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HomeMy WebLinkAbout031-243-002-- ---- IF 31-243-2 EUGENE HUMPHREY -L—,-gg 03'-3694 684 Colusa Ave., oroville �­---- :CO MCAST ComM g wtSEE ATTACHED, O ROV'-ILL EContr: Rex Plumbin' erm!E4�X3�(51OT j Cont:YESTCOAST.c6mm--- SF PLACECATV POWER SUppLy 41-243-2 31-243-02 9�27-1995P,E -l.le rovl -NEW --OWNER. S WILSON, Floyd, 684 Colusa Ave, Oroville, t 684 Colusa AX/ contra Harold Wilson ')Oorlroville r. J. ff u mberlin, mh utilities qontr: J. a Orovill � Permit#4.20-81B(reroof/8F) > 31-:243-02 3022,-.90B SMITH- DoWn' a 684 Colusa Ave, Orovele /2/ (demolition/sf), X31-243=02 ' 92-1957 P,E, WILSON, Floyd B. Is .684 Co'luga-Adiioe, Or ille I— contr: Har6ld.Wilson lmh utilities . ELEC. GAS COMPACTION -TEST REQ SUPPORT STRUCT REQ .(JS'l-24-'3-002 92=3012B"- WA50N, Floyd--"' 684 Colus�-&. Oroville U 6 m 031-24-3-002 '..�_92-30183B WILSON; Floyd . F684 Colusa AVe, Oroville covered covered.,decks/mh I . in FmAl. I- - THERMALITO. IRRIGATION DISTRICT 410 GRAND AVENUE COUNTY OF BUTTE OROVILLE, CALIFORNIA 95965 BUILDING DEPT TELEPHONE 533-0740 Fta 1993 u IMIC CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name: "'` �`'���`�` Date: Address: ` `' j "'"� 'Y�a Acct. No: ' ` LI • A. P. No.: 3:1.. .;•4f i.._ Phone: �:i� "•'= No. Units: Applicant/Agent: Agents Proof Address: Fees: Phone: Application- $ `' Arrearage Preliminary Review By: Date: CSA 26 Remarks: SC -O R .� ° �.a•tl u»w�11 ,�sc��ic; r.1c.1��.1+� lion vn 1st mo. S.C. :v• 'I" °. ��:.u,,� L1°,ct. "'J art's. 4c:s Other Total Fees Collected By: Pate: Field Review By: �—�'�.:�,.a�/%j't'��� Date: Remarks: 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 SI:SSI _ 031-24-3-002 Floyd yd IrN6 VILSON, &Ve, 684 Colusa /_ .OF PUBLIC WORKS P£AMI10, Telephone: 916.'538-754 92-3018B WIT Oroville BUILDING PERMIT 11 SO. FT. I OCC.1 BUILDING VALUATION VN ER - covered decKb' «<•. vmuvlLLE 95965 ANTRA_-�.. -a NAM TELEPHONE OWNER -44x2- I C-- )NTRACTOR'S MAILING AOORESS Fireplace )NSTRUCTION LENDER VNKNO WN Total Valuation Is 5,746 ENOE-R'S MAILING AOOREss - Filing Fee $ 15,00 Permit Fee $ j: 1 .�- lCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ ICHITECT OR ENGINEER'S MAILING ADORESS Energy Plan Checking Fee . S Penalty $ I IILOING AOORESs 684 COLUSA AVE OROVILLE 95965 Permit fee $/ .'IS PLUMBING PERMIT Filing Fee 15.00 Each Trap Solar or heat pump water heater 5.001 1 20.00 1T NO.'SUBOI VISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE r Q Duplex❑ Mobilehome(3 Other SPECI FY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.001 Mobi le Home S 1 G I W @ 15.00 TYPE OF WORK aw ^ Addition Ci. Remodel Utilities ❑ Installation❑ Other ❑ ascribe work: COVERED DECKS _- Permit Fee $ Contractor 1 ELECTRICAL PERMIT Filing Fee 15.00 Main service 500vORLE55 200A OR LESS I 18.50 Main service 2oGATO IOoOA, I 37.501 CONTRACTORS LICENSE LAW leclare under penalty of perjury (check one): I I I am licensed under provisions -at Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. (cense No. Classification I, as the owner, or my employees with wages as their sole compen- ation, will do the work,and the structure is not intended or offered _tor sale. (Sec. 7044) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec. Business and Professions Code for this reason NEW CONST. ( 7WEL.ING Occua.s� OR AOONS. 4CC. SLOGS. 3.6ssa.tt. I NEW C5NST�_ .muL-l.ourLET I I@ S.oOj NON.RESIO. SRANGH C'IRC••I TO (?OWER APo4RATUS s (SINGLE OUTLET CIR. ( s20.a76a Ex. OCCUO\OUTLETS OR FIXTURES Ex. Occuo. OUTLETS TS P(REISICAEA.) I 3.001 Temporary service 1 15.00 j Mobile Home Facilities j 15.00 i Misc. eYirin g I 15.00 I ; Permit Fee S — WORKMEN'S COMPENSATION INSURANCE eclare under penalty of perjury (check one): The permit is for 5100.00 (valuation) or less. I I have placed on file with the County of Butte Building Department u a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Q'I shall.not employ any person in any manner so as to become subject to the W. C. laws of California. Itlrf" to Annl lrant• If after Makinn chic et.-- cY.....1.1 ...... r.,,....__ -..1.:___ Contractor MECHANICAL PERMIT I FiIingFee 15.00 Heating i i Cooling Hood 6.501 i Ventilation _.. ._ .-r r.._�.... .. _..-. ... �.....' . .- .................. .a,.vu,v rvu uc{..V IIIc �UUICI:I the W. C. provisions of the Labor Code. you must forthwith comply with such )visions or this permit shall be deemed revoked. ;ertify that I have read this application and state that the above information correct. I agree to comply to all County Ordinances and State Laws relating building construction, and hereby authorize representatives of the Countyot tie t nter upon the above-mentioned property for inspection purposes. IlsoOe to save, indemnify and keep harmless the County of Butte against Iia ies. judgments. costs, and exoenses which may in any way accrue ainst said County in consequence of the granting of this permit. Permit Fee ontractor Mobile Home Installation Fee Energy Inspection Fee $ 0 TOTAL FEE $ 116-25 - — �✓1 LL �� `�` '�-- Oate/ I �_ This permit is hereby issued under the applicable provi- r- I cions of the Butte County Code and/or resolutions to do nature of Aopiicant — Owner f Contractor I_ Agent I 1 OSHA rvork utdic�[ed above for which fees have been paid. permit .s reaulred for eaeovarlons over 5'0" deep and demoilr,on or construct- or structures over )stones n hnlgnr. DIRECTOR OF PUBLIC WORKS l' i ?. ' . ' .:)�, . 1 dv Date I ceint Mn 123004 - / ; . ' -- eaunt* r^ q OROVILLE, CALIFORNIA - GENERAL CLAIM , CLAIMANT:, Floyd Wilson ADDRESS: 66 Grand Ave. CITY & STATE: Oroville, CA 95()65 IMPORTANT: DATE OF CLAIM: .Tune 18, 1992 ' SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT •RECEIVING GOODS OR ' SERVICES DATE I DESCRIPTION OF CLAIM (DESCRIBE FULLY TO -AVOID DELAY) ; AMOUNT Owner has decided not to-do work. Permit #92-1995P,E (MHU) 'AP#31-243-02,•Receipt #117115, dated 6/9/92.-. j Total Permit Fees Paid -------------------------- -------$128.50 I -Retain Plumbing Permit Filing Fee ------- L--$15.00' I Retain Electrical Permit Filing Fee-------- 15.00 Total. Permit Fees -Retained----=----------------------- 30.00 TOTAL REFUND DUE-----=--------------------------------$ 98.50 • i TOTAL $98 50 I. the undersigned. Seclare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. • 9 *Dated this _....�../ / ..... day of { / :�...—.. 19....... at .....Oroville...... Call' ...;:LrY..' /..�/. .....� ................. ................. .. . . - -' Signa re of Claimant. • . I, the undersigned, hereby certify that, to the best, of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation U or Specific Board Approval 7_11 (Check one)'for the same. O n Dated this ,,,,,,,,,,Igt�l,;,,,,,,.,,,_„ day or ....:,]une....,•.,••„., 19,/2., at ..... roville.. Cellf. ...... ....... .. .. .:.. ........................................ - art en eed uth ed De uty p. Codept. 440-002 d 4210500 Const ermits Code Code PAYABLE FROM ,,,,......•...... ................. FUND'' DO NOT WRITE BELOW -THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB..OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. COUNTY OF BUTTE BUILDING DEPT ii N 1 7 192 a California `Building., , , � Officials PRESIDENT, WARREN V. O'BRIEN General Manager Department of Building and Safety City of Los Angeles VICE-PRESIDENT FRED B. CULLUM Building Official City of San Mateo TREASURER WALTER T. LOPES Deputy Director of Public Works County of Merced SECRETARY DONALD L. WOLFE Deputy Director - Department of Public Works County of Los Angeles DIRECTORS JIM GLANDER Chief Building Inspector County of Butte MICHAEL W. BOUSE, C.B.O.- Director .B.O:Director Building and Safety Department City of National City TONY C'DE BACA, C.B.O. Assistant Development Services Director/Building Official City of Costa Mesa DONALD E. CLARK, C.B.O. Building and Zoning Official City of Kingsburg PAST PRESIDENT MILTON A. TROMBORG Community Development Director City of Dinuba CALBO CONSULTANTS CONNERLY & ASSOCIATES 2215 21 st Street Sacramento, CA 95818 (916) 457-1103 1) COUNTY OF BUTTE -'DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 31-243-02 ZONING AR BUILDING PERMIT OWNER FLOYD H WILSON TELEPHONE 533-2590 sa. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 66 GRAND AVE OROVILLE 95965 CONTRACTOR'S NAME AROLD*WILSON TELEPHONE 533-3993 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ - ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 684 COLUSA AVE OROVILLE Permit fee $ 20.00 PLUMBING PERMIT Filing Fee o0 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 13 SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomen Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home x I ;,r I Nj @ 15.00 45.00 TYPE OF WORK New F71 Addition❑ Remodel❑ Utilities] Installation❑ Other ❑ Describe work: 2BD _ Permit Fee $ 60.00 Contractor ELECTRICAL PERMIT Filing Fee15.0 Main service 200A OR LESS 18.501 18.50 Main service 20CATO 1000A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License Ao. 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 Z -for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING OCCUP.& OR ADONS. ( ACC. BLDGS. I 3.6Q sq.ft.` NEW CONSTR ULTI.OUTLET NON-RESIDI BRANCH CIRC ITS @ 5.00 (POWER APPARATUS &) SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20 760 20 Ex. OCCUp. OUTLETS FIXED PRE (RESID ) A./ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 15.00 Misc. byirin g '15.00 Permit Fee $ 48.50 — 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'ubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in anyway accrue against said Cou ty in consecLu ce of the granting of this per it X ,�J Date Signature of Applicant — Owner Coniroctor Agent An OSHA permit is required for excavations over 5'11" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 128.50 I HAz 1 DFEES FLoo COF PARCEY Y/ PO -� F10 IsSUE j This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 117115 WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT a• .h,:'tivYri'ul"� � tr,��'SC�,�-.t+tf F�.ref'�'� . , i 1 `.,4'i COUNTY OF BUTTE EPARTMENT OF PUBLIC WOFW ,- BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORILLE,'CALIFORNIA 95965 - TELEPHONE (916) 538-7541 N PERMIT APPLICATION DATA SHEET toT /3 OWNER (.--� / CEJ A41111 L f It,so/t/ rp Proposed Building Use Building Inspector Date ?f ---- At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. .......... .............................. 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ............... :...... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . X3 Flood elevation letter (100 year floo t��C 51ifornia Engineer. b( 14. • Sanitation and plot plan approval `fid' Health Department . ............ 6— — 15. City of Chico plumbing permit. ...... . n1*ee4,�0%e_—. r"e or. ,�o,.,er ••�s+ed P t plan and busi% approval from City of BiggeGridley. 9�..... r Planning approval f r (A) Use (B) Parking: _ ...... _ ontact Land Develo bout <�morov�men 13). Drainage. ........ . Driveway permit (construction approval required prior to occupancy). . . Pre -Inspection reque7t- 20. Pre -inspection for required. . to Building Inspector (Dale) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . Owner -Builder Verification (Given to owner , Mail to owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization ............................ •............ . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance . .......................................... .............. 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ................ 31. Existing violations/expired permits . ...................................... 32. Plan check list. . ' ........ . 33 [i 34. 7` l 1 When you issue the Qermit, rocgss as follows: ' Mail o owner. Mail to contractor. Telephone 5 37 �7nnd hold for pickup at /t- a office. Deliver with inspector. Other Parcel Creation / (7 Acreage Applicant ate" Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date' Copy of plans sent Health Dept. Fire Dept. Other Date By \ The following data must be submitted prior to permit 1. Index permit for above items No. / 2. Additional items required: ircle new item not checked above). Contractor, designRf.aqwn=e;r>was advised of above required data by _� phone _mail Counter by Date % 6 Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works ` PARCEL CHECK -,LIST, AND REQUIREMENTS Owner FI oyA W lsow '.Permit No. 'A. P. No. Telephone No.•,53.3 a•590 Date' (�- !2-;47z 1. Parcel creation Map Book Y 444 Page- Legal Parcel r Creation date r 60' R/W j Certificate of•Compliance Other ~(Specify) lei j 1. +. y ,Parcel created by subdivision,map,.prior to July'1, 1949 17-23 ` .Parcel size is less than.5 acres Parcel exempt from •items • 3, 4, and improvement requirements s 3. Minimum Parcel Size (must meet zone.or). Parcel meets frontage and area 'requireme is of zone. 'Parcel does not meet frontage and ar requirements of zone or ---------------- Parcel is merged -,pursuant to Section.20-180.2 Parcel has vested 'right, to develop 4. Legal Access. Parcel fronts on publicly maintained' road C o C4 so, rq (Road Name) Parcel does not front on.'public maintained road ' (Road Name) Documentation on legal access required (must;,be by Title Co.; or licensed engineer or surveyor) Documentation on'legal accesso.submitted and accepted. Copy of form sent to' Land Development for improvement requirements CyT\ (Date) by y Copy of form sent to Building -Department Q Road Improvements not Required F ". Road'Improvements Completed and Approved.for Building Permit Issuance Date � :By` y 7-/26/91 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER SEE ATTACHED ZONING BUILDING PERMIT OWNER COMCAST COMMUNICATIONS TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 4350 PELL ST SACRAMENTO CA 95838 CONTRACTOR'S NAME WESTCOAST COMMUNICATIONS 343-2473 TELEPHONE CONTRACTORS MAILING ADDRESS 140 MEYERS ST CHICO CA 95928 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDING ADDRESS 10 OROVILLE LOCATIONS (SEE C Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBONISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: PLACE CATV POWER SUPPLY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI G1 W1 7�j PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 1 UES Main Service 2 OR LESS id 23.00 230.0 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 isjp isfull force and effect. /'� // aa P) // License Class — Lic. No. _ 1• b,5 ( (l_!7 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason250.00 Main Service 200A To 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. sLos. so 3.5¢x; MN-R�ID. MULTI.OUTttT 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES B20 Q 1.00 PP Ex. Occup. OUTLET5Es D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compen ati rovisions of section 3700 of the Labor Code, I shall fo ith com w' a provisions. J _ X Date 1 _ Signature o pplicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excava Ions over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 250.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES O the applicable provisions Resolutions to do work been paid. 4 Date �9 Q O D e dKe Receipt No. WHITE-D.D.S.-B.D. CANARY-ASSESSO INK- PECTOR GOLDENROD -APPLICANT RESIDENTIAL 03 11=24-3_002 WILSON, Floyd 92-3018B 684 Colusa Ae, Orov' h covered decks/mh llle c 4 u ' J=OK O= Not OKt Not Applicable MOBILE HOMES ' Not Ready `•' Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location-Test"-Fall-C/O"Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect .8. Utility Clearance Date Card B-1. Date Card B-1 Date Card B-1 Date Card 13-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy ' Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date -DECO, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s Z "rig Requirements -Setbacks -Easements F Ings; Soils -Size -Depth -Spacing -Connectors -Steel Decks; riders and/or Joists -Decking -Bracing -Stairs -Rails ood Awn.; Posts -Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing um. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof Shthg-Roofing xt.; Steps -Doors -Landings Date A ,1j& Card B-1 Date Card B-1 Date ( '. Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except ft's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 16.- Water Htr.: Vent -Access -Combustion Air -Baffle --------------- - ----------------------------- 17. Water Pipe; Test & Anchor -Nail Protection -------- ---------------------------------- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ------------- --- ----------------- 19. Shower Pan; Test. First Floor -Tub Access 20. - Test -Tub & Shower, Second Floor -Tub Access ------------------------- ----------------- ---- 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card -B-1 - ------------ ------------------ ----------------- -------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti'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/Meth. Fastners-Bond Gas & Water -------- -- ------------------ - --------------------------- 27. - ------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ----------------------------------------------------------------------------- ----- 28. Subfeed Wire Size / i ga. Cu or AI-A.C. Wire Size / / ga. Cu or At --------------------------------------------------- 29. Range Circ / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --- ------ - ------------------------------------------------ 30. ------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect --------------------------------------------------- ----------------------------- 31. Equip_ Clearances Panels -Motors -Meth. 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 ti's 34. A.C. Ducts Insulation & Support ----------- ---------------------------------------------------------- --------- 35. Vent Fan Exhaust above insulation -------------------------------------- ----- -- - ---- --- 36. Condensate Drain & Overflow: Size & Grade ------------------------------------------------------------- - ----- ---------- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----- -------------------------------------------------------- 38 Attic Access & Platform if Furnance in Attic ------------------------------------------ ------------------------------------ DateCard -B-1 Date Card -B-1 ------------------------------------------------------------------------------ Date Card B-1 Date Card B-1 Date FRAMING (Plans).OK except ti's 39. Sils. Proper Material & Anchors ------- ------- ------------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------------ -------------------------------- ---------------------------------- 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop Walls- (rat- proof) -- - ----- ------------in---------------------------- ----------------------- -------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub --------------------------------------------------------- 44. Headers & Beam -Size & Bearing >ingle & Duplex) Date FRAMING (Continued) v 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing _ 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection - ----------- -- 54.-- plywood on Roof Overhang -Attic Vents -Rafter Outriggers -- ----------- _ 55. Siding -Nailing Veneer ------------ 56.. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ------- --- 57. Glazing Area -Glass Protection- Skylights- Plastic --- -----------_ 58. Shear Walls: -Nailing -Bolts 59. Insulation -Walls -Ceilings ------------------ 60. Infiltration -Walls -Windows ----------------------------- Date _ Card B-1 _ _ Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ------------------------ - 63. Furnace: Vents -Clearance -Comb. Air-Connector- In.Garage: Above Floor -Ducts -Meeh. Protection ------------- ---------------- ------------ 64. Bedroom Exiting 65. G F.I & Bath Fixtures & Tub Access -Spa ------------------------------- 66. Elec_ Trim -& Subpanel_Breaker Sizes & Labels ---------------- _________ 67. Stairs -&-Rai-Is--- 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. --------------------------- ------- -- 70. Kit Fixt_& Appliance_Grnd_Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter --------------------------------------- --- 72. Garage Fire Door: Swing -Landing -Closer ----------------------------------- ---73.--A.C.- ------------ ------------ 73.A.C. Duct in -Garage -Damper 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection ---------------------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location ------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7 . Insulation -Foam -Looked in Attic ❑ Yes --------------------------------------------- - 78. Guard Rails & Deck -Co nst ruct ion -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 -_0 --- Yes ❑ No ---------------- -- 81. Stucco: Brown -Finish ---------------------------- --- -- 82. A_C_Unit: Disconnect. Electrical, Plumbing 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ------ --------------------------------- ---------- 84. Water Well: Disconnect, Electrical, Plumbing ----------- --------- -------------------------------- ---- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House ...I- ----------------- 87. Glass Protection - -------- 88. Corrections from Previous Inspections - - ------- ------------------- ---------------------- ------------- ------------ 89. Gas Test -Meters Tagged: Gas -Electric - -------------------------------------------------- --- 90. Water & Sewer Connected -C/O to Grade -HD Approval ------• --- -- --------------------- ---- 91. Energy Compliance Certificate -Other Certificates ----------------------------------------------- --- Date -------------- Card_B-1------------ _Date _ Card B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT /71 ick P PERMIT NO. 92-3018 ASSESSOR PARCEL NUMBER ZONING AR BUILDING PERMIT OWNER TELEPHONE 533-2590 SQ. FT. OCC. BUILDING VALUATION OWNER' MAI ING ADDRESS vlle 95965 72 8,736.00 0 577.00 CONTRA O 'S NAME TELEPHONE CONTRAVrURK MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $9,613.00 LENDER'S MAILING ADDRESS Filing Fee $ 155,00 Permit Fee $ 977.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 48.75 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 161.25 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition El Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Covered Decks Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLLES ESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Cha t. 9, Div. 3 of the BUSlness p and Professions Code and my license IS In full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ElI, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO 1000A) 37.50 NEW CONST. (DWELLING OCCUP.y\ OR ACDNS. ACC. BLDGS. // 3.60 sq.ft. NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRC ITS � 5.00 POWER APPARATUS R1 SINGLE OUTLET CIR• I / Ex. Occu p\OUTLETS OR FIXTURES 20 @ 76 Ex. Occup. OUTLETS ED PLNS R (RESID )EA.) .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject provisions or this permit shall be deemed revoked. to the W. C. provisions of the Labor Code, you must forthwith comply with suchrEnergy Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation mit Fee $ tractor I certify that I have read this application and state that the above informationbile is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aid County in consequence of the granting of this permit. X �� 9"'`% Date���� Signature of Applicant — OwnerEY' Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Home Installation Fee S Inspection Fee $ cc CONST TYPE TOTAL FEE $ 161.25 HAz [D FEES IMP FLOOD cDF PARCEL PD HD IssuE i This permit is hereby issued under the sions of the Bu a Con ode and/or Work IndIC a v f which fees I O OF PUBLIC BY PERMIT EXPIRES Date /7 -' applicable pro resolutions to do have been paid. WORKS Date/Z-Z� Z Receipt No. 123004 $116.25// 123226 $22.50 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlller California 95985 - Telephone: 916.'538-7541 `APPLICATION AND PERMIT PERMI. O. ASSESSOR PARCCL NUMBER ., 031-243-002 ZONING A R BUILDING PERMIT OWNER TELEPHONE 533-2590 SO. FT. OCC. BUILDING VALUATION C OWNER'S MAILING ADDRESS G NDAVEOROVILLE 95965 -6e& I CONTRACTOR'S NAM _ OWNER TELEPHONE 7 2_1 01 Q CONTRACTOR'S MAILING 'ADDRESS Fireplace CONSTRUCTION LENDER - UNKNOWN Total Valuation Is I/ LENDE-R'S MAILING ADORES! - _ Flling Fee $ 15.00 Permit 'Fee $- ARCHITECT OR ENGINEER - . LICENSE NO. Plan Checking Fee Ener Plan Check Fee 9y 9 •➢ $ ARCHITECT OR ENGINEER'S MAILING ADORES! Penalty $ BUILOING ADDRESS 684 COLUSA AVE OROVILLE 95965 Permit fee PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 - Solar or heat pump water heater 1 20.00 LOT NO.' SUBDIVISION NAME PARCEL MAP _ Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF Q Duplex Mobilehomen Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.001 Mobile Home S G I W @ 15.00 TYPE OF WORK New -7,,/ Addition [I. Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: COVERED DECKS Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 2OOV OR LESS 00A08LESS 18.50 Main service 20GATO IOOOA1 1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I•7I 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. Icense No.Classification I, as the owner, or my employees with wages as their sole compen- kation, will do the work, and the structure is not intended or offered ,_..or sale. (Sec. 7044) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Q I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR.A) OR ADONS- ACC. SLOGS. 366 so It NEW CONSTR. ULTI.OU TLET NO N..'7 ESI D. BRANCH CIRC'ITS) @ 5.00 POWER APQARATUS S) -SINGLE OUTLET CIR. / Ex. OCCUp�OUTLETS OR FIXTURES 120 76a RA a7 F''ED APPLNS. OR Ex. Occuo. OUTLETS IRESID.1 EA.) 1 3.001 Temporary service15A0 o Mobile Home Facilities H 15.00 Misc. g I 15.00 j Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for 5100.00 (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 some to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT I Filing Fee 15.00 i Heating Cooling 9 Hood 6.50 Ventilation I I 1 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 or Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnity and keep harmless the County of Butte against all liabilities, judgments, costs. and expenses which may in any way accrue again t id County in conse?u nce of the granting of this permit. Mobile Home Installation Fee S Energy Inspection Fee `—$ / -� occ coNSTTYPE TOTAL FEES +k6—.25 -- HAL 0FEES IMP FLOOD I 1 COf PARCEL Po HO ISSU E , X` ' v` Date /S Signature of Applicant — Owner Contractor F7 Agent C An OSHA permit es required for excavat.ons over 5'0" deep and demolition or r t• an of structures over J stories �n height. 6!�jW Receipt No. 123004 — //6, a, This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do ' work indicted above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By _ Date PERMIT CVDIQCC fl ter.. - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORO&LE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER r k)(4,0 �� V /SOS/ s� A. P. NO. opt' ` Z 4' .3 - J0 Proposed Building dse G(,,C✓ Ab Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sits, signed by preparer of plans . .......................... 3. Complete plans/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . AA / Mobilehome data and manufacturer's installation instructions, 2 sets. ........... -10.Fesof$ ........ Z �%Z Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ................... •.... . 13. Flood elevation letter (100 year flo, bJr California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. ,.17. -,',,Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . Pre -Inspection requ� 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . ................. . 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. Whe .you issue the permit, process as follows: Mail toowner. Mail to contractor. TelephoneS'3'S,-,� D and hold for pickup at �� office. Deliver with inspector. Other Parcel Creation M4_0 If I/Yj Acreage Applicant ate Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date , By The following data must be submV t • r o e mit i ance: cle n -item d not check bove). 1. Index permit for above items N . X1 I - 2. Additional items required: i jo 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 _ mail ounter by _ Date Plans checked by Date Plans approved by Date l 16 qZ Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE -.Department of Public Works .7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has-been applied for in -your name and bearing your -signature. Please complete and return this informaton'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. Ehis work, but` I have hired the following person - to'coordinate, supervise, and provide the major work: Name _ Address City . _ - - - - - - Phone ... �. ..: _::. Contractors-.Lic:ense`No.' : 5. I will provide some of the work but I have contracted (hired) the following _..persons to provide the work 'indicated: Name -Address Phone- Type of Work Signed: • Property Owner Social Security _ Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California. Health and Safety Code.. This verification must be completed and returned to our office before we are per- mitted to issue the permit. RESIDENTIAL\ 31-243-02 92-1957 P,E ;WILSON, Floyd 1.684 Colusa Ave, Oroville. 'contr:. Harold Wilson- mh utilities J; OK , O = Not OK Not Applicable Not Ready MOBILE HOMES = Date MOB LE HOME UTILITIES Plans OK except #'S . Z2- ing Requirements -Setbacks -Easements Soils; Special MH Support"Sketch S er, Location -Test -Fall -C/O Concrete ater; Location -Test -Ease men t Needed (Sketch) j lectricity; Location-Clearences-Grri%t)/Amp-Concrete Gas; Location -Test -Wrap: / /"L"f1 / /"Nat. or/ /"L"ft./ /"LPG Iearance & Disconnect I.Woli-Itility Clearance Date ZS Card B-1 Date Card B-1 Dat and B-1 Date'' Card B-1 Date 1, f VOWkE HOME INSTALLATION (Plans) OK except #'s Zoning Requirements -Setbacks Easements Fo ' gs; Size -Spacing -Marriage Line Y Gas; MH Test-Demand-Valve—Connector P electricity; MH Test -Crossovers -Breakers -Clearances .. Drain; MH Test -Fall -Flex Connector L_--t—Water: MH Test -Regulator -Connector Water and Sewer Connected -C/O to Grade -HD Approval as and Electricity Tagged 9 Exits; Insp.-Sketch Cert. of Occupancy Date — Gard B-1 Date Card B-1 Date 0— � — and B-1 ate Card B-1 �m�U�ovL,s TO //10 0 K -to +^_S a le,, -k- 4 ,)Q . 5 a: S AA MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plane)OKexcept q's 1. Zoning Requirements -Setbacks -Easements f. 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 c �4 d'e Sys f+.ri s-Fw �c --fe Jet I -i L.t a G�lL��ov al % ham, MZ cs a fes -f- -#'eQ +-a ��ze-%a.Ss ✓=OK O = Not OK = Not Applicable , Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except k's 1., Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wra pped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienunis & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except 4's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection - ------------- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ---------------------- -- ------------------- 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 -------------------------------------- --------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer 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/Meth. Fastners-Bond -Gas-.&- Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ------------- - - ..----------------------------------------------------------- 28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size ! / ga. Cu -or -Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------------------------ 30. Service -Riser Conductors & Ground -Main Disconnect --------------------------------------------------------------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light ----------- - ---------------------------------------------------------------- 33. Smoke Detector ---------------------------------------------------------------------------------- Date Cartl B-1 Date Card -B- 1 ----------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OI( except a's ----------- 34. A.C. Ducts Insu-- lation & Support ----------------------------------------------------- 35. Vent Fan. Exhaust above insulation 36. Condensate Drain & Overflow: Size & Grade --------------------------------------- - - -------- ---- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------- ---- - ----------------------------------------------- -- 38. Attic -Access-&- Platform if Furnance in Attic ----------------------- -------------------------------------------- - ------------------------ ------------- Date Card B-1 Date Card B-1 ------------------------- - --- - --------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. Sils. Proper Material & Anchors ------ ------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound -------------- -------------------------------- ---------- ------------------------ Bearing-Walls ---------------------- BearingWalls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) --------------------------------------------------------------- 43. Fire Stops: Furred Ceilings-Stairs-Chases-Tub ------------------------------ 44. -----------------------------44. Headers & Beam -Size & Bearing "Ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ------------54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------ ---- _ 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolls ----- 59_ Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ----------------- ---------------------------------- Date Card B-1 Date Card B-1 •-- ------------------------ Date Card B-1 Date Card B-1 Date FINAL (Plans) OK exceptg's ____________ 61. Ext. Steps -Door & Sidelight Protection -Landings 62 Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection --------- ------------------ 64. Bedroom Exitina 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. ------------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 Protection --------------- 7-,. Insulation -Foam -Looked in Attic ❑ Yes - -------------------------------------c--- 78. Guava 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-Fireplace.-Clearance to Openings_ _ _ _ 84. Water Well; Disconnect, Electrical, Plumbing ---------__­ ­ ------------- 85. - 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House - - - -- - - -- ----------- ------------------------ 87. Glass Protection.- _. - --- -----------•---- ------ ------------- -------- 88. Corrections from Previous Inspections -------------------------- --------- -------------- -- 89. Gas Test -Meters Tagged: Gkas-Electric ` - -------------------------------- 90. Water & Sewer Connected -C/O to Grade -HDA Approval 91. Energy Compliance Certificate -Other Certificates ------...------------- --I �--•-------------T- ---- 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: --------------0--- �- ��� �. �. ;: � % � .� .�2� � , _:�- r :. � ► , � � � / � • � �� � � i � ! 1 � / �, � � � / � i / t � � / `� `I t ,. � � � - � i P � i.� ; _ l � � � � � i� it � �' � � � �' • t1.,. <� ' � (o � � COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 RE: Wi_ fi reference to the above subject: A. P. # DATE Ll Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced '1' L1 We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in , including plot plans. Plot plans in - Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, <iA_.__.____ 0 CD 0 0 co _ o ml 0 1 MOBILEHOME INSTALLATION ACCEPTANCE - COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538--7541-. PERMIT N'O.<5 Address or location �-o-f mob`i-lleehome C01054- Owner's name E 1—a '9' Owner's address Insignia or hud number C�z 69 Manufacturer's name s—n ht Serial umbe of V.I.N. 4Year of manufacture l " i�-5 F ( F i ial Approving Installation) (Date) IF.THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. +, 5136 White - Owner, Yellow,- Installer, Pink - D P.W r'`J.t sc<�7i: ,'..�_�..:„ _..io..11s�:.�e+..ertj;..crs;c:�.;:.,.u;:.�;,,:;,y�,y�r—,+:r,rbc.,-.s�.,.y:..t.,r,y,..••,*,'+„�,� COUNTY OF BUTTE ru ' DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916).891-2751. 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE I S® OW ER PERMIT NO- `{' ' Aroutine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additionatexplanatiort, please contact this office immediately: Ak 5z4,�i � V%—'e Z a vX 1 V1 0 -a � 1 �Dn4,i;, Q :S f 51f!Qg- 45 -45 P -e r- 'q 12 lir O t4 CA ? /,OK S in r Arnv�rl� eF loeova� o {oa-fr��< oS I ��skall �d v I d Q4 02 42 a 6 crc d F r s � r IM I �S • a d IF e ks cz, vt o4 0 4. Date 10'(9-1Z- Inspector yia-DjCyvn REV 11/81 11 J 'n • i; Date 2 Inspector- ;r REV 11./91' .. 5 " COUNTY OF BUTTE Y DEPARTMENT OF PUBLIC WORKS'. u - 1469 Humboldt Road, Chico, CA - (916) 89.1-2751 X t 7 County Center Drive, Oroville, CA - (916) 538-7541.' . 747 Elliott Road, Paradise, CA - (916) 872-6307, 1 CORRECTION NOTICE OWNER PERMIT NO. • f r y4 A routine inspection indicates that the following violations of Butte County Ordinances exist at the above sand should be corrected. Please notify this office when correction of work " _is completou have any questions pertaining to this matter, or need additional explanation, Yta6t .- please c his office immediately. .;" 17 c� r` c.t,(�J /JC�/i !�J i ` ~- l ' (A 7 , cit GG/ a f i :A •3 'n • i; Date 2 Inspector- ;r REV 11./91' .. 5 !?q'7 " COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 L'ounty Center Drive - Orovllle. California 95965 - Telephone: 916/538-7541 -• APPLICATION AND PERMIT PERMIT NO. 9 47-1, -Ito? ASSESSOR PARCEL NUMBVR 31-243-002 ZONING A R BUILDING PERMI OWNER FLOYD M. WILSON TELEPHONE 533-2590 SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 66 GRAND AVE OROVILLE CONTRACTOR'S NAME TELEPHONE HAROLD WILSON 533-3993 CONTRACTOR'S MAILING ADDRESS 64 GRAND AVE Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 684 COLUSA V OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. ` SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Dupiex❑ MobilehomeK] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home @ 15.00 4-5. 00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [n Installation❑ Other ❑ Describe work: 3 BDRM _ Permit Fee $ 50.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 18.50 Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) �l, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 3.64 sq.ft. NEW CONSTR. ULTI-OUTLET NON-RESID BRANCH CIRCUITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 RAL 0 4F;1 Ex. Occup. ou LETS ED APP(RESID )REA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring 9 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. p( F I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 t sa''d County in conseq a Jce of the granting of this /permit. / X � Date (� ! / Signature of Applicant — Owner Contractor ❑ Agent ❑ An n OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $ 128.50 HAz 0FEES IMP F OOo cOF PARC PD o Iss This permit is hereby issued under the applicable provi- sions of the Butte Count Code and/or resolutions to do work ind a which fees have been paid. 1 O OF PUBLIC WORKS BPERMIT EXPIRES Date Z D e Y 8 7 Receipt No. 11701 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r IrA 7ir"Y.r4•eivr �sr�r( ..,,•v�i�t�Y+.1�`^# i, / �y�r-y` ^r'.-..-r'�.f .. * ' � * � ��r'^•e t�(es, .' rte ,a� �! �� / / t` �= COUNTY OF BUTTE �- PARTMENT OF PUBLIC WO =BUILDING DIVISION ;" S." Q M : . J P 7 COU�TY+CENItR RI�V.E.- OROVILLE, CALIFORNIA 95965 TELEPHONE -(916) 538-754'1 ` PERMIT APPLICATION DATA SHEET OWNER �V W C .�U o Proposed Building Use Building Inspector Date —1003--- At 0U At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED By All items a been submitted. . 2. Plot plan 4 sets, signed by preparer,of plans . .......................... 1 ( Z 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... <! 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. " 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... g. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... ��— 10. Fees of$ .............`............................. 11. Impact fees as shown on attached schedule . ............................... 12. California' Department of Forestry plan approval/fees. ........ .............. . Flood elevation letter (100 year fl-aq alifornia Engineer. ....... . ©' 14. Sanita(16n and plot plan approval Health Department. ... ,a `' 15. City of Chico plumbing permit. 0iStr� ��.�� Plot plan and business license approval from City of Biggs/Gridley..... !.... Q Planning approval for (A) Use: (B) Parking: /of. sf & Contact Land Development about (A) Improvements (B) Drainage. '.......... . i_ 19. Driveway permit (construction approval required prior to occupancy). .. . ° Pre-I.nspe.ction.requ. .esF---. 20. Pre -inspection for required. .. to Building Inspector (Date 21. Contractor's license information. (No., Name Style, Classification) . .............. 22: Certificate of Workmans Compensation Insurance . ........................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use ............ ............................. ~� 28. Mobilehomeutility clearance . ................. . ........................ 29. Docurrientation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list. ........ . �Oci'G. Q� Cc.. -n Y/Z'//7L �— '7`—`� When you issue the_permit process as follows: Mail to own r. Mail to contractor. Telephone W/Ind hold for pickup at office. Deliver with inspector. Other Parcel Creation , Acreage Applicant te �Z Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept: Fire Dept. Other Date By The following data must be submitted prior to er it issuance: (Circ w item of checked ab we). 1. Index permit for above items No. a 2. Additional items required: 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 _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.`538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR A CEL UM ZONING - BUILDING PERMIT owN , , I S3EPH��oNE . w SO. FT. OCC. BUILDING VALUATION O NER'S MAILING A RESS �0 � / C T TOR'S A E T LEPH ONE G�ir�,v �33 3 CON AC OR S MAI NG AO RES�S� //✓/ Fireplace CONSTFfUCTFON LENDER UNKNOWN Total Valuation $ .LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILD I G ADDRE s Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.001 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 1 7.00 US OF STRUCTURE Gas piping system 1 - 5 outlets 1 5.00 SF ❑ Duplex[] Mobilehome Other Building sewer 15.00 SPECIFY Mobile Home S Q GXWJ @ 15.0 TYPE OF WORK New ❑ Addition ❑ Remodel Instal lation❑ Other ❑ Uti itie Permit Fee $ Describe work: Contractor ELECTRICAL PERMIT4­18.501 Filing Fee 15.00 Main service 200AORLESS 4k,S Main service 20CATO 1000AI 37.50 CONTRACTORS LICENSE LAW NEW CONST.( DWELLING OCCUP.ad\ 3.6l sq.ft. I declare under penalty of perjury (check one): OR ADDNS. ACC. BLDGS. // NEWCONSTR.ULTI.OUTLET @ 5.00 ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON.RESID. BRANCH CIRC ITS POWER APPARATUS e and Professions Code and my license is in full force and effect. (SINGLE OUTLET CIR. License No. Classification Ex. OCCUp(OUTLETS OR FIXTURESA20 76 11 ❑ I, as the owner, or my employees with wages as their sole compen- Ex. OCCup. OUTLETS P(RESID IHE j 3.00 sation, will do the work,and the structure is not intended or offered Temporary service 15.00 forsale. (Sec. 7044) Mobile Home Facilities Q ❑ a, thb owner, am exclusively contracting with licensed contract- 15.00 rs. (Sec. 7044) Misc. Iyirin g '15.00 I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ — Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Coolin g ❑ I shall not employ any person in any manner so as to become subject Hood 6.50 the W. C. laws of California. Ventilation No 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 permit 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 S is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Energy Inspection Fee $ Butte to enter upon the above-mentioned property for inspection purposes. OCC CONST TYPE I also agree to save, indemnify and keep harmless the County of Butte against TOTAL FEE $ t all liabilities, judgments, costs, and expenses which may in any way accrue HAz 0FEES IMP CDF PARCIEL PD HD ISSUE against said Co my in consequence of the granting of this permit. 1 I FLOOD I This permit is hereby issued under the applicable provi- X Date Signature of Ap licant – owner❑ Contractor ❑ Agent ri sions of the Butte County Code and/or resolutions to do An 05HA permit is required for excavations over 5'0" deep and demolition construct- work indicated above for which fees have been paid. or ion of structures over 3 stories in height. DIRECTOR OF PUBLIC By WORKS Date Receipt No. 1%/l `l„ PERMIT EXPIRES Date WNITC-D.P.W., YELLOW-ASSE7SOR. P -INSPECTOR, GOLDENROD -APPLICANT Pacific Gas and Electric Company North Valley Division . .,. P.O:°Box 4 Chico9 ,:. , CA 95927• s '3L, C COUNTY-OF BUTTE +. } BUILDING DEPT July. 2Q, 1992 , AUG l 4 1992 Mr.. Stuart'-Edell r &. Department,,of'Development,Services Land ;Development Division 7 County Center•prive- - , Oroville, CA 95965 RE: APPLICATION FOR CERTIFICATE OF%MERGER 'f.-,FLOYD,WILSON APN 031-24;3-002 , Dear„Mr. Edell: `4 We have reviewed the above•ment"ioned�,merger` and request that no; dwellings be allowed'over,•existing PG&E facilities. There t. ,appears to ,be an existing gas .line on the subject property.,,. Please have the applicant contact'Underground Service Alert (USA) at 1-800-642,-2'444 •to' determine .the .exact location of PG&E's ” -facilities The plot plan attached to ;this request for"merger;.indicates the ! ._applicant proposes-,to install underground electric and gas facilities.underneath•the proposed mobile home location. We request that the applicant revise,his site improvement to avoid•_conflict with existing,,or proposed PG&E facilities. All costs associated'-with-the relocation/rearrangement'of PG&E facilities will be.the sole responsibility-of the owner/ developer.. f •If you have any questions, please contact.Mr. Bob.Grimm¢in Chico at 894-4758. Sincerely,LyX ALAN•SUNAHARA , Division.Land,Supervisor , RCG• lmk r • �` !'fir �. y7 q; y r - , 9 2-3.6.758 .92-036758, Total .00 AFTER RECORDING RETURN TO; Recorded I County of Butte ' Official Records I Department'of Public Works. No. 7 County Center Drive County' of I Butte t Oroville, CA 95965 Bu .Candace J. Grubbs 1 Recorder 8:02am 17-Aug-92 1 COMB CD 2 CERTIFICATE OF MERGER LANDS BEING MERGED:` AP: NUMBER(S) SUBDIVISION/PARCEL MAP: [tMq-p TP Th-Em ttu voI" f3u,m: ' •�U,hff`f CAtA 11 2tz u rzet'� J u vac . e� ,• � � t3-t .; . ,• BOOK PAGE BLOCK LOT(S) I2. :13 As of the 3— day of az isf 19 Z those lands 'noted above are merged to c eats one single parcel of land as described on Ex bit "A" attached hereto. Wi iam Farrel e rector of Development Services OWNERS'.CONSENT TO MERGER W'tL-sq-#3 A-Nn 0,0Q_n-rt*Y IJ. VelILsovj ".'a N.0 u► Ft nsJoymT Nas owners of all that real property to be merged, 4o hereby -consent and agree to the merger of such lands into one single parcel as. described on Exhibit "A" attached hereto: SIGNATURE DATE- ;'77 SIGNATURE I DATE State of California On this the 17th day of June � � �- - _. �_ _ _ .- - • -_-,�9_:92 LeforemeS County of Butte the undersigned Notary Public personally k ­Floyd M. Wilson and Dorothy N. .Wilson appeared Known to me to be the persons) whose names are o IeI.HARDLAL IN to the within instrument and acknowledged that they bscribed IIUIELI-CALF executed the same for the purposes therein contained. NO ARY PUS • CALFOANIA by sMq IN WITNESS WHEREOF, I hereunto set my hand and official seal. bap 29,199 EXO GENERAL ACKNOWLEDGMENT FORM SMS-27ro %.')Gu 92-2695.9 RetLarn to DPW AGRICULTURAL STATEMENT.OF ACLNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building .permit. The property described herein is adjacent I to land or included within an area zoned 91 Rec Fee 5.00 for agricultural purposes, and residents ' I Cash 5.00 of this property may be subject to incon- ' Recorded veniences or discomfort arising from the Official Records I use of agricultural chemicals, including, County of but not limited to herbicides, pesticides, Butte and fertilizers; and from the pursuit Candace J. Grubbs of agricultural operations including, Recorder but not limited to cultivation, plowing, 8:01am 18 -Jun -92 I PUBL JJ 1 spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte Countv has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All 'ttrat real.'property.-."sit:uate in the County of Butte, State of California, described as follows: /3i Q/,C_J; -34i As SHOW -1) ®-,Va t�� C�RtA�'Al ed11 ''M q p o F l heRYY�aI ; fa Bu He, C00)fy/ Cp/,9,.�, L(�h� e -k mop Wt93 /Al �ti.e (> c e r� � th e h?ee-oRcte-P, o f th e, Comfy 0F t3ottt� , Date : PROPERTY OWNERS: � LA_� . tl O tR 0 1 � ,41,_1L(/ i ' / 5 0 A! L s M �A/TO� Eai7r` State of. �. ) On this thel7th day of June 19 92, before me, the SS. undersigned Notary Public, personally appeared County of yam) Floyd M. Wilson and Dorothy N.Wilson OFFIC;LHARDIN EAL �---� UIIIE LJ Personally known to me. Proved to me on the basis m NOTARY PULIFORM%BUTTTY of satisfactory evidence. F4CVMExy29,199t to be the person(s) whose 'name(s) are subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P..No. '�,3 _ 6 ` Notary Public t } Eta® OF DOCUMENT 0 CT) OW 8 THERMALITO_ IRRIGATION DISTRICT - 410 GRAND, AVENUE OROVILLE, CALIFORNIA 9596,5 -S i TELEPHONE 533-0740 .CSA 26 SEWER SERVICE APPLICATION'AND'CONNECT ION PERMIT Service Address: Owner's Name: : osa�,• t Date: (rivr�� 'Address: 4:#> k_-. ane, r..,Vt.. Acct.. No: '.r.ai]4kat:Q tl' ; A.P. NO.: Phone: No:,Units: Applicant/Agent: ' ' ' ` Agents Proof: ;' Address: • Fees: Phone: Application Arrearage Preliminary. Review By:—-' :Dater CSA 26 • . ' Remarks: .. :. �; SC -0 R c; 1 st mo. S.C. 7 ;X.' _F;t t.,r,et k_L? _,ri"• e.l�.S�sy�a• ►.i�.ctl'.;l i� .. Other ` M ,[i�+ '1•�tt:..,t.. }:. G;}J�a �'' ,F !: Iia.•' i. • r '�= .f r. �'��r:;:_ i .t',f:tlt. p't.�:tt i;�k:� ;','cl �tU�`;ia�,Wx�;a vi•!; i • ' Total Fees '�j • � •. •' •� ` ... " ''. ' `• Collected By: •�.� � 'l:- r'=�1. • -�_ -Date: ,. Field Review,By: Date-- ate- Remarks: Remarks: i.. " u MONTHLY- SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: , Q 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; T974). . F 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 t AP . •014NER .s PERMITZ IMH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Compaction_ ,Service, 'Other Pipe Struc. Test -eq. Size LoadT/ e Size Length YDS NO YES N0 . r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO i ' 7 County Center Drive - Orovlllea California 95985 - Telephone: 916.538-7541 :? APPLICATION AND PERMIT - ASSESSOR ARL'EL NUMO R 031-243-002 ZONING A R BUILDING PERMIT OWNER FLOYD WILSON TELEPHONE 53~590 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADORESS 66 GRAND AVE OROVILLE 95965 1 CONTRACTOR'S NAM JIM HORN # 380868 TELEPHONE • 589-3010 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee 15.00 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 ADOR5034 COLUS-A AVE OROVILLE 95965 O - Permit fee.119-0 $ PLUMBING PERMIT FilirigFee 15.00 Each Trap 1 5.001 Solar or heat pump water heater 20.00 LOT NO. 12 SU 801 VISION NAME PARCEL MAP Water piping 7.00 R1 Each qas water heater or vent 7.00 USE OF STRUCTURE SFFJ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.001 Mobile HomeS G W 015.001 TYPE OF WORK New U Addition C] Remodel ❑ Utilities ❑ Installationn' Other ❑ Describe work:MH T MfT4T RF CMTn) TO RFPT.Ar'F �TWM(1)CF 1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 20GATO 1000AI I 37.501 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Prnfpssinns Cndp_ and my IiCP_n RP is in frill fnri- a anrt offort NEW CONST•OR AOONS. / ( ACC. SLOGS. DWELLING OCCUP.b/ � 3.6esq.tt. NEW CONST R. • ULTI.OU TLET ^ 5.00 NJN.R ESIO. BRANCH CIRCA ITS 001 1 (POWER APO ARATUS,� SINGLE OUTLET CIR, j License No. Classification U 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 �or 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 WORKMEN'S COMPENSATION INSURANCE declare under penalty of perjury (check one): F1 The permit is for $100.00 (valuation) or less. U 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 shajl.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. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aid County in conse ence of the granting of this per it. X Date Signature of Applicant — Owner Contractors,'. Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- -on of structures over J stories sn height. Receipt No. 122931 Ex. Occup(OUTLETS OR FIXTURES RAI Oa76a F'XEO APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA.) I 3.001 Temporary service 1 15.00 Mobile Home Facilities 15.00 1 Misc. Wiring I 15.00 I Permit Fee $ Contractor 1 MECHANICAL PERMIT I Filing Fee 15.00 Heatina Ii Cooling Hood 6.50 Venti lation Permit Fee $ Contractor Mobile Home Installation Fee $ 7n Energy Inspection Fee $ OCC CONST TYPt TOTAL FEE $ 105.00 This permit is hereby issued under the applicable provi- sions of the tte Cou y Code and/or resolutions to do work indi d o or which fees have been paid. DI R OF PUBLIC WORKS// By _ L Dat�e0'Z _P,Z PERMIT EXPIRES 0ate /D — Z —9 4 a„ A � CCOUNTY O BUTTE r PARTMENT OF PUBLIC WO BUILDING DIVISION 7 CO CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -'TELEPHONE (916) 538-7541 n C PERMIT APPLICATION DATA SHEET OWNER O Proposed Building Use A. P. No. D.'SI' Building Inspector Date 'B At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. ....;................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .:`. . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. .......... . "f0. Fees of $ . .......... . �e a,v y..... ............. 11. Impact fees as shown on attached schedule.` ........................... 2'S Z lfJ 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . .....:..... . 15. City of Chico plumbing permit . .......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. .............. 17. Planning approval for (A) Use: (B) Parking: . ..... . 18. Contact Land Development about (A) Improvements (B)Drainage ............ 19. Driveway permit (construction approval required prior to occupancy). .. ... .:... 1 Pre -Inspection ieque 20. Pre -inspection for required. . to Building Inspector (Date) t 21. Contractor's license information. (No., Name Style, Classification) . ............. . --122. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner Mail to owner _)............. 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ....................................... 32. Plan check list. ..... ' Jj............................... 33. A.4*Por �RMi a r /� G�Jre N4 �, OeCl 25 34. When you issue the per it, ���ess asfollows: Mai ner. Mail to contractor. Telephone's and' hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant �' Date Sy Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. -""` Fire Dept. Other Date By The following data must be submitted prior to permit 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 -mail Counter by Contractor, designer, owner, was advised of above required data by _ phone _ mail Cou er by Plans checked by Date Plans approved by Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works, Date Date - Date -15 L-:� a= COUNTY OF BUTTE "DEPARTMENT OF PUBLIC .WORKS - BUILDING DIVISION "7 COUNTY CENTER DRIVE - OROV.ILLE.,CALIFORNIA 95965 - TELEPHONE, (9116)5387541 • z )WNER / ��S"d.'/ . „. iA.P.' NO. 3 - z y3 - c PROPOSED BUILDING USE DATE REC . - # DATE . REC 1. School Distric Feed (paid at District -Office) , , , , ; , 2.3(Sheriff Fees (paid at Building Department) Residential X _$ • unit amt. Commercial( per sq . f t .) , R =$ sq.ft. amt. 3. Urban Area Fees ` (paid at Building Department Residential (per unit) AX -$ # units amt. Commerical(per sq . f t .) X _$ sq-.ft. amt. 4. Recreation District Fees (paid at District,Office) ..................... 5.. Drainage District Fees. (Contact. Land Development) ,,,, ,,,, 6. Other ' `7. Other r. At time of permit application; I was advised the- above fees are required to be paid pr c- to issuance of the permit. APPLICANT DATE i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovlller California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCELL, NUMIS 031- ZC/3- otJ�' ZON BUILDING PERMIT owNeR / f! S 4 TELEPHONE 3733 •- 2 54 0 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING A00RE33 6 RNA L e Oeo CONTRACTOR'S NAME , -J- Im-, N,, Ir380 b'(,f TELEPHONE- ELEPHONE,-J-I 58 3 10 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENOETi•S MAILING ADORF-33 _ - Filing Fee $ 155,00 Permit Fee $ ARCHITECT OR ENGINEER = LICENSE NO. Plan Checking Fee $' 20.010 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ _ Penalty $ BUILDING ADDRESS Permit fee' $3S. 5:co� vs PLUMBING PERMIT FiIingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehoml Other SPECI FY Gas piping system 1 - 5 outlets I 5.00 Building sewer 15.00 Mobile Home I S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InKallatiii Other ❑ Describe work: HUD e lWee 1_2evfo TD ti� f Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 20GATO IOOOAI I 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): .__J 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 Lj 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) El 1, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST./ DWELLING OCCUR.&) OR AOONS. l ACC. SLOGS. / 3.66sa.fc. NEW CONST R. . ULTI.OUTLET NON.RESIO. BRANCH CIRC!!g @ 5.00 /POWER APOARATUS (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES RAI a176tl j Ex. Occup. OUST L° TS �RESIO�IREA.) 1 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring I 15.00 Permit Fee S - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for 5100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ .I shall.not employ any person in any manner.so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such Provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooliri q Hood 6.50 Ventilation 11 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 Countyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Mobile Home Installation Fee $ 70 4:)a Energy Inspection Fee $ OCC I CONST TYPE TOTAL FEES i�J' nAZ 0FEES IMP FLOOD 1 _� I COF I PARCEL I PO I NO I ISSUE X Date This permit is hereby issued under the applicable provi= Contractor C.Agent ❑ sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner C i Mork indicated above for which fees have beenaid. I An OSHA perm.s required for excavations over 5'0" deep and demolition or construe?. DIRECTOR OF PUBLIC WORKS p on ui structuress over 3 stong es .n halght. 1 ZZ93/ I By _ Date Receipt No. PERMIT CVDIOCC ;rte. ^ 'rt�'it'�r R.+�'�.�w,s"rol¢:+Rr``+ra.ntlt"Vi.�i+"^n'-�`e.�....,ry,.,,�•i+-`^e'�Fx'.+++'\^,•.�y.,�.,.vr-^—'.�+r-^-w--�•.,.�,,,...�.,.-�sla}''",y'�^^.,�Y'&'`.! r.ryT^�!",�5+a-v+�r\'a•...'ww.w,,..z:�i :sae tiTrss r�yr W;T � 7 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM ((?ne Form Per Building) School District zm ww/ A.P. Number Q� 2��3 �QZ Jurisdiction City Property Owner Property Location/Address Subdivison Residential Development Ae, 0/,f4 e-,oewt A�/,c Commercial/Industrial Building Department Represe strict Identific tion No. eo�LJ A (Street OAOress) 0 No. of Living Units 93055 Building Department No. 141 County Lot No. 0 Sq. Footage 1 314LY Addition (Group R) 0 �,. �Sq+�Ftage New Ad iti6ncluding Exterior .. �ofed Areas) School District certifies 10"'b ` ter.. licant) (Phone Number) (City) - (State)) /� J� (Zip Code) has complied with the requirements of Resolution No. r�.J 7(/ by payment of $ representing square feet. f -9 School District Rep esentative r Date Paid by Check Number marks: X Bank Number 60 Paid by Cash-,� If, subsequent to-YwlTchool District Repre tative signinrlica Butte County, Sc ols Impact Fee Certification F , the School District is notified by theme ble Local Pla ng Agency that is project is being p ewed under the'Cali9f is Environmental�Quality Act (CEQA is project ma a subject to additipiial school fees to fully rt!imciate its imaacf�the school districts schools_ White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) COUNTY o B mil BUILDING DEPT AUG 2 5 1992 a43 e2 _',,,LATE OF'�CALIFORNIA BUSINESS. TRANSPORTATION AND HOUSING AGENCY PETE WILSON.Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND, STANDARDS �. P.O BOX 1407 ' SACRAMENTO, CA 95812-1407 (916) 255-2501 From TDD Phones: 1-800-735-2929 From Voice Phones: 1-800-735-2922 September 30, 1992 Dave Purvis Butte Co. Building Department 7 County Center Drive Oroville, CA 95965 Re: Floyd Wilson, 1973 Madison Mobile Home 1X I Dear Mr. Purvis: Per our discussion this date a 1973 Madison Mobilehome built under California regulations is very similar to a mobilehome built under the National Manufactured Housing Construction & Softy Standards Act of 1974. Sincerely, Fritz Lingnau Administrator I JA C:\WP51\PURVIS September 30, 1992 -,. L Z66t Z 0 130 UWAO U1fte AO AtNftO� r• - w_w� ab le & wac xdatiaeritii, . = trLe STec:�Jc amity34 x unbMg a;J eut 4. Coda, `q Moe US i�o AcvcjyO. EAR Xbo - - - -� - (u Sewe ►� r " Zy I � W u+C \J L S 1 Jam• Lcm atlon of structu ns & _ _I equipment s!iaii he as. sho & dear o; a!i easements. �Z-1�S7 •ilr' , colusq /�,e- IS -BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: /:_/6V �f /1� �t A0/7 electrical rating? ----------- 2. Installer's Name: �- /� l /Gp is the 3. -Is the site currently under permit? Yes �. No What is the mobilehome site circuit breaker rating? ----- /(� L� (If yes, furnish permit number �Jr C ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will.the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements?Yes F No (If no, clarify �(�wC '(` 5. What is the mobilehome electrical rating? ----------- Amps 6. What is the mobilehome site service rating? ---- / CC-� Amps 7. What is the mobilehome site circuit breaker rating? ----- /(� L� Amps 8. Is there any other electric load -to be served by.the mobilehome site service? ------=------------------------- Yes (If yes, identify the load and size: (Load) 9. 10. What is the mobilehome site gas pipe size?, ------------ -- What'is'the type of gas service? -.------ -- v. Natural No a —(Amps)' (in.) LPG 'a 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? --------------.-------- ( TU) *(This information not required if pipe length- less than 6 natural gas or less than 50 ft. on LPG.) r� NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APPUCrtTdN: ', ;V- MOBILEHOME SUPPORT DATA XVj'c)Cn If other than single wide,Mobilehome Mfr. furnish Setup Model No. r Year Width o-1 (ft.) Box Length_(ft.) Tagalong or Exp ando 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)i-"-- - FOOTINGS (check one) 1. Wood -pressure treated or foundation -grade. 2;. Other (specify) SUPPORTS (check-one)1. Concrete block.a 2. Other (specify) --_ Pier Footing Sizes and Locations SINCLE-WIDE MULTI -WIDE Line •l _ ' Line 2 _ _ _ _ _ _ Main Beams ine _ _ Line 2 LL Line 2 �•--. � _ _ _ _ _ _ _ _ Main _ _ ,�, Beams — — _ — Tine 2 ...r_Line v Tag or Triple t ine 4 Line 1 Line 1 Piers: Line 1 Openings: Size -Min- ------------ k Size -Min. ------------------ x Spacing -Max. `'"-----' ",_ Each Side'of Openings - From Ends -Max -------- '- With Width Over --------- " Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only) Size -Min - ------------ „x ���„ Size -Min.------------------ „x Spacing -Max.-.....-- Spacing -Max------ --- From Ends -Max.------- 1 '- , From Endo -Max .------------- Line 3'Roof Loads Size -Min. ------------ Location (From Front) .L.ine 4 Piers:..... ..- . . ...-_..... . - .. . Size -Min ------------- Spacing-Max ---------- From ------------ Spacing-Max.--------- From Ends -Max .------- ..x e i Piers: - (Under_ Bear.ing_Walls Only) - Size -Min ------------------- , Spacing -Max.--------------- , From Ends -Max .------------- " Line 5 Roof Loads Size -Min------------- x "x 1. 'k "x "x "x "x 11 "x 11 Location (From Front) ,rials o0od +� ces and �y` �+� ��?�4�- 13a't� cgoA` �o ae e rl R the &Sued 1*sst�ib� 1 Who rTaif qaa cuaw 1D r0r� o'. -Ao roo"��°� 8 uNd� d F LA K r J3 , ,CJe I - Sew�►� ,`2y � ,t I a \ j Loc B6 ion of structures nt shall be as shovv�# Y/ , o equipme elf i„Z 6 g & clear of all easements: _ .... _ __�. --. -_. ___ _ _ .-.-tet Y i •. .. BUTTE COUNT . RV 1 t BUTTE COUNTY 'DEPARTMENT OF PUBLIC WORKS f t 7 County Center Drive, Oroville,' CA PHONE: ' 538-7541: , MOBILEHOME INSTALLATION SHEET 1. Owner's Name: r 2. Installer's'Name: 3'. Is the site currently,under permit? Yes No (If yes, furnish permit number / ^y' nj )OR Is the site an existing site? Yes No'. H� (If yes, furnish two plot plans.) , 4., Will the mobilehome be located at least 5 ft.+away.,from septic tank and leach fields and clear of all setbacks and.`easemen's? Yes No (If no, clarify X 5: What is the mobilehome electrical rating? ------------------ U� Amps 6. What is the mobilehome site service rating? -------------- . �" Amps 7. What is the mobilehome site circuit breaker rating? ----- / 6 Amps 8. Is there any other electric load to be served by the mobilehome site service? ---------------------------=---- Yes No , (If yes, identify the load and size: (Load)'' (Amps) 9. What is the mobilehome site gasp ipe size? ----------------- �) (in.) • w '-10'- `-What' is-the" type ofd gas service? ---------- -- -Natural+ -LPG 11. What is the gas pipe length from meter or tank to the - mobilehome?--------------------------------------- ----- 12. What is the mobilehome gas demand?--------------------=- j *(This information not required if, pipe length ,less ,tha o natural gas or less than 50 ft.. on LPG.') } G �I NEXT PAGE. MUST BE COMPLETED-10 PROCESS PERMIT TION . MOBILEHOME SUPPORT DATA If other than single wide, MobilehomeMfr.- G{ r s©furnish Setup Model No. Year Width7 (ft.) Box Length S� (ft.) Tagalong or Ex-pando S.ize 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) I. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check"one) Concrete block. a 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line I r Line 1 Line 2 r _ _ _ — — — _ — _. — — Le 2 i Main Beams Line 2 — — — — — — — — —' — — — — Line 2 Line T_w � Line 3 —._— — — — — — — — — — — Line 2 — — — — — Main Beams — — — — �Line 2 Line 1 -- — — — — — -- — Line Tag Tag or Triple Line 1 Line 1 Piers: • Line 1 Openinge : Size -Min. ------------ Size -Min. ------------------ - Spacing -Max. ,_ „ Each Side of Openings From Ends -Max.------- '_ With Width Over --------- ' Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only) Size -Min- ------------ „x „ Size -Min .------------------ k Spacing -Max.-----_- _ - - - Spacing -Max- --------------- From Ends -Max.------- '- From Ends -Max -------------- Line 3 Roof Loads: 2 Size -Min. ------------ �a ,xJo,, „x D„ d „x36 „ )_/ „xgV„ „x O„ „x ?o? ­,30. x Location (From Front) _O' Line.4 Piers: .- - -•_.. _. _ _ _ _ -Line-5 Piers-: -(Under Bearing -Walls Only Size -Min.--- ---- --- k Size -Min ------------------- Spacing-Max ---------- ------------------ Spacing-Max.--------- ,_. Spacing -Max .--------------- From Ends -Max.------- _ „ From Ends -Max .------------- Line 5 Roof Loads: Size -Min.------- ---- 1. „x ,k ,k „x „x „x Location (From Front) 4t ' .5�� ������ �� � � STATE_ OF CALIFORNIA -DEPARTMENT OF -HOUSING AND COMMUNITY DEVELOPMENT _ Or/?T CTOwTT n\I few nT Yn4T1'cunm ncrwl un wno17/.L MANUFACTURER NAME/ID - TRADE NAr�s�_ Y MODEL-- ''_ DOM DOT DFS . SPC ' r EXPIRATION MADISON �/ 00/00/73 01/25/73 ADB,.' 05/31/91 > j RY-73 U NUMBER, LABEL/INSIGNIA NUMBER WEIGHT LENGTH WIDTH ISSUED SCC EXEMPT USE TYPE ' �S6RWL i S5219U 57569 000000 000672 000144 04/23/90 04 SFD JILT., 2 S5219X �� 57566 '000000,;000672 0001.44 _ TOTAL 4' _ FEES ' PAID: s v s. $584.00 X aWILSON FLOYD' M/` "'MI 0 " DOROTHY N TENCOM'• OR_ ./ C ./ `� 0 196 CEDAR ST ) =J V R OROVILLE•-CA '95965 ,- E R. NILSON-'FLOYD�M/a _ ( 1 _ DOROTHY N TENCOM OR T �� LcCL1`)'�• 7 G s M VA 66 GRAND AVE' s is T L , OROVILLE 95965 E w 0 s '•66 GRAND AVE � • ���'�'��� N r Ml ATTENTION QWNER E U OROVILLE CA 95965,,x`-==wli ._... fix. R s ' * THIS IS.THE REGI;TRATION CARD FOR THE'UNIT DESCRIBED.ABOVE. GPLEASE KEEP THIS.€CARD IN A SAFE PLACE WITHINTHE'UNIT. E - *A'^�' E� llSTRUCTIONS FOR RENEWAL: A w I *REGISTRATION FORf�THS UNIT EXPIRE50 E DATE INDICATED ABOVE IN L I r�TNE BOX ,I,I4BELE6 EXPIRATION THERE ARE SUBSTANTIAL PENALTIES I OR DEEINQUEfNCTV P YOU DO NOT RECEIVE -A RENEWAL NOTICE WITHIN •. w • ' ODAYSaFP30RTOjTHE EXPIRATION DATE;CONTACT H.C.D. FOR RENEWAL w (;*INSTRl1CThIOtIS:" E z .. P� U F N. Z R O S R•T. L '+ , -. s - ;ter • N S. H IS R IMPORTANT 01-108-00350 THE`OWNER INFORMATION SHOWN'ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH'THE DEPARTMENT ;* OF HOUSING AND+COMMUNITY DEVELOPMENT AGAINST THE DESCRI,BED,UNIT. THE CURRENT z TITLE STATUS.OF THE UNIT MAY BE CONFIRMED,THROUGH:THE DEPARTMENT. 0100089 S -ATE OF CALIFORNIA - BUSINESS.TRANSPOP.TATIONANO NQ'JSINGAGENCY 'PETE .WILSON Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT0?e4/LqR_, DIVISION OF -CODES AND STANDARDS ^ Manufactured Housing Section 1800 THIRD STREET P-.0 BOX 31 SACRAMENTO, CA 95812-0031 (916) 445-3338 PAX (916) 327-4712 r ' June• 3, 1992 Floyd M. Wilson r L. 66;Grand Ave. , Oroville, CA'• 95965 r "mear•,APplicant: ' Attached is the replacement insignia requested for, -•the following unit(s): Serial Number. • • - `� w (Vehicle Replacement Manufacturer/ :, Identification Insignia Model ;• Year Hf 5z. Number)•.`• Number(s)- Madison1973 S -5219U. MH 269938 "j S -5219X MH 269939- + el Original Insignia Issued To:,, Madison Mobile -Modular Homes,'.Inc. Original Date,Issued { • , 08/09%72 Original Insignia,Number`(s)`:' MH 57568 and MH 57569 J ` if located, the.ori;inai insignia must be returned to.the Department of Housin; and Communic_: Development, P.O. Box;31, Sacramento, CA. 95812-0031." Attached is an information sheet to help you affix the insinia,to the mobilehome;.commercial• coach ,or recreational vehicle in the'correct loc , tSiincerel'v, ,.. 1 ,. ,•�. •' i a rc obel-lo ent 2:6 9 9 3.8 oS' 5219U.-' is y HCD-403A iRev.,7/88) _ ` . • 2 69.9 3,9 s FEMIT No. 2138-76P PERMIT EXPIRES _ 4/29/77 OWNER EUGENE HUMPHREY CONTR.' Rex Plumbing LOCATION (A.P. 31-243-2 684 Colusa Ave., Oroville i, Temp. Power Pole Called PG&E Temp. ea Serv. C Iled PG&E /Te.Gas Serv. alled PG&EJ Jo ' " OB FINALED (Date (signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTI.ON'RECORD f BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers ' Roofing Sewer 441--7 Garage Fdn. Vents Fixtu'res' Footings Garage Vents Water Htr. Stemwall Insulation Heaters Slab Carport Footings Prov. for physically handicaped Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final .Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels _Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath .Ventilation Permanent Doot Closer Final Final DATE 7/70 144 REMARKS OR CORRECTIONS 7 Cl PAW (NOTE: An entry must be made on this form each time you visit the job site.) THERMALITO IRRIGATION DISTRICT .. 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: (o'94 Col_! 1;1A Ava Owner's Name: MU GkE N E 1A U tr nF tAF_?_%J Date: 1 ti -1 to --75- Address: COU >c. SA i�ucF_ � Acct. No: 0A '9P5q b -ti A.P. No.: Phone: 3 B-7 No. Units: Applicant/Agent: Address: Agents Proof: 0A, Fees: Phone: Application $ % ,c' n Preliminary Review BYY- �•1:�i " Date: �"�/- 1to�I`a Remarks: �./ Arrearage !/ CSA 26 / SC -OR 1 st mo. S.C. Other Total Fees no F,: Collected By: Date: Field Review By: Date: Remarks: V MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: `0 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 first ("existing construction", prior to Mar. 5, 1974). sewer, which ever comes ❑ 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 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS '.i 7 County Center Drive - Uroville, California 95965 -7/ Telephone: 534-4541 (� r APPLICATION AND PERMIT ,.4 gr-- - - --- Date .7 -/�, - --- -- - - -.- _-._-- S nature o`f�Pe//rmitee o Agent Date�� �7 Receipt No. - n White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant permit expires Date 4,z -,g 7 BUILDING Owner A/SQ. FT. OCC. BUILDING VALUATION Mailing Address 6 8 Oo Cs 4 dG Telephone No. Fireplace Contractor t Total Valuation Mailing Address Av'e- Permit Fee Plan Checking Fee&/or Penalty Telephone No. it ,t L L e Permit Fee $ Building Address p v 3 y -C, LZ / PLUMBING No. @ FEE PERMIT FILING FEE $3.00 • r tL Id Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. f -- Z o-• Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe FireDept. FireZone Use Permit Building sewer 5.00 S EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bey PI,...- Pe '.J Parcel Approval Plans Approval Permit Fee $ r, o(D $ OC NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL. No. @ FEE PERMIT FILING FEE $3.00 I r� [,c ` d � C, Q_r ���/ Lj. /Q1�' 600V OR LESS Main service 100 AMP OR LESS 5•00 Main service EA. ADO'L 100 AMP 2.50 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 OR AODNS. ACCNEW LBL GOCCUP. &\ 2¢Sgft C / NEW CON TR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea - - NEW CONSTR (POWER APPARATUS &) NON RES!,D. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of C ) rnia mess & rofessions Code under the name style of: ✓l//� ✓ y�� EX. OccU OUTLETS OR FIXTURES) @� P BAL@1 Ex. Occup. FIXED APP LNS. OR ..—OUTLETS (RESID.) EA) 2•�0 Temporary service 10.00 -yam, Mobile Home Facilities 15.00 ?� License No�7i %�� Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 41have placed on file with the County of Butte a certificate of workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State ws relating to building construction, and hereby author' rep re entatives of the County of Butte to enter upon the ab me io a roperty for ' n purposes. Y Q m 2- -21 ,u -7/ TOTAL PERMIT FEE $ 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. DIRFCTnR nF PIIRI IC WnRKS ,.4 gr-- - - --- Date .7 -/�, - --- -- - - -.- _-._-- S nature o`f�Pe//rmitee o Agent Date�� �7 Receipt No. - n White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant permit expires Date 4,z -,g 7 J =. OK. O = Not OK • = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1, Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans)' OK except p's 1. Zoning Requirements—Setbacks—.Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) '4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location=Clearances—Grnd.=/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ L." ft./ /"Nat. or/ /"L"ft./ P, LPG 6. Carports; Windows—Doors_ 7. Utility Clearance 7. Elec. t Card -BI Date Card -BI Date Card -BI Date Card -B1 Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1, Zoning Requirements—Setbacks—Easements Card -B1, Date Date Card -BI Date POOLS (Plans) OK except a's 1, Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector -3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test— Fall—Flex -Connector 5. Elec.; Pool Lighting; 15 vols-GFI 6. Water; MH Test—Regulator—Connector 7, Water and Sewer Connected—C/0 to Grade—HD Approval 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. , Boxes—Enc losures— Pane lbosrds—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date i t COUNTY OF BUTTE - DEPARTMENT_OF PUBLIC WORKSPERMIT 7 County Center Drive - Oroville, California 95965 -Telephone 916/534-4541 APPLICATION XND PERMIT ASSESSORPARCEL NUMBER 3 _ Z j .- ?-- ZONING - - BUILDING PERMIT - OWNER - TELEPHONE SO. FT. OCC. BUILDING VALUATION S -OC2 OWNER'S MAILING;ADDRESS 75� 00 CONTR ACTOI.-�JJP.70 7 / y COIJT RC %OR'SM%ILI,NG AD RESs� P—p CVOVi� ,.`� � Fireplace j CONSTRUCTION LENDER T-KNOWNi- Total Valuation $ 00.00 Filing Fee @@ $ 10.00 LENDER'S MAILING ADDRESS . - Permit Fee $ ' • 60 ARCHITECT OR ENGINEER //" ✓V • v� LICENSE NO. Plan Checking Fee.- $ , Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS + Permit fee $ �Q. ® O BUILDINGDRE�e - OLC19A ',4i/C_•, - (o S4r., - PLUMBING PERMIT Filing Fee` 10.00 ' Each Trap 2.00 -Repair drainage or vent piping 5.00 .Water piping LOT NO. SUBDIVISION NAME PARCEL MAP ` Eachgas water heater or vent 5.00 Gas piping system 1 - 5 outlets ,--, USE OF STRUCTURE SF Ly Duplex❑ Mobilehome❑ Other - SPECIFY Building sewer Lawn sprinkler system 5.00 , TYPE OF WORK New ❑ Addition ❑ ' Remodel ❑ Uti I' ies ❑ pinstal Kation ❑ Other De be work: 'eO© y� �/V%�/-` Sl��/U4L-CS /T'Jv/ /� �/T ��� Q /- CC—/✓D•: - Permit Fee $ —Contractor =ELECTRICAL PERMIT FilingFee 10.00 Main service 100 AMP ORSLESS 5.00 - ' Main,service EA. ADD'L 100 AMP 2'.50 NEW CONST. ( DWELLING OCCUP,y) OR ADDNS. ACC. BLDGS. 20 sgft ' - - CONTRACTORS LICENSE LAW - I decI re under penalty of perjury (Check one): • I am licensed under- provisions of Chapt. 9, Div. 3 of the Business` and Professions Code a my license is in full force and effect. License No: 3 IV6 2 Classification - _ ❑� I, as the owner, or my employees with wages as their sole compen- sation,• will do the work, and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONSTR -OUTLET 2.50 ea NON.RESID" BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS D NON-RESID. (SINGLE OUTLET CIR. ' 'Ex. OCCUp OUTLETS OR FIXTURES BAL@@1 IxED APP LNS. OR Ex. Occup.(ouTLE TS (RESID) EA. 2.00 Temporary service 10:00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL- PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (Valuation) or les0 .-' ❑ 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. j I shall not employ any person in any manner so as to become subject to the W. C..laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit'shall be deemed revoked. Heating ? Cooling Hood 3.00 a Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above.informatior 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 inspect ion' purposes. I also agree to ave, indemnify and keep harmless the County of Butte against I dgm s costs, a exp ses which may in any way accrue all liab0ai againstCo nt In sequen of th granting of this permit. X Date ` Sign fur pplicont — Owner ❑ Contractor Agent ❑ r An. HA permit is required for excavations over 5'0'; deep and demolition or constrt.Ct- structures over 3 stories in height. Mobile Home Installation Fee $ } ; TOTAL PERMIT FEE $ .2-0,60 OCCUP. GROUP TYPE OF CONST.` PARCEL PD HD ].'ISSUE -This permit is hereby issued under Butte County Code and/or.resolutions•to sion_oindf.icatheted above for which w E`TOR OF PUBLIC 'PERMIT EXPIRES 'Date the applicable provi- do fees have been paid. WORKS Date 2 rReceiptS o2 '` No. '°-D.P.W.• YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT 1I1 • -.:,�� ,.«'-�-�._, � ...-.y..w:e',r•- "•j,' �1-'':''�T�7,�`�rw+'vr�r4 hT+^,7� i.",,��"*'le'�+,.F'n;�,r",� COUNTY -OF BUTTE - DEPARTMENT OF PUBLIC, WORKS 7'County Center Drive - OroviIIe, California 9596_57- Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 31-243-02 ZOWNG ARS BUILDING PERMIT OWNER DONNA SMITH TELEPHONE 533-2174 jSO. FT. OCC. BUILDING VALUATION ;. M , 1000, OWNER'S MAILING ADDRESS . 1686 7th St., Oroville,•CA 95965 -"' CONTRACTOR'SNAME Owner TELEPHONE v CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation Is Filing Fee L $ 10.00 LENDER'S MAILING ADDRESS Permit Rbe 45 $ 1&150 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee ,$' Ener Pian Checking Fee gy g ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ _ BUILDING ADDRESS C 684 Colusa Ave., Oroville Permit fee $ �.: >.0 e'e PLUMBING PERMIT FiIing'F-"" 10.00 Each Trap 2.00`! • ,� ; Solar or heat punril water heater 20.00' Water piping "'"X' S.00t - :90 LOT NO. SUBDIVISION NAME PARCEL AP Each qas water heater,`br vent 5.00 r USE OF STRUCTURE I SF [A Duplex❑ Mobilehome❑ Other SPECIFY I k Gas piping system 1 zA putiets 5.00 Building sewWr .I 5.00 Mobile Home +'G I W 10.00e TYPE OF WORK i New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation❑ 0t. er ® ..Describe work: Demo3 _ • { w Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee10.00 Main service i600V OR LESS O,OO 100 AMP OR LESS %- ,Main service EA. ADD'L 100 AMP %!2.50 1-4 --, CONTRACTORS LICENSE LAW I ) Cz I declare under penalty of perjury (check one): 1 ' ' ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the, eu ipess and Professions Code and my license Is In full force and `ff6ct. License No. Classification i ,��yy� a• C I, as the owner, or my employees With wages as their sole corgpen- sation, will do the work,and the structure is not intendedior (bred for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting' with licensed co tact- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and ProfessionsL for this reason "NEW CONST. DWELLING OCCUP.es , OR ADDNS. 4)�'ACC. BLDGS. )5. I2¢Sq ft NEW CONS TR ULTI-OUTLET 2.50 ea NO N•R ESID BRANCH CIRCUITS .. POWER APPARATUS S (SINGLE OUTLET.CIR. Ex. Occup(OUTLETS.OR FIXTURES eA 090 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring ' 15.00 Permit Fee r $ Contractor WORKMEN'S COMPENSATION INSURANCE i I declare under penalty of perjury (check one): + ❑ The permit is for $100.00 (valuation) or less. I ❑ '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. 19 I shall not employ any person in any manner so as to become subject to the W. C. laws of California. I 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. i i MECHANICAL,PERMIT`- FiIingFee 10.00 Heating a Cooling w 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 said County in co tepuence of the granting of this permit. Q �O X 6�J�-�- Date `" fufwork Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 27.50 E HAZ CUA PARKFCHL PAR PD % HD Issue Ths permit is nereby issued under the applicable provi- sions or the Butte County Code 'and/or resolutions to do indicated above forrwhich fees have been aid. n p DIRECTb jOF PUB'LIC'WORKS B �!� �X/(X Date 8/29,/90 I Q PERMIT EXPIRES Date 8/29/9Q) Receipt No. ' WHITE-D.P.W.. YELLOW-ASSrSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - broville, California 95965 - Telephone: 916/538-7541 APPLICATION, AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 31-243-02 ` ZONING AR BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDI V-A. UATION ASMITHG 533-2174 DONNOWNER'S ADDRESS 1000 1686 7th St., Oroville CA 95965 CONTRACTOR'S NAME ., TELEPHONE - Owner CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is None LENDER'S MAILING ADDRESS FilingFee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ None Ener Plan Checking Fee Energy g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 27,50 684 Colusa Ave. Oroville PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ® Duplex[] Mobilehome❑ Other Building sewer 5.00 SPEC[F.Y Mobile Home I S I G JW 1 110.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other] Permit Fee $ Describe work: Demo _ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUR.& ADDNS. (ACC. 2/z¢sgft I declare under penalty of perjury (check one): OR BLDGS. NEW CONSTR ULTI.OUTLET 2.50 ea ElNON•RESID I am licensed under provisions of Chapt. 9, Div. 3 of the Business BRANCH CIRCITS POWER APPARATUS & and Professions Code and my license is in full force and ef fect. SINGLE OUTLET CIR. License No. Classification Ex. Occup( OR FIXTURES 20@50C SALO 30 I, as the owner, or my employees with wages as their Sole compen- FIXED APPLNS. OR \ Ex. Occup. OUTLETS IRESIO.! EA./ 1 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) ❑ I, licensed Mobile Home Facilities 15.00Misc. as the owner, am exclusively contracting with contract= ors. (Sec. 7044) Ilyirin g 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor - WORKMEN'S COMPENSATION INSURANCE ' I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 10.00 ❑ The permit is for $100.00 (valuation) or less. , Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject Cooling g 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 permit 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 $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the County of occ CONST TYPE 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 E TOTAL FEE $ 27.50 all liabilities, judgments, costs, and expenses which may in any way accrue HA2 CUA PARK SCHL PAR PD HD ISSUE agains aid County in co eguence of the granting of this permit. I X �- -"'27-9- 9a This permit is hereby issued under the applicable provi- -, 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 excavations over 5'0'' deep and demolition or construct- DIROF PU I WORKS ion of structures over 3 stories in height. xf,u Receipt No. 1 B Date RL29/9(1 WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT EX I PERMIT EXPIRES Date I COUDITY OF BUTTE = Department.of Public Works 7 County Center Drive,'Oroville, CA 95965 Phone: 916-538-7541 -OWNER-BUILDER VERIFICATION Atiention 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 fo r 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: .1 plan.to provide portions:of this work, but I have hired the following person to coordinate, sup-rvise, and provide the major work: Name -- Address City Phone - Con,tractorys 'License.. No. 5. I will provide some of the worts but I have contracted (hired) the following persons to provide the work indicated: ..Name Address Phone Type`of Work Signed: Property Owner ts� Social Security Number- bate. umberDate 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*. COUNTY OF BUTT -E.- C)F-PARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASS S OR PARCEL N=MB�R� ZONIN BUILDING PERMIT 0 N In (�cvt TELEP ON SO FT. OCC. BUILDING VALUATION OWNER MAILING ADDRES �� 2 t h + v 1 - 9s��.s CO TRACTOR'-S^NAME Y TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CON T UCTIION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ` -3-0 ARCH T CTI OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6� (?.0 u S vC� Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 tic V l 1 fl 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 SFX Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK [:1Installation❑ Other ( New ❑ Addition ❑ Remodel❑ UtiO'L Describe work: !21 �i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCC UP.& OR AOONS. ( ACC. SLOGS. , 2hQSQft NEW CONSTR MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea) POWER APPARATUS e -SINGLE OUTLET CIR. ) Ex. OCCUp(OUTLETS OR FIXTURES BALO 20@530 Ex. Occup. OUTLETS PI RESID )REA.) 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. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 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 against said County in consequence of the granting of this permit. XThis Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz I CUA PARK I SCHL I FLD I PAR PD HD Issue permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Liv. is a Part 6 1 77 components, which may include structural, electrical, mechanical, plumbing, fire systems and other systems affecting health and safety, assembled onsite in accordance with building standards published in the State Building and protection Standards Code and other regulations adopted by the commission including variations which are submitted as part of the building system. pursuant to Section 19990. Factory-built housing does not include a mobile- (Added by Stats.1974, c. 129, p. 262, § 3, eff. April 2, 1974.) home, as defined in Section 18008, mobile accessory building or structure, as - defined in Section 18010,' a recreational vehicle, as defined in Section § 19967.2. Building standard 18010.5,2 or a commercial coach, as defined in Section 18012.3 "Building standard" means building standard as defined in Section 18909. (Added by Stats.1969, c. 1422, p. 2913, § 2. Amended by Stats.1970, c. 774, p. 1461, § 1; Stats.1974, c. 129, p. 263, § 4, eff. April 2, 1974; Stats.1979, c. 1152, p. 4306, (Added by Stats.1979, c. 1152, p. 4306, § 173.) § 174.) § 19968. Repealed by Stats.1987, C. 891, § 12 - t Repealed. See, now, §§ 18008.5, 18213. 2 Repealed: See, now, § 18010. Historical and Statutory Notes _ 3 Repealed. See, now, § 18001.8. The repealed section, added by Stats.1969, c. - - Cross References 1422, § 2, defined commission. ;T Homeownership assistance for factory-built housing as defined in this section, see § 50775. Mobilehome, exclusion of factory-built housing, see § 18008. § 19969. Department "Department" means the Department of Housing and Community Develop- _ Notes of Decisions ment of the State of California. Resident or patient care facilities 1 manufacturer, the department cannot require a manufacturer of factory-built housing to ob- ` (Added by Stats-1969, C. 1422, p. 2913, § 2.) — _ fain prior approval from other state agencies 1. Resident or patient care facilities having additional or different standards rela- - Cross References _ Before the department of housing and com- tive to resident or patient-care facilities. 55 State housing policy, department defined, see § 50064. - munity development grants its insignia to a Ops.Atty.Gen. 60, 1-27-72. § 19969.3. Design approval agency § 19972. First user "Design approval agency" is a private organization meeting the require- "First user" means the :person, firm, or corporation who initially installs ments of department regulations to perform evaluation of factory-built hous- factory-built housing within this state. A person who subsequently q y purchases ' ing plans and specifications. X a building which wholly or partially consists of factory-built housing is not a - (Added by Stats.1984, c. 304, § 1.) _ first user within the meaning of this definition. _ . tR, (Added by Stats.1969, c. 1422, p. 2913, § 2.) § 19970.- Dwelling unit "Dwelling unit" means one or more habitable rooms which are occupied or - § 19973. Repealed by Stats.1970, c. 774, p. 1461, § 2 j which are -intended or designed to be occupied by one family with facilities Historicah and Statutory Notes 3 for living, sleeping, cooking and eating. «' The repealed section, added by Stats.1969, c. - (Added by Stats.1969, C. 1422, p. 2913, § 2.) t 1422, p. 2915, § 2, defined habitable room. § 19971. Factory-built h .-'l - § 19974. Installation stallation ' "Factory-built housing" means a residential building, dwelling unit, or an " thereof, or building y `Installation" means the assembly of factory-built housing on site and the.. individual' dwellin room or combination of rooms g.. component, assembly, or -system manufactured in such a manner that all process of affixing factory-built housing to land a foundation, footin s or an building. g concealed parts or processes of manufacture cannot be inspected before existing by installation at the building site without disassembly, damage, or destruction.; (Added Stats.1969, c. 1422, p. 2913, § 2.) of the part, including units designed for use as part of an institution for 5 k resident or patient care, which is either wholly manufactured or is in Library References substantial part manufactured at an offsite location to be wholly or partially words and Phrases (Perm.Ed.) 224 ,- 225 z F�1 r .a; 1 4/4- , 6.1 'Sept. 2991992 Mrl.' Ed' McLaugUff n., In dune - I applfed" f'br, stazt- of. Permits-• �.., Fir t`; was Utitily3' ' germits:,T.To move ;my= Mobilje- Home from the .C`tyr to: the Count3n.. L-acation:- 6E6iapd' ave.,ion:the Aunt Minnie Clause; whereit. been parked for° 4yrs-:• The; permit was granted.. T gave the age :'of the Mabile H '_b They, said. would' to, have HUD s=tickers.. I` called HUD' and. ass- IM' approved, and wasp., ' told. it was':• Iwas,. asked to�, jet- HUD stickers and' I- diff.- Then took them ©ver and' -asked" Russ, if that was, -•what I� need:ed",and' was'. told.' that was the stickers: I- needed'.. ;,A, Say h apphied' frnr tYie' resit orf 'tlie� pyermi�ts : ,Aird, Paid' fdr_• allvdf them:. T• asked' if that �wa4s� .all.-ander told' -it was:, Except' Moving =Pe'r'mit, I- asked if Mav4r' Ai:dn!�t. get H"is: own and -,they, told' me he- d`Ed-. So: I• have- paid fore all Permits :',.including Merging the-- Two Lots- into; one-- Parcel; ; Title. search; Serveyo:r Fees' Now'- tE eyT;tell. me: T' have'. movd•' it,•E11legal..And., refused' to tag s Services P. ,G.& E had' toldi me they Mobile•: H'ome� had`" to,, b& fry place.: : And' completely- put to gethe-f be. fo-r:L they` -would' run s-ery -ces.- Sbhhdd it d"one-.; So.. could -have= aa. place to-, live:. We, are, Senior-, CTtzens AM' iieul i, Tike -tom live, inde-pendlyj and' pea&e-fully a� few more years-.: h am'. asking for• a' Va�rianc e to r' emai'm•, in Mobile Home, on mT Ptapertya,.. Toc'ated• at- 684 Cblusa ave. Orowillee.. 1 am- on temporary-. Utilities,._ which• T; waited for a,_ month, "wi-th my furniture and.. all Personal', belonging in my e ,hom., We- W, are; US'. Citizen, T worked fa)r Groville High' School. Distrit, ar_ 2-T y frs.., My= wi'fe- worked' as-: a- nurse=' for,- over 35Yr's., worked' for Eounty Hb.s-pitwl+, hurt her, back there and' has- had' S' Ba+c-k Surgery's G"ot„a; Dc�t.Grs, r,�equest:. for,: ttie IItilft e -s„, to: be, turned' on' and' d'id no ' good'. lFotiv I ,had' to, i gn a Dacument that I• -,,am working with HUD, and. to 1976 I under-atand' that if no HUD •arppuqval � :hs-� given far-- the- equal that; the county7wil4take-•action to remove.�my M6bile'Home and will give, use no refund`s, on none< of, the' Permits.., T. ' I' am please- asking' Mr--, Ed' McLaughlin, and' the Board' of Supper- visoe-s to grant me. a:. Variance to:: staff` on my, own' Property; • with MT Utilities: hooked up-:,,” Flo t?.' M. -Is �., 684 .Coause Ave.. . P,h..533-2-590- .6 a• F. SEPTEMBER 8, 1992` • ®' TO WHOM IT MAY CONCERN: S P INE RE : DOROTHY WILSON Comprehensive PLEASE REINSTATE 'THE ELECTRICTY FOR MS. WILSON. IT IS care of the spine NECESSARY IN THE TREATMENT OF HER-SPINAL CONDITION. THE USE OF HEATING PADS-AND ICE PACKS, t•.RELEAVE THE PAIN AND MARK F. HAMBLY, M.D. I N F L A M M E N T I O N. n . Spine Surgeon 't IF YOU HAVE 'ANY'..,QUESTIONS, PLEASE CALL THE OFFICE. ' t Ya X15• JOE HARTZOG, M.D. Physical Medicine and Rehabilitation !r' SINCERELY, i ► STEPHEN K. PARKINSON, M.D. Anesthesiologist — MICHELE KENT M. PATRICK, M.D. SECRETARY TO DR. SCHNEID'ERMAN Spine Surgeon a GARY A. SCHNEIDERMAN, M.D. Spine Surgeon 2715 K Street, Sacramento, California 95816 0 916-447-8803 Medical Associates, Inc. .. - _ _ ._ T � -, T--�—�.-r�.,....._.�. .�.._. _�._._ � �-..�.-.— - .. - - P a��i 4