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030-430-007
RM N hi P r; :.Wj Am"Im'. k Ism kk Ps "yv If AA ... . ...... tk 4A f.m '.g fj ill, 4 ai� Lie ir 44 ..Z,a i. N hi P r; :.Wj Am"Im'. k Ism kk Ps "yv If AA ... . ...... tk 4A f.m '.g fj Lie N hi P r; :.Wj Am"Im'. k Ism kk Ps "yv If AA ... . ...... tk 4A f.m '.g fj 030-430-006 00T, 99-2715 FORGEY, DON'i 1649 LETA LAAE, OROVrLLE CONTR: OWNER GAS LINE // - 36 - --1410" OFFICE COPY Address GAS Meter By Date/z,�-/3, ELECTRIC Meter By Date COUNTY OFBUTTE -DEPARTMENT OF,DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive Oroville, Palifornia 95965 Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) AP . P I LICATIONAND-PERMIT ASSESSOR PARCEL NUMBER wm-43o-ow & 6o6 ZONING, BUILDING PERMIT OWNER DON'k-M(WY TELEPWONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 1649 MA 'LN� LLE - CONTRACTORS NAME TEI HONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER [Fir. I.. LENDERS MAILING ADDRESS Total valuation $ ARCHITECT OR ENGINEER LICENSE , s NO. Filing Fee $ 20:00 Permit Fee $ AR .1, R 'ENGtNEERSMPE ADDAESS E Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SLiBIDMSIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome 0 Other SPECtFY Eiich Trap 1.00 Solar or heat pump water heater 2 3.00 piping 15.00 —Water Each gas water heater or'vent, 15.00 TYPE OF WORK New 0 Addition 11 Remodel. 0 Utilities 0 - instaktion 0 Other 0 Describe Work:- GAS LIM' MM Gas piping,systern 1 5 outJIets 15.00 1-5.00 Building sewer 115.00 Mobile Home I S W.F R20.00 PERMIT,FEE. S ELECTRICAL PERMIT Filing Fee 20.00 M. fti Swvice oOR' :s' 23.'00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisi ons.6f Chapter 9 (commencing With Section 7000) of Division 3 of the Business and Profes'sions Code, and my license is in full force and effect. ' � I License Class Lic.- Nd. I . � I . ; T . . OWNER-BUIL6'ER DECLARATION I hereby affirm under pe I nalty of peri4that I am� exempt f I rom the Contractors License Law for the following reason: 0 1, as owner of the property, or myemployees with Wa , ges as their sole compensation, will do. the work, and the'structure is not intended or offered for salei_ 0 1, as owner of the property, am exclusively contracting with licensed,contractOrs to construct the project. 0 1, am exempt under Sec. Business and Professions Code for this .reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one ' of,the following declarations: 0 1 have and will maintain a certificate of consent to self�insure for workers' compensation, as provided for by section 3700 of the Labor Com ; de, for the performance of the work for which this permit is issued. . . 0 1 have and will maintain workers' compensation Insurance,,as required by Section 3700 of the Labor Code, forthe performanceof workforwhich this perrhitis Issued. My Workers' compensatioP insurance carrier and policy number are: Carrier Main Service "CA TO 1000A Y 46.00 —NEW CONST. — DvIW Occ.up. 3.54'. OR ADDNS. Fr. NE CO S MULT"O TLET No Z R E S"I DT BRANCICUIRCUITS1 @7.50 ( PSO:.M AP= US LE . R. ' 20 @ 1.00 Ex. , Occup. 6uTLETOR,FDrrIJRFS BAL @ .50 Ex. Occup. 5.00 7emporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt Policy Number (The above sections need not be completed if the permit is for work of a valuation, of one hundred dollars ($100) or less.) 0 1 cerfify-that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3706 of the Labor Code,' I shall forthwith comply with those provisions. X Date Signature of Applicant - 0 Owner El Contractor 0 Agent An OSHA permit is required for excavations over 60"deep and clemolition.or construction of structures over 3 stories in height Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST.TYPE TOTAL F,5 35.00 KAZ- I D. FEES IMP I FLOOD CDF PARCEL HD I ISSUE This permit Is hereby issued under the applicable provisions of the Butte County Code, and/or Resolutions to do work indicated above for which fees have been paid. By -Date PERMIT EXPIRES ON . I ReceiptNo. 40() WHITE-D.D.S.-B.D. CANARY4ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT ............... ......... ... .... ... ........ ' §s essor 11(jully o ID �,,-o s) � - �- I . . . . . . . . . . x:t T. J.,., M2 J.". 0 T�*'FOLL I F-1 - IR A , c; kl T 4.3 v -i'Lane, 0 e Lan j % Po r+,:J. p fl t i I T .0 R F Fo R S C 'I i�', Ri, C_ 30-43 6 & 7- S lavo--fu- er y 1649 Le ta Lane- rov i ro Perm:Lt #191'6-76P, trans r of cwner 7 N�, relocation of uti MH) 3 &-67 -1 C ONT7 Ceral" VIIII, L L. Ha ro 'Per - 1.4 "'.:1 Ait is -sued '26 2�� 30-43- 7-4-6.. Lavoy Fuller contr: Northstate AIL -Chi Iminu Co C V Perm4t "3121-76B(new awdh-/�,�.L!) 0 3C '3-6 & 7 Permit 1,4062-76B(aeck/MH . 30-43-6& 7 Nurthstate. Aluminum, Ch ivel.--j '" 7*. "co.ptr: Pe,rrr.4t44�972 76B(new, awning/MH 30-- :-6 & 7 -'DON 70PC;!-',Y 160 Leta Lane, Orqyilfii�, "1687-84:1(sewer hook up)mi M 3-6 364-90B,P,E Do'n 9 �,Ct;l Lane, Qr�ov i 1. le 1) �L det oarage sr) 030-430-006 & 007 -2715 '99 FORCEY. DON 7.4 1649 LETA LA 0' -INE, ROVILLE CONITR: OWNER _17 GAS LFNE ,COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 * Telephone (530) 538-7541d��pa PERMIT NO. (Rev. 12/96) APPLICATIONAND PERMIT' 7A 'be ASSESSOR PARCEL NUMBER 030-430-007 & 006 ZONING BUILDINGPERMIT L,/" OWNER DON FORGEY TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1649XK= LET. LFIA IN, OROVIT-LE CONTRACTORS NAME TELEPHONE CONTRACTORS MAJUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 —Permit Fee $ ARCTff4gRE2TTJ1JJM ADCORDVI= Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome 0 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Ulilifies 0 Installation 0 Other 0 Describe Work: GAS LINE - M= Gas piping system 1 - 5 outlets 15.00 5 -no Building sewer 15.00 Mobile Home I S I G 920.00 PERMIT FEE $ _J�). UU PERMIT Filing Fee 20.00 —ELECTRICAL Main Service OoRR 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 11 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 0 1, as owner of the property, am exclusively contractng with licensed contracto.rs to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for workers' compensatiori, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. 0 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, forthe performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) 0 1 certfy that in the performance of the work for which this permit Is Issued; I shall not employ any person in any manner so as to become subject to workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - 0 Owner 13 Contractor 0 Agent An OSHA permit is required for excavations over 60".deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLINOZOUP. OR ADDNS. & ACC. S. Sa. 3.50FT. =LT.' Ocz.—U. 97.50 NON-RESID. PCWE.RAP.PARhTUS IN 0 C", Ex. Occup. OUTLET OR FIXTURES 20 (0 1.00 BAL @ .50 Ex. Occup. MD.'(g.,6.)OE'._L 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23." PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTALFEE$ 35.00 FEES IMP I FLOOD I CDF PARCEL P0 I HD I ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By PERMIT EXPIRES ON I provisions to do work paid. ReceiptNo. '9710-71 =70 WHITE-D.D.S.-B.D. I PINK -INSPECTOR GOLDENROD -APPLICANT Ty7 BUTTE 0 160UN OF-, -DEPARTMENT OF"DEVELOPMENT,SERVICtS�*'-'BUILDING DIVISI 7 �.Counl:V'Ce Mer Drive- e'0r6ViIIe,-Ca1i1forma 95965 T61ephon e`(5361,536-7541, 5PERNT N1_. f-tiCATIONANDPERMIT,* (Re'V'. iW96) APP 1AGgglioR Foam j#jMgm �7 BUILDING PERM IT., SQ. FV OCC., BU!LPIN ILDIN VALUATION,.� O.Wmem WAM AD 4", /0 commarciorm WAIR oa.2L,e tt,_ CONrRACTO01-111 MAILM ADORM, % - _77 MAILM'ADDRIEN' Fireplace to6l'viluailon Aftc� OR 01MCEIR Filing Fee S. 20.0 4 - -9 Peirnit Fei j ARCHITECT OR 0XIMM MOAA ADORIEN Man Checking Fee OULDMAWMN Ener gy Plan Checking -F"': PERMIT FEE S 1.07mm- BU1110"loon Nun PARCEL MAP PLUMBING PERMIT- FlIng Fee 20.0( Each Trap 00 - Solar or heat pump water heater - 23.00 __tLSE"'PSTRUCTURE, Mer Water piping 15.00 Duplex LF�obflehome` Each gas water heater or vent --15.00 TYPE OF. WORK Giijpiping system 1 -'S�Outwtm 15.00 Building sewer 15.00 ..Now 0 Addition 0 Rernodiii! E3 U111kis Instdation 0 Other 0 Mobile Home @?20*.00 Descilbii Wbirk:, h// PERMIT FEE. S 7 ELECTRICAL PERMIT [Filing Fee 20.0 CM OR LESS Main Sef�ici 20.AOR1.M,`) 23.00 kuin Service amATolomA 46.00 NEW CONST.., OWELLM $"a =P- 3. 5 OW OR ADONS. &AM. --N_EW-U518T.— -OUnXr 97.50 MULTI NON-RESID. BRANCH CIRCUM11 200 1.00 Occup. OUnxr OR Ex. SAL* .50 OR Ex. Occ��. 6.00 Temporary Service 23.00 Wbile Home Facilities 20.00 Wsc. Wiring 23.00 PERMIT, FEE'-.$ �'MECHANICAL PERMIT Filing Fee, -20:0, Heating, Cooling 00 d' Ventilaticin PERMIT FEt 7, Mobile Hore Installation F se Energy Inspection Fee X" OCC -'CONST. 7'fPE TOTALFEE 77 khz O.FEEs MP. FLOOP,J,COF� PARCEL PC) MO] SS This perrhit is,hereby Issued under the applicable provision of th Buttetou solutions to do, WOC nty Code and/dr Re �jndica above for which fees have been paid. 'ted' By� PIER�IT 'EXPIRES,ON V OK 0 Not 6K 7,=,Not Applicable "MOBILE HOMES.'-.,�_:,_-1_ _-MISCELLANEOUS Not Read y Date MOBILE- HOME UTILITIES (Plans) OK except #;a Date OECM COVERS, CARPORTS, GARAGES, (Plans)OK'eicept Ws 1. Zoning Reqdirbme'nts-Setbacks-Ea�ements �2 -w4ry 111. Z aWl�floquiren-.6nts-SetbAcks-Ea'seiii6nts o 2.'Soils; Special MI-I'Supoort Sketch F�ings; Soils-Size�-Depth�Spacing-Connedt6rs-SiaeI 3. Sewer; �oca tlon-test-�all'C/0 Concrete,,' i �ers anVor 4olsts-Decking7Bracing-Stairs7Raits 4.4ater; Lo�ition-Test-Easernent Needed, (Sk�ich),* Amwe�,�-. ms-Rffrs.-bDonectors 5. Elebtricity; Location-Clearences-Grnd-/ /Amp-Concrbte ShtIig._Rfg.-B%Wng_ � 6. -TestWrap: /"L"ft.. Location .5. ATum. Awn., m* Colu ns�Coii'no'ctions-Splice-Decal�Enclosures 'gas; "Nat: 'i"ftd Pi P(j or/ e. -'eErrlZff , ndows-Doors a 7. Utility Clearance J,.� 9 7. Electric 11(� 8., Frmg; Sils-Andhors-Studs-Rftrs-Trusses..- 9. Sid Ing;,Nall ing-Veneer-Stucco-Mash,. Roof; Shthg-Ooofing Date ;'. Card B'i Date 11. Ext.;:Steos-Dodri-Landings A b a*te, Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zo I ning Requ Ire ments-Setbacks Easements D!Lt�� Card B-1 C4::' Date' Card B-1 2. Footings; Size-Spacing-Marriabe Line bate A-�-/& �V Card B-1 94 Date Card B-1 3. Gas; -MH Test-Demand-Valve-Cdnnector Date POOLS (Plans) OKeAept#'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances 1. SetbackS7Easements 5. Drain; MH Test -Fall -Flex C6nnector 2. Soils; Compaction -Structure Stability 6. Water; MH Test-Regulailor-Connector 3. Pool Structure; Steel -Connections -Thickness 'i 7. Water and Sewer Connected -C/0 to Grade -HD Approval Dead Men-Lihing" 8. Gas,and Electricity Tagged 4. Elec.; Receptacles and Lig�ting, Distances-GFI 9. Exits; Insp.-Sketch 5. Elec.;'Pool Lighting; 15 voIts-GFI 10. Cert. of occupancy 6. Elec.; Enclosures; Conduit*Entries-T&rninal -LI s sted 7. Elec.; Bonding; Metal w/5'-Ciiculating'Equip.-Heater, 8. bec.; Grounding; Equip. w/6' Circulating EquiV.-Pool Lghtg. Date. Card.B-1 Date card B-1 Boxes-Enclosures-Pahel boa rds- Ins. to Main in Conduit Date 'Card B-1 Date Cird B_1 Health Depariment Approval 10. Plumb.; Cir.. Test -Water Supply -Test Date Card B-1 Date Card B-1 Date bard B Date Card B-1 7. 21 V OK 0 Not OK Not�Applicable Not Ready RESIDENTIAL (E Date UNDOFLOOR (Plans) OK except,#'s ';L-0L,Ur,?j) &<-Zon i ng -Setbacks- Easemen tsz Ell ood -Slope. -Elec. Grnd.-/ P' Ftg. Depth 2. Ft%., Main; Soils Ftg. Depth.. W-11eig', Garage; Soils-Steel-Elec. Grnd�/ orc es & Decks; Soils -Steel-/ /FtT Depth Steel-Blockouts-Wrapped 6._St@a%vaffs-,-earage; Stee. k Bloc kouts-Wra pped 6&��wns and Special Anchors C).4r-Slab; Steel -Wrapped 8. P!prs-Fireplac Ftg.-Steel A A ,,, &*."b.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 1 T-Ga&24p�� - I . 1 I�Weter-Fiv_ I -A, ichor�Regulator-Service Test _ia,9-_,UPd-groundk,,_ 13-rtmurns-&-Ducts-1- dearance- Mate ria I -Su pport- Ins. 11���Anchor Bolts-JoistszV�nts-Cripples 15. lwvd� Dat2:��� Card B-1 bate Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Com bust ion Air�-Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Sho�ver Pan;'tdst, First Floor -Tub Access 20. Test Tub & Shower, Second'Floor-Tdb Access 21. Gas Pipe; Size & Anchors Date Card B71 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & CJ 26. Equip. Ground made up w/Mech. Fastners-Bond Gas-& Water 27. 2'Appliance Circuts in Kitchen & Conductor Size/GFI 28. S6bfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu'or Al 29. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al. Insulated Neutral 0 Yes 0 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Pane I s- Motors- Mech. Equip. -32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s �4. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. F6rnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK.except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, S pacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops;,Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearina . 4nigle & Duplex) Date FRAMING (Continued) 45. Han'gers-Post Caps-Anchors-Connecto�s 46. Cln-g. Joist-Flftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fire-01�166'fies or Type A FI ue-Firep�ace� Throat clearance 48. Attic 'Add6d"Sizie 9'PF�mex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows'or'Exiting boors -Sill Hgt. & Dimensions 50. Garage Fire Protect ion- Fra mi ng 51. Property. Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs: Width -Headroorn -Ri se-Run-Landi ng -Fire Protection 54. plywood pn Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Ve.nts-Underfir. Access 57.' Glazing Are7a-dlass Protection-Sky!'Ig hts- Plastic, 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Ceiiings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext.'Steps-Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clea rances- Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets,& Receptacles at Kit. Cou�7--- 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper �4. Wtr. Htr:; Vents -Clearance -Comb. Air-Connector-P.R.V. . In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hold Door-Draina e & Wood -Earth Clearance Looked under Floor E Yes 80. Following instld.; Drive 0 Yes 0 No;'Walks 0 Yes 13 No; Planters 0 Yes El No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Wa ter Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle- Uncle rg round 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90: Water & Sewer Connected -C/O to Gracle-HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B -1 - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) __V7, COUNTY OF BUTTE� - DEPARTMENT'OF PUBLIC-VORKS PERM'1T NO. A .7 bourilty Center Dhve - Oro,vil�e, Calif ornia 95965.- Telepho6et 916/538.-7541 4J OCATION AND PERMIT 1,AFP� /`*,): . I ASSESSOR PARCEL NUMBER 30-43-6 ZONING, AR BUILDINGRERMI TU ,OWNER Don Forgey TELEPHONE . SO. Ff. BUILDING VALUATION OCC. 528 M_ 7392 OWNER'S MAILING ADDRESS 1649 Leta LN., Oroville, CA 95965 CONTRAC,TOR., NAML __��H 0,�vn e r 0 N I- CONTRA�CTOR'5 MAILING ApDRESS Fireplace VN s TRUCTION LENDER one UNKNO WN Total Valuation - Filing Fee $ 10.00 LENDER'S,MAI LING ADDRESS Permit Fee $ 68,50' ARCHITECT OR ENGINEER None I LICENSE NO. I - I I Plan Checking Fe6 $ 34.25 Ene - rgy*Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING AD DRESS Penalty $ BUILDING ADDRESS 1649 Leta Ln. Permit fee $ '112-7.5 PLUMBING PERMIT FilingFee '10.00 Each Trap 2.00 400 . Orovillib, Solar or heat pump water heater, 20.00 LOT NO. SU BDIVISION NAME PARC E I- MAP Water piping 5.00 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFO DupiexF-1 M61:IilehomeF_� Other Pvt Det,Gar�tge' SPECIFY Gas piping'system 1 - 5 outlets 5. Building sewer 5.00 5.00 Mobile Home I S I G I W1 10-00ea TYPE OF WORK New W Addition Remode I Uti lities [1 InstallationD Other E Describe work: Permit Fee $ 24 - 00 Contractor ELECTRICAL PERMIT FilingFee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. AOC'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 0 1 am licensed under provisions of. Chapt. 9, Div. 3 of the Business and Professions Code. and my license is in full force and effect. License No. Classification 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) F] I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) El I am exempt'under Sec.-, Business and Professions Code for this,reason NEW CONST DWELLING OC4�T8&) OR ADONS. ACC. BLDGS. 2'/20sq It NEW CONSTR. MULTI -OUTLET NON-RESIO, BRANCH CIRCUITS) 2.50 ea I (POWER APPARATUS.&) SINGLE OUTLET CIR Ex. Occup(OU.TLETS OR FIXTURES., 20@50c BALM 300 FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID.) EA 2.00 Tempor.ary service .10.00 Mobile Home Facilities 15'._00 Misc. Wiring 15.00 Permit Fee .7T. TT Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F� The permit is for $100.00 (valuation ' ).or less. I have placed on file with the County of Butte Building Department a Certi ficate of Workmen's Compensation Insurance or a Cert.ificate, 'of Consent to Self -Insure. - I shall not employ any person in any manner so as to become subject to theA C. laws of California. Notice to Applicant: If after making this statement, should you become subject. to the W. C. provisions of the Labor Code, you must forthwith comply with such provision's or this permit shal I be deemed revoked. MECHANICAL PERMIT FilingFee .10.00, eHeating Cooling 'Hood 3.00 Ventilation Permli Fee $ Contractor I certify that I have read this application and state that the'above information is correct. I agree to conrpl� to all County Ordinances and State Laws relating to building construction,' and hereby authorize representatives of the Countyot Butte to enter, upon the above-mentioned property for.inspection purposes. , , 1 also'agree to save, i indemnify and keep harmless the County of Butte against ,all liabiliti udgments; cost:,And expenses which may in' any way accrue of against lid unty in o equ the granting of this permit.,, . - X Date Signature of Applicant '-L ',own ractor El Agent E An OSHA permit is rTuired for excavWtions over 5'0'' deep and dimolition or construct- ion of structure , 0 r stories in height. Mobile Home Installation Fee Energy Inspection.Fee occ ONST TYPE : - ' TOTAL FEE $ 1.59.95 HAZ — I CUA — PARK ] — SCHL I �LD _�,PAR L, — I ;.� I_PD I HD . I 'Th�s perm i t is hereby issued 'under sions of the Butte County Code and/or W6 rk indicated bove for which tees D11 OF �P'LIC By PElimit 6XPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Cl Cf1 Receipt No. WHITE-D'.P.W., YELLOW-ASSE3SOFt. PINK -INSPECTOR, GOLDEN ROD-APPL IC"T zi COUNTY OF BUTTE DEPARTMENT�,QF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIV OROVILLE,`CALiF.OR,NIA 95965 - TELEPHONE: 916/538-7541 P6MM, 14PPLICATION. DATA SHEET Permit No. OWNER (4- L/ A. P. N o. C -5 PI/ - ' ' I P -T 1,46 — — Date IA /9/� Proposed Building_ Use 11 -4)4Cp96 ilding Inspector At,time of permit application, I was advised the followin6 data must be submitted prior to permit processing and/or issuance: DATE RECEIVED. APPROVED —J/ 1. All items have been submitted . ..................................... 2* Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans. in duplicate/triplicate, signed by preparer of plans 4. Complete engineered plans and calcs, with wet signatOre on plans 5. Hazardous Material Form .......................................... '16. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8., Engineered truss details and layout in duplicate (required prior to plan check) 9.,-.- Mobilehome installation data including manufacturer's ' installation , instructions ....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ...................................... : * * * * * * , * ..... 13. School District fees paid ............... 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use:—(B) Parking: . ...... 18. Improvements may be required., Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-inspec. request to . Building Inspector (Dat 21. Contractor's license information (No., Name Style, Classification) -22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner 0, Mail to owner 0) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .................................... 26. 27. When you issue the permit, process as follows: —Mai I to owner. —Mail to contractor. —X— Telephone and hold for pickup at office. —Deliver w/ins pector. Other WINWIAPMIN�� Copy of plans sent — Health Dept., —Fire Dept., — Other— Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---mai I —counter by...date Contractor, designer, owner, was advised of above required data by—phone —mai I —counter by— date Plans checked by Date Plans approved by— Date Sets of plans on hold in . File cabinet —AP folder Copy—DPW COUNTY OF BUTTE.— Depakto6nt of Public Works 7 County G6-ntb rive,.Orovil-le CA 95965 Phone: 916 D. -538-7541 OWNER -BUILDER VERIFICATION At. tqnf ion, Property Owner. "owner -builder" building permit has been applied for in your name and bearing 9. your signature.- Pleas.e,',complete and return this information At your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification i's received. I -personally plan to provide the-majqr labor and,materials for construction.of the proposed property improvement'. (Yes or no) I (have/have not) signed an application for a building permit for the proposed work.' 3. -1 have contracted with the following person (firm) to provide the proposed construction: Name Address city Phone Contractors License No. .4.''�I plan to prbvide.portions of this work, but I have hired the following person to coordinate, supervise, and proyide'the major wotk: 'Name. Address City Phone Contractors License No. 5. I.will provide some of the work but I have.contracted (hired) the following persons to provide -the work indicated: Name. Address.... -Phone Type of Work Signed: Property Ow ner Social Security. Numb"er Date. Z2 :94 NOTE: This Owner-Builder-Yerification is sent to you as requiredby Sections 19831 and 19832 of the California Health and -Safety Code. This.verification must be completed a,nd.riaturned,to our office before we are,per- mitted to is'sue the 0ermit..-, Oft set, 4* Fftift MI MC8 re1w '-) niq 4-e ,eO on Of' �7it .'V, M wiffen perraissio, n' from -3w D&pc*M%%A#z'#@8W weUbl, COL*.10-4 R!ft 8 Wo+ NOTE.—M Kim —norml,-, et—a in 4� a: 41 �des an"d cd V Qj (V7Z 41, -t V� ra le e 4, It 44 u - 1V o Af 1 4 40 V� ra le e 4, It 44 u - 1V o Af ci V� ra le e 4, It 44 u - 1V o Af NIT qp-. ria ('-4 e -f �lq qy" S.4 AA, -00 �re, s- -r;y /ve f 44 Y, IV, /A (3 -(-f o JA q ell ICX Al COUNTY OF BUTTE,.- DEP.AR ' TMENT -017.�_�PQBLIC WORKS 7 County Center Drive - Oroville, California 95965 - teleRhone 916/534--4541 APPLICATION ANDRERMIT -PERMIT NO`� ASSESSOR PARCE� N.U�41EIER ZON11SIGIII BUILDING PERMIT OWNER TELEPHONE S Q. FT. OCC. BUILDING VALUATION OWNER'S.MAILING ADDRESV \J J /0 �/ q CONTRACTO,R'S NAME -ITELEPHON,E CONTRACTOR'S MAILING ADDRESS F I rep I ace CONSTRUCTION LENDER UNKNOVN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT , OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT FilingFee 10.00 Each Trap' 2.00 Solar Water Heater 20-00 Water piping 5.00 LOT NO. SUBDIVISION NAME ARCEL MAP 1P Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF_'V DuplexF-1 Mobilehome'Q] Other SPECIFY Building sewer 5.00 Mobile Home 11el GJW I TYPE OF WORK Newn' AdditiqnD Remode 10 Utilities[] Installation[] Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service.EA. ADD -L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&). OR ADDNS. CACC. BLDGS. 21/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1 I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and, effect. License No. Classification F-1 1, as the owner, or my employees with wages as their sole co . mpen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) F� I am exempt under Sec.—, Business and Professions Code for this reason N EW Co N ST'�L(MULT'_OUTLET 2.50 ea .-RE S, D, BRANCH CIRCUITS) NEW_CON,5TR. (POWER APPARATUS.&) NON RES D. SINGLE OUTLET CIR 20@50t Ex. Occup(OUTLETS OR FIXTURES ISAL@300 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjuiry (check one): The permit is for $100.00 (valuation) or less. F-1 I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self-In.5ure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this, statement, should you become subject to the W. C. provisions of the Labor Code, you r6ust forthwith comply With such provisions or this permit shal I be deemed revoked. —He'ating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree,to save, indemnify and keep harmless the County of Butte against all liabilities, judgmerits, costs, and expenses which may in any way accrue again�t said County in,cdnse�uence of the granting of this permit. X 1 Date Signature of Applicant Owner Contractor [] Agent E:I/ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occup. CROUP I TYPE OF CONST. I 1PARCELI PD This permit is hereby issued under sions of the Butte County Code and/or work, indicated above for which PIRECTOR OF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS 157� F! Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPL I CANT ..COUN.TY.OF. BUTTE DEP,ARTMENT OF� PUBLIC WORKS 7.'County C�'6nt& Drivb.- Oroville,.California.95965 - Tele'phon6,916,/534-4541 APPLICATIONAND PERMIT"'. .,PERMIT NO. -4 ASSES SOR PARCEL N�M :90 —q ZON BUiLbi NG PERMIT. OWNER JJ, HO SQ., FT. bCC. BUILDING VA LUATION' OWNER'S MAILING ADDRESS d \,J 64 CONTRAtT(W-S NAME ]TELEPHONE CONTRACTOR'S MAILING. ADDRESS Firepla6e CONSTRUCTION LENDER UNKNOWN. Total Valuation $ Filing fee $ 10.00, LENDER'S MAILING.,ADDRESS Perm it �Fee $ ARC HITEC7 OR ENGINEER S E NO. -Plari Checking Fee $ Penalty s, AR-CHITECT OR ENGINEER'S MAIL.ING ADDRESS. �Permlt.fee.- $ .BUILDING ADDRESS -PLUMBING- PtRMIT FilingFee .10.00 Each Trap 2.00 1 Solar Water Heate I r .20.ob Water piping 5: .00 L?T NO. UBDIVISION NAME, .[P A RCEL,.MAP Each qas water.,heater or'vent .,5.00 Gas piping*-§ystem 1-5 outlets 5:00 USE OF STRUCTURE S F�� DupleX0 Mobi I ehome Other S.PECI FY B uilding sewer 5 .00- _-.MobiJe Home, V1. G] W I b.00eg A,`6D -TYPE OF WORK N6wF_1 Add i t I on 0' R.emode IE] U t i I I i ies M. Instal lation otherd", Describe work: Permit Fee contractor '_ELECTRICAL PERMIT FilingFee 10.60 Main service . 600V OR LESS 1 00 AMP OR LESS. 10.00 "Main service EA. ADO'L 100 Amp 2.50; NEW CONST ' (.DWELLING OCCUP..&) OR ADONS. ACC;BLDGS. 21/20sqft CONTR� ' CTORS'CICENSE LAW ld,ec'larb- under penalty of perjury (ch6ck'one):, I''am licensed under provisions of* Chapt. 9, Div. 3 bf the Busi , ness and Professions, Code and my license is' in.full force and effect., License No. , . . : Classification I, a"s.the owner. or my employees with Wages as their 'sole compen� sation, will do the work,and the structure is not intended or, offered for sale. (Sec. 7044) 1, as the owner,' am exclusively contracting with' lic6n,sed."contract-. 'ors. (Sec. 7044,), I am exemp . t under Sec.-, Business and Professions Code f6r this reason NEW CONSTI�L ( MULTC1 OUTLET NON ."ES,., RA. �, CRC, ITS) 2.50 ea NEW CONSTR� (POWER APPARATUS'&) NON.RESID. SINGLE OUTLET CIR: . 2 0@80C Ex.:Occup(OUTLETS OR FIXTURES BALO 300 �Ex. Occup. FIXED APPLNS. OR OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00, 'H -'15.00 Mobile ome Facilities Misc. Wiring '15.00 P rmit Fee $ Cohtradtor. MECHANICAL PERMIT Fi I ing Fee 10.00 WORKMEN'S COMPENSAT ION "INSURANCE I declarS,�,rrder penalty of perjury (check one):,. Mr The.permit is for $160-00 (valuatic;6) or less. 1. have placed on file with the.County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certifi cate of Consent to Self-Inswe. shall not employ any pers6n'in.any manner so'as',to become subject' to the W. C. laws of,California. Notice to Applicant: If after making this statement, should you become -subject to the W. C.. provisions of the, Labor Co ' de, you rriust forthwith comply with such provisions or this Oerm,it shall be deemed revoked. ..Heat Ing Cool i nd Hood 3.00 Ventilation Peirmit Fei','. $ contractor I certify that I have read this application and -state that the above information is correct. 4 :agree, to comply to al I County Ordinances and State Laws relating, to building construction, and hereby authorize r6presenfa.tiveslof. the Countyot Butte -to enter upon the above-mentioned property for inspection purposes.. I I ., aqp emn ify an ty .no save, ind d keep harmless the Coun of BOtt,e.aga-inst a I �l I oia tie d mentsi co.5 and expenses which may in any way accrue'. again iaid �o'uunty in- ue;ce of the granting of this permit. X Date Signature of Applic Ow' r tractor[]' 'Agent[]/' 7 dir 0 1V I . An OSHA permit is required for ex vations dver-5'0" deep and demolition or-ionstiuct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL'PERMIT PEE CCUP. GRO11T TYPE. -OF CON ST: 1'7�CFEL: TPD 11 This permit is hereby issued under sin9f th B'u te ounty Code,and�or e r di :te above for which /DRECTOR OF PUBLIC Fill :14, PERMIT EXPIRES Date, the applicable provi-'. resolutions to do fees- have been paid. T WORKS Date Receip I No. WHITE-D.P.W.. YELLOW-ASSrSSOR., PINK-INSPFCTOR. 'GOLDEN ROD-APPL I CANT . - ' , . I I I I . - " �'_' - , , - , .X�' ' - , '' � - ;� ,". I 'i, ,,, I 'J' ,. ,- , , , � � - I" , " " �� , - - . I � , : , �' : .� .-:----,, - � .' - ;- ,,, , � - . : . . " , , " . - - - . , " - - � t . , , . I 1. I "'��' ,". �... i - �." . . ` � , � . . , , " - ' 4., " % ''�:" "�� I , ., � , ' . I . . .. '. .. '. ". - �' ' - ' I - � . - '. '. . I 1, , . '. �' . , ' '� � � . I . . ;- � . . .'', , , - , , , , � ". � :_ � ' -, '- �- , .' . "', ' ..' 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'," " " ' 14 "'2 ��' ", , .1 , �.' - '� 11 I , I � , - � , c I i , , , � 11 � , . 7, , , e � - � , , , " . '14- - ' - _- '��` �- ';� A... -, .��r , , I "� ��. - ." - ' � ' c .:- � - �-4'�f�' , i . : �i' -- - - ; '� , " " . ': I ' I � " �- ' - - -e-. � " I '�, . . - -� "��. - 4". , .� , ,. � - 4.1 � : _: ; .' .. . , 1� I , '� , � T';�_ � , , I . :-'� , , S. , 4. ' ' a '�' �" . ' � J! '�"'-J� W, � : : � � � � , , � � i I � , . ' , R, .;, , .� '�4' ' . ' , ' �1* A . 1, I I �. . 11 , I '�_. . .�� � 1. - � , " , . " � , , . - - "2 -11 i . � � -, : �� - - * ' ' .' - I - -7. , � - � '. �'� 1. -, -- - '�' "� I � 'I', -. -- '�-'�� - tr " , " � . . , , , '�� , . . 1� I - , . � - .:: , , '-.� ". . :�;i'. � - -"r I - , . I . 11 . I I " I - . . . r , ! I .. . � . , �' - I I .1 " ' I . .: , THERMALITO,- IRRIGATION DISTRICT 410 G RA. AVENUE OROVI LLE, CALIFORNIA 95965 TELE�HONE 53*3-07,40''. I 'o CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT iW 1649 1,pta TArw .Service Address:.. s 'me:' Donald Forgey Owner' Na.. Date: .1649' Leta Lane Address: Acct. No: 30.430-6 No.: 53.4 9921 Ph -one: No. Units. App I ica, nt/Agent.., Agents Proof: 'Address: Fees: Phone: 20 00 Application $ 4� Arrearage P,re*liminary Review B : y- Date:, CSA 26 5 PO 900 U0 .Remarks: SC -0 R Tap 6( 00 .1st Mo. S.C. Other W100. Total Fees Collected By: Date., Field Review By: Date:.,' Remarks: x T MONTHLY SERVICE. CHARGES w i. L COMMENCE AUTO,mATICALLY UPON,:,, Da"te of TI D app�oval'of completOclbuilding�',seVver (early connection). �.310., days- afterdate'above, dron d6te',of D.P.W. a'oproval'of com'pleted build ing'sewer,.which ever comes Jirst.(exi�ting construction,", priqlrto Mar`:5, 1974). 180 days after date'above, or on.clate of D.P..W-. I appToval� of I 'completed building sewer *Whi h,ever co 'me s, C irsf fter Mar -new,constructi-on"; a 5, 1,974).;.d:. DI�TRIBUTJON: . WHITE TID; YELLOW APPLIC4NT, P &K DP D . PW to TID .W, GOLDENROD 4 THERMALITO]RIZII&ATION DISTRICT 410 GRAND AVENUE OROVI L LE, CALIFORNIA 95965 TELEPHONE 533-0740 1680 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: k Me 1649 Leta Lane Donald Forgey_ 5/31/84 Owner's Name: Date: — Address: 1649 Leta Lgma Acct. No: A.P. No.: 30 430 6 Phone: 334 9921 No. Units: I /--' Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ 20 DO Arrearage Preliminary RevieVy By: �Date: CSA 26 550 [DO vwwiu U0 Remarks: SC -0 R Tap 4K 00 1st Mo. S.C. Other _7 15 Total Fees Collected By: '510 ho C 4//-'-- Date-- , / / Field Review By- Q`a t e: Remarks: - 0 Z-2 X! Z rO 4,1 7 C117'19 e 4-7 AX (2/ z!-, ZA;117 C, C__ /91 //74 MONTHLY 8E�VICE CHARGES WICL �QOMMENCE AUTOMATICALLY UPON: Date of TID appro�,al'of compleied b-uilding sewer (6arhy' conn.ection). 30 days after'daid above, or, oln clate of"'D.R.�V.-�6ppr1oval'of 'completed building sewer., which ever comes first (."existing construction , ,priorto Mar."�',"1074j.' 180 days after date above" or on date 6f D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE-TID, YELLOW -APPLICANT, PINK --DPW, GOLDENROD -DPW toTID '-�'972' 76B PERMIT NO. PERMIT EXPIRES OWNER L. Fuller CONTR. Northstate Aluminum, Chic o LOCATION (A.P. 30-43-6 &.7 1649 Leta,Lane, Orov:Me- Temp. Power Po Called PG Temp. Elec. erv. Called G&E Temp. s Serv. Ca ed PG&E JO ALED- (Date) (S i g t7re) COUNTY OF BUTTE DEPARTMENT -,QF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall $oil Piping Forms Parapets 1st Floor Main Bldg. Restroom FInIA, 2nd Floor Footings' ' Windows 3rd Floor Sternwal I Siding Topout Slab Roof Sheathing Water Ploina Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall-.,� Garage Vents Insulation Water-Htr. Heaters Slab Prov. for p sically handlCaDpe� Appliances Carport Footings Slab Patio Footinqs Masonry Walls Reinf. Steel/ Bond B m Fr ming Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE Conformance of Gas Piping & Tes structure Temp. Gas Final Sanitation FIREPL�&. Final Footing E Test V Final A MVC NICAL Heating Cooling Ducts Ventilation Final REMARKS OR CORRECTIONS Motors L Water Htr. Subpanels Grd. Fault Prot.A Service . Temp. Pole Under round`,,,� Permanent Final (NOTE: An entry must be made on this form each time you visit the job site.) r. XF .79 COUNTY OF B1UTtE DEEPART�JENT OF PUBLIC WORKS Telephone: 534-4541 -7 7 County Center Driv'e�" —' '3roville;' California 95965 - APPLICATION AND PERMIT -oUL[IU1I1Z Ul 1IIU %.IUU]ILY Ul DULLZ 1UUIIL"Jf UpUll Ine 'abo've J proj?erty for inspection purpc5ses. This permit is hereby issued under the applicable provisi6ns of ..Ment.ione(- the Butte County Code and/or. resolutions to do work indicated a bove for which fees have been paid.. 07 -IC DIRECTOR OOUB L WORKS x , P I , ate g eno S i g n a c�-PWmitee o'� A' gent B y Yidingper it expir at e Receipt 200-5 Wh i te- D. P. Y.-Iio.-Ass'esso� ''Pink -Inspector Go Idenrod-Apolicon t B qs� D BUILDING Owner 0z", SQ. FT.� OCC. BUI�LPING VALUATION - Mailing Address & TIL2phone No. - d2 S F!replacq Contractor _2 Total Valuation M a i I i n A d d re s s Permit Fee PlanChecking Fee &/or Penalty,. �o Permit'Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repairdrainage or'vent. piping 11-50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 47 Zoning & Planning— Gas piping system 1:-J��t7lets 1.50 Each additional 0 .30 F Sq0 ion FireDept. Fi re Zone Use.*Pen-ni t Building sew 5.00 EQA Parking P I an s - Pa—rcel'. Dec I arati on rce I A' 79% 6'0' R/W I Improvements Lawn spml6kler' system 0 �dq. Plans Rec'd Par el,,�pprovll---1 Plans Approval Permit'Fee $ NEW Abb-ITION UTILITIES OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 L//Y-�3z Main service 600V OR LESS 100 AMP OR LESS 5.0 Main service EA. ADD'L 100 AMP 2,K Single Family Duplex Mobil Home Others'E] OVER 600V Main service .100 AMP OR I-E'SS ef::�125.00 Mai.n ser . vice. EA. ADD -L 100 1. 0 NEWCONST DWELL U P. 20s OR ADONS. ACC. B C qft NEW CONSTR. ""-o UTLFT NON-RESID. (P`ANCH CIRCU I T s) 2.50ea NEW CONS POWER APPARATUS N) NON -RES lt�>l SINGLE OUTLET CIR.' CONTRACTORS LICENSE -LAW I am licensed under the'. -provisions. . of Chapter % Div. 3, of the of California Business &. Proj4essl,ons de-under,the name style of: RES)- 50 @ 25� Ex. Occup(OUTLETS OR FIXTL� BAL@109 (FIXED APPUNS. OR Ex; Occup. OUTLETS (RESID.) EA) 2�00 Temporary service 10.00 Mobile Home Facilities 15.00 L. i cens 6 No-Ov— 'Classification Misc. Wiring 6.251 E] I am'.exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee WORKMEN �'S- COMPENSATION INSURANCE I -am aware of the,provisior;s of Section3700 of the -California Labor Code which requires every employer to be insured against liability f2r WoEl�men's Compensation. I have placed,,on file with the County of Butte a"certificate of Workmen's Compensation Insurance. this pie certify ithat in the performance of the 'work for which this rmit is' ssued,I shall not employ any person in any mar so cis to become subject to the.Workmen's Compensation Laws of California., MECHANICAL N94---@ I FEE PERMIT FILING FEE 0.00 Heating Coo I i ilation Hood 2.00-l' Permit 'Fee I certify that I have+read this application and- state that the -above -information is correct. I agree to comply to all County Ordinances and. State'. - Law's relating _to. bui Iding construction, , and. hereby TOTAL -PERMIT FEE- - $ / Yf a -oUL[IU1I1Z Ul 1IIU %.IUU]ILY Ul DULLZ 1UUIIL"Jf UpUll Ine 'abo've J proj?erty for inspection purpc5ses. This permit is hereby issued under the applicable provisi6ns of ..Ment.ione(- the Butte County Code and/or. resolutions to do work indicated a bove for which fees have been paid.. 07 -IC DIRECTOR OOUB L WORKS x , P I , ate g eno S i g n a c�-PWmitee o'� A' gent B y Yidingper it expir at e Receipt 200-5 Wh i te- D. P. Y.-Iio.-Ass'esso� ''Pink -Inspector Go Idenrod-Apolicon t B qs� D PEFrR%T NO. 406-1,76B— PERMIT EXPIRES —7; OWNER Jacqualine ru ler owner CONTR. 30-43-6,&:7 LOCATION (A.P. 1649 Leta Lane, Oroville Temp. Power Pole Called PG&E Temp. Elec. S Called P &E Temp. G Serv. Ca ed P G& E Te /Ee mp. ' c. S Ca I ed P & E Temp _ G Sery Cal d PG&E i L ,5? 1-5�7 NALED— _ 4 jl;�, D t ) ate) (Sig�afure) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING iNSPECTION RECORD BUILDING BUILDING (Cont'd) S e t ba c k -7, Firewall Soil Piping Forms Parapets Ist Flo r Main Bldg. Restroorn FlAh 2nd Flo r Footings Windows F , loo Stemwall Siding To out Slab q,=;z Roof Sheathing Water Pi in P i e rs Z 7 Roofing Sewer Garage Fdn. Vents Flktures Footings Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Prov. for p� si-,(,Iy Appliances Carport handicap 7' Gas Piping & Conforma Footings structure Temp. Gas .Slab Final Sanitation Patio FIREPLACE Final Footings Footing 4 Masonry ails Throat Rouah ReInf. Steel Final Fixture's Bond Beam FIRE *11INKLERS Motors Framing -Test V Water Htr. Stucco Final A Subpanels Mesh ME"NICAL Grd. Fault n Scratch Heating Service Brown Cooling TeMD. Oole Finish Ducts Undergroun Interior Lath Ventilation Permanent Door Clo ser Final Final DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you Visit the job site.) PLUMBING E COUNTY O�,,BUTTE" �DIEP�,�RTIVIENT'OF PUBLIC WORKS -7 Co6ni -Center Drive Orovill�;.California 95965 T _i4lep on47" 534-441'7 h APPLICATION ATPERMIT Afi : dUtnUFIIU FUP[U�iUTI1dLIVt!b Ul 1IIU 1,UUIILY UI MULLU IV t::[!Lt:r Upuf]_LFIU This permit is hereby issued under the,applicable,provisions of i 'abbve�-menfioned.prop.erty for inspection purposes. the. Butte County Code 'and/or resolutions to do work indidated above"for which fees have be.en.paid. bIRECTORQF PUBLIC WORKS Dat n nature �af rm, ature of P�rmitie or Agent '01, By Date Receipt N�.'- en rod -Apo I i can t Whi.te.-D.P.W. — Yello%�-A�ssessor --Pink-Inspector Gold Building permit expires Date BUILDING Owner 1_14L Z ME SO.,F7. OCC. BUILDING VALUATION T Mai I i ng Address.- -Telephone.- N a., Fi repl ace Contractor Total Valuation C) Mail Ing Address 0 4AI�1� Perrhi t Fee -Plan Checking Fee'&/or Penalty Tel epho.ne.No.- P6rmi f Fee $ Building Address-, PLUMBING No. @ FEE PERMIT FILING FEE $3.00 0 Each Trap 1.50 Repair)drainage or'vent.piping 50 P Waterpipifig 1.50 Each gas water heater or Vent - 1.50 P t 7 Zoning & Planning Gas piping'system 1 5 outlets 1.50 'Each additional outlet '.30 Fe�<rd<_ U-�ap�oFire_Dept.� -F.i* e2one Use Permit Building sewer EoA Parking Plans Parce! Declaration P*arcel'�Ma 60', RM lmp�r6vbments Lawn sprinkler system Bldg. Pions,Rec d P ;c 19 �pp r �al_ L a e V Planr p �pro .1' Permit Fee $ NEW E3 ADDI T'ON I E] U. -fl LI TIES- "O-THER I ELECTRICAL No. @ FEE PERMIT FILING FEE $ 3.00 Main service 1011 OR LESS E SS* .5.00 100 AMP OR L ;Main service EA. ADD'L .100 AMP 2;50 OVER 600V -00 Main service 25. 100.AMP OR LESS g Fami y I Ell, - M6bi I' e Sin'le:* I Dup ex m 0 e -Ho th rs El EA. ADD 1.00 Main service 'L 100 AMP NEW CONST ( DWELLING OCCUP- 20 sq ft OR ADDNS.: ACC.BLDGS. NEW CONSTR. MULTI.OUTLET, 2.5Oe4 NON-RESID. (BRANCH Clt�CU TS) NEW CONSTR. (POWER -APPARATUS &) NON.RESID. SINGLE OUTLET CIR. -CONTRACTORS LICENSE LAW. I am I i6ensed under the : pr . ovi . sions . of Ch a , pter 9, Di v. 1 .3, �of the State of California Business &'Professions Code under the i4ame .Style of- EX. OCCUP(OUTLETS OR FIXTURES) 50 @ 250 FIXED A PT LNS OR Ex. Occup; (OUTLETS (RESID.) EA) 2:00 Temporary -service 10.00 Mobile Home Fac i I it ies' "15. 00 License No. Cla:ssification Misc. Wiring 6.25 I* am exempt fromthe-Contirdctors License Laws of the State of Cal i fornia. Permit Fee $ MECHANICAL No.. @ FEE WORKMEN"-S.COMPEN.SATION INSURANCE I aw are, of the provisionspf.Section3700 of the California Labor Code'which re*quires-eveey employer to be -insured against liability. jor Workmen's.Compens�ation. I., have placed on f I le with the,County of Butte a certi f i cate of or mpph Y 'kr66n'� Co- �ation. Insurance. I certify'that i6 the performand6 of the work, for 'which this peiTnit is,iss'-Ued I' shall.,*not employ any person in any manner so as to:-become,,subject-to the. Workmen's Compensation Laws..of Cal1fornia. PERMIT, FILING FEE. .$3.00 Heating Cooling Ventilatfon Hood 2.00 'Perm,it.Fee I cert6, ihat 1. ha�e read 'tfii's. ��ppl ication and -state that the above informaitioh is. corre6l: I agree to comply'to all County,Ordinances ..ana, Sta-te L:aws I relating -to building ponstruction, and. hereby . TOTAL PERMIT FEE : dUtnUFIIU FUP[U�iUTI1dLIVt!b Ul 1IIU 1,UUIILY UI MULLU IV t::[!Lt:r Upuf]_LFIU This permit is hereby issued under the,applicable,provisions of i 'abbve�-menfioned.prop.erty for inspection purposes. the. Butte County Code 'and/or resolutions to do work indidated above"for which fees have be.en.paid. bIRECTORQF PUBLIC WORKS Dat n nature �af rm, ature of P�rmitie or Agent '01, By Date Receipt N�.'- en rod -Apo I i can t Whi.te.-D.P.W. — Yello%�-A�ssessor --Pink-Inspector Gold Building permit expires Date too wo 77 vw> 312146B PERMIT NO. PERMIT EXPIRES. Lavoy Fuller OWNER CON TR. Northstate Aluminu; Chico LOCATION (A.P 30-43-7 Oroville 1649 Leta.Lane, Temp. Po'w'e' Po 14 Called PG8, or Temp. Elec. rv. Called G&E Temp. G s Serv. Ca ad PG&E Temp. E ' e * Ca ' ed G e ry E Temp - G s Serv. Ca ad G& E JO ED— F A /L t (Dat (Si6irature) -7 COU NTY 01= BUTTE — DEPARTMENT�OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDINCI-, BUILDING (Cont'd) PLUMBIN Setback' PZ- t? —. e!: M Flrewall' Sol I PIP14.) Forms Parapets 1st Fldo Main Bldg. Restroom Finish 2nd FlAor Footings Windows 3rd FlAr Stemwa I I Siding Topout Slab Roof Sheathing V Water'PIDIA Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph Ically handlcappV4 Conformance of ex. structure Appliances Gas PIpinq & Telt Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings 4-74- &4 rz Fooling EL Masonry Walls Throat Rouah Reinf. Steel Final Fixtures Bond -Beam-, FIRE S �RIN*LERS Motors Framing &�L Test \ I Water Htr. Stucco Final A/ Subpaneld Mesh MEC ICAL Grd. Fau] I Prot. Scratch Heating Service Brown Cooling Tem Pole Flni sh Ducts Und rground Interior Lath Ventilation Pe anent Door Closer Final Final' DATE R . EMARKS OR CO��CTIONS (NOTE: An entry must be made on this form each time you visit the job site.) RICAL .4� _,Zeo�i . az OFBU-TTE 60'UNT, 7 County'!Center.Dri ve 'e I l 46 e:.,.5 ep 3*4541 % -AND F APPLICATTION, IT O.F.-POOLIC'MPRKS 5_ Cali torn i a 9596 7- R M I T A a BUILDING -- Own SQ, F SQ. bCC. PUILDING'VALUATION a iN i'l 'i,�ddre §s Te lephoh Fi,roplke, A C ontrp:6tor, otal Val T uation_`�... res S , 171 Perrhit, "Fee P Van,qh �ck i ng Fee,&/o r Pen 61 tV' 3. Pefmit,Fee' $ 'Building Addres� L/ Nd q 1. 7 -PE` RMI T,,Fl UNG 'FEE� -$3 EacW.fra p ..50 V. Repairidraindgb or vent pip6g,- .0. at W er piping % :gas watb� -heatera�,,Vent. 56 �E W� A No. Zoning.& anning�_ �`iSas. pi'ping�syst.qwf�r�5 outlets, �,Eacli:ddditio�K_ outlet .30, F W. C, n, Fi!r.e De'pt,T':'Fi_ie Zone U se P e rin i.t Bu i Iqi r. we -00 EQA Parking P I ans Parce Ded I aration7 Parcel.K"p 7 .60' RA Improverrepts -§pr _t 0o L4K'n in er-sys em*.,., Plan s Rec'd P I a n s' A 0r e Permit Fe� ADDITIO UTI N E W N El- - LITIES E] OTIHE�li., k X 3.7 ELECTRICAL No. 5:, -FEE PERMIT, --FILING FEE .0 6116V,OR M :n s6r ice �LESS -9.bo V 10 O.AM P _0 R L EfSS -7: Mai n .. s . ervice E . A.*,A�bff.L.11'00 At�� -0 .5 OV.ER 030OV.. Miih-.sb�vice 4- .25.00. 100 AMP. 04,eESS -Fami Single I y Diup I e x El Mobi 1'�Home. Others Ma"in sbrvic L. 100 AMP-_ 1.00. e EA. NEW CONST�(.,��LING'O uP., OR . ADDNS C. B LD'G S NEW CON,ST. MULTI -OUT ET.-) 0 C U T S 2.5 ea C11 'E B R A N C H - C I RL� I -NON N E W �eS T R (POWER APPARATUS&J� NON- SID. S ILSINGLE OUTLET CIR.. CONTRACTORS LICENSE LAW I' am licensed under ' the 'f Cha' h provisibns,o pter- 9,. Div. 3., -*of t State of California :Bus i ness'&_ -Profess ions� Code' under thename style.bf--), .50, @ 44 tx,.:Occup(O,LJTLETS OF FIXTYRE�'S; BAL @ 104 FIXEDAPPLNS. OR Ex:'O'C'Cub-.( 'I .2�00 0 UTLFTS (RFSID.) EA Temporary --service-, ��'fo�00_ Mobi,l Home-Facilitie 5.00 Clas Li'6.66se.No. Slfrication–ld4' "Visc; Mri�n-g. 6.25 pt from tti Contractors License Laws of the S EP - am exem e t-ate6f'Califomia;. Permi. r. ee.-,.�' $ $ MEC FEE VORKMEN'S COMPENSATION INSURANCIE�,. I am�aware'of. t . heprovis i , ons:6 I f Secti o t n 3 , 700 of the Cal i forn ia'Lab'or. Code, w4i ch reou i res,.every-'e'mp',l9y'& to be insured for Wofkmen's Compensation. - M -4--rave placed on file 'With ihe Gounty, of Butte a certijicafe,of', Workm , en. , s�Corfi`pen ation Insurancb. I 6erti y.t at in tl4e 'periorrnarice�:of the work for. Which -this ip�ormi I t. is issued 1. shall, not."6mploy.-any- person in. any -manh-&` S6L as. to_.beiabme bj ect to the,Workmen's Compensation `p iforriia. '-FILING:FEE, -PERMIT- Ii3 00 Heafi n1g, 'Coo I �111� �ng - VentH H 00 e Fee, P imfit -4-p�rt,i,ty that 'I havIe L read I and state that -the abo-ve inforr ,66 -I.S 6orrect. I agree to. comply 'to.all Cobhty,ordiharices and . State -Laws relating_'tc;'_bui Iding construction,—and'- 'Iie�reby TOTAL _P -EE ERMIT"F [t!Pr1Z!Z1t!rILCl1IV b UI Lilt! k-oUl.11ILY Ul�-DULLU tUzUillur UPUFl, Ine . * " dUtIlUrILZU .�This permit is hereby issoe'd.under.the applicabl,epro.visions of e �e t J_ rj -on purposes,- t resolu ons above-mentioh'd o Opecfi the but e C6uhiy Code'and/or ti, Ao, do work. i nd i'cated h fees --have ee above-for*whic b ',n paid.' DIRE P' C WORK EOTOR�& S, ate Sitgnat e Perini'tee or -Agent' Date'- Recei Ot' 0 D W. Y e f 104- A s s e s so r, !'Ri n k - I n si e to r Goldenrc�d-.Appli cant Building permit- expi res.Dati& .00 B :z - 7- WhI t64 P . 11 - , , "' - -- . � 1— .. '. , ,, .1 I -1 , - I � . - I. I �11 . � -1 - 1. ., - , ., "4 I , �-. .- . - " I . : �� , .., �, , -- —_ - - , -,-- ,�,�:: 1, ,- '� 1. , . ; , . I � I * ` - . . " , � . , , . "l-,". "..'� � � I - :,� - -,' --,--, . , . ,- , , . - .: �'111�'11 .I . , , . `,. ., , . � --,� ''. -, . ... , � ., -I- ?� I . 1, - - . , , . . , V� .. . 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I . - - , -, - - � , � , , , �: !-, -,�, -,:�-,,,,-,�,, '� ,- --`,i�-11 : .: ,"-. �` , t�� �tl' * :, - � , :,-. ,� " �, to; n A "I -.�& -, , , ,, ., , ..�. 1, � Z . -- - -I � ' - .14 �, ��,A OU14TY OF B 6TTIi�, -'�,D.EPART MENT OF-F!UBLI6 WORk.s. 7 COUNTY CENTER!DRIVE OROVILLE, CALIF. 534-454V -C. N�cy ERTIFICATEOF CCUPA 'This. rnob ' ilehome has been installed in accordance'with the re uirements of th,.�. California - Administrative Code, Title 25, Chapter"I un e ermit ,number 76 for the following location: -4 -or ;ley ,Owner;—, Own, d ess ��s A Or Mobilehome M,fg.-- od6l Y e a'r In aN si' nj� o. Serial N o.* is, hereby certified for occupancy' at the above descr''i6ed location And may be occupied. Di t f P blic Works 0 c� Date- By�— FICATE IS VOIDWREN",MOBILEI-16ME IS RELOCATED THIS &ERTI PERMIT NO. 1916-76P,E PERMIT EXPIRES, OWNER Lavoy Fuller CONTR. owner -!-OCATION (A.P., 30-43-M 6 &.7 1649 Leta Lane, Oroville J IT J Temp. Power Pole Called PG&E Temp. Elec. Sery Called PG&E en S=n Temp. Gas Serv. Called PG&E JOB FINALED (DateZ/ (Signature) COUNTY OF BUTTE DEPARTMENT OF PUBLIC.WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Flr�wall Soll Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding Topout !Qh 4 Slab Roof Sheathing Water Piping ;:�Z��� Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings, Prov. for p sically handica pe� Conformance of ex. structure Appliances Gas Piping & Tev ,Tem . Gas i5�-�ir/-JK Slab Final Sanitation Patio FIREPLACE 'Final �,7 Footings Footino ELECTRICAL Masonry Walls Throat Rough ReInf. Steel Final Fixtures Mesh MECHANICAL Grd. Fault Pro� / . Scratch Heating 9, --- ervice Brown Cooling Temp. P�le Finish Ducts Underground Interior Lath Venillation Permanent ,Door Closer Final Final DATE REMARKS OR CORRECTIONS 01 (NOTE* An entry must be made on.this form each time you visit the.job site.) MOBILEHOME'INSTALLATIDN 'INSPECTION CHECK LIST rs the,mobilehome lo'cated withcre-quired separation from,lot lines and�buildings and generally confbrm' to.'plot plan? Yes '-,/No Does the mobilehome have required clearances above ground? (Sec'.5085) Ye No SX - Are . footings and supports properly sized, spaced, and braced as per . approved plans? (Note possible variation at spring shackles.) (See.. 5082 & 5083) Yes_�� No Is the mbbileh'dme level� (Sec. 5088) Yes No, - 5. If m o,,re t h an a single unit, are crossover conneictions properly installed? (Sec. 5088). /,�No_ 6. Water A. Is flgxible connector of ade:quate size and properly 1. installed (1/2" ID min.)? (Sec. .5566)' Y No e s 7 B. Test Does water piping withstand working pressure or 50 lbs. air'test? Ye No S41 C. ha��- �caach__js fiQj; '.of California, approved, does station have backflow device --$.tate- and pressure -relief valve? Yes No 7. Wastes and Drains A. 'Is connection made with Schedule 40 DWV and have flex connectors at each'end? Yes 'A��7 No B., Does it have minimum kit per. foot� slope and is it properly sup , ported? Ye No SA C. Are any leaks detected in drainage system afte, u in -gallons of water through each 9 fixture including washing machine standp:1 Y -pe es N -f=c is not State o Z-alilornia approv t D I ed, dIL station 'have required trap and vent? ,Yes No 8. Gas Piping and Gas.Vents A., Connector Is mobilehome -connected to the gas*,supply withan approved 3/4" mi' nimum mobilefiome conn6ctor-not more than 6'ft.'Iong? Note:. All p** ing is to be at least as ip large as the mobilehome gas line ihl6t.without reductions other than the mobilehome connector. Ye No SX B. Test OK as per following procedur'e?- -je s No 1.� Open all appliance connector valves4 2.. Shut off appliance burner and pilot valves. .3. Air test with'manometer to 10"-14" water column, or test wi'th'slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound incre*ments.- 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? Ye S4 No 9.. Electrical A. Js service large enougli to provide adequatp- aT�p.�_rage�to mobilehome (must equalrating of mobilehome with I a minimum of 100 dmp) and other facilities on lot, i.e.,,water pumps, garage, cabana, etc.? Ye No sX B. Is there'proper clearances'around panels? Yes No C. Is power supply cord or feeder assembly properly fused� Ye S No D. Is continuity test satisfactory as.per the following procedure? Yes N o�__ 1. De -energize electrical wiring system of,the mobilehome at the pedestal. 2. Make . sure that the I power I supply cord or fel�der assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test. instrument to the mobilehome grounding conductor and apply the other lead to each Pi.obilehom�,- supply., conductor, including neuLral. 5. All non-current, carrying metal parts of the mobilehome (alumin!lum,siding, gas line, water,line)-,' including'fixtures a nd 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 t r ent. A further continuity Conduc o s,sh411 be connected to the site service equipm. test shall then -be made between the grounding electrode and the chassis of the mobilehome. 'Upon satisfactory c6mpletion of theelectrical tests, the lot or site service 6,quipment may be approved for energizing. .10. Is job card'signed.by Health Department for water and sanitation? 11. If eve�rything okay,� sign off card and tag s'ervices. MOBILEHOME DATA Manufacturer and/or Namestyle Length Width' 7— Vehicle Serial No. State -Identification No. Additional.Information or Comments: MH Util. 156 E 7 5P ',PERMIT NO. P E M jMH UTIL. A -PERMIT NO. PERMIT EXPIRES 'OWNER V. Bunk `CONTR. .;-,LOCATION (A.P. 30-43-07 1649 Leta Lane, Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) COUNTY- OF BUTTE DEPARTMENT OF POBLI.C.WORIKS BUILDING INSPECTI OWRE CORD ,BUILDING. BUILDING,(Cont'd) PLUMBING Setback Firewa I I S611 PIping Forms 'Parapets 1 st Floor Main Bldg- Restroom Finish 2nd Floor Footings" Windows 3rd -Floor Stemwall Siding Topout Slab Roof Sheathing Water Piping, Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Prov. for physically Heaters Slab handicapped Appliances 1. 09. �z . Carport Conformance- of ex. Gas PI Ing & Test oo Footings- structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel" Final Fixtures Bond Beam FIRE SPRINKLERS' Motors Framing test Water Htr. Stucco 'Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratctf Heating Service Brown Cooling Temp. Pole Finish, - Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS ,�i _—e4*A --,e Ooo;�� 10 00 N L r COUNTY OF BUTTE'—, DEPArTMENT 'OF PUBLIC WOR . KS�1 ..7 County Center. Dri.�e Orovi I 14,, Cali torn i a 95965. Tel e 4�41 776 phone. 534 APPLICATION AND PERMIT %�,UUIILY. Ul OULLU LU tI.ILt[ U.PU[I Lilt This -permit is hereby issued under the applicable abbv6.-mentioned property -for inspection purposes. provisjons of, the.Butte County Code:and/6r resolutions to do.work -indicated ab6ve for which fees have been paid. 6' RE C TO� OF x DIRECTOR OF OLIC WORKS D t e" a 'nature of Perr�'itee o0gent.". By, 7 Dateq Reddi, t N P 0 U �nq perm! -e xnires_ ate Whi,te D.?.W.,- Ye11oW.-A;sdsS'or Pink-In_sp'ecto`r.'--' yNding permit-exoire!§ 'Date S-Z�Z -7ki Goldenrod -App) i �ant BUi'LDING*--- Owner SQ.,FT_ OCC: :BUILDIN� VALLIATIO� Mailin ,,g Add�e§s Tel'eph 0 ne No. F i rep I ace.' Coni�a'c-tor- -Total Valuatio�� Mai I i ng,,Address - Permit Fee :Plan Checking Fee &/ or'Planalty. kephone'No. Permit Fee Building Address. 164q T A LA PLUUBING�l No. @ - FEE -1 -PEIRMIT Fl, LING FEE $3.00 S,00 'tach Trap' 1. 50 OP -00 LL)F-- ROp*air drainagb or.v6nt piping .1.50 Wateripiping �50 Each gas water heater or.Vent, 0 C) 4 -5 A. P. No. 06tP7 2oning Planning Gas piping system 1 5 outlets 1.50 Each additional butlet .30 Serm+� �F i re Dept. F i re:� one Use Permit Building sewer, 5.00 - 'EQA Parking Plans I P aiirc e! . ; I Declaration Parcel M'ap 60' R/W,,. - Im,provepents Lawn sprinkler.syste . m. �.00 - Pf'n's R6c'd t0000l I A ' oil�- a J orce, ppr Pld'nA�Dproval'. Permij,Fee, $ 31 -NEW ADDITI'ON.*E] UTILITIES QTHtR ELECTRICAL:- No. aD FEE C PERMIT FI ING FEE .$3.00 Main service Ill 00'01 VA MO FR OL RSI! E S S .5.00, i —Imams Main's6rvice EA. ADC�' L �160. AMP 2.50 7 OVER 600V Main service -100-AMP OR LESS 25.00, Si n gj e- Farn i I y El qu'� Ej Mobi I -Hom Others.0 p e Main gervice EA. ADD L 100 AMP - -1.00 NEW.CONST. I OWEl-L-ING OCCUP. OR ADDNS. 'A ACC. BLDGS�'-.) - 20sq ft N EW: CONSTR.. ( MU L:T I-OUTL.ET NON.RESID'.. BRANCH CIRCUITS), 2.50ea NEW CONSTR. (POWER APPARATUS NONwRESID. SINGLE OUTLET CIR.-�) CONTRACTORS LICENSE LAW* I am' licensed uhder the p-rovisions 6i.Chapter '9, Di v., �,..of the,,' ,..,State of. California Busin'6ss & P.rofiessi6ns. Code under the name+ s�yle of: .. . .. . Ex,.. Occ up OUTLETS OR.FiX E 50 @ 250 Tk]R� S) BAL @ tog Ex.bcc'u P*. (FIXED APPLNS, OR 2�00 OUTLETS (RESID.) EA) Telnp6rary service 10-00. Mo 0 bil6 Home.Faci ities' 15.0 .'b�cense No. Classification Misc..Wiring 6.25 _0 - I,am.exerrio.fromtfiec��ntr,adtor§.Li(��seL-awsofthe.StateofCEilif6mia. - Permit, Fee F WORKMEN'S,COMPENSAtI.6N INSURANCE am aware of the provisions of Section3700 of4he,California Labor Code which r6quires e'viery employer to be,insured against. liabilit for.Workmen's Compensation. Ej,_l have placed' on file.w"ith the County'of Butte a certificate of+.. % Workmen's Compen�dtion-lfisurance.. that in the.performan.cia of the work for'which.-,this y any person in any ma.nner... .permit is.is�su'ed.l �shall.'not emplo,- so -as- I to. become subje�ct -to the Workmen's Compensati on. L aws :of ..Cal-if&nia. ME CHANICAL N0.1 @ I FEE. PERMITFILING.FEE �3.00 Heating Cool i ng Ventilation Hood 2;00 Permit Fee $ I certiiy'�t'hal 1.'have.,read, this application and'state' thai t the abov4',- inf6rmation is corrb�ct.j 'agree -to comply to all Uunit*-Ordinan�ces nd. - St.ate -Laws relating to building constru a , �ction, y and hei�eby JOTAL PERMIT FEE -is (0 %�,UUIILY. Ul OULLU LU tI.ILt[ U.PU[I Lilt This -permit is hereby issued under the applicable abbv6.-mentioned property -for inspection purposes. provisjons of, the.Butte County Code:and/6r resolutions to do.work -indicated ab6ve for which fees have been paid. 6' RE C TO� OF x DIRECTOR OF OLIC WORKS D t e" a 'nature of Perr�'itee o0gent.". By, 7 Dateq Reddi, t N P 0 U �nq perm! -e xnires_ ate Whi,te D.?.W.,- Ye11oW.-A;sdsS'or Pink-In_sp'ecto`r.'--' yNding permit-exoire!§ 'Date S-Z�Z -7ki Goldenrod -App) i �ant 1101V , MIA Ov TV Loot 01 -.4k W j".j: loop F7 ?t Gov , 77 Von kit This tef. 81 plans MU16 kept on� fRe v ,,, at �,Tjlmes et ld if. _is_unlaw.f4 �o make any chr�'ries * n, : or alferaf ions on sarn NOTE—All Mriferials A Workmt,.,nsN;p sh.11! 9. wr S e wif houf In iffen parrn*,,s*ion from fhe Department of Puiblii )kCcordance W;fh Recogn;7ed Gonrl�Pracft*e. cf a quc?lify prescr;,6e&-for'+he S , * _I's ,n,4 Works' Cou* nfy of Buffe. Uniform Buildinq, P6m'bing & M �4recf'el use. in fhe fl achanica Codes and Q Nafional Electrical Code. w yvtb.bv:1e- w+i T5 1A S Sepfic system and loclalion -f � _.(be as. per eq-utre"(1 Tor Ca ep Oft w P e, gi -C-1 ,�, r C- F�kuffe' County Haa14 D �t. Re- installation of.fhe Mobl, )home. quiremenfs. ro n - Q� -76 + ify connect ions laff 6e All UM, out! s'. located w4hin 4 ff. 6 the rear third section of 4.a le home on the left (ircad) side -'of fill MP bile� honie. BUTTE COUNTY rhe ia. Setback &hall be 5 ft. from ., 41,t, the side property line and 50- ft. from ILD'ING MPARTMERT the centerline of the road, perm ttin.g i maximum of a '2 ft. ecqve overHAnq APPRI 'VED 0 4+ --TQ f A 1U Er 30-4-3- 30-4-3-06 -uo _�_/4 v oq r -'ek :q_ 'COUNTY OF BUTTE -D ME -NT OF PUBLIC WORKS Ynttle, California 95965 7 County Center Drive 0 7(o -4 .,Te-lephone:'534 541,. APPLICATION AND PERMIT authoiri ze - . * representatives of the County of B.ufte to enter upon the This permit is hereby issued under the applicable provisions of 'ab6ve,7menti_Q I ped prope I rty for inspection purposes.' the Butte County Code and/or resolutions to do work. indicated above for which fees have been paid. DIRECTOR OF. PU IC, WORKS. 4"1.? 7 X Date,— Si gnqtur� of p2gni.-fee-or Agent By ate 6 Re . ceipt-No. H-7,4-7_7' Wh!te-D.Ip.,�.'—'YeIlow-Assessor — Pink-Inspbctor Goldenrod-Appli cant Bj� ing permit expires Date.— BUILDING Owner'z", SQ. FT. OCC. --.BUILDING VALUATION Mailing Address. Telephone NO. Fireplace 0 contract r Total Valuation 'Ij Address Pi /7 3/ i!�4,9 Permit Fee PlanChecking Fee&/or.Pen alty -Ma'lling Telephon� Noi 'Permit Fee-$ $ Building Address PLUM13ING No.1 @ FEE PERMIT F1 LING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or -vent 1.50 A. P. NoJ Zoning & Planning Gas piping system 1 --5'outlets 1.50, Each'additional outlet Fodsl Weel I Fir'eDept. F ire Zone Use Permit Building sewer 5.00 Lawn sprinkler system 2.00� EQA Parking I Plans Parce! Declaration- I Parcel Map 1 60' R/W I Improvements *4C4. P ions Rec'Al-I P arc el'Ap4xt-v';1"�_ Plans P6 rmit Fee . ELECTRICAL W.1 FEE KW PpDIJIDN UTILITIESTT OTHER PERMIT FILING FEE 1$3.00 44 Mai 600V OR LESS 5.00 n,service- 100 AMP OR LESS V -7Z Main service EA. ADO'L 100 AMP 2.5 0 . OVER 600V Ma.in'service 100 AMP OR LESS 25.00 Single Family Duplex -E] mobi I Home Others Maifi'service EA. A . DD*L I 1 00 AMP 1.00 NEW CONST. ( DWELLING OCCUP. 20sq ft OR ADDNS. ACC.BLDGS� NEW CONSTR , MULTI-OYTLET ITS) 2.50ed NON . RE51D. GRANCH CIRCU NEW CONSTR. (POWER APPARATU S NON-RESID. ---SIN' L E OUTLET CIR. CONTRACTORS LICENSE- LAW I am licensed under the provisions of Chapter 9, Div. 3, -of the' State of California Business & Professions Code under, the, name style of: Ex. Occ,up(OUTLETS OR FIXTURES) BAL 109 EX. Occup. ( FIXED APPLNS. OR OUTLETS (RESID.) EA) 00 Temporary service 10.06 - Mobile Home Facilities 15.00 Misc. Wiring 6.25 License No.30 1�i Classif'ication-9 I am exempt f rom the Contractors L I cense Laws of the State of Cali forin ia. Permit Fee $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am awa-re of the provisions of Section.3700 of the California Labor Code' which requires every employer to be insured against liability Jor Workmen's Compensation. IKI have placed om.file with the County of Butte a 'certificate of Workmen's Compensation Insurance. I '.certify that in the performance . of t!J64ork f6r which -this 1:1, t employ any' person*in any manner ,,.p6hnit,is'is:sued. I sha.11 no so as' ' to become subject to the Workmen's Compens ati6n Laws of Californi'a. PERMIT FILING FEE... $3. 1 00 Heating Cooling Ventilation Hood 2.001 Permit'Fee $ 11, certify that I have read this.applicati6n and state that the above i . nf ormation is correct. I agree to comply to all County Ordinances A.c!t.t. I n—Q raintinn tn* hijildinn nonstnirtion: and. hereb I MiN. i t-j!M UA n od TOTAL PERMIT FEE- authoiri ze - . * representatives of the County of B.ufte to enter upon the This permit is hereby issued under the applicable provisions of 'ab6ve,7menti_Q I ped prope I rty for inspection purposes.' the Butte County Code and/or resolutions to do work. indicated above for which fees have been paid. DIRECTOR OF. PU IC, WORKS. 4"1.? 7 X Date,— Si gnqtur� of p2gni.-fee-or Agent By ate 6 Re . ceipt-No. H-7,4-7_7' Wh!te-D.Ip.,�.'—'YeIlow-Assessor — Pink-Inspbctor Goldenrod-Appli cant Bj� ing permit expires Date.— Nj� ..... ..... 01, BUTTE COUNTY DEPARMENT OF FUBLIC WORKS 7 County Center Drive,'Oro ille, CA. PHONE: 534-4541 ITOBILEHOME USTALLATION SHEET .1. Ownerts.name: /,e 2-. -Installer's name: AA �t 3. Is'the site currently under permit? Yes No (If yes, furnish permit number OR Is the site an existing site? Yes No (If yes, furnish two (2) plot plans.) -4�..'Will the . mobilehome be located at least 5 'Lt. away from septic tank.and leach fields and Clear -of all setbacks and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating? --------- 7 ------------- _.Amp.5 6. What is the mobilehome site service rat ing? --------- ------ Amps 7. What is the mobilehome site circuit breaker rating? -------- Amps 8. Is there any other electric load to be served -by the mobilebome site service? ----------- ----------------------------------------- Yes N 0 .(If yes, identify th.e.load and size: (Load) _-(.4P S) 9. What is the mobilebome site gas 'pipe siza? - - - - - - - - - - - - - - - - 10. What is the type o f gas service? ----------------------------- N.t.r., LPG a he mobileh (f tX) 11. What is the gas pipe length frov met:er or tank to t 12. What is the mobilehome gas demand'? �---.-----.-, ----------------- - (Th I . is information not r I equiread- if pipe length less than 6 ft. on na . tura 1 gas or less than 50 ft.i,6n LPG.) 7/11 MOBILEHOME SUPNjRT DATA Mobilehome Mfr. #-all t 4-t Setup Model No. 7u //1 Year �Width .(f t.) Lengt h .5 3 (ft.) Expando� Size ft.x ft., (Draw support details below) on all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation,,. manual and structural setup sheets'.(if not on f. i1e, withthe County of Butte). ingle Footings--(che'cklone, FW Wood�either pressure: -t . reated or Center Center Support fdn.'grade. Support, Footing Sizes �Concrete pad' Locationsl (in.) x Other,-'.spec-ify (in.) irl.) Supports (check one', 7K l.' 'Concrete block 2. Concrete, piers f ET-� 3. Steel piers 4. Other, specify Typical Support ize Footing S1 in.) in.) (f E?-) in. Max. Pier Spacing FAIN (/1 (in.)(in.) Max. F.? .*If center piers,are other thandr"awn above, draw in locations, spacing, and din,--nsions, BUTTE COUNTY BU ILMNG DEPAPT�A.INT APPROVED R CO -tUTTE- --DEPAIRTMENTOF-PUBLIC YNTY OF 7 -Oro\�,,i I I e, C'bl iforrii . a .. 95965 County Ceriter'Dri�q, -4 Teleph'bnb:-�534- 541 -PERMIT' PPLICATIONAND adhiorize r6preseriftativ6s"bf the County of, Butte to enter., upon the thi's'peFiiiiit'is hereby issued under the'appiic�able pi�ioVisions of.. W above-mentioned�pr6perty, for ih�oection, purposes. jKe' Butte County Code and/or.,, resolutionslt6--do work 'indicated'. aboVe for Which'.fees.,have been.paid. DI'REQ'TOR OF P.UBCIC WORK S X, Da ooe, r -te Signature-bfiT6rmite. i �*_, - * - �:� ba v -By L274> .Receipt:.No. Whl't�-I)T.W. Tellow-Assiessor --PJnk.-Inspest?�, �'qol�enrqd-Applic66t, iei�mit 6x0ires .............. I§UILDING.,, Owner SQ.'�FT_ OdC: BOLDING VAL'0ATibk,,: Mailing Address Telephon� N6. G .Contractor- Total Valuation Mai ling,AddrOs %-i'_: - *Piirmif Fee 'Pla /&"Penialty' nCheckingFee& [Telephor�e Ro. P ermit Fee e. $ dress .. t- . 1. -! Building,Ad A x/ �%44i n _ No., 'FEE PLUMBING 'PERM11 FILINGiFEE, vbb 'tach trap i, 5d 4 E_ Repai r;-dr.ai nage or. vent piping, Wate I r'piping. 1.�o Each gas wate , r I "ent heater or v 1.,50 A.' P. No' F", 7� 3: :7 A 'Z nin 1!5bi I. Gas piping system 1 -'5 out ets _0% 7 Each. adaifion6l. outlet % 4 F < iFi're'De t' p - �ireZo'ne".,' Ose P e'rm i f �'Bui. ing sewer 00 Parking Pa EQA- I , I. ID arrca t Plans ec on, Parcel M a� -:R/-. W 7 I�i' r6Vements Lawn- s prinkler sysi6rii: 2.0.0 110 1— _.�4 101, ec . ='d �P�C;rike' pi�r�'Val c 111�- `�'q;rrif Fee s, /0'1� .15 ot S NEW ADDITI ON UTILITI'E_�-11 OfHE171,E] ELECTRICAL NO. FEE PERMIT. Fl�ING- FEE.� % ai service n �me tq 10 M' m i 6L T' ....er Add i tionallim6t6rs, 6a'�h '1.0a Sub'7panel (12orless) (r�oreitli'an'42), D,llle�- Single Family bi I Hbrhe!�Z: Oth6rs 'Range,, q6 . ok-top'o r Oven'.� 1, 00' Water Heater.or Spage Heater, .1.00. Light,fl:kfures 20025, ba .010 k6ceps'.,;,swi't6.hes & fix 06fi6ts 20 (a Y-,) b. C0NTRA6T0At"LICbNS9 --L�W I am licensed -under t�6..*vi si on's -of C fiapter'.'.0,: Div. 3 of thb State of Cal iforni� :Business & Professio�s�`(jo'4e under tl�'e` ri'a6e�'�.* 7 style of: 4, Hood, Ex. FanorF.A.,F 'lvl6t r 1,60, um 6 Evap...6obler-, gar. disp..or D.W .00 Air -con'ditior_�6r,.or heat pbmp,,-,-.-. Whter'pump Mobil,Home Facil ities'., 5.06. 00 em P., �ower P61e 5.00 License N6. Classification Misc.' wiring 77 I _dm exehipt rom the Contra6t6rs'License LaVvs (3f the State of Cali fomi� ermit Fee P $ IV 77 &1 .,.YV6RKMEW`S 6OMPLN9ATION INSURANC'E',.-','.' I am aware of the-provisions'6f'Section3700 of,the 9�1'ifbrnia, Labor Code which,requires'every.-.emplo' rt6-be i,nsu a, , a ai6st,-1)4bility - . I ye, Pp 9 for, Workmeiiii's, C ' 11 .1. 1.1;. .1 ".,grripensa.tion. .1 have placed',_qw.file with the:County of Butte 'ficat' of T I a.certi e �]-'Workmen's'Comoensation Insurance. I 6er�ify 'th'at. . in the per'forr�a`nce�bf the work, for.which this permit is issued I shall-n6t employ any 'person in . any manner so as t6;b6come.sbbject to the Workmen's Comp&nsati6n L-aws of Qa 1) f drn i a.: ME CHANICAI No.1 FEE' I PERMIT, FILING FEE $3.00 ,Hpitind (tooling Ventilation: Hood :2.00 Pe6t `�ee $ 1 --certify that I' have.read Ihis applii��ation and state that'...'the' -above i nformati on i s correct. 1, ajree' to.:comb I y, to al I County Ordn'ances. -and Sta t& Laws, relating to 'building onstruction, "and hereby TOTAL PEh�[T F E adhiorize r6preseriftativ6s"bf the County of, Butte to enter., upon the thi's'peFiiiiit'is hereby issued under the'appiic�able pi�ioVisions of.. W above-mentioned�pr6perty, for ih�oection, purposes. jKe' Butte County Code and/or.,, resolutionslt6--do work 'indicated'. aboVe for Which'.fees.,have been.paid. DI'REQ'TOR OF P.UBCIC WORK S X, Da ooe, r -te Signature-bfiT6rmite. i �*_, - * - �:� ba v -By L274> .Receipt:.No. Whl't�-I)T.W. 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