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Home My WebLink About041-360-09141-26-91 --DRAGNA., 166 - e Turkey Lane, Oiloville Permit# 0-86P,E(util, MH) e ELEC -c GAS Alo-r /A). COMPACTION TES REQ ;Vo -qTT'DDnlDlr c, .LDI Az oew mow 6,r.91— Permit #3381-86NHI Issued �41--'36-91 Permit#3793-1VE(new open deck/MH) 41-36-91 Nx it#314-88P(Plumbing)MH II t w 3380-8� 33®1='8 • 3/Y-yyl PERMIT NO. 3-87B [ 23 PERMIT EXPIRES OWNER. MARK DRAGNA CONTR.'Owner ASSESSOR PARCEL 41-36-91 LOCATION 166 Jive Turkey Lane, Cherokee t 4 Temp. PoWar ogle I Called Temp. Elec, 1 Called Temp. Gas Called JOB FINAL Signatu =01K ='Not OK = Not Read�yable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s• Date DECJWC OVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements . Zgwitt Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch . Foo„yag'rSoiIs-Size-Depth-Spacing-Connectors-Steel 3. Sewer; Location -Test -Fall -C/O -Concrete .. ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) oAwn.; Posts= earns-Rftrs.-Connec.- Shthg.-Rfg.=Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG ns -Connections -Splice -Decal -Enclosures -Doors 7. Utility Clearance mg; Sills-Anchors-Studs-Rftrs-Trusses - er-Stucco-Mesh Card -B1 Date Card -131 Date oof; Shthg-Roofing Card -131 Date Card -131 Date 11.- oors-Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -1211 Dat and -131 Date 2. Footings; Size -Spacing -Marriage Line Card -81 Date and -131 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 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-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date 9. Health Department Approval - 10. Plumb.; Cir. Test -Water Supply Test Card -61 Date Card -131 Date Card -B1 Date Card -B1 Date = OK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready 'Date UNDERFLOOR (Plans) OK except #'s 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Dei 5. Stemwalis, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 Date Card -81 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -131 Date Card -61 Date Card -131 Date 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. Fasteners -Bond Gas & Water 27. 2 Appliance Circuits in Kitchen & Conductor Size 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 Card -61 Date Card -81 Date Card -B1 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnace in Attic Card -61 Date Card -B1 Date Card -81 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 38. Sills, Proper Material & Anchors 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing Date FRAMING (Continued) 44. Hangers -Post Caps -Anchors -Connectors 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 46. Fireplace Ties or Type A Flue -Fireplace Throat 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 49. Garage Fire Protection Framing 50. Property Line Firewall & Openings 51. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 54. Siding -Nailing Veneer 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 56. Glazing Area -Glass Protection -Skylights -Plastic 57. Shear Walls; Nailing -Bolts 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -B1 Date Card -81 Date Card -81 Date Card -B1 Date Date FINAL (Plans) OK except #'s 60. Ext. Steps -Door & Sidelight Protection -Landings 61. Smoke Detector 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels 66. Stairs & Rails 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 70. Elec. Outlets & Receptacles at Kit. Counter 71. Garage Fire Door; Swing -Landing -Closer 72. A.C. Duct in Garage -Damper 73: Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 74. Plb., Elec. & Mech. Equip. Listed for Location 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish 81. A.C. Unit; Disconnect, Electrical, Plumbing 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 83. Water Well; Disconnect, Electrical, Plumbing 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 85. Ventilation throughout House 86. Glass Protection 87. Corrections from Previous Inpections 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -131 Date Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT P RMI NO.. 57 f � r c4r i ASS SS R PARCE NUM IN 20N BUILDING PERMIT owN EPHON� S0. FT. OCC. BUILDING VAL TON r OW R'S MAILING ADD ESS CO __ACTOR NAME TELEPHON CONTRACTOR -5 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 $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 11,4, 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 A 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 Is G W 0.00ea TYPE OF WORK New❑ Addition Remodel Utilities Ins Ilation❑ Otherg Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OROOV OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. ense 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) ❑ 1, 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.ai OR ADDNS. ACC. BLDGS. , /20sq ft NEW CONSTR_ U I.OUTLET RC ITS 2.50 ea NON-RESIO .BRA CH CRC., POWER APPARATUS e\ SINGLE OUTLET CIR. / EX. OCCU 20 a 50s Occup(OUTLETS OR FIXTURES eAL030 EX. OCCUp. OUTLETS FIXED P(RESID IREAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declarejunder penalty of perjury (check one): he 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 e,oCoolinConsent to Self -Insure. hall not employ any person in any manner so as to become subject 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 g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information s 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, ju nts, costs, and expenses which may in any way accrue against said County i consequence of the granting of this permit. V Date 1 �� 17 — e7 ignature 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 $ TOTAL PERMIT FEE S OCCUP. CONST.TYPE ISCHOOLIFLoo ARCEL PD ND E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC By PEFVWT EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date /J— L7�� Receipt No. FYS WHITE-D.P.W., YKLLOW-ASSESSOR. PINK -INSPECTOR. GOLOENROO-APPLICANT i�� w ,, L�.�,�%f �.li►!I�r�.7�� a T L) 11, Y { Y gg,X� Xy.e^ r�~ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TELEPHONE: 916/538-75417 PERMIT APPLICATI'JUN DATA SHEET N Permit No. r'a n OWNER a ✓t '� A. P. No. Proposed Building Use D ��/4, Building Inspector MDate 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 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. Plans with Energy Design Compliance Statement. . . . . . 6. School District ''Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authoriz 0. Sanitation approval- from ro Ion. 111� Health Dept. 11. Planning approval for (A) Use: (B) Parking: �-- 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. . . . . . . . . . Prednspec.request to (Date) 17. Pre -Inspection for ..-__ _ _...._.__ _ Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement, 19. Driveway Permit. _ 20. Plot plan approval from city of 21. — — — 22. _ — When you issue the permit, process as follows: Mail to owner, Mail to contractor - Telephone and hold for pickup at office, Deliver w/inspector. Other Applicapi Date Copy of plans sent 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: Contractor, designer, owner, was advised of above required data by—pho'ne---nail—counter by date Contractor, designer, owner, was advised c? above required data by—phone —mail—counter by date Plans checked by Date Plans approved byDate Sets of plans on hold in File cabinet AP folder Copy—DPW 1 TO Building Department nit - FROM: Environmental Health SUBJECT: Sanitation Clearance ow= �i Location AP# Plan Approved for: Sewage Disposal .X- Water Supply 4.Lej/ Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other NOTE * * * - --.- / Sanitarian H In Date COUNTY OF BUTTE - Department 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 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 aterials for construction of the proposed property improvement (yes or no) e S 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, a provide the major work: Name . KI / 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 N mber Date n 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. PERMIT NO. PERMIT EXPIRES v y OWNER MARK DRAGNA CONTR. owner ASSESSOR PARCEL 41-36-91 LOCATION 166 Jive Turkey Lane, Orovill�e+ i h l tD 2 P Laine_ e Temp. Power Pole Called PG&E s Temp. Elea S�• Called P( Temp. Gas Se Called PC r 1 r JOB FINALEI tr t Signature OFFICE COPY Address i i GAS ` � Meter By �1,• � ELECTRIC j� Dates n MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 rW 4 PER�-MIIT NO. - Address or location of mobilehome K1014 r1 Owner's name ;k Owner's address Insignia or hud nl ' Manufacturer's nE .k Serial number of V.I.N. Year of manufacture`-♦- (Offici I App ovin nstallationJ (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE s MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. r. MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CEPTER.,DRIVE , -N. OROVILLE, CALIFORNIA —534-4541 // ' PERMIT NO. _;:Z2 I - 04 Address or location of mobilehome u, s I (� t� ! (Jy kvaa 4 J, Owner's name Owner's addre Insignia or hud number �'0 -,;l /(� �p Manufacturer's name { s� t C Serial number of V. b f1� I I "a Y1 Year of manufacture t \C- r + A._4 % — - (Official Approvinnnstallotion "-/ U (Date) 1 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. 5138 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: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. Inspector- Date Date //—,2 cl I2 V = OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL -(Sing Fe and Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings - 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Fig. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection - 4. Ftg., Porches & Decks: Soils -Steel- / /" Ftg. Depth 51. _ Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6.Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access 7_ Piers-Fireplace Fig. -Steel 54. _ Glazing Area -Glass Protection -Skylights -Plastic - 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors _ 10. Water Pipe Test -Anchors -Regulator -Service Test 11. Electric: Underground 12. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date __ Card -BI Date Card -BI Date Card -BI Card -BI Date Date _ Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except N's Date FINAL (Plans) OK except H's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector Gard -BI Card -BI 14. 15. 16. 17. 18. 19. Water Ht.: Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection D.W.V.: Test-Fttngs & Anchors -Nail Protection Shower Pan: Test, First Floor -Tub Access Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe: Size & Anchors Date _ _ Card -BI Date Date - Card -BI Date 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 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 Card B-1 Card B-1 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. Fixture & Transformer Clearance - Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes 8 No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen &Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI Range Circ. / / ga. or AI -Oven Circ. / -/g a. Cu or AI, Insulated Neutral Yes _�No -- _ - _-__ Service -Riser Conductors & Ground -Main Disconnect _ Equip. Clearances: Pane ls-Motors_Mech. Equip. W - -- - Clothes Closet Light -Shower Light _- - --- - Date Card -BI Date - - Date Card -BI Date 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. - Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor Ci Yes 75. Following instld.: Drive ❑ Yes E] No: Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77, - A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78, Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. 79. Water Well; Disconnect, Electrical, Plumbing 80. 81. Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except q's _ __ 83. Corrections from Previous Inspections 84. Gas `est -Meters Tagged; Gas -Electric Card -Bl Card -B1 31. 32. 33. 34. 35. A.C. Ducts. Insulation &Support Vent Fan: Exhaust above Insulation _ Condensate Drain & Overflow: Size_& Grade _ Furnace -Vent: Access -Comb. Air -Return Air Vent -115_V outlet Attic Access & Platform if Furnace in Attic Date Card -BI Date _ Date Card -BI Date 85. Water & Sewer Connected -C/O to Grade -HD Approval 88, Energy Compliance Certificate -Other Certificates - - - - -- ` - - -- - Card -BI Date Card -BI Date Card -BI_ Card -81 ^ ;e Card -BI Date C .te Card -BI Date Date FRAMING(Plans) OK except p's Com lents at Final: 36. 37. 38. 39. 40. 41 42. 43. 44. 45. 46. 47. Sills, Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops: Furred Ceilings -Stairs_ -Chases -Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rflr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access. Size &Romex Protection -Draft Slop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgl. & Dimensions Garage Fire Protection Framing _ _ - - -- -- --- - - - - (NOTE-Anentrymust be made each time youvisit jobsite) = OK = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBIL ME UTILITIES (Plans) OK except q's o 'ng Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except it's 1. Zoning Requirements—Setbacks—Easements Soils�,Special MH Support—Sketch _ 2. Footings; Size—Depth—Spacing—Connectors ew ; Location—Test—Fall- —Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails ater; Lo on Test Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing lectricity; Location—Clearances—Grnd.— ,6Z Amp—Concrete _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG tility Clearance 6. Carports; Windows—Doors 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOB!kEHOME INSTALLATION (Plans) OK except It's Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except H's 1. Setbacks—Easements Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3 (}as; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining lectricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed Jylater and Sewer Connected—C/0 to Grade—HD Approval k,r_gas and Electricity Tagged 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghig. Boxes— Enc losures— Pane lboards— Ins,. to Main in Conduit exits; Insp.—Sketch -'If. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B- Date —— C rd -81 Date Card -BI Date Card -BI Date Card 8 Date " ' _- and -BI Date Card -BI Date Card -BI Date k COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT O. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45413 �— APPLICATION AND PERMIT ASSESSOR P RCEL NUMBER /_ / ZO ING BUILDING PERMIT OWNER 172� 1P%e le TF1.6�HONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING /, ADDRESS , / 55 C ^�/ / CONTRACTOR'S NAME D� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ /--}- LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ di Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ /3, r%u PLUMBING PERMIT Filing Fee 10.00 _ Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 3 SUBDIVISION NAME PARCEL MA / lc y %C Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[]Mobilehome] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S W 10.00ea O, TYPE OF WORK New Addition❑ Remodel[] Utilities Installation❑ Other ❑ Describe work: Permit Fee $ 410,Did Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000V OR LE 0 AMP ORSLESS 10.00 /,q 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 ❑ I, as the owner, or my employees with wages as their sole compenAPNS- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.y OR ADDNS. ( ACC. BLDGS. , /20sgft NEW CONSTR. MULTI -OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS IN SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20®50C SAL®so FIXED Ex. Occup. OUTLETS P(RESID )REA.� 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 15.00 9 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 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 all liabilities, judgments, costs, and expenses which may in any way accrue against said County ' onsequence of the granting of this permit. `�_ �� , �� Date Signature of Applicant — caner / Contractor ❑ Agent ❑ An OSHA permit is required for exca/vations over 5'0" deep and demolition or construct- ion of structures over 3 stories height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE OccUP. CON ST.TYP! PLOo PARCEL PD ND 1490E This permit is hereby issued under sions the Butte County Code and/or work in icated ab ve for which TCiR OF PUBLIC BYi'! PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date iv /4 V --in Receipt No./D'CP WNIT!-D.P.W.. YELLOW.ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT .OR.�UBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 9161/534-454'1 - PERMIT APPLICATION DATA SHEET Permit No. OWNER X2712ieK . A/f/ 4;X2, A. P. No. Proposed Building Use /�ih�GC/ Building Inspector 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, 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. Plans with Energy Design Compliance Statement. . . . 6. CUSD ''Fees Paid" Stamp on Floor Plan . . . . . . . . . 7 Statement ofIntent for Non -Heated and AC Buildings. 8. Fees of $ \� 1 . . . . , , , 9. Letter of sigpn ,tprq authorization. 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. • Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑,), —15. Improvements may be required. . . . . . . , 16..Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector nIZ1,8. - Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor. r Telephone and hold for pickup at—off ice, Deliver w/inspector. Other APPlicant� Copy of plans sent 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: 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 —ma ll—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder — Flours: 10:00 a.m. - 3:00 P.M. Copy—DPW To: -,u:iiding Departri:Int. From: ..nvironmental ifc:lt}a... Subject: Sanitation Clear�'s,cc Oum r Location AP// Plan Approved for: Hold final for: Final clearance O.K. for: "o.e di.::po!;al o� water :.upply 64� i;::ter :supply Salter :supply Clearance for Z. bedroom n;ob home. Other t Sanitari.:In Uatu Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMEN'I?EGORDED.R1 OF; ILIAL RECORDS FOR RESIDENTIAL DEVELOPMENT DF BUTTE GDUi LIFORNIA � AT THE REOt1UESUEST OF Section 26-8.1 of the Butte County Code requires this acknowledgement PARTY SHOWN' be recce orded prior to issuance of a building permit. 8C—X40240 1986 NOV 12 M 8. 45 The property described herein is adjacent to land or include "OR 14.BECKER within an area zoned for agricultural purposes, and residents of -RECORDER FEE— property may be subject to inconveniences or discomfort arising the use of agricultural chemicals, including, 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 occasibnally,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, necesgary farm operations. All thatu cer;-iin rend property situate in the County of Butte," State 'of California, described as fellows: PAroel 3, as shown on that certain Parcel Map being a portion of the SWI of Section 3, Township 20 North, Range 4 East, M.D.B. do .M., which Parcel Map was filed in the office of the Recorder of the County of Butte, State of California, April 17, 1980 in Book 76 of Parcel Maps, at page 54. TOGETim,it WITH and. RI SERVING THEREFROM a right of way for road and public utility .purposes over the road shown on said Parcel Map. ALSO TOGETIIElt wi,rH a right of way for road purposes over the Southerly 60 feet of the Northeast quarter of the Southeast quarter of Section 4, lying Easterly of the Oroville-Concow Road and a right of way for road purposes over the West 60 feet of the South 60 feet of the Northwest quarter of the Southwest quarter of Section 3, all in Township20North, Range 4 East, M.D.B. &.M. Date: �- ( 0 - I J�O PROPERTY OWNERS: Sta;e of California ) SS. County of . Butte ) On this the 10th day of November , 19 86 , before me, the undersigned Notary Public, personally appeared Mark Dragna .L/ Personally known to me. �j( Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) is subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereuntwlsdt my hand and official seal. Present A. P. No. &(A Notary Public GRICAL sou H. GREMUR NOTARY PUBLIC - CALIFOMIA PRINCIPAL OFFICE IN BUTTE COUNTY MY COAAAAISSIOr EXPIRES JULY 21. 1989 On this the 10th day of November , 19 86 , before me, the undersigned Notary Public, personally appeared Mark Dragna .L/ Personally known to me. �j( Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) is subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereuntwlsdt my hand and official seal. Present A. P. No. &(A Notary Public COUNTY OF BUTTE - Department 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 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) e S 2. I (have/have not) V1Gl"Je 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 // —1 O — k& 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. AP #��—�.� OWNER PERMTT'��_` �i�[i "' 6 MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS' Support Struc. Compaction ITest.Req._ Service Size Other Load Type Pipe Size I Length YES N01 YESI NO q 0 A- 1 j w\� L %- COUNTY OF BUTTE - DEP`ARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER C/O ONING BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC. BUILDING VALUATION OWN.2'S MAILING Apq %SOS 5-7� CONTRAC,,N//A''M E wLr 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 $ /a.J Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDR)Fea -v� Q � 4 (c Permit fee $ PLUMBING PERMIT Filing Fee 10.00 GzljdGG ��a/�GS Gd >d/�,li� Z, Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex[] MobilehompiQ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK,, New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallatioPIN Other ❑ Describe work: o? e)oe. �� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMS P ORLESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1NON.RESID 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 Fl 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 OCCUR.& , OR ADDNS. ACC. BLDGS. h¢sgft NEWCON5TR U TI.OUTLET 2,50 ea BRANCH CIRCITS (POWER APPARATUS e1 , SINGLE OUTLET CIR. / EDALO 30 Ex. Occup( OR FIXTURES SAL@30 Ex. DCCUp. OUTLETS P(RESID.)FIXED APLNS.REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 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. EA 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 liabilities, judgme , costs, and expenses which may in any way accrue against said Coun 'n cdnsequence of the granting of this permit. Date It—to n:?1(y er S gnature of Applicant — wn'E Contractor ❑ Agent F1 An OSHA permit is required for ex'cvations over 5'0" deep and demolition or construct- ion of structures over sst/tories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 2O OCCUP. CONST.TYPEJ IFLOODIPARCELI PD NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF PUBLIC BY PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date/Z-7—,P6 /_7-3-97 r3/3 Receipt No. ZW14l9 57 WNITC-D.P.W.. YELLOW -A58[790 . PINK -INSPECTOR. GOLDENROD -APPLICANT VA ' �.. �„ r: ... ... r r . n� �rnz a rr n yo• a z; '41 r• r _ irf ;' COUNTY OF BUTTE - DEPARTMENT.OF nPIrBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 / PERMIT APPLICATION DATA SHEET IJ Permit No. OWNER /fIF�.P.� a��7�it//� Y A. P. No. ��-3� eq Proposed Building Use Building Inspector 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, 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. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 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. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) , 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑), Improvements may be required. . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec.request to 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approv I from city of 21. 177//44 a-57Z� 22. When you issue the permit, process as follows: Mail to wner, Maii to contractor. � Telephoner —lo7�a and hold for pickup at�fice, Deliver w/inspector. Other - Date) Copy of plans sent 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: 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 —ma ll—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date — Hours: 10:00 a.m. - 3:00 p.m. COUNTY OF BUTTE - Department 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 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. I (have/have not) InGIAJ� 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 persons to provide the work indicated: Name Address Phone Signed: Property Owner2YZ-A6a,,-,_ Social Security Number Date // / O — (hired) the following Type of Work 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. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: 3. Is the site currently under permit? Yes 1-1 No _ (If yes, furnish permit number setbacks and . ) OR Is the site an existing site? . Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic. tank and leach 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------- * 12. What is the mobilehome gas demand? ---------------------- i G -Y, (ft.) (BTU) *(This information not required if pipe.length n-6 t. on natural gas or less than 50 ft. on LPG. ) Y�Sr /�/SPitG1 BUTTE COUNTY BUILDING DEPARTMENT APPROVED �� fields and clear of all setbacks and easements? Yes No F-1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- �� Amps 6. What is the mobilehome site service rating? --- - ----.----- Amps 7. What is the mobilehome site circuit breaker rating? ----- %Q — Amps 8. Is there any other electric load to be served by the r -. F] mobilehome site service? -------------------------------- Yes � No (If yes, identify the load and size.Qe (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- 3`y (in.) 10. What is the type of as YP g ? ------------------- service. Natural F] LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------- * 12. What is the mobilehome gas demand? ---------------------- i G -Y, (ft.) (BTU) *(This information not required if pipe.length n-6 t. on natural gas or less than 50 ft. on LPG. ) Y�Sr /�/SPitG1 BUTTE COUNTY BUILDING DEPARTMENT APPROVED �� MOBILEHOME.SUPPORT DATA If pther.,than single wide, Mobilehome Mfr. �R-b��(-' _ furnish $e;tup Model No. Year,/ Width (ft.) Box Length (ft.) Tagalong or Expando Size ft. x f 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). FOOTINGS (check one)N1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) E�]1. Concrete block. 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Line 1 Piers: Size-Min.------------ Spacing-Max - -----------Spacing-Max. --------- , From Ends -Max. ------- Line 2 Piers: Size -Min .------------ k Spacing -Max.--------- From Ends -Max .------- Line 3 Roof Loads: 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 .------------------ k Spacing -Max..-------------- From Ends -Max .------------- Line 4 Piers: Size -Min •------------ ,k „ Spacing -Max---------- , From Enda-Max-------- ._ Size -Min.------------------ Spacing -Max ----------------- From ------ ------From Endo -Max •------------- Line 5 Roof Loads: Size -Min. ------------ „x „ „x „ ,k „ „x „I ,k „x „ „x Location (From Front) „ ,_ „ , „ - , „ - „ ,- , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT RMIT NO,� , ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE (ad��^ SO. FT. OCC. BUILDING VALUATION OWNER' AI N ADDRESS � CONTRACZORO7S NAME"TELEPYONE CONTRACTOR'5 MAILING 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 r Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL M1iP 5 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [:1 Duplex❑ MobilehomeQ__Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G O.00ea V TYPE OF WORK New❑ Addition❑ Remodel❑ Utilitiesn❑ Installation[]Other❑ Describe work: S'W orlA. ct2:24z,[Za_ 4".1" 0/7 � Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoOV 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): p y p � y ( ) � ❑NON-RESID 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. cense 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.EI , OR ACDNS. ACC. BLDGS. /z¢sgft NEW CONSTR.MULTI-OUTLET BRA CH CIRC S 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. zoe3ot Ex. OCCUR OUTLETS OR FIXTURES 8AL030 FIXED APLNS. Ex. OCCUR. OUTLETS P(RESID )REAJ 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 Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,. should you become subject to the W. C. provisions of the Labor Code,.you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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, judg s, costs, and expenses which may in any way accrue against said doin co equence of the granting of this permit. l— 6(3This X Date ignature of Applicant — Owner Contractor ElAgent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPE ISCHOOLIFLOODIPARCELI PD ND 139UE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By /- 2j ,22 PERMI EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS t� Date / �/ Receipt No. 41, 1 (b WNITE-O.P.W., YELLOW-A38C330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916,549 b38-7 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. I have Wit) 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 Securit Number - - Date Date _?-( —'�� NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL I)EVELOPMENT 86-4024fl RECORDED III OFFICIAL RECORDS OF BUTTE CODUTY.CALIFORNIA AT THE REQUEST OF Section 26-8.1 of the Butte County Code requires this acknowledgement PAR ri( SHOWN be recorded prior to issuance of a building permit. SsO24O 1986 NOV 12 A $: 45 The property described herein is adjacent to land or included ELEANOR K BECKER within an area zoned for agricultural purposes, and residents of th'eLERK--RECORDER FEE property may be subject to inconveniences or discomfort arising from �---� the use of agricultural chemicals, including, 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, Pa as 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. Date: 7 All. thnt ccrciin resil property situate in the County of Butte; State"of (`California, 3 dCtiCl'lfleii as follows: Parcel 3 as shown on that certain Parcel Ma p beifi g. a portion of `ttie Sj11�r� of Section . 3, Township 20 North, Range 4 East, M.D.B. & .M., which Parcel Map was filed in the office of the Recorder of the County of Butte, State of California, April 17, 1980 in Boolc 76 of Parcel Maps, at page 54. TOGE'1'.im-it Wl'1'fl and RESI"RViNG THEREFROM a right of way for road and public utility purposes over the road shown on said Parcel Map. ALSO TOGIE1111ER ivrm a right of way for road purposes over the: Southerly 60 feet of the Northeast quarter of the Southeast quarter of Section 4, lying Easterly of the Oroville-Concow Road and a right of way for road purposes .over the West 60 -fact of the South 60 feet.of the Northwest quarter of the Southwest quarter of Section 3, all in Township 20 North, Range 4 Fast_, NI.D.B._& M. C �" (�% " � � T PROPERTY OWNERS�� State of California ) County of . Butte ) On this the 10th day of November , 19 86 , before SS. me, the undersigned Notary Public, personally appeared _.T OFFICAL SEAL H. GREMLER NOTARY PUBLIC - CALIFORNIA PRINCIPAL OFFICE IN BUTTE COUNTY 1 MY COMMISSION EXPIRES JULY 21, 1989 Mark Dragna / /Personally known to me. /g Proved to me on the basis of satisfactory evidence. to be the person(s) whose iiame(s) is .subscribed to the within instrument and acknowledged that "� he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto-ls-dt my hand and official seal. Present A. P. No. fJ 1.-- 3U --i Notary Public OE DOCUMM 61 A • A BUTTE COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH 196 Memorial Way 7 County Center Drive Chico, California 95926 Oroville, California 95965 891-2727 534-4281 P9 — ---�• le-a.3e-� 747 Elliott Road Paradise, California 95969 872-6308 APPLICATION AND PERMIT TO CONSTRUCT OR DESTROY A WELL Application for: Public Water Supply ❑ Individual Well W Well Destruction ❑ Type of Construction: ❑ New Construction ❑ Repair or Deepen Owner's Name: M = L'�f G f lj Assessor's Parcel No. U 4 ?� '�''"�Ci 1 ' V Applicant's Name: Mc. �„Ll r u c-, ti 4� Phone No. Mailing Address: —� '7 �/t (i"/, r �J _S t r r �_ L; Site Location: T R S SKETCH ON HOW TO LOCATE PROPERTY Ll. r71 >w WORKMEN'S COMPENSATION INSURANCE El Workmen's have placed on file with the County of Butte a certificate of I am aware of the provisions of Section 3700 of the California Labor Code Workmen's Compensation Insurance. Which requires every employer to be insured against liability for Work- men's Compensation. I certify that in the performance of the work for which this permit is issued I shall not employ P Y an y person in any manner so as to be- come subject to the Workmen's Compensation Laws of California. COMPLETE FOR NEW CONSTRUCTION Driller's Name:3 Well Driller Contractors License Number Driller's Address: Proposed Depth Proposed Usage COMPLETE FOR WELL ABANDONMENT Name of individual responsible for work: Address: Scale Plot Plan is to be furnished on reverse sides of both applications. I hereby state that the information above and on the reverse side hereof or attached hereto is correct and true to the best of my knowledge. I understand that the permit must be obtained before any construction is begun. I further state that 1 am 0 the owner of the property, ❑ the owner's authorized representative, ❑ a Licensed Well Drilling Contractor Date: ct Z .S' ' Sf :.r Signed:j% PERMIT [, To be completed by the Health Department. Fee received: 7 Permit to Begin Work Approved by Receipt No.:�� Additional Permit to Destroy Dry Hole Prior to Site Abandonment ❑ Date —Z %7-Y6 Special Conditions NOTE: 1. Provide a minimum twenty-four (24) hour notice prior to installing or placing sanitary seal or drilling a well expected to be completed in less than twenty-four (24) hours. 2. A satisfactory inspection by the Health Department and receipt by the Health Department of a Driller's Report or a satisfactory abandonment report and a disinfection statement is required for final approval of work. Copy 1 - Applicant Copy 2 - Health Department PREPARE IN DUPLICATE Zone & Req. Pcl. Status_