HomeMy WebLinkAbout043-290-100WAYNE MOHLE 43-29-100
1776 Bidwell, Chico
Permit#1207-88B(pe storage shed)
P/ 1165-89B(1st4renewal0/1207-
88)
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PERMIT NO.
PERMIT EXPIRES
OWNER ZYNE MOHLE
CONTR. owner
ASSESSOR PARCEL 43-29-100
x.
+LOCATION - 1776 Bidwell, Chico
{
e+ d
C
I
t.
Temp. Power Pole
' Called PG&E
? Temp. Elec. Service
Called PG&E.
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — 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.
a,
Inspector Da
0 = Not OK
MOBILE'HOMES
' = Not Ready MOB
J.
MISCELLANEOUS -
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date - DECKS,COVERS,CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements _
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts- Beam s-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5: Electricity; Location-Clearances-Grnd.-/ - / Amp -Concrete
6. Gas; Location -Test -Wrap: / P'L"ft.
/ /"Nat. or/ /"L"ft./ •/"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance - •
7. Elec.
' -- - - -
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
,~
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -61
Date Card -131 Date
10. Roof; Shthg-Roofing
Card -131
Date Card -131 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Req uirements-Setbacks-Easements-, -
Card -131 Date Card -B1 Date
2. Footings; Size -Spacing -Marriage Line
Card -131 Date Card -81 Date 1
3. Gas; MH Test -Demand -Valve -Connector -
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector ` f
�k i
Date ' POOLS (Plans) OK except #'s'•''
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 r3. Pool Structure; Steel -Connections -Thickness -
8. Gas and Electricity Tagged ., Dead Men -Lining r
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
Card -81 Date Card -61 Date ' '^" 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
Card -61 Date Card -131 Date' 9. Health Department Approval
^F 10. Plumb.; Cir. Test -Water Supply Test
- • . •••- •-• Card -B1 Date Card -131 Date
"'" Card -61 Date Card -131 Date
- OK
0 = NotOK
RESIDENTIAL (Single and Dupleic) T
- =Not Applicable
= Not Ready `
Date
UND OOR (Plans) OK except #'s
Date FRA ontinued)
oniU?Cy Lbacks;-Easements-Flood-Slope
4 ers-Post Caps -Anchors -Connectors
Arfrg- Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
. Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
4Z. Fii arance
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
48. ffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped •
49. ensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
50. Garage FOLIO P&Q49e4&Fr.fT8TrrITrg-
7. Slab; Steel -Wrapped
51. P Openings
8. Piers -Fireplace Ftg.-Steel
52. , 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
53. - tion
10. Gas Pipe; Size -Anchors
54 Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
(375)Siding-Nailing Veneer
12. Electric; Underground
5 . - s
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
57. G
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
58 -
15.In lation'
59. InsulationW9s-
41-2 11 F
60. I
Card-131("igDate
and -B1 Date
Card -B1
Date Card -61 Date
Card -81 L) Date Card -B1 Date
Card -81 Date Card -81 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Com stion Air -Baffle
Date FINA Plans) OK except #'s
17. Water Pipe; Test & Anc rs-Nail Protection
AtlExt. 'Steps -Door & Sideli } 2coter*ef,4 a tdTr{gs
18. D.W.V.; Test-Fttn Anchors -Nail Protection
actor
19. Shower Pani,715st, First Floor -Tub Access
az EuLoA a Uonts-Clearance-Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tu Shower, 2nd Floor -Tub Access
21. Gas pe; Size & Anchors
64-$edf9effr-xiting
Fixtures & Tub Access -Spa
ubpanel; Breaker Sizes -Labels
Card-Bl-l'o'Date
Card -131 Date
i s
Card -B1
Date Card -131 Date
ove; earances-Hearth
ood Panel; Int. & Ext.
Date
ELECTRICAL (Permit) OK except #'sasat
; Grnd. -Air Gap -Cooking Clearance
22. Fixture & Transformer Clearance -Ins. PpAedtlon
ec. u ets & Receptacles at Kit. Counter
23. Elec. Receptacles Spacing -Lights & itches at Doors
7_• ire oor; Swing -Landing -Closer
24. Size Boxes & No. of Conductors apled
25. Romex Installed Close to Ed of Studs & C.J.arage-Damper
r.; ents-Clearance-Comb. Air-Connector-P.R.V.-
In r-AboveProtection
/ e
26. Equip. Ground made up wch. Fasteners -Bond Gas & Water
27. 2 Appliance Circuts in Itchen &Conductor Size/G.F.I.
c.ec . Equip. Listed for Location
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
e; (G.F.I.)-Romex Protec.
n- oam- oo a in c ❑Yes
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Ne ral Yes No
78• -Post Caps
30. Service-Ri r Conductors & Ground -Main Disconnect
11rFdn. r-Draina ood-Earth
Yes
31. Equip. earances Panels-Motors-Mech. Equip.❑
lowing instld.; Drive ❑ Yes ❑ alks ❑ Yes 13�We[7
Planters ❑ Yes 4&_Ne_
32. Clot s Closet Light -Shower Light -Spa Light
33. SrDdke Detector
_
Card -B1
Date Card -131 Date
bing
Card -131
Date Card -131 Date
ppliance-Firep l. -Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
nnect, Electrical, Plumbing
34. A.C. Ducts Insulation & Su ort
F.I. Receptacle -Underground
35..Vent Fan; Exhaust abov nsulation
out House
36. Condensate Drain verflow; Size & Grade
8 n
37. Furnace -Vent; A ess-Comb. Air -Return Air Vent -115 outlet
88. Corrections hum Previous Inpections
38. Attic Access Platform if Furnace in Attic
84Sas Test -Meters Tagged; Gas -Electric
96 Water P Sewer Connected -C/O to Grade -HD Approval
1i Fnarr^y Cna4) lance Certificate -Other Certificates
Card-B1D
e Card -B1 Date
9
Card -81
Date Card -B1 Date
Card -131 A6V Date/6'� �9�ard-B1 Date
Card -131 a Date Card -B1 Date
Date FRA (Plans) OK except #'s
3 , P r Material & Anchors
Card -B1 Date Card -131 Date
Comments at Final:
sds-Nailing, Spacing & Bracing -Plates -Sound
,Aur'
Walls over Girders & Floor Nailing
aft p in Walls (rat proof)
e Stops; Furred Ceilings -Stairs -Chases -Tub
Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
4' 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION"AN6 PERMIT
:RMITZZ
O.
tJJ
ASSESSOR PARC MBER//l
v
ZONING
BUILDING PERMIT
OWNER. , ,lE�
SO. FT. OCC. BUILDING"VALUATION
OWNER'S MAI NGzll
CONTRACTOR'S NAME
zli�ZQh 60 --
TELEPHONE
CONTRACTOR'S 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
Permit fee
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO. SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other ,� ,/, S�P
SIPECI FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
O.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00'
a0ov OR LESS
Main service 100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under aXilof er ur /check one
p perjury Y ( )'
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
Joni 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 OCC UP.y ,
OR ADDNS. ACC.BLDGS. /z¢sgft
NEW CONSTR. TI -OUTLET 2,50 ea
NON.RESID BRANCH CIRC ITS
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES .200030
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. IYirin 15.00
g
Permit Fee $
Contractor
ORKMEN'S COMPENSATION INSURANCE
I declare under &nalty of perjury (check one):
The permit is for $100.00 ( a a 1 or less.
❑u
E] 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.
MECHANICAL PERMIT
FiIingFee 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.
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 ount 'n onsequence of the granting of this per I.
8This
X 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 $
Energy Inspection Fee $
TOTAL PERMIT FEE $ ,
OCCUP.
CON9T7
SCHOOL
I FLOOD
PARCEL
PD
HD
.29U
permit is hereby Issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO OF PUBLIC
BY
PER)((T EXPIRES DateC•�
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. 3 S ✓
WHITE-D.P.W.. YELLOW-A9e EseOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
i
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION ANb PERMIT
PERMIT NO.
i �s Y
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
o
T P oN
SO. FT. OCC. BUILDING VALUATION
OJWNER—S I IN D
ON R R PHONE
A 'S 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
Permit fee
$ Z.5 1
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
RC EL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other�c`y�G7E
— PECIFY
Gas piping system 1 - 5 outlets
5.00
HO
Building sewer
5.00
Mobile Home S I G I W
-00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe work:
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 penaV19 of perjury (check one):
.�_ ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUslnesS
' and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. / DWELLING OCCUP..)
OR ADDNS. 1 ACC. BLDGS. , /20sgft
NEW CONSTR. TI -OUTLET 2.50 ea
NON.RESID .BRANCH CIRC ITS
POWER APPARATUS 6
(SINGLE OUTLET CIR. )
Ex. Occup OUTLETS OR FIXTURES .20050t 5
FIXED ALNS
Ex. Occup. OUTLETS P(RESID )REA.) 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 enalty 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.
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 construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature Of Applicant — Owner ❑ 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 $ 3Z,
OCCUP.
CONST.TYPEJ
SCHOOL
FLOOD
PARCEL
PD
ND
S9UE
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
O
Receipt No. b�(�
WNITC-D.P.W., YELLOW-ASSE330K. PINK -INSPECTOR, GOLDENROD -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)e5 .
2. I (have/have not) Alec 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 Numb r
Date j
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.
'- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS' IT NO. >
7 County Center Drive - Orovilie, California 95965 - Telephone: 916/538-7541.CZ
dI/
APPLICATION- AND PERMIT
AS3E5 PARCEL NUMBER
—a —
ZONyh)Ca'��
�JJ�i�✓✓�1
BUILDING PERMIT
OWNER
tic- L
TELEPHON
-
SO, FT. OCC, BUILDING VALUATION
OWN R'S MAILING ADDRESS
CONTRAC OR NA E
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LEND R
•
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
I
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
17��
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO. SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other f2�E J
s ECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00ea
TYPE OF WORK
Newx Addition❑ Remodel ❑ Utilities❑ installation[] Other❑ !
�Describe work: /�Z X/
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service JOOV OR LESS
00 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
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. DWELLINGoCCUP.a\ '/z2sgft
OR ADDNS. ACC. BLDGS. /
NEW CONSTR I.OUTLET 2.50 ea
NON-RESID .BRA CH CIRC ITS
POWER APPARATUS e)
SINGLE OUTLE IR.
Ex. Occup OUTLETS OR FIXTU S CAL0 30
FIXED APPLNS. OR
EX. Occup. 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
of Consent to Self -Insure.
�j 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
Fi ling 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. 1 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 wa accrue
a inst said my in co se ence of the granting of this pe
2 �8
Signature of Applicant — Ovrn?eJSJ Contractor ❑ Agent ❑
fAn OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE $
occuP.
CONST.TYPe
SCHOOL
�-
PlA
PARCEL
�
PD
Issu
8
This permit is hereby issued under
sions of the Butte County Code and/or
work Indicated above for which
DIRECTOR OF PUBLIC
By
PE T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
✓�
Date
/ —7- 7
` Receipt No. /_ 27 5s2
is/2
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-AP►LI CANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILIE, CAZIFOFINIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
yy, Permit No.
OWNER a / Wz_ A. P. No.
Proposed Building Use .5--71-Cl--!�94f7 Building Inspecto 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. 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 authoriz3gion. . . . . . . . . .
10. Sanitation approval from 6! � 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. Mobi lehome Installation Data. . . . . . . . . .
Pre-Inspec.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. Engineered trusses in duplicate (required prior to plan check).
22.
When you issue the ermit, process as follows: Mail t wner, Mail to contractor.
�i Telephone - �� and hold for pickup mice, Deliver w/inspector.
Other C�
Applicant 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_-11aiI—counter by date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet � folder
Copy—DPW
TO. Buildinct Department ;,•;
FROM: Environmental Health
SUBJECT: Sanitation Clearance
a /t 177 1-0- 2 9-'t/0 a
Owner Location—t� AP#
1C-6
Plan Approved for: Sewage Disposal Water -Supply
Hold final for:
Final clearance O.K. for:
Clearance for _ bedroom mobile home.
NOTE ***
Sanitarian
Water Supply
Water Supply
Other. �� r K 16,
Date
COUNTY OF BUTTE - Depar.ttnent of Public Works
7 County Center Drive, Oroville, CA 95965 •Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An''bwner-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. 41
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes -or no)PS
2. I (have/have not) �%/4y Pi 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
Vnnf : eo"J
Signed:
Property Owner
Social Security Number��-
Date 41-- Z2- 88
1
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.
NOTE:=�AII Materials & Workmanship a e n
Accordance with Recognize:. Good Practices and
of aqua;:.; prescrc:.e:.1 ior the Spec,Pe,` use in the
Uniform Bui,ding, Piumlaing & Mechanical Uodes and
the Netional Electrical Code.
C
l o. coo CP_)
N 89 ' ar.' 00•' W (R)
BIG
THIS PUT M FOR REFERENCE ONLY,
61 A P1+�j of nes_K POO"
ee sck of 5 � i. ' . om the
,.a.! IIr�S and a setback
®f gOst, from t'^a r��d
��terline t0i ll be clear of
gt►'uctut'8s or cquioment except
�i T� rl-tang. ale
cry aA
1z/W - 2224 O, IZ• 3B� � ;
S'
This set Of plans and specifications TV CH ICO GEEK
Rept on the inl, Mt n1l tim,,5unlawful to
mare anu,.
^nG nn s^tme without NOTE:
written permission from the Department of Public wlTHlhl �ioo; oPTF—
Works, County of 8.4#% oF��sl`�'cHrco
LEGN
ED —
o FOUQ6 4' Ir201J PIPE T.oGGED fZ.C.E. 16��-��� 0
• SET s,/e 2EE3AR TAGGED R.C.E. 2913 ' 803
� P20POSE AeLL LOC<6TION
CR) CORD PEiZ BK. 7o P.M.
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