofed Areas)- D e n I (Applicant) (Phone Number) (State) (Zip Code) �D by payment of $ M2L 926 �— ` MITIGATION $ N, - '111� Al -V -7 Date ' Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the'imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform,xls (2/97)dmm .a:a _ .--�- �eN�y L 4r6!Z m Feb -04-98 01:48P BIGGINS ELECTRIC INC�a 916 241 8119 P.03 ;m IGGINS LIGHTING & ELECTRIC SUPPLY INC. 2146 PINE STREET R.EDD NG CA 96001 916-241-4567 FAX - 916-241-8119 From : PAU'L FRIEBEL DATE 2/4/98 To ; Don. Cooley Re: Meter Mains - Don, Per our conversation regarding the rags on meter mains. it has been my experience that no manufactu.t-e makes a meter; main device with a rating less than 100mnps. You can, of course, purchase n ioadeenter in multiple circuits with a rating of say 60 or *70 amps. But as far as it meter/main combo panel your ra ing would be 100arnp and above - Regards, pt4 ova Feb -04-98 01:48P BIGGINS ELECTRIC INC 916 241 8119 P,.02 o� METER BREAKER PANELS 1 Phase, 3 wire 120/240 Volts AC Rainproof NEMA 311 ■ WMI32024SN WMB121224S WML20812SN WM8202040F WMR 2020405 WM8202040S (All Cover9 011) .. Single Phase, 3•Wire--120!240 Volts AG -10,000 AIC '; NEMA 311, Rainproof, with RH Hub Provisions --Overhead or Underground Service 'vinm ill lllfl5 f:;,,:uq nr nce 5�n?;Plush $, f Lht KnOcl.nut Arr,rr. rr. 14, eke, Ruvi;iuns _ P F - r!ming .....-'— • - ----- - .._. —._.. ..._ nae IgurA ,Ver e . NUr, Wire Min. I•rule r.1ne. J•R}ly Coining l'alal0g SArrt;. $unlace ngn C:8 I 1" Ga ?h" i::A r. ,r,d,? rJun?h9r Plus!t Main Breaker Factory Installed 10rt 12 24 ii 10 WMB101224F© WMB101224Sk 14 ] �, 0 : _ t't f297 2 i AI 24 n , ,. • 10 -- W M8121224F 0 WM81212245 519 7 -- ---- 3 y 14 LU CV�AI 2xl 70 nn 10 20 WM82D2040rp WM0202040S _.. ._ 769 5 4 06.250 MCM Cu:AI 1'/M 'ICO f 0 — •- 2041lSLB fi #6 21,11 MCM Pu'AI - .. ... 200 J2 k� 15 7(I — WMfl2032103 7AY _ 11 ,!0.250 MCM CurAl 1 .J , 70 60 Ir, 20 WMB222040P VYMB2220409 837 — - N0 100 MCM (.u;Al Order (Main Breaker Separately 10n �..i. I — _ _ WM8107hN%O 15S t N14 t:rlCrl:nl 1 t?5 t WM812243N9 a �- - -- I , WM81224rN 1 6 2 3A N 14.1.0 Cu'AI ! — WMB1224Rr;Nn 141 ! 175 4 —_ .---....— W Ma, 2245CRO 141 `eJU Ci:pai? Pnninknt;91 _ WM020FN _ WM820SN 400 1 --. -- 2!'�t 1 2 ) WM82024FN — V�MB20245N — - —Al- 429 8A H N5.250 MCM Cu•AI l 7i'u I`vace rrovi;:ons91 7n0 -• ---•-- — .. —n--.---... _ _ 400 _.. @ N6•259 MC'h1 !:u'Ai t 2 WM82024SAo --0 ---— -- — _0 M 25,1 M(. .,r A. WM82048ShR00 43 — 0 N0 71,0 MCM t:•t'At ' 20u ! in 40 ;u 2'n".WMP202040{lGO 547 — 4A #5.7,50 Mr:M Cu•'Al.. Main Lug Only 2UC 1 t' 453 { — f 7u dF 250 Mr til UW FI !;nn pe, -1 Jc:;gri. Does nor n-,nni I -w FHt; O Provisions fnr , WFP,QFr bunker In W10A. 0 Fj, So-cc� I'!ongn el.?iw'..1,01A 'r" ;tmi:a and rii i Q I)vAil?.34 Fe«d Qnly, iryuiremruls• O I O Sm0i9 Um" not naor F JSCIC rrquirnn.nla. "a" let r.Fl?100 UmbTrII.: VMH10I774PY L;sr rvcr Flunra desiun• O Jnaround rend ti„ly. P,;re. Accessories l Catalog Number Dexriptlnn r34 rice C■rinn SUnd Pod Pkt♦ WMa5J ?Ih .law AF5?•? tdy fur Meir.r Socket enr.lormAs A g ;luck pr>;ilmn 0 I 5 W MAI Rl 0arrrl Lr.rl: V:.O Fnr WMH Mt•i?, r",kel er•dosurrs , 71 u', ancl, �q,,o r. -_--V-- - _-- ---- 0 1 1 ' Wh16Ll(2 DnrrM ! nck K•it 2 • 27 ;lt. rrtclo;trrr. 0 WhIBLK3 L19„el L-Jrk Kit _ J - 36 in. rnrlp9ur9 0 gnlnr RR. RF11 main--L------ n napn H. II SP.(1nrgtP. QI'outid ©us IS required Cn•fcr I', �YtrH r„a�i� wn,,:q Lrralt!rs Irc•m riCn 9, w;i1,(,i.r "T”�uffir, t order WMD:.4G8, WM89U13. Qr-, ..,1-..A 111 r...,.:.. M...:1....._ rv..•_ 2- Feb -04-98 01:48P BIGGINS ELECTRIC INC 916 241 E3119 Higgins Lighting & Electric Supply Inc. 2146 Pine St Redding, C'Mifornin 96001 (530) 241-4%.7 Fax (530) 241-911.9 TO: From - Paul Friebel TOW p8sviq � . . . ........ DISTRIBUTORS OF ELECTRICAL & LIGHTING SUPPLIES P.01 PARE—INSPECTION OWNER: LOCATION: CONTRACTOR: �� PRE -INSPECTION FOR: PERMIT HISTORY: FlNONE TYPE OF OCCUPANCY ----------------- ----------------- BUILDING USAGE: IA DATE 1A,-) G o _ r� y� o(zc Ul A. P. # ��c��-350--0 / ZONING A -P, ---------------------------------------------- .aA DATE TO INSPECTOR. AS FOLLOWS:_ �t1 -511 -------------------------------------------------------------- -------------------------------------------------------------- FIELD — INFORMATION TENNANT: OCCUPIED HAS ELECTRIC S GAS AS SANITATION FACILITIES HEATED -COOLED �� PERSON CONTACTED OTHER COMMENTS: a 1, i.J L, tf r+eem t. r -e_ re InCAn 3, �� �i .'V -e ay S f i O /✓ i%iiQ %/1.� 1/ V o c -C �`� Ina S LI o � NYI Dta N/ �j r cc�•� / � DtN 4l � Q S ND 5'�� Z �^e / c/ r'L �.-c ACTION RECOMMENDED: ISSUE HOLD FOR. OTHER: BY k,- ) DATE cn m -0. I 'r Cl) I r • r " O - n cn r L I J I J i �o O r m 12 S'-4' 10'-8' 16' � it' � � � � m 160811 16Ce810C O � 56,-0' 1 5616-2fK-CATH iMN N DPA" 87. Y K mm toxo IS, � DATCAJIVAPS MD► tomm O MEST OF DRAA'INC NUUMIt 3900 -Ci I 3900 -CTB m .4 12' I 5'-4'10'-6' 16' 168811 16CESIOC A �-- - N ' n } Po12CH� O lD r cn Lo qL o a cn Gluwn sT. v I 11110 wxc ISI + CD 0 IRM41. OX. Nn SIIH D" A MR 9ZL AM eQW ! PANMT x A DATCCl/27p— rm tOxIIAX, A IW R(QPI • visim as DA 1010 1 1 VA SHEET OF_ m OX 2r1tW 01 CSH DESCRIMON DRAIfI!(C NUUBBR 3900 -Ci 56'-0' 5616-2FK-CAM �J400-C)B 1�7' II .4 12' I 5'-4'10'-6' 16' 168811 16CESIOC A �-- - N ' n } Po12CH� O lD r cn Lo qL o a cn Gluwn sT. v I 11110 wxc ISI + CD 0 IRM41. OX. Nn SIIH D" A MR 9ZL AM eQW ! PANMT x A DATCCl/27p— rm tOxIIAX, A IW R(QPI • visim as DA 1010 1 1 VA SHEET OF_ m OX 2r1tW 01 CSH DESCRIMON DRAIfI!(C NUUBBR 3900 -Ci 56'-0' 5616-2FK-CAM �J400-C)B IiEY J � O 2Ll(� Q .. �12' ( 5'-4'10'-6' 16 168814 16CE810C pOrcN� o �^ g 56'-0' 1 %16 -n -CAIN iD m O � cn �� fU OPA" ar. some ISI � DATe6!%i7n94j Aoo► YOmelW m SHEST OF _ a DRAWING NUUBBR 3900 -CI I 3900-Ci8 ST BILL � DORTHY GENTRY IGSS IZ-'H 57- 0 RO T0RO VI LLE Cq . A f p# 030- 355- ow SCALE; I##= ,-d 20' 129.7 �- 1=x1 sT NaMt✓ 10 K(,o (T6 BE REMove W4rc4 a SIEwEe ECSC a 1Go .;o`Pos n A41itAE /(cX :51 CZ �JfZJ +, 8' x Ilo' vay, -�Bvl ur IN) r N 2 '14 ST BICC � DORTHY GEr(iRY 14o B;2 12--Li-4 6r ORO V1 LLE CA, A/P# 030- 350- 001 SCALE; III= 4.d 12/96) CUUN I T UI-bU 1 It -UtF'AH 1 MtN I UI UtVtLUNMtN 1 SEHVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. SESSORPARCEL NUMBERC - )C--` ZONING BUILDING PERMIT '� �.. NNER , TELEPHONE SO, FT. OCC. BUILDING VALUATION vNERS MAIyNQ ADOMSS ��•/. JNTRACTOR'S NAME TELEPHON )NTRACTgR'S MAILING ADDRESS )NSTRUCTION LENDER NDER'S MAILING ADDRESS ICHITECT OR ENGINEER ;CHITECT OR ENGINEERS MAILING ADDRESS XLOING ADDRESS C E NO. IT NO. I SUBONISX)NS NAME 1 PARCEL MAP USEOFSTRUCTURE F ❑ Duplex ❑ Mobilehome 14 Other SPECIFY TYPE OF WORK Jew ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation #1 Other ❑ )escribe Work: _ —t1')11- =- Sba LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, nd my license is in full force and effect. .icense Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License aw 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 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. RIr eceipt No. ,� . ! - - - WHITE-D.D.S.-B.O.` CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT Fireplace Total Valuation Is Filing Fee $ Permit Fee $ Plan Checking Fee $ Energy Plan Checking Fee $ _ �. $ PERMIT FEE $ PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home I S I G I W 20.00 20.00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 ig Fee 20.00 23.00 46.00 3.5,s-', EX. OCCU . OUTLET OR FDCTURES !° W ''W SAL Q .30 EX. OCCU FlXEO APPINS. OR OUTLETS RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 I PERMIT FEE I S 0 1 MECHANICAL PERMIT I Fling Fee 1 20.00 Coolin 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ Z� occ coNsr. TYPE TOTAL FEE $ ,'• . v HAZ. 10. FEES I IMP I FLOOD I CDF I PARCEL PD I HO bSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON PERMIT FEE I S ELECTRICAL PERMIT Main Service 600V OR UES .0.. OR DESS Main Service 200A TO 1000A NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. NEW CONST. ( MULTI -OUTLET 20.00 20.00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 ig Fee 20.00 23.00 46.00 3.5,s-', EX. OCCU . OUTLET OR FDCTURES !° W ''W SAL Q .30 EX. OCCU FlXEO APPINS. OR OUTLETS RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 I PERMIT FEE I S 0 1 MECHANICAL PERMIT I Fling Fee 1 20.00 Coolin 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ Z� occ coNsr. TYPE TOTAL FEE $ ,'• . v HAZ. 10. FEES I IMP I FLOOD I CDF I PARCEL PD I HO bSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON �o' 1 -7' ST 20 6KI 5T H6ME ELECTRICAL, MECHANICAL, AND PLUMBING 10 X 16 o CONSTRUCTION ( NOT =7LAN CHECKED ) (Ta HE REMpuFO SHALLCOMPLY WITH CURRENT EDITION OF NEC, UMC AND UPC. 4- 4 w4TE4 a Slrwre ECSC PROPOSED NdMe /41 X 541 \2 BR) + 8'x0cu, (Bol r i") ALL 8 rRUCTURES AND EQUIPMENT INCLUDING OVEW ANDS SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF .S FT. FROM THE SIDE: AND S� FT. FROM THE REAR PROPERTY LINES AND 5o FT. FROM THE GOAD CENTERLINE SHALL BE CLEA OF STRUCTURES AND EQUIPMENT EXCEPT FOR 2 FT. EAVE OVERHANG. NOTE: All Materials & Workmanship Shall Be In Accordance with Recognized Good Practices and of a Quality Prescribed for the Specified use In the Uniform Building; Plumbing & Macharnica.° Codes and the National Electrical Code. This get of Plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same witY. - >ljt written permission from th,- Department of Public Works. County of Butte. r N COUNTYBUTTE t FT, LE 0 D7 98 - arz BILL � DORT H Y GEN-rP y 1(0 65 IZ -'H ST ORO V) LLE Cq . A%P# 030- 350- 001 .S LA L& ; III= 4 d to Mobilehome Manufacturer: SKY [-i v C Manufacture Year: (4' 17 If other than single wide, furnish Setup Model Number: Width:' ((p (ft.) Length:_ �e q (ft.) Tagalong or Expando Size-- (ft.) x -- (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[)(] Other: SUPPORTS: Concrete block['X] Other: Provide Tie Down Specifications for all Mobilehomes:00 ILine 1 Lime 2 ILine 2 Line I Pier Footings SINGLE WIDE MULTI -WIDE ............. ............. Mala Beams and Location ................................................................................................. Main Beams ................................................................................................ ................................................. e S Tag or Triple e 4 e I Line 1 Piers: Size minimum: r I x Spacing maximum: I t` From ends -maximum: ` mine 1 Line 2 Ine 2 Line 3 Line 2 Line 2 Line 1 Line 1 Openings Size minimum: [ ] x [ ]. Each side of openings with width over: I I` Line 2 Piers: Line 4 Piers: Size minimum: [ 12-1 x Is a]. Size minimum: [ ] x [ ]. Spacing maximum: 4 ` 0 Spacing maximum: ` From ends -maximum: From ends -maximum: ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): ,W' - - — BUILDING �%� g OVER APPS M 1. Owner's Name: b 10— C Do" 7 N Y 6 C—A,(7,e v 2. Assessor's Parcel Number: 0 3 0 -- 3 5-0 — 0 0 1 3. Installer's Name: SKy G2C-ST E�lTE2 P2iscS 4. Is the site currently under permit? Yes[ ] No[A Permit No. 5. Is the site an existing site? Yes[,(] No[ ] (If yes, furnish two plot plans). 6.. What is the electrical rating of the. mobilehome? f 6 0 Amperes: 7. What is the mobilehome site circuit breaker rating? / 0 a Amperes. 8. What is the electrical rating of the mobilehome site? / by Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[X ] If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service. (i.e. well, garage etc.)? Yes[ ] No[ )I If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: NaturalDC ] Propane[ ] None[ ] 12. Size of as pipe at the mobilehome site from the meter or tank: 3/!t inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? .L (ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 MOBILEHOME INSTALLATION ACCEPTANCE •COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: _,30 R PERMIT NO.: Owner's: /L.--•- (./ r Name: { .may' Owners: -%4� Address: Mobilehome / Manufactufer-Manufacture. Year of - Serial number / 66 Insignia or l � or V.I.N. ""' HUD number(,I4. Offi �Lapproving ins 1 at on: r Dale: If the mobilehome.is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall -'not be used when the mobilehome is installed on a foundation system: • . 513B White Owner, Yellow -Installer, Pink -Bldg ,Gold -Assessor ' ..yi..; .. .... n. a. .e� ..:c ... �.. ..,.; _. ., . .c:r .... ..t. ., .., . . - ., r.,.'..+±. ,!.,... .. _. .. .nt ss�:.y'.� .5�.•.�_u .t ... .,. -.� .._.. .. .... �. ,..,......�., ..- ...fi .. zc. �, _.. p:S, .. =r . n MAR -03-98 09:08 AM CHICO BUILDING SYSTEMS 530 342 9174 P.01 CHICO BUILDING SYSTEMS Set up & 0e11Very of ManulaCtured Homes Plus Oullding Accessory Structures CONTRACTOR'S VERIFICATION I certify that I have installed the Ground Loc Tie Down System as per the installation instructions. I have made no modifications to the tie down system or to the building structure. Skycrest Enterprises, Inc. d.b.a. Chico Building Systems 13468 Highway 99 Chico, CA 95973 (916) 342-2694 Contractor's License #295412 Installer: For Client U -Q� Site Address: __.....� Z5� Cn� Permit Number: _ 1 0 _"'_�, I Z- Serial Number / Donn Dooley, Production Manager • Jim Brogdon, Service Manager 13468 Hwv 99E • Chico. CA 95473 • Phone (9161 342-2694 • Fax (916)342-9174.. t, - RESIDENTIAL 030-35=0'=001 98 ,0188 P,Ef GENTRY,, Bill, k Dorothy 1685 12th St, Orovillel (util/MH) upgrade_ ' V I LE JOB FINALED (Dat Signature P V=OK O = Not OK `=Nott Ready MOBILE MOBILE HOMES Date MOSIVAOME UTILITIES (Plans) OK except #'s Hing Requirements - Setbacks - Easements .2.-5eiler Gpeei&WH Support Sketch on- a t -Fall -Concrete easement Needed (Sketch) lectrici o learances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / PUft. / /Nat. or/ /"L°ft./ /LPG 7. Well C arance & Disconnect lily Clearance Date . —% 9!Z Card B-1 P_Oj Date Card B-1 Date?,.�t Card B-1 iDate Card B-1 Date M91131LE HOME INSTALLATION Plans OK except #'s 1._7oning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line Gas; MH Test -Demand Valle -Connector . Electricity; MH Test -Crossovers -Breakers -Clearances Drain; MH Test -Fall -Flex Connector . Water; MH Test -Regulator -Connector Water and Sewer Connected -C/O to Grade -HD Approval 8 Gas and Electricity Tagged 9. Tie D s -Type -Installation Cert. xits; Insp.-Sketch 11. Cert of Occupancy Date_r Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 e— jo 1- lc,, 1 7-6 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel k 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails (' 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing i 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 1 6. Carports; Windows -Doors { 7. Electric 8. Frmg.; Sils-Anchors-Studs-Rf rs-Trusses j 9. Siding; Nailing -Veneer -Stucco -Mesh j 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Lendings 1 Date Card B-1 Date Card B-1 :Date Card B-1 Date Card B-1 .Date POOLS (Plans) OK except #'s �. 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining j 4. Elec.; Receptacles and Ughting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool L ghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O=Not OK No ApplicableNot RESIDENTIAL .,Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main;'Soils-Elec. Grnd.-r /" Ftg. Depth -------------------- 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ft.g., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel - Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle ------- ------------------- ------------------------- --------------- 17. Water Pipe: Test & Anchor -Nail Protection ------------------------------ 18. D.W.V.: Test -Fittings & Anchor -Nail Protection --------------------------------------------------- 19. Shower Pan; Test. First Floor -Tub Access ----- -------------------------------------------------- 20.- -------------------------20. Test Tub -&-shower.- Second Floor -Tub Access 21. Gas Pipe: Size & Anchors --------- ------ -------------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------------- -- ------------------- ----------------------- Date ---------------------Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection - ----- --------------- -------------------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors --------- ------ ------------------------------------------------------------ 24. ----------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled - ------ -- -- --- ------ - -------------------..._._----- - - 25. Romex Installed Close to Edge of Studs & C.J. --------------------------`-- 26. Equip. Ground made up w,Mech. Fastners-Bond Gas & Water --- ----------------------------- ------------------------- --- - --- - - --------- ..--- 27. 2 Appliance Circuts in Kitchen & Conductor Size,GFI -------------------------- --- - ------------------- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. -Cu or At -------------- -------------- -- -- -- - - - 29. Range Circ. r ' ga. Cu or AI -Oven Circ. ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No - ------------------------------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ------......---..................... ......... .. 31. Equip. Clearances Panels-Motors-Mech. Equip. ------------ -----------------------._._..._. ......... 32. Clothes Closet Light -Shower Light -Spa Light --- - - - -- -- ---- 33. Smoke Detector ---------------...------------- ----------- -----...._ ........ ............... .. Date Card B-1Date Card B-1 ------------------------------------- ---------------- ---- ------*... ... ''' .. Date Card B-1 Date Card B-1 Date MECHANICAL.(Permit) OK except #'s 34. A.C. Ducts Insulation & Support ------------------------- ----- ....... . . . ......................... ........... .. 35. Vent Fan: Exhaust above insulation ---------- ------------- ---. _ ... -- - ... ... ... ....... ... ._. 36. Condensate Dram & Overflow: Size & Grade -------------------- ................... I...._...... ....... .. . 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -------- ---_-------- -----.._..... ... .. 38. Attic Access & Platform it Furnance in Attic -------------- ------ --- - _----. ... ......... ....... ... . . .. .... .. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors ....... ....... ....... ... ............ ... ... ... ... .. 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ..... ._.-. .. ... ....................... ...... ... 41. Bearing Walls over Girders & Floor Nailing ............ .................................... 42. Draft Stop in Walls (rat proof) ...... ._. ......... 43. Fire Stops Furred Ceilings -Stairs -Chases -Tub . --........._.... .. .......... .. ....... .. 44. Headers & Beam -Size & Bearing 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. ---------------- ------ 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles ----------------- -- 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions . ------------------------ - 50. Garage Fire Protection Framing _ 51. Property Line Firewall & Openings ---- -- ------- 52.- Ext.-- Doors -One 3 -Check Garage -3rd Story, 2 Exits ------- ------------------- 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ------------ 54.- plywood on Roof Overhang -Attic Vents -Rafter Outriggers - 55.- Siding -Nailing Veneer -------------- ------------------ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. -Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows --------------------------------------------------- Date Card B-1 Date Card B-1 . ---------------------------------- --- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings ---------------- -------------------- - _ 62. Smoke Detector -- ---------------------___ -------------- - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection ---------------------------------------- 64. -- ------- ----------------------64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa -- -- - ---- p------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels - ---- - -- --------- - Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth ---------------------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. .. .... _. - - ---------------------------------- - 70. Kit.Fixt. & Appliance: Grnd.-Air Gap-CookingClearance ...... _------------------ 71, - - - ------------------------------------ -- 71. Elec. Outlets & Receptacles at Kit. Counter .. . - . ------------------------ 72. - . - _ _ .- ----- -- - ----------------- --------- 72. Garage Fire Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper -- - ------------ ---------------- 74. Wtr. Hir.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ---- - ----------------------- ---- 75. Plb _Elec_ & Mech. Equip. Listed for Location ------------------------------- - 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------ ._...----------------------------------- 7,. Insulation -Foam -Looked in Attic ❑Yes - -------------------------------------- 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes_ .. ... .... ..... --------- 80. Following instlds, Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No --------------------------------------------- 81. Stucco: Brown -Finish ............................................ --------- 82. A.C. Unit: Disconnect. Electrical. Plumbing .. . _ - - - - - - - - - - - - - -- -------- ---------------- -- ----- 83. Vents Above Roof. Plbg.-Appliance-Fireplace.-Clearance to Openings . .......... .......------ ... . . . . .. --- ------------------------------ 84. Water Well: Disconnect. Electrical. Plumbing 65 Exterior Elec. Trim: G.F.I. Receptacle -Underground - - - ----------------------------- 86 Ventilation Throughout House ----------- ------------------------------------- 87 Glass Protection - -- ------------------- ---- 88. Corrections from Previous Inspections . . . ... . .. ... ... ... .. ... .- --- ----------------------------------- 89 Gas Test -Meters Tagged: Gas -Electric 90. Water & Sewer Connected-CrO to Grade -HD Approval .---.._..----------------------------------- 91. Energy Compliance Certificate -Other Certificates . ... ... . . . ..... ..... - -- -- --------------------------- Date Card B-1 Date Card B-1 ... .. .... ..._....-----....------------------------------------ Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments. at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION . _ 7 County Center Drive - Oroville, Cal.'rfornia 95965 - Telephone (916) 538-7541 &WT NO. (Rev.12/96) APPLICATION AND PERMIT AS�ESQRPELf{UM�E�1 ' ZONING AR BUILDINGPERMIT o t rL.L AN�UDJ DOROTHY GENTRY TELEPHONE E589N 5853 SO FT OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 20 CHAPARRAL DRIVE, OROVILLE 95966 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ' Fireplace 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 $ $ PERMIT FEE $ LOT No. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome [X Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New.❑ Addition ❑ Remodel ❑ Utilities IX Installation ❑ Other ❑ Describe Work: ELECTRIC AND GAS UPGRADE FOR MOBILE MHI EXISTING SITE (98-0121) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 70 nn PERMIT FEE $ Im Inn ELECTRICAL PERMIT Filing Fee 20.00 Main Service %.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 IL No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: j 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 46.00NEW CONST. DWELLING OCCUR OR ADDNS. ( g ACC. BLDS• SO 3.50FT, NEW CONST. MULTI.OUTLET NON-RESID. ANC c u @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occu OUTLET OR FIXTURES P• 20 @ 1.00 BAL. @ .50 Ex. Occup. OuFTxE'RE.S,U.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X_ __ DateA hs Signature of Applicant - ❑Owner O ontractor ❑ Ag t 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 $ $103.00 HAZ. D. FEES IMP FLOOD I CDF PARCEL PD I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT E PIRES ON 2 I tDate the applicable provisions Resolutions to do work been paid. Date VA1,7,z ReceiptNo. 2-3/73-7 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO ❑ 2. I HAV94_ HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME, ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SOCIAL SECURITY NUMBER: DATE: NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for vpur benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not cant' out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verificationli on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. i rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 030-35-0-001 ZONING BUILDING PERMIT OWNER TELEPHONE SO, Fr. OCC. BUILDING VALUATION OWNERSMAILINGADDRESS CONTRACTOR'S NAME rlTELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDING ADDRESS • Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. S UBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF�Duplex ❑ Mobilehome/61"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 llation ❑ Other ❑ r Describe Work: C Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S W @20.00 PERMIT FEE $ zw- av ELECTRICAL PERMIT Fling Fee 20.00 Main Service A OR LESS 23.00 7 o0 27,e— LICENSED 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.PowER License Class Llc. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ Iram a empt under Sec. Business and Professions Code for this 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR SO OR ADDNS. ( y ACC. BLDS. 3.5¢FT: r",oE'N"-gE°S'D. MULTI.OUTLET 97,50 APPARATUS 8 SINGLE OUTLET CIR. 20 Ex. Occup. OUTLET OR FIXTURES SAL 01.50 Ex. Occup. DUTLEETS Rp °� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Zp> CXD Misc. Wiring 23.00 PERMIT FEE $ .3. 6, MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ r HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD•APPLICANT 7-1 (his seY of plans an� pecifications MUST be, — kept on the job at all tirt�'es and it is v +�n6awful.4o make any Ganges or. alt rations on same without -written permisson from t e Department of public 1Norks,.Canty of,Butte. utility eOnections ocated within 4 ft: outside th.. xcar rci sec: i ,n of the�. the .t�ft (road)'side f the le he.f sept; D Lam/ Ye.systern a LI, ; bounty h'� ito be a ,�l r�:rt3pnt' F•f,h J k shall be 5 �fi, > f tom �_ . ` � i •�' -, T T ®& S per de _roperty line and- 50 f from A si �' �e�ri�ittt� of -the road, UA, centerline ft, E,3v� ovCS"Hang. r ' rMIrn .fir A F f i co /V/ -y '�r�^.�.,c'-��-�-��^,r��"t.��::rs`�s;a:a�--4�'�"Y-+� �..r;�:��-'-�12+�t=�`"�`' "�i's'•1`r'•'*:��.�""s"� t ' COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE OWNER J PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. er ; f-,4 9 rr� Q .�-r P_f.P e+rod.P r-0- Date 'a r /� a N T!'O.vf' o�E ` t tenet i a/ Date 1 `6 Inspector REV 10/92 COUNTY 0r BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drives•.?- �Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. K4 Signature of Permitee or Agent Date Receipt No. 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 DIRECTOR OF PUBLIC WORKS Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 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, f ' Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ 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) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 15 —ballP Receps., switches & fix outlets 3 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. 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 the Workmen's Compensation Laws of California. MECHANICAL No• @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. K4 Signature of Permitee or Agent Date Receipt No. 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 DIRECTOR OF PUBLIC WORKS Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK 7 County Center Drive —,s Oro viIle, California 95965 TelephonC 534-4541 APPLICATION AND PERMIT authurice rtyresentanves of the County of Butte to enter upon the above-mentioned property for inspection purposes. ,�l X/;),m aV,. at a Signal of Per ite , gent Receipt No. Zn 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. RECTOR PUBLIC WORKS By Date &--/ Building permit expires BUILDING Owner/ SQ. FT. OCC. BUILDING VALUATION Mailing Address ` Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address (, / PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 G'v (S Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A A. P. No.� ^. 2_1 Zan' g Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F e e -sl W. C.. Fire Dept. FireZone Use Permit Building sewer 5.00 e 0 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 F=1 Bldg. Plan R c'd �� Parcel" pprovol I Plans Approval Permit Fee $ J im NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 670 Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (more thon 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b20 old to 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. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 CV 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 $ 11,96 $ f G WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section 3700 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. 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 the Workmen's Compensation Laws of California. MECHANICAL No: @ I FEEPERMIT FILING FEE J$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 $ r/ O authurice rtyresentanves of the County of Butte to enter upon the above-mentioned property for inspection purposes. ,�l X/;),m aV,. at a Signal of Per ite , gent Receipt No. Zn 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. RECTOR PUBLIC WORKS By Date &--/ Building permit expires r 'PERMIT NO. 2644-74B P E M 1 MH UTIL. W . .. 'PERMIT NO: ;r PERMIT EXPIRES / —ZA2 Y'OWNER B.F. Atkins �CONTR. C ' t LOCATION (A.P. 30-35-1 1685 12th.Stteet, Oroville r i• r 1 'i I i I i Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E t B O NALED COUNTY OF BUTTE — DEPARTMENT 0}F PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING .(Cont'd) •PLUMBING Setbac�' �� Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure _4z Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPCACIE Final Footin s 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 Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPAOTMEIt!rT OF PUBLIC WORK 7 County Center Drive — Oroville, California 95965 Tel ephoi-ie: 5304541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x �6 °ioJ7- <1 4 $ Date Signature of Permitteeeoroorr Agent Receipt No. /IZZ/9 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P BLIC WORKS By Date Buging permit expires Date .......................................... BUILDING Owner -SO. FT. OCC. LDING VALUATION Mailing Address/68 / - s� �C Q�%6 L53 Telephone No. 3—EV 3 A Fireplace Contractor ® Total Valuation , O Mailing Address Permit Fee ` Q Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Q( Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 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.3 Q -- Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 I;&,-S-PeTZaiPFire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 ��Plans Bidg. Plans Rec'd Parcel rovol PIo proval Permit Fee $ $ NEW R1 ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 U/,L ,(� p p Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home % Others Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20P(a20 Receps., switches & fix outlets 2 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 I 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. 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ �� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x �6 °ioJ7- <1 4 $ Date Signature of Permitteeeoroorr Agent Receipt No. /IZZ/9 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P BLIC WORKS By Date Buging permit expires Date .......................................... w-.f� -�--•(``'�Y�'7Tirsvr�t�.-'1ti:.r7iw�y',"�kFEnni-.•'w^:^tj'n`'y`"�"'::,h'`"."'ti�l"-.. � r`.'_`y,Y,�""^",� j"` -}'"`�f�.�, ri,.^ THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE 2036 s OROVILLE, CALIFORNIA 95965 TELEPHONE: (916) 533-0740 FAX: (916) 533-9243 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: 1685 12th S t: • $ems 658 Owner's Name: Bill & Dorothy Gentry Date: Jan 27, 1998 Address: 1685 12th St. Acct. No.: OM9000 Orayille.0% 55365 A.P. No.: 630-3.50-001 589-5853 Phone: New Unit: Applicant/Agent: skycrest Enterprises, Inc. Adding Units: Address: 13468 Hwy 99 Gtt o, (;a/ 9.592b Fees: Phone: 342-2694 Permit: $ 30 00 T.I.D.: Preliminary Review By: Date: Ext. Fees: ' Remarks: ' SC -OR: Impect:ion only. Lateral: cRepleae old moble Itartte with new one. Clean out to gmle at, Other: propertylin€ , RLfer to oartait 658 Total Fees: Amount Paid: Collected By: -r Finaled By: 50 Date: Location: Size Line: ly 01 Owner/Agent: Signature of MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON COMPLETION Date Billed: Computer: Paid SC -OR: A.P. File: Blue Book: (R.F.C.) Paid SC -OR: Meter Book: (S/C HG's) Rev. 6/96