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HomeMy WebLinkAbout030-350-005I f LOT BLOCK TYPE OF IT PERMIT I PERMIT NO. I PLAN NO. ,/ 1 A.P. 30-35=5 # THCMAS EWING S I 1244 Grand Avenue, Oroville ermit 4324-73B,P,E (relocate bldg. & convert into laundry)- 30-35-5 a Permit JA442-77B;E(new private work ._ su �shop) I DATI ELEC. \J �'7 gs4f►l ���ry� ` SUPPORT STRUC .' A)- ; r (COMPACTION TEST A0 I PERMIT DESIGNATION: B—BUILDI DEPARTMENT OF P—PLUMB BUILDING AND SAFETY T—TRAILEI 30=-35-05 NEW OWNER -• JERRY slm/n C'T.F.MM� �/�.�f 1244 Grand Ave, Oroville Contr: Wilson's MH, �ermit ##3008-79MHI (existing site) 30-35-5 CHARLES BUTTERFIELD'�M / Q/ 0 1244 Grand Avenue, Oroville �,Permit##3601-81MHI (existing site), Issued 30-35-05 Jerry Clemens. A,.1 1713 ?x- 1244 Grand Avenue, 0•foville !ermit # 1925-82MH install on exist/MH) 330-35-05 Permit#2062-84B(new deck & awning/MH) — I n _ _ . 1_ . 30-35-05 - -r - < Permit#2696-88B(new carport) ///7 030-3-5=U=UUP 92-3389 CLEMENS`, Jerry & Bernice'' 1244 Grand AVe, Oroville contr: Skycrest p mhi/existing site X35-0-005 92-3954B _ CLEMMONS, Jerry & Bernice 1244 Grand, Oroville reinstall deck & awning/mh 3- _21� 9� 30-35-05 3776-89E CLEMENS, Jerry I 1244 Grand Ave, Oroville (elec ser upgrade) 30-35-05 1807-91B CLEMENS, Jerry. -q E PERMIT , • I�IANCE 1244 Grand Ave, Oroville I N PERMIT '(new deck/mh)­ s - HM—HOUSE MOVING EP—ENCROACHMENT D - DEMOLITION 600. 1 i I� t INSPECTION RECORD BUILDING APPROVALS F Fm ' aZ DESIGNATION . z zF iO Ot61-Q pu0o LL 0z j w iN It zO _K � zg K g OKW� zg OKW� IW IL um WJ aQ �LL U Q Ir Q SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DAVE SIG. DATE SIG. DATE ' SIG. DATE 1 SIG. DATE �mmN/I%/N/i7!'w wmm.7/11 % w11. PERMIT NUMBERS SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN GAS PRESSURE TEST WATER PIPING \ SEWER LINE ` \ APPLIANCES & VENTS .,;FINAL \ELECTRIC+AL APPROVALS PERMIT NUMBERS \\ DESIGNATION . SIG. DATE % SIG. 14ATS SIG. DATE SIG. DATE SIG. DATE ROUGH -IN FIXTURES & APPLIANCES 1 METERS FINAL PERMITFolh f/ DESIGNATION . .. .. �i .. �� .. . --r ' 0-30=35=0=005 fi CLEMMONS, Jerry & Bernice 3954B 1244 Grand, Oroville reinstall deck & awnin g/mh j. 4 t i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. " _ t I ASSESSOR PARCEL NUMBER 0311 -1450 --m's ZONING 12 I R t I -\. BUILDING PERMIT OWNER - Clemons TELEPHONE r, 34—(1 53 SO. FT. OCC. BUILDING VALUATION OWNER'S M (LING ADDRESS 1944 Gw o 95965 YES t 500.00 CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 1.99,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 1244 Grand A.,PLUMBING 1Y PERMIT Filing Fee 15.00 Each Trap I 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtPities ❑ Installation❑ Other ® Describe work:_ Re—Install Deck/AwAing RE: 1807-91 & 2062-84 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000AI 37.50 NEW CONST. / DWELLING OCCUPM 3.64 sq.ft. OR ADONS. \ ACC, BLOGS. I NEW CONSTRULTI.OUTLET NON-RESID BRANCH CIRC ITS 5•00 ( POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCCU 20 76 p OUTLETS OR FIXTURES Ex. Occup. OUTLETS ((RESID )REA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X % 22? o -x> -1 - Date i�- / 2, signature of Applicant — Owner ❑ ❑ Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- Ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES 30.00 HAz 1 0FEES I IMP I FLOOD I CDF I PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do Work indicated above for Wh ch fees have been paid. DIRECTOR OF P' BLIC WORKS By A' ;.1 / J — Date PER M IT l XPIR Date / / [� -(1 -. ��- Receipt No. /_ -?-944 y WNITE-D.P.W., 'YELLOW-ASeE9SOR, PINK -INSPECTOR, GOLD ENROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95165 - Telephone: 916/538-7541 APPLICATION AND PERMIT A55E55OR PARCEL NUMBER -- "'ZONING AR BUILDING PERMIT OWNER TELEPHONE 534-0153 SO. FT. OCC. BUILDING VALUATION OWNER'S MAYAG ADDRESS ; 1244 le 95965 CONTRACTOR'S NAME numpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 500 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 15-00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PAgCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New❑ Addition [I Remodel❑ Utilities❑ Installation❑ Other® Describe work:_- Re -Inst -ll Deck/Awning RE: 1807-91 & 2062-84 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AOR ORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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 Main service 200ATO1oo0A, 37.50 NEW CONST. / DWELLING OCCUPM OR ADDNS, l ACC. BLDGS. // 3.64 sq.ft. NEW CONSTR-"'UL U TCH CI-OUTIRCITSLET NON•RESID BRAN @ 5.00 (POWER APPARATUS e1 (SINGLE OUTLET CIR, I EX. OCCU Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EAJ 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. E] 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 t0 the W. C. laws of California. Notice to Applicant: If after making this statement, should you becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree.to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in c ence of the granting of this permit. X Date 1-1—,7 % n.,.,. noture o Applicant — Owner Z Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE I TOTAL FEE $ 30.00 RAZ DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated ab a for wh' h fees OR P BLIC By . PER ITIR Date applicable provi resolutions to do have been paid. WORKS Date 4/ -17 -fl Receipt No. WHITE-O.P.W., YELLOW-AS8 3SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Californis:;Z5965 - Telephone: 916.'538-7541 APPLICATIOWAND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 0,30 —JS -6 – ©OS ZONI _ BUILDING PERMIT r t TELEPHONE - O IS3 SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAI NG ADDRESS /21 Zf if - CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ L'ENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ob ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty g BUILDING ADDRESS 1- - �J r -a � Y Permit fee $ o/ PLUMBING PERMIT Filing Fee 15.00 / G d?- -(� l GSA Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBOIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or ve 7.00 USE OF STRUCTURE SF❑ Duplex❑ Mobilehome4?�--Other SPECIFY Gas piping system 1 - 5 utlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New Addition E] Remodel❑ Utilities ❑ Installation❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 �✓ /,?07 ! _. Q O Main service 600V OR LESS 200A OR LESS 18.501 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 Main service 200A TO 1000A1 37.50 NEW CONST./ DWELLING OCCUP.& OR ADDNS. ( ACC. BLOGS. 3.66sQ.ft. NEW CONSTR ULTI.OUTLET NON•RESID BRANCH CIR ITS I @ 5.00 POWER APPA ATUS e (SINGLE OUT ET CIR. Ex. OCCUp(OUTLETs R FIXTURES 20 76d A Ex. Occup. OU LETS PR ESID IRE A.I I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 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. Ialso agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant'— OwnerElContractor ❑ 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 S Energy Inspection Fee $ DCC CONST TYPE �— TOTAL FEE $ 30 HAz DFEES I IMP I FLOOD I CDF' PARCEL PO HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt Nol 2�l� WHITE-D.P.W., TEL LOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 q PERMIT NO. 7,7', "33 g ` Address or location of mobilehome 1 ""'�� �� ;PAA40 ;IaU Owner's name Owner's address ' Insignia or hud number�' 00*" Manufacturer's name Serial numl De ro AW. I.N. �A�3k 3 — Year of manufacture ficial Approving Installation) (Date) 't r r� 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 - Instoller, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE :� �L /�'� bW-N—Ek 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. w Date/ Inspector REV 1/91 RESIDENTIAL 7 030-35-0-005 92-3389 MHI CLEMENS, Jerry & Bernice 1244 Grand AVe,.Oroville contr: Skycrest mhi/existing site EVp- 101tol93 JOB FINAL Signature J=OK O = Not OK = Not ApplReady .MOBILE HOMES =Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements r 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /" L" ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements r_ _,footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector . Elec icity; MH Test -Crossovers -Breakers -Clearances rain; MH Test -Fall -Flex Connector ater; MH Test -Regulator -Connector a er and Sewer Connected -C/O to Grade -HD Approval 8 s and Electricity Tagged xits; I .-Sketch 10. rt. of Occupancy Dat B- Date Card B-1 Date Card B-1 Date Card B-1 M MISCELLANEOUS 41. Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK excebt #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B=1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card 6-1 Date Card B-1 J=OK O = Not OKy = Not Applicable No's -Ready RESIDENTIAL (Single & Duplex) = � Date UNDERFLOOR (Plans) OK except q s a 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special .Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. 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 ft's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ----------------- ------------------------- 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection -------------- --- - ------------------ 19. Shower Pan; Test. First Floor -Tub Access _ 20. Test -Tub &-----Shower,-Second Floor -Tub Access -------------------- ---------------- 21. Gas Pipe; Size & Anchors Date - - -Card B_1 --- - Date - Card B-1 ---- --- ------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's ---- - 22_ Fixture & Transformer Cleararce_Ins. Protection ----------------- ---- ------ 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------------------------------------------------------ 24. Size Boxes & No. of Conductors -Stapled -------- --------------- ---------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------------------------------------------------------ 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water -------- --------------------------------------------------------- -- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI ----------------------------------------------------- 28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size ! / ga. --------------- - Cu or -Al ------------------------- ----- 29. Range Circ. ! I 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-1 Date Card B-1 ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except tr's 34. A.C. Ducts Insulation & Support ------------------------------------------------------- 35. Vent Fan Exhaust above insulation --------- ---------------------------------------------- ---------------- ____ 36. _Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet ---- - - - ---------------------------------------------- 38, ------------------------------------------38 Attic Access & Platform if Furnance in Attic ---------------------------------------------------- -------------------------- Date Card B-1 Date Card B-1 ------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. Sits. Proper Material & Anchors ------- ----------------------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ---------------------------- 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 Date FRAMING (Continued) + 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shthng.-Ring. 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 Date Card B-1 Date Card B-1 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 -Meth. Protection --------- - ------------- 64. Bedroom Exiting 65. G F.I & Bath Fixtures & Tub Access -Spa ----------------------------- 66._ Elec. Trim & Subpanel; Breaker Sizes & Labels - ----------- 67. Stairs -&-Rai-Is 68. Fireplace or Stove: Clearances -Hearth ----------------------------------------- - 69. Elec. Outlets at Wood Panel; Int. & Ext. ------ ------------------- 70. Kit Fixt_& Appliance; Grnd_Air Gap -Cooking Clearance ------------- 71.- Elec. -Outlets & Receptacles at Kit. Counter -� ----------------- --- ----- 72. Garage Fire Door: Swing -Landing -Closer ------------------ -------- ------- p er--- 9 -Dam -------------- 73.---A.C.-----Duct in--------Gara---------- - 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. . In Garage; Above Floor -Meth. 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-- O Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks O Yes ❑ No: Planters--O-Yes ❑ No 81. Stucco Brown -Finish _ _ _ __ 82. -A. -C. -Unit: Disconnect. Electrical, Plumbing 83. Vents Above Roof; Pibg.-Appliance-Fireplace.-Clearance to Openings _ ______ ------ 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House --- -------------------------- Glass Protection 88. Corrections from Previous Inspections ------ --------------- ----------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric 90. Water& Sewer Connected -C/O to Grade -HD Approval ------------ -- 91. Energy Compliance Certificate -Other Certificates-- ------------------------------------------ --- -- Date Card B-1 Date Card B-1 --------------------- ---------- ----- ----- -- -- Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE; --'b EPAR TMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville; California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 030-350-005 - ZONING AR BUILDING PERMIT OWNER Jerry &Bernice Clemens � TELEPHONE 534-0153 S0. FT. OCC. BUILDING VALUATIO OWNER'S MAILING ADDRESS 1244 Grand Ave., Oroville 95965 CONTRACTOR'S NAME Skycrest Enterprises TELEPHONE 342-2894 CONTRACTOR'S MAILING ADDRESS 13468 Hwy 99, Chico 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS - Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 1244 Grand Ave., Oroville PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑X Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mob le Home I S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation LN Other ❑ Describe work: MHI Existing Site 3 Bedroom Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 2000A OR LESS 18.50 CONTRACTORS LICENSE LAW declare under penalty ofperjury ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full forc d effect. License No. ���Z 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 Main service 200ATO1000A, NEW CONST. ( DWELLING OCCUPM ADDNS. ACC.BLDGS. _37.50 3.6sq.ft.I 0OR NEW CONSTR ULTI.OUTLET NO N.R ESID BRANCH CIRC., TS @ 5.00 (POWER APPARATUS 91 SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 Ex. Occup. OUTLETS (RESID,)ED APPLNS.REA.1 I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 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 constru ion, and hereby authorize representatives of the Countyot Butte to enter up n e above-mentioned property for inspection purposes. I also agree to v indemnify and keep harmless the County of Butte against all Hies, j dg ents ts, and expenses which may in any way accrue id Co co ence of the granting of this permit. �n�J X Date [. '`I V Signa Dre of Ap licant — owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over S'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ %0,00 Energy Inspection Fee $ occ CONST TYPE TOTAL F 105,00 H Foo C RCabil• PA PD D IVagain This permit is hereb is a under the s' oft a Butte C ty ode and/or wor in cated ab r which fees C R P ELIC BY PE I EX 1 • ES Date applicable provi resolutions to do have been paid. ORKS Da d20 Receipt No. 123142 WNITE-D.P.W., YELLOW-ASSC330R, PINK -INSPECTOR, GOLDENROD -APPLICANT low COUNTY OF BUTTE - DEPARTMENT& PUBLIC WORKS - BUILDING DIVISION 7'COUNTY CENTER DRIVE - OROVIILLE; CALIFORNIA 95965 - TELEPHONE (916) 538-7541 't r �..f PERMIT APPLICATION DATA SHEET OWNER e/M�-I�sPO. Proposed Building Use Building Inspector Date T42 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY j., All items have been submitted......................................� . ,? 2. Plot plans, 3/4 sets, signed by preparer of plans. ......... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C'Buildings. ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... '/t obilehome data and manufacturer's installation instructions, 2 sets. ........... eesof$ .......................................... pact fees as shown on attached schedule . .............................. -i I alifornia Department of Forestry plan approval/fees. ......................... 13. Flood elevation letter (100 year flooqby California Engineer . ............:::: : 14. Sanitation an;_'c� i plan approval 1, Health Department. . 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... . 20. Pre -inspection for to Building singIns request required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner_) ........... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ........................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. W e ou issue th ape it, proce as follows: Mai to n r. Mail to contractor. Telephong-,' and hold for pickup a office. Deliver with inspector. Other ) Parcel Creation 9� Acreage Applicant _Date l Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Coun r by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Co ter by _ Date Plans checked by Date Plans approved by Date id Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive • Orovllle, California 95965 - Telephone: S'lb '538-7541 APPLICATION AND PERMIT [ PARCEL NUMBER Z NIN BUILDING PERMIT 1[R 1 lC-e� TELEPHONE o S3 SQ. FT. OCC. BUILDING VALUATION /[R'1 MAILING AO 11111111,11a; z 1 q�i6J A NAM/I _ S %L�1kIT �qQ P._il.l�lB/SPS TELEPHONE 3�L-ZLS77 ,L S. grt s M ILING W Y 7 nL� `ie-n Fireplace 4•TRUCTION LENDER UNKNOWN Total Valuation g Filing Fee S 15.00 ao[AILING ADDRESS ^' f Permit Fee $ :m6facT OR ENGINEER 1 [NSE No. Plan•Checking Fee $ c O _ Energy Plan Checking Fee $ -Ht CT OR ENGINEER -s MAILING A Penalty --_--_---_----_---vJ lee $ $ Q LOING AOOR E••Permll 4 / PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.001 Solar or heat pump water heater 20.00 . NO. - •UBOIVISION NAM[ PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUC!TUIM ❑ Duplex[] Mobilehome,0l Other " SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home IS G I W 1 15.00 TYPE OF WORK w ❑ Addlt Remodel tllttle/ /tall In ion Other ❑ scribe work' _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO IOOOA, 37.50 CONTRACTORS LICENSE LAW Iclare under penalty of perjury ( ), p y per Uf (,'he�k'Oris' I am licensed under provisions of Chapt. g, Div. 3 of the Business and ProfessionA Code and my license is in full force and effect. License .lo. Z7S4/L Classification e--# 7 ❑ 1, as the owner, or my employees with wages as their sole compen- sation. will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I. as the owner, am exclusively contrecting with. licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec.__, Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.6) oR AODNS. ACC. BLDGS. I NEW CESICI, BRANCH NON.RESID BRANCH CIRC ITS 3.60 sQ.lt. @ 5.00 POWER APPARATUS .&) ( SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 X 76e FIXEC APF'LN5. OR Ex. Occup. OUTLETS IQESID.1 EA.) 1 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION O WRANCE Iclare under penalty of perjury (check on*); ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workman's Compensation insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any mariner so as to become subject to the W. C. Tawe of California. lice to Applicant: If after making this state~11. should you become subject the W. C. provisions of the Labor Code, you must forthwith comply with such visions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee _ i Contractor irtify that I have read this application and state that the above information :orrect. I agree to comply to all County Ordinances and State Laws relating wilding construction, and hereby authorize rWOSOntative/ of the County of to to enter upon the above -In tinned property for inspection purposes. so agree to save, indem y nd keep harmless the County of Butte against liabilities, menta, o ,and expenses which mtay In any Way aCCfUe Inst s unty in co nce granting of this permit. pate 9-�Z 42� oI.R•t ❑ CMr.N1•• ate ❑ �•+�•• •f Ay�iieoV.-ir-4 OSHA P•rT,+ ;•for •■tiv•tisu+• •tr•t S'e" beg end btlloli►ion o. construct - of? •ffWC+yr•• over 3 stories in height. Mobile Home Installation Fee Ener Inspection Fee $ 9Y P OCC CONST TYPE TOTAL FEE $ nAi DfEES IMP FLOOD COF PARCEL PO HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which tees DIRECTOR OF PUBLIC By _ PEPJA.IT EXPIRES O!aae - applicable provi- resolutions to do have been paid. WORKS Date :e1p1No. /Z/ . •_T �_� /C-/,>_�_-- ------ -- - - COUNTY OF BUTTE - DEPARIIENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER A. P. NO. A �3 49 PROPOSED BUILDING USE DATE _ v� REC. DATE REC !/ I. School Distric Fees (paid at District Office) : ......................... 4�-2. Sheriff Fees pa'a a ulding Department) esid . trial .......... X = unit amt. Commercial(per sq.ft.) X =$ sq.ft. amt. _ 112-3. Urban Area Fees (paid at Building Department Residential (per unit) X =$ Tr units amt. mmerical(per sq.ft.) % =$ sq.ft. amt. 4. Recreation DistrictFees (paid at District Office) .......................... 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE �l�if°{���i�'�a�+-'1'�'1d�j7,�,'h- �+�!'`�'�""".....'""„•a.�.�.nr-.�'+ir-x3ry.+...L;-w"1+""Afir^e0'fl--zr*k;.tia.r.�r.«�oh..r.c�„M.t•�*.�,.;.-.+.».w..�c+=•mr—...-r---'ri*�..-;,arij�-�;��,,.�,;,��H�;4.Wx 104-rAOt BUTTE COUNTY SCHOOLS, IMPACT FEE CERTIFICATIO FORM (One Form Per Building) School District ax 1-4 <;� Building Department No. A.P. Number Cj �( �` OO �j� Jurisdiction City 0 County ,. Property Ownerf2 9 i AlI Property Location/Address `7 l��i /���•�`fO Subdivison : Lot No. Residential Development E4� 4Gets /Z. X �0 0 No. of Living MHI !.,- de Units Commercial/Industrial New 0 Sq. Footage D Addition ( roup R) 0 Sq. Footage Addition i ildi g Departm Representative Date (Floor Plans reviewed by School District Personnel) District Identification No 93 OR ( U j) tQ Urn f Q School District certifies that l (Including Exterior Roofed Areas) o-yy (Street Address) (Phone Number) 6 t�► �1 � C� 95 (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing square feet. . ktb� a;2 /�l School District Representative Paid by Check Number Bank Number Paid by Cash Remarks: j by payment of $ Date OEM 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 (CECA), 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.wkt (4/92) I IW I z I IW I This of plans and specifications M the kept on the job at all times and it is un make any changes or alterations on same with- out written permission from the Department of Public Works, County of Butte. HOM—'1l' l Materials & Workmanship Shall Be to Aiccardance with Recognized Good Practices and of, a, ciudlity: prescribed for the Specified use in' the Uniform Building, Plumbing & Mechanical Codes *e National Electrical Code. 1 BUTTE COU 7Y BUILDING DEPARTMENT' Location of structureS & squipmerd shag bs as shown & cioar of all . -a. 0 c A4 UP I is:4 t'T 0 in ti: ctf Vl 0 c A4 UP I MOBILEHOME.SUPPORT DATA If other than single wide, _ Mobilehome Mfr. 5 Ct furnish Setup Model No. Year Width Z¢ (ft.) Box Length_!Jj�(ft. ) , Tagalong or Expando Size ' ft. _.� ft. On all'mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) 1. Wood -pressure treated or foundation grade. 0. 2. Other (specifyi SUPPORTS (check one) 1. Concrete block. 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 Piers: Line 1 Openings: Size -Min. ------------ ,k „ Size -Min. ------------------ Spacing-Max - --------- -----------------Spacing-Max---------- Each Side of Openings From Ends -Max.---- - '_ With Width Over --------- s " Line 2 Piers: Size -Min - ------------ Spacing-Max - -----------Spacing-Max- --------- From Ends -Max .------- Line 3 Roof Loads: Size -Min. ------------ Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- Spacing-Max - ------------------Spacing-Max- --------------- - „ From Ends -Max .------------- 17_%30„ !f'x3 0„ 15-36" 4"X7_4., „x „x „x ,k , Size -Min ------------- Spacing-Max ---------- From ------------ Spacing-Max.--------- From Ends -Max .------- Line 5 Roof Loads: Size -Min. ------------ e 5 Piers: (Under Bearing Walls Only Size -Min .------------------ 'k Spacing -Max.--------------- , From Ends -Max -------------- "x I. "x "x "x d "x location (From Front) BUVE COUNTY BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: -T-0- Qp-V �, A01,A)7C ,'P, d14,,,1Lm A 2. Installer's Name: 3. Is the site currently under permit? YesF-1 No (If yes, furnish permit number ) OR Is the site an existing site? . Yes No 7 (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach I fields and clear of all setbacks and easements? Yes jZ No (If no, clarify 5. What is the mobilehome electrical rating? --------------- 1.i3o Amps 6. What is the mobilehome site service rating? -------------- 1a -e,, amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) 177 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- �12. What is the mobilehome gas demand? ---------------------- (BTU) ,This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) a -'TTS RESIDENTIAL 30-35-05 1807-91B CLEMENS, Jerry 1244 Grand Ave, Oroville (new deck/mh)_ JOB FINALE Signature J=OK O=Not OK' = Not Applicable =Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances ---- 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECK OVERS, CARPORTS, GARAGES, (Plans)OK except #'s Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel C cks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date and B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date OOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-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 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. 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. -Test -Tub & Shower, Second Floor -Tub Access ----------- 21. Gas Pipe: Size & Anchors -- ---- - --------------------------------------------------------------------- - Date Card B-1 Date Card B-1 -------------------------------------------------- ------------------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s - - -- 22. Fixture & Transformer Clearance -Ins. Protection ----- -------------------------------------------------- ---- 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled ------ ----------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. --------------------------- --------------------------------- -----------•--- 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water -------------------- ------------------------------------------ 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI ----- -------------- ------------------------------------------- ---------------- 28. Subfeed Wire Size r / ga. Cu or AI-A.C. Wire Size r / ga. Cu or Al -------------------------------------- ----------------------------------------- --- 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-1 Date Card B-1 ------------------- - -----_B- --- ----- -- -------Date - ------- -------------- --------- ------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s ----------- 34. A.--C.-Ducts Insulation- & -Support- -------------------------------------------- -------------- 35. Vent Fan: Exhaust above insulation ------------ --- - -- -- - ---------------- --- - ----- --- 36. Condensate Drain & Overflow: Size & Grade ------------ ----- 37. - Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet ---------- -- --- ----------------------------------------- -- - 38 Attic Access & Platform if Furnance in Attic ------------------------------------- ----- -------------------------------------- Date Card B-1 Date Card B-1 ------------------------------------------------------------------------------ Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors - ---------------------------------------- - 40. Walls-StudSpacing & Bracing -Plates -Sound --------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing -- - -- - - - ------------------------------------------------ -------- 42. Draft Stop in Walls (rat proof) ----------------------------------------------------- ----- -------- 43.. F - ire -Stops: Stops Furred Ceilings -Stairs -Chases -Tub --- -- ---------------------------------------------- 44. Headers & Beam -Size & Bearing "ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 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 -Meeh. Protection 64. Bedroom Exiting ------------ -------------------- ____ 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Efec. Trim & Subpanel; Breaker Sizes & Labels --------- --------------- 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth - ---- --- -- - -� ------------------------ - 6J. Elec. Outlets at Wood Panel; Int. & Ext. ------- ------ -- - 70_Kit Fixt_& Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter ------------------------ --------- --- ------ 72. Garage Fire Door: Swing -Landing -Closer --------------------------------- --- - 73. A.C. Duct in Garage -Damper 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. - In Garage: Above Floor -Meeh. 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 instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco: Brow -n -Finish -------------------------- --- - 82. A.C. Unit; Disconnect. Electrical, Plumbing - - --- ----- -- -- -------------------- -- - 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground --------------------------------- - ---- 86. Ventilation Throughout House ... - . • ...-------- --------------------------- 87. Glass Protection ------------ - ------------------------------------- 88. Corrections from Previous Inspections -- -------------------------- 89. Gas Test -Meters Tagged; Gas-Electric ------------------------------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ------ ------------------------------------- -- Date Card -B-1 Date Card B-1 Date Card B-1Date Card B-1 •---------------------------------------- Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLI�ATWN AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 30-35-005 ZONING A-2 BUILDING PERMIT OWNER Jerry Clemens TELEPHONE 534-0153 5'1Q, FT. OCC, BUILDING VALVA ON 128 0 896.00 OWNER'S MAILING ADDRESS 1244 Grand Ave., Oroville 95965 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation 1$896.00 FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 16.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee 15.00 Energy Plan Checking Fee $ r ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS .Permit fee $ 4 1.00 PLUMBING PERMIT Filing Fee 10.00 1244 Grand Ave. Oroville Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping - 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑{ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S FG7W 0.00 ea TYPE OF WORK New ❑ Addition [2 Remodel ❑ Uti Iities ❑ Installation[] Other ❑ Describe work: NPw nPrk _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 SOOV OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �❑ I am licensed under provisions of Chapt. 9, Div. 3 Of the BuSIneSS I and Professions Code and my license is in full force and effect. 1 License No. Classification. 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.Ed) OR ADDNS. ACC. BLDGS. , /2 Osq ft NEW CONSTR.MULTI-OUTLET NON -RES BRANCH CIRCUITS) .2.50 ea POWER APPARATUS h SINGLE OUTLET CIR. Occup(OUTLETS OR FIXTURES Ex. Occu 0050* 5AL030 2ALO30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. IVirin g 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate I 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 shal I be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of r 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 conse uence of the granting of this permit. X Q ✓ Date gn re of plicent — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE - TOTAL FEE $ 41.00 HAz. I CUA PARK SCHL I FLD I CDF PAR PD 1 HD. ISSu . 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. DIRECW OF PUBLIC WORKS BY Date P46IT EXPIRES Date Receipt No. 93889 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER •�— � j—S ZONING _2 BUILDING PERMIT _ OWNERTELEPHONE eM eas 53 SO. FT. OCC. BUILDING VALUATION 2 6 OWNER'S MAILING P.D RESS . �! ( ���� VC+M61 -, / . CONTRACTOR'S NAME_ (�� TELEPHUONE/,1 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee - $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERLICENSE IV Zi�� NO. Plan Checking Fee A$ . Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS !� Permit fee $ ,a ' PLUMBING PERMIT Filing Fee 10.00 2 C/T Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 SF [IDuplexE—Mobilehom-M- Other SPECIFY Mobile Home S I G I W 10.00ea • TYPE OF WORK New ❑ .-Addition,?f Remodel❑ Utilities-0--4nistallation❑ Other ❑ Permit Fee $ Describe work: Contractor ELECTRICAL PERMIT Filing Fee 10.00 ,r Main service 100 OR LESS 10.00 100 OROR LESS _ Main service EA. ADD'L 100 AMP 2.50 " CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.81 ,fa¢sgft __ _ OR ADDNS. AGC. BLDGS. l I declare under penalty of perjury (check one): NEW CONSTR. UL I-OVTLET 2.50 ea ❑_ _. _ ESLD BRANCH CIRC ITS I am licensed under provisions of Chapt. 9, Div. 3 of the Business POWER APPARATUS &) and Professions -Code and my license is in full force and effect. SINGLE OUTLET CIR. z0es0t License No. Classification. Ex. OCCUp\OUTLETS OR FIXTURES eAL930 FIXED APPLNS. OR ❑ I, as the owner, or my employees with wages as their sole compen- EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 sation. will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Misc. Wiring 15.00 ❑ I am exempt under Sec. , Business and Professions Code • for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating • ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Cooling of Consent to Self -insure. ❑ I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation •� Notice to Applicant: If after making this statement, should you become subject Permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply withrsuch provisions or this permit shall be deemed revoked. 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 Mobile Home Installation Fee $ Energy Inspection Fee $ 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 occ _ CONST TYPE TOTAL FEE $ f _Z.CUA PARK scHL FLo cDF PAR Po I HD• ISSUE against said County in consequence of the granting of this permit. X Date This permit is hereby issued unser the applicable provi- stons of the Butte County. Code and/or resolutions to do Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is requiredfo excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories n height. DIRECTOR OF PUBLIC WORKS By Date • PERMIT EXPIRES Date Receipt No. 93 b0 WHITE-D.P.W.. YELLOW-ASSC33 R. PINK-IX9PCCTOR. aOLDEHROD-APPLICANT COUNTY OF BUTTE-- Dep'artment of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 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 or no) 2. I (have/have not) ;Aydw_� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work -Signed: 0// Property Owner l Social Security Number Date - �- NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. ' M1:'OTE:—AII Maferi.Ml & NP o,kmanship Shall Be irk I Acr..otdm p nc..�zagr';z6d !Wood Practices .ai.�.t "9it, t _. of a quc i if ✓ jar escrj'•: -a' for the Specified use in l h-: Uni-�or•m Buiidsna,' Plumbing & Mechanics) Crrn� .9!. d the Ntit onal Ekictrica-I Code. ;. . ._ — --r. -�- _'3f��j.' ��• L`}'` �l�t4•7�if"i..wt"a 's�+?t li'?G;C'>'r�Crl'1"� %7�E�w''1 �� tit '? j•; _ y .i ^_ -----------;r rtt :,i:.= ^-.t ':'•. a.: Y:.i+.,:srj:ri{:, �? ,v.. �- ,'+^tn,�; �1'•.rl�r1 �� _—_._. : �tiia{�• n•t` tr :,��_ .qtr. A.o? •_ ..: .. i+ A.l a.n. :r i:2ij j eller'*..i 1E'i'f3i'�r9i' �tc?j3G3??t'�1.`?Yte ..c ri�lPai. i a -7Dr � 1 I FU A setback of 5 ft. from the property lines and a setback j ,Jt", - - of 50ft. from the road -• � _ ____ centerline shall be c;oar of structures or equipment exCB for a 2 ft. Rive overhang. t—�-- cteo n , o�all eciLlt m ems o, 13 0 X ° UN - v � _41 r • I i r i•(Le ..copy- TI rUl .eh at all ti; ent of Pub- 'M maiany c _ .,m tl�e ,'0epartm'"">i clic worrks, County of Butte- - GF Tr Accord, �:'. h l'�evnanized r - i Practices and FOft OrMlt g C�lS 06 sr2uuveEs-ou pAleceL .of st=acificd use' in tha Ur I7Gi'ts; a1Ul�Cii^3, Plun�`uinc, Y� Mechcinical Codes --the National Elec-irical w6de� &aot o '.. ' propertyaures and a setback ��► �`��. � � � \ '` r r of 50ft. from the -.d' eE,►.+Arline ����► , _. �,. .equipment excepf fora 2 ft: eave overhang. -ts into I. C", Q4 . :CA - �o� a �•'-' ,f r !>•:; (�W.-'7i;c'i�'?%r':4;:�:=s:•i'; �•7�^'r='��;�,'N;_ Top v i�w 1';F -M-4 t u 6 pLAO - N -T- r r r -- 4,4�2 DO t — ` — ` _– I I T f : � �; �.:i:. ;..� '- .�,_..., ,:::,:'., �ir•:r.._.:i:r;;d;its'::.s:-�;;q"ic;;�'<�•.-'jp;:. 4x4 -j 161-44 MAA f III CAL 4.4 Dig / f l — .'i! to by 36 in. v J 1 x S�E TUpVI i,ri-rmediate rails to', be not a` FaI\vr\ W � \- �-' ,{ti oc1TITI aN over (pin. apart: .n ua.1'e bracing.' V) Provide ade 7DHAND! fl 4 rfv,C)C-es vJ 13 r'1 p TP, -r- �. Foe pos'r F&TIK36 A t ^— I P;•,eS Cp►� NEGnonJ ProvioE '� f x �, r1itN• Iq x (o OE�p px03 14 opt x/ 3 �. OK ro u..5 P sal/ ons 51,�� m w Llp, .5w �y(.!.tz` •_ 4; •.'r::. r 1. 1'A' I %a" T� G PLYWDOD CC EXT. ' r — . MOBILE HOME OR DET E li�'X IIS' PIERS 4 x(o f)I "2 12";,(o" DECKING (ALT GIf�I�ER':, I'is" 1-4L PL'�WtTOD CC EXT. / -- CxUARGRAIL Telmnu I9 r,%I-rI/Ikir.. V6 43" MAX. GIRDER A"X4" POST X ;:jQ '4-2: 4"x V -- -- F ' zQ FRMN G. . CLIP_ 2°x 12" STAIR STRINGER. Wo.c,. MAX. _TDP VIEW HANDRAIL NOT 51­1811IM FOR CLARITY. Ah r 3l5" 13OLT 2"x4" MOBILE HOME OR DET �v I MAX. MTL. FRMW, -- — CLIP (EA. IDE), 4"x (" ' 4"�4" POST #02 -DF BOLTS COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION, 7 COUNTY CENTER DRIVE - C1R(JviLLE�, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET �� l.. ICe�s Permit No. OWNER II A. P. No. 3 Proposed Building Use �P --Building Inspector Date f S At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ............... Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans .. 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form ......... . 6. Energy Design Compliance. and. supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10:' Fees of $ A X11. Chico Urban Area fees paid ....................................... r 12. Park fees paid .................................................... .f 13. School District fees paid .............. 'i 14. Sanitation approval from "r( L� Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW �. 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required . Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... I, 27. � �— When you issue the permit, process as follows: Mail tojowner. Mail to contractor. (/Telephone ���' 615"3 and hold for pickup at Q""office. Deliver w/inspector. Other Applicant 4 �Gi��� .Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plan's'q sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. _a 2. Additional items required. Contractor, designer, owner was advised of above required data by_phone--jnail—counter byJ3_0 -.date Contractor, designer, 3w�ier, was advised of above required data by —phone _maII—counter by date Plans checked by, W) Date f Plans approved by PAA) Date 91 Sets of plans on hold in File cabinet AP folder Copy—DPW -*7Df • � I I LOU A setback of 5 ft. from the I °S property lines and a setback �C% of 50ft. from the road j shell �e cl-,ar of . centerline structures or equipment except for a ? ft_ Rive overl 8nCJ4 I Xo0 a a�•frp�:'$yk"�.,{�,-wvc�„a.�t.r:-�.,:,...,.��r,�,m..z}t..t✓sa�.�.<r.'_,�•. �_s;r'...;�"�;.r�";o.ar,::�'18wVT^tt��y1� ��'��y.Mt� m _ �_i�:.. t ; �. �. ,� `$ i�' f �; . r ' .� l 4' r • 11 . ' � . � > . . ,. ! � a '' • ' �. .. .'! > - a s . r ' .� l 4' . � 7 � �. .. �� . � > COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville!CalifdFtia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N0. � C ASSESSOR PARCEL NUMBER d " SS - OS ZONING A- BUILDING PERMIT OWNER j-EnRY IfLGME�s TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME Koikf E TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER A10 r-ir UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER /V LICENSE NO. Plan Checking Fee $ Energy ecg Ener Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 12-14 GRA la AV Permit fee $ PLUMBING PERMIT FiIingFee 10.00 Q�OI/tLL>� Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE } SF ❑ Duplex[] Mobilehome& Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W0.00 e TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other Q Describe work: Et Ce r 2 tC A C S rt 2 v (e t- Gt P(, -/z 4 b C SCrZVit'ri. (�� C l Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 2_S� CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions Of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intendedjor offered for sale. (Sec. 7044) I ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.e , OR ACDNS. ( ACC, BLDGS. ) 2/20sgft NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES e20050t AL030 FIXED APP LNS. OR Ex. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee M I -N- PCC I I11- $ 2S-� Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury ,(check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure: I shall not employ any person in any manner so as to become subject to the W. C. laws of California. , Notice to Applicant: If after making this statement: should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIirig Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in con equence of the granting of this permit. s, /�_ ��� r, X U / Date SI nature Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- of stuctures over 3 stories in Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 2 S 0 ALSCH HAz CUA PARK FLD PAR PD HD IS SUE This permit is hereby issued under sions or the Butte County Code and/or work indicated abov for which fees D 0 C'WORKS By PERMI EXPIRES Date the applicable provi- resolutions to do have been paid. Date��TE-D., //-� / ✓ [ion height. :Receipt'No. Q 3 7 S F_ ./ Gti �- �p W.. YELLOW-A58l330 R, -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �ERMI� N 7 County Center Drive - Oroville,,C: lit;orni�i 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 36 - iS _ 0-5 ZONING _ BUILDING PERMIT OWNER .-Et2R GLOM E-wS TELEPHONE SQ. FT. OCC. BUILDING VA ATION OWNER'S MAILING ADDRESS G p_A,11� S NAME CONTRACTOR M, T r-/Q/Y e - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER O �� UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR EN (NEER Nan LICENSE NO. Plan Checking Fee .$ Ener Plan Checkin Fee Energy g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS tallG Ae\1 b AJC Permit fee $ PLUMBING PERMIT Filing Fee 10.00 ('lzofit 1,L Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF [I Duplex❑ MobilehomeiR Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.006 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other 1K Describe work: ELi9er2(cot C S eet/(ee LcPG/Z46If _ )� St�12Ulerz P� (�� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 1,0- 0a Main service EA. ADD'L 100 AMP 2.50 2_5,0 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.(DWELLING OCCUP.&) , OR ADDNS. ACC. BLDGS. I 2/z�sgft TLET NEW CONSTRESID* RANCH CIRCUITS)2,50 ea NON•R ESID BRANCH CIRC ITS PO ER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®60C 9AL@3o FIXED APPLNS. OR EX. Occup. OUTLETS (RESIO.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee M I. — to if AmIT— $ 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County inCon equence of the granting of this permit. a C, X l Date ��'—O / o.sions S nature Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -O ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 2�� f) HAz I CUA PARK I sCHL I FLD I PAR PD HD ISSUE This permit is hereby issued under of the Butte County -Code and/or work indicated gbovgr for which fees 11 By PERMI EXPIRES Date the applicable provi- resolutions to do have been paid. ORKS Date �� Receipt No. 3758 Z —oa WHITE-D.P.W., TEL LOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT . >► COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Orovil,le, CA 95965 Phone: 916-538-7541 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 or no) 2. I (have/have not) A19 V e, signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but.I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work . Signed: to / Property Owner \ rayn Social SeFurity umbe — — �---/ Date_s g" ! NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. J PERMIT NO. 2062-$4B J _ PERMIT EXPIRES i OWNER JERRY CLEMENS CONTR.. owner ASSESSOR PARCEL 30-35-05 LOCATION 1244 Grand Avenue, Oroville t, `i 4' �i i Aw N ( ( -'C' L I'id Temp. Power Pole_ Called PG&E _ Temp. Elec. Service Called PI Temp. Gas Se L Called PG JOB FINALEI Signature OK Not OK Not Applicable MOBILEHOMES MISCELLANEOUS Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2, Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Con nec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI 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 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater B. 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 = OK = Not OK = Not Applicable RESIDENTIAL (;Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING Continued 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel -B lockouts -Wrapped -S lab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -B lockouts -Wrapped -Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. U.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regulator-Seryice Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except #'s Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. 16. Water Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except #'s 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes73. 74. Guard Rails &Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or A1, Insulated Neutral ❑Yes E-) No 75. Following instld.: Drive F] Yes E] No; Walks ❑ Yes []No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except #'s 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. 85. Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans OK except #'s Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Sh_thng.-Rfn_p_._ _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION ASVD PERMIT PERMIT NO. .�1 ASSESSOR PARCEL _NUMBER O ZON NG BUILDING PERMI OWNER S TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING AD ESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ - 10,00 LENDER'S MAILING ADDRESS Permit Fee $ kr, OD ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ �r Penalty $ ARCHITECT OR ENGINEER'S MAILING AD RES Permit fee $ �© BUILDING ADDRESS_ pl�t�'C/ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 r 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 [ISF Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home S I G I W I 1 1110-00 e --� TYPE OF WORK New ❑ Addition Re odel Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP OR ADDNS. .& ACC. BLDGS. 1 2/20sgff 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) ❑ 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. TI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. 20@50C Ex. Occup(ouTLETs OR FIXTURES eAL®ao FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 i nsequence of the granting of this permit. p X Date _ ;Zg— nature f Applicant — OwnerW Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ O OCCUP. GROUP I TYPE OF CONST. V PARCEL PD HD ISSUE This permit is hereby issued under sions of the But County Code and/or work indicated above for which DIR OP P By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. IC WORKS �� ate 7 7f/l� Receipt No. ^ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PM This set of plans and. sp ecifications MUST be kept on t<. e ;ob' at afl time, and it is-unlawful to male any changes o. al} :ra is rs on same oftPub writton permission from the Department., lic Works, County of Butte. NOTE:—All Materials & Workmanship Shall Be. in Accordcm ce wiih Recognized Good Practices and e -of a rualiry prescribed for the' Specified use in th® Uniform Building, Plurnbing &Mechanical Codes ars! •the National Electrical: Code. . A setback of 5 ft.,from the propertylines and a setback Aa�t of 50ft. from ;the lkarl centerline shall be clear of, structures or-equipment except for a 2,ft. eave overhang. ;- rz: .n�L(. INS 4y BUTTE BUTTE COUNTY BUILDING DEPARTMEN7 y APPROVED l 6,- 'fX r x,/'?,5i , 'rovide adequate bracing. T x � 1 rd (j- I - op ra;I to be 36 in. high with iW termediate rails to be not over 9 in. apart. ` J c '(,-2 x�7yP �,rz -4. F5 r' IVl AJ r BUTTE COUNTY 1 BUILDING DEPARTMENT t APPROVE . :tT k7 IV IZ` 5'; 7Gr RAL P.A.I L \ I " s-CE?ou toi•W)n-,e- -v XTRUDED H=ADER "A'" I r j yl SP�ICc JcTAN LS--'� EXTROOD HEAHR• "A' —c ROLL FGRMcG HSA ' 'T• :.S `-'o:. ao m.e"iAtW�Rw 3. �6•H Dc TAIL""D `a DECORATIVE FACIA 3, SIDE FACIA V _-. PLAN FORI�,.TEREDCORNER - I1. PLAN FOR OkliER BEAM NAIL `A', - DETAIL.B.. MITER -BEA '6T, I neve• v - ._. - ' �• C�.,, .,, ,lam•:.: e�: '.. _... .... - !C t4- p---� MITER CORNIER SPLICE D�7AIleC Qi R rd T Vit— FOR FA^!A - ✓ HcA.OERS '--� UCTUfiaL ��:Ic_ / 171 3r asq G J STRUCT RAI Pte' HAIv�ER +. Lr { ROLL Fr;RMtD HEl s. f ROLL FORV H ',� i=�J •�--• - � E �. �'�- _ , iah�: . -- =f .ter_ r'-y�•� >1T. , .- •. -:'.Fi \ /�\�` / `.�..>.. _ -- � ' ' y' '." tSl3_3, IL.�81 I 3" * � ---�i.� =77— l"� "•c.•'..ni`wr s.rrrafainr -- TTAtIIKI (l11 [y ',![I, It, �. 'b:/: .w;.:t 4..'V ••.[ R- 1t'>co[,l C,t ..1, �,'. x,,a...... .. •� flurrti>r1 iiv :. � a:rU a[vcnf 1. - - i , `<v.tx•:s= a, I.R i-}k......,.p.l MI. ' I 3 -ALT. C01 T CC RETE CGna'- I�OM 1 1 _ ..•:•wn�o.0 siiri:le-�ot9..ae. ,vn _ �'- T>'.� 1 I � 'I L �-. .eNm ,nnot> .Wi n wee'ip�lie sa aair ' • . , I. i'1 T I !- TL Yatr:i!• I —TIA �•r K`.b _ nTwe.-wo•eulN: en� .Yo. nK�s' . ,m. ca:.::, .� .9-, F'? I _clA., �.[.P. 4.,...e.u.:...•lm,•Ir '. S' :si: [: r• Win' c•. -- ,i- '_+Rsraf.. SAFETY STAKE - h ' .- _'L____:J�'_>.' 2 CDLUMN 'Oi;RcGTICF�S� „`l'rt;""•;`°) t 4Pi COLUMN DETAILS ALTERNATE COLL101 y ;y CHP.NI'IK CONNECTOR;1w�au•e 3x53. W.�1 taluM 6-i0 -) - •wi, v,.-ee mei o.• •�} • _ - -21 � e .... ' _ '_L���J _L _ •----- I • ` n I r �. *.:- ,r rris�r a IEC 27.� ALTERNATE C'LUI AN CCTION - rr Nc•} rov a+�•o ¢?r:ow• _ PRIM. CDLUI,._ k, EL! ._- :_��� • - „ G, TFk>,I.,TF.' Ol UMPd 14iT P441 iALUNxU"l. 3[P_: -WN) tx[ �h I 4.a. BUTTE COUNTY .'r BUILDING, DEP4ARTMENT 4 R l>c i zro sr — <-it:c,4c.«• ; ''�F rr .--3 , .00,> .*rx.... - l -•,f• Xw ice_ P.,I`. l V 0y_TIW. } _G I "� It,, ..... ADMIRALALLI M - YA1 7 FJ = 442-71B,E I PERMIT NO. � I PERMIT EXPIRES OWNER Thomas E. & Rita B. Ewing CONTR. owner :.. LOCATION (A.P. 30-350-5 i• 1244 Grand Ave., Oroville ( i y { Temp. Power Pole 1. Called PG&E Temp. Elec. Serv. Called PG&E Temp Gas Serv. Called PG&E 1 • JOB FINALED �I (Date (Signa ure) COUJVTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS Stucco Final I I Subpanels / % Mesh M CH NICAL Grd. Fault Firot. Scratch Heating Service Brown Cooling Y Temp. Pole Finish Ducts A Under round Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) . PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footin sWindows -7AIStemwaII 3rd Floor ,Z SIdin To out Slab Roof Sheathing Water Pi �in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footin s Prov. for physically handica ed Conformance of e structure Appliances Gas Piping Temp. Gas & Teit Slab Final c; Sanitation Patio FIREPLACE Final Footings Footing EL.EC*ICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam .. ,, aI FlFk SPRIN LERS Motors Stucco Final I I Subpanels / % Mesh M CH NICAL Grd. Fault Firot. Scratch Heating Service Brown Cooling Y Temp. Pole Finish Ducts A Under round Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF 9U'TTE — DEPARTMENT OF PUBLIC WORKS �J 7 County Center Drive — Oroville, California 95965 ��� • TeleMoi hd: 5� 4-4541 ' * r yY,) APPLICATION AND PERMIT C/ authorize representatives of the County of Butte to enter upon the above -menti ned property for inspection purposes. 2(1_PzJ,"0J Date -�I_h��W Signature of Permitee or Agent Receipt No. �� 70% 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 PUDIC WORKS By a� D to ?-7, 7 ZU11ng permit expires Date Z -_?',7,:p BUILDING Owner ' �'�/y SO. FT. I OCC. BUILDING VALUATION z o Mailing Address 12 JW (� Telephone No. Fireplace Contractor Total Valuation Q Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ z Building Address�� q 'en PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. o. Q �— Zon &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe&S I W. tefien FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans P el Dec ration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval PIa pproval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 3 Main service 600V OR LESS 5,00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ® Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OC & OR ACDNS. ACC. BLDGS. 2¢Sq ft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS)12.50ea. % NEW CONSTR. POWER APPARATUS & NON•RESID. (SINGLE OUTLET CIR. 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 st le of: y Ex. Occup(OUTLETS OR FIXTURES)50 @ 25¢ BAL@1 Ex. OCCU FIXED APPLNS. OR P• ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ® 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 $ 3%1-24 -� authorize representatives of the County of Butte to enter upon the above -menti ned property for inspection purposes. 2(1_PzJ,"0J Date -�I_h��W Signature of Permitee or Agent Receipt No. �� 70% 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 PUDIC WORKS By a� D to ?-7, 7 ZU11ng permit expires Date Z -_?',7,:p :PERMIT NO. 41A. '19MHI existing site PERMIT EXPIRES��/� i v OWNER JERRY CLEMMS CONTR. Wilsons MH' LOCATION (A.P. 30-35-04� ) 1244 Grand Ave., Oroville • i i t. t w Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. J`' �.'r- 7 ('AIN Called PG&E - /JOB V FINALED (Date) (Signature) y Setback Forms Main Bldg. Footings Stemwal I Slab' Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Relnf. Steel Stucco Mesh Scratch Brown Finish Interior Lath DoorCloser MOBILEHON Water Piping a OBm_ 1� L Water Piping DATE COUNTY OF BUTTE DEPARTMENT OF PUBLIC FORKS 0,81.1I0ING INSPECTION, RECORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing. Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for phsically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Final Sanitation FIREPLACE Final Footina ELI 1 (NOTE: An entry must be made on this form each time you visit the job site.) L Throat Rou h Final Fixtures FIRE SPRINKLERS Motors Test Water Htr. Final Subpanels MECHANICAL Grd. Fault Prot. Heating Service Cooling Temp. Pole Ducts Underground Ventilation Permanent Final Final ------------------ Elec. Service Elec. Pedestal Sewer Gas Piping ►TION - - - - - - - - - - - - - - Support Elec. Continuity --7 Drainage Gas Piping REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) L ` , f, ` 9. Electrical. ►' A. Is service large enough to provide adequate amperage-to-mobilehome (must equal rating of inobilehome.with a minimum of.l amp) and other facilities on lot, i.e.,.water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Yes No_ C. Is power supply cord or.feeder assembly properly fused? Yes✓ No_ D: is continuity test satisfactory as per the following procedure? Yes_ No 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 instrutnent.to the mobilehome grounding conductor and apply the other lead to each mobiidhome 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 the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. ' t MOBILEHOME DATA Manufacturer and/or Namestyle LengthWidth Vehicle Serial No. 4 State Identification No. Additional Information or Comments: , MOBILEHOME INSTALLATION INSPECTION OHECK LIST ` 1. Is the mobilehome located withquired 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 I,— o 3. Are footings and supports properly sized, spaced, and braced asper roved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yesf—No 4. Is the mob'lehome level? (Sec. 5088) Yes No_ 5. If mo a single unit, are crossover connections properly installed? (Sec. 5088) Yes o 6. Water A. Is flex' a connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes l/�o C. Backflow - If coach is not Stat f California approved, does station have backflow device and pressure -relief valve? Yes _ 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each �end? Yes No B. Does it have minimum 'k" per foot slope and is it properly supported? YesL/No C. Are any leaks detected in drainage system after running 3 -gall o s of water through each. fixture including washing machine standpipe?..Yes No D. If coach i S to 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 of more than.6 ft. long? Note: All piping is to be at least as -large as the mobi ome gas line inlet without reductions other than the mobilehome connector. Yes_ No 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 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRI\ OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the Calif ornia_Administrative Code, Title 25, Chapter 5, under permit number — )"-/ for the following location: 4.; y „ 0 Ownerp r r �d I �,,�, vv, S Owner's Address /_Q L) u ;r ?9AA ,r -i A v, Mobilehome Mfg. S�"d ;,n I h l P Model Year�� Insignia No. Serial No. 'si (') 0, _ It is hereby certified for occupancy at the above described location 4nd may be occupied. Director -of Puubllic�Works_ Date`? 9 '.. " By Q .t THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED M White - Owner, Yellow - Installer, Pink - D.P.W. —J- " - – . COUNTY OF BUTTE — DEPARTMENTS OF PUBLIC WORKS c r 7 Cou6,y Ce%er Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT horize re esentatives of the County of Butte to enter upon the Z wSignaturezof y for inspection purposes. ee or Agent Receipt No. r23 &-(0/ 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 ahoy r which fees have been paid. r 14REG11613 OF Ph1BLIC WORKS V - _ ] of 4 44144 MWOEMA Date J v Building permit expires Date vd� v (� BUILDING Owner SQ. FT. OCC. BUILDING VALUA ION Mailing Address Telephone No. t Contractor ` Mailing Address % Fireplace Total Valuation Telephone No. Permit Fee Building AddressPlan Checking Fee &/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. o ^— —�� ,� Z Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 sion Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 Parking EQA Plans 'Parcel Declaration Parcel Map 60' R/W Improvem s Each additional outlet .30 Building sewer 5.00 `�� (lYfSg. Plans Recd Parcel royal Plan pproVal Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ `.aZ�7 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCL BLDGS.CCUP. Y� 22sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Cod der the name style of: NEW CONSTR BRANCH CIR T NON.CONS ( BRANCH CIRCUITS 2.50ea NEW CONSTR POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTI1RES B L@; FIXED APPLNSOR EX. Occup. OUTLETS (RES] -D) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. OG? (o%� Classification C� Misc. Wiring 6.25 ❑ 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. ave 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 $ $ p O 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_%We`Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE horize re esentatives of the County of Butte to enter upon the Z wSignaturezof y for inspection purposes. ee or Agent Receipt No. r23 &-(0/ 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 ahoy r which fees have been paid. r 14REG11613 OF Ph1BLIC WORKS V - _ ] of 4 44144 MWOEMA Date J v Building permit expires Date vd� v (� - -�-. _ . ,-.--`,.r-•--•w .�- .....-,---... � ,.v• .. �wry s�w:..:..:.a-+,�,•;sena»y�`.':aT''6r::•as'w-:::+`�:�' 3a-.�, .:� x. �i ;.ti;�. COUNTY OF BUTTE - DEPARTMEYNT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO.� ASSESSOR PARCEL -NUMBER ZONING BUILDING-PERMITyF OWNER � �7'•)�•�'� / �1> 1 �... dV•�� TELEPHONE .,7�Y��� SQ. FT. OCC. BUILDING VALUATION %C.pIgJeL. OWNER'S / ?44- �'�rRA ADDRESS ,ice �tl w•""A CONTRACTOR'5 NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS , Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee ( $ 10,00 LENDER'S MAILING ADDRESS Permit Fee j $ ARCHITECT OR ENGINEER / �6J • �+' (n�//+'�NO _ LICENSE NO. Plan Checking Fee I �y'J $ Vr Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDR.E55 � ,� vim. PLUMBING PERMIT { Filing Fee 10.00 ' Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME - PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ElDuplex❑ Mobilehome0'�Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: oyy E xl!5TI/y4 6-17-E Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov OR LESS 100 AMP OR LESS 5.00 " Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.ej OR ADDNS, ACC. BLDGS. I 20 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. /L icense No: Classification ❑Q • I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST ID P- BRANCH TLCETITS 2.50 ea NEWCONSTR. (POWER APPARATUS eJ NON-RESID. SINGLE OUTLET CIR. Ex. OCCUp OUTLETS OR FIXTURES_ 50025 (.FIXED APPLNS, OR Ex. Occup. UTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate ,,of Consent to Self -Insure. © I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked.. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee 3 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence,of�the granting of this ppeermit.��` Date 7 .a��s/ Signature of Applicant Owner ❑ Contractor ❑ Agent ❑ s 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 $ j ), 00 TOTAL PERMIT FEE �� OCCUP. GROUP I TYPE OF CONST. PARCEL PD I ND ISSOE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which ' DIRECT,Op10F PUBLIC (,J/i 7 /r BY `^-- ^ � PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Tip- Date 1 �, , f, I_ Receipt No. '�`�° � 43? WHITE-D.P.W., YELLOW -ASSESSOR,' PINK -INSPECTOR, GOLDENROD -APPLICANT .,.-- -" - T,i ` ..-, .-� � ti._,� _ � ., . v , . , � �, ,: :1 a -v .. _ ,. _ v,- �... �- ���f �C 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 CORR5CTION NOTICE 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 Date / D —� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has beeninstalled in accordance with the requirements of the California Administrative Code, Title 25, Chapter' 5, under permit number -5401— 9 / for the following location: Owner t h Owner's Address Mobilehome Mfg. Insignia No...7Cft1%nf4 It is hereby certified may be occupied. 1fJlYn, uiAle-0od'N22IR fry"- Year711 "g2L Serial Vo. occupancy at the above described location and Dir6ettoorrof Public -Wor ks Date o 7 By 404,tyl THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been, installed in accordance with the requirements of the- California Administrative Code, Title 25, Chapter 5, under permit number -34-01— g % for the following location: eja Cs, r a 4_ 4y a- t t 1'� rte, f t 1 e- __ Owner— Owner's M'./, Owner's Address �' "l ''!' �'+7� �'�r� d Mobilehome Mfg`. s lnwctYtA�i r -n SdeInAR re Year 7T% ! �" Insignia No. -%.,n 2t)(.LtC�, Serial No. /-10 1.d 4 It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date Iii 7_ 1( % By f '�14A Q I/ THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink- D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 01 7 County Center Drive - Oroville, Caifornia 95965 - Telephone 916/5 -4541 APPLICATIOU AND PERMIT ASSESSOR PARCEL N MBEE _ ZONIT_ Z BUILDI G P MIT °W WAR ECJ F�/•�T'TE FlEU> L jjHO�f�-� / SQ. FT. OCC. B DING VALUATION O E. R A I LKI N+/`- lTO) S/ r V 4, V /L/ O -66 ffyJ CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ .d Penalty $ ARCHITECT OR ENGINEER -1 MAILING ADDRESS Permit fee $ BUIL Y? A D ss A p� 4. � `� /V PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USEOUCTURE SF ElDuplex ❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilitie ❑ Installation Other ❑ Describ work: z—:9 ��� 577EF Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.py\ OR ADDNS. ACG. BLDGS. _ / 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessEx. and Professions Code and my license is in full force and effect. icense No. Classification V 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CO IDR BRANCH CIRCUITS) 2.50 ea NEw CONSTR. ( POWER APPARATUS e) NON-RESID. SINGLE OUTLET CIR. Occup OUTLETS OR FIXTURES a �@1 IXED APPLNS, OR Ex. QCCUp.�OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee S 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 aid oun y in cons u ce the granting of this per 't. Date Signature of Applicant - Wner ❑ Contractor ❑ Agent n 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 $ OQ TOTAL PERMIT FEE �O• Q� OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD SSUE V This permit is hereby issued under sions of the Butte County Code and/or work indicated abov for which DIREC O OF PUBLIC By. PE IT EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS • �- �� i 5-6Date Receipt No. � 3� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT This set of plans an'"d specifications MUST be NOTE:—All Materials & Workmanship Shall Be in kept on the fc4 oaf 0 'tim: s and it is unlawful fc Accordance with Rer .cni_.,o<j : �n�t'! n 1ices and ma6'any r n yr 1l.;1�fr5 . of a gLlai€i•V (�r:'•nC'e 1C - C: ;v on sane Y/ftil*,Q ' i i =C'd t;, t'::. i .3(:G��it'a l se in the 1�vri*l-cn permia- ionrr ,~n the Departmenf of pub_ Vnifcriai Buiicing, I'lu,abing & Mechanical Cc�"s Qnd lic Works, County Qf Buf'fe, $fit@ National tlectrical Code. A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be char of structures or equipment excdpt�, for a 2 ft. Pave overhang, ku E\ P7o J AQE BUTTE COUNTY BUILDING DEPARTMENT APPROVED I1L BUTTE COUNTY DEPARTMENT OF PUBLIC :WORKS 7_County Center Drive, Oroville,-CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: �� .� Q/ cs 50— F 2Fi1pCn 2. Installer's name:,g��s, 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number ) OR Is the site an existing site? Yes /t// 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 JI// No ( If no, clarify ) 5.• What is the mobilehome electrical rating? ----------------------- `j�,p_ Amps 6. What is the mobilehome site service rating? --------------------- ,QQ Amps 7.. What is the mobilehome site circuit breaker rating? ----------- s Q Amps 8. Is there any other electric load to be served by the mobilehome (This information not required if pipe length less than 6 ft. on natural gas or less tham•50 ft. on,LPG.) e siteservice? --------------------------------------------------- Yes 7E[ No (If yes, identify the load and size: �,� o p (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 3��f (in.) 10. What is the type of gas service? ----------------------------- Natural 777 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 tham•50 ft. on,LPG.) e MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. 6 e7 .,/ furnish Setup Model No. Year Width_(ft.) Box Length 6'.J� (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) r. 4-- agalong or Expando, show support details. (ft.)(in.) I I I "'rt �� J - Typical Support 1 (`in.) (in.) Footing Size (ft.)(in. .(in.) (in.) Max. Pier Spacing (ft.)(in.) Max. Overhang (ft.) (in.) (in.) (in'.) (ft.)(in.) BUTTE COUNTY .L� BUILDING DEPARTMENT APPROVED *If center piers are other than drawn above, draw in. -locations. svacine, and dimensions. Single 1 19/1. Wood either pressure treated or am x . foundation grade. (ft.)(in.) (in.) (in.) E]2. Other: ( specify) Center support locations* Center sup p rt footing si es Supporta (check one) (in.) Concrete block: B/`: x ❑ -2: Other. (specify) (ft.)(in.) (in.) (i •) r. 4-- agalong or Expando, show support details. (ft.)(in.) I I I "'rt �� J - Typical Support 1 (`in.) (in.) Footing Size (ft.)(in. .(in.) (in.) Max. Pier Spacing (ft.)(in.) Max. Overhang (ft.) (in.) (in.) (in'.) (ft.)(in.) BUTTE COUNTY .L� BUILDING DEPARTMENT APPROVED *If center piers are other than drawn above, draw in. -locations. svacine, and dimensions. Aa Return to DPW „.�•” AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT F�•a BUTTE Lt.3IJr•�; y CRUS RE' ,I{ {cYS ;Q; S r - FOR RESIDENT„IAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement T 58 be recorded prior to issuance of a building permit. CL -4R - ,K ;�. -t•,tir The property described herein is adjacent to land or included CLERK-RECopDER within an area zoned for agricultural purposes, and residents of 811 this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, 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- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and...on-adjacent property,should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. - i All that real property situate in the County of Butte, State of -California, described as follows: sem_ C_9 �-I Date: oC State of ) County of ) a f ” 4 ii,�'1{llr7{, •. lip �� i , ` O )dA L. SEAL 5'CAoiOI N'VAN PRAAG NOTARY PUBLIC - CALIFORNIA MERCED COUNTY My comm. expires JUN 20, 1983 PROPERTY OWNERS: U� J On this the i:day of 1�L , 19, SS. before me, the undersigned Nota Public, personally appeared•, known to me to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that � executed the same for'the purposes therein'con ained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. No ary Public - Present A.P. NO. 30-3,'S m C5 C= A C.;3 P Z `.l 0'-' CT ';.I I v, t7.E yq r r,,, -.q b9 ;,C, S ;11, .,r C,l b In hl �s, C, 1j, ba, 7"U3 IL I. a: 0 C;) O OD ca 1j, ba, 7"U3 r r. Cl U "sum!A" masa 10. 110170 The land referred to hereia Is demmiw as 1OLU ase Al.l that cortsin ren, property sitrate in the rountr of Butte. Stets of Crlifornia, esesstriaed as fesllsnest A .portion of 81oet 95, sea shown an that certain lNp entitled. 4UP of iherse.lito, Butte Caanty. C --1G.". t'Meh Kap vas srecor 64 in the offices of the i0e Wvc of the Count?' of Beate, State of C+lif0=1". J:me 8. 11337 in tall :tap #4 mA #6. Berl being more pAtticul"fly 0excri Oki %* f ollars t p#!►it>^i n;; :st tht intersection of the Vcstsrly ! ive of 12th Street vith the northerly bounA-try of Grmal Avenue• as said roma Are sham on :saiA t: -p asrl susming South 61. 26• Vest. ++ dirt -mm of S1.26 feet; thmwo Pnrth Asci prc+e11e1 with the West line of 12th Stuaet. ls tine of 15+.50 fest to • Point in the South brAmrinry of thAt cettsin p.tc&l of inn! AesecribeA in Derl frem S4v3srl D. Starts et Uv to Y,tricir A. C^.. p pw. d+ted /latest 29, 1956 anl) recorS*4 Septssb-t 7, 1956 in Bn,, • f66 of 33stte Co"Wty Official lecor"Is, •t page 242;thence sin :ter,; Along the south line 6f raid 'h8tw Parcel. dist-Me of !Q feet to CO. true point of beginning of the parcel of 1-ind Aescrib*4 herein: t; vr.ce fro* anis tate VOW of b+tRitsnitsR 'Jtatetly continuing e►lon,ft South line of ssP V0,P* p -reel, dist ce of 70 fast: thenco, south, pAr-sllel with t2a 'fit line of 12th Street to '% point in the Borth boun"mry of Cr-.rrl thanee 1!orth dl• 590 Y,At "long tips ltnrth boun'ery of Grnd Aftnus to 0%Point which is 155 feat h diet^sit werterly.pw-"urea �.t eatirraomnles frm the hestarterlof 12th 12th Street: tt*nco Worth Aar! pallel line Street to the true point of beginning. THERMALITO IRRIGATION DISTRICT 410 GRAND AV.E VUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 N9 ..4 37 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: `{ ' Owner's Name: ' Date: - 2- - 76 Address: v2 Acct. No: A. P. No.: -30 3 - O S' Phone: No. Units: Applicant/Agent: ,�1 Agents Proof: Address: F ees: Phone: Application $ Arrearage Preliminary Review By:�� Date: 7 CSA 26 Remarks: SC -OR 1 st mo. S.C. Other Total Fees Collected By: Date: Field Review By: Date: Remarks: •`�-oZO " 76 MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of.TID approval of completed building sewer (early connection). 30 days after date above; or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). F-1 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID. YELLOW - APPLICANT. PINK - DPW. GOLDENROD - DPW io TID r' PERMIT NUMBER — B 4.324-73B, P, E i� • � I P r E PERMIT EXPIRES A2',T-7� I OWNER Thomas Ewing CONTR: Owner LOCATION (A.P. 30-35-5 1244. Grand Avenue, Oroville i { a1 1 DATE REMARKS OR CORRECTIONS l- -214 So C ji 1 COUNTY OF BUTTE Department of Public Works BUILDING INSPECTION RECORD Zoning Setback Forms p� Foundation Piers & Girders Fireplace fr `�� Rgh. Plumbing �/�-z„L �'// % Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing Plmg. Topout —' ®% Rough Elec. — Wtr. Htr. ,2 �� �` Furnace Kitchen Vent 7 Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary — Temporary Cert. of Occup. Final Final Final 1P_ DATE REMARKS OR CORRECTIONS l- -214 So C ji 1 COUNTY OF BUTTE — .DEPARTMENT OF PUBLIC 7 County Center Drive — Oroville, California 95965 Telephone: 534=4541 APPLICATION AND PERMIT �1 4t�r ji ► - authorize r presentatives of the County of Butte to enter upon the above -m oned property for ins on purposes. t Date//_2&_'7"z Signature of Permitee or Agent Receipt No.���Q� ��.�/�� White-D.P.W. — Yellow -Assessor — Pink-Inspectorppliont V 00 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. DIR CTOR OF PUBLIC WORKS BY � Date% J BuUng permit expires BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address/2qq Telephone No. Fireplace Contractor Total Valuation ®©O Mailing Address Permit Fee , Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Cao Building Address Z PLUMBING No. @ FEE PERMIT FILING FEE $2.0041-12 JP.RQ 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.�— Zoning & Planning Gas piping system 1 - 5 outlets 1.50 ` Each additional outlet .30 Fes Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im r p ovements Lawn sprinkler system 2.00 Parcel Approva Plans Approval Permit Fee $ $` N W ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ w FEE PERMIT FILING FEE $3.00 Ems® All Main service incl. 1 meter X/dditional meters, h 1.00 A06 Single Family❑ Duplex ❑ Mobil Home ❑ Others Sub -panel (12 or ess) (more than 12) t `� Range, Cook -top or Oven 1.00 Water Hea Space Heater 1.00 , Light fixtures bal 10 Rec ., switc s &fix ets , 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 zt % 2 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 , Od © 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 LtJ 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. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PE PERMIT FEE $ — authorize r presentatives of the County of Butte to enter upon the above -m oned property for ins on purposes. t Date//_2&_'7"z Signature of Permitee or Agent Receipt No.���Q� ��.�/�� White-D.P.W. — Yellow -Assessor — Pink-Inspectorppliont V 00 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. DIR CTOR OF PUBLIC WORKS BY � Date% J BuUng permit expires ,F F •r. • V �. .. s; � '�w ,r '. .-• �` 'x rI C F ��h � � F b.t ti � -l. L �� '� .i F. 1 . ,: _ . aF �..i-.... $trig%: :"9'kit:" i�i�:;:�'.t ��:i;i.��:... F ._ � , '� •a.. : � . Y COUN OF BUTTE — ,DEPARTMENT OFLIC WORKS 7 County Center Drive — Oroville, CalifornW965 Telephone: 534-4541 APPLICATION AND PERMIT 4f..'F,73 authorize rqpresentatives of the County of Butte to enter upon the above -m coned property for ins ection purposes. Date Signature of Per"mitteee or Agent /, Receipt No. /Z 204 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 PUBLIC WORKS aly r�'Date S*Wimw permit expires Date I l_ , BUILDING Owner ° SQ. FT. OCC. BUILDING VALUATION Mailing Address Z lop Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $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 d - 3 -I-, ZoningGas & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 41.dg.-1Han -RYc'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE 3.00 .7 c'_" Main service incl. 1 meter -3 Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal(d15 Receps., switches & fix outlets ba 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.Misc. Classification 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 em P employ y an y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE J$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 $ a % authorize rqpresentatives of the County of Butte to enter upon the above -m coned property for ins ection purposes. Date Signature of Per"mitteee or Agent /, Receipt No. /Z 204 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 PUBLIC WORKS aly r�'Date S*Wimw permit expires Date I l_ , "OTE:—All vvi h e e �' Workmanship of G q l., ..ocni ad Shall Be it r«'rry prescri ,ed for i, Good Practices and Uniform Building, plum in ¢`'e Specified e National g & Mechanical uses the Electrical Code, Codes arrt� This set of plans and s �/ kept on the ob a c pecifications MUS ta make "yes an t a:{ fi„ and it is Y chance ; o„ unlav, f "-"'zre tions on same wifl writrFen permissionfro ,Works, County of Butte. m Me Department of I be to ufi Q `q s de '• Sefback shall Centerline Property hne be 5 ft, . fro °f fhe road from 50 ft• fro m the U eav m if . Urn of a ? ft. per m the °{ at1 easernern nts.verhgrag but Ing n e'yi- AlIv, 6- 3, s' gU1TE COUNTY pL 60ILDING DEPARTMENT APPRovED a I-- Owner's name: 2. Installer's na BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 3. Is the -site currently under permit? Yes / / No (If yes, furnish permit number ) ORO ` Is the site an existing site? Yes No s (If yes, furnish two (2) plot plans.) 0 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? ----------------------- %i9 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 site service? --------------------------------------------------- Yes / / No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------------- 10. What is the type of gas service? ----------------------------- Natural / ✓� LPG 11. What is the gas pipe length from meter or .tank to the mobilehome?o•`� (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.) MOB ILEHO10C- -S;,*r aRT DATA If other than single wide, Mobilehome furnish Setup Model No. Year Width l02 (ft.) Box Length lvy (ft.) Tagalong,or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. ` Footings (check one) Single LR 1- Wood either AA pressure treated or EM foundation grade. A x Ae (in.) (in.) 2. Other, (specify) CentCenter su port lofooting izes Supports (check one) (in. Concrete block. X E] 2. Other (specify) (ft.)(in.) (f/.) (in.) I (in.) ( / O I x71 (in.) (in.) (in.) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Tagalong or Expando, show support details. -- Typical Support ( n.) (in.) Footing Size �—_ -- Max. Pier Spacing as -- Max. Overhang (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED r r ' PERMIT NO. PERMIT EXPIRES OWNER JERRY W.CLEMMENS CONTR. owner ASSESSOR PARCEL 30-35-05 LOCATION 1244 Grand Ave, ORoville i Temp. Power Pole Called PG&E Temp. Elec. Service Called PG Temp. Gas Sen Called PG8 JOB FINALED r Signature = OK ' 0 = Not OK = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P' ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date MISCELLANEOUS Date DECKS, COVERS,CARPORTS,GARAGES, (Plans)OK except #'s L1- . j6ning Requirements -Setbacks -Easements Soi ing-Connectors-Steel 3-4)uclff�-Oirders and/or Joists -Decking -Bracing -Stairs -Rails -4-Woo' osts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. 41 m.. -Awn.; Columns -Connections -Splice -Decal -Enclosures j-� Carports; Windows -Doors 7. Elec. (,8--rrmg;.Si IIs-Anchors-Studs-Rftrs-Trusses 9-0 +agFafd+�g 1Reneer- Stucco -Mesh 0. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -81 Date/ Card -B1 Date Card -B1 Date _/ Card -B1 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test I Card -B1 Date Card -B1 Date Il Card -B1 Date Card -B1 Date = OK - 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable ' = Not Ready 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-Steel-Elec. Grnd.-/ P' Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance _ 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel- Bloc kouts-Wrap ped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Card -81 Date Card -81 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -131 Date Card -61 Date 67. Stairs &Rails Card -131 Date Card -131 Date 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 22. Fixture & Transformer Clearance -Ins. Protection 71. Elec. Outlets & Receptacles at Kit. Counter 23. Elec. Receptacles Spacing -Lights& Switches at Doors 72. Garage Fire Door; Swing -Landing -Closer 24. Size Boxes & No. of Conductors -Stapled 73. A.C. Duct in Garage -Damper 25. Romex Installed Close to Edge of Studs & C.J. 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑ No 32. Clothes Closet. Light -Shower Light -Spa Light 33. Smoke Detector 81. Stucco; Brown -Finish Card -B1 Date Card -B1 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -81 Date Card -131 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date 92. Roofing Certificate Card -131 Date Card -B1 Date Card -61 Date Card -131 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors Card -B1 Date Card -81 Date Comments at Final: 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. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) ,J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS p R IT0, 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541. lam% APPLICATION AND PERMIT ASSESS R5^RCEL NUMBER ('!/) ZONIN BUILDING PERMIT ow �r m TELEPHONE S0. FT. OCC. BUILDING VALUATION o NER'S MAIL NG RESS Y' u� ✓' vi C- ll' CO A OR'S NAME TELEPHONE CONTRACTOR MAILING ADDRESS F i rep I ace CONSJPpCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHIT T OR ENGINEER C LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS AV gy G V, ,a La Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ' Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE//�� SF ❑ Duplex❑ Mobilehome❑ Other Oct r`oo �� SPECI FYI Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I GW 0.00 ea TYPE OF WORK j New© Addition❑ Remod 1❑ Other[] Installation❑ Other Descr`i`be work: / K a ©� I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.a} , OR ADDNS. ACC. BLDGS. r i20sgft NEW CONSTR I -OUTLET 2.50 ea NON.RESID BRA CH IRC 5 POWER APPARATUS e (SINGLE OUTLET CIR- Ex. OCCUp(OUTLETS OR FIXTURES 20060t eAL98o FIXED APPLNS. OR Ex. OCCUR. OUTLETS (RESID.) EA. 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in cons u ce of the granting of this permit. _ /� �_ �-� X Date Sig a re of Ap licant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occUP. CON T.T SCHOOL oD PA EL o ND 39UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By. PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �—%Y Receipt No. WHITE-O.P.W.. YELLOW -ASSESSOR. INR -INSPECTOR, GOLDENROD -APPLICANT t COUNTY OF BUTTE - DEPARTMENT OP -PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIAC95965 -TELEPHONE: 916/538-7541�_, - ro PERMIT APPLICATION DATA SHEET Permit No. _ OWNER ; i Vl v�/ - ~ C r�C1 �E� n J A3o. U �L�J` `S Proposed Building Use �� ✓� Building Inspector Date ��a At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. Adl items.have been submitted. . . . . . . . . . . . 2, Plot plans in duplicate./tri licate, signed by preparer of plans. 3. Complete plans in icate./ iplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on p ans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , , , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. t. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑,) _15. Improvements may be required. . , . , , , , , 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Pre-Inspec, request to Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses in duplicate (required prior to plan check). 22. When you issue the permit, pRr ceps -as follows: Mail owner, Mail to contractor. Telephone L�T C/� and hold for pickup M office, Deliver w/inspector. Other Applicant de_ a �i-ia�4--Era-te Copy of plans sent Health Dept., Fire Dept„ Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_-nail counter by date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Copy—DPW Date Plans approved Sets of plans on hold in File cabinet AP folder a Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 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 or no) 2. I (have/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 Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Secu ity umber - ^ Date I� — NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to -our office before we are -per- mitted to issue the permit. - I �, - - l '� ^ 1 f t Y BUI1IV(i QEPAR jt�'j 4.k, APPROVED 21 /* ! WIDI- Q2 40 y PJ MOBILEHOME SUPPORT DATA ;w_, If other than single wide, Mobilehome Mfr. r t9 furnish Setup Model No., Year 72, Width (ft.) Box Length_(ft.) Tagalong or Expando Size `--ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of , mobilehome unless otherwise-specified. Footings (check one) Single T 1. Wood either •�-' pressure treated or foundation grade. x 2. Other. (specify) ft.)(in:) (in.) (in) 0 Cente support Center s pport loca ions* footing sizes Supports (check one) On oncrete block. /X .2 El .2 : Other. (specify) (ft.)( n.) (in (in.) lr-----Tagalong or Expando,' ,k, show support details. (ft.)(in.) (in.) (in.) x3D -- Typical Support (in.) (in.) Footing Size X (ft.)(in. t (•n.) (in.) " -- Max. Pier Spacing t (ft.)(in.) / -- Max. Overhang (ft.) (in.) (in.) (in.) (ft.)(in.) 9?g- i0/L pi COUNT-? NG DEPARTM Nr A PPR.0 *If center piers are other than drawn above, draw in.-locations, spacing,, and dimensions. 1. Owner's name: 2. Installer's na BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yep / / No / (If yes, furnish permit number ) OR . , Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks.and easements? Yes No ( If no, clarify ) 5. ..What is the mobilehome electrical rating? ----------------------- /D 0 Amps 6. What is the mobilehome site service rating? --------------------- 920 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? --------------------------------------------------- Yea / ,[, No (If yes, identify the load and size: (Load) �D a (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- P5/#9 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 Af pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) NOTE.—All Materials & Workmanship Shall Be ih This set of plans and specifications MUST be Accordance with Recognized Good Practices and kept on the job at all times and it is unlawful t., of a quality prescribed for the Specified use in the make any changes or alterations on same with- Uniform Building, Plumbing & Mechanical Codes out written permission from the Department o Q Code ( and the National Electrical , M , Public Works, County of Butte,. � G N A setback of 5 ft. from the property !inE s and a setback of 50ft. frorr the road centerlines all be clear of structures or equipment except for a 2 ft. ea a overhang, A v e •-7 14 2'�**7 BuM_ C O UNfI BUILDING DEPARTMEN APPROVLb 0 � N A setback of 5 ft. from the property !inE s and a setback of 50ft. frorr the road centerlines all be clear of structures or equipment except for a 2 ft. ea a overhang, A v e •-7 14 2'�**7 BuM_ C O UNfI BUILDING DEPARTMEN APPROVLb no PERMIT No. 1925=82MHI PERMIT EXPIRES OWNER Jerry W. Clemens CONTR. Owner ASSESSOR PARCEL 30-35-05 LOCATION 1244 Grand Ave, Oroville Temp. Power Pole Called PG&E / G Temp. Elec. Service 07 Called PG&E—/ .� aa Temp. Gas Service —f J Called PG&E JOB FIN D /(Date) r l.J A Signature . J ' 1 J OK 0 = Not OK Not Applicable MOBILEHOMES MISCELLANE01".. = Not Ready -• Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) Oi, except H' 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-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 Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans OK except H's Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except N's — 3- -yt, Zoning Requirements-Setb s-Easerre'nts 1. Setbacks -Easements o Ings; S- p at'r9e-t"E__ 2. Soils; Compaction -Structure Stability G s; MH Test'--DemaxadValye—Co or 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining EIe ricity; MH -Crossovers-Breakers-Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI Drain H Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. ter H Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7,PWjjer and Sewer Connected -C/O to Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater G s and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit Ex' s; Insp.-Sketch Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date j= -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Sinble and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requiremetnts-Setbacks-Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except p's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. 16. Water Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. 72. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic ❑Yes 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails &Deck Construction -Post Caps -- 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor El Yes 27. Range Circ. / / ga. Cu or AI-Ovan Circ. / / ga. Cu or Al, Insulated Neutral []Yes❑No 75. Following instld.: Drive E) Yes ❑ No; Walks [:]Yes EJ No; Planters El Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. 79. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Perrr,it) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. _ Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates _33. Condensate Drain & Overflow; Size & Grade _ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI _ -- Date-- _ Card -BI Date Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors Comments at Final: 37. 38. 39. _Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing _ Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45. Header & Beam -Size & Bearing Hangers Post Caps -Anchors- _Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Rom_ex Protection -Draft Stop -Ins. Baffles _ 46. 47. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of* the California Administrative Code, Title 25, Chapter 5, under permit number 1��?_ti� �"?r for the following location: .ja aLi %' r-�n,A- i A,,,,,. 11 r r) Owner �p�C K a a �co/yykO ; S Owner's Address I q Lf 6;121r�dt� U e CD Mobilehome Mfg. 1j:&!!p Moder+. I Year Insignia No. Serial Serial No. It is hereby certified for occupancy at the above described location and may be occupied. -Director of Public ?Wrk�*Date %— f �' By t 3'4 THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. r4 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - •534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location: Owner N"nr r(JI � i tN-14Nd<7_44 _,% Owner's Address -7) 1�'� Mobilehome Mfg. �Q�1 j*xr _14 Mode;�111A Q_ Year' Insignia No. to"Q(?n4 2 Serial No. It is hereby certified for occupancy at the above described location and may be occupied. `-Director of Public -Works Y Date _ 13- R'�" By � THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS r 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT OPERMIT NO. ASSESSOR PA EL UMBER ZO ING `z,.� BUILDING PERMI OWNS UJ TELEPHONE SO. FT. OCC. BUILDING VALUATION 10 OWNER'S MAILING AD SS CONTRACT R'SNAME TELE HONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ^ () BUILDING AD RES3 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 �— Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each gas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF RUCTURE SF [JDuplex[]Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑Remodel ❑ tilities Inst latiorLK t r ❑ Describe work: t I S t r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 /f O Main service EA. ADD'L 100 AMP 2.50 NEW OR ADDNST (ACCLBL GS.LING CCUP.b) 20 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ Business I am licensed under provisions of Chapt. 9, Div. 3 of the Busi 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. TI-Ou LET NO BRA CH CIRC ITS 2.50 ea NEW CONSTR (POWER APPARATUS 81 NON-RESID. SINGLE OUTLET CIR. / Ex. OCCUp(OUTLETS OR FIXTURES SOe� BAL@1 IXED APPLNS. OR Ex. Occup. (ouTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ 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 aga' id County Mn of the granti g of this permit.IV/ X Date Signature of Applicant — Owne,& Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ ^, TOTAL PERMIT FEE $ �� ro� occuP. GROUP I TYPE of CONST. I PARCEL Pb ND I ISS This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date77—f Z—/17-L— / —I �X� Receipt No.��� 7.b WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT OFFsr,!Q_ FOR RESIDENTIAL DEVELOPMENT E11fT 1:0UN r - EGOriD5 P,E Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. JUL H 328 PN19R? The property described herein is adjacent to land or included ELEANOR N.9E,-kER within an area zoned for agricultural purposes, and residents of CLERK -RECORDER this property may be subject to inconveniences or discomfort arising 2-20A2 FEE from the use of agricultural chemicals, including, but not limited to herbicides, 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- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: The land referred to herein is described as follows: { All .that certnin real property situate in the County of Butte, .State cif Cslifornia, described as follows: A pardon of Block9'' �' I 5, n s shovm on that certain 'lap entitled, "Nlgp V of T'hermnlitu, Butte County, C.-, �rhich Map was recor0ed in the T off ee of the Recorder of the County of Butte, State of Cnlifornin," June Q, ta87 in �Jall Map #4 and P6, and being more pnrticulnrly de:.cri oeci as f ollot,is : -' T'niTl^i 'ai lt: the 'T nt:r:x1 .ec born of'the Westarly I-ne of 12th Street with the 'Northerly boun�l:nry of Grnril Avenue. as said ro ri - nre shoirl -� on said .--.r and running South 610 26' Vest, a Aistznce'of 51.24 feet; thence ?`?r,T;t:h and pzrallel frith thel-:est, line of 12th Street, .) (iis- tnlice of 154.50 feet to n point in the: South boun•lary of that certain parcel, of :land? Aescriber', in Deed frori. -Elo and D. Storts et uY to t'�L•zicin A. ►�%+1;ner, d-�ted august 29, 1956 and recorded September 7, 1956 in Book 845 c:f, its 0 County Official �terorcts, �t page 2!F2; tllence �1�:: terly alo:lg the South line of said ;1-:bner parcel, a distance of 90 feet to thn true point of beginning• cf the parcel of land Oescribed 11 :u+ii: tiie,-Ace frc)tn snli:! true: point of begirinjing I,Testerly cOi,i:.iiluJ1-1g r,10T'So the :south line of ^nig' 1J�gn-ter p -r -cel, n dist^nce of 70 feet-, thence, South, par.-iliel with the lent line of 12th Street to n point in the 1-Torth boun-'nry of Grind Avenue- thence 17crth 810 59' E^st = Icing the Nnri th bninlary of Grand Avenue to n point which is 135 feet distr.t We!-1:erly,mn. tire-? nt rirht an,,les from the Westerly line of 1201 Str.!et; t)-ercc North ani? pa"ra.l fel with the West line of 12th Street to the true Point: of be Annin- . ,NoviW1 • Date: L PROPERTY OWNERS: State of C46. On this the 64 day of 1 ) SS. before me, the undersigned Notary Public, personally County of appeared kl, (2 /, e rn e ti s jeRRY. lew known to me to be the person(s) whose name(s) ARC oFg,L SEAL ,�,,.,,: .subscribed to the within instrument and acknowledged .�:` Dt�lORS M lKS1DELE s ,: that T14 E Y executed the ' same for the purposes a d: NOTARY PVBl1C'• Cr1UJfORfJIA W•,:, c,rm therein contained. My comm. expires SER 19.1983 IN WITNESS WHEREOF, I hereunto set my hand and official seal. ezll Notary Public Present A.P. NO.17 0 —316 —?)"S a r— Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT OFFAC.A> FOR RESIDENTIAL 'DEVELOPMENT a -if rT E C0UN!TY • ;,':;t..i . E00ROS P, F., Section 26-8:1 of the Butte County Code requires this acknowledgement --� be recorded prior to issuance of a building permit. JUL 8 328 M ITV The property described herein is adjacent to land or included ELEANOR M.OE,KER within an area zoned for agricultural purposes, and residents of CLERK -RECORDER this property may be subject to inconveniences or discomfort arisin9g2-2094 2 FEE from the use of agricultural chemicals, including, but not limited to herbicides, 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 establishedagricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the described as follows: County of Butte, State of California, The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of C„lif ornia, descr. ibeci - as follows: A. pc')rtion of Block 95, as shoim 'Cnla. -on tl Tat certain 11.zp entitled,"N,&p of llherm--�lito, Butte County, "., v,hich Map was recorder] in the �of E. ce of the Recorder of .the County -of. Butte,`State of Cnliforni,,,•_ ' J\ine 8, 1.3 7. in Wall Map ir4 .and � P'6, and being; more pzrticulirly ;. Date: '%-,9-R2 PROPERTY OWNERS: State of CA , av ) On this the 8 day of J�iL4J 19_1? SS. before me, the undersigned Notary Public, personally County ofappeared Jei�R. kl, (2/_emetic A/ s known to me to be the person(s) whose name(s) A9 O'E�FIAL' SEAL subscribed to the within instrument and acknowledged D LORES M LRt�iDRL a NOTARY Pt�BLdC'�.ca►LoarviA that TI,/E}� executed the'same for the purposes 2� may_ therein contained. o 298 IN WITNESS WHEREOF, I hereunto set my hand and official R My comm. expires. SER 19, seal. . Ca Notary Public ''*+ Present A.P. NO.3 0 -36 —61'j 'END OF DOCUMENT s .. rr � `•s�, ��, 400 00 X00 �a''O •l2th St'.r et of the ucsterly I --D.e of e Be I-in t' Ule F - �j roa�!_­ ire f Gr.- I-[jfj p.verwe- as S, 016-rly- bOUT_1.'_!.a ry eet with the Nor Of -t' j'_ - A. _14- Jit' C) n c e iningy SWIM u A- l1el i:Titb tbc- V.Iest line of 3.2-th Strel!t- C) Parallel ., In tj,(,,nc'e .,"! r" - Point in thL, South boun,'arY Of that dert Of 154-50 feet tc, -1 P Storts et 'L1Y to - -1 ward. D . L_ -1 riescribec' in Deed f roi,� E, ied Sep L T1 parcel. of I a n,, retort September 7, dated August 29, 1956 an(! 242; then, ce,, 1�. or,j s !�t pn-e ConntY Of f icil-11 '9 0, Cl -I dist--nce 0 1956 j,;j Brol-r- 845) (, . 4- -1 I r jo,.lg, the South .line of saicl Jn.gner p.. rci -ircel of 1- tnd clescriberl c feet to tile t beilining cf the p, true Print- of :-T sterly coi7i'Linuil-16 —j ie 1-ue paint W eli-L; ti-LeY r'roirl sa i � - e e t I ia�: & ice Wngnsr p"'Cell fj 6.ist-nce of 70 South line Of sair� C' 10 ri e 'line of 12th Street to n point .1, par.- I with the Wes t t.hL ril" el nee, South, boundary of Gr:ind Aveiiue', theice Forth which 9Et rn 11orth boun,�l point is 135 feet in,the Of. Grind Aue cra ..'Icing the tinr-ti-i boxvi, lit angles from the We`:terly line Of thr�! West line of 3.2th lqofth and 1)ara_j.jpj -,iith t l2th Street to tlie.true point of beAnning. RECEIPT 5838- OFFICIAL RECEIPT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS LAND DEVELOPMENT SECTION ISSUED BY e4 Jj,zarw ekwe.ts S,#me 1 5� 3 DATE RECEIPT NO. TOTAL RECEIVED TENTATIVE MAPS EMS CHECKS INSPECT STREET SIGNS PUBLIC OOCUMENTS COMP- LIANCE FIRE NVORANT OTHER APPLICANT RECEIVED FROM RECEIPT 5838- OFFICIAL RECEIPT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS LAND DEVELOPMENT SECTION ISSUED BY e4