The URL can be used to link to this page

Home My WebLink About042-080-077V�14 Z ME ' �yN FARNS WORTH SIS K•edy AVe, app 200'W Hwy 1" 32, Chico Permit#776-8 P., E (utile, MH)e • �i=�T��7.d�i /�Io i9 GAS_ I -Z/-8/ /(o�t�.� �� Nl4T SUPPORT STRUCTURE RE COMPACTION TEST REQ. 42- � A�� Contr: Oakmon=t o ile o /VC to Permit#1029-81MHI, I Issue —� 042-08-0-077' 91-4284 FARNSWORTH, MARY & MERVYN rnNTR - OWNER. /L&uZC' 2231 KENNEDY AVE, CHICO HEATER/COMM SHOP i . I f i O y .�`` .. �` r i C7 G C.7 .r I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT PIO. ASSESSOR PARCEL NUMBER 2-0— ZONING &---Z' BUILDING PERMIT OWNER M & TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILI G ADDRES 2239 Kennedy 2 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER 'UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Commerca.al ShaT SPECIFY Gas piping system 1 - 5 outlets 1 5.00 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lilies ❑ Installation ❑ Other Describe work: Gas Line/Heater Permit Fee $ 20.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200ATO1000A) CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect.SINGLE License .JO. 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 OCCUP.&\ NEW CONST. DWELLING OR ACDNS. ACC. BLDGS. I _37.50 3.6Q sq.tt. NEW CONSTR. MULTI -OUTLET NON -R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e OUTLET CIR. Ex. Occu po UTLETS OR FIXTURES 20 76 FIXED APLNS. Ex. Occup. OUTLETS IPRESID IREA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $24, 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 ponsequence of the granting of this permit. X �'= �- ' –� Date ��--^' �2 ` 1-3 - Signature of Ap icant — Owner A Contractor ❑ Agent ❑ An ion oof5HA structures tis overr3gstoriesired oin excavations over 5'0" deep and demolition or construct- t. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $44.00 I I HAz 1 0FEES I IMP I FLOOD CDF I PARCEL I PD HD ISSUE j r This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been aid. WORKS p Date Receipt No. 103148 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Z/ r a Ca�cS j 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION NC F 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 9,5965 - TELEPHONE: 916/538-7541 PERMIT APPLICAT N.DATA SHEET Permit No. OWNER �/�S 0 a A. . No. --� �- Proposed Building Use Building Inspector Date / At time mit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. iAll items have been submitted. .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions . ... . —__<=Fees of $ 20 ........................ -TT—Chico Urban Area fees paid .............................. 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... .22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner o, Mail to owner o) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When y issue the permit, proces s follows: Mail t ow er. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Copy of Hdz-Mat form sent Health Dept. Fire Dept. air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data -[a rior to permit issuance: (Circle ne d above). 1. Index permit for above items No. 2, Additional ite s required: r E�nr.., cat,S — i h._'IJ. -� .' 11 aye- °- Contractor, designer, owner, was advised of above required data by phone fail_counter by ..date Contractor, designer, owner, was advised of above required data by—phone _maII—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in Copy—DPW File cabinet AP folder COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER p -Milk ZONING I C -,'L, BUILDING PERMIT OWNER T� aLK J TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER' S A ING ADDR S - w rad CONTRACTOR'S NAME IN— TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 • Each Trap 5.00 Solar or heat_ pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water'piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTUREI SF Duplex❑ Mobilehome❑ Other kIn42 �A Gy1 SPECIFY Gas piping system 1 - 5 outlets 5.00 —0 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilitiallation❑ Othe Describe work: Permit Fee $ -Lp� Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO 1000A1 37.50 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 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 OCCUPM OR ADONS. ACC. BLDGS. 3.5dsq.ft. NEW CON5TR ULTI.OUTLET NON.RESIO BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES20 750 FIXED APNS. Ex. OCCup. OUTLETS P(RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating q ob Cooling g Hood 6.50 Ventilation permit Fee $ Laonntractor 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 anyway accrueHAz against said County In consequence of the grantin this permit. X '�' Date Signature p ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ y� ° 1 0FEES I IMP I FLOOD COF PARCEL PD Ho I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By I PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WNITE•O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. COL -Roe -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538_7541 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) 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, 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: r Property Owner �„ r9�.� ,£�,•.ua_-- _ _ Social Security Number Date 9I 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. �w 776-81' s r PERMIT NO. ,E � PERMIT EXPIRES OWNER n ' CONTR. Owner ASSESSOR PARCEL 42-08-77 LOCATION S/S Kennedy Ave.,app.200'W.of Hwy 32, Chico Temp. Power Pole Called PG&E g Temp. Elec. Service v v i Called PG&E ` z�Temp. Gas Service Cal led PG&E JOB FINAL (Date) , + SianatureC__///�s2:/l�l/ COUNTY OF BUTTE 1 . 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 Calif orni Administrative Code, Title 25, Chapter, 5, under permit number C ' ?f� for the following location:'_5%'S Owner _ Owner's Address �� cS �%,� • �Q� + - Mobilehome Mfg. /'-'%W! i ' ' Model "'W`aYear Insignia No. /�A%! V ,% Serial No. S4A It is hereby certified for occupancy at the above described location and may be occupied. Director 'o€ Public Works ' Date�t `1.1� % By'=/%"t� 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: 891-271 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS *�776�� 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 Inspector V=OK-'Nti 0 = Not OK ��'"" - = Not Applicable RESIDENTIAL (Single and Duplex) -- = Not Ready Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regulator-Seryice Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Datq Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. 59. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails _ 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except k's 67. Garage Fire Door; Swing -Landing -Closer __ 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes No. of Conductors -Stapled 70. Plb., Elec. &Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or A[ -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive E3 Yes E] No; Walks El Yes E3 No: Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light i 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Catd-BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans OK except q's s Comments at Final: 36. Sills; Proper Material & Anchors _ 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42, 43. 44. 45. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) J = OK O = Not OK — = Not App?able MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBIL HOME UTILITIES (Plans) OK except #'s oning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements L6, Is; Special MH Support—Sketch _ 2. Footings; Size—Depth—Spacing—Connectors "ever; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails r; Location—Test—Easement Needed ketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 01 Electricity; cation Clea nces /, Amp—Concre a 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures .91 as; L torr W :/4!"L" ft. /'Nat. or/� P'L"ft./--PJLPG 6. Carports; Windows—Doors Utility Clearan 7. Elec. Card -BI Date ! (Z Card -BI Date Card -BI Date Card -BI Date Card -BI Dat / Card -BI Date Card -BI Date Card -BI Date Date MOB( OM INS ALLATION (Plans) OK except N's Date POOLS (Plans) OK except N's te"46oirng, Requirements—Setbacks—Easements 1. Setbacks—Easements FIngs; Size—Spacing—Marriage Line ,00. 2. Soils; Compaction—Structure Stability G Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining Ele icit ; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI r H Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI ate H Test—Regulator—Connector 6, Elec.; Enclosures; Conduit Entries—Terminals—Listed a and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater a nd lectricily Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit x' , Insp.—Sketch toofert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B- Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date efle 1g-51$4, v O 160 70 V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER IT�O. � 7 County Center Drive - Oroville, Califorpia,95965 - Telephone 916/534 41 Gf` APPLICATION AND.,PERMIT wA ASSESSOR PARCEL NUMBER .,. Zo/'N BUILDING PERMIT ' O TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAJYLING ADDRESS CO RA TOR'S NAME L i r TELEPHONE ,S"— G CONT CTOR'S'M AILIN DD E S-� 61/ ve- Fireplace CONSTRUCTION L N''D /IER UNKNOWN Total Valuation $ ` Filing Fee $ 10.00 LENDER'S MAILING ADDRESSlt/p Permit Fee $ ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee ,$' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDj1>1 AD RESS �� fin% 00 PLUMBING PERMIT Filing Fee 10.00 �� a lG Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME - PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USEOCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ stallation Other ❑ Describe work: < f,G//fit%sLGr,�(�7 �/� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 5.00 Main service ADD'L 100 AMP 2',50 //EA. OR ADDNSNEW CONST DWEACCLBLDGS.LING CCUP.y1 20sgft 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. 3 SZ 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) 1 ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I.OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR. ( POWER APPARATUS D) NON-RESID, SINGLE OUTLET CIR. EX. Occup OUTLETS OR FIXTURES -AL@I ce FIXED APP LNS. OR EX. Occup.(OUTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): n 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. q 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 againsts id County 'n consuence of the granting of this permit. X a4l�l;i�l�ie�rN�� ate 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 $ TOTAL PERMIT FEE $ .00 OCCUP. GROUP I TYPE OF CONST, I PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRELIC By PE IT EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS U Date I �13�%P 4%— Z�—`� Z' Receipt No. L�� 4—:Z WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT MOBILEHOME SUPPORT DATA If other than single wide, Mob i1ehome Mfr. 7> 2:4 -Al &G'aZC-C furnish Setup Model No. 04y Year Width /'Z (ft.) Box Length_!Z- (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) I<---Tagalpng or Expando,' Single 21"1. Wood either show support details. pressure treated or 'A foundation grade. (ft.)(in.) (in.) (in.) EJ 2. Other (specify) Center support Center support . locations* footing sizes Supports (check one) (in.) Concrete block. 2: Other (specify) (ft.)(in.) (in.) (in.) (in.) (in.) I<---Tagalpng or Expando,' show support details. (in.) (in.) , 2 x 30 -- Typical Support (in. (in.) Footing Size (ft.)(in.) (in.) (in.) o -- Max. Pier Spacing (ft.)(in.) Max. Overhang (ft.)} (in.) (in.) (in.) (ft.)(in.) BUTTE COUNTY -3UILDING DEPARTMP-R. APPROVE * f .gnter.piers are other than drawn above, draw in-locatigns, spacing, and dimensions. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 1JlEii l/lam✓/i�'iV c S,/��' 2. Installer's name:,��„�,- 3. Is the site currently under permit? Yes /!// No ( If yes, furnish permit number OR l -�/ %�� _ ) OR Is the site an existing site? Yes / / No /d/ (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? ----------------------- !.do Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? %i Amps 8. Is there any other electric load to be served by the mobilehome (This inform required if pipe length less than 6 ft. on natural gas or nlhan 50 ft. on LPG.) �.¢T, site service? --------------------------------------------------- Yes / / No /4'/ (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ----------------------------- Natural 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 inform required if pipe length less than 6 ft. on natural gas or nlhan 50 ft. on LPG.) �.¢T, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 ' / er -� o APPLICATION AND PERMIT ASSESS R RA RC NUMBER ZONING a- -- -2 BUILDING PERMIT O WNE TELEPHONE .O NER'S MAILING ADDRESS _ SO. FT. OCC. BUILDING VALUA ION CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERLICENSE NO. Plan Checking Fee $ I Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDINCj ADDRESS / S PLUMBING PERMIT Filing Fee 10.00 t -' Each Trap 2.00 Repair drainage or vent piping 5.00 S C� Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USEOF STRUCTURE SF ❑ Duplex ❑ Mobilehome;L , Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities W Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2;50 NEW CONST. ! DWELLING OCCUP.y) OR ADDNS. \ ACC. BLDGS. 22 sq It 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. No. Classification No,*,: L3� (. 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. Vc. 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 '_OULET 2,50 ea NON.RESID BRANCH CIRC TS NEW CONSTR. (/ POWER APPARATUS O\ NON-RESID. (SINGLE OUTLET CIR. J nd Ex. OCCUR(OUTLETS OR FIXTURES BAL21 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ,O Misc. Wiring 7.50 Permit Fee $ -S2, Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. .❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate onsent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement„ should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above information 1s 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-. entioned property for inspection purposes. I also agree to save, indem )f . and keep harmless the County of Butte against all liabi 'les, judgments, c Sand expenses which may in any way accrue ag said County in c r n ing of this permit. Y7 A Date Signature of Applic — Owner Contractor E] Agent ❑ An OSHA permit Is required for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OccUP. GROUP TYPE OF CONST. V PARc�L PD N SS This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date3 24-10 //3 Receipt No. ZARQ 3 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT VI in Z. �{ Y pp ,ln ;es aizd 7r�:,�n �Wi,I of ualit. rescrib c Ie earl fed us = i,i Ae U fbrmdull¢iin Plu__-.---.._.____.____ 4 II Me s o '� C h o I V, S G :+ • i Jam' ; - � • '', 1 , � I �� A Oe A setback of,�ft: from the 0 f\, ! prop6rtX lines an ,d: SetbeCiL' �J, S� 6f: T ff: from the roe a� d, `�Y�I I�� centerline shall .be;clear of •= s«; �-' D __ _ strudUres'dr'equipment'exCe t - - j p : or fbr.. 21 ft., ealre over n� a_ . $ 1(1(1( 1 ! - I. _.0 } t O r U' } t permit w{u, 6 �uii4i l tort Q 11 •_' -_ � :;°:_ - (� -- `=o�-- '� fdi1 on of .'#h� .mobilehom�,' I � S ,L i I i , ! IY' moi✓ r 1Rr ! I , 'BUTTE �QUN BUILDING DEPARTMEjj r This se 1p c qlans and sRectfic�itrons' ,bel 1 I �i i ke.ptj on ahe� lay jail tI tsgn�i .i4 Vis; util .j #o ' - 1 p1 °' O snake any changes or a�rera ions on same wi 7 �0>1 1f?0 ; ' X10' .! '. " 140' written permission from the Department of Publics ' Works, County of Butte. 160° -Jr... ' BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH - -DIVISION OF ENVIRONMENTAL HEALTH - - 695 OLEANDER AVENUE 7 COUNTY CENTER' DRIVE 747 ELLIOTT ROAD CHICO, CALIFORNIA OROVILLE, CALIFORNIA PARADISE, CALIFORNIA 891-2727 534-4281 872-2961 Fxt. 58 APPLICATION FOR PERMIT TO CONSTRUCT A SEWAGE DISPOSAL SYSTEM Owner's Name /0C, ' Ii1S_ �� Assessor's Parcel No II [L �.,C' �_----. appl icant's Name )'9�� ►y5 Zy-)- ' hone - - - - _ r 4Aa11 i ng Addresst_(__ Z _—��t2k_- .� �. -----__-- ----------------- -' 1. Construction site/�Z.t,�'L �j?_-_d-_ �1�' �v'me,��Z.�� 1��('f� ,.— $trcctandnumberor �-'-—--------'-----— --� I dire Ctlan otld distance to nl`i,rfst crassl'oadl 2. Lot size feet x feet. acres r • 3• APPLICATION FOR: new system for new building Auxiliary or secondary system ❑ Repair of or addition to old system ❑ New system to replace existing facilities ❑ ". 4. Type of building t be served by roposed system: Mobile Homey (size 1�-� K (�C% � ) l House ❑ No. Bedrooms._ j Other ❑ (specify) —_ No. Bedrooms —.��"' garbage disposal? garbage disposal?_ - }• 5. b',later supply for premises:. (Must be safe, potable water) Community I y Private wel l 2 ---'Other Water supply for adjoining properties: Community ❑ Private well ❑ Other _ �. have placed on file with the County of Butte a certificate of Workmen's WORKMEN'S COMPENSATION INSURANCE E] 'Compensation Insurance. K 6.. 1 am aware of the provisions of Section 3700 of the California Labor Code '• Which requires every employer to be insured against liability for Workmen's Compensation. �I Certify that in the performance of the work for which this permit is issued � • I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California 7. SCALE PLOT PLAN TO BE FURNISHED Sketch to scale on reverse side hereof, or attach scale sketch of plot plan of the premises showing: s , , a. Property lines, l e. Show direction and approximate amount of slope. h b. Location of all proposed and existing buildings, f. Source of water. structures, driveways and parking areas. g. Water lines. c. Location of large trees, rocks, or other obstacles. h. Set back lines and easements. d. Location of any well, spring, creek or other body of i. Proposed sewage disposal system and area rr•w wateron the parcel and within 100 feet of property line. for replacement. 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 either on the building or on the sewage disposal system, and that a satisfa.tory inspection of the system is required before the new building or dwelling may be occupied or the system backfilled, or put into use. I also understand that a safe potable water must be supplied to the new building or dwelling before occupancy call take place. _Signed ' �=�-� Owner Authorized agent ❑ Licensed contractor ❑ Date (An original letter of authorization must accompany this application in order for an authorized agent to sign.) 1 Lrygal parcel? Access YVater, plans cleared Comment FOR OFFICE USE ONLY Zoning _ Rcpt. No Use permitted? Amount Potable water ,-X 110 PRE -INSPECTION OWNER L/L DATE 91t / LOCATION: l6k4A. P. # q2 —080 '0 CONTRACTOR: ft�ZONING PRE -INSPECTION FOR: Aeti, i1a-vh DATE TO INSPECTOR PERMIT HISTORY: NONE AS FOLLOWS: *101* h1 �z e/ TYPE OF OCCUPANCY Cid CW-V� 4,o cl FIELD - INFORMATION BUILDING USAGE: TENNANT : BhZ- OCCUPIED ]] HAS ELECTRIC HAS GAS F71.HAS SANITATION FACILITIES Q HEATED -COOLED PERSON CONTACTED OTHER COMMENTS: role, ti4 t?ti41 ACTION RECOMMENDED - ISSUE HOLD FOR t do Ag -)(pars - t OTHER: BY ��Z�'Y ,�y DATE A4 -r