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031-253-035
if AP 31-253-35 0 3,1-253:'7035 "92- . 2 1 62 Z4 BPEM ROBERT PERES W06LSEY', Randy Sherr'y, 4 �>1071,'grand Av6. Oroville e -m it# 1 ut Li. 101 Grand Avd�, Oroville P 113-75P.7E( MH) addition/sf ELEC 031-2- -3 -r)v GAS 4�,t eg"(" SUPPORT STRUCTI 1;-a --31 "25-3-035 COMPACTION TEST REQ!/;/A 1ST RENEWAL/92-2624 AP 31-253-3 Peirmi 2604-75MHI 031-2!53-035\ 93-3592 P,E,M Issued —i -s- ob ' AP 31-253-3 -RANDY D 00 1071 GRAND OVII L LL Permit# 3558-75.B(deck, M� ELEC SERV, WTR HTR, TER/SF--_ 1.2 -253-35 _j PrE (ut5l Permit # i i� ---------- 2 ELEC. S 031-253-035 PERMIT#94-2378 GAS WOOLSEY, RANDY &-SHERRY SUP STRUCTURE REQ. 1071 GRAND AVE., OROVILLE COMPACTION TEST REQ, 2ND RENEWAL BP#92-2624 n 031-253-035 06-0272 ( --I E 31-253-35 ABREW, BRENDA - 0 <9 PERMIT #6272-75E( LECT. SER. C H 1071 GRAND AVE, OROVILLE EXISTING SITE MH *1,Cont: OWNER 0 HVAC, REPAIRS 31-253-35 ONTR: Eafle Towne, paiadis -.21 C 42: f1/ - Permit #6029-75MHI(existing s*_e.) PERMIT RENEWAL I/,?- :-.,2,_ Issued 3- i -�3-35 Bp# q3 -Q:739 ;'AA 417, 31-2 Date: i2_ / (0 /0ip ONTR: B & D -Industries, Sacrament BP Expire -s: 3 14 F6 Permit ##161-76B (new awning/MH) 31--:2'53=35 contr: Acro-Lume,'Oroville Permit #469-76B(reinstall awning/ 00 31-253-35 9 it Permit #2361-76P(Sewer in9t) MH (2 MH 1 hook up) 6-11_?1q(- ltar 31-25 -35 rlcontr. gor 107family) ..107 Grand14V Perm new si g e fam y 10 rm m ROboet-t V-e.S 31-253-35 0 Iii contr: Oro Contractors, Inc., or f ovillel rm Permit #2191-79B,P,E,M(new single i BUTTE COUNTY TTF0 DEPARTMENT OF DEVELOPMENT SERVICES C O BUILDING PERMIT C _ 0 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) o - =}tea o OFFICE #: (530) 538-7541 PERMIT NO. BP060272 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS 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 Issued Date: 02/06/2006 APN: 031-253-035-000 the Business and Professions Code, and my license is in full force and effect. License Class License Number: : Site Address: 1071 GRAND AVE ORO Date: Contractor: Map Index: Description: NEW HVAC, MOVE WALL IN BR, MOVE OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the DOOR IN GAR, NEW WALL IN GARAGE, Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a NEW WINDOW IN BR permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of Owner: ABREW, BRENDA AND GREG the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 1071 GRAND AVE violation of Section 7031.5 by any applicant for a permit subjects the OROVILLE, CA applicant to a civil penalty of not more than five hundred dollars ($500).): J 95965-4227 lel I, as owner of the property, or my employees with wages as their 530-532-6325 sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for Applicant: ABREW, BRENDA AND GREG sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of 1071 GRAND AVE sale.). OROVILLE, CA ❑ I, as owner of the property, am exclusively contracting with 95965-4227 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does 530-532-6325 not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 ofit Business Professions Code G Contractor: Date: D Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I 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. License #: El have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Architect: Carrier: Engineer: Policy #: fD 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 Total Square Ft: 0 S.F. become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Valuation: $0.00 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisio S. Census Code: Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages s provided for in Section 3706 of the Labor code, interest, and attorney's fees. _J1 �� q LACONSTRUCTION LENDING AGENCY This permit is here issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.)I( Resolutions to d ork in ' ated above for which fees have been paid. , , Name: By: ] )` Date: �t - , - u PERMIT EXPIRES N: ` Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or t duly authorized agen the wrier. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of o ial form or do ent Butte County. I hereby authorize representativesof Butte County to enter upon t-he_ab`ove mentioned property for inspection purposes Print Name:: Signature: r Date: L-- 0-6wner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 m 4 v � � t�_' ' BUTTE'COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION .AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY* OWNER INFORMATION La4Hig e I } t,Name �e � R A dress10-71 ( �A� L( A j CityO Ro J t I I Slat Zip 5 Phones 2 (0 3 2 Fax �3 Z 33 5 E-mail CONTRACTOR Name%nom or✓ Nie �R �D"2e Address to 7/ �rZp+g�L city O 20 Vi; t(-( s.0 Pr_ZiP 76-16:5 Phone s3O 570 .3 Fax _53-2-- 33 7 5 -- E-mail L'ic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name 0 city 0l2pJ J t(L Address SRA I City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name .' a i43�1 v.J Adpress 7/ (s2A/`/� f city 0l2pJ J t(L St� SRA I 'T3 z & � Fax E-mail �Air For office use o Zoning Property Address Flood Zone Cross Street /0 SRA I Yes I No Occ. I Type Const. Subdivision Name Map Book Page5 Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT d vc�:?/ BP:- BIN P:. BIN p PROJECT LOCATION AP# 0 -7 Property Address C" Cross Street /0 WORKER'S COMPENSATION. Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: o u t W.4 l( r RJ l o de67oo /3,`/J DC%e tFd A e ,` �! _ tJ,41( I'd L P 2 Sq FT- LivingGarage Open ACov Structure Built without Permits ,,Mo de &A ¢ � Proposed Change of Occupancy � <o (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration *of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received , y: ,Receipt #_ '� \� 1.) k( ^ Amount: g 1 R ' `6 Bldg Sheriff SMIP Date: r�-- � du'"� 1 Other dI) _CIG Total SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd'plans,, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet-siqned by the enqineer.. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form . O 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after -Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. , ❑ 3. California Department of Forestry plan approval, (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan'approval-from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In* order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV B-12-05 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 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 material for construction of this proposed property improvement: YES ] NO [ ]. . 2. I HAVE P4, ] 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: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: S. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: DATE: NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION ` BUILDING t GIS ` PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you. should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. . If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. t+ 0 r, e- E::3 v e-- I f -' ���� l wA mmmm_mn=i • S � � ^ CL t 3 BUILDING-DIVISV4 N V t � Vi �- leL O O D � �d x -- J , '���� � � 1 ;, � . - " ,, -- J , BALANCE OF FEES SHEET DATE: PERMIT #: -3 -� ASSESSOR PARCEL #: OWNER'S NAME: FEES (Amount and Purpose): BALANCE OF FEES: $ ADDITIONAL FEES: $ REVISED PLAN CHECK: $ SHERIFF FEE (commercial only): $ SRA: $ COPY FEES ($1 or more) $ DRAINAGE $ BASIN BC RESIDENTIAL IMPACT County Wide Chico Urban _ EI Medio North Chico Specific _ $ WATER TENDER FEES $ BATTALION # FEMA $ SMIP �,n ,� $ RECEIPT NUMBER(S) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 031-253-035 ZW G BUILDING PERMIT OWNER Rand Woolse TELEPHONE 534-9129 SO. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1071 Grand Ave. Oroville 95965 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENG114,ER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee S ARCHITECT OR ENGINEER' AILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 1 15.00 15.00 USE OF RUCTURE SFX] Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition O Remodel ❑ Utilities O Installati n,, ❑ I Other Describe Work: Chane Service & New Wt Htr & New Forcec PERMIT FEE $ 35.00 ontractor ELECTRICAL PERMIT Filing Fee 20.00 Air Htr. Main Service ( 2 00AORLESS ) 1 23.00 23.00 Main Service ( 200A TO t000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. ) SO, 3.50 FT, CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the\Busiessand Code and my license is in full force and effect. License No. Classificationp- �a I, as the owner, or my employees with wages as their sole compensation, wil o the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 .00 0Professions Ex. Occu FIXED APPWS. GR (OUTLETS (RESID.1 EA.5.00 Jf1@13.00 Temporary Service Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a JCertificate of Consent to Self -insure. M I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ BAN 43.00 Con ractor tOECHANICAL PERMIT Filing Fee 20.00 Heating11-i-no.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 , cons e uence O�Zheanting of this permit. X Date ��— Z� 9 Z— Signature o pplicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installati6,0 Fee $ Energy Inspection Fee $ occ CINST. TYPE TOTA FEES 113.00 HAz. D. FEES I IMP I F.LON CDF I PARCEL I PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have aD�1_�=RWO BYA PERMIT EXPIRES ON t applicable provisions Res lutions to do work bee paid. KS Date )U Z/ (D te) ReceiptNo. 153442 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 031 —Z53 Z 53 .. D6` 1 cJ ZONING /�% BUILDING PERMIT OWNER Adv 1A) 00OWNER'S TELEPHONE SQ FT OCC. BUILDING VALUATION if OWNER'S M 0NG ADDRESS ,L (VJ CONTRACTOR'S NAME , I j TELEPHONE CONTRACTOR'S MAILING ADDRRESS FireplaceCONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 10_7Z PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK Remodel O Utilities Installation ❑ Other New ❑ Add' on l& n/A Describe oO rk: CiN�a! Se4,, jne ANP lVe-4,/ PERMIT FEE $ 3t�! � Contractor ELECTRICAL PERMIT Filing Fee 20.00 ' ) I/V G•v ! /r. A0 & � (may �U/ GL /f-'4' T D Main Service ( 'OVOR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONS.OR ADONS T ( D LLIBEACC BLDS. ) 3.50 F7. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI.OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POW ER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup.FIXED APPLNS. OR (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE S CSO Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating s6 Cooling Hood 6.50 Ventilation PERMIT FEE $ . 00 I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California 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 - O Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 33 stories in height. Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEES HAZ. D. FEES IMP FLOOD COF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES ON !Dere/ Receipt No. �� �`� WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 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) I. I (have/have not) a signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date //- Z- 9?, 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 BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/539.7541 APPLICATION AND PERMIT PERMIT NO. 8S E031 -253-035N UMBMRr ZONING R BUILDING PERMIT OWNER RANDY & SHERRY WOOLSEY TELEPHONE 534-9129 SO. FT. OCC. BUILDING VALUATION n 808 R 43,632 OWNER'S MAILING ADDRESS 1071 GRAND AVE OROVILLE 95965 120 C 1,500 CONTRACTOR'SNAME 01RI ER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 45,192 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 346.50 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 173.25 Ener Plan Checking F Energy 9 ee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1071 GRAND AVE OROVILLE 95965 Permit fee $ 554.75 PLUMBING PERMIT FilingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 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 15.00 157-07 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition [X] Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: ADD FAMILY IROOM & BEDROOM _ Permit Fee $ ! Contractor ELECTRICAL PERMIT Filing Fee 15.00, Main service 200AORLESS 18.50 Main service 200ATO1000A1 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) ❑ 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.OR ADDNS. l / ACC. SLOGS. DWELLING OCCUP.&) 3.6dsq.ft. 901 ff) NEW CONSTR "UL-T'-OUTLET NO N.RESID BRANCH CIRCUITS @ 5•00 POWER APPARATUS y SINGLE OUTLET CIR. Ex, Occu p OUTLETS OR FIXTURES 20 76 FIXED APLNSC Ex. OCCUp. OUTLETS P(RESID.)REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ 44.00 — 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. dI shal I 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 FilingFee 15.00 Heating 9.00 Cooling g Hood 6.50 Ventilation Permit Fee $ 24.00 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 against id County in o sequ nce of the granting of this permit. X Date Signature of pplicant — Owner Controctor ❑ Agent ❑ An OSHA ion of structures tover 39stories oineheight Ions over 5'11" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ 4ol occ CONST TYPE T TAL FEE $ HAz DFEES P FLOOD -FC—DF PARCEL PD HD ISSU This permit is hereby issued under the sions of the Butte County Code and/or work indicated above r which fees R5gTOQF PUBLIC By PER EXPIRES Date applicable provi- resolutions to do have been paid. WORKS U Date 7 �� Receipt No. T� WNITE-D.P.W., YELLOW -ASSESSOR, PINK•IN3PECTOR, GO DENROD-APPLICANT 5 �as BUILDING PERMIT OWNER 6ANOIV `6 5hE r oo SE TELEPHONE 0�� SO_ FT. OCC.1 BUILDING VALUATION SC7f� 3 (0 5Z OWNER'S MAILING ADDRESS o/ o A& CON �R A/CTOR• NAME TELEPHONE —I (D — 0 40 H COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95985 - Telephone: 916.'538-7541 APPLICATION AND PERMIT 1.3Ge'l• &z PERMIT NO. z 63s.3� ASSESSOR PARCEL NUMBER s' ZONING t, BUILDING PERMIT OWNER 6ANOIV `6 5hE r oo SE TELEPHONE 0�� SO_ FT. OCC.1 BUILDING VALUATION SC7f� 3 (0 5Z OWNER'S MAILING ADDRESS o/ o A& CON �R A/CTOR• NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ Filing Fee $ 15,00 LENDER'S MAILING ADDRESS Permit Fee $ JdARCM TECTN ENGINEER LICENSE NO. Plan Checking Fee %30 5 s_�_� Energy Plan Checking Feeg6.plj $ 02 C), (0p ARCH ECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS oru Permit fee'S 5 $ PLUMBING PERMIT Filing Fee 15.00 Each Trap __SJ 5.001 60 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 -)rD Each qas water heater or vent 7.00 USE OF STRUCTURE SF P� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5 Q� Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ AdditioA� Remo del ❑ /`Utilities ❑ Installation Other ❑ Describe work: API 4,44 �f led© —f /two ee �mmm Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200v OR LESS 00AOR LESS 18.50 Main service 200A TO IOOOA1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 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.SINGLE License No. Classification I] 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUPM 3.60sq.ft.A 60 OR ADONS, l ACC. BLDGS. II NEW CONSTR. ULTI.OUTLET NON-RESIC BRANCH CIRC ITS @ 5.00 POWER APPARATUS e OUTLET CIR. EX. OCcup(OUTLETS OR FIXTURESA20 76d Ex. Occup. OU LETS P(RESID. 'FIXED APLN5.OR EA I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Iyirin 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. ❑ 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 FiIIng Fee 15.00 Heating oo Coolin g Hood 6.50 Ventilation Permit Fee $ -Q10 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 ccrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor C]]Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in7height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 71 NAz 0FEES IMP FL000 CDF PARCEL f, HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES Date Z.Z 3 �� ��� S.3 -� S Receipt No. / ��� WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE ORO`JILLE; CALIFORNIA 95965 - TELEPHONE (916) 588.7541 PERMIT APPLICATION DATA SHEET OWNER ff gA 1✓ / �IVQ OZS� A D No. 03I- Z 53 Proposed Building Us 5f Al2 Building Building Inspector Date 7/Z./79S 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`D/4 sets, signed by preparer of plans. .... .. . .... . ...... .... 3. Complete plans,:M sets, signed by preparer of plans. t N9(4.; et . • • • .... � ,Z 4. Engineered plans and calcs, 3/4 se -s, 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). ... . -0. Mobilehome data and manufacturers installation instructions, 2 sets. . �11 \,16� Fees of $ '�%%(o ''ti :..... :.:.... • ................ -�Z-_-Gi Impact fees as shown on attached schedule . .. .. . . 12. California Department of Forestry pfan 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). .. . . 20. Pre -inspection for Pre-Inepecti°n ro 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 tc 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 . ...................... a ............... 32. Plan check list....................... . 34. _Floor D EA) o r -EX 15`Um c--2-27-VZ When ou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephon - I I Z9 and hold for pickup at 6 (b office. Deliver with inspector. Other 2 S sin 1 Parcel Creation /� � � Applicant Date :-j09-L- Acreage 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 t rmit 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 _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mai Counter by _ Date Plans checked by Date Plans approved by - Date 2� Sets of plans on hold in File cabine- 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 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) 65 2. I (have/have not) ,9d Ci signed an application for a building permit_ for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work S igned. . Property Owner Social Security Number - 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 alifornia-Health-and.:Safety--Code: This verification must be completed and returned to our office before we are per- mitted to issue the permit. .�.. i'^' Q'(.�ST "°'a ,"r raegrF a+m�grra+V►cpr.^v pefF� ggerss c�rn�r .,G.� tow BUTT= Y.OUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) -� , 0 �, 0 School District ��!� —_ _ __ _ Building Department No. A.P. Number Z 573 —0-1, risdiction (_ City [County Property Owner Property Location/Address _ /07 Subdivison Residential Development "Commercial/Industrial Buildih§ Department Rep No. of Living MHI Units r Lot No. f Q��oSq. Footage v� n(GroupR ) Sq. Footage New Addition COUNTY OF BUTTE • BUILDING DEPT 7 1992 (Including Exterior Roofed Areas) 5 Da a (Floor Plans reviewed by School District Personnel) District Identification No. !' 30 5_3_2 ]MI., UAL School Districtcertifies that r (Applicant) .1071 - -. -- _ - ---------- - 9/��- 53 y- qua (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. _/ 70 by payment of $ (� 4 repr(7 .......... enting _ �0 300'__— — square feet. St -hoot s i - epresentative Date Paid by Check NLmber3 Remarks: Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District, istnoti1ed by the applicable Local Planning Agency that this project is being reviewed under the California EnvircnmentaWuality Act- (CEQA), this project may be subject to additional school fees to fully mitigate its impact on'the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE 'W' (Additions) 1601 Permit .# Floor Area FOR M 7 Climate Zone The following data showing mandatory and required features of Package "A" shall . be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any.space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not.included. ZONE 11 \ZONE 16 APPLIES TO.NEW AREA CEILING R-30 R� 3 WALL R-11 R-1 FLOOR R-11 R- 9 SLAB R-7 R 7 GLAZING U-.65 (Dual) -:,5 (Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) .,. �PRBRI o DUCTS PER UNIFORM MECHANICAL'CODE -,Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED'AS SHOWN ON BACK OF THIS SHEET. , V• Couw OTHER 'b as DING DEPARTMENT 12/85 *1 HEATING, VENTILATING. AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace % (brand and model number) ..SE Btu/hr (heating capacity) ❑ Heat Pump - .(brand and model number) ACOP Btu/hr (heating capacity at 47°F) Q Active Solar type (liquid or air) Collectgr brand and ft I model number solar fraction collector area collector orientation collector tilt rated y-intercepc rated slope ❑ Other *1 t (describe) (B) Cooling Q Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM Q (6) Gas Only Gallons (brand and model number) (tank size) Q Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) C3* Active Solar - (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load - maximum outlet capacity gas furnace BTU Cooling: Summer design temperature. °, cooling load BTU *2 Submit T.I.P.S.E. chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Adminiscration Code. ft , Y Y SIG:IA OF BUILD DESIGNER OR APPLICANT JCOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 ���PERMIT , APPLICATION AND PERMIT -� - ; ASSESSOR PARCEL NUMBER 031-253-035 ZONING AR BUILDING PERMIT I/ OWNER Randy & Sherry Woolsey TELEPHONE 534-9129 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1071 Grand Av.e Oroville 95965 IST RENEWAL CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee @ i Fee $ 173.25 ARCHITECT OR ENGINEER ucENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $193.25 1071 Grand Ave-, Droville PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF CX Duplex ❑ Mobilehome ❑ Other Add Family Room R Rpdrnom SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 1:1Other IX Describe Work: 1st Renewal Of B.P. #92-2624 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV ORLESS ) 23.00 200A OR LESS Main Service ( 200A TO t000A ) 46.00 NEW CONST. DWELLING OCCUR S0, OR ADDNS. ( & ACC. BLDS. ) 3.50 FT. CONTRACTORS LICENSE LAW 1 declare under pe),It-vc—of perjury (check one) ❑ 1 am a licensed under provi9fi4R5' 3T apter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 14 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis rias NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) BSINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.0000 Ex. FIXED APPLNS. OR Occup. I O UTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare undA penalty of perjury (check one : ❑ This permit is for $100.00 va uatlon) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. 0 I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling 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 Butte County Ordinances and California 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. 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 i onsequence of the granting of this permit. X Date 9-17-9-7 Sig ature of licant -� Own Contractor O Agent An OSHA permit Is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE I I TOTAL FEE $ 93.25 193.25-[77177 HAZ• D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte Count Code and/or Resolutions to do work Y indicated above for which fees have been paid. D�IREC PUBLIC WORKSJ(?Q q BY /'D �/ Date PERMIT EXPIRES ON (Date) / FFeceiptN..8/4/94 HITE-D.D.S.- .D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT A 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 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) VX S 2. I (have/have not) ��ve-, '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/pIl Pi Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work /I/44 el- Signed: l- Signed: Property Owner Social Security umber Date /%—�2 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 BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 _� PER NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 031-253-035 ZONING AR BUILDING PERMIT OWNER RANDY & SHERRY WOOLSEY TELEPHONE 534-9129 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1071 GRAND AVE. OROVILLE, CA 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 173.25 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 1 GRAND AVE., OROVILLE PERMIT FEE $ 193.25 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF Duplex ❑ Mobilehome ❑ Other ADD FMLY RM & BDRM SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New O Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other W Describe Work: 9ND RENEWAL BP#92-2624 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 1 20.00 OST RENEWAL BP#93-2738) OR LESS Main Service ( 10V200AORLESS ) 23.00 Main Service ( 200A TO t000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. ) 3gp , .50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) CII am exempt under Sec. Business and Professions Code forthis reason c,;Yo- NEW CONST. MULTI -OUTLET NON-RESID. ( RRANCH CIRCUITS ) @7.50 ( POW ER APPARATUS ) A SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .50 Ex. Occup.FIXED APPS. OR ( OWUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California 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 nseq an of the granting of this permit. X Date —'D–%� Signature o plicant -� Owner ❑Contractor ❑Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC coNsr. TrPE TOTAL FEE $ 193.25 HAZ- I D. FEES 1 IMP 1 FLOOD COF PARCEL PO HO I ISSu 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. o p BY Date a PERMIT EXPIRES ON 8/4/95 IDetel Receipt No. WHITE•D.D.S.-B.D. CANARY -AS SOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 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 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) �5 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 Contractor's License No. 4. I plan -to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security 1 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 permitted to issue the permit. _ utt� : ount t o J\4 D O IN A T :l -A- L--:-\,-;-,- •A L T H N -. bUILDINO. DIVISION. . DEPARTMENT OF DEVELOPMENT SERVICES - I COWlY (;E.NTO t)AIVC - 0A0VILLr. CALIPOnNIN 9596G4991 . TELEPNUNL: 1916) 00-7541 FAX: -I9101 6ZIM214t1 July'30, 1993 Randy_& Sherry Woolsey RE: Building Permit # 92-2624 1071 Grand Ave: Expiration,Date 8/4/93. Oroville, CA 95965 A.P. # 031-253-035 Dear Mr. & Mrs. Woolsey: With reference to the above subject, our records indicate that -your building permit expires on the above date and your permit falls into the category marked below: © Permit work started, but not completed. Permit may be renewed for 2 the original building permit fee (plus a $20.00 filing .fee). 'The renewal permit will extend the building- permit for an additional year from the original expiration -•date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new -building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. No .inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have - any questions concerning this matter, please contact the Oroville _ office. Thank you for your prompt attention concerning this matter. Yours very truly, JFG:hla j' J.F. Glander cc: Building Inspector Manager, Building Inspection Attachments: fTIRenewal Application [X Owner -Builder Information M Owner -Builder Verification Chico - 1469 Humboldt Rd/891-2751 Paradise - 745 Elliott Rd/872-6307 I 2.191-79B,P,E,M 'jPERMIT NO. PERMIT EXPIRES .'OWNER Robert Peres Oro Contr., Oroville CONTR. ,LOCATION (A.P. 31-253-35 1071 Grand. Ave., Oroville x t r 'J • i r� yk• ,1 k 1' Temp. Power Pole ed PG&E Temp. lec. Serv. Called PG&E Temp. Gas Serv. Called PG&E OB FINALED_ 4� (Date) (Signature) f. a Y Y _ COUNTY OF BUTTE _ DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RtCORD BUILDING BUILDING (Cont'd) PLUMBING Setback �- Firewall r-2 fir] Soil Piping Forms Parapets 1st :fZ// Main Bldg. Restroom Finish 2nd Floor Footings Sf 9 70A> Windows 93, 3rd Floor — — Stemwall 14 Siding To out Slab -`)cv Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa1l i Garage Vents Insulation - Water Htr. Heaters Slab 1IN Carport Footings Prov. for phsically handicapped Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final. Footings FootingELECTRICAL MasonryWalls Throat Rou h -- Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors atuccoFinal Subpanels Mesh MEXAANICAL Grd. Fault Prot. '. Scratch Heatin Service Brown Cooling Temb.JaMo. rnusn uc s I Underground Interior Lath Ventilation I Permanent Door Closer i- Final Final - MOBILEHOMEUTILITIES-------- -------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping M961LEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE S '-3-0 -1 / OR • • I - 7 (NOTE: A r on this form each time you visit the job site.) ;r i�. V� r '� • 1 RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT I o- a� �R ADD A U QB oLLE' (location) BUILDING PERMIT NO.2 / I T A.P. NO. 3 /—Zs---,� 03-5— THE 3.5' THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: GLAZING: Slab Edge. Single Glazed Fdn. Walls Special (Insulated) Floors CERT. & LABELED WDS. Walls Q I/ P<J9 & SLIDING DRS. Ceiling/Roof 2 WEATHERSTRIPPED DRS. Ducts BACK DAMPERED FANS Circulating Pipes INTERMITTENT IGNITION DEVICES APPROVED HEATER CERT: APPLIANCES APPROVED ,WTR.HTR. I DECLARE THAT ALL REQUIRED ITEMS AS.NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name A �!—J/" ti ArIOn% Ccs Signature of ( lea a print) Insulation Applicator State Con actors License No. General Contractor/Owner Name QaQd e4A/ ,e,�c're llir Signature of (please print) General Contractor/Owner sti.,% Date 2 4 State Contractors License No..3A.♦R THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE.POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE -' DEPARTMENT OF PUBLIC WORKS 7 County Center Drive ' - (roville, California 95965 Teleph6hd' 534-4541 APPLICATION AND PERMIT c:;,Z/ 0, 1 —2 Q I authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date y �� Signature of rmitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. DIRECTO PUBLIC WORKS By Date C(_ '24 " -7 AdKing permit expires Date ` Lf ,-7 Y YO BUILDING Owner SO. FT. OCC. BUILDING VALU ON 't Mailing Address Telephone No. Contractor Mailing Address �Op Fireplace Total Valuation 2 Telephone No. 33•-x(0'1 Permit Fee — BuildingAddressD l Plan Checking Fee&/or Penalty Permit Fee 2 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 , d0 Each Trap 1.50 .pU Repair drainage or vent piping 1.50 ' 2 A A,5-,3 A. P. No. �/— , 3 —3,s—Zoning & P nning ter piping 1.5 Each gas water heater or vent 1.50 Fees S n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel 60' R/W Improveme is Each additional outlet .30 Building sewer 5.00 >}-PGawe-Raced Parc A roval Plan pproval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ , $ 1371S`C ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 i pa 0V OR LE Main service 80000 AMP ORSLESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100 AMPP OR LESS O 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. 'ELING OR ADDNST ACCLBLDGSCC ) 22 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR MULTI.O U:, T NON-RESID BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. EX. Occuo(OUTLETS OR FIXT11RES 50@:7 �1 BALFIXED ALNS Ex. Occup.(OUTLETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.6.2500 License No. 3� 7/oZ� Classification �f� Misc. Wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 3a, 1-6 $ /s 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 Wor s Compensation. I have placed on file with the County of Butte a certificate of Efl-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 3. o6 HeatingSQcm 67Vp� 4 iia Cooling_5Ly x,00 Ventilation Hood 2.001 �1,00 Permit Fee $ IJ660 $ /,910C 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 Land Development Fee $ n 06 TOTAL PERMIT FEE $ D authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date y �� Signature of rmitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. DIRECTO PUBLIC WORKS By Date C(_ '24 " -7 AdKing permit expires Date ` Lf ,-7 Y YO 11 Zi � NOTE -,—All Materials & Workmanship Shall 'Bein Accordance' with Recognized Good Practices and, of a quality prescribed for the Specified use in the Uniform Building, -Plumbing & Mechanical Codes and s 11w National Electrical Code. eoNck?nrre I CLIO& � 'PEs:o�ive6 E.C, /off z Septic system and location of '1 �. ing dro;n stub -out to be as utte County Health Dept. � irements. flu D,PA�niRG� 0 'This set of plans and specifications MUST be apt on the job at all times and it is unlawful to ake any changes or alterations on some without ritten permission from the Department of .Public Corks, County of Butte. See Master Plan on file for. W14king plans. Bldg. Setback shall be 5 ft. from the property line and 50 ft. from the ,erline of the road, permitting a maxi - i of a 2 ft. eave overhang but entirely of all easements. N oe d Coo .BUTTE COUNTY BU, ILDING DEPARTMENT APPROVED .� THERMALITip-JOIGATION DISTRICT o 136® 410 GRAND AVENUE OROV1LLE, CALIFORNIA 95965 • TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Zel 7,1 Owner's Name: Date: - - Address: 1,!:-2 3 `�� � Acct. No: 3 6 2— A.P. No.: / - Z 3 - 3 A. P. Phone: '� - 5- 7�9 No. Units: C:Y Applicant/Agent: Agents Proof: WL Address: Fees: Phone: Application $ Arrearage Preliminary Review By:_Date: '- -77 CSA 26 Remarks:/ .. c/ - SC -OR Z —/ 1st mo. S.C. Other Total Fees S Collected By: ,/��✓ Date: - Field Review By:� �� J�?7n ,�/'.`�.., Date: Z - / ?_ Remarks: /9 /%. S t� % K21 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). Y 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes t first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID. YELLOW - APPLICANT. PINK - OPIN, GOLDENROD - DPW to TID eouw* oi� OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Star Contractors Corp. ADDRESS: 1900 Oro Dam Blvd. CITY & STATE: Oroville, CA. 95965 IMPORTANT: July 7, 1978 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Decided not to build. Permit #3700-78B,P,E,M - Receipt #178233 - .AP 31-253-35 Building permit fee ----- $115.00 Retain 1/3 of fee ------- 38.33 Amount of refund due --------------$ 76.67 - Plumbing.permit fee ----- $ 16.50 Retain ng fee -------3.00 Amount of refund due --------------$ 13.50 Electrical permit fee --- $ 35.00 Retain g fee ------- 3.00 Amount of refund due --------------$ 32.00 Mechanical permit fee --- $ 12.00 a i Retain filing fee ------- Amount of refund due -------------- 9.00. Total Permit Fees Refund Due ------$131.17 - Land eve opment Fee Refund Due -- 25.00 TOTAL REFUND DUE $156.17 $150-17 I i• TOTAL $15 .17 I, the undersigned, declare 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. Dated this day of ............................. , 19 , at „D'.:. Calif. - Signature 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 0 or Specific Board Approval F__j (Check one) for the same. Dated this ....... �th day of July 19.M at Oroville Department Head or Authorized Deputy D ept. Exp. Code ............................................ Code ......................... .....................PAYABLE FROM ............................... :........................................................... FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD• SUB. 0BJ. CLAIM NO.N0. INVOICE INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. 1 t - INSTRUCTIONS to'_C.IAIUNTS All claims against the county must be itemized, giving dates and character of service rendered or work- performed; -quantities, de- scription and unit prices of articles furnished or delivered., Claims must be certified by the claimant and submitted to the De S partment head for approval. Upon approval the_ Department head will forward claim to County --Auditor--for-payment procedure. -Do- not file with the County Auditor first. Claims should be presented to officials` for appioval- immediately upon completion of services -rd duested-or-material o'rde'red. `' c Claims are paid every Tuesday;,,howeyer, same must be approved by . - officials and in Auditor's office before_preceeding.Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. ' 6 1 t - INSTRUCTIONS to'_C.IAIUNTS All claims against the county must be itemized, giving dates and character of service rendered or work- performed; -quantities, de- scription and unit prices of articles furnished or delivered., Claims must be certified by the claimant and submitted to the De S partment head for approval. Upon approval the_ Department head will forward claim to County --Auditor--for-payment procedure. -Do- not file with the County Auditor first. Claims should be presented to officials` for appioval- immediately upon completion of services -rd duested-or-material o'rde'red. `' c Claims are paid every Tuesday;,,howeyer, same must be approved by . - officials and in Auditor's office before_preceeding.Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. ` CO � NTY — ' U OF BUTTE DEPARTMENT OF PUBLIC WORKS r 7 County Center Drive—.OroviIIe, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT DU II IVI ILC I UP1 COLI I Lot I VCS ul Inc k-,UUllly UI 6Ulle IU enlet upon ine above-mentioned property for inspection purposes. `ii��L! • �C?e^ate - 7� Signature of Permitee or Agent Receipt No. ' ' 1) 1 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OPIAUBLIC WORKS BYDate %�-7 � Building permit expires Date BUILDING Owner ^�r t_A e 01_S(12,6 SQ. FT. OCC. BUILDING VALUATION Mailing Address ` o Telephone No. Contractor V y. Mailing AddressFireplace Total Valuation ele hone o C ., Permit Fee ' Building Address S Plan Checking Fee &/or Penalty Permit Fee OO O Srt PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 , b Each Trap 1.50 Zdn%cj Verification OnlyiI� %)I Repair drainage or vent piping 1.50 A. P. No. 3 � Za Water piping 1.50 !M Each gas water heater or vent 1.50 F&<9<Sa41a5on I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel a p 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 IQis�R c Parc A roval � �� Plans p�A proval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ is ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family 00' -Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER s 25.00 100 AMP O OR LESS Main service// EA. ADD'L 100 AMP 1.00 OR ADDNSNE WCONST \ ACE, INl3)S CUP. Bt) 20sgft L CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style o NEW RESICON SD, BRANCH(MULTI-OUTLET, NON -REBID BRANCH CIRCUTS) 2.50ea NEW CONSTR. POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTHRES gAL1� � Ex. Occup.(FIXED APPLNSOR OUTLETS (RESID.). EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �f License No.3 i-5� Z—S`% Classification 42 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ S - 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. 5l have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for 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 Q 3 Ventilation Hood 2.00 Permit Fee $ In, o b $ a ot 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 Land Development Fee $ , TOTAL PERMIT FEE $ DU II IVI ILC I UP1 COLI I Lot I VCS ul Inc k-,UUllly UI 6Ulle IU enlet upon ine above-mentioned property for inspection purposes. `ii��L! • �C?e^ate - 7� Signature of Permitee or Agent Receipt No. ' ' 1) 1 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OPIAUBLIC WORKS BYDate %�-7 � Building permit expires Date NOTE:—All. Materials & Workmanship Shall a in Accordance wish P.ecoc�pliaed Good Practices and of a_ quaiii•y prescribed +or the Specified use ir the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. This set of plans and specifir.Ntions MIDST ie kept on the iob at all -'!,nes and it is unl-iwful i . rrinl p rinv changes or altPrrr+ions on sr -.me wit hot f written permission -from tl*e Department of Publi Works, -County of Butte. •IL _z ' Co The Bldg. Setback shall be 5 ft. from the rG R" . 10�. :ide property line and 50 ft. from the ee11ay� e10" .centerline of the road, permitting amaxi- I `Q' mum of a 2 ft.-eave overhang but entirely ������• out of all easements. o� c Come'. ��z (WATea -79 BUTTE BUTTE COUNT`( BQlL.n!N G -DEPARTMENT APPROVED 70'-scr ', ZACIC THERMALITD . IR°ICATION DISTRICT ` N0 1360 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name: �` -� Date. _ _Z - 7 - 7 7 � f� Address: /f2/3 Acct. No: ' 3 6 2-- A.P. No.: % - -2 5 -3 - 3 A. P. Phone: 3 - S%/9 No. Units: Applicant/Agent:� Agents Proof: ,' Address: Fees: Phone: Application $ Arrearage Preliminary Review By: Date: ;F % %7 CSA 26 Remarks: SC -OR 2•S- 7- U / %�C- / i st mo. S.C. Other Total Fees S Collected By: ��.��✓ Date: - - Field Review By: �./,- .-� ��:% Date: Remarks: A 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 r_omes first ("existing construction", prior to Mar. 5, 1974). y� 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). DISTRIrUTIOIN: v%FiITE • TID. YELLOV:• - APPLICANT, PINK - OP:;• < OLL)ENROD - D?VV io TID .PERMIT NO. 2361-76P PERMIT EXPIRES -XX S x z 57/77 OWNER ROBERT PERES CONTR. owner LOCATION (A.P. 31-253-35 1071 Grand Ave., Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Call PG&E Tem Gas Serv. (, ailed PG&E d OB it e NALED (Date) " (Signature) COUNTY OF BUTTE — DEPARTMI�,NT OF PUBLIC WORKS Js BUILDING INSPECTION RECORD 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 &' Zs Garage Fdn. Vents Fixtures 'Footings Garage Vents Water Htr. StemwaI l Insulation Heaters Slab Carport Footings r ehyslcally handlca dde of ex. Conformance structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Steel M Stucco Final Sub`anels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) 1.. h.. ..+,, ._ it, :nS '� '�.:: it•.... �� . i !�Z� a i,: t �i•.t.� n• +,vr,t, r r1tI ST,f'++.t1. c�;v. r.. v ac..+:� .� .h in •ti...r"" .�na:.,w;.e}•:-.ti THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE, 413 1, OROVILLE, CALIFORNIA 95965 I TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT 112 a Service Address: vi Owner's Name: K � A7'�' l � d / Date:�A;r Address: �/� !� f �/� � �i� ,�f7�.,4e' l Acct. No: 94 _ A.P. No.:k Phone': a- �'%/� // No. Units: Applicant/Agent: (17°�L� Agents Proof: Address': ' t . .. ;� Phone:. \ /� r Fees: ' ( Application $ Arrearage Preliminary Review B+,y: �l'►. _ �+l n✓� .,Date: l✓/i/`�/ CSA 26 Remarks: SC -0 R ' 1st mo. S.C. P Other Total Fees Collected By: Date: Field Review By: Date: Remarks: ' lr. • . 11 i - V MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: '® Date of TI 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 sewer, whichever; comes ' const,; uction", 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, IIYELLOW APPLICANT, PINK -DPW, GOLDENROD- DPW tO TID COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — oroville, California 95965 ���/� �� Telephone: 534-4541 APPLICATION AND PERMIT �+uu—r—a representat ves vI IrIC cuutay oI tube Lo enter upon the above-mentioned property for inspection purposes. X Date Signature of Pe tee or Agent Receipt No. Z� 502 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. CTOR OF PUBLIC WORKS B ?/ (/L//t_Date 176� permit expires Date 15o BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address 103 t Tele hone No. 52''5-71 Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. A Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3C® 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.3 — 3l- Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C.S 1 re Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bid Parcel Approval Plans Approval Permit Fee $ rr Q� NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 6001 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD•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 Q �,,��Q ����� L/'�e NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 22sgft NNEW CONSTMULTI-OUTLET ON -RESIT R. (BRANCH CIRCUITS) 2.50ea '6dk (':• NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@�W BAL�1 Ex. Occu FIXED APPLNS. OR P•(OUT LETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 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. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for 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.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 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 Laws relating to building construction, and hereby TO TOTAL PERMIT FEE $ S 070 �+uu—r—a representat ves vI IrIC cuutay oI tube Lo enter upon the above-mentioned property for inspection purposes. X Date Signature of Pe tee or Agent Receipt No. Z� 502 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. CTOR OF PUBLIC WORKS B ?/ (/L//t_Date 176� permit expires Date 15o PERMIT NO. 469-76B PERMIT EXPIRES /, lsI / OWNER Janet Peres CONTR. __ Acro-Lume, Oroville LOCATION (A.P. 31-253-35 ,1071 Grand Ave., Oroville s Temp. Power Pole E rv. E /GGas . E JOB FINALED Setback Forms Main Bldg. Footings Stemwa I I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Wall! Reinf. Stee Bond Beam Framing Z,C Stucco Mesh Scratch . Brown Finish Interior Lath Door Closer DATE COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD JILD.ING - BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Prov. for physically handicapped Heaters Appliances Conformance of ex. structure Gas Piping & Test Temp. Gas . Final Sanitation FIREPLACE Final Footing Throat Rough Final Fixtures ' FIRE SPRINKLERS Motors Test Water Htr. Final Subpanels MECHANICAL Grd. Fault Pri Heatinq Service Cooling Temp. Pole Ducts Under rouni Ventilation Permanent Final Final REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) ELECTRICAL J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' - 7 County Center Drive — Orovi lie, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the -ounty of Butte to enter upon the above-mentioned prop rt or ' spe ion purposes. X Date signature o ermitele/ r gent !� Receipt No. / 7 / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF PUBLIC WORKS By Date 3 G Building permit expires Date z , 7 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION f Mailing Address Telephone No. Fireplace Contractor C IZB, , u C , Total Valuation I Mailing Address v Permit Fee PI an Checki ng Fee &/or Penalty Telephone No. Permit Fee $ la. COL / Building Address / /Z N l PLUMBING No. @ FEE PERMIT FILING FEE $3.00 /2dV/CL � f= 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. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fk/s I M,? Saaiwf ea I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements p ovements Lawn sprinkler system 2.00 Bldg. PIi/ Recd Parc pproval Plan prov pal Permit Fee $ $ NEW Rn ADDITION ❑ UTILITIES ❑ OTHER ( ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home [M Others ❑ Range, Cook -top or Oven 1.00 _ � 36 �'��N Water Heater or Space Heater 1.00 Light fixtures -2()--P--2T e Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Calif rnia Business & Professions Code under the name style of: 1� Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.Classification f (O / Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 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. ®I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for 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.1 @ FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 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 TOTAL PERMIT FEE $ �!I HCl authorize representatives of the -ounty of Butte to enter upon the above-mentioned prop rt or ' spe ion purposes. X Date signature o ermitele/ r gent !� Receipt No. / 7 / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF PUBLIC WORKS By Date 3 G Building permit expires Date z , 7 is { ,Q PERMIT NO. 1 h1 -76B P l E Y " M UTIL. 10'ERMIT NO. PERMIT EXPIRES —/�/j t JJOWNER ROBERT PERES ==VCONTR. L& D INDUSTRIES A 1071 GRAND AVE., OROVILLE A i Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED / (Date) (Sig ature) COUNTY OF BUTTE — DEPAATME14T OFA PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUI DING (Cont'd) Setback /!-� 7 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 Garage Fdn. Vents Y Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure ; Gas Piping & Test ,Temp. Gas Slab Final / Sanitation Patio FIREPLACE Final Footings .� Footing V ELECT Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRES RINK RS Motors Framin / 7 7 Test Water Htr. Stucco Final Subpanels _ Mesh MEC NICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Fina`I DATE REMARKS OR CORRECTIONS / �7 - COUNTY OF BUTTE — DEPARTMENT OF'PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICI(TION AND PERMIT / 7�2 authorize representatives of the County of Butte to enter upon the above -mention property for inspection purposes. X Date �1� Signature of Permiteeor gent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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 pa' . DIRECTOR OF P B IC WORKS BY Date /—/4, B ling permit expires Date /�/ L BUILDING Owner ��_�� SQ. FT. OCC. BUILDING VALUATION 96 Wlell (� d Mailing Address 16!71 ('R��(,(� (f� O eo va-LE Telephone No. I Fireplace Contractor • -�� ( %� Total Valuation 3 8_#106 Mailing Address �6 Permit Fee Plan Checking Fee&/or Penalty S �f6 q _ T e hone No. �-a-�1 Permit Fee r azois- ,//�� Building Address ((� f'Y�E PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 ouHfeLl Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FAs d4al &affReAielr Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 F:� Bldg Ions Rec'd Para ppr L--Plans Plans Approval Permit Fee $ $ NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 (aKk Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesb a2 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of, 1 J �L-A-S, 2tE � ��- L Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License Nocg' '"1 J�S � Classification (2--lL i Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ is WORKMEN'S COMPENSATION INSURANCE 1 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. x"have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. r -1I 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 L' Ventilation Hood 2.00 Permit Fee $ $ 1 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above -mention property for inspection purposes. X Date �1� Signature of Permiteeor gent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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 pa' . DIRECTOR OF P B IC WORKS BY Date /—/4, B ling permit expires Date /�/ L C D OFpT OUIV T Y r J OLP pUeOP auN //,,, /IS j% ' IVO RkS i8i9i10i11 191'6! ���di2i3�g pM 4' V ` C D OFpT OUIV T Y r J OLP pUeOP auN //,,, /IS j% ' IVO RkS i8i9i10i11 191'6! ���di2i3�g pM -Mutte OROVILLE, CALIFOf7NIA GENERAL CLAIM r CLAIMANT: Mrs. Robert Peres ADDRESS: 1013 Thermalito Ave. 'CITY &STATE: 01roville, CA. 95965 IMPORTANT: December 17, 1975 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT, RECEIVING GOODS OR SERVICES DATE i DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) ! AMOUNT SUB. OBJ. Duplication of mobilehome installation permit. INVOICE NO. INVOICEGROSS DATE DISC. . #6271-75, Receipt #138477) Mobilehome installation permit -fee -------------------------- $30.00 I SUB -DIST. I I I TOTAL $30.00 I, the undersigned, declare 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. ' 17th Dec.75 Orovi1 e , Datedthis .................................. day of ............................. 19....... et.... .............. I ......... ..... Calif. ... ....... ........................................................... ' Signeturc of eimant ' 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 O or Specific Board Approval ^ J (Check one) for the same. Dated this 18th,,,,,,,,,,,, day of Dec' 1975x,,, at Oroville Calif ............. ................. .......................... ........ .............................. ........................ Department Head or Authorized Deputy Dept. Exp. Code............................................ Code ................................................PAYABLE FROM .. DO NOT WRITE BELOW THIS LINE - AUI ......................................................................... F UND ITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROS• SUB. OBJ. CLAIM NO. INVOICE NO. INVOICEGROSS DATE DISC. AMOUNT ENCUMB. I SUB -DIST. I I r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIIe, California 95965 Telephone: 534-4541 APPLICATIOOND PERMIT OULIMIcc [t!P1ebtV1LdL1Ve5 of ine t,ounty of tsutte to enter upon the above-mentioned property for inspection purposes. X- Date u Signature of Permi `ee7orr,Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF PUBLIC WORKS BY Date Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I Ing Address Telephone No. Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building AddressPLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 49 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 / r A. P. No. / - ��S'' 3s Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F . . Fire Dep t. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W I Im r p ovements Lawn sprinkler system 2.00 =� Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 5T%��'7 S Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (morethan 12) - Single Family ❑ Duplex ❑ Mobil Home. Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures y 12 10 Receps., switches & fix outlets ML2 L5 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 9� 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 State Laws relating to building construction, and hereby TOTAL PERMIT FEE Isei — so OULIMIcc [t!P1ebtV1LdL1Ve5 of ine t,ounty of tsutte to enter upon the above-mentioned property for inspection purposes. X- Date u Signature of Permi `ee7orr,Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF PUBLIC WORKS BY Date Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ephoae: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. rl Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF PUBLIC WORKS BY --T Date -Burl permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address i ' Gs.,9 ,, PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. � Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees V., C. Sanitatrotfi Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA PPlansg Declaration I Parcel Map 60' R/W I Improvements Lawn sprinkler system 2.00 Bldg. Plans-Rec'-d-- I Parcel Approval I Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ` M 6111 OR LESS main service 100 AMP OR LESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family Duplex Mobil Home ❑ ❑ ❑ Others ❑ Main service OVER 600V 101 AMP OR LESS 25.00 Main service EA. ADD'L 101 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP. &) 2esgft NEW CONSTR. (MULTI -OUTLET NON-RESID. l BRANCH CIRCUITS) 2.50ea NEW CONST R. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)` 104 Ex. Occu FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not em p Io an employ y 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 $ $ 1 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. rl Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF PUBLIC WORKS BY --T Date -Burl permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 ` - Telephone: 53474541 APPLICATION -AND PERMIT �'l above-mentioned property for inspection purposes. X Date $ignatu a of ermitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte ounty Code and/or resolutions to do work indicated above fo hi h fees have been paid. IRECT R OF PUBLIC WORKS{, B Date- A/ h-ilding permit expires Date 06/,, BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone �3 7% Fireplace Contractor Total Valuation epr Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 00 a Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. /�� �� Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Sami4stt r FireDept. Fire Zone Use Permit Building sewer 5,00 arkinEQA PPlans Declarration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 .pj) Main service j00 AMP OR00V OR LESS5.00 S, p p Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home LK Others ❑ Main service t0 0 AMP VER OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( ACC. BLDGS. ) 20sgft NEW CONSTR MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL25 04 Ex. Occup. ( FIXED APPLN9. OUTLETS ((RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 m exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ • aL0 11 �O WORKMEN'S COMPENSATION INSURANCE 1 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. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 ofHood California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation 1 1 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 Laws relating to building construction, and hereby TOTAL PERMIT FEE above-mentioned property for inspection purposes. X Date $ignatu a of ermitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte ounty Code and/or resolutions to do work indicated above fo hi h fees have been paid. IRECT R OF PUBLIC WORKS{, B Date- A/ h-ilding permit expires Date 06/,, ;'"-:`QMH UT IL . PERMIT NO. 5720-75 Pip P E M MH UTIL. PERMIT NO. PERMIT EXPIRES 'OWNER Robert Peres %CONTR. owner 'LOCATION (A.P. 31-253-3 ) 1071 Grand Ave., Thermalito F d j 3! j r; Temp. Power Pole Called PG&E T&erp. EIec. Serv.�� Called PG&E Tear. Gas Serv. Z, Z Called PG&E JOB /� FINALED , d l -.C_, f �� ( e)�� MOBILEHOME INSTALLATION INSPECTION CHECK LIST Is the mobilehome located with -required se'paratton from lot lines and buildings and generally conform to plot plan? Ye -11 No Does the mobilehome have required clearances above ground? (Sec.5085) Yes No. 3�. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No Is the mobilehome level? (Sec. 5088) Yes No <� If more than a single unit, -are crossover connections properly installed? (Sec. 5088) Yes No - tom 1 g o eL W .ter Is fl xible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yesj No Test - DopA water pPinp„withstYand w 'e pressure or. 50 lbs. air test? Yes Ll -<o IV 0 GU 6 tG Backflow - If coach is not State of Californ'a approved, does station have backflow device and pressure-relief.valve? Yes -----No 7l Wastes and Drains Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes C No Does it have minimum 4” per foot slop e. and is it properly supported? Yes De No ¢� Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? .Yes No If coach is -not State of California approved, does station have required trap and vent? Yes- No AIA 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as large as the mobilehome gas line ifnlb t.without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments.. Test for 10. min, without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No I Electrical ' Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage,. cabana, etc.? Yes No Is there proper clearances around panels? Yes No Is power supply cord or feeder assembly properly fused? Yes4 No %G 0 I continuity test satisfactory as per the following procedure? Yes No . De -energize electrical wiring system of the mobilehome at the pedestal. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. Switch all breakers and switches in the mobilehome to the "on" position. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 54 All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. �. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10". Is job card signed by health Department'for ;eater and sanitation?' 11.. If everything okay, sign off card and tag services. MOBILEHUME DATA Manufacturer and/or Namestyle .� x1 lT x.7-0 Length Width d Vehicle Serial No.. State Identification No. Additional Information or Comments: . Framing ,u COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Water Htr. BUILDING BUILDING (Cont'd) PLUMBING Setback/Z / Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidinq To out Slab Roof Sheathing Water Pi in Piers Roofing Sewer Z Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex.' structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatinq Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE -ZX�/! i z/zX6- REMARKS OR CORRECTIONS 11 L Gt ��f c �P Q G G .7 ✓ice ,Z1Z7- lax—j /b/ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive —,Oroville, California 95965 ��v///��� /� 7 Telephone: 534'4541 / APPLICATION AND PERMIT --r•----�••- .,,•.• vvu ,•r v. vu uc av cnacuNvn maabove-mentioned property for inspection purposes. X41-fi'S /2,IIL0 Date —Zy—, - Signature of Permiteee or Agent IReceipt No. A&� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF PUBLIC WORKS By -�,. �-e.e ��- Date / JAZ 3%i'1/. permit expires Date _ /Z 2C BUILDING Owner Q l F S SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor f LE &WA- f Total Valuation Mailing Address_035 Permit Fee Plan Checking Fee &/or Penalty �� y� ,1 I/ �� A V ! > Telephone o. ,, Permit Fee Building Address /��j/c�c� PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 .. Each gas water heater or vent 1.50 A. P. No. ?j> Z Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s S Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking I Parcel Plans Declaration Parcel Ma . 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. P s Recd Parc Approval Pla pproval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 r Main service incl. 1 meter `Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home,P Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures al 0 10 Receps., switches & fix outlets213 (d 25 M CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of % ' ���-� i Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.Z S qS Classification CJ Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 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. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for 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 OrdinancesTOTAL and State Laws relating to building construction, and hereby t� PERMIT FEE $ --r•----�••- .,,•.• vvu ,•r v. vu uc av cnacuNvn maabove-mentioned property for inspection purposes. X41-fi'S /2,IIL0 Date —Zy—, - Signature of Permiteee or Agent IReceipt No. A&� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF PUBLIC WORKS By -�,. �-e.e ��- Date / JAZ 3%i'1/. permit expires Date _ /Z 2C .i • COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive —, Oroville; California 95965 Telephone: 534-4541 APPLICATION AND PERMIT �o-75' 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. X .Q!yffi114 00 au Date �%' 6 - -%S Signature of Permitee or Ag t Receipt No. J;3,�,/3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant u> 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. DIRECTOR OF UBLIC WORKS By Date uIIding permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. 33_ Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address 1,,P�r�.,,yf�0 �_ PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 -&V 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. 3I — S -- —>� ' Zonin Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 F an' n Fire Dept. Fire Zone Use Permit Building sewer 5.00 Q p� EQA Plans D& e1on Parcel Map 60' R/W Improve nts Lawn sprinkler system 2.00 BId I4'ReKd Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 :Y. O'•fI Main service incl. 1 meter 3101-V Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) — Single Family ❑ Duplex ❑ Mobil HomeIlk Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesb (��2 11, Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring Q44m' exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. rtify 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 Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X .Q!yffi114 00 au Date �%' 6 - -%S Signature of Permitee or Ag t Receipt No. J;3,�,/3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant u> 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. DIRECTOR OF UBLIC WORKS By Date uIIding permit expires Date J EA. '62 November 20, 1975 � Sxe. °`- Mrs. Robert Peres 1013 Therm-alito Avenue uroville., California Dear.. Mre This is to advise you that pursuit to Section 19-19 of the Butte Coun ty Code9 the Board of Supervisors has approved a variance to Sections 19-10 and 19-12 of the Datte County Code for the place,�zent of a mobile hor:.e on your property located at 1071 Grand Avenue, Oroville 31-253-35 . Str.et Address This variance was granted on November 13, 1975 and includes the following P0.1d ,tions: date. 1) . The variances granted only for a tenr. of one year. At the end of one year you must apply for a rew variarce if the use it, to continue. 2) L the app_lcant residing in the robile home or conventional residence :coves to another location or is deceased, the vari- ance automatically expires and the mobile 'home shall be removed vith .n 30 days, If the mobile home is not removed within 30 days, the County may remove said mobile home and store it e the oianeris expense. 3) The. mob. Noma shall be placed on the property ,,ithout viola4-* any of tre setback requ;remer.is of the zone in which the prope* Vy is located. The applicant shall secure all necessar7 sewage disposal; electrical. plumbing and building permits necessary to install —ne mobile home, Vezy truly yours, . Ho-v-ard J. Toussaint, Director Division of EnvironileZI,21 Sanitatuion cc: Clerk of the Board /lanning Daoartm.ert Buildirc- Depart-ir-ent :�:oailie Env; raiment al Health COUNTY 0:' EUi DEPT. OF PUBLIC WORKS 2 N 0 V 24 1975 pu 718191A11112ali2131415i6 A BUTTE COUNTY DEPAR MENTI OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name:�,✓ n 1 �" =,E 3. Is the site currently under permit? Yes No (If yes, furnish permit number ,�%� D�'�',� ' `� �,�' OR •' �) ; f Is the site an existing. site? Yes (If yes, furnish two (2) plot plans.)�c' 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? --------------------1% Amps 6. What is the mobilehome site service rating? ------------------ =Amps 7. What is the mobilehome site circuit breaker rating? =----------- Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------------------------- Yes / / No1777— (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? 10. What is the type of gas service? ----------------------------- N e 11. What is the gas pipe length from meter or tank to the mobilehome? 12. :What is the mobilehome gas demand? ------------------------------ (This information not required if pipe length less than 6 ft. or less than 50 ft. on LPG.) ral 1,V� LPG &9K 614VI'l (BTU) narurat.-jzas MOBILE!Kfi.,!E ' SUPPORT DATA Mobil ehome Mfr. l `7 / Setup Model No. Year /3�773 I I � Width (ft.) Length �j (ft:) Expand�� `Size�ft.x 7 ft. (Draw support details below) . On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. (if not .o.n f_i]_e with the County of Butte) . m-21eFootings-(check.one %11 A. Wood :either . m i ` pressure treated ox -fdn:' rade. Center Center Support g Support Footing Sizes Locations (in.) 2:: Concrete pad x `� .: ' / / .3 . !:Other-,:` specify Vi t•) (�-) in. in. - Supports (check or.. '9 1. Concrete block x ryl'2. Concrete piers T-1 3 . Steel piers 1,6.. I l 4. Other, specify In ical Support Footing Size x n. in.) ca.......... - -- `. Spacing .._�.._. Fft. (in.In ) (. ) [!��.Int.Overhang Max. Y I -- - y 1 XI 'If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DEPARTMENT APPROVED �C cert; y t'rsai as a�ncr Q` tlso prol�crty acquired by deecl in Vo Ii=T, a2) page 0a , O.E i cial Records or Butte County, (AP. - ��.���-,3� zequesti.ns percussion to build or install al n(d6 ti' a, jiving unit cn � this proa?rtjTo' I z,ill not divxd� th2 afOii,' &ten tio;ied property For sale, lEaSe� rent: or fi;lancinG unless all _•—ap�,_-'_cabl+� -land -'�Z�`_L S? O.C3 -tui; S -o ld : I�lc�-rQg1_I? reme:l�s -ore.-cG�iP1 i ed -with I am conversant with the presant zoning. rebulat.ZOns afLfectino the ` aforam..a Itioned property, .and declare that I shall note. violate same. I Y'eoresent that t' e proposed use of the additional 1?ving snit asd- .hit Tu_ther I -scall ,,oL-- hinge -phis proposed Use -oF he --additional l 1.v %o unit unless and 1.Lr1'=� � -` receive i-rr Z2>'1 approval �1-1eJ.0; L ii�e County of Buj j -•a sully understand that .pursuant o Chapter 20 of.- the .Butte_ County. Code and §11535. et seq of - th.e Business and -Professions Code that if I, in -the future, sell, 'lease, or -L ZP_ance the . area on. or a d a cant t0 sae d -40v6ment vi -host Fully "co�lplyinQ With the applicable laws -and- - - ordi�ances, that i shall be gut. Ly of a misdP ieanor. and thererore, sc�•bj ec - . to tha aforesaid penalties and' _imprisonment pursuant. to 18.4, F•ur. ther, this statezia t - shall -be-properly a ckno;rlQdged and --recorded at the request ---or:-the -Butte. - ' r H ". 11,07 CoMpARED W, ORIGINAL ' - - • . " ��-G,.:�f,` a DOCUMENT .. -.•-• � ... !s -:Add; ess CAL P M - _ -1975 J111,E fel L1F�'�1Cif • courdr,�'�Crib;gf� — /r/d✓ �,;y� �— Date 1269 FES On: this day 0-;:, deAj19e,� 197 , be ore ;:,e, 1 Cd �� ,� a l.O�c�'_"y' Public. Z.^ Z1. c7I:�' i0: zhe Co, ---y Jam.. _ p. IS Of cJlil,to= cZ) resi tin— L.Ie eln duly C:O:l.;11.5510i?eG and i::Q? = � p?rsonally appeared e e eS _ '?O 'n to .me to be t c per. son t.;i10Sc _2U;iJ S CYIDC•d C.O U IE'_ 1./? L1 :n Lr ll:l212i. aI? a .'-51Owl e 'vet Co nC! Znat~ T:; 14 1 Tl=SS.?':Ii:R EOY I lla-ie he_ttan Z:a Sc - n,y }IauC. and a`Ai;:cd } cial ?_ !s 'Coun.- L.�I cls _ _ o ' 1 ca 1,11-. l .:_ls E91q�la�ll�alWIglLlrlll�ntynaFa1pl�eequalm�l��a9�e :' i-/: i'C c . MILDRED .L. BRAZIL - ;�� NOTARY PUBLIC - CALIFORNIA o - PRINCIPAL OFFICE IN - 1 BUTTE COUNTY v Co My Cemmission Expires July 23; 19.79 - - - - - -- -- _ �"7808111QBII!!L!d!!E6!!!8!?X65;.".E5fEC's64C791:GI18S,5l116111� '"'-' ''�.� �'-,_— _• — �=�J-�-'--•:--_--_ .. :._ —;— _.__ __—,_—. ��..._ Q � . 1 �p� COUNTY UILD/NG DepARTMEN7 c^ ii iii• 19, ��� VCD 's set �. plans and e Kopt t. i he- i at ! specifications; 0 make a, ci�anJ a,l tim.es and MUST . \ ►riti�„ s or alterati it rs unlawful N 'rrnisso to ons rks, Cb my of from the epartn same without D Butte. ment;of Public to rhe Set ck shall be 5 ft. �- I rhe side propen line*and'50 ft. ffroIm �n e. cent o 'm the road a maximun1 o{ .a ft Perm'itfir 9 eave over, an6. Ali . Utility con SviFhin 4 ft r'tOns shall i y sectio . c?atsid be' '�. on the ]eft n °f the nob,'le-he rear! inn home. < (road) Sidne e- o . b? mobile �4 Se i b o Sep NCSyst But" ern a quire Count _ .1 Ai� rnents. y lea/t 0 be a g ,a Deo t. E Re� -^ hermit wirequiad for the Z.6 installation o he mob'lehome. Nr.. IV \ i - 3 'PERMIT NO. 3558-75B P kl E r }` M 'IMH UTIL. ,;PERMIT NO. ,I PERMIT EXPIRES a —7 `� OWNER Robert Peres r, -% CONTR. 'LOCATION (A.P. 31-253-35 ) 1071 Grand Ave., Oroville (l ii t i; a' Iy c f, Temp. Power Pole Called PG&E _ Temp. Elec. Serv.. Called PG&E _ Temp. Gas Serv. _ Called PG&E _ JOB FINALED (Dat (Signatur COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION, RECORD 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 Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings, Conformance of ex. structure 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 Door Closer Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS�� 7 County Center Drive Foville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT V BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address T�glephon No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee 15-1670 Building Address//9 7Z PLUMBING No. @ FEE ILING FEE $3.00 Each Trap 1.50 Repair, drainage or vent piping 1.50 $ Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. J /` p� ��� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Z4 ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im r ntsLawn p ove sprinkler system 2.00 Bldg. P s Rec'd Parcel A proval I Plans pproval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ECAL No. @ _ FEE LECTRI PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) — Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 �(J Water Heater or Space Heater 1.00 Light fixtures bo P 25 al hi 10 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring 10 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ $ WORKMEN'S COMPENSATION INSURANCE 1 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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for 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 Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned pro ty for inspection purposes. X Date i no ermitee or/Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE 1$ 1-5`M 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. DIRECTOR OF BLIC WORKS r BY Dated z 3 rilding permit expires Date '���� `NH Util. 11P ERMIT-NO. 1113-75F2E P E 11 M PH UTIL. ) PERMIT NO. PERMIT IT EXPIRES OWNER Peres -Robert CONTR. .LOCATION (A.P. 31-253-35 ii 1071 Grand Ave., Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv- Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date)O-, (Signature)— r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BU.I'LDING BUILDING- (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidina To out Slab Roof Sheathing Water Pi in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Hti. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test 7�® Temp. Gas Slab Final Sanitation Patio FIREPLACE Final 62 Footings Footing I;,LECTRICAL 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 Door Closer Final Final DATE REMARKS OR CORRECTIONS �/L� �� MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1: Is the mobilehome located � wit�equired separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have required clearances. above ground? (Sec.5085) Yes — No 3. Are footings and supports properly sized, spaced, and braced as-per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. -Is .the mobilehome level? (Sec. 5088) Yes</ No e 5. If more than sin 1 unit, are crossover connections properly installed? (Sec: 5088) Yes No 6. Water A. Is flex' le connector of adequate size and properly installed (1/2" ID min:)? (Sec. 5566) Yes B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes ✓ No C. Backflow- If coach is not State of Califo approved, does station have.backflow device and pressure-relief valve? Yes No 7. Wastes and Drains A. Is.connection made with Schedule 40 D14V and have flex connectors at each end? Yes No .B. Does. it have.;,minimum 4" .per foot slcDe and is'it properly supported? Yes' No C. Are any leaks detected in drainage system after running 30ons of water through each fixture including washing mac 'ne standpipe?,.Yes , No D. If coach is' of tate of =orn: roved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/.4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobile a gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure?. Yes 1/No 1. Open all appliance connector valves. 2. .Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column,*or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes�o i, Electrical A. -Is service large enough to Prov"de adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum 00 amp) and other facil'"ies on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels?' Yes No C. Is power supply cord or feeder assembly properly fused? Yes' No D. Is continuity test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches 'in.the mobilehome to the "on" position. 4.. Connect one lead of a test •instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral.. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures. and appliances, shall be tested for continuity. from. such equipment. and the grounding conductor. 6. Upon completion- of.the above procedure, -,the: .power supply.cord or -.feeder. -assembly conductors. shall be connected.to the site service equipment,' 'A further continuity test shall.then be. made. between.. the grounding electrode and the_chassis of the mobilehome.-'Upon satisfactory completion of the electrical tests, the lot or site service.equipment may be.approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11: If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle 14 0 te_� Ie - 5-5 '7 Length Width/0 Vehicle Serial No. State Identification No. Additional Information or Comments:_ c'� '�- • COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive — Oroville, California 95965 CGS D Telephone: 534-4541 APPLICATION AND PERMIT auuwiice 1eP1V5WrltAUVeS UI ine taouniy oT Butie to enter upon the above-mentioned property for ition purposes. X /- Date % Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR O"UBLIC WORKS BY�ding � ate_6-0—� Jpermit expires Date 6-27— -7(. BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. / Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Fee 13Permit Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 — Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.-- Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F04- S.amtatt-o71 FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Parcel Declaration Parcel Ma P 60' R/W Im provemen Lawn sprinkler system 2.00 �Plannss ' Bldg. P onl"s Recd Parcel Approval Plons proval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIESE OTHER ELECTRICAL !No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 — Single Family ❑ Duplex ❑ Mobil Home CK Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b20 alla102 Receps., switches & fix outlets ELM CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring 1 am exempt from the Contractors License Laws of the State of Califomia. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for 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. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County OrdinancesAL and State Laws relating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood2.00 Permit Fee $ $ PERMIT FEE TOT Is 300e auuwiice 1eP1V5WrltAUVeS UI ine taouniy oT Butie to enter upon the above-mentioned property for ition purposes. X /- Date % Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR O"UBLIC WORKS BY�ding � ate_6-0—� Jpermit expires Date 6-27— -7(. This set of Plans a s A m� �on the f'--+;m-Isl IST t S� '17 Vii' f1! P n`I L !' r., es or altPrIs will j P,ri„,en permission from `1;n.,s on sarM the Depa out Worcs County t3utte. ent of Public It' i 4�a 3Edg. Setbcc'- shall be 5 f.. frog t he S' d^ j+rr+rw j-, -� line anti 50 ft Srom C ce,7ter'rye of t9ie roan, permiftinq a Mcmimu. n o 1 a 2 +% eave ovcrhong. f0' 31- 2,63-35- !'' -. �? o 000 (PI RCS BUTTE COUNTY r BUILDING DEPARTMENT APPROVED H r M 0 cy MOBILEIiOME. INSTALLATION INrO �fATION .. � fid' © -7- �riobilehome 'a Lot Facilities 6 ! �i Data 0 1. Plot plan dimensioned, location of mobile 1. Length r 7 Width H and utility connections? Manufacturer / � %�.� ZZ Yes \o Vehicle Serial No. ��! Vi 2. Electrical. service equipment amp acity /Gl� Insignia Control No. y Circuit breal-er zmpacity 3/,- 2. Feeder.assembly ampacity Permanent Wiring Connection Conduit size Aunpacity G Power'supply cord -(amps) p Rece tacleA: acit -----�� p p y4 3. f Gas inlet size 3. Gas: Natural =- —p Mobilehome conneco_izo Gas -riser size % "— Capacity R 4. Drain 'inlet size rain connector: describe on reverse side S..Water riser size ' !� S. Slater connector: describe on'xeverse side 6. Are utility connections located outside 6. Designed. loads:_ the rear 1/3 of. the mobilel:om-2 wl hi Roof liV-r'lo�dZ_psf. 4 feet of the left wall? Yes /- No 1gind load sf� If. not,. shOG7 dime sions.above. (only fob, `ileho,�es iva nufactur.ed after 7. :Cs the mobilehome clear of septic tank, October 7, 19:73) leach fields -and located outside public 7. Manufacturer's installation instructions? utility easements? Yes d—' --No Yes Nu 8: Do you propose to do other work on the 8.. Will the mob316. home be installed on _ property other than the mobilehome separate support structure? installation which will require a permits Yes Z --'-No Yes No_%" If so , speca fy *For plans and specifications of support system, G/ see other side. 11 x to ADDITIONAL COMD1.7"NTS Drain Connector, Describe ro 4-Yoa b y c Wl l V Z e2 �Tat,eir 'Connector, Describe 4<47 424w- 2PA LOAD BEARING SUPPORT MITM 2OOTING- INFO 11:tM ION( Pier Spacing Used _4 Maximum Pier Load Maximum Column Load (multi -units only) Soil Bearing Capacity Footing Dimension Used TYPE OF PIER. USED Steel Concrete Concrete Block Other TYPE OF FOOTING MATERIAL USED Pressure Treated Wood Concrete 4Le :f,7 - y x 1-117 --Redwood (Grade) Other Approved Type LOAD BEARING SUPPORTS DUTTt- COUNTY a!J11,,rV111S DEPARTMENT APPROVED. J COUNTY OF BUTTE — DEPARtTMENT OF PUBLIC W R ' - 7 County Center Drive. — •Oroville, California 95965 r Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives or the County or butte to enter upon the above-mentioned property for inspection purposes. X _,LDate v Signature of Perm/ a or Agent Receipt No. �;7O White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OFBLIC WORKS 01 By 0-1 Date e( --/r ,7 Burling permit expires Date.................�...�� 7-� BUILDING Owner , SQ. FT. OCC. BUILDING VALUATION I Mai I Ing Address An Tel hone N Contractor eow Fireplace Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ OPLUMBING Building Address No. FEE PERMIT FILING FEE e Each Trap 1.50 Repair drainage or vent piping1.50 Water piping O00 Each gas water heater or vent A. P. No. Zoning Gas piping system 1 - 5 outlets Each additional outlet F Sao ire Dept. FireZone Use Pen -nit Building sewer EQA Parking rParcel Plans Declaration Parcel Ma 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Pla ec'd r arce pprova Plan pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bol dl0 t Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities / Temp. Power Pole 5.00 License No. Classification Misc. wiring ,91 1 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. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for 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 $ $ 1 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 TOTAL PERMIT FEE $ authorize representatives or the County or butte to enter upon the above-mentioned property for inspection purposes. X _,LDate v Signature of Perm/ a or Agent Receipt No. �;7O White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OFBLIC WORKS 01 By 0-1 Date e( --/r ,7 Burling permit expires Date.................�...�� 7-� J /o ' 7s i • •--......,—��rv_.• .. - - _ 1. T._ - a :•.t4 d--� - - r - r r P� i the BId9 ..efba a - r ; . Li rh side all -'be S fr e r` p erty Ime,and �j 5>✓Tj. rhe.. ft _To a �... erline of the ;.. road ..p rmitting �� -- ax�mum . of�2ftteaveo _ •. !hang' Septic system and location of,build- ing; drain' stub qut. to ;.5`e asher - - - -- — �� Butte -County: Health •Qet RP- Qc uirements - permit wijl 6e required fort e D rhstalla#ion of the mo, bilehome. All _ Utlht - y :.. .. locate Y connshall, P� Q ' d withi ections .. shall �. within,4 _. :. . third ft..outside section be C _ the -rear - -- • -- _ on the left the mobil _- horn e ....; road) side o f th: me e mobile i� CZ �r f' _ _ _ I :this set -.Of. -plans ice 1 spec�fica{ions- I P on tfie job at all t►mes b MUSTgbe end rt is an changes or alte ' unlawful' to 1_ -ritten pe miss n..fro. r_a.t►ons on same s _ p m __ V1!ock Co eF?er m_nt_o.f p, the° b BUTTE COUNTY '- Y ^+� of BUtFR. 6UILDING DEP/4RTMEN7 1 ._ T• l - B FL R. TI',UC"C S Richard M* ivihus,, x Decamisr ie 1976 %tr..andRobert Peres 1013 Th malito Avenue Oroville, California 95.965 Dear Mr. and `srs i- :sras This is to ad- i:se you that pursuaZt to 'recti on 19.-19 of the Butte Co��nty Codes. the. Board of Supervisors has approved a 1rrariance to Sections 19-�? 0 and 19-: 2 of the Dutte County Code for the place-men-t- of a mobile horse on your uropert7r located at 1071 Grand Avenue, Oro-irille $ 31-253®35 Street Address This variance was granted on t=roveWber.30, 1976 and includes the following . p conditions': date. 1) ..The variance is granted only for a -term of one year. -ht the -- _ .end of one year you must apply for a new variance :if the use is to continue. 2) Lf the applicant- residing in the mobile home or conventional-. residence :roves to another location or is deceaseds, the Vari- ance automatically expires and the mobile home' shall. be re*nov-ed, within 30 days. If the mobile hone is not removed within 30 days, the County ray remove said, mobile home and store it et, A. he owner's expense. 3) The robile home shall be placed cn thepro_per'�y f:ifi�iaut-viola ;;in:y anyof the setback reauiremerts o the zone in which 'the uro -;ar-::I is located. - 11) i}1e applicant, shall secure all necessary se :;a,e di sposal elects cal. al1w-nbir.� and b, t g L 1 r . u�din' ti.r,�iU r.e,.essarr to iPs=,a�1 the nobile hto'mee Ver- y trtly yo,irs., Foc,:ard J. To,.:ssaint; I irector Division. of Envirbn;meZ;z 'anitattio:1 cc: Cle-r% of ;he Board Plar.ri o- De-oartmer.t h u-.ildi ng Deoartmen t Orovil-Le Environn-ental Neal-Lb q� �a 9L6l L sN Lynn ;,0�,rloo SEG.: ;334366 fastener d Compuli - fehrtcetG - - _ T This des b➢ the Ti which w Laid any loads greater, than design Uewcut assumes aoequale oraivage is urwiucu -- r - 8 Plate -,shall tefoeate6 on both Laces of truss and placed so; Cher Centel v.Mur�cELarnwG ?aU1LLEgrM tines Let n ode =If) joint CenI Wiles - sumes no,responsibgiE for the y 9. Digits r?o ,ate size -of date to inches nation of components. 10. For Lase design values of the Computfps Plain rrxjicaled by the preki _ - - tidlonsontruerdesigns sa1-k 'C see ICRC RR -4217 - - - ood times. ewr7e ;a copy of tt The Computrus Net Section Plate is and cared by "the prefix 'CN`_ the 20 io@'.r?quesi. -- _ designator (18) indicates 18,9a material it used All others.are ,ga _.._ I! •Y {zp scare. il4° JOB_NAME::NOR-CAL-WOOLSEY' FILE NO.: SCI -24'-5/3-3E - LUMBER SPECIFICATIONS - TRUSS SPAN 24'— OC' 1! Builderandercctiangonimctorshou Boom TPI ,SINGLE MEMBER .FORCER GH Wammgs efam construction cont, - -- ls3 compteas9oJf weti-hracirK;musf. LOAD OORATION _INCREASE - 1.25 T`i= —3954 .84 3752 M 2 fit roust be::oeay;ned and. p._Jded' SIZE SPECIE GRADE MEMBER(S) .' SPACED -24.0a O.C. _" T-- 2= —2574 +82=_ 3762 .H 2� —1295 = Iastenen ale comp:ele, and at no tion bads be. to any component: - TOP CHORDS: ` . - - T 3 -2574 B 3 -3762 W 3= 17150 7. jhla desir is turnish-d subject to 1114 2x 4 OF 411 1- A—, LOADING T 4 -3954-:-13: 4 3752 kf,?4= -1295 BOTTOM GHOROS: _>' LL( 16,01 +OL ( 14.0E ON TOP' CHORO_ 30:4 PSF 2x 4 OF OL ON fBOTTO4 CHORD - 510 PSF WEBS* I TOTAL LOAD 35.0 PSF - LEFT = =840 RIGHT " 840 _ " 2x-.4 HF STAND BEARING APEA RCOJREO .(S0, 2N? JOINT i 1_34 :OF / e07 tiF _ JOINT 5. 1.3A DF _ -J I! {zp scare. il4° JOB_NAME::NOR-CAL-WOOLSEY' FILE NO.: SCI -24'-5/3-3E - WARNINGS: 1; Read all Genera Holes and Warning - -- -- 1! Builderandercctiangonimctorshou DATE: 6-18/92: Ver 5.0. Wammgs efam construction cont, - -- ls3 compteas9oJf weti-hracirK;musf. - - istirig elements 4. Ali lateral. tons s f REF:: 25-1 DES. BY. GN roust be::oeay;ned and. p._Jded' _ - computrua assumes no responsibill S. No load ii�muld be applied to any o SEO s' g � 3:3.647 7 � Iastenen ale comp:ele, and at no tion bads be. to any component: - applied - - - - fabrication handlingl'shipment and - -- - - ' - - 7. jhla desir is turnish-d subject to 1114 --- - !by the Truss Plate. institute to ".each wblch wi41bv furnished by Ccmputrt I! Fl I ,CL 1� £QAO DURATION INCREASE i.a T 3=_ 4511 B ,ice O it STZE SPECIE GRADE RkNE[ (S1 - c TEED 24_0' O-C. T 2m- -35d'- $ � "5$- ii Via. d92_- 70P CHARflS' T 3- 35d: 4x2-1 OF 11 1-3: LOADINb BOTFOR 1;HORQS -LL + OL :ON -TOP CHORD 50.11 PSF 4x2-1 OF It 1-3- #1`_ ZN `'84TTOH CHORD, - 54 -PSF VMS*TOTAL LOAD _. 55.17 PSF, 4x2-1 HFSTAND 1-7 _ LEFF =OCi _ TTIGI3 STANDARD PANEL LENGTH 02-9E*4Q - WARING ARE1! L2ECRtTRFt ` YSti 'Teti'