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030-430-005
- -�* , --T �7- *i 7' 'A, tv 30-43-5 LcQP11a Starr *o KA 1631 Leta Lane, Oroville OV Permit 707--78P E(uti]S,MR /490#^10 ELEC. GAS SUPP T STRUCTuRE REQ. AIQ -IN TEST REQ.— ___QQ��ACT V-43-5 Chico Contr: Beich MH, p mit #6878-78MHI 4, er Issue 30- 7k c III aw screln er "k Permit #7323-79B(n( & open deck carport /MR) 4�' 3-5 3 nordma Awnings2 cffico contr: Pa d deck/MH)- #840-80B(new covere A- Permil 3 Ville, Const., Oro contr- Oren net -1 awning/MR) 388 j811 Permit Idpk F ' I -- � 05-Ql 14 0307430-00-)%- �RAALIN,, RICHARD 1631 LETA-t-ANE, OROVILLE Cont: SIERRA . M . OBILE SERVIA MH PERJ\4 FND 2-1 �y j%j qz �,A '5A , tj *7 A:, ---------- 05-0287 —()30-430-005 i IVA? L FRANK LIN, 'RICHARD; S. .4 A. -An.- v 1631 L ETA LN ORO ILLE C OWNER ont 0 PEN DECK g RECEIPT NO.-,- - RECEIPT DATE: RECEIPTAMOUNT: REASON FOR REFUND REQUEST: Checktho fees which you wish to have considered for refund: Tire Planning) Building Permit Fees Sheriff Fees SRA Fees (CDF Other (specify)': Plans for cancelled, permits will be disposed of within 10 working days upon.submissi.on of A Request for Refund. If you want the plans, you may pick them up prior to that time., Signature - K/Forms/Refund 082203 SPECIAL CONDITIONS -CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS. REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 4 =. OK, 0 = Not OK - = NotApplicable = Not Ready Card B-1 Date Card B-1 MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #s 1. 1 . Zoning Req u i rements-Setbacks- Easements Footings; S ize-Spaci ng- Marriage Line 2. Soils; Special MH Support Sketch 4. 3. Sewer; Location -Test- Fall -C/0-Concrete Drain; MH Test -Fall -Flex Connector 4. Water; Location -Test- Easement Needed (Sketch) 7: 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Gas and Electricity Tagged 6. Gas; Location -Test -Wrap;-/ P' L 'ft. /'Nat. or/ P' L "ft./ P LPG 10. 7. Well Clearance & Disconnect Cent. of Occupancy 8. Utility Clearance *Electricity; M H Test 12. Braced Wall Panels 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 Reg u irements-Setbacks- Easements .2. Footings; S ize-Spaci ng- 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- Reg ulator-Con nector 7: Water and Sewer Connected -C/O to Gracle-HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert.. 10. Exits; Insp.-Sketch 11. Cent. of Occupancy Date c-DECI(SeVDVERS, CARPORTS, GARAGES (Plans) OK except Vs &ZEn inoeq u i rements-Setbacks- Easements Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Alum. Awn.; Colu mns-Con nections-SpI ice- Decal -Enclosures 1. 'Zoning Req u i rements-Setbacks- Easements 7. 2. Footings; Size-Spaci ng- Marriage Line 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 3. Blocking Siding; Nail i ng -Veneer -Stucco- Mesh 4. Gas; MH Test- Demand -Valve 11. 5. *Electricity; M H Test 12. Braced Wall Panels .6. Water; MH Test Date L4(6/,:..�:�arcl 7. Water and Sewer Connected Date f 8. Gas and Electricity Tagged POOLS (Plans) OK except #'s 9. - Exits 2. 10. License Decals 3. L 11. Verify #'s with Office Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI Date Elec.; Enclosures; Conduit Entries -Term i nals- Listed Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ISCELLANEOUS Date c-DECI(SeVDVERS, CARPORTS, GARAGES (Plans) OK except Vs &ZEn inoeq u i rements-Setbacks- Easements 4-8. gs; Soi Is -Size- Depth -Spac ing-Con nectors-Steel 922 ks, Girders and/or J oists- Decki ng- Braci ng-Stai rs- Rai Is_ "�oocl Awn.; Posts- Beams- Rftrs-Con nectors Shthg-Frg-Bracing 5. Alum. Awn.; Colu mns-Con nections-SpI ice- Decal -Enclosures 6. Carports; Windows -Doors 7. Electric - 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nail i ng -Veneer -Stucco- Mesh 10. Roof; Shthg-Roofing 11. Ext.;.Steps- Doors- Land i ngs 12. Braced Wall Panels Date L4(6/,:..�:�arcl B-1 Date Card B-1 Date f Card B -r Date Caird B-1 Date POOLS (Plans) OK except #'s 1 . Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Ste6l-Connections-Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Term i nals- Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg: Boxes- Enclosu res -Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 ,Date Card B-1 Date Card B-1. 4 = OK 0 = Not OK - No, AP plicable No, Ready RESIDENTIAL (Single & Duplex) I Date UNDERFLOOR (Plans) OK except #'s 1 . Zon i ng -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- B lockouts -Wrap ped 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/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors- Reg u lator-Service Tes t 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rtng. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 57. Siding -Nailing Veneer Date 58. Card B-1 Date Card B-1 Date 59. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Shear Walls; Nailing -Bolts 24. Fixture & Transformer Clearance -Ins. Protection Brace Interior/Exterior Wall Panels 25. Elec. Receptacles Spacing -Lights & Switches at Doors Insulation -Walls -Ceilings 26. Size Boxes & No. of Conductors Stapled Infiltration -Walls -Windows 27. Romex Installed Close to Edge of Studs & C.J.- Card B-1 Date Card B-1 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Card B-1 Date Card B-1"' 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or Al -Oven Circ. / /ga Cu or Al Insulated Neutral :1 Yes D No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels- M otors- M ech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 70. Stairs & Rails Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 36. A.C. Ducts Insulation & Support Elec. Outlets & Receptacles at Kit. Counter 37. Vent Fan, Exhaust above insulation Garage Fire Door; Swing -Landing -Closure 38. Condensate Drain & Overflow, Size & Grade A.C. Duct in Garage -Damper 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Wtr. Htr.; Vents -Clearance -Comb. Air Connector-RR.V. in Garage; Above Floor-Mech. Protection 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 81. 41. Sills Proper Materials & Anchors 82. 42. Walls Studs -Nailing Spacing & Braces- Plates -Sou nd 43. Bearing Walls over Girders & Floor Nailing 83. 44. Draft Stop in Walls (rat proof) 84. 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 85. 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection- Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access 59. Glazing Area -Glass Protection-Skyl ig hts- Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection- Land i ngs 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor- Ducts- M ech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearan ce- Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-RR.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. 1 nsu lat ion- Foam- Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor U Yes 83. Following InstId./Drive EJ Yes 0 No/Walks C) Yes Q No/Planters J Yes LI No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptac le- U nderg round 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Gracle-HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: RECORDINC, REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVJLLE CA 95965 ca 96 ca 10 4S ca zip Z+ Recorded I RECFEE 10.00 Official Records I CONFORM 1.00 County Of OROVILLE BUTTE. CA BUTTE CITY COUNTY STATE CANDACE J. GRUBBS I Recorder ' I ROSEMARY DICKSON I Assistant I Cheryl 02:26PM 09 -Feb -2 M I Page I of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME1 (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated i's in accordance with California Health and Safety Code Section 1855 1. This document is evidence that such local aglency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as,'of the date of recording. When recorded, this docurnent shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to All persons thereafter dealing with the real property. RICHARD B. FRANKLIN 7 COUNTY CENTER DRIVE PEAL PROPERTY OWNER/LESSOR MAILING ADDRESS 1631 LETA LN. OROVILLE BUTTE. CA MAILING ADDRESS CITY COUNTY STATE OROVILLE BUTTE'- - CA 95965 CITY COUNTY STATE ZIP SAME !?Z INSTALLATION MAILING ADDRESS, IF DIFFERENT LIGNATIME OF LOCAL AGE19 OFVICTAi SAME NONE CITY COUNTY STATE ZIP SAME NONE UNIT OWNER (ifalso property owner, whe "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PER -MIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE UNKNOWN MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE. CA 95965 CITY COUNTY STATE ZIP 05-0174 (530) 538-7541 BUILD G ERMIT NO. TELEPHOV NUMPER !?Z LIGNATIME OF LOCAL AGE19 OFVICTAi DATE NONE DEALER NAME (if not a dealer sale, �ritc "NONE") NONE DEALER LICENSE NO. SKYLINE HOMES 1979 � UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMFfNUMBER 04740636M 60'X IT! CAL130053 SERIAL NUMBER(S), LENGTH X W] DTH INSIGNIA]LABEL NUMBER(S) �EAL PROPERTY LEGA L DESCRIPTION ASSESSOR�S PARCEL NUMBER 030-430-005 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY-HCD PINK -Applicant GOLDENROD- Building Dcpt, Hssistant I Kathy 09:00AM 11-sep-2W2 I. Page I of I ORO-�C Space Above This Line for Recorder's Use Only A.P.N.: 030-430-00� Order No.: 20003AIAM Escrow No.: 200403MAM GIFL4NT DEED THE UNDERSIGNED GRANTO]k(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $56. 10 X)� on full value of pro ed or om u P liens o remaining at time of s�de, co�npPed on full value less vrVeyof"v" Lcumb ra6ces, unm . corporated area; City of and. FOR A VALUA13LE CONSIDERATION; Receipt of which is hereby acknowledged" VICTOR D. BROWN, TRUSTEE, OR THE SUCCESSOR OF THE VICTOR D. )BROWN LIVING TRUST hereby GRANT(S) to RICHARD B. FRANKLIN, a married Man, as his sole �ud separate property the following described property in the. unincorporated area! of the-, County of Butte State of California; LOT 5, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "GOLDEN KNOLLS, SUBDIVISION", -WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF - CALIFORNIA, ONAUGUST 18, 1964, IN BOOK 32 OF MAPS, AT PAGES 17 AND 18. THE VICTOR D. BROWN LIVING TRUST BY: 4d VICTOR D. BROWN, TRUSTEE Document Date: Sewernber 5. 2002 STATE OF CALIFORNIA ss COUNTYOF BUtte On September�6,2002 —before me, �Iiqhe 11 e* A. Milleri-Notary Public personally appeared Victor D. Brown personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose namc(s) isiare subscribed to the. Within instrument and acknowledged to me that he/shelthey executed the same in his/her/their authorized capacity(ies) and- that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person'(s) acted, executed the instrument. WITNESS my nd official a. I -A A A A, A CORY of. Document Recorded 09-Feb-2005'� 2005-00OW24 RECORDING REQUESTED BY: Has not been compared with original, BUTTE COUNTY RECORDER. AND WHEN RECORDED MAIL TO: 4' 'BUTTE COUNTY,BUILDING DIVISION. 7 -COUNTY CENTER DRIVE ..OROVILLE CA 95965 7'. SPACE ABOVE THIS LINE FOI� RECORDER USE ONLY '.NOTICE -OFMANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,e. INSTALLATION ON A FOUNDATION SYSTEM cordance with California Health and Saiety1-Codd,__..;, Recording of'.this document at the request of the local agency indicated is in ac ..S . ectio 8 �'5 1'. 1 for installati n, -of the -unit n Iis.document is evidence that 'such local agency has issued a certificate of.occupanc 0 'described,'hereon, upon the real property described with cerfainty below, as of the date of recording. When recorded, this document shall be indexed by thecounty recorder to the named ownerbf the real property and shall be deemed to give constructive notice a.s to" its contents to all persons thereafter dealing with the real,property. RICHARD B. FRANKLIN BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRrVE 163.1 LETA LN. MAILrNG ADDRESS MAILING ADDRESS BUT . TE -95965, CA 95965 OROVILLE � CA BUTTE CITY COUNTY, STATE ZIP CITY, COUNTY, STATE 71P 0570174 (530)538-7541`,` 'SAME N TALLATION MAILING ADDRESS, IF DIFFERENT BUILP) G ERMIT NO TELEPHOt�E NUMPER 'SAME ;M1 7 (.�j ATMEOFLOCALAGEPOFVICIAL- DATE 'CITY cO UNTY STATE ZIP SAME NONE IT OWNER (ifalso propeny o�ncr, write"SAME") DEALER NAME (ifnot a dealff sale, wite"NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME EFTY COUNTY STATE ZIP - UNIT DESCRIPTION SKYLNE HOMES f,d UNKNOWN 109 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMFfNUMBER �0',X 1�2' 04740636M CAL130053' SERIALNUMBER(S) LENGTH X WIDTH rNSIGNIA(LABELNUMBER(S) ALDESCRIPTION ASSESSOR'S PA ; RCEL NUMBER 0 30-430-005 SEE ATTACHED HCb FORM 433(A) REV.,9/91 WHITE County R�coidi, CX1l%iARY�-HCD PINK- Applicant.. GOLDENROD- Building Dept. q D. 'ATTACH CHECK:' - 90 -2267/1211 3827 188,98 EXPLANATION AMOUNT SIERRA MOBILE SERVICE SIERRA FOUNDATION LIC NO 470386 H 168 .'466 CIRCLE DR 530-534-0599 OROVILLE, CA.95966 PAY AMOUNT OF DOLLARS D ft DATE THE ORDER OF GROSS INC. TAX SOC. SEC ST. TAX MEDICARE TAX CHECK c DF0090 84 DESCRIPTION US BANK NP AUrH0RIZED SIGNATURE 0 18 El 913 1: 12 11 2 2 P, 7 r, 1 L S 31. b 0 ,9,2 S'i -.,-NAME: '4, AP'#: '4 36 6 5�` DATE: _7' �BUILDING PERMIT NUMBER: 05-0174, Address or location of unit: 1631 LETA LN., OROVILLE, CA 95965 Legal Description of Real *Property: AP#: 030-430-005 SEE ATTACHED (x) Mobilehome/Manufactured Home Commercial Coach -Has been affixed to the real property above.by installation on a foundation system pursuant to Health and Safety Code Section 185�1. Owner's name: RICHARD B. FRANKLIN Owner's address: 1631 LETA LN., OROVILLE, CA 95965 INSIGNIA OR, HUD NUMBER:CAL130053 SERIAL NUMBER OR V.I.N.: 04740636M MANUFACTURER'S NAME: -SKYLINE HOMES YEAR: 1979 OFFICIAL APPROVING INSTALLATION: '000,11, DATE:' - PHONE: (530) 538-7541 H.C.D. 5i3C 01/19/2e05 15:21 FIDELITY TITLE OROUILLE + 5340?09 NO.669 002 I L 0 , 2 0 0 .5 1-5: 5 11 FA1 5 2 t I a '01) '111' L1:4Z zoo --001 UVUI/ b CEPARrMENT OF Title scurb. Dot; ",C4; 01m3nogs Dwal LAqj?qj Use CO&: an BUDDY LPT I)WOW1 979 Rej�jstratjock B),,pj, LastrLTAmoun' FITIK SON On: 0110511979 Date IL,,r Fee fLT Exemption: NONZ S-.'rial Nwaber KUD Label I 1wipia Ltogth Width CA-LI30053' AC -Ord Cajodl 6 Ons: VOILV41y cdh-asic� to tyT (ZrA LANE OROVIU2, CAL Mfj A. -Act TItle Date: swozr2OD2 Tmw*Mwo W, /20M SiItLs AddrvsS! 1031 MA LANE OROVILLS, cA q3p6� S'r%ts COQM�, BUT719 Legal Owgc�,r 11VASHINGTON 4L"rU.�L &Wk ZA j 1 ?JD SILBER ROAD HOVSTON, TX 77055 Uft PerfccMd M: Treactivit; J)&-avrw:. MELMY N'A'rIONAF- 77TLE 455 OIZO OAM OLVZ) SUM A 7-mtjr FjjQ NO 207041 En OF TITLE SEARCH 9814 PCZ + 31111 A.L I -1-�a I j 4 = OK 0 - Not OK - = *Applicable . = Not Ready Card B-1 Date Card B-1 MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 10'Z_oping-Requ 1 . Zoning Req u i rements-Setbacks- Easements Size -Spacing- Marriage Line 2. Soils; Special MH Support Sketch 4e'Tas; 3. Sewer; Location -Test -Fall -C/0 -Concrete Electricity; MH Test 4. Water; Location -Test- Easement Needed (Sketch) 7. 5. Electricity; Location -Clearances-Grnd V /Amp -Concrete Gas :u�ectricitv Taaaed 6. Gas; Location -Test -Wrap;-/ /" L 'ft. Nat. o*r/ /" L "ft./ PLPG 7. Well,Clearance & Disconnect B.,'Utility Clearance Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Date Card B-1 Date Card B-1 Date; Card B-1 Date Car� B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1 . Zoning Requ i rements-Setbacks- Easements 2. Footings; Size -Spacing- Marriage Line 3. Gas; MH Test- Demand -Valve-Con nector POOLS (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances Setbacks- Easements 5. Drain; MH Test -Fall -Flex Connector Soils; Compaction -Structure Stability 6. Water; MH Test- Regu lator-Connector Pool Structure; Steel -Con nections-Th ickness Dead Men -Lining 7. Water and Sewer Connected -C/0 to Grade -HD Approval Elec.; Receptacles and Lighting, Distance-GFI 8. Gas.and Electricity Tagged Elec.; Pool Lighting; 15 Volts-GFI 9. Tie. Downs -Type -Installation Cert. Elec.; Enclosures; Conduit Entries -Terminals- Listed 10. Exits; Insp.-Sketch' Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PEFI�a�TJEINID SYSTEM (ONLY) 10'Z_oping-Requ i rements-Setbacks- Easements 2o"Footings; Size -Spacing- Marriage Line 3. Blo� 4e'Tas; MH Test- Demand -Valve i 5. Electricity; MH Test 6. Water; MH Test 7. Water and Se,�Lej Connected Z8. Gas :u�ectricitv Taaaed ,el .,- - 10. Lic��ecals A 1 Tele-rify #'s with Office v Date Card B-'1, Date Card B-1 Date Card B-1 Date. Card B-1 I MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Req u i rements-Setbacks- Easements 2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI 3. Decks, Gird4s and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.;'Posts-Beams-Rftrs-Connectors Shthg-Frg-Bmcing 5. Alum. Awn.; Col u m ns-Connections-SpI ice -Decal- Enclosures 6. Carports; Windows -Doors_ 7� Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors- Land i ngs 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 i Date POOLS (Plans) OK except #'s 1. Setbacks- Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Con nections-Th ickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-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- Enclosu res- Panel boards- Ins. to Main Conduit 91. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I q = OK 0 = Not OK - = NotApplicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #s 1 . Zon i ng -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. Sternwalls, Main; Steel- Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors- Regu lator-Sery ice Test 12. Electric Underground 13. Plenums & Ducts; Clearance- M aterial-Su pport- Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Card B-1 Date Card B-1 Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fiftings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date 57. Card B-1 Date Card B-1 Date 58. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Glazing Area -Glass Protection -Skylights -Plastic 24. Fixture & Transformer Clearance -Ins. Protection Shear Walls; Nailing -Bolts 25. Elec. Receptacles Spacing -Lights & Switches at Doors Brace Interior/Exterior Wall Panels 26. Size Boxes & No. of Conductors Stapled Insulation -Walls -Ceilings 27. Romex Installed Close to Edge of Studs & C.J. Infiltration-Walls-Winclows 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Card B-1 Date Card B-1 29. 2 Appliance Circuits in Kitchen & Conductor Size GA Card B-1 Date Card B-1 30. Subfeed Wire Size/ /ga. Cu or Al-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or Al -Oven Circ. / /ga Cu or Al Insulated Neutral J Yes LJ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 69. Elec. Trim & Subpanel, Breaker Sizes & Labels Date 70. Card B-1 Date Card B-1 Date 71., Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #s Elec. Outlets at Wood Panel, Int. & Ext. 36. A.C. Ducts Insulation & Support Kit. Fixt. & Appliance; Grou nd-Al r -Gap -Coo king Clearance 37. Vent Fan, Exhaust above insulation Elec. Outlets & Receptacles at Kit. Counter 38. Condensate Drain & Overflow, Sze & Grade Garage Fire Door; Swing -Landing -Closure 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet A.C. Duct in Garage -Damper 40. Aftic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #s 80. 41. Sills Proper Materials & Anchors 81. 42. Walls Studs -Nailing Spacing & Braces- Plates -Sou nd 82. 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 83. 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 84. 46. Headers & Beams -Size & Bearing 85. A.C. Unit Disconnect, Electrical -Plumbing 'T Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection- Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration-Walls-Winclows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #s 64. Ext. Steps -Door & Sidelight Protection -Land i ngs 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor- Ducts- M ech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures &Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71., Fireplace or Stove, Clearance- Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Grou nd-Al r -Gap -Coo king Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor D Yes 83. Following Instld./Drive U Yes U No/Walks J Yes EJ No/Planters Q Yes D No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle- U nderg round 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Gracle-HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: C�U1 LICENSED CONTRACTORS DECLARATION - I hereby affirm. under penalty of perjury that I 'sm.-]Icensed under Issued Date: 02/03/2005 - APN: 030-430,-005-000,,, provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and effect. SitwAddress:, 1631. LETA LN ORO 'lass License Nun)',ba' License C Map lnd6x:.: Date: contractor. Descript o -MH ON-PERMF OWNER -BUILDER -DECLARATION',* I' n:'EX ND the 7,- 7� I hereby affirm under penalty of perjury that I am exempt froi Contractors' State Ucense'Law tot the following reason (Sec.': �031.5 t Business and Professions Code: Any city.or county.which requires a Owner:. FRANKLIN RICHARb'B I permit to construct, alter, Improve, demolish; or repair any'stru6ture, phbr:. to Its Issuance. also requires the applicant for such permit twfile's� 1631 LETA LN signed statement that he or she Is licensed pursuant to the provisions -of OROVILLEr, CA 'the Contractor's State License Law (Chapter 9.commencIng with ecton. jry 1, 95965-'3022 7000) of Division 3 of the Business and Professions Code) or that he� or �"i she Is exempt therefrom. and the basis for the alleged exemption;' - Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of,not more than five hundred dollars ($500).): El 1. as owner of the property, or.my employees wl�" �ges'ai!thslr sole compensation, wit do the.work, and the structure -is not usiness and Profs sions Intended or offered for sale (Sec. 7044, B Apoliceint:'SIERRA MPBILE.SERVICE cense Law does not apply toan' Code:. The Contractors' State Ll BILL REID owner of property who builds or Improves thereon, and who doe� such work himself of herself or through his or her own employees, 466 CIRCLE DRIVE provided that such Improvements are not Intended, or offered for - CROVILLE, CA 95966 'sale. If however, the building or Improvements are sold within one 530-534-0599 year of completion. the 6wrier-builder will have the burden of 'proving that he or she did not build or Improve for the purpose, of sale.). 'wll 1. as owner, of the. �ropqrly, am exclusively- contracting h licensed contractors to construct the project (Sec...7044, Bus ness 'and Pr6fdisions.Cade. The Contractors' state License Law does Contractor: SIERRA MOBILE -SERVICE not apply to -an owner of properly who builds or Improv a . s thereon,: and who contracts for such proje6ts'wlth a contractor(s) licensed BILL REID ..-pursuant to . the Contractors' State License Law.). 466 CIRCLE DRiVE OROVILLE, CA 95966 1 am Exempt under AkIcle 3 of Ihe Business. and I Professions Code 530-534-0599 Date: Owner: Li6ense-#: 470386 WORKERS'COMPENSATION DECLARATION I hereby affirm under penalty of perjury one ofthe following declarations:, 0 1 have and will maintain a certificate of consent to self4risure for workers' compensation, as provided for' by Section 3760 of the ""A it rch ect: L�bor Code, for the pprformance'of the work for which this permit is issued. Engineer. 0 1 have*'and will.'maintal I n workers' compensation Irisurance. as required by Section 3700 the Labor,Code. for the performance of the work for which this permit Is Issued. My workers' compensation Insurance carrierand policy number are: Total Square -Ft: 0 S.F. - Carrier. 'ea!�_7 Valuation: .$0.00 Policy#: Census, Code:, 0 .,1 certify that 16 the performance of the work for which this..perml('Is 5 - employ any person In tiny manner so lssued,-1 hhll.�not as 16, become subject to,the workers' compensation laws of California. and agree the(. if I should become subject Jo the workers' 1 compensation provisions of Section 3700 of the Labor Code�1�shah forthwith comply with those provisions. L/ 01 Dale: Applicant: 0 WAIRNING�' Failure to' secure workers' �ompensafion covera66,_'Is .unlawful. and'shall subject an employer to criminal'penalties and 666 h the - cosi� ''of undred thousand dollars' ($100,000), ln,� addiflon, to compensation, damages as provided for In Section 3706 of the Iabor code: interest. and attomey's fees. CONSTRUCTION LENDING AGENCY This permit -here y Is und ft bl provisions of the BisHo County CodFi AnclJor ap to do cat abovi fees I hereby affirm that there Is a construction lending agency for the ResoI663's to do ln*dl f, r have been paid'. ec t C perforrriance of the woric for which this p t Is Issued (S 3097' By. Dale:* :Name., XPIRES N: PERMIT E 0 Address: (Date) -.0 1 hereby cerlify,that the use of this fa'rJliiy shall comply with Sections �5505; 25533, and 25534 of the California Health and Safety Code. which regulate the storage, -handling and use of hazardous materials. - 0 Notific6tion'lri accordance With Section 10827.5 of,Callfamis H�ifth & Safety Code Is not applicable to the'scheduled construction of this project."' 13 Attached are copies of the reiqgIr' ad E.P.A: notification forms, I If that I.have read -this application, that the above lnformB(ion;ls correct; and that I am the owner or the duly authorized agent of the owner. I agree to comply with hereb c9 I iall counyly arndys late laws rela Ong to building construction. I acknowledge ItIls unlaw(ul,to alter the substance of any official form or document of Butte Coun , ty. J . hereby. sea. b pect—u, pl' WW116 authorize representatives of Butte County to enter upon the above menflofied property for Inspection purpo Print Name a Dale: 1i Age*nt for'O 0 Agent for Contractor ntrac or wner',-'' er Cl 0" BUTTE COUNTY DEPARTMENT-�OF DEVELOPMENT SERVICES BUILDII,NG-'PERMIT APPLICATION A -ND. SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#:'OROVILLE: (530) 538-7636 CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE FVILL B E8 REQ UIRED A T TIME OF APPLICA TfOIV *PLEASE PRINT CLEARLY* PERMIT r BY BUS1 # OWNER Last Name P-1 -'JW IA; rAddress jFjj�s. t Naf pe Address 'r r,)O: 141A I /_� city City Cross Street State 6, 7j p Phone -5-7,/ 015-1? Fax E-mail nner PERMIT r BY BUS1 # .CONTRACTOR Name -one Address Address City Cross Street State TTIF -f 6,4,5 Phone -5-7,/ 015-1? Fax E-mail nner State License Number Class PERMIT r BY BUS1 # ARCHITECTIENGINEER Name -one Address Address City Cross Street State Tip Subdivision Name ]Nap,Book State'. Fax Phone nner State License Number PERMIT r BY BUS1 # APPLICANTNAME Name -one Property Address Address City Cross Street city Type Const. Subdivision Name ]Nap,Book State'. WORKER'S COMPENSATION Phone nner Carder' Fax E-mail LENDING AGENCY.' PERMIT r BY BUS1 # Description or Scope of Work: 044&. Sq. Footage 0 Structure Built without Permits El -Proposed Change of OcCUDancv (Note previous use):,-.* 'EXPIRATION OF APPLICATION Applications for which apen has not been issued will expire one year -after the clato of application. In order toxenew action on an application after expiration, a new application, plans, and fee will be- reauired. REQUEST 'FOR REFUNDS Refunds can only be rriade,upon written request by'Ahe person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other'department costs are not APPLICANT SIGNATURE refundable. X For office use only: LOCATION AP# -one Property Address S�A City Cross Street Occ. Type Const. Subdivision Name ]Nap,Book WORKER'S COMPENSATION Policy N6mber nner Carder' If hiring anyone other than license contractors, a certiticate of workejls.� compensation must be shown. at the time of permit issuance. LENDING AGENCY.' Name Address Description or Scope of Work: 044&. Sq. Footage 0 Structure Built without Permits El -Proposed Change of OcCUDancv (Note previous use):,-.* 'EXPIRATION OF APPLICATION Applications for which apen has not been issued will expire one year -after the clato of application. In order toxenew action on an application after expiration, a new application, plans, and fee will be- reauired. REQUEST 'FOR REFUNDS Refunds can only be rriade,upon written request by'Ahe person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other'department costs are not APPLICANT SIGNATURE refundable. X For office use only: Zoning -one SRA S�A Yes, ND Occ. Type Const. Subdivision Name ]Nap,Book Page Lot nner Date Approved. OVER FOR SUBMITTAL REQUIREMENTS Received b y:_A!��, Amount. :21 ��_Bldq SRA Receipt ---Sheriff SMIP Dote: Other Total UILDIG DIVISION COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -B 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: 4��c L9 C� ASSE S*SOR PARCEL NUMBER � tl . -TiP ) - Proposed Building Use: r-klc Counter Technician: Date: Items required In order to apply for a permit. All boxes MUST be ch d OR marked NA in order to apply. 1 . Site plans, 3 or 4 sets, signed by the preparer of the plans. 0 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 0 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. n 4. Engineered truss details and layouts in duplicate. No faxes! 0 5. Letter from Engineer or Architect for truss design review. 0 6. Energy compliance design and supporting documentation in duplicate. F-1 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. EP 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, gElie down or fn,0_1i_n_s_,iIl' in duplicate. 0 9. Metal bldgs: (A) Metal Bldg Plans, (B) Frid plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the enginee 0 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate 0 11. Site plan and business license approval from the City of Biggs 0 12. Letter of intent for non-residenfial buildings 0 13. Detached Accessory Building Form filled out by the owner 0 14. Hazardous Material Form 0 15. Sanitation and site plan approval from the Environmental Health Department in 0 Chico 0 Oroville, as applicable. 11 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 17. Fire Sprinklers ............................................................................................ 18. Agricultural Buffer cIr and site plan apr from the Ag Commissioner Sent by-.. 19. Soils Report and/or Engineered Foundation required ............................................ . . ........ r_1 2!�. Erosion Control Plan Required ........................................................................ ........ l;� /2 , I I...,Fees as shown on the attached Schedule of Fees Due. Sheet .............................. 11 _T2. City of Chico Plumbing permit ........................................................................ 0 23. California Department of Forestry plan approval 0 paid. Sent by: ............. 06- 24. Planning approval (A) Use: -(B)Parking: _(C) Parcel Check: - 0 25. Contact Land Development about - Improvements, - Drainage ................... * ... *- 0 26. NPDES Form ............................................................................. * ........ * ... 0 27. Encroachment Permit for driveway from the Public Works Dept ............... : ........... El 28. Pre -Inspection for required ....... 0 29. Contractor's license information. (Number, Name Style, Classification) ................... 0 30. Worker's Compensation. Carrier and Policy.Number ..................................... * .... 0 31. Owner -Builder Verification (_ Given to owner, -Mailed to owner) ..................... 0 32. Lefler of Signature authorization .................................................................... 0 33. Recorded copy of Agricultural Acknowledgment Statement ........................... ***"* 11 34. Manufactured home utility clearance ............................................................... 11 35. Existing violations and/or expired permits ......................................................... 0 36. Deed Restriction ..................................... ....... * ......... 11 37. El Grant Deed, Ej M.H. Title/Statement of Facts, El Letter from Legal Owner, E3 Check to H.C.D. $ 0 38. Other: 0 39. Other: When issued Telephone A,�71_4 4�1 -and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered: L, Plan Check Letter 2. Addilignal items required A� 4 Date:z;Eb10!5 ,66r`act�or>esigner, owner, was advised of the above data by rll'--hnne. r-1 mail, 0 counter, b<M(&_ k`._�Or, designer, owner, was advised of the above data by 0 phone, 0 mail, 0 co Wnte by -Date, Plans reviewed by: -Date: Plans approved by: D - . %_ - Date :g�/,_)_&l Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division OWNER;il . D_ -A COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 ,SCHEDULE OF FEES DUE PROPOSED BUILDING USE ZI. BUILDING PERMIT FEES --Balance Due ................................... .................... $ "S --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ................................. $ 2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... - x $360.00 = $ Units Commercial (sq. ft.) ...................... - x $0.03 $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x $ # Units Amt. Commercial (Sq. ft.) ............. - x $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. # DATE RECEIPT # DATE REC. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE / �' Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) OT BUTTE. COUNTY DEPARTMENT OF DEVELOPMENT SERVICES 0 BUI WING PERMI T 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 991-2834�(CHICP) OFFICEM (530)538J541 0 0 0 0 0 0 0 .0 B. C..Builcling Permit 01-16-04 pq 1 -LICENSED CONTRACTORS�DECLAAATION I hereby., a ffirm I under penalty, of perjurV that I am 'licensed un der 'Issued, Date-::02/1,5/2005-1,APN: provisions of Chapter 9 (commencing with Section 7000) of Division 3 of �030-430 the Bus*6es'sa�d Professicns�Code, and my license Is in full f6rciand effect. Site Address:._1 631. LETA'�N ORr(? License bass Lic'ense'Numb.er�. Map I hdex:�_' Date: Contractor: DescriptI6.n:`DECK--UNDER EX.AWN.ING(256), OWNER -BUILDER DECLARATI.ON I hereby affirm under penalty of perjury. that I am exempt from -the Contractors' I State License Law fcr the following reason (Sec. 7031.5 Business and Professions Co*db,- '�Any city or cou�ty which requires a. Owner: FRAN KLI N'RICHARD B permit to cor�struct, alter, improve, demolish, or repair any st6ucture, piniior� tile 63 LN to its issuance;- also. requires'the applicant for such permit to a 1,LETA ,signed, statement that he.or she islicensed purs,6ant to the provisions of. `��,ORCIVILLEICA- the Contra6tors State License Law (Chapter 9 commeficingwith Section 11 95965'3022 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt thefefrom and the basis for the alleged exemption.. Any violation of Section 7031�5 by 'any applica6t,for'a permit,subjects the applicant to a civil penalty'of not more than five hundred dollars ($560).): f as owner of th6'�rope�y,'or*my.emoloyees wIth wages as their 0 -the work and the structure -is not sole corrfpensati, n, will do - intended or offered: for sale, (Sec. 7044; Business and Professions -Applicant: FRANKLIN RIC HARD B.':' .Code:�'The Contractors' State License Law does not apply to an owner of property�whd builds or improves thereon, ind who does - , , , '! - - . 7, 1631 LETA'L N. such work himself or herself or through his or her own employees, CIRCIVILLE-1 CA - provided that such improvements ' are not Intended o - r offered for 95965 -3022 If h we�er,`the build or imp�ovemiints are'sold within one sale. , 0 _ing� year of completion,. the owner -builder will have the burden of proving that he or,she did'not build,or improve for the purpose, of sale.). as own er of -the property,* am, exclusively contracting With licensed, contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor:,. not apply to an owner of property who builds or improves thereon, and who contracts for sbch'projects with a contractor(s) licensed . p ursuani t6 the contracibrk Stal te License Law.). El I am'Exempt und . er Article.3 of the. Business and Professions Code Date: Ow,n,6 .',License #: WORKERS! COMPENSATION DECLARATION. I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a &ertificate of consent to self -insure for workers': compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Erigineer: 0 1 have and will, maintain workers' compensation insurance, as required by Section 3700 the Labor -Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier- and policy number are: Carrier� Total Square Ft:', 256 S.F. Valuation: $2,560.00 Policy #: Census Code: I certify that in I the -performance of the work, for which,this, permit Is iss6ed ' I iha not employ� any person,in any manner. so as.td- becor�e sObject'to the workers' compensation laws of California, and -agree that if I should become -subject to the work6rs' compensation provisions. oiSeiction'3706 ofthe� Labor- Code., I shall.' forthwith comply with those* provisions. .,6ate: Applicant,/Zko"WIT, zi - WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and. one hundred thousand dollars ($100,000), in addition to ' the cost of compensation, damages as provided for,in Section 3706."of.the Labor �code, interest, and -attorney's fees; CONSTRUCTION LENDING AGENCY This permit is hereby.Issued un er - e applic-abl 'provisions of the'Butte�County;Cbde.&nd/or.�-�� d I, Resoluti, do'work 11 led ve for wNch fees have been paid, I hereby affirm that,there is a construction lending agency for the-*., p?sp performance of the .work for which this permit Is issued (Sec 3097 Ci��) Date: Name: PERMIT EXPIRE S ON: Address: flDate) 0 1 hereby �certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code. which regulat4the'storage. handling and use of hazardous materials. 'Scheduled 13 Notificatidn In accordance with Section 19827.5 of California Health & Safety Code is not applicable to.t6 8onkruction of this project. 0 Attached arebopies. of the required E. P.A. notification forms. *that duly I agent of the owner...1 6g�ee to'comoly,with I hereb*y'c6riff�that'Th ave'read thii application', the above iriforr�ati: on Is correct, and that I am the owner or the authorizec - all county andstatb laws relaitind to building co - nsteuction.� Vacknowledge it is unlawful to alter the substance of any official form oirdoc6ment'of Butte Pounty.� I.hereby authorize representatives of Butte County !o enter.uppn'th� above mentioned property for inspection pu 20 -Print'Name- A % Signature�� Date: ,;2 El A P1 owner Ll Contractor LI Agent for 6w'ner gent for Contr , actor B. C..Builcling Permit 01-16-04 pq 1 .4 ffirU Y.6wne 'Id' `b`I'd' h n-- ow.ner�bul i _.p -1,rigyermi as'�b66n,'.appli'e,,d.�,fo.r,in'yoi�i'ndffi�'dhd,"66'atin :,signa re. t Pl6as'e' :co"ibp'l iid.retiirfi--thi'§�ihfoiTh�:ti6n your- ear lest opportunit o AV b i ete, a a ur ingpef n d- 1 s su In- g', 'y' our', ul d6ldy� iWpr6cessin'gd dding,j)-eftnit. �Nb'-Nild 11 t i ica,lon,is 'd 61h& i&jbi labor- andJndtdriaI.'f6r donst; propose, s, On -,p anA6 prOvid ructiorib t Qh y :prope, in .provem,&, nt� 'YIES,r NO '2.: 4 HAVE ef' the� Ofo d` ],,HAVE'NO ]'§i catiofi for a building p' mit f6r gped an appli _ ;."., po,se work. 01 4,1-17,0. J. have corifra�te8 '-�t; e'i6llowing person (firrn)ta provide tfie',pTopose'd constructioin:`�,' with .v IC I, Ab)DR'ESS-- 0 'CONTRAC TOR'S LICENSEN wing pb" --J-fJia��'tb providepbrtibns�'oftihe work,* b -h*red the folto' rson. to coor ina e ut 1: ha v e' su ery 'N ise� and Di6v!d6-th6 major',work-.* jz � AM N E: .'ADDRESS: ��TH6 NE: CONTRACTOR'S,'LICENSE NO P 5 .1 will provide some ofthework but I have contracted (h th&-f lowlngt rsoi ired) .61 nsJO,provid �the w'6rk,indicdted: TYPE OF P ONE" NAME ADDRE H WORK,' SIGNED: PROPERTY OWNER: DATE: C) NOTE: This Owher-8ulld&f r ficat' ye 1, ion is required by Section,19831_4nd 'the,Cdlif6m Health, and Safety'Code.. o '�fbre we are pp�imlitted`tdi's'su th T "is verifilcatilori must be c6nipl6ted-and,returned to our Afice b e, e permit R 1-1/4? 9 �y unnece al r1t ,yi Butte County Department of Development Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile VL -D N f "UM TON Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be award that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performin g their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to'be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work,with the exception of various trades that your plan to subcontract, you should be aware of the fiollowing information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. c, If you are an employer, you must register with the state and federal -overnment as an employer and.you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. • There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. • For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you lwsh,lhe U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not -required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed - 6wner7-bdil - der verific - ation from so that we can confirm that you are aware of these matters. The building permit will not be issu�d'u_;ntil the verification is returned. I N MicVael C. Vieir4 C.B.O. Majager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a it I INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. p mi. 1 . Site plans( Vor 4 sets, signed by the preparer of the plans. No graph paper! 2. Complete plans,(Zor 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. r_1 3., Engineered truss details and layouts in duplicate (if required). No faxes!, 0 4. Energy compliance des,ign and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular hornds.') r_1 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. r_1 6. Manufactured homes: (A) Data sheets and installation inst,, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. F� 7. Metal. bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet-siqned bV the engineer. 0 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). r_1 9. Site plan and business license approval from the City of Biggs. 0 10. Letter of inte nt for non-residential buildings. n 11. Detached Accessory Building Form filled out by the owner (if required). n 12. Hazardous M aterial Form (for Commercial Buildings 'Only). [1 13. Sanitation and site plan approval from the -Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.), 1 . Agricultural Bufferclearance and site plan approval. from the Ag Commissioner's office (if required). ED 2. Impact Fees.—I'-, 0 3. California-Depkinie.nt of.Forestry plan approval (if required). r_1 4. NPDES Form. _the.Public Works D ept. (construction approval prior to occupanc*yj. El '5, EnbrdabKm6ht-Pbff1t for driveway�from -.6.- Contractor'a -license, . informa - tion..(Number, Name Style, Classification). r_1 7. Worker's Compensation Carrier and Policy Number. 11 8. Owner -Builder VeOcation (if required). 0 9. Letter of Signature authorization (if required). R 10. Recorded copy of Agricultural Acknowledgment Statement. 0 11. E1 Grant Deed, El M.H. Title/Statement of -Facts, 11 Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action. on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request.by the person.who paid the fee. The request must be made within two years from the. date of fee payment on permits not issued, and two years from the date of permit issuance for� permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work -plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSSUILDING F0RMS\B1dgApp1SubRqmts.doc Page 2 of REV 7-27-04 13T BUTTECOUNTY 0 0 DEPARTMENT OF DEVELOPMENT SERVICES.-; 0 0 -...BUILDING PERMIT APPLICATION 0 AND SUBMITTAL REQUIREMENTS 0 - - - - - - - - - 0 '24 HOUR fNSPECTION#: OROVILLE: (530) 538-.7636.�CHICO: (530) 891-2834 0 0 OFFICE#: (530) 538-.7541 A FEE WILL BE REO UIRED A T TIME OF APPLFCA TION. 0 7 Website:,Am-A,.buttecounty.netldds *"-PLEASE PRINT 1-Y.'FAJDY. 'LOCATION AP#' C _43 .0 Property j(d Cress 31 Cross Street �0, A'6 11n01eC0JL' fnMfiD=A1�- A -ri^hl - -- — --------- -I I - 11 -!j -1 IYVI I IF VU I U1 U J411 HSAWbU UU11 UdGwrsl a cerrincare OT wo.mer' compensadon must be shown *at the time of permit issuance. LENDINGAGENCY Name Address ARCHITECTIENGINEER Name, Description or,Scope of Work: Address 7 -It -y— State tage Ph -666- Fax 4 E) ..Structure Built without Permits E-mail State License Number E3 _ Proposed Change of Occupancy .(Note previous use): APPLICANT NA ME Name Address city State C -A pq Phone . CPO Fax E-mail,-. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will'expire one year after the, date of application.' In order to renew action on an application after expiration, a new application, plans and fee will be reouired. REQUEST FOR REFUNDS .Refunds can only be made upon written request by the person who paid'the fee. The request must be made. prior to the expiration of the permit a hd no construction work has been done. Filing fee�-_plan p C CC eu 0 Ouler uCpartnlent C0515 are not refundable. APPLICANT SIGNATURE I For office use only: Zoning Flood Zone SRA Yes, ;L�( Type Const. Subdivision Name Map Book., Page Planner I DateAppr,oved: OVERFOR SUBMITTAL REQ1U,I,REMENTS,:, K:\FORMS\E3UILDING FORMS\B1dgAppISubR Pa* e 1 o qmts.doc 9 Received by: Amount: Bldg. SPA Receipt #: Iq 3 z_ Sheriff SMIP Other Date: Total J f 2 COUNTY OF BUTTE-DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: F-ZMWA�11 AJ t N A�2/D ASSESSOR PARCEL NUMBER 0'30 - Proposed Building Use: CC5'P1'f-J 2!S- Counter Technician: - Pate: ems required in order to apply for a permit. All boxes MUST he checked OR marked NA in order to apply. 1,,/ 1 . Site plans, 3 or 4 sets, signed by the preparer of the plans. ,A) 2. Complete plans, 3 or,4 sets, signed by the preparer of the plans. r_1 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 0 4. Engineered truss details and layouts in duplicate. No faxes! 0 5. Letter from Engineer or Architect for truss design review. 0 6. Energy compliance design and supporting documentation in duplicate. 0 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 0 8. Manufactured homes: (A) Data sheets and installation inst, (6) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. 0 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the enginee . 0 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate 11 11. Site plan and business license approval from the City of Biggs 13 12. Letter of intent for non-residential buildings El 13. Detached Accessory Building Form filled out by the owner 0 14. Hazardous Material Form 0 15. Sanitation and site plan approval from the Environmental Health Department in 0 Chico 0 Oroville, as applicable. El 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 0 17. Fire Sprinklers ............................................................................................ 0 .18. Agricultural Buffer cIr and site plan apr from the Ag Commissioner Sent by-.. 0 19. Soils Report and/or Engineered Foundation required ........................................... . . ........ 0 20. Erosion Control Plan Required ............................................. (01 Fees as shown on the attached Schedule of Fees Due SheE .... 22. City of Chico Plumbing permit ..................... ....... * ...... * ...... * ....... * ...... 23. California Department of Forestry plan approval 0 paid. Sent by: . ............. 24. Planning approval (A) Use: -(B)Parking: _(C) Parcel Check: 3AContact Land Development about - Improvements, - Drainage ......................... !2t..NPDES Form ............................................................................................. 0 77. Encroachment Permit for driveway from the Public Works Dept ........................... 0 28. Pre -inspection for required ....... 0 29. Contractor's license information. (Number, Name Sye, Classification) ................... [a 30. Worker's Com pen satiorf� Carder and Policy Number ........ ��Owner-Builder Verification Given to owner, -Mailed *t'o o'w-n-e'r* .................... Letter of Signature authorization... .................... I ......... 33. Recorded copy of Agricultural Acknowledgment Statement ................................. 34. Manufactured home utility clearance ............................................................... 0 .35. Existing violations and/or expired permits ................................. ** .... * ................. 13 36. Deed Restriction ...................................................................... 11 37. 0 Grant Deed, 11 M.H. Title/Statement of Facts, El Letter from Legal Owner, El Check to H.C.D. $ 0 38 * Oth . 157�72 - ��7!.e)C:� El 39, Oth:r:' When issued Telephone and hold for pickup. I 'A =1 Z_Z - I have been informed of the above items and requirements for obtaining a building permit. Applicant: (jod Date: ;2- '? - <:> S- 1. Index permit application for the above items numbered: Plan Che5k Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by 0 phone, 11 mail, b -counter, by Date: Contractor, designer, owner, was advised of the above data by 0 phone, 0 mail, [3 coun r y Date: Plans reviewed by: -Date: Plans approved by. Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: I / Yellow: Building Division 1 -1 IG PLYWDOD 0 e INT. 1w Tyr. . I . F— =-f :3 )1 FR14 U& CL1r— I "Los GTIZU�EIZ- Wot-&- MNX- r 13 'TOF VIEW L2.,tV DROUIG Z6 Bou - 50 4h a+ CL D V -.- GIRDERS Kwffip Ct MT. +h MOBILE Ithme or. 1) EEL 4W. MrL P91411 —I MY. f 4 T01, POST— IN IV 0113F. VIC4" PRESSIVE' GrURRPIZAIL U) Ble -A 0 0 LOS RED W.00Dr/--1ATr DECY11ti IG GIRDER IL PRECOT 4*PCAIO POST 10-30� �3 Apr4u4rjr WWONAL - I 'IT smp— b boLNTY DEPARTMENT OF PU13LIC WORKS oUNTY op BUTTE JIM 7:430univeentorpilva,.— 0mvIlle- 081110mim aligns -p'00T1146 Tel BUTTE COUNTY WILDNG DIV00� APPROVED 0840-80B PERMIT NO. PERMITEXPIRES- Lovella Starr OWNER CONTR. Panorama Awnings, Chico LOCATION (A.P 30-43-5 1631 Leta Lane, OroviDe TeMn PoVupr Pnia Called Temp. Ele Called Temp. Ga., Called JOB FINALED COUNTY OF BUTTE DEPARTMEN-r OF PUBLIC WORKS BUILDING INSPECTIOk RECORD BUILDINCyj,� -,-\ 7 BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms r Parapets z Ist Floor Main Bldg. Restroorn Finish 2nd Floor Footings Windows 3rd Floor Stemwa I I Siding Topout Slab Root Sheathing Water Piping Piers Rooting Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage V nts Insulation Water Htr. Heaters Slab Carport Footings Prov. for p� sically handicapp .1 Confomance of ex. structure Appliances Gas Piping & Test — N Temp. G s Slab hit Final Sanitation Pallkr- -,L L FIREPLACE Final 1�0 Footing ELEC ICAL Masonry Walls Throat Rough ReInf. Steel Final Fixtures Bond Beam FIRE SPNNKLERS Motors Framing 4;- Test Water Htr. Stucco Final Subpanels Mesh MECAiANICAL Grd. Fault Prot. Scratch Heatina Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final MOBILEHOME UTILITIES ------------------ Elec. Service Final Elec. Pedestal Water Piping N2ftUJ=ME IN§JA6MTLQ Sewer --------------- Support Gas Piping Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) A GOUNTY�bF BUTTE DEP Rf A ME MORKS NT OF PUBLI.G. 'rive Orovi e 7 County Center D II �l i f orn i a 95965 *6 n �4-4541 Tel epi 6:,5 -:-APPLICATION AND. P -,ERM1T,_,.,., A BUILDING Owner, - 005LLA. SQ., FT. OC�"- BUILDING VALUAT N, 7 -7 1 0 V 11:20 Mailing,Address Telepl�oie n -No . Cbriti-66tor' Mai I i ng Addr�ss Ar r Fi reol ace Total Valuation 0 0 Permit-IF6e% Building Address-. Plan Checking Fee &/or Penalty. Permit'Fee $ $ 0 @ -PLUMBING No. �FEE 4� PERMIT FILING FEE ..1$3.00 Each Trao 1.50 - Repair drainage or ven,t piping l..50 A. P. No. Z.nA -&`7manning Watee piping 11.50- Each, ga I s water . heater 6r,yent' "11.50, Ree -'s 'WAI. I Fire Dept' Fi re n zb*� Use Permit Gas piping system 1 -r 5 outlets 1.50. EQA PE irking Plans Parcei. I Declaratio n Parcel Map 60' R/W Improvements Each,additional'outlet .30 4 - Bu_ong - e er -5.00 Bldg. PI s Rec'd Plans Approy.oll Lawn sprinkler system 2.00, NEW 2-' �DDITION UT I LITI'ES.[3' OTHER'. EJ Permit Fee ELECTRICAL.' No. @ FEE PERMI T FILING FEE $3.00 Main sdr vice 600V OR L 100 AMP OERSLESS 5.bo Si ngl e Fami I y Dul?*Ie��[:], Mobi I Hom� Main �servlce EA. ADD'L*100 AMP 2.50 in �se -vice OVER 600V -25.00' Ma , ir .100 AMP OR LESS Main service EA. ADD -L 100 AMP' NEW CONST..( DWELLING *OCqUP. 5i OR ADDNS.'- ACC.BLDGS.- .. - 120sqft CONTRACTORS LICENSE -LAW pter- I am licensed� under th6�l5rovisions of Cha '6, Div. 3, of the State of California Business & Professions Under the name style of: ?A*JarZA-e1% A A, -4'i -4 C, 5 NEW CONSTR. [MULTI -OUTLET, NON-RESID. %BRANC H CI RCU TS) 12.50ea NTW CONSTR. (POWER APPARATUS a NON-RESID. SINGLE OUTLET CIR. 7 R7@ 2-50 Ek.�OccLii)(OJTLET'S,O�'.FIXTIIR�E.� FIXED APPLNS. OR E.x.,0ccqp.(OUT.LETS (RESID.) EA 2.00 Temporairy. servic6.. -10.00 Mobile Horife Facilities .15.00� LicenseNo. Classificati , on Misc. Wiring E] I am exempt from the. Contra6tois.License�L�ws of the State of Cal ifornia. �Permit-Fe6 $ MECHANICA`L No. -FEE N WORKMEN'S COMPENSAt,ld N* "INSURANCE .1 am aw6re-6f the provisions of Sdctiorf3700 of the California Labor C6de whi'bh. requiresevery. employer to, be insur.@0 -against liability: for Workmen's Compensation. I have placed. on file with the County of Butte -a certificate. of - Wo rki+Ieri's'06mp�en sat ion Ingurance, - I certi iy that i ri the' p6rformance of the . work for, �0 ich- tH I s permii,,is'issued I shall,n6t employ any: person in any manner .,so as to -become subject to,the Workmen's Compensation Laws of: California. - - I .. -.1 � , .� - �1. I I - :.� , PLRMIT,FILING.FEE: $3.0b Heating - 'Cooling Ventilation Hood� 2.001.,. - . -1 1. Permit �Fee T certify. tl�at I hav,e r-ead,,thi's application. and state.,that the abo I ve i nformation 'I s 6orrect. , I -dgree.to comply to- al I County Ordi nances, 'and, State L-aw's-4elating to.: build' nstru6ti6ni,. and hereb Jngr'Co . q,! Land Develo'pnnent:F.�e TOTAL -PERM I T. -FEE - representatives,,or-ine L;ounty,OT t$Ulle-10 enter upon ine 'This permit.is Kerbby'issubd under,the'appli6able. isions of"'-' nspec ion,,p.ur p ro`� at6d abov,e-'men'tioned propbrtVJdr I ti _poses.:�' tfi6. butte County,. Code and/or resolutions..Jo do work 19dic above for which fees hdv' been.paid., OR-OF'PUBLIC WORKS. bfJRLCt X bale tee or gent Sigri' tufWof Permi', "A Date By-, Receipt N6�, Z_ - r 0 ng permi t eko!res. ate White-D.P.W., - Yelloqgws-�.- Pihk-In.pect doldenro'd'-Appli cant "I , . . - 7 - , �A . , . , , , . ., I .1� - . , " I . - � - "' . i, " . � - - � . �� I . , _ . I , I I � : ., , , - " ", � '� . "I I I __ I - " � . - I . � - . . 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". � , , � p - ,� �mt, , , ( . , , , � ;� , , . � ., " -:, `*-', , '� �. __, ". . , , � -1 , , r, , 4�t� ,-, , - � -, '010 Sw n . .... ... o A&I � � -, - " , . . , , - - , " � �:, .-�,� ., 1*__ , i ", _ � � , T"AA �!,� � - " �e :, .,;: . , .,-� - , �- 4�* -, �.�` , .1 11 � . �_. ,_-� . ;."", , - _:�;� � - - _.� _. " , I - - � � -, c .. - .,- -, , � . ; V7 M Von? .M�C�QMW . , '. - -, , V = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) .1. Zoning requirementS7Setbacks-Easements 48. Property Line Firewall & Opening gs 2. Ftg., Main; Soils-Steel-Elec. Grnd.- Ftg.'Depth- 49.., Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Fig., Garage; -Soils -Steel- /. - /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -F ire Protection 4. Ftg., Porches & Deck6; Soils -Steel- Ftg. Depth 51., Plywood on Roof Overhang -Attic Vents-Ffafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Sidinig-Nailing-Veneer .'Sternwalls, Garage;rStee I-, B l6ckouts _-Wa5ped- Slab- 53. Stucco�Mesh-Drip Screed-Fdn.-Vents-Underfir. Access 7. Piers -Fireplace Ftq.-Steel 54. G Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall-Fittings-Test-2,way C/O��ewer-Test 55. S 9. Gas Pipe; Size -Anchors Mhear_Walls;.Nailing-Bolts 10. Water Pipe; Test-Anchors-Regulator-Sery ice Test 11'. Electric; Underground 12. Plenums & Ducts; C learance-Materi al -Support- Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -C . ripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -131 Date Card -Bi Date Date -F-INAL (Plans) OK except #'s Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 14. Water Ht.; Vent- Access -Combustion Air 58. Furnace; Vents-Clearance7Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. rotection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. 60. Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access 17. Shower Pan; Test, First Floor -Tub Access 18. 19. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. 67. 68. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing, Landing-7CIoser A.C. Duct in Garage -Damper Date ELECTRICAL (Permit) OK except s #'s 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -C learance-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-B6nd Gas & Water 72. Insulation -Foam -Looked in Attic -E] Yes 73. Guard Rails & Deck Construct I on -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 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 Al -Oven Circ. ga. Cu or Al, Insulated Neutral E]Yes El No 75. Following instld.: Drive [:1 Yes 0 No; Walks El Yes [I No; Planters E]Yes 28. Service -Riser Conductors & Ground -Main Disconnect 76. _EJNo I Stucco; Brown -Finish 29. 30. Equip. Clearances; Pane Is-Motors-Mech. Equip. Clothes Closet Light -Shower Light 77. 78. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim: G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Perrrit) OK except #'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 Condensate Drain & Overflow, -Size & Grade 34. Furnace-Vent� Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Comments at Final: 36, Sills-, Proper Material & Anchors 37. 38. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 42. 43'. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr._T ies- Purl in -Roof Brac.-Truss-Shthng.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access, Size & Romex Protect ion -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47, Garage Fire Protection Framing (NOTE: Anentrymust be made each time.youvisit jobsite) = OK = Not Of< = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKSR16'VERS, CARPORT��, (Plans) L. ,,�Cept 1. Zoning Req u I rements—Setbacks— Easements 2. Soils; Special MH Support—Sketch op . I .0 Reqy irements—Setbac ks— Easements S--'r—ootigLg�Size—Depth—Sp�6ing—connecto�s 3. Sewer; Location—Test—Fall-C/0—Concrete 3.L,2<cq�irders and/or Joists—Decking—Bracing—Stairs—�iails 4. Water; Location—Test—�asement Needed (Sketch) ��Connec.—Shthg.—Rfg:.' ncing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete Columns—Connections—Splice—Decal—Enc es 6. Gas; Location—Test—Wrap: / /"L"ft./ Nat. or/ /"L"ft./ LPG 7. Utility Clearance 7. Edec. Card -BI Date Card -BI Date Card-131(!A�) DateLJ2C-7��3,--C'wd-Bl' Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s Date P60LS (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements 1. Setbac ks— Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compact i on—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure� Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Tes t—C rossovers— Brea kers—C I eara nces 4. Elec.; Receptacles and Lighting, Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. E I ec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.� Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7. Elec., Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.� Grounding; Equip. w/5'—Circulaiing Equip.—Pool Lghig- Boxes—Enc losures—Pane I boards— Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -81 Da—te Card B -I Date Card -BI Date Card -131 Date Card -Bl Date PERMIT NO. ---- F81B PERMIT EXPIRES OWNER Louella Starr CONTR. Oren Const.., Oroville ASSESSOR PARCEL 30-43-5 LOCATION 1631 Leta Lane, Oroville Temp. Power Pole Called PG&E. Temp. Elec. Service Called PG&E Temp. Gas'Servi/e CalledP/&E JOB FIN7A/ECD (Date) Signature \j COUNTY OF BUTT E,,z,D EPARTMENT OF PUBLIC WORKS PER IT NO. 7 Co unty Center:Drive.- Oro�� 1116, c�ilifornia 96965 - Telephon'e' 916/534-4 1 --APPLICAT(ON X*N ANDPERMIT,-, A. 171 A _SSESSO R P L �nER Zd1qING 1 BUILDING PERMIU OW - ER ZOOELLA . S"Z;q�M TELE . PHONE -SQ. FT. OCC,, BUILDIVG VALUATION - Z/__608-00 OWNER'S MAILING, ADDRESS CONTRA �gE;r H L4 E t;,q72_ ON CTOR'S MAILING A RIESS X Fireplace Of CONSTRUCTION LENDER 'JUNKNOWN- Total Valuation' $ IV& C/ 6. 0 (D Filing Fee 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 5,9"S-0 A'RCtiITE-CT OR ENGINEER __FL I �CF N S E NO., 7- Plan Checking Fee $ A) Penalt 'y ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD] A )F3ESS ZI#AJE- PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repal r drai nage- or vent pi pi ng 5.00 Water -piping LOT.NO. S�BDIVISION NAME ARCEL: MAP 1P qas water heat Each. er or vent 5.00 Gas piping system 1 - 5 outlets U O� SE F �SUCTURE SF 0 DuplexF� Mob i I ehome FP Other SPECI,FY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK NewF] Addition "emo'del [I Uti I ities 0 InstallationD Oth6�- 0. Describe work: Permit Fee Contractor ELECTRICAL PERMIT' Fi I ing Fee 10�00 Main service 6101 OR LESS 100 'AMP OR LESS 5.00, Main service EA. ADD'L 100 AMR 2.-50 NEW CONST ' (DWELLING OCCUP.51). OR ADDNS. ACC. BLDGS. 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 Rrl� I and Professions Code and my license is in full force and effect. L i cense 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) El 1, as the owner, am exclusively contracting with licensed contract7. ors.'(Sec. 7044) I am exempt under Sec.—, Business and Professions Code for this reason N E W CONSTR. MULTI-ouTLF-T No N.RESID, E3 RANCH CIRCUITS) 2.50 ea NEW CONSTR. POWER APPARATUS NON -R ESID. - %SINGLE OUTLET CIR . 50 @ 250 Ex. =Occup _U TLETS OR FIXTURES IBAL@100, (FIXED APPLINIS - OR Ex. Occup. OUTLET S (RESID. I F -A.) 2:00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring' 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Fi I i rig Fee 10.00 7 WORK ' MEN'S COMP.ENSATION INSURANCE I declare under penalty of perjury (check one): F-1 The permit is for $100.00 (valuaii6n) or less. E�/ I have placed on file with the County -of Butte Building, Department a Certificate of Workmen's.Compensation Insurance or a Certificater' of Consent to Self -insure. I shal I not -employ any.person in any manner so as to become subject F to the W. -C. laws of California. .Notice to,Applicani: If after making.this statement, should yo . u I become subject to the W. C. provisions of the Labor C6de, you must forthwith compl� with such provisions or this permit shall be deemed revoked. Heating -Coo I i ng Hood 3.00 Venti lation Permit Fee, Contractor I certi.fy that I have rea6 this appl i cation.. and. state that . the above informa . tion', is correct. I agree to comply to all County Ordin�nces and State Laws relatfrig.' to bui Iding,construction, and'hereby duthorize representatives of the County of' Butte to enter upon the above-mentioned- property for inspection�purpo6es. 'I also agree to save, indemnify and keep harmless the County of BUtte against' ,all.liabilities, judgments,- costs, and expenses which may in any wa . y accrue. ,against said Cou of the granting of this permit. Date R Signature of App/cant.-7� Owner Contractor El 'Agent 22'-- An OSHA permit is *required for'excavations* over 5'90" deep and demolition or construct7 ion of structures over 3 stories in h.eight. Mobile Home Installation Fee $ TOTAL PERMIT -FEE '4; C? OCCUF777ROUP, TYPE OF CONST, 1. IPARCEL-1 PT_HD ISSUE, This permit Js hereby issued under sions of the Butte County Code and/or work indicated above for which ')I OF PUBLIC DIREC76 B 0 IT EXPIRES Date the, applicable provi- resolutions to-do' fees have been paid. WORKS Date/L/_e/ 2-1— Receipt No., WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT. 0 6707-78P,E PI�fIMIT NO. PERMIT EXPIRES OWNER Louella Starr owner CON T R., 30 -43 -5 - LOCATION (A.P. 1631 -Leta Lane,Oroville Temp. Power Pole Ca'lled PG&E T-�. Elec. Serv. rA j Called PG&E a's Serv. a 'e led PG&E IJ JOB FINALED L (Date) COUNTY-O�SUTTE DEPARTMENT OF PUBLIC WORKS :.'l "BUILDING INSPECTION RECOO BUILDING BUILDING (Cont,d) PLUMBINd So ttgck No I I Piping For"Ilk Firevall "kts Parap \st Floor Main ldg- Restroolig Finish ON Floor Foo gs WindowsN 3rd\loor Ste . mA11'. Siding Topout tlAb Roof Sheathka Water Pip?kg F iers P Roofing Sewer Garage, Fdn. Vents Fixtures Footings Garage Vents N Water Htr. Sternwall Insulation Heaters Slab 7— Prov. for physically Appliances haridic plied' Gas Piping & Test Carport A Conformance of ex. Footings structure Temp. Gas Y Slab Final Sanitation Patio Fl)(EPL4CE Final Footinas Footing EJ(ECTRIC4 Masonry Waill Throat Ro . ugh Reinf. StIol Final Fixtures Bond )flp NKI FFA Motors ,In Test Water Htr. co Final Subpanel MECHANICAL Grd. F941t Prot M-esV icilp ch Heating/ ServIQ6 By&wn CoolIA T p Pole 2Du nde round I I L -a e th V tilation Peffnanent Loor Closer Inal a I MOBILEHOME UTILITIE ------------------- Elec- Service Elec. Pedestal Zmt-r =iping Sewer Gas P�iping A9116gi-I A I I -------- Support Elec. Continuity Water Piping Drainage Gas Pip DATE REMARKS OR CORRECTIONS /4� –4 L 1J7 (NOTE: An entry must be. made on th is form each time*you visit the job site.) 16OUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE :.OROVILLE, CALIF. - 534-4541 -CERTIFICATE OF- OCCUPANCY This mobilehom6 has been installed in'acc'ordance w*ith th ements of the lif trative- Code, Title 25 &:#r/5 permit )i6nia Adminis number for the following location L e. Owner Owner's Address �_v 1:7 a 9 0 VnIZI Mobilehome Mf . _Me& t -JA Year 9 Modela 77 Insignia No. Ser.'al N.-' . 'It is ' he ' reby certified for occupancy at the above described location and may b.e'- occupied. mrecto� 12k (7 olu lie lqrls' Date By THIS -CERTIFICATE IS VOID WHEN MOBILEHOME 11RELOCATED White � Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPiRTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. 534-4541 CERTIFICATE OF OCCUPANCY' This mobilebome has been installed in accordance with the re . uirements of the California Administrative Code, Title 25, Chapter 5, Der permit number n Co' for the following location: Owner Owner's Address L P I - il '10 Mobilehome Mfg. r- ro Model R I I At, IV$ 'Year 7A? Insignia No. Serial No. . 06 4' It is hereby certified for occupancy at the above described location and may be occupied. Director of,,Pablic Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME ISYRELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. V MOBILEHOME INSTALLATION INSPECTION CHECK LIST %low i's'the.mobilehome-loc*ated'w�t"equired-separa:ti6n from.lotlines and buildings and gener conform to plot plan? Yes No 2. Does the mobilehome have required clearances above ground?-(Sec.5085) Yes k--140 3. Are footings and supports properly sized, spaced,' and.brac-e-d as' per approved plans.? (Note possible vAriatibn at spring shackles.)* (Sec., -5082 & 5083) Yes ��o 4. Is the mobilehome'level? (Sec. 5088) Yesi/ No 5. If more t n a single unit, are crossover connections properly installed? (Sec. '5088) Yes_C,_N0_ 6. Water A Is f leioble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) B. Test -'Does water piping withstand working pressure or 50 lbs. air test? Yes—k10 C. Backflow If coach State of California approved, does station have backflow device and pressure -relief Yes— No - 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 minirnum per foot slope and is it properly supported?.Yesl��No C. Are any leaks detected in drainage system,after runn ng 3 -gallons of water through each fixture including washing machine standpipe?',Yes No— D. ach is not State of Californiaapproved, does station have required trapand"V'ent? e- No 8.* Gas Piping and Gas Vents A. Connect -or Is mobilehome connected to the gaspsupply I tqith an approved,3/4".minfirium` mobilehome connector not morethan 6 -ft. long?, Note:, A�l piping is to be at' least as large as the mob�offie gas li7rie inlet,without-reductions other -than the mob ilehome connector. Yes r No B. Test OK as per following procedure? Yes V"'.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— 9. Electrical �A"'IMW Is service large enough to provide,adequate amperAge-to mobi-lehome (must equal rating -.of I - mobilehome with a minimum o!_�N amp� And other 'facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes &o' -No B. Is there proper clearances around panels? Yes 11�No C. 18 power supply cord.or feeder assembly proper ly fused? Yes k' �No D. Is continuity test satisfactory as per the following procedure? _Yesj:��NQ 1. De-energizO 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. 5. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other.lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas linei. 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 46tween the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests., the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Deparimentfor water and sanitation? ll.,If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle tit I I r Irk0c, T. Length 4j) Width Vehicle Serial No. 6 Af State Identification No. Additional Information or Comments: COUNTY OFBUTTE �'DEPARTIVIENT OF PUBLIC WORKS 7 Qounty Center Drive 7 Orovi I le, Cal ifornia,95965 Telephone: 534-4541, APPLICATION AND PERMIT autnorize representaxives Or ine L;ouniy or bu-iie io enier upon ine above-mentioned property for inspection purposes. - Ile X, V.;4 f 4 D at _/I gnat6re of Permitee or Receipt No. P- 7 White-D.P.W. Yellow -Assessor Pink-InsRector – Goldenrod-Appli cant This permit is hereby issued under the applicable provisions of Ahe Butte County Code and/o� resolutions -to do work indicated above for which fees.have been paid. DIRECTO R)6F)40LIC WORKS. By Date//=/— Bul ei�i permit expires Date -7 BUILD ING, owner LOU, F -*LL, A S; zr 4 tj!:� SQ. FT. OCCZ BUILDING V,�LLIATION I Mai I ing Address 873 BusciWANAJ (Z b PAP-AbISE CA -I'01' No' Contractor lFireolace. Mai I ing Address Total 'Valuation I T lephone N 0. Permit Fee Building Address- UP31 Lpt M IE Plan Checking Fee &/or Penalty Permit Fee PLUMBING� No. FEE PERMIT FI LING �FEE $3.00 Each'Trao 1.50 op—ou I L -LE Mepair drainage or vent.piping 1.50 -3 A. P. No. So - 4 -5 Zoning & Plann ng water.piping 1.50.. 0(00 Eaclh�gas Water heater or vent 1.50 FWsj VjX-jTaAiQion I FireDept. FireZone Use PP Gas.piping system 1 - 5 outlets i.50 0.00 -- EQA IParking Plans Parce! I Declaration 'I ParcelY ap 60 R/W I Improvements Each additional outlet .30 Bui Iding sewer 5.00 Lawn sprinkler system 2.00 Bldg.-Plr�ns Rec'd 00, Parc 4 "o e; Approval, Plans <rovol NEW E] ADDITION E] UTIL'ITIES R' -OTHER Permit Fee $ -ELECTRICAL No. FEE 1$ S370 PERMIT FILING FEE _$3.00 600V OR LESS . 0— Main service 100 AMP OR LESS 5.0 , 0' Single Family Duplex Mobil Home Others Mai,n'service, EA. ADDIL 100 AMP 2.50 4Main OVER 600V Main 'service 100 AMP OR LESS 25,00 service EA. ADD -L 100 AMR. 1.00 NEW CONST. ( DWELLING CCUP. 5) 20sqft OR ADD.S. ACC.BLDGS. .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: NEW CONSTR ULTI.OUTLEX RESID, (M NONft BRA NCH CIRCUITS) 12.50ea ( POWER APPARATU NEW CONSTR. 5 a NON RESID. SINGLE OUTLET CIR. Ex. OccuiD(O-UTLETS OR FIXT11RES1 50 25t BAL@10� FIXED APPLNS OR' Ex,Occiup.,(OUTLETS (RESI*D.) EA) 2.00 Temporary. service 110.00 Mobile Home Facilities. .15.00. '15.00 License No. Classification Misc. Wiring .6.25 am exempt fro m tlhe-ContractoF!�'License Laws of the.State of California. Perm it Fee OIC . MECHANICAL _EE WORKMEN'S COMPENSATION INSURANCE I am aware of,the provisions ot Section3700 of the California Labor I Code which requires every. employer to be insured against liabi ity for Workmen'sCompensation. 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 wh i ch- 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 Calif ornila.'� PERMIT FILING FEE $3.00 Heating Coo) i ng V enti I at i on. Hood �.00 Permit Fee' $ I certify that I hav6 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 Land Development Fee $26. 0 C) TOTAL PERMIT:FEE" $8, 07.0 autnorize representaxives Or ine L;ouniy or bu-iie io enier upon ine above-mentioned property for inspection purposes. - Ile X, V.;4 f 4 D at _/I gnat6re of Permitee or Receipt No. P- 7 White-D.P.W. Yellow -Assessor Pink-InsRector – Goldenrod-Appli cant This permit is hereby issued under the applicable provisions of Ahe Butte County Code and/o� resolutions -to do work indicated above for which fees.have been paid. DIRECTO R)6F)40LIC WORKS. By Date//=/— Bul ei�i permit expires Date -7 MAN," �Nv I r 'X4 , _4�j' -4 NOV. n't 14. oil" QA Q VT RAW sm .10 t 4, 104 sh ' Alm oft U&J." PI ope IN _3V KA. Q'. ?nlyn COUNTY'�O E "DEPAR' -C RKS F BUW tMENT,OF.PUBLI :WO c,ouinty"C"enteit DdVe or vi I e"" "I '95965�-�, I Ca iforniA 01. 17 Telephone: 5 M� :]�,4541 dp ....APPLICATION AND'PERMIT, �,auth'or'i*z�e"-'�ep'r6�efita.ti.�6s-of�t�6 County,bf'136tte to ent4f 6pon the �,�a ove-.mei purp6s6§..,- b' ntioned�prbperty io�,:insp�ctioh- _7 .4 X , hate - �i'gn'.tur'. of ermitee 4 'Receipt No. e rod-Appi i c d'n t WHi te- D. R.W. Y al lo w -As se s sor, F� i nk -1 n sp i�ctor Gold: n' I cable Orovisions-,of This berm ' it is,hereby issued under the app J :thd BUt'tb C'quhty Code and/or rbsolutions:to do work i nd i 6ated :ab6.ve'for.wh16h fees. ha�b been paid� BL16 D'IRECT WORKS, Date Bv IX — JP� 7 P �61/4in'g p6rmit expires'Date --BUIL PING . 1 0 'n r 1/4 w e .,Sc).:FT.; OCC., BUILbiNeVAL0A`f-ION*:' M ailing Addre - ss d.jv S 'C'.' I'T I' '10 0.46 '44-909 oivlrle 1:�Je N F i rep I dce contractor AW 04, "r4w. 7otal','.Val ua,tion Mai I i ng Address e2AC�eo ", M - P,6rmit Fee' Plan Che 'kin F e &/or Penal ty c g e "O!V feopr T '60 P PermiCFb e 1$ -IJ Building.Addre§s t:r ro 4. ;q "PLUMBING, :PERMIT FILINGiFEE $MO: Each'-,Tra;5" �,i 56 01 'R d " g , e or,vent piping- epair., raina Water,',pip,ing 1� Each gas water heater or,vent i:;,50 Zoning &'�Ianntn'g_ A�l P.,No. --4 --Each Gas.piping, system 1 5 outl 6tS: Jr.50, additional outlet '.";.30 F6e<r4e+_S=M�,—n F i re ffep t. Fi,re Zbhe... s" e:. P"e' rm i t - Building:§ewer EQA Parkirig' Plans Parcel Declaration Parcel Mao 60 'Improy'ements,. Ca wn sprinkler syster� .Bldg. P I A –sT. _.d P�rcel ol Pl, Pe rmit Fee $ NEW M ADDITION U, T I L l7fE S* -dToEh $4. NO. ELECTRfCAL, FEE 'PERMIT FI LING,FEE.'. $3�00 . -I' . I � � I . = A:,k,1A/&Y 7' 600V OR LESS Main servi� e..' . 5.00 c 100-A MP OR LESS % Main service ''EA.^ADD-L 100 AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 p s Single Fami I y Du 'lex Mobi I H6meQ 0 . ther" 11 Wfln seN: Ice *EA. ADD . tL,106 AMP 1.00 NEW CONST. I DWELL�IN'G OCCUP. OR ADDNS,- % ACC. BLDGS. 120 sq ft �NEW , CONISTFL MULTI-OUTL:ET 2.50 NON -RES 0. BRANCH CIRCUITS), ea N,E W C ONSTFL POWER, APPARATUS & I SINGLE OUTLET CIR. _L�ON RES D. CONTRACTORS LICENsE-,LAW I 6m I[censed -under the� provisions bf Chapter.'9; b i v.� 3, of the f'C'liforhia 'busine s &Profession' - : ",u'd .' 'State o a s ,Q.ode n er 'the name 0 style f d -A if 50 @ 254 EX. -066UP (OU T LE T i OR F1 X TO R ES) BAL@10o (FIXED A LNS. OR PEX'. O�cup. OUTLET,SPP(RESID.) EA) 2�00 Temporary service 10.00 Mobilb�Home Fabi'li ties 15.00 License'NoA e�v V. It ss-iica n --C 6, Cla I tio 'Misc.,Wiring 6.25� am a -C* lifon6ia. Contractors License Laws of the S te a mpt from the t of Permit Fee MtCHANICAL No. @ FEE' .,WORKMEN'S MPENSATI ON I NSURA NCE' CP 'I am aware of the provisic'ns of Sec I tion3700 of the California Labor' - Code which requires 'every em'�Ioyer to,be insured 6 ai'nst liability, .0 for Workmen's'Com 'brisation' p AX I have pjaced, . on file -with t he Co6nty-6f Buite'.6 certificate of ,OWorkmen'� Compensation insurance. ;F� L,c6rtify that in. the, performance df the� work for.,.which this permit..is issued I'shall not employ any b6rson*'in.,an manner 11 . , �oas to become subjectlo.the Workmen's Compensation Laws of 6aIiJQr ia" PERMI T -FI LiNG� FEE $3. 00 Heating Coohn g Ventil4ti,6n Hood - - "' " I I �, 2.00 Permit Fee $ $ L Yo I haV6 -read th is app I i cat i on, and stateAhat the abov' 1, certify""4at I", e ,_�.informatioh is corrkt�' 1, agree to c0mply Jo al I County Ordinances,- ., .1 �, f Ate tind, to.,building, co d hereby And S Laws 41a' nstr6�ti,on, an TOTAL,PERMIT FEE $ .7 �,auth'or'i*z�e"-'�ep'r6�efita.ti.�6s-of�t�6 County,bf'136tte to ent4f 6pon the �,�a ove-.mei purp6s6§..,- b' ntioned�prbperty io�,:insp�ctioh- _7 .4 X , hate - �i'gn'.tur'. of ermitee 4 'Receipt No. e rod-Appi i c d'n t WHi te- D. 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I , . -, � & I , " - - I , , �'k'� I . -� ,,,,- � -- " ,,, _ . - - �-�-_, - ."', � '.11l,: I : �" 'I'' _," I I . �. .�� ", -A A x - 1 v -1 " -, , ��: -, ". :.. .��! .- � i I � �. � -1 & ��, . , " I'll, �, " 1 . _ .1 0 ?�.-. " " - Al -,., I - - K w ___Q, . 4 � . ,,� . , � - 1 ASS , , 1 , _�,._, , - - , 7' �,-�,;* ��-;�:, I 0 , . � - vKh Q it !�*-�-.,,'..,�_, - , r A smy T 0� . �, "., � - .;,- ". " �� - 100, __ A . - . . .. � ,off!; � 4 , TA sty A' '. MOBILEHOME SUPPORT DATA.' If other than single -wide 33 Mobilehome Mfr. furnish Setup Model No.. -�Yea Widt.h (ft.) Box �Length L/0- 6.7 -Cf t.:) 'Taga1-'o'ng';or, Ekpando Siz f t., X t. (SHOW SUPPORT DETAILS.BELOWj. On,all mobilehomes manufactured after October 7, 19,73, furnish,manu facturer's installation 'manual and -,structural setup sheets .(if not on file with the.County of Butte). 'All center�supports measured from f ro.nt. of mobilehome unless otherwise!!�p.ecified.',', Footings (check one) Single P3_��Wood either pressureltreated o 13SV foundation grade. (in� (i.n;) (in.) (in.) 2. Other (specify) -er s ppol Center s'pport Center su port loda t� i o s* )c I s* footing' izes 0 Supports (check one) (in. OF [�j �.Concrete"block. 2..Other' (specify) (ft.)(in. (i (in.) to, 4-Tagalong.,or Expando, show support details. (ft.)(in.) �i (i (in.') /n) X Typical Support (in. (1n..) Footing Size X f J'(in.i),,, in (in. Max. Pier Spacing (f t.) (in..) Max. Overhang. n.) '(in.) (in.)' I ft. In.', BUTTF_, COUNTY BUILDING DEPARTMENT APP R OV P* D *If-i;qnter piers'are other.'than.drawn above, -draw in -locations, spacing, and-dimensioris. l.' owner's name: )—a BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive4 Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 2. Installer's naine&-,C1?., 100, '0 3. Is the site currently under permit? Yes L—u—�—�o (If yes, furnish permit numb I er. ?as-, Is the site an existing site? Yes No 4 4r OR,7r ? 0 , A,!�, - - (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 (If no, clarify 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome siteservice 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? ----------------------------------------- I ---------- Yes No, (If yes, identify the load and size: (Load) (Amps) 9.' What is the mobilehome site gas pipe size? -------------- _(in.) 10. What is the type of gas service? ------------------------------ 19atural LPG 11. What is the gas pipe length,from meter or tank to the mob ilehome?A"d--�4—%—=�(-f t 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.) All - utility connections shall be located within 4 ft. outside the rear third section "of the mobile home on the left (road) side of the mobile home. 5PA+ (.101-76 BUTTE COUNTY BUILDING DEPARTMENT APPROVED L —70' tro&' We cat, 'its, .33 V-+ fir, i'he lft�. Setback shall be 5 ft. ide line � 50 It. from fhe from the property and ;entedine- of the road,'permiffin ; a maxi- mum of a 2 ft. eave over*hang bt t entirely joo�� :)uf of alleasemenfu" NOTE. --All Materi ils & Workmanship, Shall Be in Q \91 Accordance wiih RDcognized Good Practices and �t >11 of a qualify 'prescri )ed for the Specified use in the Uniform Building, P1 mbing & Mechonicial.Cocles and the National Electrical Code, N This set of ans and specification MUST be s kept on the ioHait.all times and it is unlawful to make any chan, jes or alterations on some without written permiss on from the Department ot Public A permit vv.l Sol"IfeR f6c So Works, Coun of Buffe. of * mobilehom All - utility connections shall be located within 4 ft. outside the rear third section "of the mobile home on the left (road) side of the mobile home. 5PA+ (.101-76 BUTTE COUNTY BUILDING DEPARTMENT APPROVED L —70' tro&' We cat, 4'1��-M' WMAX4W Vill P��,j THERMALITG IRRIGATION DIS RICT 4 10 G IR'A' N� 1449 D. AVENUE OROViLLE, CALIFORNIA 95965 TELEPHONE 533- 0740 CSA 26 SEWER SERVICE APP.LICATION AND CONNECTION PERMIT, Address: .Service Owner's Name: Date: Address: 5;�' Z 7 Acci. No: A. P. N o.:' -g Phone: No.. Units: Applicant/Agent: Agents P roof: Address: Fees. Phone: Application* Arrearag.e. Preliminary Review By Dat CSA 26 Remarks: SC -0 R 1 st Mo. S.C.' Other T ota I Fees Collected By: Date: Field Review By: -.Date: Remarks: x/. t-, MONTHLY SERVICE CHARGES WILL. COMMENCE AUTOMATICALLY UPON: Date of TID approval of completed. building sewer (early'connectio'n). 30 days at'�er date above, or on date of D.P.W. approval of completed building sewer, which ever comes jirst ("existing, b Onstruction", p riot to Mar. 5, 1974). FTJ 180. days after date above, or on date,of D.P;W. approval'of,completed building*sewer, which ever co� m*es,'-, first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE YELLOW -APPLICANT, PINK'- DPW, i-3OLbENROD DPW to TID' IL D E PAR f M EN T OF', PU B L I:C WO R KS, COUNTY QF�BUTTE, 7, County Center,Drive Sroyi Ile, Cal ifornia 95.965, Telep�bne: 534-4541 APPLICATION AND PERMIT autir-iorize representatives Or ine uounxy or * butte to enter upon ine. This permit is hereby issued'under the a I pplicable provisions of "above-mentioned property for. inspection purposes. th6 Butte, County Code and/or resolutions to do work i6dicated above for Which fees.have been paid. -AL DIRECTOR OF PUBLIC WORKS Date /Signature of Per.mitee or Agent 'By Date Receipt No. White-D.P.W. — Yellow -A 66�,r�9n 46specto , r �,-Goldenrod-Applicont Building permit expireg Dite BUILDING Owner SQ. -Ft. OCC., BUILDING VALUATION zj 7 - Mai I ess" Ing Adar Tel hone NI. - 71 Contractor 04 1 g m)a d 06 Mai I i ng AddreQk� r"" L" Fireplace'.' Total. Valuati on Telephone No. Pe'rmit Fee Building Address R P I an Checkirrg Fee &/or PeAAV�, 54-49. Permit Fee $ —7 e) _7YJ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 Repair drainage or vent'piping A. P. No. q- 5 lanni. Zoning & P 9 Water piping .50 Each gas. water heater or vent F FireDept. FireZone Use Permit .1.50 Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 -Biu H d i ng* sewer .5.00 Bldg. Plans Rec'd Por'cel AREroval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION UTILITIES E] OTHER Permit Fee $ fs ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 800V OR LESS 5.00 Main service 100 AMP OR LESS. Single Family DuplexE] Mobil Home Others El Main service EA. ADD'L'100 AMP 2.50 A 97gao. OVER 600V Main service 25.00 100 AMP OR LESS - - Main servIce EA. ADD -L 100 AMP 1.00 NEW CONST' DWELLING OC OR ADDNS. ACC. BLDGS. C Up. 51 20sqft CONThACTORS LICE'N'SE LAW am licensed under th6 provisions of Chapter 9, Div. 3, of the State of -C alifornia Business & Professions� Code under the name style of: J LET NEW CONSTR. (MULTI-OUTL S) 12.5bea NON-RESID BRANCH CIRCUIT NEW CONST (POWER APPARATUS a NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTI1RES1 50 @ 25C BAL@10k� FIXED APPLNS OR Ex. Occup. (OUTLETS_ (RESI.D.) EA) 2.00 Temporary service 10.00 Mobile Home Faci lities 15.00 cense No Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHA`NICAL:. ;No. @ FEE WORKMEN'S COMPENSATIONASURANCE I am'�ware of the provisions o - t�Section3700 of theCalifornia Labor Code Which requires every, employer to be insured against liability for'Workmen's Compensation. E] I 'haVe placed.on file with the Co.unty of B utte a certif.icate of Workmen's Cofnpensation Insurance. IN; 1�, certify that in the performance of the work for which this permit is.is.su6d I 'shall not employ any person in any manner so as.. . to become, subject to the Workmen's Compensation, Laws of California. PERMIT FILING FEE $ 3.0 0 . - Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I c6rt i f y 'that I have read t . his appl i cation and state that -the above information is cor�ect. I agree to comply to all County Ordinances and . State' Laws . relating to, building, construction, and hereby Land 'Development Fee $ 11 =,TOTAL PERMIT FEE autir-iorize representatives Or ine uounxy or * butte to enter upon ine. This permit is hereby issued'under the a I pplicable provisions of "above-mentioned property for. inspection purposes. th6 Butte, County Code and/or resolutions to do work i6dicated above for Which fees.have been paid. -AL DIRECTOR OF PUBLIC WORKS Date /Signature of Per.mitee or Agent 'By Date Receipt No. White-D.P.W. — Yellow -A 66�,r�9n 46specto , r �,-Goldenrod-Applicont Building permit expireg Dite '12 YK As P A LV I December 17, 1979. Loue 1 la Starr RE:. Building Permit Application. .1631 Leta-,Lane� No. 7323-49- Orovilie; CA. -95965 (AP 30-43-5)-� Dear Mrs. Star'r:.� With reference to your permit application #7323-79 to construct a screen porch., carport, and deck, we are unable to Issue this permit to you for the following reasons: 1. We are aware of the fact that you have entered into a contractural arrangement with Michael Chadwick to do this work and he is not presently.licensed by the State of California. You are, therefore, not exempt from the provisions of the Contractors License Law;'.'os an owner -builder. 2. We are aware of the fact that you hav@_entered into a contractural arrangement with Michael Chadwick and7T.9 not covered by Workmens Compensation Insurance. You are, therefore, eimpbling a person so as to become subject to the provisions of the Workmens Compensation Insurance.Laws. I suggest that you enter into a contract with a licensed building contractor to do this work and furnish us the name of the firm or individual so that we can issue you the required permit. Should you have any questions concerning this matter, please contact me. Yours very truly,, Clay Castleberry Director of Public Works J.P..Glander JFG:dd Chief Building Inspector 31 7 %/ File No. BUTTE COUNTY (For Action 1, 2,3) Public Works Dept. (For Information Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. '0'v - D&C / Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Transp. R/W Mapping Land Dev. Ref. Disp. Drng. / S. I. Sub. & PcI. Mapsl Pe mits I BUTTE COMY DEPARTMENT OF PUBLIC WORKS zSPECIAL INSPECT -.16t RrPORT Owner: Address:. -- Tenant: Buildl.ng,Location: Type of Inspection requested-' " 1. ;iousLng 771 2. Financing 4. Other (specify) Preseut use cf bluild-IMg- A.P. Date of Inspect ionj.2 Inspector 3. Change of Occupancy to A. SaniLtation__�Ilav;ing 1. Vate r c I o -- e t 2.' Lavatory.-,, Bathtub or shrywer: 4.. Kitchen sink - 5. Hot and cold watpr to fixtures: 6 -He at In g .7. Na t- u ra I I ight and ventilation: 8., Roco avid spact- requirements: .9'. Belrom window or doo-r -for ��econd exit,,� V) Infes-t-at.-fon of- iasectz.,-;v�err. in, or tod',_ 1�nts:' Connection t'o.sewage dispota3.: '12. Conneci.j'on to water supply: Rubbish and garbage facilities: 14. Comments: B. Structural 1. P1.-_rs and footings: Floor constniction: 3. Wall construct l-oll:___ 4. Ceil.ing, anti roof construct ion:_ 5. Firf.--.placest c Y, e n'r- �s C. El'ectrical 2. Re c e-,) t ac I e. S 3. 4. C(m=nts: D., �.b iU Coa-n.zct,7 d and vented: 2. viter hrzater: 3. Gas h-cating 4. Comments: E. Other, 1. Maintenance and repair: Z.r-, Fire hhza,rds: 3. Safety hazards: 4. Weather,protection: 5. Underfloor and attic ventilation:, Coim ents: F. Commercial juLildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: .6. Improvements: 7. Zoning: 8. CommentS. G. Field Problens or Violations .1 1. ProbZ, or ..Tiolation kaive Co lete descript in I YN 0 1A I i T'h 1) (77 01 .2. What action ta`fken (gije complete lesci-iption) -r- 3. What action recommended: 77-A. information only - f i.1 e. 7 Hold' for ten -(10.) days, then wri-te lietter. C. Write letter. 7 D. Other. Az� t Pui/.Y, vglck CU�IracA t-0 bt))P -9c-- COT\V(r)C'-C/ &4-,OnqeV -7 a (j Ic C -e 16 9 Y-7 Oj ck, j j eick , I A/ e411 P.) czrn.t