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031-234-016
i -r 31-234--�& - - JAM 8 ARIAN-WILLEY 540 Yuba Av t 18 & 19 O 11 ' "'" ■�" o rove e Per 't#2691 -88P -,L til;: �rH.)..., �- ,Q F•,.z ELEC: DDs+ �- GAS SUPPORT SSTT�u E -R Q;AQ CO AeTION TEST REQ • l ala l ICA i 31-234 -��� ContR: '-:jay•Hagberg E Permit #2698-88B(new garage) 31-234-1h-)(- n i ContR: D &DMH, 'Corning Permit#2690-88MHI Issued) J2 - bl. 31-234-]/� [Permit ontR: Woodward Const ----- Ermit#3647-88B(new deck/MH) 31-234-j,Ftl(o Qy #1425-89E:Eele for garage) / 0/ r'. g _ __ __-�___ __ x ' � �� | ' �� �° - - u ,* =OK -0 = Not OK ' = MOBILE HOMES MISCELLANEOUS Not Readyable Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DEC S,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements / . Zogp rg Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete , it ers d/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) osts- Beam s-Rftrs.-Connec.- 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete Shthg.-Rfg.-Bracing 6. Gas; Location -Test -Wrap: / P1 ft. ns-Connections-Splice= Decal- Enc losures / /"Nat. or/ /"L"ft./ - /"LPG ows- oors 7. Utility Clearance Frmg; Sills-Anchors-Studs-Rftrs-Trusses K S g; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -131 Date R ; Shthg-Roofing _ Card -131 Date Card -131 Date xt.; St ps-Doors-Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s .2 unt 1. Zoning Requirements -Setbacks -Easements Card -B1 Date 41 46rd-B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B • Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date OOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - 8. Gas and Electricity Tagged Dead Men -Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 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. Card -B1 Date Card -B1 Date Boxes -Enclosures -Panel boards -Ins. to Main in Conduit Card -131 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -81V Date Card -B1 Date Card -81 Date Card -131 Date = OK = Not = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s �. Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Fig., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration -Wal Is-Wndws Card -61 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Card -81 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -61 Date Card -131 Date 67. Stairs &Rails Card -61 Date Card -131 Date 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 23. Elec. Receptacles Spacing -Lights & Switches at Doors 72. Garage Fire Door; Swing-Landing-Closer73. 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 2 6. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga.. Cu or AI-A.C. Wire Size/ /ga. Cu or Al 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑Yes 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑ No 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 81. Stucco; Brown -Finish Card -131 Date Card -B1 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -131 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date 92. Roofing Certificate Card -131 Date Card -81 Date Card -B1 Date Card -131 Date Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -B1 Date Card -B1 Date 39. Sills, Proper Material & Anchors Comments at Final: 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE -.DEPARTMENT OF PUBLIC WORKS P RMITO, i 7 County Center Drive - Oroville, California 95965,- Telephone: 916/538-7 G O(� APPLICATION AND PERMIT AS ESSOR PA E NUMB % ZON : o - BUILDING PERMIT OWNR ` r( 1 TELEPHONE 33 —5o`f� S0. FT. OCC. BUILDING VALUATION O �N ER' MAI LING AD R SS D/ZVY `v CO TRACTOR N M * TEL H NE , CON A O ILI DDR Fireplace CONSTRUCTION LEN R f Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ,ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee - $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty• $ BUILDING ADDRESS Permit .fee E 0-I<-' PLUMBING PERMIT Filing Fee 10.00 ' Each Trap 2.00 - Solar or heat pump water heater 2 @0' LOT NO. SUBDIVISION NAME PARCEL MAP- Water piping 5.00 Each qas water heater or ve 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECI F Gas piping system 1 -_5,dutlets 5.00 Building sewer5.00 Mobile Hom S G W 0.00 ea TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Pegdt Fee $ Eontractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. AOO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I,declare under penalty of perjury (check one): - [�I am licensed under provisions of Chapt. 9, Div. 3 of the Business e a y license is in full orce an effect.SINGLE and Professions.11 License No. Classification ❑, i, as the owner, or my employees with wages as their'sole compen-• sation, will do the work,and the structure is not .intended or offered for sale. (Sec. 7044) ❑ I; as the owner, am exclusively contracting, with Licensed contract-Misc. ors.(Sec..7044)• ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.,( DWELLING OCCUP.SI)/zQsgft OR ADDNS. ACC. BLDGS. NEw CONSTR '"OUTLET NON-RESID .BRA C CIRC ITS 2.50 ea POWER APPARATUS e OUTLET CIR. I Ex. OCCUp�OUTLETS OR FIXTU .111030 FIXED APPLNS. PR EX. OCCUP-- OUTLETS (RE .) EA.I 2.00 Temporary service 10.00 Mobile Home F ities 15.00 Wirin 15.00 Per t Fee $ ontractor WORKMEN'S COMPENSATION INSURANCE I declare -under penalty -of perjury (check one): ' ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate onsent to Self -Insure. Kr 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, you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT F(Iirig Fee 10.00 Heating , ,Cooling fl Hood 3.00 Ventilat• pe Fee _ : c ontractor I certify that I have read this application and state that the above information 1s correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyu, Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Col ty in nsequ nce of the granting of this permit. X Dae d Z Z� �G Sin u e of licant — ner 9 PP ❑ Contractor Agent ❑ An A p rmit is required or exca ations over 5'0" p e on or construct- ion o structures over 3 stories in hei t. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ l oI , OCCUP.1 yy "/ CONST.TYP V_ SCNOOL P oo ARCH'" PD ND ISSU This permit is hereby issued under sions of the Butte County Code and/or work. Indicated above for which IRE TOR PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. _ P WORKS Date Ir v,y Receipt No. 0 S WNITH-o.P.W., YELLOW-ASBCSSON, NK-INSPHCTOR. 6 HNRoe-APPLICANT ' ✓�✓✓! COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET •� �. Permit No. OWNER pp-� W i o. Proposed Building Use JQ&& Building Inspector. Date0c:3'(a At time of permit application, I was advised the following data must be submitted prior to permit processing Pr" issuance: DATE RECEIVED APPROVED .n 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 signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. Statement of Intent for Non -Heated and AC Buildings. Ll .. .. .. _Al2 Fees of $ 7 • . . . . . b c1i 9. Letter of signature authorization. . . . . . . . . . . 10: Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) .—l- 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) t' _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Pre-Inspec. Required, Building Inspector request to ti' (Dote) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses'in duplicate (required prior to plan check). 22. When you issue the p r it, roce/ss as follows: Mail to owner, � Mail to contractor. Telephone 0% e and hold for pickup atQ ' -office, Deliver w/inspector. Other '" �y OZad Applicant ' Date Copy of plans sent Health Dept., Fire Dept., Other Date `• The following data must be submitted ri r to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2, Additional items required: ontracto esigner, owner, was advised of above required data byvphone____jnail_counter by date Contractor, designer, owner, was advised of above required data by_phone_mallTcounter by date Plans checked by Date Plans approved b Date Sets of plans on hold il'i----File cabinet AP folder Copy—DPW = OK 0 = Not OK ' = Not Readylicable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except ft's Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except#'s 1. Zoning Requirements-Setbacks-Easements Zoning Requirements-Setbacks-Easements 2. Soils; Special MH Support-Sketch -2: Footings; Soils-Size-Depth-Spacing-Connectors-Steel • 3. Sewer; Location-Test-Fall-C/O-Concrete . Decks; Girders and/or Joists-Decking-Bracing-Stairs-Rails 4. Water; Location-Test-Easement Needed (Sketch) A,—Wood--Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp-Concrete 6. Gas; Location-Test-Wrap: / P L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5.TAlum:-Awn.; Columns-Connections-Splice-Decal-Enclosures 6. Ca po ; Windows-Doors 7. Utility Clearance , 7-Elec7— 8 g;_Sil.lsc9nchors-Studs-Rftrs-Trusses 9idiuPfariing-Veneer-Stucco-Mesh Card-81 Date Card-131 Date 10_Ree--Shtfr Roofing Card-131 Date Card-131 Date L,1-1 ;Ext.; Steps-Doors-Landings Date MOSILEHOME INSTALLATION (Plans) OK except ff's 1. Zoning Requirements-Setbacks-Easements Card-81 Card-131 Date 1,1 _ .? and-B1 Date Date Card-131 Date 2. Footings; Size-Spacing-Marriage Line 3. Gas; MH Test-Demand-Valve-Connector 4. Electricity; MH Test-Crossovers-Breakers-Clearances Date POOLS (Plans) OK except ff's 5. Drain; MH Test-Fall-Flex Connector 1. Setbacks-Easements - 6. Water; MH Test-Regulator-Connector - 2. Soils; Compaction-Structure Stability 7. Water and Sewer Connected-C/O to Grade-HD Approval 3. Pool Structure; Steel-Connections-Thickness- Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Ins Sketch 4. Elec.; Receptacles and Lighting. Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting;. 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries-Terminals-Listed 7. Elec.; Bonding; Metal w/5'-Circulating Equip.-Heater 8. Elec.;Grounding; Equip. w/5'-circulating Equip.-Pool Lghtg. Boxes- Enclosures-Panel board s-Ins. to Main in Conduit Card-B1 Date Card-B1 Date Card-131 Date Card-131 Date 9. Health Department Approval 10. Plumb.; Cir. Test-Water Supply Test Card-81 Date Card-61 Date Card-131• Date Card-131 Date : =OK 0 = NotOK RESIDENTIAL ($Ingle and Duplex) - =Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Del 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance- Material -Sup prt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -81 Date Card -B1 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -B1 Date Card -B1 Date Card -131 Date Card -81 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -131 Date Card -61 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration -Wal Is-Wndws Card -B1 Date Card -B1 Date Card -81 Date Card -81 Date 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-Duets-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; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77, Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Of. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -131 Date Card -61 Date Card -131 Date Card -61 Date Card -131 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS RMITN.� 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541. APPLICATION AD' PERMIT A SSE$SO^( R PA L UMBEq / e ZONING BUILDING PERMIT o NE i t TELEPHONE 3 - SQ. FT. OCC. BUILDING VALUATION R'S MAI LI G DDRESS � gNEnrn CONTRACTOR -15 NAME - Y Wr TELEPHONE C NTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS , Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 r wl Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURI SF ❑ Duplex❑ Mobilehome❑ Other Qae6" •PECI FYU Gas piping system 1 - 5 outlets 5.00 Building sewer5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: rj Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. (DWELLING o DR ADDNS. ACC. BLDG , /zQsgft NEW CONSTR U TLOUTL T NON.R ESID .BRA CH CIRC ITS 2.SO ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20050Q eAL03o FIXED APPLNS. OR Ex. DCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. run I shall not employ any person in any manner so as to become subject IN to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Coolin g 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 li Ilities, judgments, costs, and expenses which may in any way accrue g 'nst said County in consequence of the granting of this permit. C ~ X Date S —� —�l gno u e of Applicant — Owner onrractor ❑ Agent ❑ An 0 HA permit is required for excavations over 5'0" deep nd demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCup. CONST.TYP! SCHOOL FLOOD PARCEL PD I NO I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees (RECTO OF U LIC By PE IT EXPIRES Daub—�9� the applicable provi- resolutions to do have been paid. WORKS ^ n Date_% — —Qf y /� Receipt No. WHIT!-D.P.W.. YELLOW -ASS EesOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 4 COUNTY OF 'BUTTE - Depar.iment.of Public Works . 7 County Center Drive,, O`ov'il`le, CA 95965 Phone: 9.16-538-7541 OWNER-BUlLDER.VERIFICATION Attention Property Owner: An "owner-builder".building -permit has been applied -for in your `name and bearing your signature. Please complete :and return -this information at your earliest opportunity to avoid unnecessary.delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally planto.provide the major.labor and materials for construction of the proposed property improvement .(yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to .provide the proposed construction: Name Address City Phone Contractors License No. _. 4.. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. S. I will provide some.of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner• Social Security tuber Date )�A u NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. V . ... . ' _ r r . 1 t.. .� � A ; ... t * •• COUNTY OF BUTTE - DEPARTMENT OF PUBLICt 1. WORKSPERMIT NO. 7 County Center Drive - Oroville, r-ali.fornio 95965 - Telephone: 916/536-7541 l APPLICATION AND PERMIT ASSESSOR ARCEL NUMBER 3 ZONING zf BUILDING PERMIT OWNER .� 1 ,n � e TELEPHONE "� um k-4, a w .t/ SQ. FT. UCC. BUILDING VALUATION 2 e p ei✓ O OWNER'S MAILING ADDRESS yo 11 IA6a d,4,V e o,, 9554,15 CONTRACT 'S NAMEn r GSD At `; TELEPHONE �3 �5G Z ' CONTRACTOR'S M,AJLING ADDRESS ?/0 6 S-71- Ore V<<Ie— Fireplace. CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Flung Fee $ 10.00 Permit Fee $ 6—c� ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty . $ BUILDING ADDRESS . - Permit fee $ 3 PLUMBING PERMIT Filing Fee 10.00 Each Trap ' 2,00 t $ Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Dec((, SF ❑ Duplex❑ Mobilehome❑ nt/ her D1� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 MoW le Home I S G W 0.00 ea TYPE OF WORK New Addition ❑ R/em/odel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Y X ~ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I de la rider penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full f ce and effect. C 9t f/ License No.�/ 7 /�+ Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under: Sec. , Business and Professions Code for this reason NEW CONST.,DWELLING OCCUP.5i OR ADDNS. ( ACC. BLDGS. _ / , /4sgft NEW CONSTR.U TI -OUTLET NON.RESID .BRA CH CIRCUITS2.50 ea (POWER APPARATUS &) SINGLE OUTLET CIR. 1 Ex. Occu o 20050a Occup(OUTLETS OR FIXTURES eAL030 FIXED APPLNS. OR I Ex. Occup. OUTLETS L SID,) EA.2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 .-H Permit fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation. Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to.the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned_ property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again id Co n seque e of the nting of this permit. ,� A— �_00�y Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of strctures over 3 stories in height. Mobile Home Installation Fee $ ,Energy Inspection Fee $ TOTAL PERMIT FEE 6 0 � -al OCCUP. CONST.TYPE SCHOOL I FT PARCEL PD HD, ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which 'DIRECTOR OF PUBLIC BY / PE IT EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS - Date /1-1tF—►�d� /1-1 \4 o. X7 [7--CT7-11'U...YELLOW-A9.Es90R. PINK -INSPECTOR. GOLDENROD -APPLICANT 9 ' v'' r i' .. _ ...; : '�' Z: �, ,�}� �'C Y s.-�I•-��'....�'rvrw rx'�w �!?. :.✓,�.. �`"t.• 6•�' Jf ' ��f� , .1 � f .. , Y COUNTY OF BUTTE - DEPARTMEId::t Q4 F.:JPUBLIC WORKS - BUILDING DIVISION ? 7 COUNTY CENTER DRIVE - OROV,ILLE, CAUIF.ORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET \ ' , 1 I Permit No. OWNER 1 . Ck.M-e.S W1 l 1 eel A. P. No. �.aI �{ a I't// Proposed Building Use Ne 1A.) C��G Bui (ding'Inspector ' Date -7 — At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. 2. 3. 4. 5. 6. 7 8. �0. 11. 12. 13. 14. —15. 16. 17. 18. 19. 20. 21. 22. All items have been submitted. v Plot plans in duplicate. /triplicate, signed by preparer of plans. Complete plans in duplicate./triplicate, signed by preparer of plans. Complete engineered plans and calcs, with wet signature on plans. Plans with Energy Design Compliance Statement. . . . School District "Fees Paid" Stamp on Floor than. Statement of Intent for Non -Heated and AC Buildings. Fees of $ , . , . , , , , Letter of signature authorization. Sanitation approval fromHealth Dept. .`5--eul.4Z fj-- & —�� Planning approval for (A) Use: (B) Parking: . Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) . Owner -Builder Verification (Given to owner, ❑ , Mail to owner ) Improvements may be required. . . . . . . . . , . Mobi lehome Installation Data. . . . . . . . . . Pre-Inspec. request to Pre -Inspection for Required. Building Inspector Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. Plot plan approval from city of Engineered trusses'in duplicate (required prior to plan check). (C-T_C+- (Date) When yyo�ou,issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone 5-3' 35(0:2- and hold for pickup at 0J_Q office, Deliver w/inspector, Other APplic ate — c" 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---naiI—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked Copy—DPW Sets of plans on hold in Date Plans approved File cabinet AP folder Date%/ /�` 1 i r t s. � Iw•.--Ai1 M-fereafs & Workmanship SheA Be In Acc:a;...os �v Rcic,.ognhre:cl Good Practices amid of c quc;!iiy pr. scri;,eci for fike Specified use in the' Unifoni.i BuLding, Plumbing &Mechanical Codes and the National Electrical Code. This set of plans and specifications T F� - kept on the job at all mimes and 4 is u ilawful to make any changes or alterations on sa •without written patmission from the Depaeffner t of PW } Ito Works,. County of Butte. 10 C7 A setback of 5 ft. from +e property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment exempt ,y. r ft, eave overhang. L 0 O;PTO rail I - T W 1 -- - - - - -- - 4 be 3 ' in, hlgf� - i�rrnedtate rails to # be note r ' A/ over 6 ir►. apart. �► i LS s t2 __A9 I 1 V X� 2X j /C Q , �' N --°- - - -7F, t i I ell - %s� �s Im-l" t iLI r+ + + - - —,;.-Max: Rise- - —— —' — — j-- '— Mi C�1 n. i�un -� / 1 t r fi o:e 1 14o M -P I c�iali�✓. o S� - - -------Run measured-toetto toe. 1 max.�toieranGe'between I I _ _ _ _ t 45 yO far est smailest rise/ruri. - - `` 4 ' - - j / { ► I _ _ I i �i+rr vii /V� THERMALITO IRRIGATION DIST(41.fj=,:;E;��:Qai� 410 GRAND AVENUE Ig 19$8 OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 1��+• AM—at. rafifonda -t. 4 .ZL `41-, CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: rl Owner's Name: T`�r.c ;; ' ? ' ' Date: Address: Gl '"v XIMcot~ C,rc,1L Acct. No: "rovi-I r, 1151465 A. P. No.: X31-23 Phone: No. Units: � Applicant/Agent: r D ';o1)i1,t �'on,-, Agents Proof: Address: Fees: Phone: Application $ 3) Arrearage Preliminary Review By: Date: CSA 26 Remarks: Cann -cti4n E,.e ,; d11 be t'io,,c SC -OR 9 ' -t t1 -& a ox connection to thr c�� t ;im. Cloanout % • •.. 1st S.C. - w u w3 t.. �. l .it. r'M. - .Y. '�i1 .:. r r:.4.i ... M , - IL 4.+. Y+.�.. `. �' wY. r .. `- mo. Other Total Fees ' r Collected By: .Date: Field Review By:w '%- /�, fl? a ���i-' Date: i'7, - Remarks: �� �� .l ��% ,+ ,I, + /'.%1 .4+ ,•. ,s..� .'�'r%./% ice,/ %-;!' .��,� r 4, A- . 7 • .. /'n ` \.r. G' ..- .' ✓ eq, L.f' �, .,y' r ✓' j �' y �'y fY�I { Y " Y r :Y Y� tr �. Lt �—� MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID PERMIT NO. PERMIT EXPIRES OWNER AMESWIL RT�-Ev CONTR. unknown 1 ASSESSOR PARCEL 31-234-14 -LOCATION 540 Yuba Ave, lot .18 & 19, Woville - OK r 0 = Not OK = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s I. Z g Requirements -Setbacks -Easements . Soils; Special MH Support -Sketch e er; Location -Test -Fall -=-Concrete at Location -Test -Easement Needed (S c le ricity; Location-Clearances-Grnd.- �s; Location -Test -Wrap: 'L"ft. / !-/"Nat. or/ /"L"ft./ /"LPG 7. Utilitv Clearance Card -81 Date - Card -61 Date Card -B1 Dat Card -B1 Date Date O LEHOME INSTALLATION (Plans) OK except #'s . Z ping Requirements -Setbacks -Easements Footings; Size -Spacing -Marriage Line Gas; -MH Test -Demand -Valve -Connector L . lectricity; MH Test -Crossovers -Breakers -Clearances Drain; MH Test -Fall -Flex Connector ater; MH Test -Regulator -Connector ater and Sewer Connected -C/O to Grade -HD Appr( as and Electricity Tagged Exits; Insp.-Sketch i . Cert. of Occuoancv Card -B1 Date Card -B1 Date Card -B1 Date and -B1 Date -$� A-(;�:) r MISCELLANEOUS Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Connec.- crete Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -B1 Date Card -B1 Date Card -61 Date Card -131 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed '7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -61 Date Card -B1 Date Card -B1 Date Card -B1 Date = OK ' o = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready ■ Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance _ 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins.. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -61 Date Card -81 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs &.Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. I Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. I Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -131 Date Card -81 Date Card -81 Date Card -61 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Card -61 Date Card -B1 Date Card -131 Date Card -B1 Date 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; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75, Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 8i. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Pibg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Card -81 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE D;C-PARTMENT OF PUBLIC WORKS — 7 COUNTY CoENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. 26179 n -9E Address or location of mobilehome L4 A- v e Owner's name Owner's address Insignia or hud number '4ST,5-0 2 A�- Manufacturer's name tc;l I -A 1=� t Serial nuqbei, ojf—VI.N. C7 Year of manufacture ---- icial -Appr��ing Installation (L)ote) IF THE MOBILEHOME is mbVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. i, V 11, i� 513B White - Owner, Yellow - Installer, Pink - D.P.W. lkow y..,:,. . ...�.,,,r...a,.y�`�'"�y1�17�--+�i�a�Nw./.+`rVV,.f'ti-+C�+�+--�"`''C�'��4.1�.§T�' " a�J►&+tis4'1- ir-�i.r.o.k; a '. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKSt 196 Memorial Way, Chico — Phone: 891 L751�tr� J 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307i' CORRECTION NOTICE O 'fR PERMIT -No i A routine inspection in ates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need -additional explanation, please contact this office immediately.:, i COUNTY OF BUTTE DEP-ARTMENT OF PUBLIC WORKS �i . _ . vow; *;1:66 Memorial Way, Chico — Phone: 8$1-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott. Road, Paradise — Phone: 872-6307 ,��CORRECTION NOTICE . _ .nn 4 _ ° — PERMIT NO. i di A routine inspectio cates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. f I D Inspector Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95963 - Telephone: 916/538-7541. APPLICATION AND PERMIT ASSESSO P:7. N =B� off ZONI j BUILDING PERMIT OWNS TE PHONE SO. FT. OCC. BUILDING ION OWN"S M DD ESS ;I �NlG CONT AC R'S NAME TELEPHONE CO A TOR'S AILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap. 2.00 Solar or heat pump water heater 20.00 LOT NO.4 SUBDIVISION NAME PARCEL.MAP - Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE - Gas piping system 1 - 5 outlets 5.00 SF [I Duplex❑ Mobilehome] Other Building sewer 5.00 SPECIFY Mobile Home0.00 eaOu TYPE OF WORK New❑ Addition r-1 Remodelti lit' Installation❑ Other ❑, Permit Fee $ yam Describe work: Contractor CJ�/l ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V OR LESS 100 AMP OR LESS 10.00 i Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.al) ` , �2(tsgft I declare under penalty of perjury (Check One): OR ADDNS. ACC. BLOGS. I NEW CONSTR. MULTI -OUTLET 2.50 ea : ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON-RESID BRANCH CIRC TS POWER APPARATUS e and Professions- Code and my license is in full force and effect. SINGLE OUTLET CIR. No. Classification Ex. Occup OUTLETS OR FIXTURES 120 0License eA 030 .. I, as the owner, or my employees with wages 8$ their sole compen- FIXED S. EX. OCCUp. OUTLETS TS (R(REEST D.) EA.) - 1 2.00 sation, will do the work,and the structure is not intended or offered ,OR Temporary service 10.00 for sale. (Sec. 7044) :,Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. IYirin 15.00 ors. (Sec. 7044) g ❑ I am exempt under Sec. , Business and Professions Code . for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. I Heating , ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 'Y of Consent to Self -Insure. b Cooling Q I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such penult Fee, $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ Energy Inspection Fee $ is correct. I agreeto 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. TOTAL PERMIT FEE $ -� I also agree to save, indemnify and keep harmless the County of Butte against O.CCUP. CONST.TTPIEJ PARCEL P ND IssuE all liabilities, judgments, costs, and expenses which may in any way accrue JSCHOOL[NLO7D ..r - against said County in consequenc f the granting of this permit. This permit is hereby issued under the applicable provi- X Date sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner Contractor ❑ Agent work indicated above for which fees have been paid. An OSHA permit is required for ex a tions over 5'0" deep and demolition or construct- 1 D! t1CT R OF PUBLIC WORKS ion of structures over 3 stories in heig t. I BY -� ate D — 0 Receipt No. WHITE-D.P.W.. YELLOW-ASOC35 . PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT EXPIRES Date ���. .;.�r...:�,y.�N ,,,X.#�� lr .Y.. r1 .. '.'+'-sf,. �S'(ir+V.."ilj��.,. ��'�-t �' � t4,�yc { �_' ,ti.� � �. ••`—� L '- •moi 1 COUNTY OF BUTTE - DEPART:MEN.T-OF,,.PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 T J PERMIT APPLICATION DATA SHEET Permit No. /_ f 14 OWNER (.� m es l • w i l � A. P. o. < �C Proposed Building Use �,/ ( Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED �-40.0 All items.have been subm' -ed . . . . . . . . Plot plans in duplicate./ riplicate, p4.�ned by preparer of plans. V' 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , , , , , , . Letter of signature authorization , �: —01 '409. Sanitation approval from t .L Health Dept.. 11., Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . . Pre -Ins ection for Re uired. Pre-Inspen request to (Date) p q Building Inspector Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses in duplicate (required prior to plan check). 22. Wh�you issue the per It, p oces as follows: Mail to wner, Mail to contractor. Telephone and hold for pickup at�ffice, Deliver w/inspector. Other Applicant Copy of plans sent Health Dept., Fire Dept., The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: 2t/ � ate Other Date .2 (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by—phone---nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date a COUNTY OF BUTTE - Department of Public Works 7 County'Center Drive, Oroville; CA 95965 OWNER -BUILDER VERIFICATION Phone: 916-538-7541 Attention Property Owner: An 'owner -builder" building permit has-been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in,processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and.materials for construction of the proposed property improvement (yes or -no) 2. I (have/have not) - signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired.,the following person' to coordinate, supervise, and provide the major work: Name Address, City Phone Contractors License No. 5., I.will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work . Signed Property.Owner 9 . 'Social Security Number NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must"be completed and returned to -our office before we are per- mitted to issue the permit. r,„r• ..r, y,r '�� ,ry,f„ �'('.v"e°T `:iSi •1'.-r0 • tN.g .....r• .....w'4: i•: ., i� a, :.. wr..•z ci-i':... ,. •r r.,. � i. ...rr,y ,.. t. �.: _._ { i r . � •. Nf RMALITO ' IRRIGATION DISTRICT ,.� , 410 GRAND.AVENUE J.4 ,• '�` %-.0R0V,ILLE,'CALIF0RNIA 95965 �. I ' • ' r r ` TELEPHONE 5.33.0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION' PERMIT.' l Service Address: a`';, i •r ;�<,in' +* Owner's Name:"�.:,t C :. Date: ..Address: �� •, ... .�' ti •tr'� '� U"� (;:'.'r�1.,. r' Acdt: No: r. *r1�*i. + , r . t'+.' '1 , IN w A.P. No.; Phone: No.'Un'its: Applicant/Agent: ' ,,; r, ,'y' d .•, ,,0t'. - , 'Agents.Proof: Address: • ' � •• , i• '. Fees: Phone: Application • i 't Arrearage •Preliminary Review By: ' Date: r1 CSA 26, Remarks: ��.irtr+t f r r: r�r r", I_ k ;�.> ~ ~Lj, r"' & v ' • ic���: SC -0R_ "-T a. yr,r 6t oil . tr. 'n � >�;,:i:'r« - 1 st mo. S.C. ' _ ther- Other- 7. ,. .. TotO Fees '' ' , _y y Collected By: • �. �7,�'�•,, f ,' = .Date: Field Review By: Date: Remarks: , V ` 77 ". MONTHLY SERVICE CHARGES -WILL COMMENCE AUTOMATICALLY UPON: ❑• Date of TID approval•.of cornpleted building"sevuer'(early connection).: t , 0 ' 30.days after date ,above, or'on.date of D.P.W.-approval of completed -building sewer, which ever comes ` .,first (",existing construction";,prior to Mar.•5' 1974).- ., 180.days after date above, or on -date of D.P'.W: approval of completed building sewer, which ever comes, first ("new construction", after Mar. 5, 1974). , - ' DISTRIBUTION: WHITE - TIC, YELLOW - APPLICANT, PINK'- DPW, GOLDENROD - DPW to TID TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner location AP -# . Driveway permit has been issued for the above property.' CI4:V C76 si/ature date ,�Re'curn Lo DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Secti.on 26-8.1 of. the BuLte County Code . requires Lhis acknowledgement be' recorded prior to .issuance of a building permit.' The property described herein is adjacent• to land .or :included within an area zoned for agricultural purposes, and' residents of this property may be subject to incon- veniences or discomfort arising from the use -of agricultural chemicals, including, but not limited to herbicides', pesticides, and fertilizers; and from -the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate . dust , smoke, noise, and odor. Butte County has established agr i cu l a Lural zones which have as a priority use for productive agricultural purposes, and re•sidew ,; within said zones and on adjacent propertyshould be prepared to accept such i 6c-cnrveil i c•nCc• or disconf.orm Prom normal, necessary farm operations. .All that real property situate in the County of Butte-, State of Calif.orn:i.a, desc•ribetl as follows: OMP GlNAL Do�iJFI E T Date 9 ilk . PROPERTY OWNERS:, State of Calif. ). On this the 16th day of August 19 8 bwfoee. mc, SS. the undersigned Notary Public, personally appeared County of Butte ) JAMES M. WILLEY AND MARION -C. WILLEY************** numm Personally known to me. 0 Proved to me on the basis SANDY A. STACK a of satisfactory evidence. s U f40TARYPUBUC-CALIFORMA 0o be the person(s) whose name(s) -are D Butte County U rt,;sston.ExplresNov.3,t999 Jubscribed to the within instrument and acknowledged that. th_yT_ My ecuted the same for the purposes therein contained. IN. WITNESS as EREOF, I hereunto set"my hand and official. seal.. Present A. P. No. otary PublIC 6 Order -No. MID VALLEY TITLE & ESCROW l Ir �% ` �'Escrow•No. 101280 AP# 31-23-4-8 WHEN RECORDED MAIL TO: MR. & MRS. JAMES WIL1M 61 Evanswood Circle Oro'vi116, CA 05965, SUITE COUNTV-DECORDER SERIAL N0. (� I RM=DED AT THE REM= OF PP ?: oo A" SPACE .ABOVE THIS LINE FOR RECORDER'S. USE 'MAIL TQC STATEMENTS TO:DOCUMENTt ABV TRF'Ii AX &...11 .00 ...... .....,....»........... '. Computed on tho consideration or value of property conveyed; OR same as above ..... Computed on the consideration or valuer ISO Kens or encumbrances r alning0t epf 8910 mature of :D ra or Agent dotormining tax —Firm Name MID V TITLE & ESCROW COMPANY. GRAN ®EES FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, W1hRRM E:VANS and WILT. EMS, husband and wife hereby GRANT(S) to JAMES M. WILLEY and MARION C. WILLEY, husband and wife,, as Joint Tenants the `real property in the,4(p�/4/ unincoxp6Y'dt4 d area of the County of Butte ,.-State of California, described as t ' If LC7I'S 16 AND 19 IN BL= 25, AS SHOWN ON TiEiP,T CERTAIN MAPMhTrLED, . "MAP OF THERMALITO BOTIE OOd9NTY, GALA. t', , WHICH MAP WAS FIT Fid IN THE OFFICE OF THE' RECORDER OF ,THE COiTM OF i3I=, STATE OF CALIFORNIA ION JUNE 8, 1'887 STATE OF CALIFORNIA I3Llttt3 m COUNTY OF ) q n E On At1g11S t 9' < 19 $ • i before me, the undersigned; a Notary Public In and for a I; _m said State, personally appeared WARREN )WILLA FVANR * * * * * * * * * >M E **********ie Sr.*>!ts'r�tfc**fes'r*ti***7lrstitiit****tk.u:*�Rstt#�"tiAt***it*�!t*t47k it %t*k it personally known to me�}�pis���tX LL 'Ai &ri3tobethe person(s)whose name(s)X/are sub- ub T) scribed to the within instrument and acknowledged tome that ` SANDY A. STACK ' C )G92"they execute¢ the same. IR t9 +• NOTARY 'PUBLIC -CALIFORNIA tB Butte County 0 N 00 ® My Commission Expires Nov. 3:198® M WITNESS my hand and official seal. � ®®®ai®E&�D®®®®!01$88®®®e®Lrt®�®fls� ,. • O Signature (Thio area for official notarial seal) Dated AUGUST 9, 1988 STATE OF CALIFORNIA Ism COUNTY of I WILLA EVANS On before me, the undersigned, a Notary Public In and for said State, per- sonalty appeared personalty known to me (or proved to me, on the baals of satisfactory evidence) to be the person(s) whose name(e) Is/are subscribed to the • " I . within Instrument and acknoWedged to me that he/she/they executed the Same. '+ WITNESS my hand and official teal':::' Slgnaturra (Thio area for official notarial ;l 1002 (6/82) MAIL TAX STATEMENTS AS DIRECTED ABOVE I I _ELECTRIC GAS Support Compaction Test Re . ' e Other PipeStruc.. YES NO YES NO �e Load Type Size Len th Ur s. A�q r COUNTY OF BUTTE,- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AN6 PERMIT PERMIT 0.Mn2� CEL R , BUILDING PERMIT OWNER r LZZNIASSESSO E SQ.FT. OCC. BUILDING VALUATION OW 'S M LING ADDRESS CONAC R'S N TE PHON A 1jOR' MAILI G AillD ES �Q Fireplace CONS UCTION LENDER I UNK OWN Total Valuation $ Flling Fee $ 10,00 LENDER'S MAILING ADDRESS - Permit Fee $ ARC 1 ECT OR ENGINEER . N LICENSE NO. Plan Checking Fee ' $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 't • V Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 V' 3- Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME/ - PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomel'9I` Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ]1a tff lri'sia.11atlK Other Describe work. 'I M:- Z Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50, CONTRACTORS LICENSE LAW I declare der penalty of perjury (check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi n Code and my license is in f fo a and effect. License No. Classification ❑ I, as the owner, or my employees .with wages•as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.m) '/zdsgft OR ADDNS. ACC, BLDGS. NEW CONSTR.LOUT LET NON-RESID .BRA C CIRC ITS2.50 ea POWER APPARATUS e\ SINGLE OUTLET CIR. I Ex. Occup OUTLETS OR FIXTURES eAL930 Ex. Occup. OUTLETS FIXED P(RESID )REA.) 2.00 , Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Coin c glen of the gr ing of this per it. /�f) X Date Signature of Applicant - Owner❑ i ContractorAgent ❑ An OSHA permit is required for excavations over 5'Xreep and demolition or construct- ion of structures over 3 stories in height Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE • $ occUP, CONST.TYPE JSCNOOLJ'4<ftIJ,!ZAZFLJ �— PD MD 1 0E This permit is.hereby issued under sions of the Butte County Code and/or work indicated above for which OF PUBLIC DIRE T92 ; BY PERMI EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS _ Dat/@% /4—/_� ~ / V Receipt No.�::X��~ Receipt No. WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .' 'L,•{;,,;j;�;sf`.,+''t.�„�'.��i'ta�+T='=:+-i�'�`M+�;f�ta!''�': rF '`�`'�ri�+i"F'�'•'`t;.��,-�r��. �li1i�+�'ty I/4;'tj"w�%'�',..�t��,fi'�w'.-.:t_ �,. ,.;:..... �C i,� G =` COUNTY OF BUTTE - DEPARTMENT OF.,P..1,JBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE-rOROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA,SHEET., lPermit No. J OWNER W &S /� �! C A. P. No. �/ Proposed Building Use Building Insp Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/Or issuance: DATE RECEIVED APPROVED 1. All items.have been submitted. . . . . . . . . . . . 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 signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , , , , , , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification_(Given to owner❑, Mail to owner ❑ ) Improvements may be required. Mobilehome Installation Data. . . . . . \. • Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses in duplicate (required prior to plan check). 22. When you issue the permit, process as follows: Mail to owner, ,a to contractor. Telephone and hold for pickup at—off ice, Deliver w/inspector, Other Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new i em not checked above). 1. Index permit for above items No. 0&?Z6!L.-Z 2. Additional items required: W_ Contractor, designer, owner, was advised of above required data by_phone_mail—counter by date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date R This set of pla.vs a"qd 9SPOC'Moafiens MUST bt kPi or 'vi"� job of kali tlinw's and Lt Is unlawful a any cls'; e;ce c; alforaii'm's on S©rvio wri'llou WP1'a;'<?!;rr 2156?�Fii iri3 "ho D'epart'ment of Pub. lic Works. Ccunry of butte, NOTE:—All Mnferials & WorWansb p 5611 Be in. Accordance with Roccgilized Gooal a rnctir�s and of a quality prescribed for fhe Specified use in the Uniform Building, plumbing & Mechanical Codes and the National Electrioal Code, le) j/ Utilltyconnecfio,, J,,11 e4 ft. of .'h G .within o rno ilahgme directly behind ,either half of the road or the rear cl mobilehome. . . I eff) of the 11 BEAR H.U.D. �� C C1V IST permi&ill be required for fW wailatio7 of the r -no I setback of 5 ft. fPom the •operty lines and a setback 50ft. from the road interline shall be clear of ructures or equipment except r a 2 ft. eave overhang. fotrrre CoUNTY MING DEPARTNlE►Qt BUTTE COUNTY 'DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 ` MOBILEHOME INSTALLATION SHEET ZV 1. owner's Name: 2. Installer's Name: Yes No 3. Is the site currently under permit? (If.yes, furnish permit number. ) OR Yes �. No Is the site an existing site? (If yes, furnish.two plot plans.) 4. Will the mobilehome be located at least S ft. a way.from;septic tank and leach Yes No fields and clear',of all-.setbacks. and easements? (If no, -clarify 5. What is the mobilehome electrical. rating?--------------- f� Amps 6.' What is the mobilehome site service rating-------- ------- Amps 7. What is the, mobilehome site circuit breaker rating? =---- l®� Amps 8. Is there any other electric load too be served by the a. mobilehome site service? ------ -- v- ��----=-------- Yes No (If yes, identify the load and size: (Load) � � (Amps) 9. What is the mobilehome site gas pipe s'ize?-------------- l T (.in.) Natural LPG 10. What is the type of gas service? --- ------------- ---- 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- .(.f t., 12. What is the mobilehome gas demand.?-------------.--- --,--- �- (BTU) *(This information not required if pipe length less than 6 f'l� M natural gas or less than SO ft. on LPG.) OOLO APPR MOBILEHOME SUPPORT DATA If other than+ single wide31�1fj 3 /� C- furnish Setup Model No. ��//''CC�-v � Year Mabilehome Mfr. Width 0 b (ft.) Box Length Y O(ft.) Tagalong,or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) FX] SUPPORTS (check one)©1• M Wood -pressure treated or foundation grade. 11 2. Other (specify) Concrete block -0 2. Other (specify) Pier Footing Sizes and Locations sD NG [X -WIDE MULTI -WIDE Line I e ? 'n! 2 — — — — — — — — Beams ` Linc Z Main L), at ion (From Front) nr, 2 — — — — — — — — — — — Beams I_fne 4 P.Ie_re: Main `— — — — — — — — — — — — Line Tag or Triple -- — — --- — -7 - Line1 Line 1 Piers: Size -Min.------------ S pac J ng -Max - --------- Fr-li -----------Spacing-Max.--------- Fr,nn Ends -Max. ------- F.iae "L Piers - Size -Mill .------------ „x Spacing -Max.--------- From Finds -Max. ------- i_1ne_S W.oi wads: Line 1 OpeninRe: Size -Min. ------------------� "x Each Side of Openings � With Width Over----"---- _ N Line 3 Piers: (Under Bearing wail. unLy) Size -Min------------------- x D" !" i 1C Spacing -Max---------------- r_ „ From Ends -Max -------------- ..x ..x .,x ..x ..x ,.x .,x ..x OVI size. -Min.-- --- '- [ G L), at ion (From Front) I_fne 4 P.Ie_re: Sizv-Min.------------ k Spsi i.,g-Mox---------- ._ n From Enda-Max.------- •• I i.... S xuof bads: Line 5 Piers: (unuer neurina ..a— ....•�� Size-Min.------------------fl Spacing-Max---------------- From Ends -Max.------------- •�' �. Slzc'.M iu .,il`�,*_-_-__ ;;I 'X t location (From Front) NOTICE OF QOEi$TR =ION AFFECTING ADJOINING PROPERTY The undersigned, JAMES M. WILLEY AND MARION C. WILLEY do hereby declare as follows: 1. XW (We are), the owners) of that certain real property situated in the County of Butte, State of California, described in attached Mbit A. 2. Z, (We), intend to apply to the County of Butte for a building petit and,. pursuant to said permit, to construct improvements on the said property.. Zx (we), do hereby place all subsequent purchasers and q..renters on notice that such improvements will be constructed over a parcel or lot line(s) as described in the above noted Exhibit A, and that.subsequent purchasers and encumbrancers should be aware of the location of such improvements. •3. So long as such improvements remain, said'parcels or lots cannot be sold separately. h! cOP,>`;EOtH DATED: �l c1 e� ONGINAI DOCUMENT lure of owner of recoxti Signature of -owner of or STATE OF CALIFORNIA ss. COLNLY OF BUTTE On August 16, 19 88 before me, the undersigned, A Notary Public in and for the State of California, residing therein, duly commissioned and sworn,• porsoally appeared JAMES' --M-.' WILLEY AND MARION C. WILLEY kno Lo me to be the person s whose names subscribed to the -within instrument and acknowledged that! they executed the same. WITNESS my hand and offical seal. /. SiatU Lure ■ ■ SANDY A. STACK ■ NOTARY PUBLIC-CkIFORNIA Name (typed or, print ■ Butte County ■ MY Commission Expires Nov. 3.1989 ■ ■a■ea■■a■a■oaa■a■a®ppa■■a® LD 1540 (5/88) Order•('+o. : MID VALLEY TITLE & ESCIZOPIT &scrow Na. 101280 70Q>=• AP#.31-23-4-8 WHEN RECORDED MAIL TO: MR. & MRS. JAMES Wnsm 61 Evanswood Circle Oroville, CA 95965 , ^X.rfr�iT k BUTTE COUNTY ECORDER SERIAL NO. T W - 2 b 513 AIY! p RDS tt REQUEaT O . .. g: oo A ti SPACE ABOVE THIS LINE FOR RECORDER'S USE 'MAIL TAX STATEMENTS T0: 11.00 DOqJVIFJYTARY TRANSFER TAX $.».»»....».».........._....».....»:.... X. Computed on the consideration or value of property conveyed; OR gwe as above ...... Computed on the coraideration or value les liens or encumbrances r alning at epf sale Signature of O / ra or Agent determining tax —Firm Name MID V TITLE & ESCROW CCWANY GRANT DEED 'FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, WAF2 N EVANS and WILLA EVANS, husband and wife hereby GRANT(S) to JAMES M. WI= and MARION.C. WILLEY, husband and wife, as Joint Tenants the real property in the k(hlAf unincorporated area of the County of Butte State of California, described as LOTS 18 AND 19 IN R1= 25, AS SHOWN ON THAT CERTAIN MAP E TI'ITLED, . "MAP OF THERMALITO BISM COUNTY, CALA.", WHICH MAP -WAS FILED IN THE OFFICE OF'THE REOORDER OF HE CMM OF, BUTTE, STATE OF CALIFORNIA, ON JUNE 8, 1887 . STATE OF CALIFORNIA Iss. CL COUNTY OF Butte On August 9, 1988 before me, the undersigned, a Notary Public in and for m said State, personally appeared WARREN EVANS AND WI?.r.A F.VArjB c 2. ii personally known to meX?;Xy"WtX0VQ%X0XXax yWVCMt7rcX m )QftUXXXaY4obethe person(s)whose name(s)%/are sub- scribed ub scribed to the within Instrument and acknowledged to me that o "" SX -MY A. STACK f 74K3I;*they executed the same. ■ NOTARY PUBLIC -CALIFORNIA ■ . ■ Butte County • a WITNESS my hand and official seal. My Commission EiresNov.3;1989 .f Signature (This area for official notarial seal) I Dated AUGUST 9, 1988 STATE.OF CALIFORNIA lea COUNTY OF - t On before me, the undersigned, a Notary Public In and for said State, per- sonally appeared personally known to me (or proved to me` on the basis of aatisfactory evidence) to be the person(s) whose name(a) Is/are subscribed to the ' within Instrument and acknowledged to me that he/aheAhey executed . the same. WITNESS my hand and official aeal: ; Signature (This area for official notarial seal) 1002 (6/82) MAIL TAX STATEMENTS AS DIRECTED ABOVE , -� ;y� 88-027026 88-027026 v c In� 7..00 88�27026 1 R e c F e e j : Total 7.00 Recorded II Official Records : f County of Butte PM AP NO. .3 ` � �� ^� Candace J . , Grubbs Recorder r BG 2 11:2.7am 16-Aug-88- NOTICE 6-Aug-88 NOTICE OF ('' ' STKUCTION— AFFECTING ADJOINING PROPERTY The undersigned, JAMES M. WILLEY AND MARION C. WILLEY ,.do hereby declare as follows: 1. JXaYdv� (We are), the owner(s) of that certain real property situated in the County of Butte, State of California, described in attached Wbit. A. 2. Z, (We), intend to apply to the County of Butte for a building perniit and, pursuant to said permit, to construct improvements on the said property: 1;c (We), do hereby place all subsequent purchasers ;and encumbrancers;on.notice that such improvements will be constructed over a parcel or lot line(p) as described in the above noted Exhibit A, and that subsequent purchasers and encumbrancers should be aware of the location of such improvements. 3. So long as such improvements remain, said parcels or lots cannot be sold separately. ature of owner of recodd Signature o owner of cor STATE OF CALIFORNIA ss. COUNTY OF BUTTE On August 16, 19 88 , before me, the undersigned, A Notary Public in and for the State of California, residing therein;, duly commissioned and sworn, personally appeared JAMES"M. WILLEY AND MARION C. WILLEY kno�.-^ to me to be the person 's whose names subscribed to the within instrument and acknowledged that they executed the same. v WITNESS my hand and offical seal. ®�®Ian■®�®®®®®o®®®®�Ie®®®o®® ® SANDY A. STACK ® NOTARY PUBLIC-C4LIFORNIA ® Butte County IN ® My Commission Expires Nov. 3, 1989 . a LD 1540 (5/88) �Orde'r'Tlo. MID VALLEY TITLE & ESCROW Escrow' No. 101280 100=. AP# 31-23-4-8 WHEN RECORDED MAIL TO: MR. & MRS. JAMES WI= 61 Evanswood Circle Oroville, CA 959651 Ir BUTTE COUNTY ECORDER SERIAL NO. S . a(0513- RECORDEDOF MID VOR LLROM REST 9t oo A M SPACE ABOVE. THIS LINE FOR RECORDER'S I MAIL TAX STATEMENTS TO: 11 00 DOC1UWARY TRANSFER TAX $.»...».»................................». X. Computation the consideration or value of property conveyed.- OR same as above ...... Computed on the consideration or value less Ilan or encumbrances r slning at 0 sale anature of D �re or Apert determining tax — Firm Name MID V TITLE & ESCROW C UMpANY GRAN T'DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, WARREN EVANS and WILLIA EMS, husband and wife hereby GRANT(S) to JAMES M. WILLE,'Y and MARION.C. WILLEY, husband and wife, as Joint Tenants the real property 'in theunincorporated area of the County of Butte State of California, described as LOTS 18 AND 19 IN Bl= 25, AS SHOWN ON THAT C RTMIN MAP RMTLF.D, "MAP OF THERMAISTIO BUTTE COUNTY, Com.", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 8, 1887. STATE OF CALIFORNIA Iss. ; COUNTY OF Butte I On August 9, 1988- ,before me, the undersigned, a Notary Public In and for said State, personally appeared WARREN EVANS AND—WIT-T-A EVANR * * * * * * * * * * personally known to meWQV") V=%y91XIXMs sXoKv}lt7SX X&t"XiN&"o be,the person(s) whose name(s)Ys/are sub- scribed ub scribed to the within instrument and acknowledged to me that ■ SANDY A. STACK s i(iRK*they executed the same. ■ NOTARY PUBLIC -CALIFORNIA ■ ■ Butte County ■ WITNESS my hand and official seal. P01 -z _ A . -% Dated' AUGUST 9, 1988 STATE OF CALIFORNIA ) Ia& COUNTY OF I 0" before me, the undersigned, a Notary Public In and for said State, per- sonally appeared personally known to me (or proved to me: on the basis of satisfactory evidence) to be the person(s) whose name(s) Is/are subscribed to the within Instrument and acknowledged to me that he/she/they executed the same h WITNESS my hand and official seaC:: ':.;. My Commission Expiros Nov. 3;1989 ! .®■■■■■�■■■�■atamlose■ss■■ta�etal (This area for official notarial seal) I S t A (This area for official notarial feel) qne ur 1002.(6/82) MAIL TAX STATEMENTS AS DIRECTED ABOVE END OF DOCUMENT �n �lC9 o� 70��0