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HomeMy WebLinkAbout033-053-0051 r\ r _ . . 1.t` r 4�V., COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISI 7 County Center Drive - Oroville, California -95965 - Telephone (916) 538 - PERMIT NO. APPLICATION AND 75 PERMIT 96- ASSESSOR PARCEL NUMBER 33--053-005 ZONING BUILDING PERMIT OWNER k►IMMI & IJANDA CHIL-TON 334-0659 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 175 LAYM AND BLVD ORO ILL , .95965 °oNTRACTORCONTRACTOR'SNAME JACK'S MOBILE IME S9 T3 5°-7755 CONTRACTORS MAILING AODR 3 FREIGET M CHICO, 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 331 FIC AVE PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 OROVILLE Each Trap 7.00 LOTNO. SUBO IOWSNAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE v SF ❑ Duplex ❑ Mobilehome 13Other SPECIFY Each gas water heater or vent 15.00 as piping y Gsystem 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublibes ❑ Installation EK, Other ❑ Describe Work: ISNTALL N51 MAIN EIECT SIMV PANEL - Mobile Home I S I GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service a V OR LESS ( 2ooA OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ,0. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.SO. OR ( 8 ACC. BUTS. ) 3.5¢ FT. CNS. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLEr CIR. ) Ex. Occup. (OUTLET OR FIXTURES ) BAL @ I.50 EX. Occup. (oFIXEED PLNS. OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMITFEE $ 63.00 Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. l X _� F ��/� _ Date _! %� - b _ Signature of Applicant-,WOwner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 63.00 HA2. I D. FEES IMP FLOOD CDF PARCEL I PD HO 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. B Date �5 y y PERMITEXPIRESO S- 9 (Date) /in�height. Receipt No. 'q () $ i COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIO 7 County Center Drive - Orovilld, California 95965 - Telephone (916) 538-75 PERMIT NO. APPLICATION AND PERMIT 96 6030Q ASSESSOR PARCEL NUMBER 33-053-005 ZONING APM4 BUILDING PERMIT OWNER WILLIAM & WANDA CHILTON 334ON0659 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 175 LAKELAND BLVD OROVILLE, 95965 CONTRACTOR'S NAME JACK'S MOBILE HOME SV TELEPHONE 345-7755 CONTRACTORS MAILING ADDRESS FREIGHT LN CHICO, 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 331 FIG AVE PERMITFEE $ OROVILLE PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 6 Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation CIX Other ❑ Describe Work: ISNTALL NEW MAIN ELECT SERV PANEL — Mobile Home I S I GI W 1 @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service 0 OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. ) SO. 3.5Q FT. UBUD TLE NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 209 1.00 BAIL 0 .50 Ex. Occup. (ouTiETs PLNS. OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMITFEE $ 63.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fort comply with those-- — — _ Date _� `��_ Signature of Appli t-.B`Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 63.00 HAZ. 1 D. FEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By 'd PERMITEXPIRESO I applicable provisions Resolutions to do work been paid. Date 07 — 5 ✓/ '— 1 S—% 2 (Date) Receipt No. Ia () 19 lD C( WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT RESIDENTIAL �^ 033-053-005 PERMIT#95-2940 CHILTON, William & Wanda' 331 Fig Ave., Oroville Cont; Jacks MH Service MHI Ex Site j -�►�j'� -off �- ��, 73 JOB FINALED (Date) Signature j OFFICE COPY j AddressGAS E �'\ I,U �� Meter By ELECTRIC Date a Meter By t Date I JOB FINALED (Date) Signature V=OK O = Not OK Not Ap '=Not Readybie MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements Card B-1 2. Soils; Special MH Support Sketch Card B-1 3. Sewer, Location -Test -Fall -C/O -Concrete Card B-1 4. Water, Location -Test -Easement Needed (Sketch) Card B-1 5. Electricity; Locabon-Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / JUL / /Nat. or/ /L tL/ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOWLE HOME INSTALLATION(Plans) OK except #'s Cana B-1 Date Card B-1 ,pning Requirements- Setbacks Easements ( ._5ectings; Size -Spacing -Marriage Line ctricity; MH Test -Crossovers -Breakers -Clearances -( 5_QT9-in:.MH Test -Fall -Flex Connector (. da'fer and Sewer Connected -C/O to Grade -HD Approval Gaj6nd Electricity Tagged iaQdwns-bpednstallation Cert ;; Insp.-Sketch of Occupancy CIL �G"833 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date Card B-1 Date Card B-1 Da Card B-1 ate Card B-1 6. Carports; Windows -Doors 7. Electric CIL �G"833 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize-DepthSpacng-ConnectorsSteel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg :Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext; Steps -Doors -Landings Date Cana B-1 Date Card B-1 Date Card B-1 Date Cana B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI S. Elec.; Pool Ughting; 15 Volts -CFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lgh(g. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date UNDERFLOOR (Plans) OK except k's ` 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth I 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped I 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except n's -16.-water Hir.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection 1'8. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan: Test. First Floor -Tub Access -------------------------- --------- 20. ------------ 20. Test Tub -&-Shower,- Second Floor -Tub Access 21. Gas Pipe: Size & Anchors -------------------------------------------------------------------- ---- -- --- Date Card B-1 Date Card B-1 --------------------- ---- --------- -- -------- -- ----- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except n's 22. Fixture & Transformer Clearance -Ins. Protection ----------------------------------------------------- ------ 23. Elec. Receptacles Spacing -Lights & Switches at Doors --------------------- ------ --- - - -- 24. Size Boxes & No. of Conductors -Stapled --------------------------------------------------------._.__. .._ --- - 25, Romex Installed Close to Edge of Studs & C.J. ------ --------------------------------- ---- -- - --- .. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water --------- --------------------------------------- ----. _--- _.. ... ... _. 27 2 Appliance Circuts in Kitchen & Conductor Size,GFI -------------------------------- ------------ . -... .. 28. Subfeed Wire Size r r ga. Cu or AI -A.0 Wire Sae ga Cu or At ----------- - - --- ----- `------------------------- ------- 29. --...29. Range Circ. ga. Cu or AI -Oven Circ. r , ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No - --- ------- --------------------------- -----_ ..-..... .. 30. Service -Riser Conductors & Ground -Main Disconnect -------------- ------ -------- ...... .... ... 31. Equip. Clearances Panel s- Motors- Mech Equip - ----- ................... ...... ... ... ....... .. 32. Clothes Closet Light -Shower Light -Spa Light ---------- - ------.. -- . ----. 33. Smoke Detector ------------------------------ ------------- ........ ...-... ... . Date Card B-1Date Card B-1 ------------- ---- - ............... .. . .... .. Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except is 34. A.C. Ducts Insulation & Support 35. Vent Fan: Exhaust above insulation ---------------- - 36. Condensate Dram & Overflow. Sze & Grade 37 Furnance-Vent: Access -Comb. Air -Return Air Vent -t 15 ou0et -------------- ------ ----- - --- -- 38 Attic Access & Platform it Furnance in Attic ------ -- ---- --- --- --- - - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except PS 39. Sils. Proper Material & Anchors 40 Walls Studs-Nailng. Spacing & Bracing -Plates -Sound . ... .. . .------- -.. ... 41. Bearing walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43 Fire Stops. Furred Ceilings -Stags -Chases -Tub --- . - --_. ..... . .. -. -. 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-root Brac-Truss-Shthng.-Rfng. _- - 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles ----- ------ 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51.. Property Line Firewall & Openings ------------- 52. -Ext.- Doors -One -Check Garage -3rd Story, 2 Exits ------- ----------3'----------- 53. Stairs: Width -Head room-Rise-Run-Landinq-Fire Protection ---------- 54.- plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------------------ 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access .57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings ----------- ------------------- 60. Infiltration -Walls -Windows ------------------------------------------------- -- Date Card B-1 Date Card B-1 - ----------------- ----------------------- Date Card B-1 Date Card _B- 1 Date FINAL (Plans) OK except ft's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector -------------- ------------------------------ - - 63. Furnace: Vents -Clearance -Comb. Air -Connector- ----------- . ir-Connector- ----------- In Garage: Above Floor -Ducts -Meeh. Protection -------------------------------- 64. Bedroom Exiting 65 G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ..-- ---------------------------- 67. Stags & Rails . ------------------------------ 68. Fireplace or Stove: Clearances -Hearth .. ... ... .._..--- --------------------------- 69 Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit Fixi & Appliance: Grnd.-Air Gap -Cooking Clearance ------------------------------------- -- - 71 Elec. Outlets & Receptacles at Kit. Counter - - - - - - ---- -- - -- -------------------------- 72. Garage Fire Door: Swing -Landing -Closer . -- ..__._... ................ ----- 73. A.0 Duct in Garage -Damper ----- .....------------------------------------------ 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection . . - --------------------------------- ----- 75. Plb.. Elec. & Mech. Equip. quipListed for Location - ---------------------------------- .. -------------------------------_76.. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7, Insulation -Foam -Looked in Attic ❑ Yes .------------------------------- 78. - - - - - - - - - -- - - - --- -- - ----------------------- 78. Guard Rads & Deck Construction -Post Caps - ------------------------------------ 79 --------------------------------79 Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80 Following instld, Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No ---------- --------------------------------------------- 81 Stucco. Brown -Finish - _ ._..---------------------------------------- 82 A C Unit: Disconnect. Electrical, Plumbing ----------------------- 83. - ------------------ 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings -- - ------------ --- -------- 84 water Well: Disconnect. Electrical. Plumbing 85 Exterior Elec Trim. G.F.I. Receptacle-Underground ---------------------------------- 86 ------------------------------- 86 Ventilation Throughout House .. -- -- ------- ---------------------- 87 Glass Protection .. .. - ------------------ ------------- 88 Corrections'rom Previous Inspections .-- ------------------------- - 89 Gas Test -Meters Tagged. Gas -Electric . . . - .--..-- -------------------------- 90 Water & Sewer Connected-C!O to Grade -HD Approval - - -- ---------- 91 Energy Compliance Cert hcate-Other Certificates . ----------------------------------- Date -- ---------------------------- Date Card B-1 Date Card B-.1 - . .. --- --------------------------- Date Card B-1 Date Card'B=1 Date Card B-1 Date - Card B-1 ------ Comments at Final: MOBILEHOME INSTALLATION ACCEPTANCE' COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE V OROVILLE, CA 95965 --PHONE (916) 538-7541 APN:PERMIT 60.5 NO.: 2�qO Owner's: (AA-W?L"1 7 Name: Owner's: 3SI 1:5 1/ vlr!5 Address: Mobilehome L C le 05 77 Year of Manufacturer -L Manufacture: Serial number Insignia or or V.I. N. CY HUD number: Official approving installation:E p r,- E4V' Date: 3// If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not bel,used when the mobilehome is installed on a foundation system. 5136 White -Owner, Yellow -installer, Pink -Bldg., Gold -Assessor 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 PARCELNUMBER 33-053-005 ZONING ARM -1-1 BUILDING PERMIT OWNER CI-IILTON, WILLIAM&WANDA T -JJEE0659 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 175 LAKE LAND BLVD OROVILLE,9g5HH9@@65TT- CONTRACTOR'S NAME JACKS MH SERVICE TE5E7755 CONTRACTOR'S MAILING ADDRET3 FREIGHT LN CHICO, 95926 1 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER's MAILING ADDRESS Penalty $ BUILDING ADDRESS 331 FIG AVE PERMITFEE $ 43,00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation IN Other ❑ Describe Work: EiI (EXISTING SITE) Mobile Home I S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main ServiceE00v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of, Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not :mended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. % ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) SO, 3.5¢ FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 SINAPPARATUS ( ,PS OUTLET ) Ex. Occup. (OUTLET OR FO(TURES ) 20 Q 1.00 BAL a .30 Ex. Occup. ounEEDrsPPUNS..ORRn ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00b Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shallTOTAL not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, 1 shall forthwith comply with those provis' ns. X –1601 Date � Date 11-27,--��5 _ ignature of pelican ❑Owner ❑Contractor ❑ Agent An OSHA permit is req Ired for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee Is GCC CONST. TYPE FEE $ 143.00 HAZ. D. FEES IMP IMP/ FL D CDF PAR PD D U This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. �^ � By Y Date te PERMITEXPIRESON / 9 7 (4a) ReceiptNo. 190434 1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENirOFD 0. .* A - 7COUNTY CENTER DRIVE - OROVIULE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 OPMENT SERVICES - BUILDING DIVISION PERMIT APPLICATION DATA SHEET OWNER C I LT6�-- LcJ P� / /�i'^ P. No. 3 " f� S" -Y '00,x' Proposed Building Use /�z/�` Building Inspector ter. Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. ..:.................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans. ..................:.. . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ...................... ...... . 6. Energy Design Compliance and supporting documentation. .................. Statement of Intent fot)Nori-Heated and A/C Bidflaings. ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . ........... 11' Impact fees as shown on attached schedule. `xlneo( ec5 , oK .�j -�.......... 12. California Department of Forestry plan approval/fees. ....................... . ` Flood elevation letter (100 yeah flood) by California Engineer. .. 14. Sanitation and plot plan approval ml%Lkv 1 /65 Health Department. ............. -Z 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .:.. .. . 1,1,spection requeT 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............... 22. Certificate of Workmans Compensation Insurance . ..................... . 23. Owner -Builder Verification (Given to owner ' , Mail to owner _). ........ . . . 24. Recorded copy of Agricultural Acknowledgement`Statement. .................. 25. Letter of signature authorization. ........ `.: ..........................'.. . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... ,- 27. Letter of intent on building use . ...............................•.........: 28. ' Mobilehome utility clearance . .......................................:. . 29. Documentation of legal access . ..................... :.................. s 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan the k I' .......... .... . 33. �%I %$ SCJ f- O g 9 6 34. r M When you issue the ermit, process as follows: Mail to owner. Mail to contractor. Telephone yj V 66#25 and hold for nickup at office. Deliver with inspector. Other Acreage 6Parcel Creation - Date pplicant ��_ Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: I Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data.by _ phone _ mail Co er by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works i, B.H. USE ONLY i Plot Plan Attached a. Floor Plan Attached ". Seot to B.D.:g S TO: Building Department FROM: Environmental Health SUBJECT:' Sanitation Clearance W Awoll C4 -t c- ,0 -:321 F,16 V Owner , /. Location w / AP# Plan Approved for: Sewage Disposal v Water Supply: Public v Private Well Clearance for -01 bedroo mobil howsp0ther Vd final ff. Llool Final cleam& O.K. for: NOTE: Environmental Health Speci 'st Date Ai4'7 �1�'`Yf""".�Y'_"'fx;"�+7FV__ya��,9j..q,...RBc ..i'.fF_..isr..,�.fi•-i"9'.,�,Yat_•fr;.w'.-��...=�:7r¢sp•3;�'V7`�Tlw'vlF"p�-ypR'r'Ifi-"7"'r.��fi'itii�ii�.�.3' �,�,M.;k1r{ii.S'�'C1°�%'1�'S?'`(`: •;7 C BUTTE COUNTY SCHOOLS IMPACT_,: FEE CERTIFICATION FORM (One Form :Per Building) School, District G f1AVC61/1C Cpm Building Department No. ` A.P. Number �,�—CsS'�� 05� Jurisdiction: 0 City [� County Property Owner C iU ;: 4 1'y -u_ wtt-C D 11, I liV t ! l / -�- Property Location/Address Subdivison Lot No. Residential Development 0 �" No. of Living MHI Addition Units j Commercial/Industrial - ! 1 0 I0 Sq. Footage j- !:.New Addition (Including Exterior f I r Roofed Areas) Gq,..t+ / ( A Z -A s Building Department Representative Date (Floor Plans reviewed by School -District Personnel) Sq. Footage 7W (Group R) District Identification No. 1120 (p School District certifies that l�/itild�Q (Applicant) (Street Address) (Phone Number) COP- 9�96 (City) (State) (Zip Code) --has complied with the requirements of Resolution No. 93- 9 �"/4 by payment of $ A. ._ _.. representing square feet. As 2926 $ FULL MITIGATION $ Schoo District Representative Dat Paid by Check # 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 is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality 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) feeform.wkl (11/94)dmm , d tt� ES y� r$ f' W 'rryti Ar COUNTY OF BUTTE r DEPARTMENT OF DEVELOPMENT SERVICES - BUIL DING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 OWNER l -� r L 7Oa� / - A.P. # PROPOSED BUILDING USE DATE l j Z f', S✓ REC.-# DATE REC -at 1. SCHOOL DISTRICT FEES (paid at District Office) .2. SHERIFF FEES (paid at Building Division) Residential...... x =$ unit amt. Commercial (sq.ft.). x =$ 3. URBAN AREA FEES (paid at Building Division) Residential (per unit). x =$ #units amt. Commercial (sq.ft.). x =$ sq.ft. amt. 4. 5. RECREATION DISTRICT FEES (paid at District Office) THERMALITO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 7. WATER TENDER FEES (BATTALION # ) $200.00 (paid at Building Division) 8. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 9. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. DATE APPLICANT 33-0� 3 9 S 96 /-� p c.I S e. Z G X 3 —7 NOTE -,All Materials & Workmanship Shall Be in S h e a el - Accordance with Recognized Good Practices and I of a quality prescribed for the Specified use in the j x Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. This set of Plan 'and specifications MUST be kept on the iob at all times and it is unlawful to — make any changes or alterations on some without written permission from the Department of Public Worla, County of Butte. Utility connections shall be within i r- 4 ft. of the mobilehome, either directly behind or within the rear half of the roadside (left) of t mobilehome. „ Env Butte APPROVED lro COunty �mental He �. S ;11? BUTTE BUILDING MD ARTTMENT OVE W. permit will 6e required for the installation of the mobilehome. 500 SQ. FT. MINIMUM FOR MOBILES `'y rg 0 Lv "✓ Y s- 1. Owner's Name: %(1 "11A ��tJ 2. Assessor's Parcel Number: 2-3 00..5 3. Installer's Name: aka 'S 4. Is the site currently under permit? Yes[ ] No[Pf"Permit No. 5. Is the site an existing site? YesM No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? l0 .0 Amperes. 7. What is the mobilehome site circuit breaker rating? /D ! Amperes. 8. What is the electrical rating of the mobilehome site? __Amperes. 10D Am _ p 9. Is the main service remote from the mobilehome site? Yes[ ] NoJA If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[x] If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane] None[ ] 12. Size of gas pipe at the mobilehome site . from the meter or tank: ��f inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? l5 (ft.). 14. What is the mobilehome gas demand? ' B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 9 COU, st ,\' - 8.5 M.H.I.- 2 Mobilehome Manufacturer:` ( l e ✓`c -'s Manufacture Year: If other than single wide, furnish Setup Model Number: Width: % ,!� (ft.) Length: 0 (ft.) Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation gradeW Other: SUPPORTS: Concrete block[(] Other: Provide Tie Down Specifications for all Mobilehomes: (�Ek-5�,Q )OV Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 Line 2 .................................. Line2 .................................. Line 1 Tag or Triple ................ ........................................................... Main Beano ........................................................... Line 1 Piers: Size minimum: r i x Spacing maximum: ` From ends -maximum: ` Line 2 Piers: Size minimum: x Spacing maximum: (o ` From ends -maximum: 0 ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): .................................................. Main Beams .................................................. 5 4 1 .ine 1 Line 2 ,ine 2 Line 3 Line 2 Line 2 Line 1 Line 1 Openings Size minimum: [ J x [ ]. Each side of openings with width over: I I` Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends -maximum: ` ax�Z5 OVER r fF- COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, ChiCo, CA -'(916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 �. 747 Elliott Road, Paradise, CA - (916) 872-6307 y. CORRECTION NOTICE" �' nA n.ioo 01 V NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work i= isco pI ted. If you have any questions pertaining to this matter, or need additional explanation, s 4_ plea a contact this office immediately. S . def r _ ✓`CO .1. Date, C Inspector REV to/9 / r 4v A, COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA'- (916) 891-2751 7 County Center Drive,'Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise; CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 1 .4M4MI111je 4��/f-S7 C Dat 4? ~Inspector REV 10/92 2 I� 3 ENID Tim r' I E DO VY a '.i+liSIS BOLT^Or1 TIC—DOWN INF( RMA T ICid h 61 Al STL StPAP J�•jSij SEE GE TAIL f�A SPOT SOLT k NUT --� f�RC1 U?1G LMS a••-,,,� {S0I; `'` ` ` R SEE GE TAIL f�A SPOT SOLT k NUT --� f�RC1 U?1G LMS a••-,,,� � 4 v ji #616 T.O.A. i 5 STAF.iLI��R c ,7 ,;, � toNo p� 7 g ,t �h � NSTALl AT!ON IS OPTIONAL ----• OPILL ?/!l,` A)-)OLE�A,T Il41D 0 19)~)Gh9 i ;7' I� M ��� "y^ �eA•�n C�iASSi� sir: ;,, 1 FOR NOTA ,;�rbza, wCti�•e:aiS Ti �D01'!ty 1?It ,ri;p+jhilQc. ' �J'+ Sa.1i' �•1 pGn 141 = i iiC-1 w 5 DEE-TAIL A (TY PICAi.) ANCHOJIS INTO SOIL APPLYIN13 CONSTANT PRESSURE: 70 MINIMIZE SOIL' DISTUI RAN Uid s 1LL HEAD ?S FLUSH WITH ST•A RJLJZER PLATE. ,%MCHORS SHOU40 DE IN,TALL-EO BELOW FROST LIN; ATTACA 8T RAFa TO CHA7315 GrMA )P9 MA:NNER SI)4 a. WI FERt STRAP i''r•lROUCH SPLIT DOLT. CIA' OTF £XCE --'iTRAP AND i1` EN TIGHTEN N ROL.T UNT)L ; STRAP IS Sh CMZIt )? FIRST SOTI JNOERGROVNO UT1I.lTIES- F`L CE ASTA�III 'ptcg ELS ANCHOR AND CHA$51% BEAM, AND DRiYE 114'ro GziUIiND. :;J TIN1311 TURNING ANCi'IQ INTO THE GROUND UNT1 ANCHOR HEAD IS FLUS VnTH STAMMER FL.ATF iH• 5 PROYIDES SECUR rn)7krm AGAINST LAT"', .� P,inu I,AEt�T. "° •"• ••• •-�^m,>w eo asp Ex�ramo r.,, ve .�.a .m, . .•. e�....,.i-ao m .m c•..;,.+•., m .� 4^—.ria .n on r ... .. ..• 1 Ci={RTIF i3 A, i '!AV,." 1 NA4"t" 11 4• 11:,af 1I �E£? iiqP .iwi"t L'J J1Ni�110 t;�IG SYSTEM AS P,K.R T3!!", I-NU,ALIAT1+ON INSTRl.1flT1�1t'aC, L `�� tfCi !?pNFI':ATiG, S TO TH} AANCHOPINa SYSi>=fit OR 'i L1 TtlE BUILD1°d0 ,i1YtIC"PJ.RI±. COMPANY t(nIJ,���.-2 DAT_:_ CQ YR ��+: ?.tC.�---��— S1GNATIJRo RESIDENTIALY�' r 033-053-005 PERMIT#96-0173 CHILTON, William & Wanda j 331 Fig Ave. Oroville n Cont; Jacks MH Service i Re -Install Awnings/MH 7 /97 Q i n k f ' )t d C - JOB FINALED (Date)— Signature'%,/ V=OK O = Not OK =Not Applicable MOBILFE HOMES ' = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 4. Water; Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / /'Ll't. / /Nat. or/ /'L"ft./ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand Valve -Connector 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 11. Cert of Occupancy 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable = Not Ready RESIDENTIAL (; Date UNDERFLOOR (Plans) OK except #'s Taj 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main;'Soils-Elect Grnd.-/" /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card.B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle ------------------------ - --------- 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------- --------------------------------------------------- 19. Shower Pan; Test. First Floor -Tub Access ------------------------------------- ------- 20. Test - -&-Shower.- & -Shower.-Second-Floor-Tub Access ---------------------------------------------- 21. Gas Pipe. Size & Anchors -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ---------------------- - ---------------------- --- - -- ---- -------- ---- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except s's 22. Fixture & Transformer Clearance -Ins. Protection --------------------- -------------------------------------------------- ---------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled --------- ---------------- --------------- --- ....... 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------------ ---------- ------------------------------------ -- 26. Equip. Ground made up wrMech. Fastners-Bond Gas & Water --------- - - --- ------ -- - 27. 2 Appliance Circuts in Kitchen & Conductor Size,GFI -------------------------------------- 28. Subfeed Wire Sizer ga Cu or AI-A.C. Wire Size • r ga Cu or At ----- 29. --- 29. Range Circ / , ga. Cu or AI -Oven Circ. r r ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------.....------..... .. 30. Service -Riser Conductors & Ground -Main Disconnect -------------- ----------- ------- ------------------------ 31. Equip. Clearances Panels-Motors-Mech. Equip. - - ---- - -- -------------- . .._. ....... ....... .. 32. Clothes Closet Light -Shower Light -Spa Light -------------------------------------------- - 33. Smoke Detector ------------------------------- -- ------ - ---------- -_.... ....... .. _ ... .. Date Card B-1 Date Card B-1 ------------- ---- _------ - ------ ------------- ---- _ .. ... ... ... ... .. Date Card B -t Date Card B-1 Date MECHANICAL.( Permit) OK except a's 34. A.C. Ducts Insulation & Support ----------------...----- --------._._._......_--- . 35. Vent Fan: Exhaust above insulation ---------- ------------..._.. --- ........... .. 36. CondenFate Dram & Overflow: Size & Grade - ------ ....... ....... ........... .......... ..... . 37. Furnance-Vent: Access -Comb, Air -Return Air Vent -115 outlet ...... ..... . ... .-- --- 38 Attic Access & Platform it Furnance in Attic ------ -- -- -- - -- __..... _ .. Date Cartl B -t Date Card B -t Date Card B-1 Date Card B -t Date FRAMING (Plans) OK except #S 39. Sils. Proper Material & Anchors - ... ... ... ... ._..... ... -....... ... ... ... .. 40. Walls Studs -Nailing. Spacing & Bracing- Plates- Sound ...... .. .._._--------- ers & Floor Nailing 42. Draft Stop in Walls (rat proof) ------ -- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ...-._.................. ... 44. Headers & Beam -Size & Bearing ,ingle & Duplex)` Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-F'urlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance ------------------- --- - 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings _ -------------- 52. Ext. Doors -One 3 -Check Garage -3rd Story. 2 Exits --------- --------------------- __ 53. _Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------------- 55. Siding -Nailing Veneer ---------------- ------------- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: -Nailing -Bolts 59. -Insulation -Walls -Ceilings - --------- 60. Infiltration -Walls -Windows ----------- ---------------------------------------- Date- .-----------------------------------Date_ Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings - ------------- - 62, Smoke Detector _..-- -------------------------------------- - -- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection ..--- ------ - -- --------------------------- 64. Bedroom Exiting ... - -- -- - - ------------------------- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Sub anel: Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth ...... -1 ----------- Elec. Outlets at Wood Panel: Int. & Ext. ... ----------------- 70. .---------------70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance ------------------ 71. - ------------------------------------- -- 71. Elec. Outlets & Receptacles at Kit. Counter - - - - - - --- - - - - -- ----- -- - -- --------------- ---------- 72. Garage Fire Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper ......................................... ------------------- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ..... ----------------------------------------- - --- 75. Plb.. Elec. & Mech. Equip. Listed for Location ------ •-- ---------------------------------------------- - 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ---- ------------ ------------------ -------------- 7,. Insulation -Foam -Looked in Attic ❑ Yes --------------------------------------------78. Guard Rails & Deck Construction -Post Caps . .... ---------- ------ - ------------------------ --- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ----------------- 80. Following insildDrive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No -------------------------------------------- - ----------- 81. Stucco: Brown -Finish ----- --------------------------------------------------- 82 A C Unit: Disconnect. Electrical. Plumbing . ... ... ... ... ... ...... -------------------------- -- --- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ------------------------------- ----- 84 Water Well: Disconnect. Electrical, Plumbing .----------------------- --------- --- - 85 Exterior Elec. Trim: G.F.I. Receptacle -Underground -- -- ------------------------------ 86 Ventilation Throughout House - - - - ------------------- 87 Glass Protection .. ...._. _ ----------- ---------------- ---- 88. Corrections from Previous Inspections 89 Gas Test -Meters Tagged: Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval . .. ... ... ------------------------------------------- 91 ------ -------------------------------91 Energy Compliance Certificate -Other Certificates ------------------- - -- -- -------------------------- Date ---------------- Date Card B-1Date Card B-1 _ . . ..._ -- -------------------------- ------------ Date Card B -t Date Card B-1 Date Card B -t Date Card B-1 Comments at Final: \\ COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 ' _ PERMIT N APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 033-053-005 ZONING ARP1H BUILDING PERMIT OWNER 6JILLIAA1 �dANDA CHILTOid 534ONE SO. FT. OCC. BUILDING VALUATION 380 C 4,940.00 OWNERS MAILING ADDRESS 175 LAKELAND BLVD OROVILLE 95965 CONTRACTOR'S NAME JACKS MH SERVICE TELEPHONE 345-7755 CONTRACTORS MAILING ADDRESS 13 FREIGHT LN CHICO 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 72.000 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 46.80 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 331 FIG AVE PERMITFEE $ 138.80 OROVILL•E PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOTNO. SUBDNSION'SNAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome kI Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑X Describe Work: _ RF—TAiSTAT,T, AWNINGS SPA#70-1-10 Mobile Home S I G W 1 920.00 PERMITFEE 1 $ Contractor ELECTRICAL PERMIT Filin Fee 20:00 Main Service EOUV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO ,000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm.under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) s0. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIA. Ex. Occup. (OUTLET OR FIXTURES ) 2L a I•.' BAL 30 Ex. Occup. (Gune. Drs PLNS.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall with comp) with tho e'pro inions. V_teluo�_6f,. Date _�— OSHAait is 'Applicant'- 15 Owner ❑Contractor ❑Agent An OSHA permit is required for excavations over 60" deep and demolition or construction structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee is OCC CONST. TYPE TOTAL FEE $ 138.80 HAZ. _ 1 D. FEES _ I IMP I FLOOD _ ._ — r COF PARCEL PO HD SU This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date 2 &Iof (Date) Receipt No. 190818 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT � .../..,(-:-..�+i.,,;y,;.R..-::+h�4✓'..:...:-ewCx,Y+tw;i�^i�ie.�,',,:.f,X.i;tit�ie�.iR'�Vcd'h�..'i 4-K �ir �.,�,���-'s�,wral.?.�yv+�.i�,•,:y-"� �:.1'y"'��_..•, ..... .. - COUNTYOF BUTTE -DEPARTMENT [ VEkOPMENTSERVICES - BUILDING DIVISION 7COUNTY CENTER DRIVE -. ORO ..ILLE,rCALIFORNIA 95965 TELEPHONE(916)538-7541 PERMIT APPLICATION DATA SHEET OWNER (� No. Proposed Building 44AP Use .,Building Inspector Date aVZE6 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: C r DATE RECEIVED BY 1. All items have been submitted . ......................................... ............... 2. Plot plans, 3/4 sets, signed by preparer of plans .: .......................... v 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ? ........... :............................... 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ....................... . ✓ 13. 14. year floby�Caliornia Engineer ................... Flood elevation letter (100 pZ Sanitation and plot plan approval ((lA lA Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 4 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 -Inspection requestrequired. . to Building Inspector (Date) 21. Contr"actor's license information. (No., Name Style, Classification) . :............. 22. Certificate<of Workmans Compensation Insurance . .....................:.. . 23. Owner-Buil8ei r.,Verification (Given to owner , Mail to owner . ............ 24. _) Recorded copy bf,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 . ....................................... �r 32. Plan check list . ...................................................... 33. .34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone S 54-O(o51and hold for pickup at QW V i office. Deliver with inspector. Other Parcel Creation Acreage Applicant Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By ►--- The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone - m iI Coy er b,�(_ Date Plans checked by Date ------ -Plans approved bye ( J Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 4 'A TO: FROM: Building Department Environmental Health Sanitation Clearance B.H. USE ONLY Plat Plea AM&.d Floor Plan Att+chod Seat to B. D. WACMDA 32 Ft AYc-- Owner . Location O R O AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for Other wo ��wtit�NC�s g 1C / Environmental Health 9/013 NOTA --All Materials $ Workmanship -.Shall_ Be in Accordance with Recognized . Good . Practices 'and' of a quality prescribed for the Specified use in the } . G X Uniform Building, Plumbing $Mechanical Codes and the National Eleotricdl Code. This set ofplan-and- ipecificrations MUST be kept on the job at cq limes and if is -unlawful to - - ' make any changes or alterations on some without written permission from the Department of Pu C Works, County of Butte. e l Utility connections shall be within �•__ 4 ft. of the mobilehome, either .._. ---.- directly behind or within the rear 1p half of the roads l e® e4+ duo"� uorss!u1 ue}¢, - mobilehome. ho 41.m ewps u0%4 ao'40" D Jo s3ou � h ucIdej how aJn eu6i _ i tnn►�lun sl t4 PUD saual� �o A/!des s ------- .S — ---- a :4 isnvi suQ:;°„weds pug 5+01 b urs ee aq Ills Ki. ^ _ Yjej9WU0J1AU3 Selt4WUW;p �.2oj .i7 IreJol4;JN eyj --- Isco salsa✓ l�au�� a°iuo;�uscsl 'VSs n kit osn.,P014:agds .0G11, sc-' agis-as�,�:a ti+tlasnn o ;o PDJd pbo��jIeaH - _ � . �c}unoD , , ”! Uo4S d.&uowj4oM- I slo;Jeto q lly-'*31QI9 'A permi will lie required for the installat n of the mobilehome. • sm SQ. FT. MINIMUM ; �' FOR MOBILES YJ -a egg -J :Ylro vk i zi rnda C� l� 033 0 3 • _S T.4 + � T ..+• •vd f - - � � - . Y . • :Y.' .-Sim K _ Y G t fit. r.r/ �'Y� -• �—. " - -- • 2 - rfaF „�.`^. •` .. - r � .� > a : ` r � 4 ." t (� f L S+� . ..- ' ` •. .� . >, a =. G- a.y 4t+� .fi � ''Y7�,..a vJ. it f ;,r + r . •' � .' .F - .>. ' � t i- �] k +.'i`•�•. -0bt�.�y `.Y K ,s{� 4-+ - -.i "! � '^K�4� •ci v%fa ✓h3 } •yin t 'J t�: : J . s _ ri -- r yyy � , -.s•{ Fri M1�.,•., v ->';r ,{: xFy,S.,r. +<: 77 fir -1 Nll hili• ,J. ...�.. •C+ >._. -IjiW w•°. �' .t, t.. rs. 3•` ,.t,_ rr ,� M •+F d Swr _ �- ,,> • � r--•'�-rFs�.. .ti. •'1 •' T^_. "'•�. S'r•`_—..a--�j--+"•• �.r�a� ` .-..�. �..w�-t-•-^...y......_..b. _ _ .r. ..+.w t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle— Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE. R 11 1 55, 'ERMIT NO. A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date AP # OWNER C_ ✓ t P IT ' # MH UT IL. CLEARANCE DATE !� INSPECTOR \ ELECTRIC S Support Struc. Compaction Test Re . Service Other Pip- YES NO YESI NO Size Load Type Size en th 000 _ A s e 1. Owner's Name: 2. Installer's Nam BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes No ,1H (If yes, furnish permit number OX -~0 6..7•; io ) OR - - t Is the site -an -existing site? ti Yes No ; (If yes, furnish two.plot plans.) 4. Will the mobilehome be located at least 5 ft, away from septic tank and leach fields and clear of.all setbacks and easements? Yes No F/ F (If no, clarify 5. What is the mobilehome electrical rating? --------------- -50 Amps 6. What is the mobilehome site service rating? ----- ------- zr�o Amps 7. What,is the mobilehome site circuit breaker rating? ----- Z 00, Amps i 8. Is there any other electric load to be served by the mobilehome site service? ----------------------- ;-------- Yes No ,.. - '(If -yes , -ident ' '' ad _ _ (Amps) _ 9. at is the mobilehome site.gas pipe size? ------------- (in.) 0. What is the type of gas service? ------------------- atura I LPG 11. What is the bas pipe length fror6 meter or tank to the � mo i e ome---------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natur:a.` gas® or.less than 50 ft, on LPG.) MOBILEROME SUPPORT DATA If other than single wide, Mobilehome Mfr. //!.(i/���� furnish Setup Model No. 1. Year ) C/6 (/ Width (ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)I / l . Wood -pressure treated or.foundation grade. D 2. Other (specify) I SUPPORTS (check one) P 1. Concrete block. F1 2. Other (specify) Pier Footing Sizes and Locations SINGLE. -WIDE MULTI -WIDE line 1 Main Beams — — — +_ Line 2 Main Beams — — Line_ 2 Tag or Triple ,- Line L i Line 1 Piers: , Line 1 Openings: Size - Min. ------------ k Size -Min. -------------- ' Spacing -Max. --------- Each Side of Openings From Ends -Max. ------- �_ With Width Over --------- �fI Line 2 Piers: Size -Min. ------------ „ x Spacing -Max. ---------x From Ends -Ma.------- Line 3 Roof Loads: Size -Min. ------------ Location (From Front) Size -Min .------------ Spacing -Max.--------- , n From Enda-Max.------- Line 5 Roof Loads: Size -Min. ------------ Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ Spacing -Max.--------------- From Enda-Max .------------- Size -Min.------------------ Spacing -Max.--------------- , From Ends -Max -------------- L ... _40UNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 RRECTI.ON NOTICE OWNER PERMIT NO. r ' A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. if you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. Inspector Date—//-- 5</ . SERVICE REQUIRING CONSTRUCTION Dear Customer: Please give us the following information and our representative will contact you to discuss your construction plans. NAME MAILING ADDRESS ADDRESS OR LOCATION WHERE CONSTRUCTION WORK WILL BE COMPLETED TELEPHONE NUMBER WHERE WE CAN CONTACT YOU MONDAY THRU FRIDAY,. 8:00 a.m. to 5:00 p.m. HOME BUSINESS TIME TO CALL IF YOU NEED TO DISCUSS YOUR PLANS WITH OUR REPRESENTATIVE TODAY, THE MAP BELOW WILL DIRECT. YOU TO OUR NEW BUSINESS OFFICE' OR CALL (916) 532-4135. --------------------------------------------------------------- O ROVI LLQ. z ,N N PGCE 1567 H 0 U N TQ N t \ PG � E N EN. _ Busz NESS OFFTC 2226 VEATCH ST °�°� _ G 1 MOBILEHOME NOTE: Contact Utility Company for Q meter locations, clearance over. .INSTALLATION GUIDELINES mobilehome, and other requirements. SEWER & OUTLET - FLEX CLEANOUT MOBILE FLEX '-,/I3"Mox. COUPLING , Minn.. WAT E R '1 SUPPLY CONNECT' - SHUT -OF VA LV E " 1 +� 3 2 PAD CONCRETE- DRAIN TO SEWER, OR SEPTIC TANK _ 4. I11 GAS OUTLET W/METER W/b METER FLEX CONNECTOR I •.`'^� i SHUT-OFFr!'F."" VALVE METER . SUPPORT 11 i .11 ; 11 II 10_ STABILIZERS 11 11 --.. 12 Min. 11 - 311 Min. OUTLET i 4 (SEE NOTE UNDER GAS) MOBILE a 1 REAR 2 i� .. 1 LEFT SIDE 18" B ELECTRIC .PEDESTAL OR POL ` Vk 36 Min, CLEARANCE rli ' Ll 36" Min.- CLEARANCE inaCLEARANCE COPPER 'GROUND CONDUCTOR W/ACCESSIBLE GROUND CLAMP 3 1 Min. _... 1 .;. 1.11•. i 11.' 1 1 3 2 CONCRETE PAD 11 .8 GROUND : ROD o1 1 CHAPTER 2. TITLE 25 of the California. Administrative Code requires: U Utility connections shall be within 4 ft. of the mobilehome,. either directly behind .or within the rear half ofthe roadside (left) of'the.mobilehome. 'See (A) -=opposite and Sections 1184 (Electric), _ 1222 (Gas). Sewer and water may be located under the mobilehome within 18" of the left side rear half. $ee (A) or (B) and Sections 1256 (Sewer), 1274 (Water) . Electric: Equipment installed to supply power to a mobilehome shall be of not less than 150'amperes rating. W/over- cUrrent protective device and disconnect. (Section 1142(b)(6). Additional loads (well pumps, garage, shops, etc.). will require additional power. An approved `power supply cord or feeder assembly shall be'used to connect the mobilehome to the mobilehome :service equipment. (Section'1352). Gas: An approved.adequate sized gas connector not more than 6' in length .shall.be`used;to connect the mobilehome to.:the::'gas outlet. .(Section 1354). ote !*tural,gas piping over 6' from the'me!t$r or LPG piping over 50' from. the .''tank; 'compute demand to establish the size :of, gas 'pipe required. Sewer:`;A 3" drain:connector consisting of approvedip}pe:.not:less than Schedule 40;with'appxoved fittings andA flex coupli* at the inlet ends shall be used to.conneCt the mobilehome drain out to the.sewe'r inlet: (Section 1358) ater:.!',Approved connector or capper tubing lishall ,be• used. .(Section 1282) . L46. 7s7 PRE -INSPECTION �. OWNER: li -/4-/ C,7-0/ � DATE LOCATION: �j / (� '/ t v A. P. # CONTRACTOR: ZONING PRE -INSPECTION FOR: Ald:� H DATE TO INSPECTOR PERMIT HISTORY: El' NONE El AS FOLLOWS: TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: �bjl/� TENNANT: 0 OCCUPIED D HAS ELECTRIC FD HAS GAS [::]HAS SANITATION FACILITIES Q HEATED -COOLED " PERSON CONTACTED OTHER COMMENTS: DYC> ACTION RECOMMENDED: EISSUE Q leltr ax HOLD FOR 9 N y L -re 6utteycouli : Yi " LAND OF NATURAL WEALTH AN`D BEAUTY DEPARTMENT OF PUBLIC' WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7541' RONALD D. McELROY Deputy Director I RE: Workmen's Compensation Insurance A A review of our records indicates that you do not have on file in this office a ,CERTIFICATE of Workmen's Compensation Insurance in a form approved by the State of California Insurance Commissioner.. n� The data required on this document is: 1. CERTIFICATE OF INSURANCE heading or Title and approved form. Q 2. Expiration date of policy. Q 3. Designation of Butte County Public Works Department, #7 County,C rater Drive, Oroville, CA 95965, as the Certificate holder. V Q4. A statement that the insurer shall give the County at least 10 days advance written notice of the cancellation of the policy. Q5. A statement or designation that named insured has Workmen's Compen- sation and/or Employers Liability for the statutory limits prescribed by'California Law (if limits are shown). Q6. Certificate of Workmen's Compensation Insurance on file has expired. Please be notified that your permit(s) are deemed to be null and void until the above required Certificate is on file in this office.' Do not send or bring in the policy. Section 3800 of the State of California Labor Code requires that the CERTIFICATE of Workmen's Compensation be on file in this office. Should. you have. any questions concerning,this matter, please. contact this office:. . Yours very truly, William Cheff Director of Public Works . F•. Glander JFG:aj I Chief Building Inspector I S o �S T, T i Y �O � ly 7-7 35- 3 ,� .�,.. . r_. uva .i+e .i y w4,i.'. Y"`. i3r}i ....�.iv',.,rf+'. .,hR' , � I _+�,•.� � _ 33-053-05 x: .. � � , , 4001-90P CHILTON, Wanda &William 331 Fig Ave, Oroville' ' ' . � s (gas pipe/MH) M .COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS-;, PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephoner 916/538-741 .1 APPLICATIQN AND PERMIT ASSESSOR PARCEL NUMBER 33-053-5 ZONING ARANH f BUILDING PERMIT OWNER NANDA & WILLIAM auLTON TELEPHONE 534-0659 SO. FT. OCC. BUILDING VALUATION ' OWNER'S MAILING ADDRESS I,A 175 BOULEVARD OROVILLE 95966 CONTRACTOR'S NAME OtdNEW� - Y\- - F_ TELEPHONE CONTR r R'SVILING ADDRESS \ Y I Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUNG331 ILDIFIGDAVENUE OROVILLE 95966 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeK] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G IN 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel Utilities [q Installation❑ 'Other ❑ Describe work: REPLACE #3943`"88 _ TUN FEM 25.00 5.00 Permit Fee $ Contractor ' ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP ORLESS10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW ' I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 Of the Business and Professions Code and my license is in full force and effect. License No. Classification JZ 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 I contract- ors. (Sec. 7044) ❑_ I am exempt under Sec. , Business and Professions Code for this reason OR ADDNSCONSTDWEACCLLIN GOCCUP.&) S. 21/20sgft NEW CONSTR ULTI.OUTLET NON•RE SID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@50C eAL93o FIXED APPLNS. OR Ex. Occup. OUTLETS (RESI0.) EA.) 2.00 Temporary service 10.00 me Facilities Mobile Home 15.00 Misc. H g 15.00 Permit Fee $ i 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 witli such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X?�� � '� �� ✓ `< Date �� Signature of Applicant — Owner:® Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ NST TYPE --- TOTAL FEE $ 25.00 HAZ I CUA PARK I SCHL I FLD I PAR PD HD I ISS This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBOC p� Br ce`'(I��' / ;`� 'L'� PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS r Date Receipt No. 84469 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 7 County Center Drive - Oroville, California 95965 - Telephone: APPLICATION AND PERMIT - WORKS P RMIT NO. 916/538-7541 ASSESSOR PARCEL NUMBER 33-053-5 CONING ARMH BUILDING PERMIT OWNER WANDA & WILLIAM CHILTON TELEPHONE 534-0659 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 175 LAKELAND BOULEVARD OROVILLE 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 331 FIG AVENUE OROVILLE 95966 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G W I 1 110-00e 10.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtilitiesEN Installation❑ Other ❑ Describe work: REPLACE #3943-88 MIN PERM 25.00 5.00 Permit Fee $ 25.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license IS In full force and effect. License No. Classification rnFIXED 1, as the owner, or my employees with wages as their Sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR AODNS. ( ACC. BLDGS. , 2/20sgft NEW CONSTR ULTI.OUT LET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS & (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20®50C eAL®30 APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 +_ I 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 FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is coPrect. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai�n/st�qaid County in conspquepce of the granting of this permit. X !�/-�-�c._ 'k %� /� `j'O Date Signature of Applicant — Owner,d Controctor ❑ AgentEn An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 25,00 HAz I CUA PARK [SCHL I FLD I PAR PD HD Issue This permit is nereby issued under sions of the Butte County Code and/or work i ' ated above for which fees DI R OF P Be'c BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS ) Date—it Receipt No. 24469 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI4,LE„CALIFORNIA 95965 - TELEPHONE: 916/538-7541 4 PERMIT APPLICATION DATA SHEET - Permit No. OWNER (it/ �' I j/y A. P. Proposed Building Use ����� Building Inspector Date -/i <--3 - At time of permit application, I was advised .the following data must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. 2. Plot plans in duplicate/triplicate, signed by preparer of plans. 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and AC Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome installation data including manufacturer's installation instructions. 10. Fees of $ 11: Chico Urban Area fees paid. 12. Park fees paid. 13. School District fees paid. 14. Sanitation approval from Health Department. 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land. Development Section of DPW. 9. Driveway permit (cN�struhgn approval req fired rior ggcupancy). 20. Pre -Inspection for recti r21. Contractor's licensform tion (No., Name Style, Classification). 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑). 24. Recorded copy of Agricultural Acknowledgment Statement. 25. Letter of signature authorization. 9A 27. =Telephone— 'sue-the permit, proces as follows: Mail t r. Mail to contractor. /✓- 3�O6S /and hold for pickup at �ffice. Deliver w. /inspector. Other AppI icant GENERAL INFORMATION Date BUILDING DEPARTMENT OFFICES HEALTH DEPARTMENT OFFICES Chico. . . . 196 Memorial Way Chico. 196 Memorial Way Phone: 891-2751 Phone: 891-2727 Hours: 8:00 a.m. - 12:00 a.m. Hours: 8:00 a.m. - 9:00 a.m. Orovi I le 7 County Center Drive Phone: 538-7541 Hours: 8:00 a.m. - 5:00 p.m. Paradise. . . 747 Elliott Road Phone: 872-6307 Hours: 8:00 a.m. - 12:00 a.m. Orovi I le . . . 7 County Center Drive Phone: 538-7281 Hours: 8:00 a.m.: 10:00 a.m. Paradise. . . 747 Elliott Road Phone: 872-6308 Hours: 8:00 a.m. - 9:00 a.m. PLANNING DEPARTMENT —.7 County Center Drive, Oroville — Phone: 538-7601 — Hours: 10:00. a.m. 3:00 p.m. Original — Applicant .. ,. .".-- • ' iq.� --� • Tt+_�v+-K"^'V.",i4'^'�Y'..^'�•�•{',i►+7"ia3„"r .. .., r - e. r_Yw� ... COUNTY'OF BUTTE - DEPARTMENT,�OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI6EaO'AE4FORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPL-ICATION DATA SHEET ' r '_,L Permit No. / \OWNER W L �' � / �L 7 e� A j P -3 S� Proposed Building Use (f_ Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ ......... , 2.. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation r % instructions................................................. ..... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... L. 12. Park fees paid 13. School District fees paid ............. . 14. Sanitation approval' -from ' Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan'and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ....... 18. Improvements may be..required.,ContacY Land Development Section DPW 19. Driveway permit (c stru t' n approval,re fired rior cu.pancy) 20. Pre -Inspection for" ` regi r� ,Pre-Inspec. requestt f Building Inspector J(Dat 1. Contractor's license inform tion (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑; Mail to owner o) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ........... ................ . .. . 26. 27. When you ' sue the permit proces as follows`: Mail t r. Mail to contractor. Telephone an y 3�0 s d hol, d for pickup at—����ffice. Deliver w./inspector. Other " t.y Applicant ' .Date Copy of Haz-Mat form sent Health Dept. Fire Dept. air Pollution Date Copy of plans sent _Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle'new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW 3 0 4~ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION'AND PERMIT ASS OR PARCEL NUMBER / ZONING BUILDING PERMIT ._ OWNER/� Q WITH C) W /✓ I I /✓ TELEPHONE � 17V SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9 CO,jj�T A T. TELEPH ON CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN C Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR -ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS v � Permit fee $ f PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF UCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S 10-00ed (� TYPE OF WORKS New❑ Addition[_Remod�el/❑ Utilities Installation❑ Other Describe work:�L /T�� �J 9 3—� O Permit /h e Fj $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OV OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD-L 100 AMP 2.5.50 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. Lt' . Classification ❑ I, as the owner,`or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044). -- ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.e` OR ADDNS. ( ACC. BLDGS. I , /20sgft NEW CONSTFL UL I -OUTLET NF BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 ( SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES ew 030 Ex. Occup. OUTLETS ED AP(RESIO )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. - ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree. to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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. _ . .. _._-. - ... ___... _,_ _..:�- � ... Date X - _ `-- - Signature of Applicant — - -Owner❑ , Contractor❑ Agent ❑ An OSHA permit' is' -required for -excavations over,5'0" deep and demolition or construct- ion of structures ov'er/3 stories in height. — -- Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 1 (� HAZ I CUA PARK I SCHL I FLD I PAR PD PO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No: �1__ ._ � .. , WNITE-D.P.W.. YELLOW -ASSESSOR. PINK•INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Mpartnent of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 01MER-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 ssued 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)�_. Z Z2 I (have/have not) signed an application for a building -permit r �r s re mit 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: r 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 verification must be completed and returned to our office before we are per- mitted to issue the permit. a, f . v, • � t COUNTY. OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. ( 7 -County Center Drive - Oroville, California 95965 -Telephoner 916/538-7541 - w� �'-� 5(i APPLICATI-ON AND PERMIT (� ASSESSOR PARCEL NUMBER' 33 0� -5 Z "'"G M BUILDING PERMIT OWNER J,1 Als,3gAo6,s� �� � 'h !+ o TELEPHONE SQ. FT. OCC, BUILDING VALUATION OWNER'SMAILING ADDRESS I') 5 Iia k,- /a .4,J 51v/. 01'av;lle. CONTRACTOR'S NAME 0 44.),4/ e/" TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER -UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PERMIT Filing Fee 10.00 3-:5PLUMBING I 1 A� { Each Trap 2.00 4)U Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each etas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 10.00 0.0-0 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other ❑ Describe work: ZM Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service ,00 AMP OR00V OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification - + 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044)Mobile ❑ 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 , OCCUP.N� ADDNS'/zQsgft oR CONST. WELBLDGS. / NEW CONSTR u TI -OUTLET 2.50 ea NON.RESID .BRA CH CIRCUITS) POWER APPARATUS e (SINGLE OUTLET CIR. zq Ex. DCCUp OUTLETS OR FIXTURES D FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) Temporary service Home Facilities Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject 1 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, inde nify and eep�h rmiess the County of Butte against all I'�'a0 ilitie§§*,J�'Ldgment cost tl �pVrses which may in any way accrue agaif4s�­sa4'dtadni&Ain const3qu f tAVikfting of this permit. Gr �/ X �u1,(tnrVY� �*'�� P��6� Date �; — V' 0 0 Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $--[ OCCUP. CONST.TYPE SCNooL FLOOD PARCEL Po NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WNITE-O.P.W., YELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 s APPLICATION AND" PERMIT PRIMIT�1 �1 ASSESSOR PARCEL NUMBER 3 - 053 -5 2 NTNG M BUILDING PERMI OWNER AI•1J� 4-lJ.h • t�11 i 0 Al TELEPHONE 53,q -0&5q S0. FT. OCC. BUILDING VALUATION IL NG ADDRESS OlSMAaN� CONTRACTOR'S NAME O ck)•v e - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER VNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,4' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 33� F� A� c Trap 2.00 'IJEach U C, ( ( --Q Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USEOF SZRUCTURE SF ❑ Duplex❑ Mobilehome /Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 10.00ea, 0.0,0 TYPE OF WORK New F] Addition❑ Remodel❑ Utilities Installation[] Other ❑ Describe work: ��S %�-// A Q S liter >; Permit Fee $ &-O Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADC'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under enalt of ur cecone : penalty perjury 1 y hk ( ) ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW , CONST. DWELLING OCC UP.EI OR ACDNS. ( ACC. BLDGS. _ /4sgft NEW CONSTRMU I.OUTLET 2.50 ea NON.RESID .BRA CH CIRCU TS POWER APPARATUS e (SINGLE OUTLET CIR. I @50 pOUTLETS OR FIXTURES e0 Ex. Occu NL1130 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): 17 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. jj''''jjpp 1 shall not employ any person in any manner so as to become subject `t'' to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, inde nify and eep mless the County of Butte against all HJp iljtie ments ost , e nses which may in any way accrue agai c e'qu ing of this permit. ' r ��� 8.- �� X Date Signature of Applicant — Owner El Cont. ctor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occu P. CONST,TYPc SCHOOL FLOOD PARCEL PD ND ISsuE This permit is her issued under sions of, the Butte County Code and/or work Died above for which IREF PUB PERMIT EXPIRES Date Date— the applicable provi- resolutions to do fees have been paid. IC ORKS Dat Receipt No. -7 (1'7_ S WHIT[-D.P.W., YELLOW-ASD[SSO R. PINK -INSPECTOR. GOLD ENROD-AP►LI CANT '� r' �.i`.i`�4�.. .r{..,t +� � _ i .! y - - ..� ► "w. T, r., i'rpy..4 �_C•OUs�N rY OF -BUTTE - DEPARTMENT OF PUBLIC WORKS O KS - B UILDING DIVISION '� fw=ce`: 7 COUNTY CENTER DRIVE-'OROVILL-E, CAILIj J-RN`IA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET y Permit No. OWNER �iiJ�Y �l��Gc� lel / / 7LO �A A. P. No. Proposed Building Use ',�i7�%% Building Inspector Date/2- !(-�719' At time of permit application, I was advised the following data mist be submitted prior to permit processing and/or issuance: l DATE RECEIVED APPROVED ' 1. All items have been submitted . ................................. Z 2. Plot plans in duplicate/triplicate, signed by preparer of plans....;.. - 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with well signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6 Statement of Intent for Non -Heated and AC Buldings .............. 7. Engineered truss details and layout in duplicate (req aired prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions........................................................ 9. Fees of $ .......................... 10. Chico Urban Area fees paid ......................................... 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing -permit ...................................... 15..NPlot plan and business license approval from City of (see City for other requirements) t 16. Planning approval for (A) Use: (B) Parkirg: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required ...... Bui;ding Insp ctort t� (Date) 20. Contractor's license information (No., Name Style; Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 2 Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 2 Recorded copy of Agricultural Acknowledgment Statement ....:...... . �e24, Letter of signature authorization ............... .............. :..... . 25. 26. L \ When you issue the permit, process as follows: Mail to owner. \ Mail to contractor. Telephone5',L1 7.26!q and hold for pictup at C officer. Deliver w/inspector. Other Applicant 14� Date � - Copy of plans sent Health Dept., Fire Cept., Other Date The following data must be submitted prior to permi- 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 da:a by—phone--mail X=counter by date Contractor, designer, owner, was advised of above required data by—phone —mai l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - 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) 2. I (have/have not)y1 aur'+ -e 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: F Property Owner Social Security Number $- Date / 3 FY 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. -?3- dS- 3-Y ►A PERMIT ' 101 UTIL.CLEARANCE' DATE INSPECTOR ` ELECTRIC GAS Support Compaction Struc. lTest.Req. Service Size AP # �. Pipe Size Length PERMIT ' 101 UTIL.CLEARANCE' DATE INSPECTOR ` ELECTRIC GAS Support Compaction Struc. lTest.Req. Service Size Other Load Type Pipe Size Length YES NO YES NO COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIO.ll 7 County Center Drive - Oroville, gpiliforni,a 95965 - Telephone 916/534-45410 _ APPLICATIPN AND PERMIT ASSW,y PA o,UMBER� BUILDING PERMIT OWNE, 0146 �/ - r T Owl TELEP Ot E SO. FT. OCC. BUILDING VALUATION O SNT-1 ILIN ADD ESS n v. d Z1r CO ACTOR' NAME .— V.— TELEPH E CONTRACTOR'S CONTRACTOR S MAILING ADDRESS Fireplace CONST UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 1� LENDER'S MAILING ADDRESS Permit Fee $ ARC t ECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS -- U2 �__46 Permit fee $ f PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Ore 1/ Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex MobilehomeOther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 7N 0.00 ea (10 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities -W Installation❑ Other ❑ Describe work: Soo In IAI Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 110.00 Main service BOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 p? CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ) ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUslnes$ and Professions Code and my license is in full force and effect.SINGLE License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& ,h2sgft OR ACDNS. ACC. BLDGS. NEW CONST R.MULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050t SALO 30 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID,) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County or 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 gid County inc�� of the granting of this permit. �- Date �'�� Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCOP. CONST.TYPE FLoo PARCE P ND Is u This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR 0BLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS 12/ Date �(� �� Receipt No. � WNITE•D.P.W., YELLOW-ASSCSSOR, PINK•INSPECTOR. GOLDENROD -APPLICANT v COUNTY OF BUTTE - DEPARTMENf OgOUBLIC WORKS - BUILDING DIVISION _7 COUNTY CENTER DRIVE - OROVILLE,tii✓AL"tPOeiNIA•95965 / TELEPHONE: 916%534-4541 / PERMIT Av'RLICAT[ N DATA SHEET / Permit No. V OWNER Cil [ 1 C, r C d.+'� A. P. N � " ,3 -� Proposed Building Use B.iild ng Inspector Date (-7142 s cK At time of permit application, I was advised the following, data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1, All items have been submitte 0 22. Plot plans in duplicate./� IY pl� fate, signed by p•-eparer of plans. . �l—�2 G 3. Complete plans in duplicate. /triplicate, signed, by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , . , , , , , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: : 12. Certificate of Workmen's Compensation Insurance. .. 13. Contractor's License Information (no., name Etyle, classif.) 14, Owner -Builder Verification (Given to owner, Mail to ownerE]). _15. Improvements may be required. . . . . , . , , , , 16. Mobilehome Installation Data. . . . . . . . . . 1 Pre-Inspec. request to (Dote) Pre -Inspection for Required, Building Inspect r 1 Recorded copy of Agr•c Itur I Acknowledgment Statement.9— �.—�-5 Driveway Permit. Q�� j 20. Plot plan approval from city of 21. 22. When you issue the per it process as follows: Mail -to wrier, Maii to contractor. ___)�Telephone' 6 and hold for pickup at office, Deliver w/inspector. Other APPliicant�`/r%/l_te Copy of plans sent Health Dept., ^File Dept„ Other Date The following data mut be submitted prior to permit issuance'(Circle new item not checked above). 1. Index permitifor above items No. 2. Additional items required: / Contractor, designer, owner, was advised of above required data by_phone---jnaiI—counter by date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date �f� Plans checked by - Date Plans approved by ate l v '" Sets of plans on hold in File cabinet AP folder Copy—DPW — Hours: 10:00 a.m. - 3:00 p.m. To: juiiding Departs i��.nt From: ,-mvironmental }{e:ilth Subject: Sanitation Clearance 1044 Orme O� °� `Lt A �1'/I Plan Approved for: Sewage disposal =-� r:ater E.upply Hold final for: Final clearance O.K. for: Clearance for CP— bedroom mobile home. Other e:;:ter supply eater supply ,�; - -��1. Date 3' 33-os3-Su. 33� 7-jy �ClC�hdL( cfj i Toy /✓e�o.? -7- neeWe/ COUNTY OF BUTTE'- Department of Public' Works 7 County Center Drive, Oroville, CA 95965 Phone: -916-534-4541 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) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No.' 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Z4i��27�6 Property Owner ���i Social Security Number Date 9- 25= frl 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. Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT n -;;y r, ; ,.,�;, C�, �.;. ! ,,R►rje FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement PARI 'f Slliovvw be recorded prior to issuance of a building permit. 1 SEP 26 AN 10: 11 86®32426 The property described herein is adjacent to land or included ELEA'r;01,; within an area zoned for agricultural purposes, and residents of this 'C. .-f;ECO2llER FEE 66— property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use.for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lot 10 in Block 34, as shown on that certain Map entitled, "Map of the Western Pacific Addition to Oroville", which Map was recorded in the office of the Recorder of th eCounty of Butte, State of California, on November 14, 1905 in Book 4 of Maps, at page 16. Date: Sept. 25, 1986 PROPERTY OWNERS: State of- California') On this the, 25th day of Sept. 1986 , before County of Butte SS. me, the undersigned Notary Public, personally appeared ) Wanda Chilton L/ Personally known to me. fX Proved to me on the basis of satisfactory evidence. otg®amo®®m®aa®a©�gaaa�®®° ®to be the person(s) whose names)) ubs, ibed to PATSY L. CARTER ®.the within instrument and acknowledged that NOTARY PUBLIC -CALIFORNIA aexecuted the same for the purposes therein contained. Butte County ® IN WITNESS WHEREOF, Er My Commission Expires May 13,1888 F , I hereunto set my hand and official seal Notary Public Present A.P. No. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS c= 7 County Center Drive - Oroville, ralifornia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMI� ASSESSOR PARC L N MBEq_ ZO _ BUILDING PERMIT OWN //,� ,A^ T=LE/JPHON/E SQ. FT. OCC. BUILDING VALUATION O WNF. 'S AILING CORE S / YJ U ` CONT TOR'S NAME TELEPHONE CO A TOR' MAILING ADDRESS Fireplace CONST CTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ;X2 e ARCHI CT OR ENGINEER OL LICENSE No. Plan Checking Fee Energy Plan Checking Fee $ ARCHITECT O ENGINEER'S MAILING ADDRESS Penalty $. BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets5.00 Building sewer 5.00 Mobile Home S I G I W 10,00ea TYPE OF WORK New ❑ Addition [:1 Remodel❑ Utilities Installation❑ Other"] Describe work: �I 1 0 ([� _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ and Professions Code and my license is in full force and effect. License No. Classification y( flA—Il I, as the owner, or my employees with wages as their Sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OC CUP.& , OR ACDNS. ACC. BLDGS. /z¢sgft NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 SINGLE OUTLET CIR. ) Ep(OUTLETS OR FIXTURES e200e0a O Ex. ccu ALO 30 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot� Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s County in consequence of the granting of this permit. %��1� �l-nDate G%'S T Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPe I FLOOD PARCEL I PD ND 139UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IRECT PUBL By PERMIT XPIRES Date the applicable provi- resolutions to do fees ave been paid. RKS Date Receipt No. WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 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) _aJ 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address. City Phone Contractors License No. 5. I will provide some of the work,but I have contracted (hired) the following persons to provide the work indicated': Name Address Phone Type of Work Signed: Property Owner Social Security Number Datear-- NOTE: This Owner -Builder Verification is sent to you as required by Sect,4ons,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. 3574-88MHI ex site 11/14/89 WANDA CHILTON owner 33-053-5 331 Fig Ave, ORoville L'7 &S -S- p� 7-' z� Temp. Power Pole — Called PG&E— Temp. Elec. Service Called PG&E — Temp. Gas Service _ Called PG&E — JOB FINALED (Date) Signature r I V 14 •. IS 2• It PERMIT NO. PERMIT EXPIRES. — t, OWNER i 3574-88MHI ex site 11/14/89 WANDA CHILTON owner 33-053-5 331 Fig Ave, ORoville L'7 &S -S- p� 7-' z� Temp. Power Pole — Called PG&E— Temp. Elec. Service Called PG&E — Temp. Gas Service _ Called PG&E — JOB FINALED (Date) Signature r I V 14 •. IS 2• It PERMIT NO. PERMIT EXPIRES. — OWNER i CONTR. rASSESSOR PARCEL LOCATION r 3574-88MHI ex site 11/14/89 WANDA CHILTON owner 33-053-5 331 Fig Ave, ORoville L'7 &S -S- p� 7-' z� Temp. Power Pole — Called PG&E— Temp. Elec. Service Called PG&E — Temp. Gas Service _ Called PG&E — JOB FINALED (Date) Signature r I V 14 •. IS 2• It 7s7 PRE --INSPECTION OWNER: /-7L ) L-TV41 DATE' .::A.,*. P, CONTRACTOR: ZONING ------------------ PRE-INSPECTION FOR: PERMIT HISTORY: El NONE I TYPE OF OCCUPANCY DATE TO INSPECTOR E] AS FOLLOWS: FIELD - INFORMATION BUILDING USAGE: &182 TENNANT: OCCUPIED D HAS ELECTRIC HAS GAS Q HAS SANITATIONFACILITIES HEATED-COOLED PERSON CONTACTED OTHER COMMENTS: ACTION RECOMMENDED: E2 ISSUE HOLD FOR OTHER: BY DATE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS s 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 - CORRECTION NOTICE 3� 7q - PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this. matter, or need additional explanation, please contact.this office Immediately. Inspector Date _ .. q... el. +F �_'.r-yc.utirr�v^.�w:, '�'•�J�l,r1t1';; .�,?.� E :.+;.... y.l,r.�;..� e:�A:.. < . �: .�,;�..t�.. :b COUNTY OF BUTTE 11, DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872.-6307. .. ORRECTION NOTICE VNER PERMIT WO --. A routine inspection indicates that the following violations of County Ordinance ' y exist at the above address and should be corrected. Please notify this office when orrectlon of work is completed. If you have any question pertaining to this matt r, or need additional' explanation, please contact this office immediately. VA, J�l/ / i �,'/WE F.W. _ /moi OVA IN =OK o = NotOK RESIDENT9AL (Single and Duplex) - =Not Applicable Not Ready ' Date .UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. F;g., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. De 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance- Material -Su pprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -B1 Date Card -81 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Liqht-Shower Liqht-Soa Light Card -B1 Date Card -B1 Date Card -B1 Date Card -81 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -131 Date Card -131 Date Card -81 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date FRAMING (Contin 45. Hangers -Post Caps -Anchors -Connectors ( 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type ype AFlue-Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -B1 Date Card -61 Date Card -131 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In'Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -61 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) = OK 0 = Not OK = Not Readyable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS, GARAGE,--, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4: Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Elec 'city; Location-Clearances-Grnd.-/ / Amp -Concrete as; Location -Test -Wrap / P'L"ft. / /"Nat. or/ /1'L"ft!/34"'LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses i 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date./J--;t6-5-bard-B1 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date M961LEHOME INSTALLATION (Plans) OK except #'s Zoning Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date Footings- Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date 3. Gas' H es eman Valy Connector ect city; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s /5 rain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Wa MH Test- Reg ulato-Connec 2. Soils; Compaction -Structure Stability ater and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel-Connections-Thickness- Dead Men -Lining Ot8. Gas and Electricity Tagged p( 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 0( 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater I 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in*Conduit Card -B1 Date Card -61 Date Card -B1 Date Card -61 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date .Siq- a?- �_ 77/ "� 3qi3s7 Ji COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO. ' t / 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �000Y APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZO ,ln BUILDING PERMIT o 1 Urn �y®� + TELE//P HON SQ. FT. OCC. BUILDING VALUAtJbN OWER'S MAILING A DR SS CO ALTORS AM owNer TELEPHONE CON RACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ / 0-0 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee . $ aSO—D331 PLUMBING PERMIT Filing Fee 10.00 n Fla 17 Each Trap 2.00 Dfou 1 e Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF SiUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation Other ❑ 11 Describe work: _ V. /D 5S 11 << g Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 15) Main service 110V OR L 00 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.(DWELLING OCCUP.21/2 OR ADDNS. ACC. BLDGS. � ¢sgft NEW RFS'..CO RANCH TLETCIRCUITS) 2,50 ea NON•R ESID BRANCH CIRC ITS POWER APPARATUS o- (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®y0C . ALO 3o FIXED APLNS. \ Ex. Occup. OUTLETS (RESID.)REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. %��-�l�rr��-�' ���""' Date % �'Q Signature of Applicant — OwnerContractor 11Agent-work An OSHA permit is required for Nions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occup. CONST.TYPc I FLOOD PARCEL P SMD ss E This permit is hereby issued under sions of the Butte County Code and/or indi d above for which CT OF PUBLIC BY PERMIT EXPIRES Date— the applicable provi- resolutions to do fees have been paid. WORKS Date Feceipt No. oL� S NI TE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT M ,, � . � r......;.�r s..,,.H....r►+"�rtr r ,ci.+vn�v-'-. , .�.,..r;-,.,. _ . ,-.. �..T.*i#C,�l='�ci'r1"•ea.i�.�''c�."CirY*�eto•:'}�'�-'1^5�:��?`:a.,�-.+s ,1�::_ ►;a-•` _ x ;�- 0.4 4 A a... Y•roY• , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC. WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 VPERMIT APP,LI,CATION DATA SHEET II'' '' // I .: ". . Permit No. OWNER W6L A-) Ci. QAA , Vl ] (4 o �lI A. P. No. Proposed Building UseM r�' Building Inspectors Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. ' 2. 3. 4. 7 8. 9. 10. 11. 12. 13. 14. _ 15. 6. 17. All items.have been submitted. . . . . . . . . . . . Plot plans in duplicate./triplicate, signed by oreparer of plans. Complete plans in duplicate./triplicate, signed by preparer of plans. Complete engineered plans and calcs, with wet signature on plans. Plans with Energy Design Compliance Statement. . . . . School District "Fees Paid" Stamp on Floor Plan. Statement of Intent for Non -Heated and AC Buildings. Fees of $ , , . , . , , Letter of signature authorization. . . . . . . . . . . Sanitation approval from Health Dept. . . Planning approval for (A) Use: (B) Parking: . Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner0, Mail to ownerFl) Improvements may be required Mobi lehome Installation Data.. , . • . , . • . • . • . , . / Pre -Inspection for _ Pre-Inspec.•request to Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses'in duplicate (required pr or to plan check),. " 22. When ou issue the _permit, process as follows: Mail to owner, Mail to contractor. Telephone y- 065 and hold for. pickup at�2Ey office, Deliver w/inspector. Other (Date) App.l-cant ��= (��ate Copy of plans sent. Health Dept., Fi-e Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit. for above items No. 2. Additional items required: ` Contractor, designer, owner, was advised of above required data by_phone_—naiI—counter by Contractor, designer, owner, was advised of above required data by—phone —ma II—counteryy, Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder _ date — date r Date �- 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) ,=e S 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property OwneriG�GG 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 verification must be completed and returned to our office before we are per- mitted to issue the permit. BUTTE COUNTY SCHOOLS DEVELOPMENT ]FEE CERTIFICATION FORM (one Form per Building) A.P. Number 33-053- Building department No. School District Orooli `Je city Q county Jurisdiction Property Owner Ujl I J; C Project Location/Address F;3 I Fic, A v -c- J - o V 1, 1 Subdivision Lot Number f. Residential Development:, Sq.. Footage of Living MHI Addition (Group .R) UnIts Commercial/Industrial: Sq. Fpotage New Addition (Including Exterior. Roofed Areas) Building Dtp artment Represent'ative Date District Id No. 50 School District certifies that (Applidant-Name) ;I (Phone Number) 5_31 (St leet Address) 7..P, (City!) (State) (Zi Code) has complied with the requirements bf'Resolution No. by the payment ,of representing square feet. School. D ct. Repre`s I entat ive Date PAID BY CHECK N6._ REMARKS: BANK NO 7-14o,_5 PAID BY CASH J, zr white -applicant, yellow -building department, pink -school d1,0,X,,iict SCHOOL .FEE (5/88) .A a %7 }� pus NOTE -,AD Materials & Workmanship Shall Be -nn Accordance with Recognized Good Practices .'is �' b of a quality prescribed for the Specified use in e� Uniform Building, Plumbing & Mechanical Cedes d- X the National Electrical Code. This set of plans ands e-P—:� •'n s MUST kept on the job at all times and itsun awful' be make any changes or alterations on some without written permission from the Department of Public Works, County of Butte, wy)0 Utility connections shall be within 4 ft. of the mobilehome, either directly behind or within the rear half o0a of the mobilehome. 33—o5 -3—S BUTTE COUNTY BUILDING DEPARTMENT APPROVED A permit will Ue required for f6- C— �Z►, installation- of the mobilehome,, 0-1 '9 600 Sq. FT. MINIMUM - FOR MOBI - Z approved for occupancy. Plans must be available on job. A. P". No. 33-053-5 Owner WANDA & WM CHILTON - Contractor owner 2889-86P,E(MH) Expires PII Permit No. p iu PERMITTEE MUST CALL t FOR INSPECTIONS INSPECTION DATE INSPECTOR Footings - Piers Underground Conduit Do Not Pour Concrete Until Above Signed Ilnriprfinnr Piumhina 1-051 )Vv -- n. - --.-, ---- -,.. r , until all required Inspections are made and building Is aDDroved for occupancv. Plans must be available on lob. - l� _ 33-053-05 4001-90P ' $ CHILTON, Wanda & William Received By 331 Fig Ave, Oroville (gas pipe/MH) Title -Ly// Permit No. Expires By PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION DATE INSPECTOR Footings Piers Underground Conduit Do Not Pour Concrete Until Above Signed Underfloor Plumbin, i Underfloor Electrical Underfloor Mechanica Underfloor Framing Underfloor Electrical Underfloor Mechanical Underfloor Framing .c q • D"o Not Install Floor or Slab Until Above Signed Rough Plumbing Rough Electrical /—(5 a? - Rough Mechanical Framing Insulation eD k .- -7 - Do Not Cover Unti I Above Signed Fireplace Footing MObile Home S G W 0.00e • illation❑ Other Q Fireplace Throat Permit Fee $' UU Contractor Do Not Continue Fireplace Until Above Signed Stucco Lath �, " •;� r 600V OR Main service 100 AMP LF -55L 10.00 Scratch and Brown - �. .3 ,of "the Business ull _to�ce ,and -effect. `"-.^`ter_ >� q s their sole compen t Intended or .offered t'h'is nsed,contract- - nd Professions Coder NEW CONST. //DWELLING OCCUP.Ei� 1�ZQSq ft OR ADDNS. % ACC. SLOGS. ' Do Not Cover Until Above Signed Sewer Service Water Service Plumbing Final Electrical Final Mechanical Final Building or MH Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING Slab Do Not Install Floor or Slab Until Above Signed Rough Plumbing Rough Electrical Rough Mechanical Framing Insulation Do Not Cover Until Above Slgredl Fireplace Footing Fireplace Throat Do Not Continue Fireplace Until Above Signed Stucco Lath Scratch and Brown Do Not Cover Until Above Signed Sewer Service Water Service Plumbing Final Electrical Final Mechanical Final Building or MH Final DO NOT OCCUPY UNTIL AL 0.00 1 PLU7iAB1'N1G-rt,,— -._ — _. Each Trap 10.00 2•� ' .c q Solar or heat pump water heater 20.00 Water piping 5.00 PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 IPECIFr MObile Home S G W 0.00e • illation❑ Other Q MIA U • • Permit Fee $' UU Contractor .;` �� •,r::,:,; ELECTRICAL PERMIT Filing Fee 10.00 �, " •;� r 600V OR Main service 100 AMP LF -55L 10.00 Main service EA. ADD•L 100 AMP ,2.50 - �. .3 ,of "the Business ull _to�ce ,and -effect. `"-.^`ter_ >� q s their sole compen t Intended or .offered t'h'is nsed,contract- - nd Professions Coder NEW CONST. //DWELLING OCCUP.Ei� 1�ZQSq ft OR ADDNS. % ACC. SLOGS. ' NEW CONSTRULT'-OUTLET 2.SOea NON-RESID BR ANC. CIRC ITS ( POWER APPARATUS !)•• SINGLE OUTLET CIR. 20 a aoe Ex. OCCUp(OUTLETS OR FIXTURES AL&30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 - Temporary service10.00 Mobile Home Facilities 15-00 _ Misc. wiring 15 00 Permit Fee $ CEtr; }� Building"Department: ance -or CCertlficate' r �Y asto become subjectt 4you�become;,su lec>F . tli com ly'wJ 11 Such;I Contractor •_ ';- • MECHANICAL PERMIT. Filing Fee 10.00 Heating' F �Cooling ±Hood f 300' 'Ventilation' ..r = Peimlt Fee` t:.>`Y ° �" , - $ Contractor he ebOv@,iniyormat�on d Stete', aws,relatin I- lues of the Cot7nty o ' cyton}purpose y unty of Butte against' y "fn any'wayraccrue" Mobile Home Installation Fee _ Energy Inspection Fee ' .', . $ S V. OCC CONST TYPE L `, '` TOTAL FEE $ ` 2100 HAZ CUA. PARK SCHL I FLD • PAR PD .D• /ISSU