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041-290-102
> / 41-29-102 � ~� a If � � CLARK, T'herm qL 41-29-102 -9OD' CLARK, Thurman 685 Oregon GulchRdq Orovillk�'g-. (stairs/MH) J ~l - - - - '------ - - � N al 685 Ore on Gulc� Oroville A A L -t V -f � Q6 LA jQ e '41-29-'102 4219 9B \ � - ' ' TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance c2 9Owner Loca�n P Plan Approved for: Sewage Disposal Water Supply CAC:il Hold final for: Final clearance O.K. for: Clearance for _ bedroom mobile ome. Other NOTE * * * Water Supply Water Supply Data Sanitarian RESIDENTIAL 41-29-102 895-90B CLARK, Thurman 685 Oregon 'Gulch Rd (stairs/MH) Oroville P - J=OK O = Not OK - = Not ApplReadyMOBILE HOMES ' =Not Ready ' Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ P L" ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECK OVERS, CARPORTS, GARAGES, Plans OK except #'s oning Requirements -Setbacks -Easements 2. Foo ' 'Soils -Size -Depth -Spacing -Connectors -Steel gie�6ecks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Ro hthg-Roofing t.; Steps -Doors -Landings Dates �'�G' Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining ' 4. Elec.; Receptacles and Lighting,. Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7..Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearinq (NOTE: An entry must be mac 'Ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52, Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic. 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive 0 Yes ❑ No; Walks ❑ Yes ❑ No; Planters 13 Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: e each time you visit job site) Fj :p V ,} COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 85-0 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 41-29-102 ZONING U BUILDING PERMIT OWNER Thurman Clark TELEPHONE 534-9727 SO. FT. OCC. BUILDING VALUAf ION 500 OWNER'S MAILING ADDRESS 685Ore on Gulch Rd Oroville 95965 CONTRACTOR'S N W Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 10.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 1J1 Coo Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 8 Oregon Gulch Rd. Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Oroville Solar or heat pump water heater 20.00 . LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 • USE OF STRUCTURE SF ❑ Duplex[] Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S G W 10.00e TYPE OF WORK New ❑ Addition)❑X Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Stairs _ FT Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 . Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification .7j "KI 1, as the owner, or my employees with wages as their sole compen- Y� sation,.will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.q� OR ACDNS. (ACC, BLDGS. ) 2/z¢sgft NEW CONST R. MULTI -OUTLET NO N.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUSSINGLE OUTLET CIR.h) Ex. Occup(OUTLETS OR FIXTURES 20®50Q aAL®30 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all ilities, judgments, costs, and expenses which may in any way accrue ag In said County in co segue a of the granting of this permit. Date ^Z� Signature of Applicant — Owner Contractor ❑ Agent El An OSHA permit is required for excavat ns over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL $ 35.00 AL FEE HA2 — CUA —" PARK _ EE PAR PD HD )s u Th's permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRE OW PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS p e /v Receipt No. 591R1 .WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N.O. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT c� ASSES O ARCEL N BER 0 ZONI G BUILDING PERMIT O WN EFr ITEL r w` w �'� Ct -- 9 SQ. FT. OCC. BUILDING VALUATION O OWNER'S MAILING ®�RES^pl �1C� � (2 � - ©1� C /v- It © �' � � ^ Y CONTRACTOR'S AME TELEPHONE CONTRA TOR'S MAILING ADDRESS Fireplace CO RUCTION LENDER h UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 00 ARC I ECT OR ENGINEER L ICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ENGINEER'S MAILING ADDRESS ARCHITECT OR ENGINEER'S Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 0 O L/ � cd Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10-00e , TYPE OF WORK -• - New ❑ Addition Remodel ❑lities ❑ Installation❑ Other ❑ Describe work: C fia Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOGY OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW p y of p er I y (check one): I declare under penalty perjury ) El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.tr\ OR ACDNS. ACC. BLDGS. / yz¢sgft NEW CONSTR. MULTI -OUTLET NON•RESIO BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr\ SINGLE OUTLET CIR. EX. CCUpOUT LETS OR FIXTURES O � .0(9so 1.20 (9 FIXED RESID 1EA.) Ex. OCCUp. OUTLETS PR 2.00 Temporary 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. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Seif-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 I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives 'of the County or Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner [I Contractor ❑ Agent 11 An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE _ ©� TOTAL FEE $ ,3 S HAz I CUA PARK SCHL FLD I PAR PD HD ISSUE Th's permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By _ the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. J 7 (1 ' COUNTY OF BUTTE - DEPARTMENT.*OFtoRNIA PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CFCIyI 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET � � I Permit No. OWNER P. No. Proposed Building Use t BuiPding Inspector Date A At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: (� DATE RECEIVED APPROVED 1. All items have been submitted. ........ / ..................... 2. Plot plans in duplicate/triplicate, signed byJpreparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and Calcs,wi h wet signature on plans .. 5. Hazardous Material Form ............ .......................... . 6. Energy Design Compliance and suppo,ting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions......................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ................................:...... 12. P fees paid .................................................... 13 S hoot Distant fees paid .............. 4. Sanitation approval from �� t/ i �!E: Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec.request to ;` - Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to -owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. Whou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold forckup ,t . office. Deliver w. /inspector. Other Appl is n Date -ea Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: W Contractor, designer, owner, was advised of above required data by_phone--nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by C-4 Date Sets_ of plans on hold in File cabinet AP folder Copy—DPW ` TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance /4 ccAd Owner Location 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. NOTE Sarii'tarian, Date . COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Orovil.le, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement :(yes or no) 2. Ihav /have not) -� signed an application for a building permit fo�"Z e'ro osed work. P P 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: �/ Property Owner - Social Security Number - ?� Date 3I` -9a NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 .and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. (v , % I C- e &-y 1,42 1gp k A,,jL 7— MUST b, 4430 comiu WwhmmrW,'&M Be in I ccon:1, PV,: fxpi -o e Its -cl m s ad CA nfi oval EleGirkAl 0 OK Z Z:(� -6 o wok ec �o .6( 0 C\P se 0 0 pe -C� C; 0 .4e CZ. the Ok t. k\\ 0 WAIS 0 0) 0 0 C- o u P" -y cl, tr,o CPT C-. T.4,ii/v ---------- pow d 1p Fr C; A.: e'C'—1 0 I RESIDENTIAL y 41-29-102 CLARK, Therman. 4al 685 Oregon Gulch Rd, Oroville (MHU) L Xao; rc�/ r 4 , r it rl iy {a t Y. �j .t r JOB FINALE �. Signature J = OK , HC O - Not OK XG 'cl" Not - MOBILE HOMES . -� '� • _� (U'MISCELLANEOUS r,^ `;'U;.1- - =NotReadyable :' _Date. _MOB HOME UTILITIES Plans OK exce t'#'s Date DECKS, COVERS, CARPORTS, GARAGES; (Plans)OK except #'s -' r . Z ng.Requireinents-Setbacks-Easements 1. Zoning Requirements-Setbacks-Easoments-P,'-' uN r S ;.Special MH Support Sketch _ 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel .:,Q,, .-S N'L`ocation-Test-Fall-C/0 Concrete h!,, P 3.tDe6k6;_' riders and/or Joists-Decking-Btacing-Stairs=Rails 2sli"6'.0'W'-r; Location -Test -Easement Needed (Sketch), _ 4. Wood�Awn.' Po''sts-Beams-Rftrs.-Coonectoes' Er+ -Shth f " Ele city;` Location-Clearences-Grnd-/ /Amp -Concrete Rf Bracin g' g 9"' '1t i M,� " ` " 5. Alum. ,Awn.;,C,olurn ns -Con negtlons-Splice- Deco l -Enclosures - as;.Location-Test-Ws p: / •/ L..ft. / 'Nat. or /-'L"ft. "LPGs, , 6. Carports; Windows -Doors _IUtility;Clearance ,. -_{ r �; 1 7. Electric „. tf•,w in-.+- e1,I? 8. Frmg; Sils-Anchors-Studs-Rftrs fi. -r,. • ,: +•r„ ' ;Trusses . 21 ,pci)ILQ :- rtx etr: •,1 n .r,y'.' , 9. Siding; Nailing -Veneer -Stucco -Mesh) t 10. Roof; Shthg-Roofing i ,, ..-)v? 4 r+ DateGefd B -1i ,a.r• Date Card B-1 11. Ext.; Steps-D.gors-Landings,f, - --r Date �T�i1 r -Date,. Caid 1 Date MOBILdHOME INS TALLAT N Plans OK exce t #'a-_ Zog equirements-Sefbacks Easements _ , Date C40;6P1 ztn3V Dater, oo gs; ize-Spacing-Marriage Line , ,,,,' - Date Card B-1 Date ,..,Card B-1 asTest-Demand-Valve-Connector Date POOLS (Plans) OK except #'s ricity; MH Test -Crossovers -Breakers -Clearances =1.-Setbacks-Easements,lrC ra' , MH Test -Fall -Flex Connector ,-.N 2::Soits; Compaction -Structure Stability r; MH Test -Regulator -Connector • 3. Pool Structure; Steel-Cgnnectiorts-Thickness _- m Dead.Men pnmg and Sewer Connected -C/O to Grade HD Appioval -- - - - ---. • - -4. Elec.; Receptacles and Lighting, Distances-GFI - je,-Ga44K4 Electrlcity,:Tagged .. - - ' 5 Elec Pool Lighting 15 volts GFI .,. ._ p. -Sketch ,. , .,, _ r 6. Elec.;Enclgsures; Conduit Entries Terminals -Listed ; _7'1, W7. :::rJ9.Li 1 .i0rM �-1 u,.,' ,• !.1 )F _ - t Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater , .`i�. 8. Else.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Date_ Card 8=t',� Date,).1 •t (Card 8 1 Boxes_Enclosures-Panelboards Ins. to Main in Conduit Date Card-B-1:'//J�/9DaFe ' g ^ + Card B-1 .9.,Health Department Approval 1,O..,Plumb.; Cir. Test -Water Supply Test _ - _ _ �. _ .. _ - .._... rr:wr.N-�sOnblsst' ..• o�. , ,, � - i . - -_ - ____._ .. ... -- •- —. -- - _ - i _ .h ,) A3 ! ( t Date Card B-1, Date Card B-1 Date - Card B 1 . Daae Card B-1 ,3cjr1,sG ut,h1E7 ni 7 A fS I mv, r•` v, Q.. ,b,.,n ' i QIP . V.; 2Jn3V :'.i .P .�' 1J17.,b11L , , n'i, G1:J r.. J• .. f)Jr:�s; �•' 0.19M- icu;1 •odA n, _ —_ _ _ _ EES ._. i , ,� ,,.� E'r _. ",O`- ,..,• + 7t t,�1J 2: J flll/i_.) .. r .. , l .iiti .; 1 • . .. , nC tO'=i; ..y , )rn QJ 't , r) r.i ..�'Ob: 1--34Y. I J'7 a 1 , 1� ) �,' .,. 7wJ- 'c� r, , 'j 1A f ,C^ rr J, ,V,1 .. f :Jr • fU JL1 yZIP 1 ? _,lE� tnb(,FJ + tr'nr;, Ch+ r+! ^.r., 01I) ,01)cD 10"t '_wlH o'JO`N .$ �l\` " :iL i ',lv J91rOfi_. r• t,,r) 11 ir) Ft, $)(> - ii 1P, r •' _'�•Y`!'i.+ /-�Y/�-'J plc „ su>r.li . JE,Q`11 i DJA ew-3 j .CS - -• -- -- - - ... - e ra„, ,� l n,' .iL.. r;1K: i Orr r,..,rlr - mn,n,.n I IfII;,jJ ., vJ P, 1+ ,.•,Gqt 3 'w } '1 rr, , f.0 '. .:L 11. , .COX j IE , f Ouo e. 'Jit . — - __ - .. • • . , 1 r .•Dot a.,J .., :r � �P - r . - r A cora ' .... rail. 'M „� alcY smu +�aa e,t atl tz Tt , •tr. ;1A :31 -: ✓=OK O = Not OK =NotReeaad'�yable RESIDENTIAL (Single ` & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic. 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI. Insulated Neutral ❑ Yes O No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic O Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive O Yes 0 No; Walks 0 Yes ❑ No; Planters ❑ Yes ❑ No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace: Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made .- o COUNTY OF BUTTE , • DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Qhico — Phone: 891-2751 7 County Center Drive, Orovill,2 — Phone:1538'-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 'PERMIT. N A routine inspection indicates that the following violations of•County Ordinance exist at the above address and should be corrected. Please notify this office `'• s when correction of work is completed. If you have any question pertaining to this y l matter, or need additional explanation, please contact this office immediately.: �a r=. tom' • • i�E c}s r•e ,ie s i 's _Tr ~'G �R Inspector Date t J' 'J COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive,,OroviII.� — Phone: 538-7541 747 Elliott Road, Paradise=ZPhone: 872.-6'307 CORRECTION NOTICE T'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 7 �� Date MOBILEHOME INSTALLATION ACCEPTANCE r: Y COUNTY OF BUTTE r' DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE _. OROVILLE_ CALIFnRNIA — 53A -ASAI } Address or location of mobilehome Owner's name Owner's address Insignia or hud number vet i Manufacturer's name A4 b Serial number of.V.I.N. 11 61~J I /� PERMIT NO. A 11 (Official -Approving Installation) -1/3 Year of manufacture /-.4/ - i/.% (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. A y 513B White - Owner, Yellow —Installer, Pink - D.P.W. ti - I COUNTY OF BUTTE - nEPARTMENT OF PUBLIC WORKSPERMIT NO. 7 County Center Drive - Qcoville, California 95965 - Telephone: 916/538-75D41, /APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING, BUILDING PERMIT OWN TELEPHHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS V (veil +.4�J O6 A ^,. C75-765 CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $(910e Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS �5 09,E66t-) Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex's Mobilehomefk Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ RemmQodd��e1 [:1 Utilities [IInstallationg Other ❑ Describe work: ?A_ _ SEC r1H (in t 57- tf9 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.& OR ADDNS. C ACC. BLD -GS. , /2¢sgft NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRCUITS) 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. / Ex. OCCUp\OUTLETS OR FIXTURES AL05AL@0 3 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation. permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against ajudgments, costs, and expenses which may in any way accrue ,Mies, d County in cons uence oft granting of this permit./7 _/�, �`This Date Signature of Applicant — OwnerTK 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 $ S , c300 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz �uA PARK SCHL FLD 'PAR Po Ho Issu permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date _/Z174 A 9 Z-/' T 0 Receipt No. S�72-3 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT 'j't'3=t"'r�'.: v ... .. `rhtlMn�s+M��F jr`vtr*r'91iS'°a•_ '➢1.p+nw.+ u '. COUNTY OF BUTTE - DEPARTME,OFx,PUBLIC WORKS -BUILDING Dfi ISION `" " 7 COUNTY CENTER DRIVE - OF3"'JdiL •E, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER 0,604,4A) r, A /Z4— ' -"`w A. P. No. _Ill" ;Ls 402' Proposed Building Use 4414 1 4' Building Inspector DateT�L- / At time of p rfnit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED le 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with \wet signature on plans .. 5. Hazardous Material Form ........................:................ . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ................... 11. Chico Urban Area,fees paid .................................. 12. Park fees paid ..'.......................................... 13. School District fees paid ............... 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ............. ...................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ..:•P,e-Irjspec. request to Building Inspector "(Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. Y 23. Owner- 05--ftr Verification (Given to owner ❑, Mail to owner ❑) ..... -� 24. Recorded copy of Agricultural Acknowledgment Statement ......... 5. Letter of signature authorization ..................... .......... . 26. r 27. When you issue t permit, pro ess as follows: ._.Mail to owner. Mail to contractor. _ Telepho:7- and hold for pickup at"n/Z-0office. Deliver w/inspector. 5,1 Other 3 3 APPI ic �&�Date- !F. Copy of ptanssent Health Dept., Fire Dept., Other- Date ^ The following data must be submitted prior to permit issuance: (Circle new item not checked above). .� 1. Index permit for above items No. 2. Additional items required: 4 e Contractor, designer, owner, was advised of above required data by—phone ____jnaiI—counter by -.date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date ,f Plans checked by 422y_.�a?= —DatePlans approved by Date E � �• Sets of plans on hold in . File cabinet AP folder Copy—DPW ELECTRIC GAS Support Struc. Compaction TesC Re . Service Other Pipe YES NO YES NO Size' Load Type Size Length i t , t COUNTY OF BUTTE'- DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICkTION AND PERMIT ASSESSOR PARCEL MBER ZOUG U BUILDING PERMIT O WNE TELEPHONE �J SQ. FT. OCC. BUILDING VALUATION ' OWNER'S -MAILING ADDRESS CON ACTOR'S NAME TELEPHONE I CO TRACTO 'S MAI NG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is _Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS J i Permit fee $ S � PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomOther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 10.00e —' TYPE OF WORK New Addition ❑ Remo el Utilities InstallationOther❑ Describe work: _ Permit Fee. $!!q -� Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect.SINGLE License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ACDNS. ACC. BLDGS. , 2/z¢sgft NEW CONSTR ULTI.OUTLET NO N.RES'D BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES 20050t BAL®30 FIXED PR Ex. Occup. OUTLETS (RESID 1EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 S Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation. Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against es, judgments, costs, and expen es which may in any way accrue a,gai'dCounty in consequence of the nting of this permit. Date IZ— ,7 -,gg Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE AL. TOTAL FEE $ HAz CUA PARK — o FE tL PAR D s This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees O DIRECTOR F PUB C c By _ PERMIT EXPIRES D to _ /�xz` the applicable provi- resolutions to do have been paid. WORKS Date1y bio / Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ...r .-Y--�,.wr;y., t�'H•�+�_� '4%�. ..:r`f�.fE4:..K��.Wd. 1b" T�r,y^. ^V�r3'�SY�4 -N+; j'�... r {I.� r.�f V:I.F'.'/�..�.T+• .Y..+. �•.r a �M'"� . . 4 COUNTY OF BUTTE - DEPARTMENT OFi PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIL11 a,:CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET - Permit No. OWNER !�A.-P. No. Q T J Proposed Building UseIm. d Building Inspector Date/ o At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: .' DATE RECEIVED APPROVED 1. All items have been submitted. 2. Plot plans in duplicate/triplicate, signed by'.pr4parer of plans........ 3. Complete,plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ......................................... 6. Energy Design Compliance and supporting documentation ....:..... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation ' instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 9115. 3. School District fees paid .............. 4. Sanitation approval from �L�/ Health Department City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... :(0178. Improvements may be required. Contact Land Development Section DPW riveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... Certificate of Workmans Compensation Insurance ................ IiP23 Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .... 4. Recorded copy of Agricultural Acknowledgment Statement ......... I 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone!23—IOC and hold for pickup at office. Deliver w/inspector. Other Applicai Date �—� Copy of plans sent Health Dept., Fire Dept., Other Date r The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---mail —counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma il—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO: Building DeU;ar.tmcbt FROM: Encroachment Permit Section RE: Driveway Clearance �� v ✓ dLra /� �� °� /\ (J �J S' C/-/-P`C�� ��' < G� �U Lt,-fl- Z /O "L r owner location AP # Driveway permit 2vrel has been issued for the above property. ey, si ature date Buildina 'Department Environmental Health Sanitation Clearance c� LQ � pro •� �% ��-�5-I�� Owner Loca on AP# Plan Approved for: Sewage Disposal Water Supply _04N Hold final for: Final clearance O.K. for: Clearance for bedroom zab&be home. Other NOTE * * * Water Supply Water Supply Date Sanitarian yds €ti Q$�s',� �3 + s� t 1' le f Return to DPW AGIZICULI`U"SMAII5�,11` ACGJL''nGLMI;N I�``+ ; <-.� Now" FOR RF'S1DhNT111L .UL:VELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. Y NOV 2 9 1989 The property described herein is adjacent 8 9"046 513 to land or included within an area zoned T _ for agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals, including, BUTTE COUNTY RECORDER but not limited to herbicides, pesticides, ' and fertilizers; and from the 'pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural 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: , ALL THAT PORTION OF THE EAST HALF OF THE WEST HALF OF THE SOUTHWEST QUARTER OF THE �- NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 34, TOWNSHIP 20 NORTH, RANGE-.,-. 4 EAST, M.D.B.:•& M., LYING NORTHERLY OF THE CENTERLINE OF THE OREGON GULCH ROAD.'' .> �..,.. THE ABOVE-MENTIONED SOUTHWEST QUARTER OF THE NORTHWEST QUARTER OF SAID SECTION 34 BEING COMPO D OF A PORTION OF LOTS 7, 8, 44, 45 AND 46, AS SHOWN ON A GOVERNMENT.— SURVEY MAP OF SAID SECTION 34. Date: RTY OWNERS : ' ce� �0 i� State of Calif ) On this the 21st day of November , 19-8-q_, before me, ) SS. the undersigned Notary Public, personally appeared County of Butte) -Thurman Cloise Clark ^ OFFICIAL SEAL ![`' + `'I" HART W� Personally known to me. Proved to me on the basis J t f " roTr,^v ru_uc - .:nur a;4IA of satisfactory.•evidence. F coum.,( 3r SWIFE to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged that ham_ Comas. Exp. ilu ust �G, 19910 ®¢teuae¢ee¢�¢¢¢¢¢¢¢¢¢¢¢�¢¢a¢aaa9a¢e�sas aea¢eeaaaaa¢¢eae� executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and'official seal. Present A.P. No. � ;z-?, Notary ublic Aj G. OFFMirt. aeam�as PETURN TOt CERTIFICATE OF COMPLIANCE @MAW cOWTV-Caus.' Planning Dept. ssue to: Sidney 6 a Gevertz 1982 44th St. PUBLIC WORKS San Francisco, CA 94110AM?1 1246 Y!n CLARK A. '.0.. GFCC " CLiRK-AECOi10E�Fi� ; 13340 This Certificate of Compliance is hereby issued by the County Of Butte to certify that the land division which created the parcel of property Identified below complies with apolica:,le provisions of the Subdivision Map Act and of. Chapter 20 of the Butte County Code. 1. Property location: on Oregon Gulch, •outhweat of Potter. Ravine. 2. Assessor's Parcel Number: AP 41-29-102 Description: All that certain property located in the County of Butte, State of California, more particularly described as follows: All that portion of the E� of the W1 of the SW} of the NWk of Section 34, T20N, R4E, MDB&M. lying northerly of the centerline of Oregon Gulch Road, being s portion of lots 7, 8. 44, 45, and 46 a• shown on Government Survey lisp of said Sec 34. Issuance of this certificate is conditional upon the follow- ing conditions which have been imposed pursuant to Butte County.Code Chapter 20-48 and Business and Profensions Code Section 115832.(b) to protect the public health and public safety. NONE m u 0 C� CM County of Butte Subdivision Committee N By YW OF Docman BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Driv, Oroville, CA PHONE: 538e=7541. MOBILEHOME INSTALLATION SHEET ner s arae: �? �,�� /� i _ A.;,{. . 2. Installer's Name, 1'y _. %/Inh �� /1i� �/'y4c.0 f •n.� • 3. Is the site currently under � Y Permit. Yes No - � • (If yes, furnish permit number 3,7_5-7 — � I OR -�- - Is the site an existing site? Yes aY � (If yes, furnish two plot plans.) s� V,` 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 ;`,t f (If no, clarify ;. i 5, What is the mobilehome electrical rating? --------------- �Q Ampa ,t— • 6: — — — — — — — What is the mobilehome site service rating? — — — — — O D Amps. _ s 217'7: What is the .mobilehome site circuit breaker rating? ----- Amps ;{ 7 8. Is -there any other electric load to be served by the ~ "s mobilehome site service? ---------- � .. --wtFLL Yes No 1 h�2s re M� (If yes, identify the load and size: (.Load) (Amps) What is the mobilehome site gas pipe size? --------------- (in.) , y� 10. What is the type of gas service? ------------------- Natural LPG Z 11. What is the gas pipe length from meter or tank to theel mobilehome? --------------------------------------------- 5 * 12. What is the mobilehome gas demand? ---------------------- 1a"', OO c7 r TU) (Th'is information not required if pipe length less than 6.1't.` on,<`_Vrl . natural gas or less than 50 ft. on LPG.) ;�'' ��►%'`'- t' 16 MOBILEHOME SUPPORT DATA m . 7 If dther_ •�h_an single wed , - Mobilehome Mfr.—A In *I/ furnish Setup Model No. Q�l Year .t o y Width g (ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft. Od ai1Uii'edmes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) ❑ 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)1. Concrete block. 2. Other (specify) ' Pier Footing Sizes and Locations )�Pj 1�,, i vV' SINGLE -WIDE _. — — — �. _ _ �.■■- Lina -4 .o Line 1 Line 1 Piers: )) p Spacing -Max. "------- Y I Prom Ends -Max. ------- Line 2 Piers: Size -Min. ------------x n1 91iJS VX 3 0 Spacing -Max.--------- ,_ „ %/ /( From Ends -Max.------- ' (U It Line 1 Roof Loads: flp�s /x30 Size -Min. Location (From Front) Line 1 Openings: Size -Min. ------------------ Each Side of Openings With Width over --------- Line 3 Piers: (Under Bearing Wall Only) ' Size-Min------------------ Spacing-Max ---------------- -----------------Spacing-Max---------------- ,_ From Ends -Max. -- ----------- „x 1.1,k u r 9�i Line 4 Piers: (/ 'rote / /� / ij f y ee Line 5 -Piers: (Under Bearing w&1is unay) i� a , Size -Min.------------ S�Size-Min .------------------ ,� u Spacing -Max. „ Spacing -Max .--------------- From Ends -Max-------- „ From Ends -Max .------------- ,- Line 5 Roof Loade• Size -Min:------------ F ,k „z „ .�x „ lox.1 „x Location (From Front)1.1 1 2. -. n. 6 9 0 _ - PDA :fi-EL..LH ADVANTAGE MOS I tE i'cp.�. u I - . FOR CD0 iA j6t� 0, Ricxm a 5NAM -r PSA®o gL- . ® oig1. 6 411 0 '40 l o" IG A" �. I - _T 3.1® L/3,aQ' q-3Ao 3(*(� ` ;-k 0 n�or�