Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
041-330-056
I t Walter L. Wood / � ' .�. �� On SW/S Hwy 70, app. i mifrom nteis.of , Pentz-Magalia Hwy & Hwy 70, Paradise- e Permit. 967-77P,E(ul ,MH)- ELEC 2 Gil GAS_ SUPPO T STRUCTURE REQ. OJMPACTION TEST REQ. Abo `ah .. A��!�7� 41-33-11 'Permit. #9'-68-77MH_14' . Issued 41=33-56' EVEN R. SMITH NW Smith Hill Rd, 2/10 mi SE Hwy 70.,,. mi S entz Magalia Permit#26 '- -83P, s(util, MH) ELEC //-/%- k3 f1 GAS /-/f 43 SUPPORT STRUCTURE R, ! COMPACTION' T EST"- TQ-�! 41-33-56 Permitt ##918-83MH% (install, MH)—. ISS�H N rig -3 47/ i PERMIT NO. 2665-83P E(MH) PERMIT EXPIRES(lqlg�' OWNER STEVEN R; SMITH CONTR. Owner - ASSESSOR PARCEL 41-33-56 LOCATION NW/S Smith Hill Rd, 2/10 mi SE Hwy 10, mi SW Pentz Magalia ftt. i Temp. Power_P_o.l.e. CalfOFFICE COPY Temp. Ell -<- - i Calle GAS _ Meter By Temp. Gai ELECTRIC Date!l�"J Meter By - ' Calle, - �i JOB FINALED (Date) Signature COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE `OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter S, under permit number ffor the following location: Owner Owner's Address Mobilehome Mfg. Model Year Insignia No. —'7/// Serial No. `- P cy 'e — It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date - - _ By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 _ 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE NNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. =�- Inspector Date/%- y = Not OK = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready' Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. 4. Fig., Garage; Soils -Steel- / , /" Ftg. Depth Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 50. 51. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 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-Underfir. Access 7. Piers -Fireplace Ftg.-Steel _ 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test --2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. 11. Water Pipe; Test -Anchors -Regulator -Service Test Electric' Underground 12. Plenums & Ducts; Clearance -Material -Support - Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except N's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access _ __11.9. 18. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. 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 - _ 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 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 [j Yes - 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails &Deck Construction -Post Caps 26. Subieed 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. _Insulated 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Neutral []Yes❑No Service -Riser Conductors & Ground -Main Disconnect 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish -_- 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet _- 30. Clothes Closet Light -Shower Light _ 78, Vents. Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. --- -- - - ----- ---- -- -------- Card B -I _Date_ Card -BI Date Card B -I Date Card -BI Date 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts: Insulation &Support 85. 86, Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates _____33. 32. Vent Fan_Exhaust above Insulation Condensate Drain &. Overilow: Size & Grade 34. Furnace- Vent; _Access-Comb._Air-Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI -- - Date --- -- Card -BI_ Date Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Comments at Final: 36. Sills; Proper Material & Anchors _ 37. 38. 39. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailin_g_____ Draft Stop in Walls (rat proof) 40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-ShlhnQ.-Rfng Fireplace Ties or Type A Flue -Fireplace Throat Attic - Ac - cess: -Size & Romex Protection -Draft Stop -Ins. Baffles - -- ----- -- --- -- - Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions-..---- imensions_-_47. Garage Fire Protection Framing - - (NOTE: An entry must be made each time youvisit jobsite) j=6K, 0 = Not OK — = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS c• Date MOBILOOME UTILITIES (PIoa<OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 0./foning Requirements—Setbacks—Easements 1, Zoning Requirements—Setbacks—Easements oils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors Sewer; Location—Test—Fall-C/O—Concrete __ 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ Amp—Concrete S. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6-93SToccation—Test—Wrap:/ /"L"(t./ P'Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors' Utility Clearance 7. Elec. CW -BI Date /—/ — and -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILFHOME INSTALLATION (PI OK except N's mooning Requirements—Setbacks—Easements Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except N's 1. Setbacks—Easements Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability st—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4 lectricity; MH Test—Crossovers—Breakers—Clearances _ 4. Elec.; Receptacles and Lighting; Distances—GFI 5;1<rain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GF1 §�Aater; 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 Elec ' ity Tagged s; Insp.—Sketch 8. Elec.: Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures-Panel boards—Ins. to Main in Conduit 1 Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card -BI Date Card -BI Date C d B -I Date,//"—; -3'q .ard-BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date P COUNTY OF BUTTE - DEPAFITMENTOF•PUBLIC WORKS 7 County Center Drive - Oroville.,:Cali nia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT M_"A1_ ASSESSOR PARCEL NUMBER / — 33_S( ZONING BUILDING PERMIT OWNER Tcve j-14 rli TELEPHONE 5•� .S5� S0. FT. OCC. BUILDING VALUATI N N or OWNER'S MAILING ADDRESS Gtr f a15s CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNO Wp✓ t/ Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ Imp ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ � a_0 BUILD IV G AD RESS \ S�AA I k t PLUMBING PERMIT Filing Fee 3.00 / I Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome© Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New Addition Remodel[]UUtilities[::] Instal lationL`-'Other❑ Describe work: _—Yon- — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 V OR L Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p I y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification [� I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale: (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR LTI.OUTLET NON.RESID BRANCH CIRC ITs 2.50 ea NEW CONSTR POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50@� BAL@1°s Ex. OCCu FIXED . OR E p•(DUTLETS TS (RES* EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 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. dI 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 3.00 Heating Cooling Hood 2.00 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 said County in consequence of the granting of this permit. _ �,�,� ° X��1 Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ , Land Development Fee $ UU TOTAL PERMIT FEE $ 70— OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND I 15 E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which ADIRE OR PUBLIC By PERMIT EXPIRES Date 11 the applicable provi- resolutions to do fees have been paid. WORKS to pal Zi Lio Z/ ? 1 Receipt No.(�< WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ' COUNTY OF BUTTE - DEPARTMENT�O: PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CA`L'IF'(jRNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER _ I A. P. No. Proposed Building Use A • Y Permit Fee Based Upon: Complete Contract Price �_/bPW Valuation Othe Explain) Building Inspector(�I. Date 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. . . . . . . . . . . 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. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking:- 12. arking: 12. Certificate of Workmen's Compensation Insurance. . . . 13. Contractor's License Information (no., name style, classif.) Owner-Builder Verification (Given to owner[], Mail to owner 15. Improvements may be required. , . . . , . . , , , , 16. Mobilehome Installation Data. . . . . . . .. 17. Pre -Inspection for •Pre-Inspec. request to Required, Building Inspector (Date) 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. telephone, 34(-4 ;5� and hold for pickup at Toffice. Deliver w/inspector. Other 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 ti a of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: i 1 (Contractor, Designer Owner) was advised of above required data by Telephone J_Mail Other ;�� /I By Date Plans checked 1yv Date Plans approved Date Other: Copy—DPW BUTTE COUNTY DEPARTMENT OF"PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBTLEHOME INSTALLATION SHEET Owner's name: T7-6Ve 2. Installer's name: Y14 NN P- 3. Is the site currently under permit? Yet / !- No ( If yes,. furnish permit numberd6 ( 5 --193 ) OR Is the site an existing site? Yes / / No.7 (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / "/ No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- oZ 0 4 Amps 6. What is the mobilehome site service rating? --------------------- - Amps 7. What is the mobilehome site circuit breaker rating? -- ----------- O Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes No T-7 (If yes, identify the load and size: (Load) (Amps) 4 What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the -type of gas service? ----------------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft, on LPG.) r MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. furnish Setup Model No. Year G4_ Width (ft.) Box Length GO (ft.) Tagalong or Expando Size ` e ft. x3 ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). '¢E�1iZ All center supports measured from of mobilehome unless otherwise specified. Footings (check one) (ft.)(in;) Center support locations* 4- i (f t.)(in.) (ft.)(in.) 34� ►I" 8' 8'► (ft.) (in.) Single Ell"1. Wood either pressure treated or t2"X�N foundation grade. (in.) (in.) �0 2. Other. ( specify) Center support footing sizes Supporta (check one) (in.) Concrete block. Ej .2. Other, (specify) x (in.) (in.) ��� p�����► (in.) (in.) 1 2X30 lZx� (in.) (in.) (2x3p (in.)I (in.) *If center piers are other than drawn above, draw in -locations. spacing, and dimensions. I j 24I N F ---Tagalong or Expando,' show support details. i L x3 0 -- Typical support in.) (in.) Footing Size S 6 " I -- Max. Pier Spacing (ft.)(in.) 2 0 0 ,► 1 -- Max. Overhang (ft.)(in.) 1 g' V BUTTE COUNTY BUILDING DEPARTMENT APPROVED �%v COUNTY OF BUTTE Department of Public Works. 7 County Center Drive Oroville ----- 534-4541 ELECTRICAL INFORMATION FOR DE-RATING MOBILEHOMES Owner STEJ C SM I TV Location MJW SIDE S4tIJW H tLj.. �•A Oi�IiIL.(,E Mobilehome Installation Permit No. 3q1�' 83 FILL IN INFORMATION FOR ITEMS 1 THRU 10 10 3G �PJDO Watts 1. Width f,4 x Box Length ADD x 3 = 5400 2. 2 Kitchen Appliance Circuits ................. = 3,000 3. 1 Laundry Circuit ............................ _ .1,500- 4. Ovens........................................ _ 15 / 00 5. Cook Stove Top ............................... _ 6. Hot Water Heater ............................. _dd ..7. Dishwasher is os ........................ _ 8. Clothes Dryer ............... ............... _ .9. Other (specify, i.e., motors, exhaust fans, etc.) = ZOO Sub-total - Watts ..... First 10,000 watts @ 100% ................................ = 10,000 Remaining 1i7/ watts @ 40% ....................... 10. Air Conditioner watts @100%., = . Largest Central Heat System 11j,'(5,00 watts @ 65%.. = Demand = ) TOTAL DEMAND WATTS REQUIRED ............. "Demand Watts Required" - 230 ............. ......... _ (Z'_r� �p AMPS Mobilehome to.................................... (F.De-rate AMPS BUTTE COUNTY BUILDING DEPARTMENT APPROVED ;. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, C Tliforniay95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. J ASSESSOR PARCEL NUMBER 41- ZONING l V —C"/ / BUILDING PERMITor ff OWNER 15, S� TELEPHONE SO. FT. OCC. BUILDING VALUATI N OWNER'S MAILING ADDRESS n CONTRAC .OR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTIONER A,00� UNKNOWN Total Valuation $ Filing Fee $ LENDER'S M/AILING ADDRESS Permit Fee $ ARCHITECT O ENGINEER move LICENSE NO. Plan Checking Fee $ s Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $� BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 4gQ 2D v 0f �� O � z,Solar Each Trap 2.00 Water Heater 20.00 Water piping 5.00 LOT NO. 1 SUBDIVISION AMEPARCEL MAP Each qas water heater Or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome?. Other SPECIFY Building sewer MN 04 5.00 Mobile Home W 10.00 a 60 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti litiesX Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service UOOV OR LESS 100 AMP OR LESS 10.00 10,60 Main service EA. ADD'L 100 AMP 2.50 SO NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. SLOGS. I 2/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 'El 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) •�r,/ I� 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 CO ID R BRANCH CIRCUITS 2.50 ea NEW CONSTR. POWER APPARATUS &' NON-RESID. (SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES BA ®30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mi sc. 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. ❑ 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 said County in consequence of the granting of this permit. /� X i ` o �( Date _ 8— � 85 Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuresover 3 stories inheight. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. ARC PD ND ISSUE, This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY PERO EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No._ 46-7b i 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 ,-�- PERMIT APPLICATION DATA SHEET Permit No. / OWNER s%E/%�) ,,l�, _,5m/T,-! A. P. No. Proposed Building Use /ii,lLl Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building Inspector Date e- S- —P3 -;,> At time of permit applicat-i'on, 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. . . . . . . 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. x.10. 11. 12. 13. 14. 15. 16. 17. Letter of signature authorization. Sanitation approval from AnTilii T Health Dept. Planning approval for (A) Use: (B) Parking: Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) Improvements may be required. . . . . . Mobilehome Installation Data. . . . . . . . . . . Pre-Inspec. request to Pre -Inspection for Required. Building Inspector --� ,_ 18. Other When you issue the permit, process as follows: S _ Mail to owner. _ Telephone and hold for pickup at office. Other (Date) Mail to contractor. _Deliver w/inspector. Applicant _ ..I 4/�e n Date 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 of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date Other: Copy—DPW W To: Build -ng Denertr;:ent From: Health Subject: Sanitatio^ Clearance zner LOCAn r� Plan_ �-Droved for: Sei^,a-e uispoSall r irat e—r supply Hold final for:' water supply Final clearar_ce .0. K. for: i•rater supply. Clearance for bedroom mobile home. Other P:O S anit arf an Fiat p 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 risme and bearing your signature. Please complete and return this information'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) 2. I (have/have not) signed an application -for a building permit for the proposed work. 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 --3 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. Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT - r . Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. :'J7TE C013:4Tr,. r.:;,t.!". The property described herein is adjacent to land or included] PARTY SHOWN3�� within an area zoned for agricultural purposes, and residents of this c PY19W property may be subject to inconveniences or discomfort arising from EtEANQkr ! the use of agricultural chemicals, including, but not limited to herbicidesgKP401;ft.l s and fertilizers; and from the pursuit of agricultural operations including, but not lim to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: f DESCRIPTION: All that certain real property situate in the County of Butte, State of California, described as follows: All that real property situate in Section 30, Township 21 North, Range 4 East,M.D.B. & M., Butte County, California, described as follows: BEGINNING at a point on the East line of said Section 30, said point being the intersection at the Southeasterly right of way line of State Highway 70 and the said East line of Section 30, from which the Northeast corner of Section 30 bears North 000 18' 58" West, 2403.15 feet; thence leaving said point of beginning along the said Southeasterly line of State Highway 70, the following courses: South 510 00' 00" West, 313.34 feet; South 65° 02 10" West, 206.16 feet; South 510 00' 00" West, 600.00 feet; South 360 57' 50" West, 206.16 feet; thence leaving said Southeasterly right of way line of State Highway 70, South 59° 02' 14" East, 809.75 feet; thence South 020 28' 17" West, 695.55 feet to a point on the Northerly line -of the Railroad right of way; thence along said Northerly line of the Railroad right of way the following courses: North 760 38' 00" East, 199.87 feet; North 13° 22' 00" West, 75.00 feet; a curve to the left being concave to the North, whose tangent at this point bears North 76° 38' 00" East, having a radius of 1262.34 feet, through a central angle of 070 54' 15" an arc length of which is 174.15 feet to a point on the East line of said Section 30; thence leaving said Northerly line of .the Railroad right of way along the said East line of Section 30, North 00° 33' 02" East, 1507.36 feet to the East quarter corner of said Section 30; thence continuing along the East line of said Section 30, North 000 18' 58" West, 259.75 feet to the point of beginning. TOGETHER WITH the right of access over and across that certain 20.00 foot ,access openino_in the Southerly right of way line of the State highway in the County of Butte. State of California. described as: The Northeasterly 20.00 feet of the Southwesterly 157.76 feet of the course described as North 51° 00' 00" East 1100.08 feet in the Deed recorded in Volume957,page 571, Official Records of Butte County,.the center of said access opening lies Southeasterly of and opposite Engineer's Station "B"641+47.76 of the Department of Public Works' 1956 Survey on Road 03 -But -70, Post Mile 14.8/34.6. ALSO TOGETHER WITH a 60 foot non-exclusive easement for road and public utilities purpose, as recorded February 14, 1978, in Book 2255, paqe �64, Date: - %3 PROPERTY OWNERS: State of ) On this the o�y day of _ , 19 T3, before SS. me, the undersigned Notary Publi , personally appeared County of ) �J /9?. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. No. IV 33 --5—C, -. OFFICIAL SEAL / / Personally known to me. Proved to me on the basis /.. i✓' DOROTHY A. WISE NOTARY PUBLIC - CALIFORNIA to be the person (s) whose of satisfactory evidence. names)ubscr 'bed BUTTE COUNTY to My Comm. Expires Aug. 6, 1984 the within instrument and acknowledged that - executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. No. IV 33 --5—C, j. 1740POSED InO&L 2— Exs t.S-rm&- InoraliL /30" 3. 2 2 0' TO w E qtr - F90PdfFD UJA7ER D11tH 4. 700' TO POND PftoPERTy LAK) 2D�lP� -1 DRIVE WAY '4 G• FENCE 7. EA.Sf-mENT T 6. PROPf-R7Y L/K)S &06' FROM r1701311, 9. 80' To EASEAI E N -K I� 30o' PROPEkr uuE f9cM ln6(31L Il. P1q0P0SE0 SEPTIC =� � 2 . 70,* ?0 PoujLR POLO - PRo Fos ED PtNaEQ A K Utility connections shall b within 4 ft. of the mobilehome, ei'her directly behind br within.th rear �. half bf the rroads'ide (left) of f rnobllehorr e. a cpill be required the ins+ Ila ion of the mo ' e� ome. This set of plans and specifications MUST b. kept on the job at a11'times and it is unlawful tc make any changes or alterations on same witho+! written permission from the Department of tub lia-Worts,--Qounty_of Butte,. 7 qJ v O A setbck of 5 ft. from the proper lines and a setback of 5Oft from the road centerl ne shall be clear of 6 structu es or equipment except for a 2 ft. eave overhang. e 3Q s �UTTE COUNTY ILDING DEPARTMEP APPROVED I.Lkoc 0*1-y ALL-OwiM iu scrcW�e NOTE -,—All Materials & Workmanship Shall B in Accordance with Recognized Good Practices and of a quality prescribed, far the Specified use n the Uniform Building, Plumbing & Mechanical Co es and the National Electrical Code. f YI • COUNTY OF BUTTE - Departmdnt of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information 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) YES 2. I (have/have not) 4566! a/6 signed an application for a building , i permit for the proposed work. 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, su , 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 S igned : Property Owner• Social Security number Date /I- /7- Fri 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. �39i�-g3 110 u 4 AP # -r-r OWNER. o� PERMIT # MEI UT IL . CLEA E INSPECTOR ELE TRIC GAS Support Compaction Pipe Str c. Test Req. service Other size Load Type Size Length YES NO YES NO �V PERMIT NO. 967z77P,E o PERMIT EXPIRES T -,OWNER Walter L. Wood CONTR. owner LOCATION (A.P. 41-33-11 SW/S Hwy 70, app, z mi.from inters. of Pentz- Magalia Hwy & Hwy 70, Paradise by C 11"1 '•. #'- . s (fir(//' � \�11✓ �"' � 31� r y Temp. Power Pole Called PG&E Temp. Elea Serv. 69 Called PG&E za!�7 Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms. Parapets 1st Floor Matn Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwail Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicaped Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatina Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping 4._— ff—r — ,, Sewer GasPipingYAV�'�All 1 E ONE INSTALLATION - - - - - - - - - - - - - - Support (7, It— 71 7 . Elec. Continuity 6Q ,— s Water Piping %j — % — 7 7 — Drainage 6�.9.�, .y -7 _ k6 Gas Piping AIA • r�� DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) ii0i3Ii,1sii0 [.I> IN'STALLATIM4 INSPECTION CiiECK LIST 1. Is the mobilehonic located with required separation from lot lines and buildings and generall.; conform to plot plan? Yo 1/�o_ Yee - 2. Doe:; the mobilehome Have required clearances above ground? (Sec.5085) Yes No 3. Are footin-_;s and supports properly sized, spaced, and braced as pe pproved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes _ No 4. Isthe m bilehome level.? (Sec. 5088) Yes No 5. If o e than a single unit, are crossover connections properly installed? (Sec. 5088) Yes_ No 5, Water A. Is fle -ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes (Y 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 / V 1� 1/l� 7. Wastes and Drains A. Is connection made'with Schedule 40 DWV and have flex connectors at each end? Yes v No B. Does it have minimum I," per foot slope and is it,properly supported? Yesy No C. Are any leaks detected in drainage system after runn ng 3 -gallons of water through each fixture including washing machine standpipe? Yes ANo D. If coach is not State of California approved, does station have required trap and vent? Yes No 41A r 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. long? Note: All -piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes . No /V � eq;4-s B. Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 2. Shut off appliance burner an&,pilot va 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 welter. A C. Are all appliance vents properly installed? Yes No 9. Electrical A. Is service Large. eno„gh to provide adequate amperage to mobilcl,ome (must equal rating of mobilehome (vital a :Eilrl.l]!UJlll of l� amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.. Yes f/No_ ^/ B. Is then. proper. clearances around panels*? . YesO No C. Is power supply cord or feeder assembly properly fused? Yes_ Na_ D. Is continuity test. satisfactory as per the following procedure? Yes t- 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 brealcers and switches in•the mobilehome to the "on" position. 4. Connect one 1c,.. -id of: a test*instrument to the mobilehome grounding conductor and ea _, . - supply conductor, iui:luding rleoLral. apply the ULlAl31.' lead is t; c.:h nivi,i.��tiuute 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, -water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity te_;t_ shall then be n.ade between the grounding electrode and the chassis of the Mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. 7.U. Is job card signed by health Department for water and sanitation? 1.1.. If everything okay, sign off card and tag services. 'MU13ILi:ilUML•' DATA �� Xn ���� Manufacturer and/or Narciestyle /,( Length Width Vehicle Serial No. �ff d 73 State Identif.ication No. C-,4 4 O qf_ P.dt.itional Information or Comments: ? COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OE OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California -Administrative Code, Title 25, Chapter 51 under permit number-', i�' for the following location: ' y Owner Owner's Address Mobilehome Mfg"�=� Model Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED COt9NTY'-OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner CtZ SQ. FT. OCC. BUILDING VALUATION Mailing Address �gphonseN J Fireplace Contractor 14 Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 60 D _,[ 4� I AJ 1�2 CC�'TON O it --Terry, Each Trap 1.50 ��AA )J- ! LC iv 0 " UJES _f Sl� Repair drainage or vent piping 1,50 Water piping 1.50 QO OP 0 Luning Verifica}ion Only Each gas water heater or vent 1.50 A. P. No. �- — a ; g Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fdals' I **ej S i ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 %fi 00 EQA Parking Parcel P ans Declaration Parcel Ma P 60' R/W Im rovem s P Lawn sprinkler system 2.00 B g. Plans Recd Parcel Approval Plan pproval Permit Fee $ ;Z'3.BU $ ()C NEW ❑ ADDITION ❑ UTILITIES ® OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 `' 00 Main service 1000V OR LE 0 AMP ORSLESS 5.00 S 00 Main service EA. ADD'L 100 AMP 2.50 0 Main service OVER 600V100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLBLDGSLING CCUP. &) 22sgft NEW CONSTF;L ( MULTI.OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: %� WC -11 Pum P ofopi2,00 Z,00 Ex. Occup(OUTLETs OR FIXTURES) BAL@1 Ex. ccu FIXED APP LNS, OR O P• OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 f ,00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 50 $ 2. 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. 1 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby &(0C r TOTAL PERMIT FEE $ S� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. J�ate Signature o rm tet�e or Agent /Receipt No. © eLtep 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 bean paid. DIRECTOR OF UBLIC WORKS By Date ilding permit expires Date - 1 Ll �� TIL. CL ® DATA Z� 1 ? 71 jj Support Ompsactio=3 0 PERMIT APPLICATION WORK SHEET OWNER Zoning Use Proposed Permit fee based upon: 1. Complete contract price. 2. Partial contract price (explain). 3. DPW Valuation (show): Permit No. A. P. No. u r 7 3 // Approved Not approved At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: 1. 2. 3. 4. 5. 6. U 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. By. Date Received All items have been submitted. ------------------------------ Plot plans in duplicate/triplicate. ------------------------- Complete plans in duplicate/triplicate. ---=----------------- Complete engineered plans and cales. ------------------------ Fees of $ . ------------------------ Letter of signature authorization. -------------------------- Sanitation approval. ---------------------------------------- Planning approval for -- Workmen's Compensation Insurance Certificate. --------------- Contractors license information. ---------------------------- Parcel declaration, recorded copy. -------------------------- Access declaration. ----------------------------------------- Aunt Minnie information. ------------------------------------ Deedof access, recorded copy. 7 ----------------------------- Deed of parcel creation, recorded copy. --------------------- Parcel map, recording data. --------------------------------- ,Pre-inspection request for Improvements - plans required & DPW approval. --------------- Other Ins During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items _ above and in addition the 31101 ollowing: 2. Applicant advised by Telephone Mail Other 3. Plans checked by Date 4. Plans approved b Date When permit is issued, process as follows: 1 _ 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold for pickup. 5. Other Date 5- ) - -77 Before permit issuance, all of the.following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir. Health Plans Setit A. Sanitation B. Restaurant C. Other 4. Public Works Plans Sent A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C. Other 6. Other Agencies Plans Sent A. Fire Dept. B. Other LrjAC31� tiA �tF s s � � , .40 I !aP�I;TV luty, w grff/Z SOOt c C4 `!'1~pv" Jwol , I -�loo�4A Mobs I '`� �_ n PO a an _S Arty i � ��r���� � r a ' I ' `•�'� ' / N ONCU R-2 i 'Al 57 Sc y^� � � � � � V��7V�ic1� G �A✓/° C'I� C� ��i/� '�SS" �r1..�^`��� ��, .�� n ��: ,� aC�� I ,�I✓ S Y J I i I I I I I i BUILD"RIG DEPARTMENT' APPROI s VES • COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone: 534.4541 APPLICATION AND PERMIT AP -77 vz" .. w _ �cF/�vJ611 V 0 UI MW l/UU11Ly UI OUtLU LU CIIICI UPUII UIC above-mentioned property for inspection pu oses. X Date Signature of PeAwftel ooV r�Aggee`nt Receipt No. /1Poc�I White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR Gn PUBLIC WORKS By Date_ -3'77 Building permit expires Date G `3 '-7 BUILDING Owner I- `1"C— L W 06 D SQ. FT. I OCC. BUILDING VALUATION Mailing Address rn 6 Telephone o. oy Fireplace ContractorTotal Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Apph-wile R � pe w Each Trap 1.50 t 20 .6Jv 5001 -. f Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.Gas — Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 FSeff 91f C. S4114"ien I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. PIs Rec'd Parcel Ap� PI pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER EJ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service t00V OR L OOOO AMP ORSLESS 5.00 iIUS t14 p 6 tj �o E t " Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. OR ADDNS. ( DACCLBLDGWELING OCCUP. &) 20 sq ft NEW CONSTR. (MULTI.OUTLET NON•RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTPOWER APPARATUS & NON- R. RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleOof: Ex. Occup(OUTLETS OR FIXTURES)50 @251 SAL @1 Ex. ccu FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 V Rl 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. Vlg�certify that in the performance of the work for which this ermit 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 M 0 6 p f 6— TOTAL PERMIT FEE .. w _ �cF/�vJ611 V 0 UI MW l/UU11Ly UI OUtLU LU CIIICI UPUII UIC above-mentioned property for inspection pu oses. X Date Signature of PeAwftel ooV r�Aggee`nt Receipt No. /1Poc�I White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR Gn PUBLIC WORKS By Date_ -3'77 Building permit expires Date G `3 '-7 PERMIT APPLICATION WORK SHEET IL -I-- Permit No. OWNER �V0C/44.1 A. P. No. /- Zoning Use Proposed Approved Not approved Permit fee based upon: 1. Complete contract price. 2. Partial contract price (explain). 3. DPW Valuation (show): At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or.issuance: 1. All -items have been submitted. ------------------------------ 2. 3. Plot plans in duplicate/triplicate.-------- Complete plans in duplicate/Yeee. ------------ 4. Complete engineered plans and cales. ------------------------ 5. Fees of $ ------------------------ 6. Letter of signature authorization. -------------------------- 7. Sanitation approval. ---------------------------------------- 8. Planning approval for -- 9. Workmen's Compensation Insurance Certificate. --------------- 10. Contractors license information. ---------------------------- 11. Parcel declaration, recorded copy. -------------------------- 12. Access declaration. ----------------------------------------- 13. Aunt Minnie information. ------------------------------------ 14. Deed of access, recorded copy. ------------------------------ 15. Deed of parcel creation, recorded copy. --------------------- 16. Parcel map, recording data. --------------------------------- 17. Pre -inspection request for 18. Improvements - plans required & DPW approval. --------------- 19. Other By Date 1 r7 / - 1 Bldg. Inspe or During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items above and in addition tiW following: 2. Applicant advised by Telephone Mail Other 3. Plans checked by Date-�-�- 4. Plans approved by _ Date When permit is issued, process as follows: _ 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold for pickup. 5. Other Date Received Before permit issuance, all of the.following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir. Health Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works Plans Sent A. Street Imp. B. Drainage C. Permits & Fees D. Other 5'. Planning A. Use Permit B. Variance C. Other 6. Other Agencies Plans Sent A. Fire Dept. B. Other BUTTE COUNTY'DEPARiMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,-CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. owner's name • �/y F����'!L- L • �% o n d 2. Installer's name: G/j/1c� �-/ Al- 7 �C �.euye /fE; 3. Is the site currently'under permit? Yes /!// No (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No ( If no, clarify 5.' What is the mobilehome electrical rating? ---------------------- 6. What is the mobilehome site service rating? ------------------- .1 — V Amp Amp 7. What is the mobilehome site circuit breaker rating? ------------ \ 2 u u Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes /°'/ No (If yes, identify the load and size: (Load) -2 0 (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? -------=----------------------- '(BTU) (This information notrequired if pipe length less than 6 ft. on natural gas or less than 50 ft.'on LPG.) MOBILEHOME SUPPORT DATA Mobilehome Mfr. �y 1p✓G Setup Model No. Year 77 Width 2— (ft.) Length (ft.) Expando Size ft.x ft. (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). Sin le Footings (check one) _--7, A / NK1 Wood either 1 Cent Center Support Supp -rt Footing Sizes Locaions (in.) (ft)...,in) ,(in.) (in.) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. pressure treated or fdn. grade. 2. Concrete pad. 3. Other, specify Supports (check one) :/Z1. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify - Typical Support Footing Size I in. I s Max. Pier Spacing Max. Overhang BUTTE COUNTY BUILDING DEPARTMENT APPROVED �.J; • Q — ��`:. ' Al ... . �' .. (,•;• : � '7 1 J. c. �e,�.—�.�•---•--•':- ,-• � cam— �_ • .,.,'-{ . y './�S / /1 _"� is (r:.. _ _,_._�-•---._'�..•�..--"" ( � .- .. �. 4`!. sc t, =17 ------------- /71 - f ....`moi % ' r' �. v'� -�.-�..�---•••+e' k . � . — ate.-.-�✓ � f � ��,}- ! '1' ��-�•.-'-�� 1L�=-� � /^ �L/. � _. �.r.. /ter.. ' f L./J f+i liv i.3 i J'.'. -rte .� �'�• O o, m P _ - e — 1. •� - =_ f i •^ /l i Y.f. ,.. �_1--.. _� _ _ �• }i/ 1 tUTTE COUNTY I ; BUILDING DEPARTMENT.= __ � } ►: t t � ti