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HomeMy WebLinkAbout039-830-01249 39-0201 M & T Inc. S/SWt5 J3 p.3�4mi.E.of Chico River Rd.S.of River Rd. Y, Chico Per6P,E(uti1.,MH) ELE'hP;I'tt ' GAS G SUPPORT TRUCTURE REQ.COMPACTION TEST REQ: Y' 39-02-P,1a- Permit #5 .76'M- I 039-53-0-012 92-3020B M & T Ranch 11410 River Rd, Chico contr: Ely Roofing reroof/sf "*'T039-530-012 PERMIT#97-1715 M & T RANCH Fh Q 11410 River Rd, Chico "`'� Cont: Chico Electric 1a% Ele Ser Ch/SF / t i o/z . 1 49 39-0201 M & T Inc. S/SWt5 J3 p.3�4mi.E.of Chico River Rd.S.of River Rd. Y, Chico Per6P,E(uti1.,MH) ELE'hP;I'tt ' GAS G SUPPORT TRUCTURE REQ.COMPACTION TEST REQ: Y' 39-02-P,1a- Permit #5 .76'M- I 039-53-0-012 92-3020B M & T Ranch 11410 River Rd, Chico contr: Ely Roofing reroof/sf "*'T039-530-012 PERMIT#97-1715 M & T RANCH Fh Q 11410 River Rd, Chico "`'� Cont: Chico Electric 1a% Ele Ser Ch/SF / t i o/z r i 039-530-012 PERMIT#97-1715 M & T RANCH 11410 River Rd, Chico Cont: Chico Electric Q Ele Ser Ch/SF O,FFIICCEE COPY. AddressK-D 7DN�'v 9-woyy GAS Meter By Date ELECTRIC Meter By Date TF ld�'c� COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541,)/ / PERMIT -NO. (Rev. 12/96) APPLICATION AND PERMIT 4/ 7— / /23 ASSESSOR PARCEL NUf.J�F ,3C1. 5 30 • /'� 1 a VV •JJK(`'!j1 (�, ZONING BUILDING PERMIT J ' OWNER TELEPHONE SO. FT, OCC. BUILDING VALUATION OWNERS MAILING ADORIFr /"LC l-� i��l I CONTRACTOR'S NAME - C " S t CL -� T LEPH NE 7 �• Iq3.? CONTRACTOR'S MAIl.l(QI Da) y CONSTRUCTION LENDER ' Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS ' 1 L' ' 1 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 U SEOFSTRUCTURE 11 SE R v ' SF ❑ Duplex ❑ Mobilehome42' Other �(� �i� �!'� SPECIFv L► Each Trap 7.00 Solar or heat pump water heate 23.00 Water piping 15.00 Each gas water heater or vetlt 15.00 TYPE OF WORK It New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 2--4 DescribeWork: Va jj C iL- ; �L / - Gas piping system 1- 5 outlets 15.001 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE _ l_i Oti1CIA L GCA- v ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2. oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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.a License Class G —11 O Q,54-44� Lic. No. "11 i 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. ❑ 1, 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 v performance of the work for which this permit is issued. C3, I 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' pompensalon insurance carrier and policy number are: Carrier CA " /y��►! r�� Policy Number "1 (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' co{npensation aws of California, and agree that if I should become subject to the w kers' comp nsation provisions of section 3700 of the Labor Code, I shall fowith comp y with those provisions. �j X ate _ �! � hLSig ature of Applicant -& Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. so OR ADDNs. ( a ACC. BUDS. 3.5aR; NEW CONS .MULTI.OUTLET NON•RESID. RCIRCUITS97.50 PSINGLE OTLET CIR.OWER APPAURATUS Ex. Occup. OUTLET OR FI TURES eOkL20 @ 1ao Ex. Occup. ouTLEEDT. RESIDOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ L4 3 0 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation t PERMIT FEiE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ a . 3 CONST. TYPE "v nIII TOTAL FEE $ Ll 3 -p 0 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PO HO ISSUE This permit is hereby issued under of the Butte County Code and/or indicated bove for which fees have r rI By 1 �(U ;,-1:1C L_ p, PERMIT EXPIRES ON (� the applicable provisions Resolutions to do work been paid. 3 Date `1K .3 L�`l Date t Receipt No. �n 3 t -k -,G- 1) y� 9 Receipt WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, Ca1if6rn4 95965 - Telephone (916) 538-754�y �PE� (Rev. 12/96) APPLICATION AND PERMIT i/ -y/ ASSESSOR PARCEL NUV 39— 6-30-019, ZONING BUILDING PERMIT OWNER TELEPHONE S SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDijE$$.,�� C f7jY I Wim' CONTRACTOR'S T NE/9 / CONTRACTORS MAIJ�p�3; ESS ej, n J` CONSTRUCTION LENDER,(P_ Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT ORENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS , 1 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTR CTURE ' SF 0 Duplex ❑ MobilehomeNQ�Other SPECIFY Each Trap 7.00 Solar or heat pump water heate 23.00 Water piping 15.00 Each as water heater or ve 15.00 TYPE OF WORK / New ❑ Addition ❑ Remodel 13 Utilities ❑ Installation ❑ Other w Describe Work: — Gas piping s stem 1 - 5 ou is 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoo. oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter i . 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class (_ — (:� Lic. No. 4 5 OWNER -BUILDER D CLARATION 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 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. �. I 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' QPmpens�a�►G n insurance carrier and policy number are: Carrier �iR �.J,C� f ry 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' conaws of California, and agree that if I should become subject to the w kers' comp nsation provisions of section 3700 of the Labor Code, I shall fo rihwith comply with those provisions. X __ ate � Sig ature of Applicant - _Owner_ ❑ Contractor ❑ Age_ni An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO ,CCU000A 46.00 Wo L NEW CONST. OW0.LIN0 OCCUP. SO OR ADDNS. ( 8 ACC. BLOS. 3.52FT. NEW CONST. MUT'__ NO.. ID. C CIRCUITS 97.50 APPARATUS 8 SINGLE OUTLET CSR. Ex. Occu . OUTLET OR FIXTURES 20@''0° BAL @ .so Ex. Occup. OUTELED AE�S15.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ L43.06 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ 3 cv TYPE TOTAL FEE $ '3.()b HAZ. D. FEES IMP FLooD CDF PARCEL Po HD SSUE This permit is hereby issued under the applicable provisions Of the Butte County Code and/or Resolutions to do work indicated ova for which fees have been paid. By (� aC.(p,1o�t Date 13 13 PERMIT EXPIRES ON O ! 3 ( u Date Receipt No. 2 . 3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD E ROD -APPLICANT OWNER: LOCATION: 3 � 6,� /\ � vim— tz CONTRACTOR: C N l L o L�yGp'R L PRE -INSPECTION FOR: PERMIT HISTORY: [ ]NONE ]AS FOLLOWS: TYPE OF OCCUPANCY: Building Description: [ ] Commercial/Usage: _ [ ] Residential/# of Units: _ [ ] Currently Occupied. [ ] AbandonedNacant. Electric: [ ] Yes [ ] No Electric is currently : [ ] On Condition of electrical? ,�Yas: "i Natural [ ] Propane[ ] I Obvious problems: ranitation: Plumbing working Yes[ ] Well: Yes[ ] No[ ] Obvious Sewage Problems: ction Recommended: [ �Issue DATE: AP.#: ZONING: /9 fI6ID DATE TO INSPECTOR- ]AS NSPECTOR BUILDING INSPECTOR'S REPORT Mobile Home: Yes[ ] No[ ] [ ] Off None[ ] Currently On[ ] O$[ ] O No[ ] Potable water: Yes[ ] No[ ] [ ]Hold for: Inspector: Date:�'�!� ;;�E.r!-J.I+-b1"^' �-Y 'x[1,4 i��r••w�i•:��..,,,��'���,.+.wT,[t�i�4'..."�'!� f:� �-r�*4 �-'ne"'w`T:<��'y'�"'s'�"t';1�':.-�Y�`.'. �`•'�%tTT•=,�;i-+cc.-s�..,c'-i'^'"...r-.-•w.. �-• -,.•.� `rA s' } 039-53-0-012 92-3020B M & T Ranch , 11410 River Rd, Chico- contr: Ely Roofing re roof/sf r . i ' t Y } r . i Y } l� ) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541��0 APPLICATIONOW1 PERMIT ASSSSESSOR PARCEL NUMBER • ZONIN - RO BUILDING PERMIT OWNERTELEPHONE h & T Chico Ranch ^Inc r - 342-42954 SO, FT. OCC. BUILDING VALUATION 4/UU LDZU OWNER'S MAILING ADDRESS 3964 Cnico giver Rd Chico X5925 CONTRACTOR'S NAME i,lv Rooting Inc TELEPHONE 343-7663 CONTRACTOR'S MAILING ADDRESS P 0 box 104 Chico 95927 Fireplace CONSTRUCTION LENDER UNKNOWN ` X Total Valuation $ Filing Fee 7 `, $ 17 . UL) mo.00. LENDER'S MAILING ADDRESS Permit Fee $.3.3. UU ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ UILDING ADDRESS 17,41U Klver Rd - Chico Permit fee $ PLUMBING PERMIT Filing Fee 10.00 ] .Z Solar'or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 'USE OF STRUCTURE `+ • SF 0 Duplex❑ Mobilehome❑ Other ' "SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home is G W 0.00 ea TYPE -OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ •Other Q Describe work: remove existing roofing & 'e'place w/20 yr comp j Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V DR 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): Q I am licensed under provisions of Chapt. 9, Div. 3 of the Business and effect. and Professions Code and my license is in full force and License No. 6U7380 Classification —39 ❑ 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.al '/zQsgft OR ADDNS. ACC• BLOGS. I NEW CONSTR. TI -OUTLET 2,50 ea NON.RESID BRA CH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. EX. OCcup(OUTLETS OR FIXTURES .A 0 0 Ex. Occup. OUTLETS FIXED P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permlt,Fee + Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. O 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 shal I be deemed revoked. I 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 of1the 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 expenseskwhich may in any way accrue against said County in consequence of the granting of this permit. `, .f�ll.�j��/ � ` % 8-14-92 X Date Signature of Applicant — Owneronf actor.❑ Agent [ An OSHA permit is required for excavations ovef, 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 $ 48.00 occuP. CONST,rYPE 7cHooLl FLOOD PARCEL PD No 1 ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated `above- for which fees have been paid. DIRECTOR OF PUBLIC WORKS / �f y B / f� --:, Date IF"Z4- 9z PERMIT EXPIRES Date R'. 7G -9� was Receipt No. gx[.J�.�7 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 -Telephone: 916/538-7541 ;;;P —3p%. -n APPLIC,A-TIOA AND PERMIT INV---� ASSESSOR PARCEL NUMBER -fz ® - s o ZONIN _ 1/10 BUILDING PERMIT OWNER M & T Chico Ranch Inc TELEPHONE 342-2954 SQ. FT. OCC. BUILDING VALUATION 1620 OWNER'S MAILING ADDRESS 3964 Chico River Rd Chico 95928 CONTR'ACTOR'S NAME El �--Ro0fin Inc TELEPHONE 343-7663 -_ CONTRACTOR'5 MAILING ADDRESS P 0 Box 704 Chico 95927 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $15.00 XIt.' m LENDER'S MAILING ADDRESS Permit Fee $33.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ 1QI11}.i11;IG River Rd — Chico l!� U Permit tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap J 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 SFD Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑x Describe work: remove existing roofing & replace ! w/20 yr comp Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 500V OR LESS .100 AMP.OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ® I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. 607386 License No. Classification C-39 E] 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.m\ OR AODNS. ACC. BLOGS. - / h¢sq'ft NEW CONSTR. MULTI -OUTLET 2.50 ea NON-RESID BRANCH CIRC TS /POWER APPARATUS e' (SINGLE OUTLET CIR. ( Ex. OCCUpt OUTLETS OR FIXTURES ewL@30 FIXED PR Ex. OCCUp- OUTLETS (RESID IEA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 4� Permit Fee $ Contractor 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. 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 against said County in cons?99e9te of the granting of this permit. X Date 8-14-92 Signot of Applicant — Owner ❑ Contractor ❑ Agent X 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 $ 48.00 Occup. CONST.T77 71FLOODIPARCELI PD NO I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which EC T F PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS DatCe� r-.ZG-9z Receipt No. 11':?r00S WHITE-D.P.W.. YELLOW-ASISESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT Zoe PERMIT NO. 5254-76P,E PERMIT EXPIRES / D��//�� OWNER M & T Inc. .CONTR. owner ,.,LOCATION (A.P. 39-02-1 S/S pri.rd.,app.3/4 mi.E.of Chico River Rd., app. Ik mi.S,of River Rd. Y, Chico Temp. Po er Pole Call PG&E Temp. leo. Serv. /7 fa C led PG&E aje, Tem . Gas Serv. B FINALED-1/ld'Al (Date) ' - n. (Signa COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUM13ING " Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer - Garage Fdn. Vents Fixtures Footings . Stemwal I Garage Vents Insulation Water Htr. Heaters j Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances 1 Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final (l I Footings Footing ELECTRICAL Masonry Walls Throat Rou h �r— Reinf. Steel Final Fixture Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Arot. Scratch Heating Service Brown Cooling V z Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permane Door Closer V I Final IFinal /�r ��- % b REMARKS OR CORRECT ONS A/lb Y2�G 4-7-cvP�� fAmovi,= (NOTE: An entry must be made on this form each time you visit the job site.) 14Cw. I14SI'ALLATTOU INSPECTION CHECK LIST 1. Is the mobilehome located ''h required separation from lot lines and buildings and generall\, 4 conform to plot plan? Yc:' No 2, Does the mobile-home.,have required clearances above ground? (Sec.5085) Yes No X 3. Are footiiie;s and supports properly sized, spaced, and braced az-,,p C Ar approved plans? (Note possible variation at spring shackles.) 5082 & 5083) Yes _LNo 4. Is the mobilehomeevel.?. Sec. 5088) Yes No 5. If more than a single it, are crossover connections properly installed? (Sec. 5088) Yes No Water A. Is 11 xj'ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yesl No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes�No C. Backflow - If C0 is of State of California approved does station have backflow device and pressure -relief lve7 Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum per foot slope and is it properly supported?, YesNo G. Are any leaks detected in drainage system.after runni �-gallons of water through each fixture including washing machine standpipe? Yes Nong D. If coach is not State of Californi D proved, does station have required trap and vent? Yes— No ,8. Gas Piping and Gas Vents i A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome. connector not more than 6 ft. long? Note: All piping is to be at least as large as the mo home gas line inlet without red66tions other than the mobilehome connector. Yes- No 7 B. Test OK as per following procedure? YesNo -1. Open all appliance connector valves.X 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. I C. Are all appliance vents properly installed? Yes \4No 9. Electrical t A. Is service large enoll�,Ik to provide radequar_e an.�perage to nmobilehome. (must equal rating of Mobi_lehome with a ::;in.u!:um o 100 amp) and other faciliti_c!s on lot, i.e., water pumps, garat,e, cabana, etc. Yes No B. Is ther--� proper clearances around panels? Ye -K No C. Is power supply cord or feeder assembly properly fused? Yes X No D. Is continuity test satisfactory as per the following procedure'?? YesXNo 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 1, -,ad of a test instrLIMent to the mobilehome grounding conductor and _ �_ , _,. _... - Pig' Y , . Gpp.L tl-ie olll.l�f leaid to each viob-_lel-io-fae Su 1 cofiductVY, lllclUillllg �LE11LYc11. 5. All nor. -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 te!:;t shall then be made between the grounding electrode and the chassis of the l,mobilehome. Upon sat-i_lsfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. ;.!„ ;> job card si ncd by Health Departmeat for coater and sanitation? 1.14.. If everything ol(ay, sign off card and t.a; services. MOBTL,Li1Ot4L DATA Manufacturer and/or Namestyle Length L ® Width Vehicle Serial No. N\ I State Identification No. b '.det;tional Infoi-mat:ion or Comments: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLS, 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 . 4�7�5--7 for the following location: ? ;�'T' /4-h C N. Owner 211 7 Lh C Owner's Address Q 6A --A Mobilehome Mfg. Model Year Insignia No. y Serial No. Q3S It is hereby certified for occupancy at the above described location and may die occupied. DirectPub�lLV„o/rks By THIS CERTIFICATE IS VOID WHEN MDBILEHOME IS RELOCATED J _ 1`11iii I - f, ! COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 1 7 County Center Drive — Uroville, California 95965 1 Telephone: 534-4541 �pZ �-J yam/ APPLICATION AND PERMIT Al auuw,iaa luvluacntaUvc' tilt; wunty UI a tit: w enter upon the above-mention�d rop or inspec ion pu ses. .� X Date' Signature of Permitee or Agen Receipt No. `y/ Fa :9 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Bpermit expires Date 77 BUILDING Owner M & T INC SQ. FT. OCC. BUILDING VALAJATION Mailing Address P. 0. BOX 30$ Chico California 95927 Tel phone N 342-2954 Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address e,=rFly- r Ufa TG Td,A P o PLUMING No. @ FEE PERMIT FILING FEE J$3.00 hit PP tU•ed Pf ro e,. f G e Each Trap 1.50 AA 1 L •� S. F lel V e . Repair drainage or vent piping 1.50 Water piping 4 B, rC, ,v O U a47 -,=TT flahlrig Vern c A Each gas water heater or vent 1.50 A. P,90- 32-02-01 Zanin r Gas piping system 1 - 5 outlets M= B od Each additional outlet .30 Fpb/s S ( on Fire Dept. Fire Zone JIV Use Permit Building sewer 6296 /0.0 EQA Parking arcel Plans parcel Map P 60' R/W Improvements Lawn sprinkler system 2.00 P7- Bldy. Plans Recd Parcel App al PIa royal Permit Fee $ 3,ccv $ 3, D NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3 Ere Main service 100 AMP OR0V OR LESS5.00 5: DO Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVER Main service 1100 AMP oR LESS 25.00 Main service EA. ADD•L too AMP 1.00 NEW OR ADDNST ( ACCLBLDGLINGOCCUP. &) 22 sq ft NEW CONSTR. MULTI -OUTLET NON.RESID, ( BRANCH CIRCUITS)2.50ea NEW CONST. POWER APPARATUS & NON.RESI R D. (SINGLE OUTLET CIR, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL21 Ex. Occup.FIXED APPLNS. OR (OUTLETS (RESFIXED EA) 2.00 Temporary service 10,00 Mobile Home Facilities 15.00 /Y- -D Lic nse No. Classification Misc. Wiring 6.25 am exempt from the Contractors License Laws of the State of California. Permit Fee $ .13100$ 1;?13 Oa 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 orkmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3,00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ 6 Oil auuw,iaa luvluacntaUvc' tilt; wunty UI a tit: w enter upon the above-mention�d rop or inspec ion pu ses. .� X Date' Signature of Permitee or Agen Receipt No. `y/ Fa :9 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Bpermit expires Date 77 1 2 3 4 5 6 7 8 9 10 11 12 County Counsel, as rendered services to the management of said fee for which is the sum of $ the County of .Butte. I b WHEREFORE, Petitione as follows: 1. Settling and all 4E MEMO OWNER ,/rI/� $ �,t/G AP NO. At time.of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: 1. 2. 3. 4. 5. 0%a 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. All items have been submitted. Plot plans in duplicate/triplicate. Complete plans in duplicate/triplicate.. Complete engineered plans and calcs. Fees of $ Letter of signature authorization. Sanitation approval. Planning approval Workmen's Compensation Insurance Certificate. Contractors license information. Parcel declaration. Access declaration. Aunt Minnie information. Deed of access. Deed of parcel creation. Parcel map. Pre -inspection request for Other I By �� �� Date '20 ,-7 6 Bldg. Inspector aaamamaaaaanammmmmmamammmamvaonammamvmvmmmmmvmaaamaaaanvamamnaaaamanmamnmvaaammmaoamamaaavmvamaam When permit is issued, process as follows: V 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold for pickup. 5. Other aesaosaassaaasnaaomm�sassnsannnnsssnnsnaas,aassssnsnnnasansasnannnnnnnsaasannnsasassnannnsnsnnnnna During plan checking process, the.following data or information must be submitted prior to permit issuance: IndexP ermit for items numbered above. 2. Applicant advised by telephone we need s. 3. Send letter to applicant. We need 4. Pre -inspection for NOT`verified. (Index) 5. Other �/6. Plans checf and/or app6 by / ©l/1/1 _Date ��L-;z-- a�=aeeaaaaa=eaaa==-----�-oaa=aaaa==a=aaaaaaaaaaaaaaaeamamaaaaammasaammnamammmmmaa amvvvm avaaaaa! Additional Processing or Notes: e COUNTY OF BUTTE - DEfaR;`SENT, OF PUBLIC`WORKS 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT v u N ,.y ivt nlaNcUUUn NUac�. X Date Signat a of Permiiteee or Ag J• Receipt No. — /,:5—/ FO d White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTORYOF PUBLIC WORKS B;U� i Iding permit expires Date BUILDING Owner M & T INC SO. FT. OCC. BUILDING VALUATION Mailing Address P. 0. BOX 308 Chico California 95927 Telephone No. 342-2951AFireplace Contractor Total Valuation Mailing Address u) ii e - Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address -5/5 O` ✓, up `G d, ra PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Al ve 0PPrzX Each Trap 1.50 I L S, F Z�ve� o Repair drainage or vent piping 1.50 Water piping 1.50 45Ao /erjV C 4TG /y h i p Each gas water heater or vent 1.50 A. P. No.Gas -02-01 Zoning 8 Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s Sa+�+�e4ieri Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans/ Parcel Declaration Pa a p 60' R/W Im r p ovements Lawn sprinkler system 2.00 11 BlgS 9'(1i Fwd Parcel Ap val Plan pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [O ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 /✓ si LL,gTi o v �oY ✓ '{— — Main service 1000V OR 0 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service OVERAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP. &� 22sgft NEW CONST R. MULTI.OUTLET NON.RESID. BRANCH CIRCUITS 2.50ea NEWCONSTSL POWER APPARATUS a NON .RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL@�1 Ex. Occu FIXED APPLNS. OR P• ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Li •ense No. Classification Misc. Wiring 6.25 FT I am exempt from the Contractors License Laws of the State of Califomia. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Y1Lorkmen's Compensation Insurance. certify that in the performance of the work for which this permit is Issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Cal i forni a. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representat_LvEs of the County of Butte to enter upon the GG/JID TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of v u N ,.y ivt nlaNcUUUn NUac�. X Date Signat a of Permiiteee or Ag J• Receipt No. — /,:5—/ FO d White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTORYOF PUBLIC WORKS B;U� i Iding permit expires Date FILE E MEMO ;OWNER /rv/ •TAP N0. 31— At 9— At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: 11. 3' 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. By All items have been submitted. Plot plans in duplicate/triplicate. Complete plans in duplicate . Complete engineered plans and calcs. Fees of '$ Letter of signature authorization. Sanitation approval. Planning.approval Workmen's Compensation Insurance Certificate. Contractors license information. Parcel declaration. Access declaration. Aunt Minnie information. Deed of access. Deed of parcel creation. Parcel map. Pre -inspection request for Other Date S'_ 'Z- O r *7 6 Bldg. Inspector ammmmmaaaaaammmmaomammamammaaamaamaaamammammamaaamaaaaoaamamnoaamaammmmammmmaaammoomamaaa000amaae When permit is issue process as follows: 1. Mail to.owrier. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold for pickup. 5. Other .�.�iEl �� �o L�yl/A.�� �• a/� E%//'�/� . ®saaasoaoaseaaaaasamsaaaaaasanassaasaasaaaaasaasaasasasssassaasaasasssssaaaaassssssaaaasasaaassn: During plan checking process, the following data or information must be submitted prior to permit issuance: JV L 1. Index permit for items numbered above. 2. Applicant advised by telephone we need f. 3. Send letter to applicant. We need 4. Pre -inspection for NOT verified. (Index) 5. Other 6. Plant3044d and/or ap ed by Date (O aaae...a.aa....a.aaaoeneaacaaaaaa=aa.aaaamaaaaaaaaaaaaaaaaaomaaaoaamamammammammmaa moo oaaaoaama Additional Processing or Notes: FILE MEMO ♦ r ,�, /L1 R � OWNER T AP NO. ✓ / J �Z r �/ At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing'and/or issuance: 1. All items have been submitted. 2. Plot plans in duplicate/triplicate. 3. Complete plans in duplicate/triplicate.. 4. Complete engineered plans and calcs. 5. Fees of $ 6. Letter of signature authorization. 7. Sanitation approval. 8. Planning approval 9. Workmen's Compensation Insurance Certificate. 10. Contractors license information. 11. Parcel declaration. 12. Access declaration. 13. Aunt Minnie information. 14. Deed of access. 15. Deed of parcel creation. 16. Parcel map. 17. Pre -inspection request for 18. Other By. Date / / "7� Bldg. Inspector �aaaamamamommamaomaammammamamammaamommammmmmamaamamamaaaaaaammmaamamamamaamaammaoa�mamaamma��m�ma When permit is issued, process as follows: 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold for pickup. 5. Other ffl'.�✓i� T'6 L-�l.+�f1.�Y� /4 ' 2�>cr/li�E� T' -'Al s c N i cr0 aaaaaaaooaaaaaaaanaaaaaasaaaaaaasaaaaaoao�nnaaaenaaaaanaaaaaaaaaaaaaanaaaeannaaaaaaaaoanaaaaaaaa: During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items numbered above. 2. Applicant advised by telephone we need _ 3. Send letter to'applicant. We need 4. Pre -inspection for NOT verified. (Index) 5. Other 6. Plans checked and/or approved by Date aoeoe=aae=aaccaa=eaeC�7vaaeaeeaaa.aaoa.acaaaaaaaamaaaaaaaaoaasaamaamaamaaaaamammaaae.mosaaamammam Additional Processing or Notes: AtZCA, AtOkf 91 Za P 4 K 0C - 0 �l 2 BUTTE COUNTI DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 C MOBILEHOME INSTALLATION SHEET 1. Owner's name: /��' Y "1. � ,tom 2. Installer's name: ,/��< /T �� �f// G// 3. Is the site currently under permit?. Yes lipw No (If es, -furnish permit number $-,2 S�/-7� �- ) OR y Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans �N� 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 / r/ No (If no, clarify ) --- 5. What is the mobilehome electrical rating? --------------- fps 6. What is the mobilehome site service rating? ----- v--- - - ` O Amps ---`-- -----� `p 7. What is the mobilehome site circuit breaker rating?v SO Am s r 8. Is there any other electric load to be.served by the mobil�,eh,me site service? --------------------------------------------------- Yes /_�/ No (If yes, identify the load -and size: - (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is,the type of as service? ----------------------------- Natural YP g / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 3 O (ft.) 12. What is the mobilehome gas demand?--S�QUe y ��All 5,lewte-5p. V (BTU) (This information not equired if length le an ft. 6 on natural gas or less than 50 ft. n LPG.) � r..� ,Y �E f 1 •.� 1• I�, •4 s .. MOBILEHOME SUPPORT DATA Mobilehome Mfr.x Setup Model No; Year x. Width /0 (ft.) Length 6 D '(ft.) Expando Size ft.x ft. (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on .file with.the County of Butte). . . I I Cen er Center Support Supp rt Footing Sizes Locat ons (in.) x in. in.jZi . (f t� inj (in (in.) IE#�ZI� -4 -- in.)`(in. -- Single —� *If center piers are other than drawn above, draw in locations, spacing, and dimensions. 7 Footings—(check.—one) /PW 1. Wood either pressure treated or fdn-. grade. Ll 2. Concrete pad. / / 3. Other,: specify Supports (check one) 1. Concrete block L, 2. Concrete piers 3. Steel piers 4. Other, specify MM soTyp ical Support Footing Size Max. Pier Spacing 0 �I Max. - Overhang BUTTE COUNTY BUILDING DEPARTMENT APPROVED MIu2IL,CLEARED 2DATE _ SU)@oIt cpakt� n | Permit |_ ƒ StruO. \ Teat q, . moo, { a£ ems, , C> | \_ YES t £2 £§ 0000 .�p� . ( . |V 6� § I� | | } . t 2`1N.,e R. / W M.D. ®. ' a M 39- 02 . �r Q� TOA kea Code 62- O/ 70- 04 rkmaz�ship Sha' Be All Materials $. a Practices an p NOTE:— Recocanized Co4d' use in th QO with $ ecified . 5 Accordance for the P Codes a cj of a aucility prescribed & Macfian►c� a �j ' dinq, Plumbing "_ /20 ocromen� Uniform Buil . / o 't E the National Electrical Code. � ° • Septic system and location ' �; Y+ to be as pe'r r �¢ tte ±County Health Dep e. luiremetifs, A eeA,100 connections shall be I i All utility the rear }Fe locate! within 4`ft. ouaside a3a t°c 011 of 'rhe ' mobile home third section .w���°e �eACuoe�no�OOePyv , 624 Ac., on the left (road) side off to i18bi1� : + } the home. - '� ;r}�^'� ` 631. 68Ac.rj 3Y O 8 68A c. /40A.c. 636.2/ AC l _ rh® Setback shall be 5 tt. tr rri • . • the side property'. line and' 50 ft. fr m , ' the centerline of the road, permi qv,' : maximum of a 2 ft. eave oviprhe g: r This set of p!cans aa4J?q - k s MUT be kept on th- Ir4 of, call f*; -nos and it is .,,law' ul to make any ch;n^�Fs or Alterations on some wi hout BUTTE COU TY ' written permission from the Department of ubligi� Works, County of Butte. �� O BUILDING DEPARPITMENT / 70. 39A c A P P R 0 ED 05 PARCEL BLOCK Assessor's Map o. 39- 2 OCalif.NOTE ASSESSORS County n t y of Butte, Cal & LOT NUMBERS SHOWN Mareh� /953 IN CIRCLES 6. 64