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HomeMy WebLinkAbout038-170-00317-3 Y. , Pat Jones yY3 y \ I S/S Han n Rd., app.2 0 W o Midway,>j17=0-003 92-21571. i S )NES, Steven & Patricia ii x jDurhamftY1Gt.� a� IYi? y Permit7,7/7,9 19-78P,E(u 1.,MH) ,8834 Taylor Ave, DUrham. AS Exemption Permit ELEC.fi! store sprayer, too s, spray S !l SUPPO T S RUCTURE REQ. A-V COMPACTION TET REQ. /ilQ !IA l-01Y/7 38-17-03 ' Permit ##6767-78PHI - ssued �r --38-17-3.- Permit -38-17-3.-Perrmit #874-79B(2 �new covered decks/MH) ' _.. n. Iri-38-17-3 ? •� r. Contr: Day Break Solar ,Oroville - w Permit#2593-82P(solar wtr htr)SF 38-17-03 1731-90B IG . JONES, Steven -- 8834 Taylor Ave, Durham Contr: AMRE (vinyl siding/sf) i ` p q- 0 b.1 . BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 8871 TAYLOR AVE Owner: Permit No: B09-0100 APN: 038-170-003 t SLIGHTOM DAVID R & RON Issued Date: 01/26/2009 By TMP Permit type: MISCELLANEOUS PO BOX 179 Subtype: Electric Panel DURHAM, CA 95938 Expiration Date: 01/26/2010 Description: NEW 200 AMP PANEL (530) 342-7827 Occupancy: Zoning: A5 A2( Contractor Applicant: Square Footage: EVANS ELECTRIC SLIGHTOM DAVID R & RON Building Garage RemdVAddn 236 W EAST AVE SUITE A PO BOX 179 r CHICO, CA 95926 DURHAM, CA 95938 Other Porch/Patio Total (530)966-0120 (530)342-7827 FEE INFORMATION DBE Single Phase Service-Resid $59.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires EVANS ELECTRIC 869052 / C 10 / 12/31/2009 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect;0000,. X /.� �10�7� 01/26/2009 Date I— WORKERS' COMPENSATION DECLARATION . 1 I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑n I have andwill maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Policy No. ❑I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for whichthis permit is issued. My workers' Carrier: EXEMPT Policy Number: Exp. Date: ❑I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the 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 X 01/26/2009 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. CONSTRUCTION'LENDING AGENCY DECLARATION I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name and Address Lender's Name & Address City State Zip Total Charged: $59.00 Fees Paid: Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION. I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): El1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale.). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law.). I am exempt from licensure under the Contractors' State License Law for the reason: 01/26/2009 PERMIT APPLICANT DECLARATION By my signature below, I certify to each of the following: am U a California licensed contractor or U the property owner' or U authorized to act on the property owner's behalf**. have read this construction permit application and the information I have provided is correct. agree to comply with all applicable city and county ordinances and state laws relating to building construction. 1 authorize representatives of this city or county to enter the above -identified property for inspection purP9ses. California Licensed Contractor, Property Owner' or Authorized FILE COPY 01/26/2009 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. BIN N "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Nam 9wrst FiV Name 00 f Mailing Addre ( City L� Stat Zipg,� Phone Fax DC E-mail APPLICANT SIGNATURE e X ' WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK.' Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: CONTRACTOR Name W Address t City J)a Address State Zip Phone Zip Fax E-mail Fax Lic. # Class APPLICANT SIGNATURE e X ' WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK.' Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER Name Flood Zone Address Address City No State Zip Phone State co Fax E-mail State License Number APPLICANT SIGNATURE e X ' WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK.' Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name Flood Zone Address Yes No Cityr 6W State co Zip ji Phone Fax Z� Q E-mail APPLICANT SIGNATURE e X ' WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK.' Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. 0 "S'7- UU BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION: Site Address: 8834 TAYLOR AVE Owner: Permit NO: B09-0019 APN: 038-170-003 SLIGHTOM DAVID R & K, Issued Date: 01/07/2009 By TMP Permit type: MISCELLANEOUS PO BOX 179 Subtype: Electric Panel DURHAM, CA 95938 Expiration Date: 01/07/2010 Description: NEW ELECTRICAL SERVICE (530) 342-7827 - Occupancy: Zoning: A5 A2( Contractor Applicant: Square Footage: EVANS ELECTRIC EVANS ELECTRIC Building Garage Remdl/Addn 236 W EAST AVE SUITE A 236 W EAST AVE SUITE A CHICO, CA 95926 CHICO, CA 95926 Other Porch/Patio Total (530)966-0120 (530)966-0120 FEE INFORMATION DBE Single Phase Service-Resid $59.00 Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B9490 LICENSED CONTRACTOR'S DECLARATION OWNER/ BUILDER DECLARATION-'. Contractor (Name) State Contractors License No. / Class / Expires I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for EVANS ELECTRIC 869052 / C 10 / 12/31/2009 the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, -demolish, or repair any structure, prior to its issuance, also requires the I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of r ision 3 of the Business and Professions Code, and my license applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions is in full force and effect. of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the - _ ''- X Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a subjects the applicant _- 01/07/2009 permit to a civil penalty of not more than five hundred dollars ($500).): Contract is Signature Date 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or ORKERS' COMPENSATION DECLARATION AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: improves the property, provided that the improvements are not intended or offered for sale. If, �IH�ERY have and will maintain a certificate of consent to self -insure for workers' however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or mpensation, issued by the Director of Industrial Relations as provided for by Section improved for the purpose of sale.). 3700 of the Labor Code, for the performance of the work for which this permit is issued. Policy No. 1, as owner of the property, am exclusively contracting with licensed Contractors to El ohave and will maintain workers' compensation insurance, as required by Section 3700 ❑ construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who f the Labor Code, for the performance of the work for which this permit is issued. My workers' contracts for the projects with a licensed Contractor pursuant to the Contractors' State License EXEMPT Cartier: Policy Number: Exp. Date: Law.). I am exempt from licensure under the Contractors' State License Law for the following ❑I certify that, in the performance of the work for which this permit is issued, I shall not reason: employ any person in any manner so as to become subject to the workers' compensation laws of C lifomia, and agree that, if I should become subject to the workers' X 01/07/2009 compensation pr ' 'o f ction 3700 of the Labor Code, I shall forthwith comply with Owner's Signature Date PERMIT APPLICANT DECLARATION""'-.," ` -X- 01/07/2009 Signatur Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS By my si ature below, I certify to each of the following: I am V a California licensed contractor or U the property owner' or U authorized to UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES act on the property owner's behalf". AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN I have read this construction permit application and the information I have provided is ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN correct. SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. California Licensed Contractor, Property Owner' or Authorized CONSTRUCTION LENDING AGENCY DECLARATION I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Address �(i _ / 01/0 %/2009 (�C-! �/� ✓� and Name of Fermittee [SIGN] Print Date FILE COPY Lender's Name & Address City State zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* ,— OFFICE #: (530) 538-7541 . FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION • Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. sog- bq BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. O NER INFORMATION Last Name l % J G b si Fust Nam o. Mailing Address • City Stat G tiP%5 r% 3� Phone -112— _ -7 ? Fax E-mail CONTRACTO Name e vele -2S Address Z s��,re S jam. City e�� PFax Zip � � Phone �G pJ U E-mail CC, # • G � Class APPLICANT SIGNATURE X n I PROJECT LOCATION CJ Property Address _./`r City WORKER'S COMPENSATION Policy Number Carrier IIf hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name r . Address DESCRIPTION OR SCOPE OF WORK. Ve fl V" e_ Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER Name ole &xA5 Address _ City Occ- State Zip Phone Fax E-mail State License Number APPLICANT SIGNATURE X n I PROJECT LOCATION CJ Property Address _./`r City WORKER'S COMPENSATION Policy Number Carrier IIf hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name r . Address DESCRIPTION OR SCOPE OF WORK. Ve fl V" e_ Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name ole &xA5 Addres City Occ- State Zip Phone Fax E-mail APPLICANT SIGNATURE X n I PROJECT LOCATION CJ Property Address _./`r City WORKER'S COMPENSATION Policy Number Carrier IIf hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name r . Address DESCRIPTION OR SCOPE OF WORK. Ve fl V" e_ Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ZoningI Flood Zone SRA I Yes No Occ- Type Const a .. F�{V 1 ';'�aCc-a..� R'+ars•e� k r..y TM...ysp n�vn^"s^n'W�"' (�i��96"k�//IDSA@(//'/+1pTp,7�PSD=�+n.' I�."i�wJ��� � 1 to _ ... • ' Gam/ (,7 %�/✓���i �! COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N0.-., ASSES50$jPAR^EL%B_ER ZONING BUILDING PERMIT, OW S�,/� �aN t'� G. TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ACTOR'S NAME Ci/i I ),794. CQt{•TRACTOR (LING ADDRESS/70 STL* A420y /,C/•G--- , Cll� /'',) ( % CONSTRUCTION Fireplace LENDER W_ UNKNOWN, Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEE LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BU&Nsc A,DDREss PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 77�� L 411 f �i tri.1 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets ,--/ USE OF STRUCTURE SF [:9 Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iiitties ❑ II stat ation❑ Other Describework: /"� Permit Fee $ U 'Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP LESS 5.00 Main service EA_ ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.y) OR ADDNS. ACC. BLDGS. 2¢ sq ft 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 Profess io s Code and my license is in full force and effect. License No. Classification. - S („� ❑ 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 NON -RESIT R RANCH CIRCTiTs 2-50 ea NEw CONSTR POWER APPARATUS e NON.RESID. (SINGLE OUTLET CIR. So 0254 Ex. Occup(OUTLETS OR FIXTURES BALei Ex. Occup. (ouTLETIXED s (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S 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[ againss4 said County in consequence_gf the • anting of this permit. X Date �� -I ��1�- Signature of Applicant — Owner ❑ Contro-A Agent ❑ permit is required for excavations over!� An OSHA 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE OCCUP. CROUP I TYPE OF CONST. -I PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work iI ndi;cated above for which �/�,IRECTOR�OF PUBLIC r/ BY PERMIT EXPtRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date _err y -J /�3y Receipt No. 7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Oroville,•CaliforAia 95965 - Telephone 916/534-454,1- APPLICATION 16/534-441-APPLICATION AND PERMIT ASSESSO PARCEL NUMBER -17- 3 ZONING / /BUILDING PERMIT 7 S C. TELEPHONE SO. FT. OCC: BUILDING VALUATION OWNER'S MAILING ADDRESS ME Cit i I / �R`/ / _�EJ �Q CQt�o ACTOR'S"1,9L /�/� 64* , / ////%%��Vl�� 19r%� Fireplace CONSTRUCTION LENDER UNKNOWN Q Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS ` Permit Fee $ ARCHITECT OR ENGINEE LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUI INC A DRESS�COP_ AVE, GGG..�777 T PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 QQ'' II Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 SFI �1 00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ lyistal lation ❑ Other—Contractor Describe work: ISO/2- ,L Permit Fee $ Oa ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2;50 NEW CONST. ( DWELLING OCCUP.EI\ OR ADDNS. ACC. BLDGS. / 20 sq it 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 Professio s Co a and my license is in full forceC and�J$ff ct. License No: Classification J C_ 4Z ❑ I, as the owner, or my employees with wages as their sole comlien- 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 CONSTR. I.ANCH CRC OUTLET 2,50 ea NEW NON.RESID BR IITS NEW CONSTR. NON.RESID. ( POWER APPARATUS SINGLE OUTLET CIR. 6) so@zs¢ Ex. Occup.(OUTLETS OR FIXTURES BAL@1 EX. Occup. OUTLETS FIXED P(RESID )LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. bk I have placed on file with the County of Butte Building Department 1--,.a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue againyt so County ijcon equenc the ranting of this permit. Date 82 Signature of Applicant — Owner Controc Agent ❑ An OSHA permit is required for excavations over5'0" deep and demolition or construct- ion of structures over 3 stories 'n height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 50.00 OCCUP. GROUP I TYPE OF CONST. PARCEL PD I HD I ISSUE This ermitishereby issued under sio f the Butte County Code and/or wo i cat LabveOF for which R�OF PUBLIC BY PERMIT EXPIRES Date the applicable provi-X resolutions to do fees have been paid. WORKS Date Receipt No. 3 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT BUILDING DIVISION r COUNTY OF BUTTE = DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE = OROVILLE;CALIFORNIA 95965 - TELEPHONE: (916) 536=7641 AGRICULTURAL R'UILDING EXEMPTION PERMIT S ' PERMIT N - Agricultural building is defined as follows- Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. 0 _ D� ZONING OWNER BM�V i /aj C_` r J PHONE NO OWNER'S,F LOCATION OF BUILDING ZD (_)Itt� PrLo x F4D tin M N -So UC-11SE OF B ILDI G I �� ww o t/ S N ca LA SIZE OF STRUCTURE ' X � ' SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEELCONCRETE OTHER (Spec'Ify) TYPE SI G ROOF COV I FLOOR TYPE ESTIMATE,DNSTRUCTION AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: 2-S` FRONT. `,rr-. <k- SIDES 9P REAR .2-15- / AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date 8 r b Signature of Owner Permit Fee - $50.00 The above described AG Building is exempt f/m a builldinp permit. / Receipt No. of- Mtn-. FLOO I PARC t�P.D I RGOFI G I ISSUE Manager Building Divisio By Date _2'-Z-0-,9 Z— White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant 0 COUNTY OF BUTTE - DEPARTMENT OF_. PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROXI�, ',; CALIFORNIA 95965 - TELEPHONE (916) 538-7541,. PERMIT APPLICATION DATA SHEET OWNER I [� V C�� 0y CCj P. No. e/ Proposed Building Use�a )Cri%1i1 19 %- Building Inspector Date_8 cf At time of rmit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ........................ 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . st 20. Pre -inspection for P��"ging Inspector required. . . to Building Inspeaor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . .............. . 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: ` (/ Mail to owner. Mail to contractor,, Telephone and hold for pickup at office. Deliver with inspector. Other i / / Parcel Creation Acreage Applicant Date /� Z Copy of Haz-Mat form sent "' Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to 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 _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 38-17-03 1731-90B JONES, Steven 8834 Taylor Ave, Durham Contr: AMRE (vinyl siding/sf) COUNTY OF,�BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center.Drive,= OroviIlet' California 95965 - Telephone: 916/538-7541 - a APPLICA-'IOIAND PERMIT ASSESSOR PARCEL NUMBER 38-17-3 ZONING 820 BUILDING PERMIT OWNER Steven Jones891-5111 TELEPHONE SO. FT. OCC.1 BUILDING VALUATION p est 5701 OWNER'S MAILING ADDRESS 8834 Taylor Ave Durham 95938 CONTRACTOR'S NAME AME- TELEPHONE 44.5-3222 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 56.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS dI Permit fee $ 66.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Durham 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 SFU Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation El . Other M( Describe work: vinyl aiding _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 V OR LEAMP ORSLESS 1 10.00 Main service EA. ADD'L 100 AMP 1 2.50 CONTRACTORS LICENSE LAW I declarq.under penalty of perjury (check one): I am licensed under provisions Of Chapt. 9, Div. 3 of the BusinessPOWER and Profess 10 ode and liceIs In full force and effect. .�S/y my license License No.' —Classification—l_ %� —f/ nf ❑ 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.� OR AODNS. ( ACC. BLDGS. , 2Osgft NEW CONSTP_ ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea APPARATUS e\ (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20®50Q Is ALO 30 FIXED PR Ex. Occup. OUTLETS IRESID )EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 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 FiIingFee 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. 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 again t said Co my in consequence of the granting of this permit. X Ltl LGY r�` CIL ,tf�(i� UAL �aA Date UU Signature of Applicant — Owner ❑ Contractor ❑ Agent L I I 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 $ 66.50 HAz CUA [PARK SCHL FLD I PAR PD HD Issue This permit is hereby issued under sions of the Butte County Code and/or DIRWORKS work indicated jkwl.�1011qhn 13 PERMIT EXPIRES Date the applicable provi- resolutions to do s have been paid. A -I A0 Receipt No. 66361 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE-,,Q4-.PARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 5965 - Telephone: 916/538-7541 / 3 APPLICATION Ah[�PERMIT —[ ASSESSOR PARCEL NUMBER 38=17-3 ZONING a20 BUILDING PERMIT OWNER Steven Jones TELEPHONE SQ. FT. OCC. BUILDING VALUATION p est 5781 OWNER'S MAILING ADDRESS 8834 Taylor Ave Durham 95938 CONTRACTOR'S NAME AME - 9001449-3299 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 56.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 8834 Taylor Ai,e Permit fee $ 66.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Durham 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 SFRX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10-00ea. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other a Describe work: vinyl siding _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 10.00 CONTRACTORS LICENSE LAW I declar nder penalty of perjury (check One): Xr I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi lo}❑ ^o�d/e and my license is in full force and effect. I 13ba C•-�r License No. ClassificationALO FlI, 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 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.ai OR ADDNS. ( ACC. SLOGS. ,/z�Sgft NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES .0a50 30C FIXED Ex. Occup. OU LETS PIRESID )APLNS.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 FiIingFee 10.00 Heating Cooling 9 Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again t said Co my in conse/�uenc-e of the granting of this permit. X � C��"` Date Signature of Applicant — Owner El Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE E $ 66.5 0 HAz cuA PARK SCHL PAR PD HD ISSUE5 This permit is hereby issued under sions of the Butte County Code and/or work indicated above f r which fees DIR F PU I B PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS a Date fy l Receipt No. 66361 WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE-43E,P4RTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ZON G PERMIT NO. _..;t�S r _ /_ 6) BUILDING PERMIT ..- OWNERI � y-- TELEPHONE I A/ r l /) n _< - G� / _�11 1 SO FT. O C. BUILDING VALUATION CONTRACTOR'S MAILING ADDRE55 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEER'S MAIL[ BUILDING ADDRESS� 1 LOT NO. SUBDIVISION NAME � /�-V D?Ky yyr TELEPHONE .6ao 14 2z UNKNOWN LICENSE NO. TRESS 4LD/2 (] D PARCEL MAP USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ IInstallatiion❑ Othek V Describe work: Ili- L s yI Ay CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ i, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ i am exempt under Sec. , Business and Professions Code for this reason 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. 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. Receipt No. 22 l.4_,i WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT Fireplace $ Contractor Total Valuation $ ELECTRICAL PERMIT Filing Fee 10.00 Filing Fee $ 10,00 Permit Fee $ 5(0 1 Plan Checking Fee $ POWER APPARATUS e SINGLE OUTLET CIR. Energy Plan Checking Fee $ a e0a BALM 30 Penalty $ Temporary service Permit fee $ 15.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 Water piping 5.00 Each gas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10.00ed Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.h\ OR ADDNS. l ACC. BLDGS. // y2QsQft NEW CONSTR. ULTI.OUTLET N ON.Re S,D BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occup(zD OUTLETS OR FIXTURES a e0a BALM 30 FIXED APLNS. EX. Occup. OUTLETS P(RESIO IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cool i ng Hood 3.00 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE �1 TOTAL FEE $ HAZ I CUA I PARK I SCHL I ILO I PAR I PD HD I ISSUE This permit is nereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date PERMIT NO. 6197-78F;E .� f r PERMIT EXPIRES -OWNER Pat Jones 0 !CONTR. owner 38-17-3 LOCATION (A.P. ) t SIS Hanlon Rd., app.200'W.of Midway,Durham I,//-ivtld 4/4z'7' , too ` f� e� S: o 0k� i Tempt -Power Pole Called PG&E emp. Elec. Serv. f Called PG&E /1 — A9 78 Temp. Gas Serv. 17-17 JOBa_ t FINAL ED (Date) 1 (Signature) 1�S , 0/-L—Electrical;.. I " . I r .. , . . A. Is service large enouo prove adequatamperage- to mobilehome (must -equal rating' of. mobilehome with a minimum of ).0 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes_ No B. Is there proper clearances around panels? Yes No_ C. Is power supply cord or feeder assembly properly fused? Yes!/ No D. Is continuity test satisfactory as per the following procedure? Yes_ o 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. 'Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and - apply the other lead to each mobilehome supply conductor, including neutral, 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. , 10. Is job card signed by Health;�Department for water and sanitation? �/ S 11. If everything okay, sign off card and tag services. / MOBILEHOME DATA Manufacturer and/or Namestyle �� °� ��� 7 ;7 Length �7> Width--� Vehicle Serial No. ��7 Z ` y J /.� Z State Identification No. 0 Jr 2 Additional Information or Comments: °4v a", "19 SfsC va d� (-S� f C, r MOBILEHOME INSTALLATION 'INSPECTION CHECK LIST Olt the mobilehome located with required separationfrom lot lines and buildings and generally nform to plot plan? Yes No 06 Does the mobilehome have required clearances above ground? (Sec.5085) Yes No ( )xre footings and supports properly sized, spaced, and braced as per approved plans? (Note tl�� possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No Is the mobilehome level? (Sec. 5088) Yes Ll_ o_ ®k If more an a single unit, are crossover connections properly installed? (Sec. 5088) Yes (94Water A. Is flex' le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes V No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes�o Backflo If coach is not State of California approved, does station have backflow device and pr sure -relief valve? Yes_ No_ astes and Drains A Is connection made with Schedule 40 DWV and have flex connectors at each end? Yeses No B. Does it have minimum 'k" per foot slope and is it properly supported? Yes_/ C. Are any leaks detected in drainage system after running.31gallons of water through each fixture including washing machine standpipe?,.Yes No I If coa is not State of California approved, does station have required trap and vent? Yes--,yNo_ 0)4as Piping and Gas Vents . A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: A11'piping is to be at least as large as the mobile a gas line inlet without reductions other than the mobilehome connector. Yes_ No Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome-with connector, turn on gas, test connections with soapy water. C.. Are all appliance vents properly installed? Yeses/4o_ In rior Lath ntilation N Permanent or Closer anal inal MOBILEHOME UTILITIES VZ0041 ec- Service 0fVlqF. Pedestal Water Piping Sewer as Piping .. MOSILEH2ME INSTA LATI N - - - - - - - - - - - - - - Support _ -:2rc Elec. Continuity _ 7 Water Piping�l Drainage Gas Piping j DATE REMARKS OR CORREC I" �iGt�%� '9 s Ole ,'�sd� �i �1� U.S�d % Ce�6,�.� �.� S£2d�c� wi•z„✓ (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD r, BUILDING BUILDING (Cont'd) PLUMBING Setback FI wall Sok Piping Forms Par Is 1 Floor Main Bldg. Restr m Finish 2nAFioor qotin s WindowIL 3rd k0or SteinwaII Siding To out Slab \,, Roof Sheatkng Water Pi I Piers\k Roofing Sewer Garage, Fdn. Vents Fixtures Footin s Garage Vents Water Htr. Stemwall Insulation Heaters Slab Carport Footings Prov. for physical) handicapped 'a Conformance of ex. Y structure Appliances Gas Piping & Test f' Temp. as Slab Final Sanitation Patio 1REP ACE Final Footings Footing El,�&TRIXAI Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam IFIRE SPRINKLE Motors Framing Test Water Htr. . Stucco Final Subpanel,' Mesh MECHANICAL Gird. FaklWt Prot. Scralth Heatl Servic B n Coo ng TqAp. Pole F ish D is der round In rior Lath ntilation N Permanent or Closer anal inal MOBILEHOME UTILITIES VZ0041 ec- Service 0fVlqF. Pedestal Water Piping Sewer as Piping .. MOSILEH2ME INSTA LATI N - - - - - - - - - - - - - - Support _ -:2rc Elec. Continuity _ 7 Water Piping�l Drainage Gas Piping j DATE REMARKS OR CORREC I" �iGt�%� '9 s Ole ,'�sd� �i �1� U.S�d % Ce�6,�.� �.� S£2d�c� wi•z„✓ (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number (0767- IFP for the following location: ��rs-" �a� r. _ ;Owner '45 Owner's Address Mobilehome Mfg. ti��dG Model a Year'�� Insignia No. /JS/?�, $Ag", Serial No.,'11717 JJA-' " e It is hereby certified for occupancy at the above described location and may be occupied. Date /By Director of Public Works THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED '� White - Owner, Yellow - Installer, Pink - D.P.W. im BUILDING DEPI7ci-a.,T �;�; rho,.: Irl �1,� ,(� ; y, �v/y7 7, 'itio t Clea Seaace and/or hater artdJor rarce(s) STEVEN D. JONES' sw ham AP.QAR_17-n_00A_ux"AT IONa 'r lasts ara . approved for: ;fold t:-;) final for: Sewag-- Disposal X Final Clearance ok for: Clearance is for a 2 bedroom (ho--' O: L:e011e hOT-e) _ Other G% rhz addition(s) will .be Prater Supply X Water Supply_X i ater Supply *:EM/ D�� October 17, 1978 Stitt-- ria % Dates Z�� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOWS Jt County Center Drive '- Oroville, California 95965 Y Telephone: 534-4541 / APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x r Date Signature of Permiitt�ee or ent VP Receipt No. / '� 0 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 BLIC WORKS BY Date/ -R i Iding permit expires Date _ `„ J � ' 77 BUILDING Owner �— SQ. FT. OCC. BUILDING VALUATION 1 O Mailing Address12 Teleph=ne No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address �a a�¢jYLc�N Plan Checking Fee&/or Penalty Permit Fee ®O w d L -J PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ®I� ach Trap 1.50 Repair drainage or vent piping 1,50 A. P. No. — % -O Zoning a Plo g Water piping 1.50 CC Each gas water heater or vent 1.50 F s S n ion Fire Dept. Fire Zone Use Pe it Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel p 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 . Q � � Bldg. aRl'ns Recd L Parcel Vpprovol PI o&0<PProVQI Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ ,QO $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V ORLESS _1 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service O100VERAMP eo0vOR LESS 25.00 Main service(( EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % ACCLBLDGS.LING CCUP. 4\ 20sq ft / CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleOR of: NEW CONSTRRANCH CIRCUITS) NON.RESID (MULTI BRANCH CIRCUITS 2.50ea NEW CON ST R ( POWER APPARATUS 9 NON-RESID, (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTIIRES 50 @;7 BAL@T Ex. OCCU FIXED APPLNS. Occup. (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring w,LLL n JR I -am exempt from the Contractors License Laws of the State of California. Permit Fee$ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑1 have placed on file with the Couhty of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $p'2��� TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x r Date Signature of Permiitt�ee or ent VP Receipt No. / '� 0 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 BLIC WORKS BY Date/ -R i Iding permit expires Date _ `„ J � ' 77 �+ r COUNTY OF BCiTsTE- — OEPAR-TMENT OF PUBLIC WORKS 7 County Center Drive = Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owners SO. FT. OCC. BUILDING VAL ATION Mailing Address —75 Telephone Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address ,i dam? /fy>v�� Plan Checking Fee &/or Penalty $ Permit Fee PLUMBINGNo. @ FEE PERMIT FILING FEE $3.00 Each Trao 1,50 Repair drainage or vent piping 1.50 A. P. No. 9d^ �.. _ Zoning 8, Planning Water piping 1,50 Each gas water heater or vent 1.50 s wl 6644ke en Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map, 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 4111, aid °�—Ple 9 R=e'd Parce royal Pla pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ '= ? ELECTRICAL No. @ FEE . PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 t00 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST,OR ADDNS. ACC`BL GS.LING CCUP. 4\ 2¢Sgft / CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y NEW CONSTR -OUTLET NO N•R ESI D, BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS B NON•RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIPES) oue 250 ,5 Ex. Occu FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor MECHANICAL No. FEE PERMIT FILING FEE F$3.00 Heatina Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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. X2 s /7 Date 7 Signature of Permitee P Agent Receipt No. Icz� le O 4(e­c� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Cooling Venti Iation Hood 1 2.00 Permit Fee $ $ apide $ (Sp TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abov which fees have been paid. RC OF PU WORKS ate M Building permit expires Date— MOBILEHOME SUPPORT DATA If other than single wide, / y Mobilehome Mfr._ U �9- furnish Setup Model No. �g, 1 S/!Year Width�Z�2 (ft.) Box Length 0 V (ft.) Tagalong or Expando Size ft. x / ft. (SHOW SUPPORT DETAILS BE)LOW) On all mobilehomes manufactured aA er October 7, 1973, furnish manufacturer's installat-ion manual and structural setup sheets' (if not on file with the County of Butte). All center supports measured from -front of mobilehome unless otherwise specified. Footings (check one) # Single �!! 1. Wood either n — n pressure treated or (ft.)(in.) in. in. N\' \ Center support Center support locations-' footing sizes (in.) (ft.)(in.) (in.) (in.) ii), ' �i36 (ft.)(in.) , (in.) (in.) foundation grade. ❑ 2. Other (specify) Supports (check one) 1. Concrete block. 0 2. Other (specify) 4 --Tagalong or Expando, show support details. Typical' Support (in.) (in.) Footing Size Max. Pier Spacing (ft.)(in.) --,Max. Overhang (ft.) (in.) BUTTE COUNTY BUILDING DEPARTMENR • �PPRovE� �f *If center piers are other than drawn above, draw in locations, spacing, and dimensions. 0 (in.) (in.) t (in.) (in.) (in-) foundation grade. ❑ 2. Other (specify) Supports (check one) 1. Concrete block. 0 2. Other (specify) 4 --Tagalong or Expando, show support details. Typical' Support (in.) (in.) Footing Size Max. Pier Spacing (ft.)(in.) --,Max. Overhang (ft.) (in.) BUTTE COUNTY BUILDING DEPARTMENR • �PPRovE� �f *If center piers are other than drawn above, draw in locations, spacing, and dimensions. 0 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 Countv Center Drive, Oroville, CA. PHONE: 534-4541 1 i MOBILEHOME INSTALLATION SHEET p i 1. Owner's name: y (4 : / 1i/ e A 14 -0 IV 2. Installer's name: �� No�7 3. Is the site currently under permit? Yes / No (If yes, furnish permit number ,I - Z !%�-- /�� t ) OR Is the site an existing site? Yes / / No 7. What is the mobilehome site circuit breaker rating? ------------- / 0 0 Amps 8. Is there any other electric load to be served by the mobilehome site service? ---------------------------------------= -------- Yes / / No A;e rj;jT (If yes, identify the load and size: V016 (Load) _ � (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ------------------------------ Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? �� (ft.) 12. What is the mobilehome gas demand? -------------------------- j----'�` ��� (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / / No (If no, clarify ) ( ) 5. What is the mobilehome electrical rating? ----------------------- /00 Amps 6. What is the mobilehome site service rating? --------------------- -• � C90- Amps 7. What is the mobilehome site circuit breaker rating? ------------- / 0 0 Amps 8. Is there any other electric load to be served by the mobilehome site service? ---------------------------------------= -------- Yes / / No A;e rj;jT (If yes, identify the load and size: V016 (Load) _ � (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ------------------------------ Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? �� (ft.) 12. What is the mobilehome gas demand? -------------------------- j----'�` ��� (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) This set kept on th male ;:ny a written pe, lic Works, The Side cent mum out 4 a #47 f plans and specifications MUST be job at �,:1 tures and it is uriavrful lr r ions on samo wit c;;• ?�issic a iron ;-he Department of Pul, county of Buffet . S wf Setback shatl be ft from the �••�� r )roperfy line and f. rom -line of the road, permitting a e. �f a 2 ff. eave overhang but entirely all easements. I R dNOTE:—Ali Marericls &c Worlanapshio Accordc;rce w;;h Recognized Good Prc of ea quali?y prescribe:, for the Spe ifi d Uniform Suildin Pl L'm6ing echa ical the ational Electrical Code. All utility conn frons shall located within 4 ft. oufsidg- the third section of t a Molle h on the left (road) si a of the me home. f X01 ao %P .® N4 I �G II MAMA) H 0 usjr Be in s and in the is and Septic system and location 44w" •i to be as per Suffe Ccunty HealtDepth Re- quirements. ` A616-d&f 7-)S' BUTTE COON I Y BUILDING DEPARTMEN R' APPROVED ? . pp . c Audb�38 al epao Po cal No. on w1hic'n ho=5 is to bt lccatod: 1-7 - o 03-0 3.T��n . �3���� raid tv,o i'o �.l�ing c^�fu�.ly b�for� sig:�ii_go r -A-3' d ji�qTicLl fir, � Raqul�.tion3 ; Section 2.1-d Allo z : 08� a Housing :rt;uc�l ti®s (in G;aL•G'•ing I��las� h®t��3�y t© accr�,l�d�tst OYlIy agr'.c'altural rapl0y8S2 g,b::�1i' families iliQs ymploycd. by the owner or cpgxq,tor of o p:.f0mises; sid pmovidzd furthsr.Last ouch housing Ca�;wlity sha11. b� c�nsid� d accassory to the main bul ding. and shall cLna-,to y:: pravision -pai �,.al ain:g to raquired yard and open spaco f cr digal lings . ' omdi. n_nc® rao, 1439 stat @: 0;1% . pACRIC .wNtMAL EMPLO E: i -a individual who varifia5, bypara*nal :,. oeA?i�.l,t .Aram by `�e"..�a �avit la j e joya , �whlo he is p or will be, ao c�y�d at l ,ate, t 32 hou—S r r o� � for at 1Q� t ib ��b�� per year , or t~-a?t hipprimary source of a:u1 income is, ©r .4.3 anticipated to b�, de -_10,73d fr=, q.Zay Oil the fo 1 -a -v ing d3scribed occupations: ( 1) - • gx®pa�ation, c a e, and treatment of farm land,. Dip-_ijn� or. ditch -.--.s,. Ir.--ludi.ng for ageiculttlr al . purposOs., plowing, discing, and fartili2ing tze sosl; (2) 'ohm zo-wing and p12 iting of any agricultural or horticultural. co.odity ; (3) .The cage of -any a9zicultural or horticultural commodity. As used in this subdivision, '2cara!" includes, but is not limited to, cultivation,. a `rigatio_s, wood ccntrol, thinning, hent g, pruning: or tiain , fumigating,pr4y.-l_Sg, and dusting.; 14) The harvesting of ary ag`iaaltural or ho. ticultural commodity,o including but not limited to, pircking, cutting, threshing, wing, ;nocking off, field chopping, b , ching, baling, balling, field packing: and placing in fiold containers or in Lias vehicle in ihich th cc=,-dbty will ba hauled on the farm Or to Li,Ls place of Aire t prC-C-2 ',31-19; ; rI)Tb.t a35i� : `ply aid z -:or a oo any agrie'�ltural or horticug- :urL?,s r including butrot limited to, loading, road-siding,-asking,-.tn_C;::A n g, bind ,,_ ag r -:"'iLd pilins ; ;03 mho s,ais- �, g, faGd .ng and rn.�ag� wont of 1! natoc , fur b as t ng anima ? 3, :` ash, fro a -id ot'�:ar aquatic animal and basgj, sncludin=but not. AinitE d to, hGs-ding, hou,3ing, hatching, ► iZM,ag, yhear.&ng, hane- i.ng _eggs , P,.nd ox .ray Urag hog ay . ('71 Thi o.�r�-, i®n , air e � to;,cn d i mpe a�r��taa-+ t or sora :e�nanc9 of! such f and its tools -nd �- .. �. ,i �� '•, � �� suw 4U� t`\ �J i• �I:iL. ..� i�4�� jw3i gas in �d `�•..^ �� ^^ � y�-psa L+�� •tu..✓--. Of fir]=Yr that. 1 roside at )3�X -7J C7 'DU r�� aI'd th-lit the peam.t happaliad for under th s- wpplicat-2o , for housing faciliti®s on propeartY idanti.f3.e3 in ENction 2, dens conforn to Saction 2.1-d as idgntif sd in Section 4 of this ' applica tion a-, id Agricult —za"U Employee as dmfinad in Ordinanca. Roe 1439, e 2ornab t description and n=bar tq 7— Date issued / a - Ste, d.BY �al:_��sr=1 �.7i :.�:u i..J �i - Lrl• ��i.i 2EJL'i��� �z�;S^`S i£�ol � . locatad:. I. Mha = num ch c r zoad tha is aowing CaRRMfully ^9goro signing: 'A-32 d��gricil r la R�guv$�=.io�.s o Saction 2.1-d cllowz: tea. i'9'ssirg R.tzoiloti®s dingy, ,Lcang aih nomna) to Moo .0cla.ts or:7y gra. a3.tiar�? Gnplove-12 and %thnir x,--w41jes Nmplo_aC.CZ by the ct.iner o;. cpn:s aaor of thQ PZOMis-Ra; .Z'w prQv_` d d fubthei that aucI► housing _ = o she ziafn b-i,2i? dj ng and shat I 'Sian-2-c...`1n to thz psz"rv: sirn p*?,tr_k a _3g to re Uirad ydiet and open EpLaco a lit' di -eel lin gz . 1 • Grdinrni-ica No. 1%333 a s zrifics �1..� del mho , by .paPaLna� and by' a' ?da it wf hi> C -7-M a ®r, th,-It ue {s, or will ba e.cnzt 231 houra �=Dr -N-M 44tiA at leant 16 '.d� - a's°3 Par Ycar, or tS?o^,_t hia pr LTM -27 5,013g$Z OZ arzmaa 2"ncomz in, or 3 -IticiPated to b e':y ':>> d zrCm, i.y sJ: the 1':9146::%.dig Cl_2ctibsd occu--o-t-',ons 1 TLS r,rc_a at3on;. �� wz, anddreatment of farm lar.ar or, ditchv ,: ircluc .ng for p_gr:cultvr81 purposes, plowing, d scing, and f:3rtilizing aha �_coij; '=e The., zowii.:y and Pla-,--ing of eny agricultural or horticul,.t-u,- ' com®dity; _j (3) SC�.o ca rn of an; .agricultural or horticultural carr-ndity'. pas ed i.-: his ulbdivdsi-o-1, 'cab®m includas, but ;s not limited to,. cultivation, i rigatioz.. wood cvltrol, thinning, heating, p-ur.-,ng,- or tici.ni , fumigatin j. :p_rayI.nq, and dusting; VS) aha h-avroisting of _ni agbic-altural or horticultural conn- odity,,, .n luC ini; bui; not licmis72C to, p_',cking, cutting^, threahing, T( w4 rig, sno:ming,off, fiaarl eh:-y,pi =?, b rbhing, baling, balling, fiold packing, z d • �acir_g Ln :?iald co ntaina ra or in thm Vahicle in .hich tY:� ca7_-L.. ,)'dity 741 h- •!! ;ruled or_ . tho farm or to ti:a places of. a 5) ii3w or bort' tr i.cu19 u'! -al cc : ? �u�' .s� .. .F3�! ?,:.:.Z.�: ��'�-� not ?ii ittad to �: _�?��ii3g, .' � �;:..•.i:C e i' :i .d Til i Z^ , �.i.:iding,. ro d -s -, ding, �+ !c oQ rro►/Ci+; }}�� 11 }� yR'•y ice^ •i b=:�.JiJw:Jy!7y,,, nrvv M-an�SgI�..+1ont Vi__ IJ&VIaata—ra, fur b is s °b lj� -.w d t: �.::or aquatic �'..1ato,-O•J1s, and ba—e3 - ' .,Jh -b..%.t.i l� i�:i1C ..'_.�.i G\, '.. � •J �!U _.^ztractring h �jaay. ^a Vim}.•; _ ,. •. n s 'a O 'a1 r�'� r3 r'.� . .. _.: ice... r' ::.6'.',-L Z''Zd�:. •�a: � J_''`,'3a.�1J'.5 '' .'."`'.C'e"Sp;,:n � � ._ ..._.. IMINSIF0MOON "H W I N RDIRR�!!�Il1RIIIilIR� 0 � •rC.� i dos~ a G iod for un applicatioi sr ' houl{ h. '.ua= � pZg"rtj�:j.d313 �`y�� 11th _ _• = 59ctaan 2, doal.s cot, Xorn' _ - too�jdantif4®d an S@ctiozl .th Of is - applicaticn aid A�-icuIt_,a,�i -plovee def;nad in Orains:1a leo. 1439. . Se Pa:clsit doscr2vtio and nu_��r % data issumd .-- 0 -, P. EAT N0. 874-79B E " PERMIT EXPIRES—d /'�A Pat Jones • OWNER CONTR. owner LOCATION (A.P. 39—.17-3 ) UTC n'Ioi»R . , app.200 W.of Midway, lX. j �-r-hatn— <� �} ev,-19 v r Temp. Power Pole_ Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB lr 140^L- (Date) 4 'L FINALED (Date) (Signature) Stucco COUNTY Or6UTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTfON RECORD Subpanels BUILDING' BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicaped Conformance of ex. structure A liances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATI N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS vt C4.,Za 1 'tAi (NOTE: An entry must be made on this form each time you visit the job site.) "COUNTY OF BUTTE DFP_A$TMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERT1iADDR 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. Inspectol�lW/ �i;!��/!/� Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS S 7 County Center Drive - Oraville, California 95965 -7 Telephone: 534-4541 APPLICATION AND PERMIT 00 A/ GUt lUII&V ICIJIC. VIIlGUVVb UI tiltl VIUullty UI DUllO IU CIIICI UpUn int' above-mentioned property for inspection purposes. X Date 79 Signature of Perm i ttee or (lent r r Receipt No.�a"�/ White-D.P.W. - Yellow -Assessor - Rink -Inspector - Goldenrod-Applicarit 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. i. DIRECTO YF PUBLIC WORKS • BY Dated wilding permit expires Date �� BUILDING Owner °� SQ. FT. OCC. BUILDING VALUATION Mailing Address 7 fJ �/V Telephone No. d Contractor ling Addres .. Telephone No. Fireplace Total Valuation Permit Fee Building Address' ` Plan Checking Fee&/ rPenalty Permit Fee _ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 r 10 Repair drainage or vent piping 1.50 A. P. No. �_ Zon•tanning Water piping 1.50 Each gas water heater or vent 1.50 F San' n Fire Dept. FireZone Use Permit Gas piping system 1 - 5outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map ' 60' R/W Improvement Each additional outlet[ .30 7• Building sewer 5.00 � � Bldg. PlEffs"Rec'd Porcel A rot/ Plans A oval NEWX ADDITION ❑ UTILITIES ❑ OTHER Lawn sprinkler system 2.00 permit Fee $ir$ . ELECTRICAL NO -1 @ FEE PERMIT FILING FEE $3.00 Main service soot/ OR LESS 100 AMP'[ LESS 5.00 Single Family ` Du lex Mobil Home Others 9 Y' ❑ P ❑ ❑ Main service EA, ADD•[ loo AMP 2.50 VV 1�L Main service OVER soot/ 25.00 100 AMP OR LESS Main serviceEA. ADO'L 100 AMP ,. �, 1.00 SOR ADDNSNEW T ( 1, ACCDWELBLDGS.CLING CUP, ").`M[20sgft CONTRACTORS LICENSE LAW r I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTRESID, BRANCHMULTI-OCIRCUITS) NON-RESID BRANCH CIRCUITS 2.5Oea NEW CONSTR (POWER APPARATUS s NON-RESID, `SINGLE OUTLET CIR. Ex. OCCUp{OUTLETS OR FIXTIIRES BAL�BAL@1 Ex. Occup.(0 TLETS ((RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 1TSjI am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued i shall not employ any person in any.manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL N0.1 @ FEEPERMIT FILING FEE $3.00 Heating - Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building, construction, and hereby Land Development Fee $ TOTALPERMIT FEE $ - GUt lUII&V ICIJIC. VIIlGUVVb UI tiltl VIUullty UI DUllO IU CIIICI UpUn int' above-mentioned property for inspection purposes. X Date 79 Signature of Perm i ttee or (lent r r Receipt No.�a"�/ White-D.P.W. - Yellow -Assessor - Rink -Inspector - Goldenrod-Applicarit 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. i. DIRECTO YF PUBLIC WORKS • BY Dated wilding permit expires Date �� Owner: - Address:. Tenant: - Building -BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT A.P. # a /7- S Date of Inspection ,5 = %rj'• Type of -Inspection requested: T7 1. Housing / / 2. Finnaancing� 3. Change of Occupancy to 4. Other (specify) &OLk Gni//2Z.Qyy Arw/7- Present use of building: t A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to,fixtures: 6: Heating facilities:. �t , 7. Natural -light and~venEflation: ` 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects,�vermin, or -rodents: 11. Connection to sewage disposal: '12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments D. Plumb in 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments (nnnt4n110rl nn hnnlrl E. Other 1. Maintenance and repair: 2. Fire hazards: 3r -Safety hazards: 4. Weather protection: ,S. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls:' S. Exits: 6. improvements: 7. Zoning: 8. Comments: G. V, 1A 1. 2. What action eke ( i amplete deSC.TlptiOn): OA 3. What action recommended: �Infion only - file. tea (10) days, then write letter. C. Write letter. 77D. Other. I j16- �- . �lp - . '2, FIRE DAMAGE REPORT OWNER: 51 L q h �0 51 LOCATION: ZS � ✓T �� .LAY /'� u i - CONTRACTOR: DATE: + ° (ln " 0,1 A.P.# 0390"D-0 :5 ZONING: 8 ` 2 D DATE TO INSPECTOR: 6-5-04— — tJ —04— PERMIT HISTORY:( ) NONE ( ) AS FOLLOWS: BUILDING INSPECTOR'S REPORT Building Description: Residential/# of Units:_ q �Vl Currently Occupied Abandoned/Vacant Electric: / Yes No Electric currently On V Off. /— Condition of Electric Gas: --- Natural Propane None ' . Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water /2= Obvious SewageProblems Description of Damaged Area: 7 ��� b�/el 21 Estimate Valuation of Damaged Area: Condition of Foundation: Mobile Home: Inspector. Sketch of Utilities:/L Date��/� reverse d in ate area of damage. _ _ NASA rCDF/BUTTE COUNTY FIRE INCIDENT LOG DATE REPORT TIME INCIDENT NUMBER 4148E LOGGED B JMH LOCAL FIRE NUMBE RO GAVETT UM I STATE FIRE NUMBER BI CASE NUMBER MEDICS LOCATION 18834 TAYLOR AV PRA IN3 ... .... ECC LJ J RP ICHERYL i PHONE NUMBER REPORT ME THO 911 WILDLAND FIRES El ESTIMATED ACRES C STRUCTURE FIRE OTHER (OUTBUILDING -S- EC OTHER FIRE MEDICAL AIDS PSA/OTHER HAZ MAT COMMENTS . ... ...... . . . ..... . ... --- .......... ....... ...... . ........... BARN EMD 1-1 OES EJ FIRE INFORMATION rlKr- INFO SENT HO BY JMH TO 45 7 -DAY LOGGED INITIALS JK INCIDENT NAM ITAYLOR ...... . ..... START DATE 1 4/14/2004 START TIME 14:301 DIAMOND # 5.0 CAUSE 1!!E!!f�!S BURNING LAND USE IFARM/RANCH ACRES TYPE OF ACRE DIAMOND 5 ONLY $ DAMAGE TYPE ALL OTHER DOLLAR DAMAGE 3000.001 SAVE 25000.001 INJURIES/FATALITIES D #CIVILIAN INJURIES 0] #CIVILIAN FATALITIES, 0j # FF INJURIE .Ojlj # FF FATALITIES ol FC -40 INFORMATION nnc'mien 5A FC -40 ❑ DATE OF FC -40 INC - AGENCY INC # INC P# FC -40 COMP DATE FC -40 COMP By 7 77 County Notifications F./I EARS Hard Copy Recieved F-] EARS Checked Agenst EARS Computer E] Yat Jones yy3y 17-3 38-17-0-003 �S/S Han yn Rd., app,200'W.of Midway, 92-2157 JONES, Steven &Patricia ham;.' +Durlii�•).� �i7 Permit19 -78P E(u 1. MH)��A� 8834 Taylor Ave, DUrham ELEC. %� ) A Exemption Permit (z S /1 store sprayer, too s, spray SUPPORT STRUCTURE REQ. A,)Q COMPACTION TET REQ .✓ /UU i. i1'IGt I IAIIY1%d 38-17-0300 0 r Permit #k6767-78AHI - ' issued %. 38-17-3 + ;-- Permit #874-79/B(2/new covered decks/MH) /rj.38-17-3 Contr: Day Break Solar ,Oroville Permit$2593-82P(solar wtr htr)SF i 38-17-03 — 1731-90B . J0P1ES, Steven 8834 Taylor Ave, Durham Contr: AMRE (vinyl siding/sf) �v