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HomeMy WebLinkAbout040-200-023w A.P. 40-20-23 I -R ,D GOODSPEED e ay app. 12001 so. of Durham= Dayton Hwy Durham - 3 ' n j e 7-458 -N3P, E %oP Permit � (utilities for mtobileom-.) ELEC-. GAS^ SUPPORT,8TRTdTU N COMPACTION -TEST REQ.` permit# 3123-75P%I ° Issued 40-2U 23 Claire E. Simpson .. 93.18 - Midway, Durham • ' Permit #975-82B(inst.rdtnp•& deck/MH) M t• • t 4 f 1 f' f 1 1 • ti ' 1 r s l r J Temp. Power Pole ; 4 Called PG&E Temp. Elec.-Service Called PG&E J Temp.- Gas Service ( t Called PG&E 'r JOB FINALED (Date) # Signature s r ! 975-82B PERMIT NO. PERMIT,EXPIRES ' r I OWNER Claire '-E. •Simpson . ' „ �4 r'.� !' CONITR. ow'i er I ASSESSOR PARCEL 40=20-23 i LOCATION 9318 Midway,' -Durham 1 1 • ti ' 1 r s l r J Temp. Power Pole ; 4 Called PG&E Temp. Elec.-Service Called PG&E J Temp.- Gas Service ( t Called PG&E 'r JOB FINALED (Date) # Signature COUNTY OF BUTTE - DEPAF T'NAENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER C,/©_, ,/0 — ,�3 ZONING / / BUILDING PERMIT OWNERTELEPHONE � �.Z SQ. OCC. BUILDING VALUATION (FT. OWNER'SS MAILINGADDRESS Isle CONTRAC O/R'S NAME '" - •1'Il- TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER �)� f UNKNOWN Total Valuation Is ,77 ; /,1� Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER .rio%r LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ?Q^� BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE * SF ElDuplex ❑ MobI Iehome ®✓ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lilies ❑ , Installation ❑ Other g- Describe work: l 1�1/,.�, •7ft/l T r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 M1100V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2,50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2�sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON.RESID. I am licensed under provisions of Chapt. 9, Div. 3 of the Business250 and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) © I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NON.RESID R BRANCH C.IRCT ITS 2.50 ea NEWCONSTR. POWER APPARATUS eI SINGLE OUTLET CIR. DDL@1 Ex. Occup OUTLETS OR FIXTURES ggL Ex. Occup.UTL APPLES, OR �OTLETS (REST D.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIIng Fee 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s1tatjid•Countyt{ in consequence of the granting of this permit. X ��4i� �2f . Date �7I �C Signature of Applicant — I Owner'® Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 0.,ra OCCUP. CROUP I TYPE OF CONST, PARCEL P11 HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By �f � ' " PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS / • ► Date f1 ► ' ov Receipt No. /� � � WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT J = OK 0 = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's Date DECKS, COVERS, CARPORTS, c'i C. (Plans) G, vxcept # 1. Zoning Requirements—Setbacks—Easements 1, Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3, Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rttrs.—Connec.—Shthg.—Rfg. -Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enc!us;,res 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors_ 7.Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except k's 1. Zoning Requirements—Setbacks—Easements 1. Setbacks—Easements 2.- Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enc losures— Pane Iboards— Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. 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 -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except H's Date FRAMING (Continued) 1. Zoning require men t's-Sethacks-Easements 48. Property Line Firewall & Openings 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /'' Fig. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /".Fig. Depth 1 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig., 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 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 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. 12. Electric; Underground 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 Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except p'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. Bedroom Exiting 17. 18. Shower Pan; Test, First Floor -Tub Access Test Tub & Shower, 2nd Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. 64. Fireplace or Stove; Clearances -Hearth 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 q'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 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size ---- 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 [3 No 75. Following instid.: Drive ❑ Yes []No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. 77, Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. 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 Date_ Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Perrrit) OK except q's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C.. Ducts; Insulation & Support 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 Card -BI --- _ ---- --- Date _ _ Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except N's 36. Sills; Proper Material & Anchors 37. 38. 39. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing _ Draft Stop in Walls (rat proof) _ 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -_Connectors Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shihng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. 46. 47. Attic Access: Size & R_om_ex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiling Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) s COUNTY OF BUTTE — 'DEPARTMENT OF PUBLIC WORKS % - 7 County Center Drive Oroyille, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT auuiullct It 1plv5emative5 ui uie L,uunty ui tsuue tu enter. upon the above-mentioned property for inspection purposes. Date Signature of Permitee or Agent 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 Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. _ Sanitation FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER E] ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal d2u Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ auuiullct It 1plv5emative5 ui uie L,uunty ui tsuue tu enter. upon the above-mentioned property for inspection purposes. Date Signature of Permitee or Agent 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 Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date .- ......... - - ....- --._.. _ ..._..._--- -- - .......... MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with.required separation from lot lines and buildings and generally tonfor _to plot plan? Yes. No 2. :Does the mobilehome have required.clearances.above ground? (Sec.5085) Yes No 3. Are footings and supports properly sized, .spaced, and.braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. -Is.the mobilehome level? (Sec. 5088) 'Yes No 5'. If more than a single unit, are crossover connections properly installed? (Sec:.5088) Yes No 6. Water A. Is flexible connector of.adequate size and properly installed (1/2" ID mrn.)? (Sec. 55_66) Yes ' No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No C. Backflow - If coach is not State of California approved,.does.station have -.backflow device. and pressure=relief valve? 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 4" .per foot Slone an4 is' it properly supported? Yes No. C. Are any leaks detected in drainage system after running, -3 -gallons of water through each fixture including washing machine standpipe?,.Yes No D. If coach isnot State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A.' Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. tong? Note: All piping is to be least as large as the mobilehome gas, line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 2. .Shut off. appliance burner and pilot valves: 3. Air test with *manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with 'connector, turn on gas, test connections with soapy water. C. Are all appliance vents.properly installed? Yes No- 9. Electrical A. Is service large enough to provide adeluate Zm__p:erage. to m6bilelromz (must equal rataing, of mobilehome with a minimum of 100 amp) und, other facilities on lot,'i.e.;' water pump s garage, cabana, etc.? Yes No B. Is there proper clearances.around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. { 3. Switch all breakers and switches in.the mobilehome to the "on" position. 4. Connect one lead of a test,instrumeht to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. S. All non-current, carrying metal pars 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 p.rocedilre, the. -power. supply cord or feeder assembly conductors shall be connected.to thyl site service equipment,, A further continuity test shall then be -made between the.grounding electrode and -the chass.is.of the mobilehome. Upon satisfactory completibn-of the electrical tests, the:lo.t -or site - service equipment -may be approved f..r energizing. .10. Is job card signed by'Health Department.forlwater and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOMEDATA Manufacturer and/or- Namestyle-:_ Length Width Vehicle Serial No. State Identification No. Addit'ona Information or Comments: 3 - 1q Li COUNTY OF BUTTE — 'DEPARTMENT OF PUBLIC ` F County Center Drive — Oroville, California 95965 Telephone: 534-4541 F� APPLICATION AND PERMIT 1� authorize representatives of the County of Butte to enter upon the above -menti One prop ert for insp tion purposes. $X- �/j ate l Sig ature of Permitee o gent Receipt No. -✓er30 7�Z White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Applicont 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. DIREC R OF PUBLIC WORKS By , r Date_f�df7S' ermit expires Date....s.�..,: BUIL ING I Owner S SQ. FT. OCC. BUILDING VALUATION Mai I i ng Adress U , Telephone No. Fireplace Contractor _S Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING PLUMBING No. @ FEE FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 ^ A. P. No. �2U �Z3 Z Zoning &Planning Gas piping system 1 - 5 outlets 1.5o Each additional outlet .30 Fe Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 0' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Appr al Plans pproVal Permit Fee $ $ -NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER � ELECTRICAL No. @ FEE PERMIT FILING FEE .$3.00 ,. ��� �� lam+ t �� �' S Main service incl. 1 meter Additional meters, each 1.00 Single'Family ❑ Duplex ❑ Mobil Hom Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b0 a2 - Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: �. Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 ' License No. Classification Misc. wiring ZII am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in -any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Perm it,Fee $ Q 0i $ 6 I certify that I have read this application and state thatthe above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction,• and hereby • TOTAL PERMIT FEE $,77� --� J authorize representatives of the County of Butte to enter upon the above -menti One prop ert for insp tion purposes. $X- �/j ate l Sig ature of Permitee o gent Receipt No. -✓er30 7�Z White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Applicont 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. DIREC R OF PUBLIC WORKS By , r Date_f�df7S' ermit expires Date....s.�..,: .., SxLOh�fl ��O �Vis ;!AnOO f I F r r .., SxLOh�fl ��O �Vis ;!AnOO f I r a F PIIONE : . 534-4541 ' Utility.,,.... r 20� .. ito'f • , .. , i=i d iii rt . .•� '/i . s ` r. r Q. y H F'• rt n36 Oma"'-- O . ►t nti',a � .t . �' fw.• . (~� • _. Fes•• � d s ,.� __ Cal ,4`� r •.. ' f • 71 Chi Len th - o x' 1� MOBILEIiOMG NST LATIN, INFORM TION! o . V !-tIre�P rtobil'ehome Data Lot Facilities N Plot .plan dimension location of, mobile 1. Length _ C� ids ' an d utility connections. Manufacturer Cn ' Yes �// No "' i Vehicle Serial No. 2c Electrical. service equipment a acityZ' Insignia Control No�'_%�rL� Circuit breaker ampactity� 2. Feeder assembly ampacity `t. permanent Wiring' Connecti� Conduit size I _' ity :* �� - Power supply cord (amps) G �, R. ceptacle .' ii Aupacity Z 3: Gas inlet sizeY8�l ' >k Gas: Natural L -Mobilehome connector size ,3 Gas riser size / 3 �. ' Capacit y r, � � -- - , , •, -14..Drain inlet.si > 4. Drain connector: describe on reverse side ' - 5. Later risl±r. size 3, 5. Water connector: ,describe' on'reversa side � 1. 6:' Are futility' connections located outside 6. Designed loads: 2L ` the rear 1/3' of the mobilel:ome within P.00f live load . p§f 0 4 feet of •tl-.e left roll? Yes,,"t'o 1 -find load i S psf.. i a rr i' .If not, sho'I di.z^ensions.above. • (only for * obilehomes .u!anufactured ,after .7. Is the mobilehome clear of septic tank,, October 7,.157j) leach fields and located outside public 7, Manufacturer's ins Ila tion,instructioi:s?It4� r r't ' utility easerrents? Yes i No Yes No /% :•; Do you propose to ao •other 1rorl: on the. . S. Will the .mobil&_'hone be' installed on is r+r •property other than_the the mobilehorne !. , , • 1 separate, support s cture. ' # installation w ich gill re uire a ermit? j t q p YesNo Yes " ..,,(If 'so, specify , ' j � '� ... • r , .1+ _ C • .. .. � I,, , 1 r i1 4 i• r�• ^For -,plans and of support system,.' See other side.. il/.F a d + ,( ,specifications F.. - --. •'•.•T---•L�•rt•:-•-- .;�. 3•:�,.,'..,q:..y trrri -;-r= .. .. : - .. r ;•`•_>s- = f '. •c-•..; -t--�,-i•. `Lr.,;.' .s.: -r+. �,,..:'-'S^'.yri:'l"T��-'•. ' ;�`'f• 4- . •` . ' •ADDITIONAL CO,V":;TS � _ . � • = "Drain Connector,.•Describe 1 'Water Connector, Describe r� (r _� Cc J • Le - • X _ , . • , - . BUTTE COUNT r ,;.�.e.•':�'.�.-- - �.....�.: ,..,�.. l/ 'OUILDING C3EPARTMEN'T- 1 ax -1 41, LOAD BEaF.I\'G _ •_;�� .. Af"P�.V.'� ; SUPPORTS .. � • :2a..e . ... •ww w r ri.. � ,ri � ... _t � .at :+Y" `_ . ~ * . _ � .. .. .. « . •.- _ - v •__ � • ' �. • . • i 4 _ A ' T i _ , . • , - . BUTTE COUNT r ,;.�.e.•':�'.�.-- - �.....�.: ,..,�.. l/ 'OUILDING C3EPARTMEN'T- 1 ax -1 41, LOAD BEaF.I\'G _ •_;�� .. Af"P�.V.'� ; SUPPORTS .. � • :2a..e . ... •ww w r ri.. � ,ri � ... _t � .at :+Y" `_ . ~ * . _ � .. .. .. « . •.- _ - v •__ � • ' �. • . COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 Tel ephcuine: 53414541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �1 Signature of Permitee or Agent Receipt No. Date 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. By DIRECTOR OF PUBLIC WORKS Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone Na. Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 13 1fd10 Receps., switches & fix outlets 2UTw5 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 i/ Temp. Power Pole 5.00 License No. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �1 Signature of Permitee or Agent Receipt No. Date 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. By DIRECTOR OF PUBLIC WORKS Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS -T -73 7 County Center Drive . = •Orf3ville, California 95965 / / Telephone: 534-4541 APPLICATION AND PERMIT 4ULIIUHLU 1UP1UbU11LGLIVCJ UI LIM I�UMIty UI 6UILe IU erller UNUrl Ine above-mentioned property for inspection purposes. G �mv- AJ xDate P41 Signature of Permi ee or Age Receipt No. I 44!2 White-D.P.W. — Yellow -Assessor I Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Datea:1 y 7�L_ BUILDING Ownerlel Id a44 -�-_ �. SQ. FT. OCC. BUILDING VALUATION 100, Mai I ing Address C) 3 t ele hone N 'S ` Fireplace Contractor Total Valuation Mai I i ng Address - Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address f GIt PLUMBING No.1 @ FEE _ PERMIT FILING FEE $2.00 Cs ,2 O Each Trap 1.50 An �41Lcl Repair drainage or vent piping 1.50 Water piping 1.50 r J_0 - Each gas water heater or vent 1.50 A. P. No. ZU _ lAIrA` o Zoning *�,, Gas piping system 1 - 5 outlets 1.50 Jr -0 Each additional outlet .30 Fe W.C. SanitatU FireDept. FireZone Use Permit Building sewer 5.00 3700 EQA Parking Parcel Plans Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. PIQR ec'd ���� Parcel p11'provol Plans Approval Permit Fee $ $ D NEW ❑ ADDITION ❑ UTILITIES• OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home 93. Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 24YP_2lo Receps., switches & fix outlets 2023 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 1 Bt WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information i.s correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT E FE $ a4 Z1 4ULIIUHLU 1UP1UbU11LGLIVCJ UI LIM I�UMIty UI 6UILe IU erller UNUrl Ine above-mentioned property for inspection purposes. G �mv- AJ xDate P41 Signature of Permi ee or Age Receipt No. I 44!2 White-D.P.W. — Yellow -Assessor I Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Datea:1 y 7�L_ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 1, 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. AA ASSESSOR PARCEL NUMBER WN G BUILDING PERMIT O WNE/ - „ J B,1/ TELEPHONE SQ. FT. OCC. BUILDING VALUATION �L OWNER'S MAILING r c� CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER O� UNKNOWN Total Valuation $ �V 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 $ 3O00 BUILDING ADDRESS a PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each pas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex[] Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2:50 NEW CONST. ( DWELLING OCC UP. III) OR ADDN.S. ACC. BLDGS. 2¢ sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1 am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneS$ and Professions Code and my license is in full force and effect. License No: Classification ❑ I, as,the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NE NO"07T'-OUT LEN-REBID R CONSTBRA CH CIRCTITS 2.50 ea NEW CONSTR. I POWER APPARATUS Q� NON-RESID. \SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES BAL@1 00 FIXED APPLNS. OR Ex. Occup. �OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 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 shal I be deemed revoked. 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-mentioned property for inspection purposes. I also agree to ve, indemnify and keep harmless the County of Butte against i ilitiesj mentscosts, and expenses which may in any way accrue aga' said ou in co se uence of the granting of this p rmit. X Date b Signature of Applicant — Owner El Contractor ❑ Agent`❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct-' ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ Owl OCCUP. GROUP TYPE OF CONST. PARCEL [_H�SSUEall This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR R OF PUBLIC By. P MIT EXPIRES Date, the applicable provi- resolutions to do fees have been paid. WORKS Date _ / 77 y7 Receipt No. iILJ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 f� 1 PERMIT APPLICATION DATA SHEET - Permit No. OWNER A. P. No.� Proposed Building Use Permit Fee Based Upon: Complete Contract. Price DPW Valuation Other tExplain) Building Inspector Date At time of permit application, I was advised t fo lowing data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . 2. Plot plans in duplicate./triplicate., .` 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ 9--L-etter of signature authorization. . . . . . . . . . 644Z1,_0. Sanitation approval from Health Dept. /rZ)1Z 11. Planning approval for (A) Use: (B) Parking: — _.V—' % Certificate of Workmen's Compensation Insurance. . . . . . 3.. Contractor's License Information (no., name style, classif.) 4. Owner -Builder Verification (Given to ownerEl--,ail to owner ❑•) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector 18. Other When you issue the permit, process as -follows: L i1. to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other A eN Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time ot app)ication, circle item.) r4 1. Index permit for above Items No.. 2. Additional items required: 7' (Contractor, Designer, Owner) was advised of above required data by Bye Plans checked by Plans approved bt Other Copy–DPW Telephone Mail Date Date Date Other TO: Building Department FROM:.-'• "`Environmental Health, Chico � SUBJECT: SaT)itation Clearance 67-311o' L?10 IAK14641141 O ner Location AP# Plan approved for: sewage disposal water supply Hold final for: •, water supply Final clearance O.K. for: water supply Clearance for bedroom mobile home. Other 1411 Note' i 7--/s 4 Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA, 95965 Phone: 916-534-4541 OWNER-BUILDER VERIF ICAT ION Attention Property Owner:. An "owner-builder" building permit has been-applied for in-your name 'and bearing your signature.. Blease complete and return this informatibn in.the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your.build- ing permit. No building-permit will be issued until this verification is received, 1. I.personally plan:to provide the major labor-and materials for construction of the proposed property improvement (yes or'no) and 2. I (have/have not)Vc. signed an application for a building permit for the proposed work, 3. I have contracted with the follawine person firm) to provide the proposed construpgion 11i�n Name . V aU Address City Phone - - Contractors License No. .4. I plan to provide portions of this work, but I have hired the following person to-coordinate, supervise, and provide the major work:. Name .Address City Phone Contractors License No, 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security number Date NOTE: This Owner-Builder Verification-•is sent to you as required by'Sections 19831 . and 19832 of the California Health.and Safety Code.'. This verification must be completed and returned to our office before we are permitted to issue the permit, E I 1 I r 1 IN I P i i I I 1 1 � I ; 1 1 ' ► 4 I q in ' l � � � ' I � •e1- t;1 . I I i ' I chis set of plans and sppaific�tians MUST lie ! + ! I ► kept", on tl�e ioO atoll timet and, 4 is unlawful to 1 rhake an than es oral+era+lons:on same without N 1 I I written perrnks on fro +tehe Department of Public I I I I i Works, County of Bu I t {{ ( 1 1 3�J i'<<►cluyAtf �uJ i I � � j IS 1 �C-=E'1' ' ! uszA M , i NOTE: ,11 Meer, Is 8t wok ' I manship S�a�11 � 1 � � j tth j Accordance with R' cognized Good Practice, A setback of ft. from ti ( , . and of a quality prescribed for the Specified use to the ! ILDING DEPRTtv�EN �' I Uniform. Building, Plumbing & Machahical Codes and I propertyylines�and a setback � , , , of , #rarra the road j +the National Electrical Code. f:f�� � i 1 centerline shall be dear of t I ' H P P R Sstructures or equipment exCepg i I , fora 2 ft. eave overhang R P�c'� 126` k i 20 1 � I r 1 , I � I