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HomeMy WebLinkAbout031-251-00231=251-0� 2 n L.T. CARTER ��/ 1109 Tehama St, ORovil-le o Permit #360-88B(new garage) 31-251-02 �� ,( ;} • , L.T. TER 'C, 4f i. l.• ,t 1109 Teham AVe � ORoville ContR: Americ Mobile homes Per mit#3681,-88P,E(. it ELEC. Q ,._MH)......-_-..._-_ _ GAS �f SUPPORT STRUCTURE REQ , COMPACTION TEST REQ. X31-251-02 ' ContR: Ame iCan Mobile ErmiJssue �-lHI EL)7_1i/1wy, 6,� 031-251-002 w: RESIDENTIAL SF6-Custom/Model NSF(1545), GAR(469)fCO�V(�2.(7,,66)- EX S 1109 TEHAMA AVE /Ay" l 'f PENNIS'1`GNSEPPE rxky. � ;r rev0q 9 -�3 �A,wi ( �:l BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538.-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. BM -L I BIN # 4., , "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Nam Last Na First Name 4 ' Mailing Addresst City State Zip Phone' Fax E-mail --CONTRACTOR ARCHITECT/ENGINEER Name., v exli fiS Address /& ) &— City �Cz Fax StaN,Zip' 2-G Phno l ( 0 _3 Fax E-mail Lic. # OD a z Class�A) ►\ PROJECT LOCATION AP# I Property Address Oct City 0 /ed U 1 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name _ Address �J APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number PROJECT LOCATION AP# I Property Address Oct City 0 /ed U 1 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name _ Address �J APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE x CR/PTION OR SCOPE OF WORK: Zoning I I Flood Zone I VASRA rx I Yes I No Occ. Sq FT- Livi ` Garagqf 6Open Cov 57 ❑ Structure Built with\ermits ❑ Proposed Change y (Note previous use For office use only: Zoning I I Flood Zone I VASRA I Yes I No Occ. I T e onst. OroVA Uphn 104-oic) Feathe" R'ivtr A I . PERMIT NO. 3681-88P,E(MH) PERMIT EXPIRES S OWNER L.T. CARTER CONTR. American Mobile Homes ASSESSOR PARCEL 31-251-02 1109 Tehama AVe, ORoville LOCATION Temp. Power Pole Called PG&E Temp. Elec. Service 3' g c4c:1 i Called PGi Temp. Gas Ser Called PGJ JOB FINALED Signature f = OK 0=Not OK` - = Not Applicable = Not Ready MOBILE HOMES MISCELLANEOUS Date MO 1LE HOME UTILITIES (Plans) OK except #'s Date DEC KS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s Zoning Requirements -Setbacks -Easements 1, Zoning Requirements -Setbacks -Easements . oils; Special MH Support -"h 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel Sewer; Lo _ -Test-Fal C/0- oncrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails ate L ioqft est -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.- —VVIectricity; Location-Clearances-Grnd.- Amp -Concrete Shthg.-Rfg.-Bracing A0 01 as; Location -Test -Wrap: / /"L"ft.. , 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures IdUe ,/ /"Nat. or/ /"L"ft./ /"LPG % 6. Carports; Windows -Doors Utility Clearance I _ � 7. Elec. Card-131[^,AD Date/1 )► _ rd -B1 Date Card-B1'SRDate Card -81 Date Date MO ILEHO E INSTALLATION (Plans) OK except #'s Zoning Requirements -Setbacks -Easements L2 -Footings; Size -Spacing -Marriage Line "—Gas; MH Test -Demand -Valve -Connector i- 'Electricity; MH Test -Crossovers -Breakers -Clearances Drain; MH Test -Fall -Flex Connector Water; MH Test -Regulator -Connector L 7. Water and Sewer Connected -C/O to Grade -HD Approval �tpas and Electricity Tagged . Exits; Insp.-Sketch ilOr Cert. of Occupancy Card -131 DateDatel'F and -B1 Date . Card -61 \1 Date Card -131 Date 2 66 - 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -81 Date Card -131 Date Card -131 Date Card -81 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compactidn-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- Enc losures-Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -81 Date Card -B1 Date =OK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd:-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance _ 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration -Wal Is-Wndws Card -B1 Date Card -131 Date Card -61 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Liaht-Shower Lioht-SDa Liaht Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -61 Date Card -131 Date Card -131 Date Card -81 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Card -131 Date Card -131 Date Card -61 Date Card -B1 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive -❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84, Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Card -61 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE • . _ DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-.2751 7 County Center Drive, Orovi Ile — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE L , -T 0-,zA� A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this Inspector t Date j �� (l og ': COUNTY OF BUTTE dr -;DEPARTMENT OF PUBLIC WORKS 196'Memorial.-Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE A, OWNER IT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be c*reclMd. Please notify this office when correction of work is completed. df youques�ion pertaining to this matter, or need additional explanation, pleJ2 is office immediately. A Inspector ( Date S �i i I J 1 Y Inspector ( Date S MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. Address or location of mobi lehome Owner's name Owner's address Insignia or hud number Manufacturer's name Serial number of V.I.N. (Official Approving Installation G Year of manufacture — (Date) IF THE MOBILEHOME IS MOVED OR RELOCATE[, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D:P.'V. e COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT r �P RMTNO. ASSESSO PARCEL NUMBER ZON G BUILDING PERMIT OW ER,_� I TEL HONE L� O' 1 SQ. FT. OCC, BUILDING VALU ION OWNER'S MAI I G ADDR S , C NTRAC ORIS NAME J-; L ` TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDI VISION NAME PARCEL MAP Water piping 5.00 Each Qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome& Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G KW 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtilitiesrVf Installation[]Other ❑ YM Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS10.00 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 connact- yy ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.m OR ADDNS. � ACC. BLDGS. , �22sQ ft NEW CONST R. U TI.OUT LE NON-RESID .BRA CH CIRCT ITS 2.50 ea (POWER APPARATUS eI SINGLE OUTLET CIR. Ex. OCcU OUTLETS OR FIXTURES P 20e50teAL®30 FIXED APLNS Ex. OCCup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSU_ RANCE 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. 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. 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 1s 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. %� aL.�a'�.[sci Date /1-10—This 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 $ r TOTAL PERMIT FEE 'U OCCuP. CONST.TYPE SCHOOL I F PARCE P ND su permit is hereby issued under sions of the Butte County Code and/or work indicated above for which TO F PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date '� Receipt No. �� WHIT[-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT .;r+,�� •`KI::.Ti;s+7�!4r}:;;. (,�y: y.i..l.'R�...� "�salh �'. �.�r���j '..-'it„=�:e-.i 7.�f'Y��1 �.q�,urpcc.:�r,�i,�q'�.�':..�; . `' . i r+�' ► '17':7 `• i '� , • '.4w 4s '�` 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION m 7 COUNTY CENTER DRIVE - OROVILLE1 CALIFONIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER! Proposed Building Use Building Inspector Date //Z/0 At time of permit application, I was advised the following data must be submitted prior to permit processing a`nYd:/ot;issuance: DATE RECEIVED APPROVED `y 1. All items. have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans, 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , , . . , 9. Letter of signature authorization. . . . . . . . . . . J1610.. Sanitation approval from Health Dept. { 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . ` 13. Contractors License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner F1 i _15. Improvements may be required. , . , . , , , . . , 16. Mobi lehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. � 9. Driveway Permit. 11-15- 20. 1'15'20. Plot plan approval from city of 21. Engineered trusses 'in duplicate (required prior to plan check). 22. CUA FEES RECEIPT # When you issue the permit, process as follows: '-,Wail to owner, Mail to contractor. Telephone and hold for pickup at office, Deliver w/inspector. Other Applicant ' - Date w tj i Copy of plans sent Health Dept., Fire Dept., Other Date The follow-ing data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter date Plans checked by Date Plans approved by—_Date --Sets of plans on hold in File cabinet AP folder .� Copy—DPW TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance 1 L,7- 110 9 e 1 0 -?Q C Ve-t- owner location AP # Driveway permit si ature has been issued for the above property.. date 1 Parcel One: Lots 6. 7 and 8 in Block 86, as shown on that certain map entitled "Map of Thermalito, Butte County, Cala." which map was tiled In the office of the Recorder of the County of Butte, State of California, June 8, 1887 Parcel Toot ' All that portion of Lots 13. 14 and 13 In said Block 86. as shown upon that certain sap entitled "Vap'of Thernalito, Butte County, Cala." which map was filed in the office of the Recorder of the County of butte, State of California, June 8, 1887. which Iles northerly of the northerly boundary line of toe property described in deed froa Harr) Dennison and Margaret Dennison. his wife, to Paul Do Masseand Leonard Da Massa, dated December 31, 1947 and recorded .January S. 1948 in Book "467" of official Records of Butte County, page 293, and northerly of the northerly boundary of the property- described in deed from Barry Dennison and Margaret Dennison, his wife: to Otte Stewart and Ruth R. Stewart, husband and wife. dated December 4, 1947 and recorded December 11. 1947 In Book "421" of Official Records of Butte County, page 333. NOT (.OMPAREO'VOTH OlhGINAL DOWM>Etd6 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Sec. ti.on 26-H.1 of the Butte County Code requires this acknowledgement be recorded prior. to .issuance of a building permit. 88,03839? The property described herein is adjacent `— to land or included within an area zoned for agricultural purposes, and residents of this property may be .subject to incon- veniences or discomfort arising from the use of agricultural chemicals, including, but i'lot i i.mi.ted to herbicides, pesticides, and fert..i.li •rers; and from the pursuit of agr.icultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, .smoke, noise, and odor. Butte County has established o;,,riviil Lural zones which have as a . priority use for productive agricultural purposes, acid r•i•ti`i cic•nt ;c w i.thi.n sa i.d zones and on adjacent property should be prepared to accept such i tic�inveii i <. n� r or d-isconform from normal, necessary farm operations. All. that. real property situate in the County of Butte, State of Cal.ifor.nia, dc•scr. ihc•d Is f ol.lows: Dat.e: November 10, 1988 State o¢alif. ) SS County ofButte ) PROPERTY OWNERS: _ v On this thelOth day of November 1988 before mcg, the undersigned Notary Public, personally appeared L. T. Carter E] Personally known to me.X30 Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) is . subscribed to the within instrument and acknowledged Lll�lt.he �executed the same for the purposes therein contained. IN, WITNFIS V,EREOF, I hereunto set my hand and officialseal. Present A.P. No. 31 251 002 Notary Public THERMALITO IRRIGATION DISTRICT 1768410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: :•1�.' Owner's Name: r • T. Carter Date: Address: 894 Grand ,Nva Acct. NoZ-/a�� 533-0249 A.P. No.: 31 251 2, rtti; Phone: No. Units: Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ 30 00 Arrearage Preliminary Review By. Date: CSA 26 Remarks: C?_eanolit ur, to c,_radn rn-:,iai red a.t SC -OR 9 0 0 f)0 the property line. 1st mo. S.C. Other Total Fees 14 80 • `� Collected Bye i Date:, Field Review By: Date: Remarks: �`�r i, "/j 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 - TIO, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TIO j AP #3i —2s/— QZ . OWNER PERMTr'ik 3� 9 i - 89 ISI UT IL .CLEARANCE DATE 2 INSPECTOR ELECTRIC GAS 7VSEtSr-�NO Compaction Test Re . Service Size Other Load T e Pipe Size Len th YES NO Z o O DL COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PE�JTOW7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ySSORsEL NUMBER I ` . J� — © a— Z� I BUILDING PERMIT OWNER L. e TELEPHONE -©a� 1533 .SQ. FT. OCC. BUILDING VALUATION OW R• (LING ADD ESS C NTRAC TOR'S NAME ri (20-117 MAb TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS - D �� J Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeOther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Q Other ❑ Describe work: j Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OOOV OR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under Small of er'ur p y p 1 y (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslneSS and Professions Code and my license is in full force and effect. License No. Classification ❑FIXED 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason Main service EA. ADD•L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.01 , OR AODNS. C ACC. BLDGS. h2sgft NEW CONSTR U TI.OUT LET NON.RESID .BRA CH CIRC ITS 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. OCCU OUTLETS OR FIXTURES p 8AL@AL®30 APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 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. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. j�/] I shall not employ any person in any manner so as to become subject `'I to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee j 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. x. �� 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 $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ ISCHOOLITI PARCEL PD NO SUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PER IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date -LZ- Receipt No. WHITE-D.P.W.. YELLOW-AeeE350R. PINK -INSPECTOR. GOLDENROD -APPLICANT ..�iY\r+ti;tY.. , ..rv� ..��-.•'i r iv.�"p I .1 •JL:J"'.`..'ri� -.j� �l � •,1'..i. +'t. .�; .-•".M,.�..-..1�{...v r.r.. .' • y�' r. •y`•..j'.. i �4' f . ` COUNTY OF BUTTE 'DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION / 7 COUNTY CENTER DRIVE=bR.OVILLS, OAL1F61hNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATASHEET Permit No. OWNER Proposed Building Use At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. 2. 3. 4. 5. 6. 7 8. 9. 10. • 11. 12. 13. 14. �—�15. 17. 18. 19. 20. 21. 22. All items•have been submitted. . . . . . . . . . . . Plot plans in duplicate./triplicate, signed by preparer of plans. Complete plans in duplicate. /triplicate, signed by preparer of plans. Complete engineered plans and calcs, with wet signature on plans. Plans with Energy Design Compliance Statement. . . . . . School Distr ct "Fees.Paid" Stamp on Floor Plan. Statement of Intent for Non4Ieated and AC Buildings. Fees of $ . , , , , , . Letter of signature authorisation. . . . . . . . . . . Sanitation approval from Health Dept. . . Planning approval for (A) Use: (B) Parking: . Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) • Owner -Builder Verification (Given to owner❑, Mail to owner ❑) Improvements may be required. • Mobi lehome Installation DE.ta. . , . • • • • , • . . . . ./)14 , Pre-Inspec. reques to Pre -Inspection for Required. Building Inspectort Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. Plot plan approval from city of Engineered trusses'in duplicate (required prior to plan check). CUA FEES RECEIP"_' # When you issue the permit, process as follows: � Mai I to owner, -Mail to contractor. Telephone and hold for pickup at -off ice, Deliver w/inspector. Other 1 Applicant ei, / �P Copy of plans sent Heal:h Dept., Fire Dept., Other Date ¢.w 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 adv sed of above required data by_phone---nail—counter by date Contractor, designer, owner, was adv sed of above required data by—phone —mal l—counter by date Plans checked Sets of plans on hold in Copy—DPW Date Plans approved File cabinet AP folder Date �/_ P" (Date) n instollofio.,c t Z �M MOBILE HOME MUST�o � hof BEAR H. D. LABELS - I �8. 34K BUILDING DEPARTMENT APPROVEr). zk.8/ -S$ MN --- — --- J� r— ti� ry.z&� 0 J r-; nz 71 71 2� rSO2 O Fill �nz Onx �� nz� . ���— p I I IZ% 7cz 00 t1 ►���Iz�+-� } �� �P '�u�,r, II�� ad xlrJ-ol --- SUPPORT PIERS APACITY FOOTING SIZE CAPACITY I FOOT 200Oa 121lx241' IL 8000° .4f 40004 24"x24" di 10,000 6( _6000 36"x 24' FOR FIELD SUPPORT DETAILS. SEE DWG'S. 5-1 and 5-3 OF INSTALLATION- MANUA ' r ►3�-TFI s sJ-d' X I�-d . i .. I GOIDE►+wEET SF Q. T: H°w r � fIOU Ell IlKihill IE. TITLA a CARPET LAYOUT AND RIDGE rir�E "OO"NO EuwutE u. Ew1 BEAM FIELD SUPPORT PIERS. onawN E• I- le) OA -0. No. Advislo By n" i MOBILEHOME SUPPORT DATA / �� j If gther-than single wide, Mobilehome Mfr. (�,O / G� HCl e S � furnish Setup Model No. Year Width (ft.) Box Length_&_�q (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) 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 SINGLE -WIDE Main Beams Line 2 Main Beams --- _ _ ______♦Line Tag or Triple rAnp Line 1 Piers: Size-Min.------------ Spacing-Max - -----------Spacing-Max- --------- From Ends -Max. ------- ' Line 2 Piers: Size -Min. ------------ x ( �) Spacing -Max._______-_ r I From Ends -Max .------- Line 3 Roof Loads: Size -Min ------------- Location (From Front) Line 1 Openings: Size -Min. ---------------- --1.�1 Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min------------------- pacing -Max. --------------- om Ends -Max .------------- Size-Min-------------- k „ Size-Min------------------- Spacing-Max ---------- ------------------Spacing-Max.--------- . n. Spacing -Max .--------------- From Ends -Max-------- _ From Ends -Max .------------- Line 5 Roof Loads: Size -Min ------------- „x�. „x „ .1x„ ,k „ ,k .,x „ , „ ..x „ Location (From Front) _ BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: �Z W, 3. Is the site currently under permit? Yes � No (If yes, furnish permit number ) OR Is the site an existing site? . Yes No y (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 No (If no, clarify 5. What is the mobilehome electrical rating? --------------- //9 Amps 6. What is the mobilehome site service rating? -------------0 O _ Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the F mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) 10. What is the type of gas service? ------------------- NaturalLPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) ��s pir-V Nor/mss m tv/� NSA /ti5'�tar49 7-4E�-7-14j<. TFERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER :SERVICE APPLICATION AND CONNECTION PERMIT Service Address: �'�� Owner's Name: I..- -or tc.r Date: -11/2 " Address: e94 C'rar:d Py' Acct. No:r A.P. No.: 31 251. 2, LAG Phone: No. Units: / , - 'l Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ Arrearage Preliminary Review By: Date: CSA 26 Remarks: ! grout: u tc'i cfrn,X, r- uir4 :1 -t- SC -OR ' :L ) i�.r rlro 'uri:� ?. Lin 1st mo. S.C. Other Total Fees a Collected By: , Date: Field Review By:-A...�✓ J- r A.,� -� Date:loo Remarks: 1 � /.I/'�:� � (.moi!/ /'� jl •" f! MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or cn date of D.P.W. approval of ccmpleted builAngl'g"Pt 414ver comes first ("existing construction" prior to Mar. 5, 1974).EB 2 8 198 ❑ 180 days after date above, or on date of D.P.W. approval of completed b1ding sewer, which ever comes first ("new construction", aft --r Mar. 5, 1974). Oroville, Calit mla DISTRIBUTION: WHITE - TID, YELLOW - MkPPLICANT, PINK - DPW, GOLDENRCD - DPW to TID PERMIT NO. 3666-88B PERMIT EXPIRES OWNER L.T. CARTER' CONTR. owner i ASSESSOR PARCEL 31-251-02, LOCATION 1109 Tehama Ave,,0roville i L i �t Temp. Power Pole Called PG&E_ i Temp. El Calk i Temp. G Calk JOB FIN T Sign = OK 0'1_-- Not' OK - = Not Applicable Not Ready MOBILE HOMES = Date. MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P'L"ft. / /"Nat. or/ P'L"ft./ /"LPG 7. Utility Clearance Card -131 Date Card -B1 Date Card -131 Date Card -61 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date MISCELLANEOUS Date DE S, COVERS,CARPORTS,GARAGES, (Plans)OK except #'s ing Requirements -Setbacks -Easements rs and/or Joists -Decking -Bracing -Stairs -Rails 4-Alfaod—Awn.; Posts- Bea ms-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5 Alam _A n. Columns -Connections -Splice -Decal -Enclosures bows -Doors v_E4ec Lfi, Frmg; Sills-Anchors-Studs-Rftrs-Trusses 4. Siding; Nailing -Veneer -Stucco -Mesh r 40' . oof; Shthg-Roofing CK EW. -steps -Do rs-Landings Vit' Card-B1(3r3 Date /-_)Card-B1 Q,0 Date Card -131 Date IL, Card -131 Date Date OOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enc losures-Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -B1 Date ` Card -131 Date Card -131 Date a =OK = Not AO plicable RESIDENTIAL (Single and Duplex) ' ' =. Not Ready Date UNDERFLOOR (Plans) OK except #'s Uate FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors i 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel- Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -B1 Date Card -81 Date Card -131 Date Card -B1 Date Card -B1 Date Card -61 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -131 Date Card -B1 Date 67. Stairs &Rails Card -131 Date Card -B1 Date 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 71. Elec. Outlets & Receptacles at Kit: Counter 24. Size Boxes & No. of Conductors -Stapled 72. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 73. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75• Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 78. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Ihsulated Neutral Yes No 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑ No 33. Smoke Detector 81. Stucco; Brown -Finish Card -B1 Date Card -B1 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -B1 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date 92• Roofing Certificate Card -B1 Date Card -B1 Date Card -81 Date Card -B1 Date Card -B1 Date Card -61 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors Card -131 Date Card -B1 Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ER �Q MTNO� 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-75 APPLICATION AND PERMIT ASSESS R PARCEL NUMBER - ZONI'�j_ BUILDING PERMIT OWNER , 7- PaIZ 74e_2 TELEPHONE ,SQ. FT. OCC. BUILDING VALUAXON OWNER'S MAILING ADDRESS Cr/y^JV Jf CONTRACTOR -5 NAME d w �, TELEPHONE CONTRACTOR'S MAILING ADDRESS II �1 V t5,0 A* w v 5 U,d a vtt f Fireplace CONSTRUCTION LENDER 11 UNKNVWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT FiIirig 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 STRUCT RE SF ❑ Duplex❑ Mobilehome❑ Other �2� /�% ��e� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00 ea TYPE OF WORK New M Addition ❑ Remodels❑/ Utilities ❑ Installation❑ Other ❑ Describe work: ay --�e i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1SS o°o AMP OV OR R LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I d@V a under penalty of perjury (check one): 1L -J, 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. S//D,13 License No. Classification /� ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.6 OR ADONS. ACC. BLDGS. , �22SQft NEW CONSTR U TI -OUTLET NON-RESID BRANCH CIRCUITS2.50 ea POWER APPARATUS e) SINGLE OUTLET CIR. EX. OCcU OUTLETS OR FIXTURES 8AL030 P 209990 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 1 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 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 coDsequence o e granting of this permit. X Date V: it Signature of Applicant— Owner Contractor Agent El An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PER .IT FEE o CUP. Co T Tr C JSCHOOLJd",rJPA L PD ND ,ssU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which BLIC I /( tl BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have 'been paid. WORKS Date Z — Receipt No. Q ,z�� 9 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT G�`(( CCU�.P%� 36f�6� 0 caV-040't- 1 �.e�... ���`\. L/^�`� ... ..u, �.��.—� .rte.... ����. .�� _ ���- .���.+�+• . � -v .�x.�.�'��....�� arrr ' 1 (\V���" W � � 7 � -r k � . -+'_-2-�i; . -Y;e� t':.�" �." .'i,r. ? _ - r' �� .� .:y`�, .�.r�:-gh.s ��„1�f,.,,,•31,�;� ';,.:fi ..r 'v• .. �X.l�i� , ,'• 3 COUNTY OF BUTTE - DEPARTM64T OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE�,�,L,IFOANIA 95965 -TELEPHONE: 916)'538-7541/ - - ERMIT APPLIEATION DATA SHEET A. �_rt,�•� Permit No. OWNER (i/� ��% ,,�� A. P. No. 4:f 7—. Building Inspector Date Proposed Building Use g p At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. , ti x 3. Complete plans in duplicate./triplicate, signed by preparer.of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. .�.- 6. School District "Fees Paid” Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ .. 9. LeTteT-of- signature authorization. . . . . . . . . . 10. Sanitation approval from Health Dept. . . 1. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) �dV4. Owner -Builder Verification (Given to owner, Mail to ownerE] _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . .{ 17 . -In Prespec. Pre -Inspection for Required. Building Inspector request to (Date) 8 Recorded copy Acknowledgmen Statement. ,gricultural Iveway Per i 20. Plot plan appro m city of 21. Engineered trusses 'in duplicate (required prior to plan check). 22. CUA FEES RECEIPT # When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone and hold for pickup at office, Deliver w/inspector. Other Applicant a e G r Copy of plans sent Heal -h Dept., Fire De t., Other Date The following data must be submitted prior to per i •ssuance: Circle new item not checked above). 1. If Index permit for above itemE •No. 2. _ Additional items required: Contractor, designer, owner, was advised of above required data by—phone---mai I counter by date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter b date 94'_ Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW 0 � ITT"r,"T. �, ,-,-,-,-�",,,,,,,.��;";","�l�� . .. . .. .. F_ '! � I ?� ­­.­ 11 Irr V1.1 , , � 11?11 " I - �:,, X., �, , � , , '' I , I � , I ;, , - , � ; , � " . 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