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HomeMy WebLinkAbout040-150-112dy0- f50- I IZ 40-15--5-9,-d12 MORRIS"-KEENEY NW cor Esquon Rd & Durham Oro Hw Durham Permit #324. 9E (ele ser ch & -mis wiring) SF101;JOAK 40-15 -Nk- Permi.V 127-85P,E(util, r ,1 MH) 112 � c� LEC $,/}' GAS 3 _ 0S �/ SUPPORT STRUCTURE R O COMPACTION TEST REQ A% y > 40-15 Contr : Mobi4le Home Center) IL Permnt 'TT60-8.5MHI Iss Contr: Mbk a Home Center Permit��2276--8.5,PE uti1, MH) ELEC -AS— t P& ��/ ac (f-3 SUPPORT STRUCTURE REQ � ?OMPACTION TEST REQ A!o - - ^ 2/ Contf: Mobil.evrHome Center PerI.mi t� .2��5MHI I� ed 9- 3D �S 3a4 Aze, � 9 -4 w 1174 i COUNTY OF BUTTE DEFARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel eph e: 534)4541 APPLICATION AND PERMIT Owner Mailing Address ne No. Contractor _ ' BUILDING SQ. FT. I OCC. T BUILDING VALUATION Mailing Address l't PERMIT FILING FEE Fireplace 600v OR LESS 100 AMP OR LESS Total Valuation EA. ADD'L 100 AMP Main service OVER s 100 AMP OR LESS Telephone No. -- Permit Fee NEW CONST. ( OR ADDNS. (DWELLING Building Address NEW CONSTR. u n n�_RFSln. (MULTI -OUTLET BRANCH CIRCUITS Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel Aroyal I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ P F Single Family ❑ Duplex ❑ Mobil Home ❑ Others ElCONTRACTORS 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: License No. Classification ermee ELECTRICAL PERMIT FILING FEE Main service 600v OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER s 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. ( OR ADDNS. (DWELLING DWELLING OCCUP. Q BLDGS. NEW CONSTR. u n n�_RFSln. (MULTI -OUTLET BRANCH CIRCUITS @ I FEE 5.00 2.50 25.00 1.00 EX. OCCUDIOUTLETS OR FIXTIiRES BAL�lO� FIXED APPLNS. OR EX. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X _ Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant MECHANICAL PERMIT FILING FEE Heating Cooling $ $3.00 Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date COUNTY OF BUTTE —A DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 64-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signat a of Per Iitee or Agent Receipt No. CQ 6\01-3 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR -OF PUBLIC WORKS BY Date_ 99-- 6 r 7 9 wilding permit expires Date 6— �—� O BUILDING OwnerSQ. Pi 1 FT. OCC. BUILDING VALUATION Mailing Address AT2 �� 113 �w2ffit'J9r�/ Telephone No. O Contractor 0kJNW2, Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building AddressG% (,GO ��Y Plan Checking Fee&/or Penalty Permit Fee V-a`11wL,19 PLUMBING No.1 @ FEE _ PERMIT FILING FEE $3.00 Each Trap 1.50 PJ404W-,7,-- Repair drainage or vent piping 1.50 2 A. P. No. r 1S, 3 S Zoning &-f'lannins Water piping 1.50 Each gas water heater or vent 1.50 Ftses 1 dG!t. 1 Sann latmon1.FireDept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking I Plans ParcelEach I Declaration I Parcel Map 60' R/W I Improvements additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel AEproval I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ r. ELECTRICAL No.1 @ FEE IZ/N Z PERMIT FILING FEE $3.00 -Oa Main service soov OR LESS 100 AMP OR LESS 5.00 Single Family16 Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L loo AMP 2.50 Main service OVER aooV 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW LING O OR ADDNST % ACCLBLDGS.CCUP. S� 20sgft 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: Y NEW CONSTR MULTI.OUTL T NON.ON� BRANCH CIRCUITS) 12.50ea NEW CON STR. (POWER APPARATUS.6 NON-RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTttRES B L@; 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 E'ram exempt from the Contractors License Laws of the State of California. Permit Fee $ 7 $ s WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. recertify that in the performance of the work for which this prmit 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 $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signat a of Per Iitee or Agent Receipt No. CQ 6\01-3 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR -OF PUBLIC WORKS BY Date_ 99-- 6 r 7 9 wilding permit expires Date 6— �—� O • k � ,off , / PERMIT NO. �` 2276-85P. E (MH) PERMIT EXPIRES lc OWNER M-.T_ KEENEY �yv CONTR. Mobile Home Center i ASSESSOR PARCEL 40-15-35 LOCATION W/S Esquon Rd, 2/10 mi N Dur Day Rd, Durham a- OFFICCCOPY`, ❑ Address V F % GAS.S Metere,By .Dater EL'ECT,RI :` ea Meter„ By' "Date it Temp. Power Pole t Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Sei Called PC JOB FINALE[ Signature J OK 0 = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready •fi . --<, Date MOB16gHOME UTILITIES (Plans) OK except p's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's Z ing Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—.Easements LX Is; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors S er; Location—Test—Fall-C/0 Conc 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails ater; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing Electricity; Loca ' n—CI arances—Grnd.—/ / Amp— oncret 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures Gas; Locatio "L"ft./ - /"Nat. or/ /"L"ft. /" LPG 6. Carports; Windows—Doors 7 tility Clearance 7. Elec. Card-Bla,ji Date Z Card -BI Date Card -BI Date Card -BI Date Card -BI Date ® Card -BI Date Card -BI Date Card -BI Date Date M0­13!JLEHOME INSTALLATION (Plans) OK except N's ; Date POOLS (Plans) OK except N's ning Requirements—Setbacks—Easements j 1. Setbacks—Easements Footings; Size—Spacing—Mam4aje-tfR2 2. Soils; Compaction—Structure Stability 3. Gas; MHt—D d aly Co r 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining E tricity; MH Test—Crossovers—Breakers—Clearances ; 4. Elec.; Receptacles and Lighting; Distances—GFI e�brain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI er; Test—Reg lator—Conboefor 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed r and a nnec —C/O to Grade—HD Approval j 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater and Ele icityed 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit E its; Insp.— etch 1 ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date ; Card -BI Date Card -BI Date Card B-InS.2 Date 0 11 jWcard-131 Date Card -BI Date Card -BI Date rp 1L x 41c,7 0/ ) -3 / Y � D 'Z� I = OK = Nat OK' = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING Continued 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width-Headroom-Rise-Run-Landing-FireProtection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outp ers 5. Stemwalls, Main; Steel -B lockouts -Wrapped -S lab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test J 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except N's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer . Date ELECTRICAL Permit OK except q's 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. 22. Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. Followinginstld.: Drive F1 Yes ❑ No; Walks E] Yes ❑ No; Planters ❑Yes ❑ No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B I Card B-1 Date Card -BI Date Date Card -BI Date 81. 82. 83. Ventilation throughout House Glass Protection Corrections from Previous Inspections Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33, Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans OK except N's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng_.__ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) " COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office When correction of work is completed. If you have any question pertaining to this II Inspector Da MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE .� DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE—`'�� OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. ` Address or location of mobilehome UjA ��� J� a2/'i) en ,A�'�/LtnJ1y ,J Owner's name `h 1 :z Owner's address i (J J 7 Insignia or hud number CA 6 Manufacturer's name 3 A , Serial number of V.IN. Year of manufacture Jud%j-�' % (Official Approving Installation) (Date) ji IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE s-NOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. �, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION -AND PERMIT PERMIT NO. 71 YA ASSESSOR PA CEL NU BERZONI 140 /�— BUILDING PERMIT OWNS TELE NE SQ. FT. OCC. BUILDING VA ATION OWN R'S M LING R SS Of CON R C OR' NAM I .^ V `SS EPHON CONTR C OR'S=AIL N ADDR L/ 1 t1V-0 Fireplace CONSTAUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ /Y 0 O Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ D0 BUILDING ADD ESS h PLUMBING PERMIT Filing Fee 10.00 '� Q Each Trap 2.00 Solar Water Heater 20.00 r Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ MobilehomerV Other SPECIFY Building sewer 5.00 Mobile Home G 0-00e TYPE OF WORK New❑ Addition[—] Remodel❑ Utilities Installation[] Other❑ Describe work: V,10.00 Q E r Permit Fee $ 1?7 00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 0V OR 0 LESS Main service 100AMP OR (� Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. , 2h2sq ft CONTRACTORS LICENSE LAW I declare uoerpenalty of perjury (check one): 1?K am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio C de d license is in f(yYrffbrce ect. License No. Classification �� ❑ 1, as the owner, or my employees with wages as their 4ole 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 CO IDR BRANCH GIRCTITS 2.50 ea NEW CONSTR. ( POWER APPARATUS &1 NON.RESID. SINGLE OUTLET CIR. 20@SO¢ Ex. Occup(ouTLETs OR FIXTURES 9AL®30Q FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 S - Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. iF►f vt laced on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 1 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 FiIIng Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon thea ve-m tioned property for inspection purposes. I also agree t in a nify Vd keep harmless the County of Butte against all liabil'': Qs, gmen s c and expenses which may in any way accrue again sa ount nting of this mit Xate �� Signature of Applicant — Owner ❑ Contra ctAgent ❑ 10�An OSHA permit is required for excavations -94 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEEX $ OCCUP. GROUP I TYPE OF CONST. I Le PARC PD HD ssu This permit is hereby issued under sions o' the Butte County Code and/or work indicated above for which DIREC OF PUBLIC By PER T XPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS Date ��ZZ —,P3WHITE-D.P.W.. �+ �iZ� - `. Receipt No. /. 21 K YELLOW-ASSeS SOR. PINK -INSPECTOR, GOLDENROD -APPLICANT Employer 0 Y'r ,� Phone \ Employer's Address (Present) 16 a DLr ` Dc e_ Name of'Owner Owner's Address Owner's Assessor's Parcel No. 0 d Building/Environmental Health Permit Description and Number Date Issued By .Planning Department Approval: Date Zone Dwelling on AP# By, Kt I, May -V-1"& ,T - c , do declare, subject to the penalty ofperjury,that I am* they em to er t Y P Y of y 1� l� ti -c 1S e d� address (present)&5 _CSy 6 on AP#O fit. p - j _ 3.�7 and that I will be employer under Section 24-21.2 C - for at least a o g thirty-two (32) hours per week for at least sixteen (16) weeks per year on. Y�l Signed Q.syt,.4 Dated 9 A /P AGRICULTURAL AFFIDAVIT EMPLOYEE Employee fir r 4 k_ e" (5 4- Phone_ 7 Employee's Address (Present) o - 3 Name of .Owner M e r b' ,n _ Owner's Address / :R-' �4 Q Cr r -k " kt,4 Rai e� IS 3 D Owner's Assessor's Parcel No.� Building/Environmental Health Permit Description and Number Date Issued By Planning Department Approval: Date Zone -5 Dwelling 'on AP# Vii[ � .- � 35 - e) Byi� iy i L C do declare, subject to the penalty of perjury, that I am the employee of p' address -(present) / 10 i1 Dur -1,&` 1V ' , and that I will be employed under Section 24-21. C w for at least a to g thirty-two (32) hours per week for at least sixteen (16) weeks per year on Signed C Dated ?Z .3 Ze5 COUNTY OF BUTTE - DEPAR:TMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California•95965 - Telephone 916/534-4541(0 S APPLICATION AND PERMIT ASSES F3,PARCEL NUM U ZONI �� BUILDIN ERMIT OWNER L TELEPHONE SQ. FT. OCG`, BUILDING VALUATION OWN 'S AI IN OR SS C NT C R' A TELEPHONE CONTRAC R'S MA LI G ADDRESS I y/ Fireplace NO COST UCTION LENDER .No -INV -Wil Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ f 00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADD s Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 t Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL AP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF[] Duplex[] Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationX Other ❑ Describe work: 1001 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 o� tc.) 7`✓ 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare u penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Prof essionaoJC_ode �Q (cense is in full for c nd ffect. C/t Cly / 7�� License No. Classification License ❑ 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- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.y , New DDNS. A 2/zQsgft "'ULT' -OUT OUTLDGS LET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occu / z0@50t p\OUTLETS OR FIXTURES 0@50t Ex. Occup. OUTLETS P(RESID )FIXED APLNS. REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ Thep it is for $100.00 (valuation) or less. ave placed on file with the County of Butte Building Department IZLJ a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, inde R an harmless the County of Butte against all liabili ' udgment costs, and xpenses which may in any ay accrue against said C my ' .con eque f the granting of this permit.' 4 21 Date Signature o4 Applicant — Owner C7nlr,7.c,.r gent ❑ An OSHA permit is required for excavation," deep anddemolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 00. on OCCUP. CONST.TYPE IFI,011111PARrELI PD NO 139U This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC By. PER T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �E—?y' S x_70— Receipt No. "I -N PIX WHITE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT (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 ) S. What is the mobilehome electrical rating? ----------------------- �� Amps 6. What is the mobilehome site service rating?©� --------------------- Amps 7.. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome site service? -------=-------------------------- —------- Yearn No �. (If yes; identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ----------------------------- Natural %-7 LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) BUTTE COUNTY BUILDING DEPARTMEN I �._. APPROVED �y r BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS �\ 7 County Center Drive, Oroville, CA. PHONE: 534-4541 ^ MOBIL ''HOME INSTALLATION SHJWT 1. Owner's name: 2. Installer's name% 3. Is the site currently under permit? Yes / / No _[ (If yes, .furnish permit number ) OR Is the site an existing site? Yes / / No (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 ) S. What is the mobilehome electrical rating? ----------------------- �� Amps 6. What is the mobilehome site service rating?©� --------------------- Amps 7.. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome site service? -------=-------------------------- —------- Yearn No �. (If yes; identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ----------------------------- Natural %-7 LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) BUTTE COUNTY BUILDING DEPARTMEN I �._. APPROVED �y MOB IL E HG -ME SUPPORT DATA 6140'tlier• ,than single wide, Mobilehome)f �f�y1r'nish Setup Model No. Year jdidth (ft.) Box Length (ft.) Tagalong or Expando Size ft. x_�ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehames manufactured after October 7, 1973,• furnish manufacturer's installation manual and structural setup sheets '(if not on file with the County of Butte). All center supporta-measured from frorit, of mobilehome unless otherwise specified. Footings (check one) Single / v Wood either L -J (ft.)(in;) Center support locations* t (ft.)(in.) II (ft.)(in.) (ft.)(i .) (ft.) (in.) (in.) (in.) Center su footing s (in.)/ x (in.)l (in.) 0 *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. pressure treated or foundation grade. 2. Other. (specify) Supports.(check one) Concrete block. •2 Other. (specify) Tagalong or Expando,' show support details. x Typical Support ( in. ) Footing Size I-- Max. Pier Spacing (ft.)(in.) I%jj/ -- Max. Overhang l(ft•)(in..) ��,...-........�w,.....ewm+.�...,.r..��....n._.,w_.......:..o..a+.....i.:e.,.+saerw.ew.s�w,..ea�a.. '�F.an. 4 17 .MOTE:—All Material, Recognized ll in eGoodPrac} lworkmanship �Ce � and Accordance with of a quality prescribed for the Specified use in ihe Uniform Building, Plumbing & Mechanical Codes. On&- the National Electrical Code. This set of plans and specifications MUST be pt on the iob at all times and it is unlawful t ake dnv c4anges or alterr_ tions on same with o�s E p ritten permission from the neoarfinen+ of Pu i � forks, County of Butte. tt M r Utility connections shall be within 4 ft. of.the mobilehome, either directly behind or within the rear half of the roadside (left) of the mobilehome. Ae, A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhand. ® 7-e/ea moi. 7.-0Vr* * 00 ,- ' zz 76 -85 BUTTE COUNTY BUILDING DEPARTMENT APPROVED L 4*1$ A AGRICULTURAL AFFIDAVIT EMPLOYEE Employee_ 1TI 0 e Employee's Address (Present)--- z, Mame of Owner Dwner's Address Dwner's Assessor's Parcel No.. Building/Environmental Health Permit Description'and Number, Date Issued Planning/Department Approval: Date 4//,, eml� Zohe/ By M1 Dwelling on A f do declnre, subject to t h e penalty of perjury, that I am the employee of -ev address (present) 141,1 7-. /L 011 and that I will be employed under Section 24-21.2 for a i 1 _past (a) too thirty-two (32) hours per week for at least sixteen (16) 1) e r wear r),- 1 AP#_ LO -1571L Signed Dated f AGRICULTURAL AFFU)AVT-1 . f P EMPLOYER nployer, ]mployer's Address (Present) (ol 3 4L- 1) 0-1 / 1 0�, Z. 1) lame oi, owner )wner's Address )wner's Assessor's Parcel No. Building;/Environmental Health Permit Description and Number. Date Issued —BY Planning tme nt Approval: Date wellinton AI 14Y z r�� 1 W I- ;, BY, T - e z a (jo declar-"-o the penalty of perjury, that I am the employer Of 41 r t! address' (present) dz 3-Z 601"I'Ll-11 CA Oil Ar// tand that I will be employer under Setion 24-21.2 for ,.it loast thirty-two (32) hoursperweek for at least sixteen 016) < per year on APS_ . 3 �-S Signed Dated F l01 • i 1127-85P E(VH) PERMIT NO. PERMIT EXPIRES • t - ' OWNER M.J. KEENEY • CONTR. owner ASSESSOR PARCEL 40-15-35 LOCATION W/S Esquon Rd, 2/10 mi N Dur Day Rd. 1 �j Chi co !OFFICE COPY Address_i f; GAS ' Meter By Date ELECTRIC Meter ByS� ((�/G+•$' I -- Date =t—� C OFFICE COPY Address GAS <p d �s+ CCpps� Meter By Date ELECTRIC Meter By Date Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service i 4 Called PG&E 1 ! JOB FINALED (Date) x�� Signature V- = OK. 0 = Not OK — = Not Applicable = Not Ready t MOBILEHOMES MISCELLANEOUS Date MOB HOME UTILITIES (Plans) OK except N's oning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—.Easements L . S 'Is; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors / wer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails . Water Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing qpec ty; Location— le s=Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures as; Loda05r'rW :/ /"L"ft./ P'Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors tility Clearance 7. Elec. Card -BI Ou Date ,20 �� Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOEJLEHOME INSTALLATION (Plans) OK except N's Date POOLS (Plans) OK except k's oning Requirements—Setbacks—Easements 1, Setbacks—Easements Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability Vfias: MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining lectricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI rain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI V/Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ater and Sewer Connected -C/0 to G de—HD pproval 7. Elec.; Bonding; Metal .w/5'—Circulating Equipment—Heater and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit Exits; Insp.—Sketch 0 -Cert. of Occupancy 9, Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 S{Z Date 2r% ES Card -BI Date Card -BI Date Card -BI Date Card B-1 t'IC Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OKO P' lot Applicable Not Ready RESIDENTIAL'(Singra and Duplex) = , Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10.Water Pipe; Test -Anchors -Regulator -Service Test 53. 54. 55. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 11.Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. 60. Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access 17. Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. 25. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 2 Appliance Circuits in Kitchen & Conductor Size 72. Insulation -Foam -Looked in Attic E] Yes 73. Guard Rails &Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or A1, Insulated Neutral ❑Yes E) No 75. Following instld.: Drive ❑ Yes E] No; Walks El Yes E3 No; Planters E] Yes 11 No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B-1 Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except #'s 31. A.C. Ducts; Insulation &Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans OK except #'s Comments at Final: 36. Sills; Proper Material & Anchors 37. 38. 39. 40. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.--Rfnp. _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) 'a COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS . 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 27 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector &4Date �-, COUNTY OF BUTTE _ DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE R A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office whe�correction of work is completed. If you have any question pertaining to this mat or need additional explanation, please contact this office immediately. Inspector rY/ ��- Date �D COUNTY OF BUTTE • DEPARTMEJNT OF PUBLIC WORKS 196 Memorial Way, Cliie&— Phone: 891-2761 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Da MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. Address or location of mobilehome�'- �•9-it a+. /�� . • n Owner's name'l-� j,���•�.s.n *Owner's address %6 t%'-wx-- `u41 �Insignia or hud number �`` S " y U v Manufacturer's name Serial number of V.I.N. T,O J1_ �Jj 5 1'2 ' Year of manufacture (Official Approving Installation) (Date) .r I"OF THE MOBILEHOME IS MOVED OR RELOCATED,' THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE tMOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. r^ _ l,� `1.41 Al 715 NOTE.—A 11 Materials' & Workmanship Sh'all !Be' inbin Mec an d ile4tricalic de� $e Nation I EI LlThis set cf-pl oil's ondl 1A11 time on, iit is 610 Wfol +0kept on the lob at arryih-e Ddpdrtr�eni of Public'written permission rornVi 7M ntirectly �eh'jnd or:within the rear�00L -d . __ Iper ifl.will 61) r-equ,,, re )r fK6' _jof ^cente'ditie-ihall be clear oStruc � /��� 13-1-1-7:17-0- _Y/ COUNTY OF BUTTE - DE NT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 //a�L APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONI G BUILDING PERMIT OWNE TELEPHONE J SO. FT. OCC. BUILDING VAL ATI O WN7S"MAILrT4G ADDRESS, CONT A T R'S NAME TELEPHONE CONTRA TO 'S AILING ADDRESS Fireplace CONSSTTRU^�C'/TIION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ AR CHI CT OR ENGINEER'S MAILING ADDRESS Permit fee $ V BUILDING ADORES = YeW "o PLUMBING PERMIT Filing Fee 10.00 W — Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCIIL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USEOUCTURE SF ❑ Duplex[]Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home OfK 10-00e TYPE OF WORK / New ❑ Addition ❑ Remodel ❑ Utilities Instal lation❑ Other ❑ Describe work: Permit Fee $ Q,o 0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 00V OR OL SLESS 10.00 DO E Main service EA. ADD'L too AMP 2.50 ,r0 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. t 2h0Sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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 NNEW ON.RESID R BRANCH ciRCTlrs 2.50 ea NEW CONSTR POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. Ex. Occu / Zoesoe p\o OR FIXTURES 9ALOBO FIXED A FIXED APP LNS, OR EX. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 U Misc. Wiring 1&el( 15.00 CIO 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 $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue a ai s id ounty in copse ue clof_,he)ranting of this permit. %�Date Signature of Applicant — Owner Contractor ❑ Agent Srki �G c,1 An OSHA permit is required for excavations over 5'll" deep and demt614f(trf�dQ�L�r�`r�� ion of structures over 3 stories in height. Mobile Home Installation Fee $ i, TOTAL PERMIT FEE $ 5-0 OCCUP. GROUP TYPE 01 10115T. PA ✓/ PD tssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI TORO UBLIC as BY ` PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date V slReceipt .� No. Z770 / WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT t a � 14 -A 77 �• F COUNTY OF, BUTTE t Department of Public Works 7 County Center Drive Oroville ----- 534-4541 ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES Owner Location Mobilehome Installation Permit No. FILL IN INFORMATION FOR ITEMS 1 THRU 10 Watts 1. Width x Box Length 7 x .3 2. 2 Kitchen Appliance Circuits ................. = 3,000 3. 1 Laundry,Circuit ............................ = 1,500 4. Ovens ........................................ = 6 5. Cook Stove Top ............................... 6. Hot Water Heater ............................. 7. Dishwasher & Disposal ........................ _ �— 8. Clothes Dryer ................................ _ DO .9. Other (specify, i.e., motors, exhaust fans, etc.) Watts Sub -total - ..... First 10,000 watts @ 100% ................................ = 10,000 Remaining o2 watts @ 40% ....................... _ C-30 S� 10. Air Conditioner iD eD©U watts @100%.. _ /040 D ) Largest Demand --T Central Heat System watts @ 65%.. _ ) TOTAL DEMAND WATTS REQUIRED ............. a .305 "Demand Watts Required" 230./Z...�......... .. 7 AMPS De -rate Mobilehome to ........ BUTTE -COUNTY ......... //0.00'AMPs WILDING DEPARTMENT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER O. ' 7 County Center Drive - Oroville, C'alifornial 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER' D- — ZONING BUILDING PERMIT owN .� TELEPHONY --SQ. FT. OCC. BUILDING VALUATION OWNER'S MA LI ADD ESS (Q CONTRACTOR' NAME TEL PHONE CONTRACTOR'S MAILING AD RESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ r� BUILDING ADDR SS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome � Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New ❑ Addition emodQI ❑ Utilities ❑ Instal lation Other ❑ Describe work:_ `(' I I ,%— ��'i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS10.00 9 t'2 6O Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. I 2/20sgft - CONTRACTORS (CENSE LAW I declare under penalty of perjury (check one): y� I am licensed under provisions of Chapt. 9, Div. 3 of the Business m and Professions Code and license is in full force and effect. License No. O Classification C--� / ❑ I, as the owner, or my employees with wages as their solTemporary 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 CONSTR ULTI.OUTLET BRH CIRCUITS) 2.50 ea New CONSTR. POWERC PPARATUS &` NON-RESID. (SINGLE OUTLET CIR, / Ex20®50t . Occup(ouTLETs OR FIXTURES SALO 300 FIXED APPLNS. OR `` EX. Occup. OUTLETS (RESID,) EA) 2.00 service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �jI-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 Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above -me ed property for inspection purposes. I also agree to save, indem y and ep harmless the County of Butte against all liabiliti judgment costs, d expenses which may in any way accrue agai said unt in lZrise ce o g of this permit. X Date — 3 Signature of Applica t — wner Contractor Agent ❑ An OSHA permit is required for excavations over '0" deep and demolition or construct- ion of structures over 3storiesin height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP, GROUP TYPE OF CONST. PARCEL PD H u This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC By_52�, P}R T EXPIRES Date— the applicable provi- resolutions to do fees have been aid. p WORKS Date G `I�f'-�J� 6 _? 'r '—PK Receipt No. _ '1 26 WHITE-D.P.W., YELLOW -ASSES OR, PINK -INSPECTOR, GOLDENROD -APPLICANT BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: 111�Q1i1�1�.1,` A11�Pf14` �1�1UMV0 TUTS �iLu�au+�rr'� YY .vY YJl �Ytl:/Y—W9�Ylri�lle 3. Is the site currently under permit? Yes / �/ No s (If yes, .furnish permit number ) OR Is the site an existing site? Yes / / No 14-7 (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 /7J/ No (If no, clarify ) ( ) 5. What is the mobilehome electrical rating? ----------------------- woo Amps 6. What is the mobilehome site service rating? --------------------- Amps 7.. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be'served by the mobilehome siteservice? --------------------------------------------------- Yes No (I£ yes, identify the load and size: (Load) ] (Amps) 9. What is the mobilehome site gas pipe size? -------=-------------- 10. What is the type of gas service? =------:---------------------- Natural %% LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------- ------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) �Y MOBILEHOME,SUPPORT DATA If other than single wide, Mobilehome Mfr. furnish Setup Model No. Year Ydidt(ft.) Box Length Ze," 8 (£t.) Tagalong or Expando Size 5 eft. x ft. (SHOW 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). All center supports measured from front of mobilehome unless otherwise specified. *If center piers are other than drawn above, draw in -locations. spacing, and dimensions. Footings (check one) Single 1.. Wood either \ A pressure treated or x foundation grade. (ft.)(in.)' in. (in. 2. Other: (specify) Center support locations* Center supp rt footing size Supporto.(check one) (in.) 1: Concrete block. •2. Other. (specify) L�j (ft.)(in.) (i .) (in.) <---Tagalong or Expando,' show support details. (in. (i .) /fix io -- Typical Support (in. (in.) footing Size (ft.)(in.) (in.) (in.) 4r/ �� -- Max. Pier Spacing (ft.)(in.) / ., -- Max. Overhang (ft. (in.) (in.) (in.) (ft.)(in.) *If center piers are other than drawn above, draw in -locations. spacing, and dimensions. Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT 85®150(;3 p$ Section 26-8.1 of the Butte County Code requires this acknowledgement "SFlciAL.RECCIRU be recorded prior to issuance of a building permit. SliTTE COUNTY-C40F. ?ECOROS REQ.UESTV8E ' The property described herein is adjacent to land or included PAR $ within an area zoned for agricultural purposes, and residents of this MAY 2Z .1 10 property may be subject to inconveniences or discomfort arising from EkEbNUtt M,t t;I'.!.i��'"" the use of agricultural chemicals, including, bf}fd�t but not limited to herb DUAds•,R�i es and fertilizers; and from the pursuit of agricultural operations including, but not lmfted _ to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: -------------------------------=-------------------- Farm Allotment.No.'77, as shown on -that certain Map entitled "Subdivisional Plan of the Durham State Lend Settlement, being Lot Number Four of.the B. W. Durham Estate, including the C. F. Lott Ranch, both being a portion of the Esquon Rancho, situated near Durham, Butte County, California" which Map was recorded in the office of the Recorder of the County of Butte, State of California, February 13, 1919 in Book 8 of Maps, at pages 23 and 24, -containing 34.54 acres, more or less. Date: s/s _W-5_ State of California ) ) SS. County of Butte ) PROPERTY OWNERS: 4 ' On this the 15th day of May 19 85, before me, the undersigned Notary Public, personally appeared Morris J. Keeney and Agnes Keeney Ll Personally known to me. L/ Proved to me on the basis of satisfactory evidence. to be the person(s) whose iiame(s) arP•• =-'ut subscribed to the within instrument and acknowledged that,, they executed the.same for the purposes therein -'contained. IN WITNESS WHEREOF, I hereunto set my,hand,And official seal. PAAqEL; HAKALA ® NOTARY PUBLIC -CALIFORNIA Butte County IJIy Commission Expires July 27,1985 �� ��✓. Notary Public Present A.P. No. ((Q� I✓r� �S / END OF DOCUMENT