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HomeMy WebLinkAbout042-090-06442 -09 -pr eP Lee Keefauver SIS Hwy 2, app.900'NW of K dy Chico MAI Mllfl7p nne P6rm.t 0 -781 ELrelocatT. EU -C. QMH) GAS SUPPO T STRUCTURE REQ. Ave.,v __e. COMPACTION TEST REQ. 42-09-6 Contr: Shasta -Trail-er Sales ermi.t.#7064-78MR1 Issued 42-09-06�4 Permit #2 79B( s a..a mini storage b.Idg. ROY E.. HOLT 42-09-64 2871 'Hwy 32,,,Chico -83B(new'ffi-ni-storage) Permit#2059 Zak 042-09-0-064 00-1113 OVERHOUSER, M .2871 HIGHW CO�D'R.00FING, CO_ NT:' Woo f0;2� 777��' .PERMIT NO. 2-79B PERMIT EXPIRES OWNER .Lee -Keefauver - CONTR.' owner 42-09-9. LOCATION (A.P. ) S/S Hwy 32, app.900'NW of Kennedy Ave., Chico a ,1 Tempt Power Pole ailed PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E OB FINALED % - -. (Date) (Sign COUNTY OF BUTTE =' DEPARTMENT OF PUBLIC VORKS BUILDING INSPECTION RECORD BUILDING. -BUIL ING (Cont'd) BING 'Setback Firewall Soil Piping Forms — 1 - Parapets 1st Floor Main Idg. Restroom Finish 2nd Floor Foot in gs #Vy-, Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer -f,,dara Fdn. Vents Fixtures ' ? Footings Garage Vents - Water Htr. Stemwal I Insulation Heaters Slab Prov. for phsically Appliances Carport handicapped Conformance of ex. Gas Piping &Test Footings structure Temp. Gas Slab Final Sanitation Patio EPLACE Final Footings Footino ELECTRICAL Masonry Walls -Throat Rough Reinf. Steel Final Fixtures Bond Beam- FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECOANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground. Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES Elec. Service Elec. Pedestal Water,Piping Sewer Gas Piping MOB 16EHOME INSTALLATION • • • • • • • - • - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) V - COUN�FY OF}BUTTE- DEPARTMENT OF PUBLIC WORKS 7 County (enter Drive — Oroville, California 95965 Telephone: 534-4541 % APPLICATION AND PERMIT / BUILDING 12 Owner �. G,� SO. FT. OCC. BUILDING VALUATION G' D, Mailing Address 7 c 6 Telephone No. Contractor , Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Bp Building Address Plan Checking Fee Vor Penalty 02 Permit Fee QI PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 G G Repair drainage or vent piping 1.50 pZ " d -- A. P. No..., /� Zoni s 8, P ins Water piping 1.50 Each gas water heater or vent 1.50 Feel' / ire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Pians Parcel/ Declaration Parcel Ma 60' R/W ements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Rec'd Parc I royal Plan pp roval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 800V OR LESS 5•QO Main service 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L 100 AMP 2.50 � � � Main service OVER e0ov 25.00 100 AMP OR LESS Main service EA. ADD -L 100 AMP 1.00 NEW CONST DWELIN.OR A.D.S. ACCLBLDGS.CCUP. 4\ 20sgft / CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTMULTI.OUTL T NON -REBID ` BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS 8 NON -R ESID. (SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES 5 L� FIXED LINIS Ex. Occup. ( OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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. X Date �a7 Signa'turl of P rmitee or Agent Receipt No. ` 9�Z/9✓ Ag White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant MECHANICAL PERMIT FILING FEE Heatina Coo I i @ FEE $3.00 Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ Sago TOTAL PERMIT FEE $QD This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abo or which fees have been paid. �PRWCOR OF UBLIC WORKS '.7 Date Building permit expires Date L I .. 1 -r .. Vii" `;`l �•R.y: -,e� 11--, rye�4�F COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This building has been constructed and completed in accordance with the requirements of the Uniform Building Code under permit number 2-79 for the following: Use Classification 20 Space Mini,Storaae Building Address or Location s/s Hvry. 32 app. 900' Mi of Kennedy AVe.,ChicO V—R Group F�2 occupancy; Type construction. It is hereby certified for the occupancy described above and may be o'r-cupied. Director of Public Works Date May 9, 1979 By ��POST IN A CONSPICUOUS PLACE (Over) NOTICE A new Certificate of Occupancy is required if the use or occupancy of this building changes. This Certificate of Occupancy shall be posted In a conspicuous place and Is not to be removed by other than the Building Inspector. k BUTTE COUNT1( .�_. BUILDING DEPARTMENT _ S3 i APPROVED. p m m • '' (I o a d y. tn Ce E 0 arc .UA N d ON S► �+ E H to Eo C c, o � � � O - j o -o loww� Q te�•' ? ? A a± s ^• � ami U: � � d► l • � C C � r t t j i L NO;TE.=-, AII-Materials-.&.. Workmanshi Shalf--B-o-in--.-- ' -' .this?set af�plans a d-st ^a#io6MUST-Abe--- Accordance . with ;Recognized . Good Practices and Kept orl.the job at all'+;-"•. �',+ft is. unlawful to 4t O p of a quality prescribed for Ae Specified use. in the make any changes or rl+!---"- �•s on some without Uniform Building, Plumbing �& Mechanical Codes and written permission frorn the Department of Public 7.-a the 'National Electrical Code. Works; County of Butte. Iry p Ir r F r rr� t} rn y' vy-+ �� �'� b� M3 r au in o r 1.3:17.0 Mc. yr �0 ✓ 3'''Z -;o0 py 1 u o -' rl (P 0 f a a-� c' m !r -writ. N r H (Ar r (Ti � rn o -�� r��a a��� 3- 0 0 >' �r(P 3ci n- c- U JN_�`r Z Qo o 3 n -i d- G TZ LV( o CP m Ul j N � G rm J r� �� �.•., sp y IIo w c_ Z o .pr to > r 0 Ttr N� y .00 70 it 00 X ritfn �w 1 v r .G I N rn G t= r o p cl ?� ol ?►. ! m _ 0 3-4 s 1 o�'� N z A 3 l I W ' In m G n t zm!J NI to Z. A r: 0 m n r: rnl I O ODV's t�hZCA C M z Ir z i . 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O" 4 xwclior :.— FItL0 k-0CA,TE A I L u Z Z BUTTE COUNTY scnLE I i—p s cA E. s-� BUI.LDINC DEPARTMENT -APPROVED S (.I T 2 p F 5 i �SECu VL:E.._ ROOF XW D �✓Alt..S NEATt1lNG..: 70 -..�WIR.Ll►-1S.. _ l a x g/q." . 1+- H .S iCL F- WLt L t_ j Li C t F ' rA P P I ►=, _6 ROOF- .Alj'0 %✓At_` Swha-Q4IwG - JI, ICY00t-0T-PLV 6Gbro 1LtOs . ZSGAGE 6w--ItmVA.%. APP20�!pro. _ w t p U She t, . 3Yy -`2 9 6� t. v. 2 �►'L ,• . o 5 S aAr TtJC><Ip .purtc.»v S s 2xZx.O9S GIK,-r i__--- ij S A z N I .S G I rc.T L 1 •t-! E —_ 5 Sin n �Ii A, -r t -u 0 w A t..t.s i IOW t:Ar _ AT �►*ro wA�.�s j , �� C I Z ,L Z- x 09 5 d! rLT ICOL AT duo tft#AIL I OTUVU V - - --- . LrL ,.. p9t �s( A„T �AT rti{>'t✓At,.�. �: �� BUTTE COUNTY ti a A. WAk_�. _ t ► i tG 36�Y1 SUEATN I Lj G`UI e I !D NC DEPARTMENT I � -TA AT ��o �n��I ,; APPROdED I4 iAi 6U 0 L.✓ A t, t- s. ob s GI-vLT �NttCh..o1 -- ---- --- -- __• ----- - I . • rt t tiQj •-- ,•o 1 O pu _ 'I.- A M AL E S HT 3/ of 5 2--7 1( i k- spa 6 OLzs IA .to, f'? FZ L• -t4 e.rAM _ J Ir (LY STUB AUI.�'$ Zxz TUi3tx.095❑ ' �;� � •• .. a 1'n�Tc12.t-Ufi.. COLS. � IN '_O1 0 NT.t^tt 10 2 CAB -E.. ',���...�, Off .P(v5 G I?,TS It� MUTE. T 14.1LS Roar 3 (L k c 1 N G .= t`A( N E&3 p APD Tf.1L .A� oN�_. AU14.p 4l�.? L % l-.? G.T1A l0 RAYL @. ro L o~vc -L h GIff lie c0` �T BUTTE COUKrrV BUILDING DEPARYMEN �� 'I'� ,.;:,,•�. as c: ,.t rN Iv 0) r� m e, 'r N u b\ 4 .w II Z � C{{ .m s Iv I 0) r� m e, L b\ 4 .w Z � C{{ .m s a Om 00 O < > z M fsv Iia 0-0 C7 m 1 � o Z 17 F': N- I n m 0) r� m e, L b\ 4 .w :c s -Q- s a r ng t 'C 3 ' a In fsv Iia 0-0 79 ✓1 1 � o 17 F': N- .. . ._ : � • ` fir. 06 O (J r�- J� y n m 0) r� m e, L f� 0 _L S, f "{ :c s -Q- s " C% _ r 4 ^r a r - Q _j L 1 _L S, f "{ 4 ^r a r . bi4 :c s -Q- ze � \V " C% _ 0- ng t 'C 3 ' a In fsv Iia 0-0 79 o 4 cr x . :c s -Q- ng t 'C 3 ' a to Td o N- 06 O 4 cr x . 3 o N- Oce -a-0 QZis +- Cao;. Inter-Depart emor®ndum To: Land Development Section, DPW FROM: Building Division, DPW SUBJECT: Improvements and Storm Drainage Clearance DATE: 1/2/79 We have recently received an application to construct a 20 space mini storage bldg. (use) by Lee Keefauver (owner and/or contractor) at S/S Hwy 32, app1900'NW of Kennedy Ave., Chico (location) A.P. No. 42-09-9 Permit Appin. No. 2-79B and he has been advised to contact your section regarding requirements. Would you please advise, by signing this memo, when you have cleared the .improve- ments and storm drainage facilities for this project so we may issue the required permit. .F.'Glander JFG:dd Chief Building Inspector v -2 Improvements and drainage plans approved for construction. / / Improvements and drainage not required for construction. Other (specify) K1006z`1' A \ oL) Sr--� (signature) (date) Tip Owner: N9 K 41- QA-' / Address: Tenant • c� �.. Building Location Type of Inspection reques BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT 1. Housing -j-/ 2. Financing 4. Other (specify) Present use of build A. P. Date of Inspection��. Inspector 00, " 3. Change of Occupancy to A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating•facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection' to sewage disposal: 12. Connection to watei',supply: 13. Rubbish and garbage facilities: 14. Cum ents : B. Structural 1. Piers and footings: 2. Floor construction: 3'. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces 6. Comments: C. Electrical 1. Service and ground:_ 2. Receptacles: 3. Fusing: 4. Comments: D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: F E. Other 1. Maintenance and repair: 2. Fire hazards: _ 3. Safety hazards: 4. Weatlier protection: 5. ?inderfloor and attic ventilation: 6. Comments: F. Commercial Build� 1. Roof covering: 2. Distance to property lines: 3. Plrysically handicapped: 4. Best-oom floors and walls: 5. Exits: 6. Improvements: - 7. Zoning: ­ 8. Comments: G. Field Problems or Violations 1. Problem or -violation (give complete description): 2. 'ghat action taken (give complete description) 3. What action recommended: A. infor,iation only - f i E . B. Hold for ten (10) days, then write: letter. / / C Write letter. /% D. Other: PERMIT N0. ...69�i-78P,E_ ;PERMIT EXPIRES OWNER Lee Keefauver CONTR. owner 42-09-9 LOCATION (A.P. S/S Hwy 32, app.900'NW of Kennedy Ave., Chico ' t a } i G 1 .. p Temp. Power Pole (jailed PG&E - z em EIec. Ser,. 2 % Calle SPG&E $ Temp. as Serv. 11 -/7— 7;' / alled PG&E ZJ /f 7.0 JOB NALED (Date) (Signature) /jL MOB ILEHOME INSTALLATION INSPECTION CHECK LIST Is the mobilehome- located with equired separation from lot lines and buildings'ind generally conform to plot plan? Yes No Does the mobilehome have required clearances above ground? ('Sec.5085) Yes V No d- Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes �l�o Is the mobilehome. level? (Sec. 5088) yes'' No_ oj� If mord/than a'single unit, are crossover connections properly installed? (Sec. 5088) Yes !L," No Water A. Is fle ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yeso_ Test - Does water piping withstand working pressure or 50 lbs. air test? Yes !/No Backf�o If coach is not State of California approved, does station have backflow device and p ssure-relief valve? Yes_ No 0/bWastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes •Q/ No B. Does it have minimum " per foot slope and is it properly supported? Yestl No C. Are any leaks --detected in drainage system after running 3- allons of water through each fixture including washing machine standpipe?,.Yes No Ifo ch is not State of California approved, does station have required trap and vent? Yes No Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connecRNOF of more than 6 ft, long? Note: All piping is to be at least as large as the mobie gas.line inlet without reductions other than the mobilehome connector. Yes B. Test OK as per following procedure?. Yes41 No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10.min. without drop. 4. Connect gas meter to mobilehome.with connector, turn on gas, test connections with soapy water. C°. Are all appliance vents properly installed? YesNo_ r Electrical A. Is service large enough to provide adequate amperage -.to mobilehome (must equal rating of mobilehome with a minimum of amp) and other facilities on `lot, i.e., water pumps, garage, cabana, etc.? YesZ No B. Is there proper clearances around panels? Yes�o C. Is power supply cord or feeder assembly properly fused? Yes-4'ZNo_ D. Is continuity test satisfactory as per the following procedure? Yes_ No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral, conductor, have been disconnected. " 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment -and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the. mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA `�,, • i �f C��' % /`%� Manufacturer and/or Namestyle V Length Width ZG Vehicle Serial No. State Identification No. Additional Additional Information or Comments: /(/iY!/ r ' G /�Y �-�%'.S / G.S� �� Ljf!i- �f./L .1 /�(%G ✓ 2— COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY , This mobilehome has been installed in accordance with the requiremenX; under of the California Administrative Code, Title 25, Chapter 5, permit number /'nfir✓' ZL" /ffoor the following location: 5ALL'r =✓i. - ' t nl, 11m � N. al-" (�WAIrw" !1J£ — f fi r r r..) +fir.`. Owner tS �Ff < 1051 Owner's Address�� Mobilehome Mfg. Model Model � Yeai7' Insignia No N-? ��'� ��/� Z ��� Serial No. It is hereby certified for occupancy at the above described location and';, may be occupied. Dire,c�toro`f,Public Works ` Datej-7-1 9. 71'' By __A , F THIS CERTIFICATE IS VOID WHEN MOBIUEHOME IS RELOCATED in_ White - Owner, Yellow - Installer, Pink - D.P.W. To: BJILDING DF_PnR • `.Z' - de i;TZ I. Swage and/or Water ani/or fid_' LZCZ Clearance (s) val- 170* CoQ �PP ;)9.tniP1 115 %, 32 .�(t .fir &-A 3F3, cLf,, 09. 7 �� y7 0, NER LOCAT ION laps a=e approved for: Sewage Disposal . 'Fater Suppl} gold up final for_ dater Supply — Finan Clearance ok for: mater Supply Clearaa-:ce is for a '3 f,edroo= (`:ome or robile I o:�a) _ OtF��r Fh addition(s) will :be 0 VC -1 144L S z C az �G o �« Daze } Y 'COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING S back FI wall oil Pipin For Par ets 1st Floor Ma`1p Bldg. Restr m Finish 2 d Floor OQtings Window 3rd or, Ste all Siding To out Slab N Roof Shea Ina Water Pi Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Garage Vents Water Htr. t StemwaII Insulation Heaters Slab Prov. for ph sical Appliances Carport handicaped Po Conformance of ex. Gas PI in &Test Footings structure y Temp. as Slab Final I N Sanitation Patio eIREkACE Final Footings Footin LECTRIC Masonry Walls Throat Rou h Reinf. Ste Final Fixtures Bond Be FIRE SPRINKLE Motors Framin Test Water Htr. Stucco Final Sub ane Mesh MECHANICAL Grd. F tilt Prot. Scr ch Heatl Servi e B wn Cooing T mo. Pole nish D is nder round —XIIn rior Lath ntiiation Permanent —or Closer Inal Final MOBILEHOME UTILITIES f fWw --- Elec_ Service J� -'� Elec. Pedestal/doAA13 12—1 Water Piping _ J_ 7 SewerP' Gas Piping/a_��� B E ME INSTALLATION-------------- Support 1--7,' Elec. Continuity Z.s 7 Water Piping 1.2-19 7 Drainage �L�r �_ 7 f► Gas Piping DATE REMARKS OR CORRECTIONS CV iv 9'401t bot✓ is�.Jr�C /„/ C d �2ESsac, Te,17�sd Gl4a al 67e XCo/woo d ARV 2?�; SJ Z � �� dsj7r r Id—/J-7 P 1i60ch d4 4.,/f 66cJ 945 (71"a e.✓cd �-o x Cv C G4 tn> o 3 \ (NOTE: An entry must be made on this form each time you visit the job site.) f COUNTY OF BUTTE "' DEPARTMENT OF PUBLIC WORKS 7 County'( enter Drive - Oroville, California 95965 Telephone: 534-4541 �'r- AflZ/9 APPLICATION AND PERMIT GuuIUIILC IWiJICSCIILQLIVCS UI llle uumily UI outtu IU enter upun Lne above-mentioned property for inspection purposes. X Date t^.? -7 -78 Sigri9ture of Permite or Agent Receipt No.4�� J "/ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By �� ��— Date ,permit expires Date BUILDING Owner gtz SQ. FT. OCC. BUILDING VALUATION Mailing Address 3 Tel hone No. f 3a3 Z Contracto Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building AddressdC% P I an Check i ng Fee &/o r Pen aIty Permit Fee PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 .Od Each Trap 1.50 epair drainage or vent piping 1.50 A. P. No. 00 9 '� � �� 1ncy-t,f-4 inqGaspiping Water piping 1.50 l0 0 0 Each gas water heater or vent 1.50 S on Fire Dept. Fire Zone Use PAI Parking Parcel EQA Plans Declaration Parcel M 60' RNV Improve nts system 1 - 5 outlets 1.50 0.0 Each additional outlet .30 Building sewer 5.00 �, Q® � �- Bldg. Plans AE'd Parcel proval Plans pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES Rn- OTHER ❑ Permit Fee $ 33 00 .$ 100 ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 3 da Main service 600V OR 100 AMP OR LESS 5.00 $%00 Single Family ❑ Duplex ❑ Mobil Home ®� Others ❑ Main service EA. ADD'L loo AMP 2.50 2 Jr'Ll OVER Main service ov 100 AMeoP OR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ACCLBLDGS,LING CCUP. S� 20sgft ( CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name style of: NEW RES,., BRANCH C :' T NOW CON D ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS a NON-RESID. SINGLE OUTLET CIR, Ex. Occup (OUTLETS OR FIXTURES) g 250 L 11 FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15.00 License No. Classification Misc. Wiring 6.25 Z I am exempt from the Contractors License Laws of the State of California. Permit Fee $ r WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL N0.1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ 'I -S'.00 TOTAL PERMIT FEE GuuIUIILC IWiJICSCIILQLIVCS UI llle uumily UI outtu IU enter upun Lne above-mentioned property for inspection purposes. X Date t^.? -7 -78 Sigri9ture of Permite or Agent Receipt No.4�� J "/ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By �� ��— Date ,permit expires Date To BUILDING DEPPR-P-EN7 Sewage and/or {later and/or Ad-1ition Cleararce"s) � I N M � Xf L Plans a e approved for: ;fold up final for: Final Clearance ok for: , i LOUAi ION �.Ps Se -,'al, e Disposal, Water Suppl? Water Supply ra Clea_..__nee is fora bedrooms (::ops or mobile ho e) _ Outer Water supplyx- 713: addition(s) Will be z Date BUTTE LLQ r�,lg WORK9 4 1978 PM Oill 1121112131415.16 During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items . above and in addition the following: 2. Applicant advised b Telephone Mail Other 3. Plans checked by Dat*72 4. Plans approve Dat When permit is issued, process as follows: 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. L"/4. Telephone and hold for pickup @ office. 5. Other Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir.Health - Date Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works - Date Ndtice Sent"' A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C. Other 6. Other Agencies - Date Plans Sent A. Fire Dept. B. Other PERMIT APPLICATION WORK SHEET Permit No. OWNER "A. P. No. q2,- ©9 - Oa % Zoning Use froposed Approved Not approved Permit fee based upon: 1. Complete contract price. 2. Partial contract price (explain). 3. DPW Valuation (show): At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: Date received 1. All items have been submitted- -------------------------- 2. Plot plans in duplicate/triplicate. --------------------- 3. Complete plans in duplicate/triplicate. ----------------- 4. Complete engineered plans and calcs. -------------------- 5. Fees of $ -------------------- Letter of signature authorization. ---------------------- �6. / - Sanitation approval. ----------------------------------=- lad I 8. Planning approval for - 9. Workmen's Compensation Insurance Certificate. ----------- 10. Contractors license information. --------------------- 11. Parcel declaration, recorded copy- ---------------------- 12. Access declaration. ----------- 7------------------------- 13. Aunt Minnie information. -------------------------------- 14. Deed of access, recorded copy. -------------------------- 15. Deed of parcel creation, recorded copy- ----------------- 16. Parcel map, recording data. --------- ; Pre -inspection request for -- 18. Improvements - plans required & DPW approval - ----------- 19. ---- Other ------ By By Date �' Z Bldg. Inspector During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items . above and in addition the following: 2. Applicant advised b Telephone Mail Other 3. Plans checked by Dat*72 4. Plans approve Dat When permit is issued, process as follows: 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. L"/4. Telephone and hold for pickup @ office. 5. Other Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir.Health - Date Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works - Date Ndtice Sent"' A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C. Other 6. Other Agencies - Date Plans Sent A. Fire Dept. B. Other NOTE:--LAl1 Maferials & Workmanship Shall Be �, Accordance with Recognized Good Practices and Of a quality prescribed 'for the Specified use in the Uni rm Bw1ding, Plumbing & Mechanical Codes and a s the National Electrical Code. %_V,rt4_ 001>ER VR�src-moo •T A ISS �" Ili W L 67 T W r$ Lai R71 This set Jf pl ns and specifications MUST kept on the job�at all times and it. is unlawful two make any cl angs,or alterations on same without wrifis en permission from the Department' of Pub- lic Works, 10uhtY of Butte. F!{ o M SJ!F_P7-1 c- -��)4 A T 0-AiX , M µ The Ndq. Setback shall be 5 ft, from the side property line and 50 ft. from the centerline of the road, permitting a maxi- mum of a 2 ft. eave overhang but entirely out of adl easements. ®x 3 1 Septic system and location of baikl- c ,ia...c#ub•evi• to be as per Butte County Health Dept. Ro- quirements. � f I � N I t ( r All utility connections shat( be -located within 4 ft. outside the rear third section of the mobile home on the left (road) side of the =63a home. I. A permit will be required for ffie Installation of the mobilehome:. .BUTTE COUNTY -SU I L D I N GD E PARTMENT -- V i 1"N MUp WIPE TOR >_a W4 SUPPU�Q (ARMT-ACT IX ME of PLal.`.fiUTe ,per 7s ��y8ROC. Adsglt ;Y`�o5'e�PJ. LYs� Y a �CwD � U � � � � v Own s may- �- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS -"County Center Drive — Orovi Ile, California 95965 � ry/ Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Y/-- x Date Si nature of Permitee or Agent Receipt No. 10 % » White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above which fees have been paid. IR T R OF P LIC WORKS �j M1121 1 X, t� 91 UVJ1171A Date v �� Building permit expires Date BUILDING - Owner SQ. FT. OCC. BUILDING VALVA Mai I i ng Address Telephone No. Fireplace Contractor�ceS� kQ Total Valuation Mailing Address �a Glepz= °� 7 Permit Fee Plan Checking F,-6e&/or Penalty Permit Fee Building Address a PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Gl1Y 0Q Each Trap 1.50 ��� Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. v C Zoni &'Funning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements p ovements Lawn sprinkler system 2.00 Bldg. Plans Parcel Ap vol Plan pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home [!Re Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b 112 01 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of'California Business & Professions Code under the name style of: Q Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. S Classification C-6 I Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby -� ��• Od TOTAL PERMIT FEE $ -30 100 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Y/-- x Date Si nature of Permitee or Agent Receipt No. 10 % » White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above which fees have been paid. IR T R OF P LIC WORKS �j M1121 1 X, t� 91 UVJ1171A Date v �� Building permit expires Date PERMZ APPLICATION WORK SHEET jPermit No. OWNER ,L A.P. No.42,-09- Zoning Use oposed Approved Not approved Permit fee based upon: .1. Complete contract price. 2. Partial contract price (explain). 3. DPW Valuation (show): At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: �Date received All items have been submitted. -------------------------- 2. Plot plans in duplicate/triplicate. --------------------- 3. Complete plans in duplicate/triplicate. ----------------- 4. Complete engineered plans and calcs. -------------------- 5. Fees of..$ -------------------- 6. Letter of signature authorization. ---------------------- 7. Sanitation approval. ------------------------------------ 8. Planning approval for 9. Workmen's Compensation Insurance Certificate. ----------- 10. Contractors license information. ------------------------ 11. Parcel declaration, recorded copy. ---------------------- 12. ------------------ --12. Access declaration. ------------------------------------- 13. Aunt Minnie information. -------------------------------- 14. Deed of access, recorded copy. -=------------------------ 15. Deed of parcel creation, recorded copy. -----=---------- 16. Parcel map, recording data. ----------------------------- 17. Pre -inspection request for 18. Improvements - plans required & DPW approval. ----------- 1,9. Other. ----- - By Date Bldg. Inspector During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items above and in addition the following: 2. Applicant advised by Telephone Ma it Other 3. Plans checked by Date 4. Plans approved by Date When permit is issued, process as follows: 1...Mail to owner. . 3. Deliver with inspection. 4. Telephone and hold 7 for pickup @ office. 5. Other Q r0 Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir.Health - Date Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works - Date Notice Sent' A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance .C. Other 6. Other Agencies - Date Plans Sent A. Fire Dept. B. Other BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. . PHONE: 534-454.1 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: Lel wrd?, ,Co 3. Is the site currently under permit? Yes No (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No (If yes,' furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- /®C) Amps 6. What is the mobilehome site service rating? --------------------- ;k o 0 Amps 7. What is the mobilehome site circuit breaker rating? ------------- f .00 Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------------- ------------ Yes /,1// i000el No #400C?h �o4 h.� J4004f (If yes, identify the load and size: tom' (Load) �L �� (Amps) 9. What is the mobilehome site gas'.pipe size? ---------------------- (in.) '10. What is the type of gas service? ----------------------------- Natural / LPG 11. What is the.gas pipe length from meter or tank to the mobilehome? �Q (ft.) 12. What is the mobilehome gas demand?---------�'i�----- (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on,LPG.) /K M d10 MOBILEHOME SUPPORT DATA If other than single wide, y Mobilehome Mfr._���'/ i furnish Setup Model No. g!, �/1 Year Width V— / (ft.) Box Length (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) Single P/1. Wood either A A pressure treated or foundation grade. .(ft.)(in.) (in.)` (in.) 2. Other (specify) Center support Center support Supports (check one) locations* footing sizes (in.) � 1' Concrete block. 2. Other (specify) (ft.)(in.) (in.) (in.) 17����� IityX3a 1�--- n o , ls. ,r 30 (ft.)(in.) (in.) (in.) Typical Support (in.) (in.) Footing Size (ft.)(in.) (in.) (in.) ' 61 -- Max. Pier Spacing (ft.)(in.) 'x30 Qi Ql/ -- Max. Overhang (ft.)I (in.) (in.) (in.) (ft.)(in.) BUTTE COUNT Y BUILDING DEPARTMENT. APPROVED *If center piers are other than drawn above, draw in locations, spacing, and dimensions. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS VVV 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIQN AND PERMIT PERMIT N0. as17=S'3 ASSESSOR PARCEL NUMBER t^ ZO ONG BUILDING PERMIT OWNE TELT PHON n SQ. FT. OCC. BUILDING VALUATION WNER'S MAILI G ADDRESS ZL — rc6kTRACTOR*S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWWNr v Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ spoloz ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ 4101 10 0 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 1.30 ,o BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PA CEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5toutlefs 5.00 USE OF STRUCTPFE SF ❑ Duplex ❑ Mobi lehome ❑ Other oM SPECIFY Building sewer t N 5.00 Mobile Home S I Q,W I i 10.00 e 1 7-00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor EL T dIAL PERMIT Filing Fee 10.00 Main se&c e00V OR LESS 100 AMP OR LESS 10.00 M in se vice EA. AOD'L 100 AMP 2.50 EW C"ONST. ( DWELLING OCCUP.&\ OYZ ADDNS. ACC. BLDGS. /r 2'�zQSQft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9 V. 3 of yhffiBUs'J9ess and Professions Code and my license is I fu Wnd effect.Ex. No. Classification V as the owner, or my employees with wages as hair sole compen- sation, will do the work, and the structure is t i"nt�"en ed or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting fth licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason ridN CO o R' BRANCH TLI-TCIR CU ITS 2.50 ea NEWCONSTR POWER APPARATUS &' NON -RESID, (SINGLE OUTLET CIR. 1 20@50C BAL@30 Occup(OUTLETS oR FIXTURES BAL®30(cense UTL APPLES. OR EX. QCCUp. OUTLETS (RESID,) EA.� 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. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate i6f Consent to Self -Insure. 1 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 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construct' n, and hereby authorize representatives of the Countyot Butte to enter upa ayvemeboned property for inspection purposes. I also agree to av indnd keep harmless the County of Butte against all Iiabilitie , j g ntsand expenses which may in any way accrue against s nt 'n cce of the granting of this permit. X���� Date plicant — Owner Contractor ❑ Agent ❑ Signature /er.it An OSHA is required for excavations over 5'0" deep and demolition or construct- ion of structures over 39sstorries in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ a O OCCUP. GROUP TYPE OF CONST. PARC/ PD HD SUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 1 I V f WHITE-D.P.W., YELLOW-ASSFSSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER 1 1 A. P. No. 9— �a F Proposed Building Us' Permit Fee Based Upon: Complete Contract Price 4 iDPW Valuation Other(Explain) Building Inspector \ Date_ 4, a. At time of permit application, I was advised iAe 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. . . . . . . . . . . E' 3. Complete plans in duplicate./triplicate. . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . 6. State Energy Forms No. E 7 Statement of Intent for Non -Heated and AC Buildings. 9�ees of $ 9.- Letter of signature authorization. 10. . Sanitation approval from (►rMealth De t. �o 11. Planning approval for (A) Use: (B) Parking: . Certificate of Workmen's Compensati-on 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. . . .. •Pre-Inspec. request to pole 17. Pre -Inspection for Required. Building Inspector (Date) Other__ o ER-Qf' �k3 A*Q_ �b SU -00 r IST- Td Wme 0 When you issue the permit, process as follows: ail to owne . Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other i Applicant Date Copy of plans sent Health Dept., Fire Dept., _Other Date—. During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date I Plans approved by Date Other: I opy—DPW 4 TO: Building Department , FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance Az� V 7 Owner Location AP ;Plann approved for; sewage disposal water supply Hold final for: water supply Final clearance O.A. for: water supply Clearance for bedroom mobile home. Other Note*** 10, , gam/ -2/-oO�5 t ra an �� Date COUNTY OF BUTTE - Departffient of Public Works 7 County Center.Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIF ICAT ION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. b Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing.and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of ,the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address. City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work S igned : Property Owner Social Security numb Date ZI I. NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. NON-RESIDENTIAL BUILDINGS ENERGY CONSERVATION STANDARDS Statement of Intent for Non -Heated and/or Non -Air Conditioned Buildings owner of the building to be constructed as a (pl ase print) 7 under ZZ150 7 ^ S \ at P7 (bldg.permit no.) (location) hereby certify that I do not intend to heat or cool this`building in such a manner as to be subject to other than the mandatory sections of the State Energy Requirements.. I understand that if I do heat or cool this building in the future, that I .will be subject to the energy requirements in effect at that time. I.understand that if I change the use or occupancy of this building in the future, that I will be subject to the energy requirements in effect at .that time 'fo-r that specific occupancy. I also understand that if I become subject to the energy requirements in the future, it may be necessary to redesign and/or alter (1) the building envelope, (2) the insulation requirements of the heating, ventilating, and air conditioning .systems, (3) the heating, ventilating, and air conditioning equipment, (4) the service water heating, and (5) the lighting of the building to comply with the regulations. I understand that any of the. above changes will require me to obtain the necessary permits, inspections, and approvals from the Butt County Building Department. � ..• �.:�C'���� iM� Signature of Building Owner Mailing Address Telephone No. 116 /-/t vy -34 .II Fzo©.,e p-/,gw / ,ev,v f VIEW /6 0 ` 3/,, f/cyw000 Fzo©.,e p-/,gw / ,ev,v f VIEW 042-09-0-064 ,.; 00-1133 OVERHOUSER, MADDYLYN 2871 HIGHWAY 32, CHICO CONT: BAIRD ROOFINGa REROOF i . COUNTY OF BUTTE.- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538,7541 PER4T NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSORPARCELNU BER n� zONING BUILDING PERMIT OWNER Add U ��� TELEPHONE SO, Fr. OCC. - BUILDING VALUATION . OWNERS MAILING ADDRESS W CF�Ic� 1r'1 NAS 12 J d CONTRACTOR'S NAME yyjj ( IJ(al/i f �D tn10 TELEPHONE CONTRACTORS R�TORS MAILING C AA „ AOIJ,.(V,_,/,J- r/61- j CONSTRUCTON LENDER(` I LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ % T ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS ''�� WR Z Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME ' PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE y j SF,❑ uplex ❑ Mobilehome [3 Other (� A4 G SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ rUblities ❑ Installation ❑ Other ❑ Describe Work: e Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 600VOR LESS Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is infutLjO& a and effect. License Class Lic. No. t� �f�/e ' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADONS. ( 8 ACC. BLDS. So 3.5¢FT, HOµH6I0 5=0 ET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIS. Ex. Occup. ouTLEroRParuREs B20 @ 1.00 00 Ex. Occup. GFucuT Ra ) A. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' csQm,�[?eDDsation insurance carrier and policy number are: Carrier L� i7�/) A-) 11K �• - r, _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number � 1 y'y ,j',.( (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo with comply with those provisions. j J /�/ �,1l X �/�'I/i�i_'A! y Date '" 1,-/6 Signature of,`Applicant - ❑ Owrfe( Contractor ❑ Agent An OSHA(permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have / ! By / �( ci �� PERMIT EXPIRES�ON %�Pita) the applicable provisions Resolutions to do work been paid. Date /,V/ Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION -0 - `' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 53 541 P RMIT NO. (Rev. 12/96) APPLICATION AND PERMIT LU ASSESSOR PARCEL NU BER 1 ✓0 ZONING BUILDING PERMIT OWNER P?4ddv lvJ ova k o J Safi., TELEPHONE SO. FT. OCC. BUILDING VALUATION " t . OWNERS MAILING ADDRESS ) I C r_ f/1 0 C#I FI Z -7 lG� jrJ1 ry /� / 3 oi, CONTRACTOR'S NAME et TELEPHONE CONTRACTORS MAIUNG-*[1DRESS C- ,/0UJ n ^ ^ CONSTRUCTION LENDER/,1'. Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS/� A �/ W e� L f16 C Energy Plan Checking Fee $ $ nn PERMIT FEE $ 13 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SFuplex ❑ Mobilehome ❑ Other b I J -L C SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ LUtilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600V OR LESS Main Service 200.OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in^fu O e and effect. /� /�- License Class Lic. NO. ILL LW -1f OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers'cqm a ation in ura ce carrier and policy number are: Carrier (� Policy Number P.Mobile (The above sections need not -be completed . the permit is for work of ­a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo hwith comply with those provisio, s. X4;9,Date / �� Signa uro pp icant - ❑ Own ontractor ❑ Agent An OSHA mit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. TO Main Service TO 46.00 NEW CONST. DWELL EL OCCUP. SO CU OR ADDNS. ( a ACC. BLDS. 3.5¢Fr: r. EW.ICO DT' MULTI.OU CLE; @7,50 POWER APPARATUS 8 SINGLE OUTLET CIS. OUTLET OR FIXTURES 20 Q 1.00 Ex. Occup.BAL. o .so Ex. Occup. ounFrs Ro .DEAL 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. D FEES IMP FLOOD CDF PARCEL Po HD UE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PE MIT EXPIRES ON the applicable provisions Resolutions to do work been paid. /J l Date / 1 (D46) Receipt No. 1„ `) It d?2 I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT NO