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HomeMy WebLinkAbout047-270-020a piping/ e m jj- n •i ♦ —.', � srssl�-tea �� � E ID NTIAL 47-27-0-020 91-3504 BESSER, FLORA } CONT'R : OWNER. HW:.Y 9:9:,, CH I CO GAS PIPING/.MH.. OFFICE COPY Address 134 lam" `/ 9 GAS ( Meter By Date ELECTRIC Meter By Date III JOB FINALE Signature %1 OK O = Not OK ' = NotNoApplica Ready ble MOBILE HOMES" Date MOB ME UTILITIES (Plans) OK except #'s Hing Requirements -Setbacks -Easements Soils; Special MH Support Sketch pr 3. ewer; Location -Test -Fall -C/O Concrete SkIe ater; Location -Test -Easement Needed (Sketch) E1pdricity; Location-Clearences-Grnd-/ /Amp -Concrete Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or CCL"ft.Aq"LPG ell Clearance & Disconnect Utility Clearance Date Card B-1 Date Card B-1 —i Date Card B-1 Date Card B-1 Date MO E HOME INSTALLATION (Plans) OK except #'s . Z ning Requirements -Setbacks Easements Footings; Size-Spacing-#Aom+aTje Line fIas; MH Demand-Valve—Connector Electricity; MH Test -Crossovers -Breakers -Clearances rain; MH Test -Fall -Flex Connector ,$ater; MH Test -Regulator -Connector Q/ ater and Sewer Connected -C/O to Grade -HD Approval as.and E-kre*iQity Tagged AZI Exits; Insp.-S.eish. 1 . Cert. of Occupancy 1 Date, /- Card B-1 Date Card B-1 Date'], 3 1 Card B-1 S Date Card B-1 Cak b b t. -3I2, MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except If's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK O=Not OK =Not Applicable Not Ready RESIDENTIAL (: = Date UNDERFLOOR (Plans) OK except ft's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe: Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except R's 16. Water Htr.: Vent -Access -Combustion Air -Baffle -------- ---------------------------------------- -------- ---- 17. Water Pipe; Test & Anchor -Nail Protection -- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection --------------- - --------------------- ---Shower Pan: Test. First Floor -Tub Access _ _ 20. -Test -Tub & Shower. -Second -Floor -Tub Access ----------------------------- 21. Gas Pipe: Size & Anchors --------------------------------------------------------------------------------- Date Card B-1 Date Card 6-1 --------------------- ---------------------- ------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except A's _ 22. Fixtur_e_& Transformer Clearance -Ins. Protection ------------------------------------------ 23 Elec. Receptacles Spacing -Lights & Switches at Doors ---------- - ------ -- - ------ -------------------------- ------------- 24. Size Boxes & No. of Conductors -Stapled ----------------- -------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. -------------------------------------------------------- 26. ---------------------------- --- 26. Equip Ground made up w/Mech. Fastners-Bond Gas & Water ----------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ----------- - ---------------------------------------------------- 28. Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size / ga. Cu or At --------------------------- - ---------------------------- 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --- ------ -- -- --------------------------------------------- 30. -------------------------------30. Service -Riser Conductors & Ground -Main Disconnect --------- --- ------------------------------ __ 31. Equip Clearances Panels-Motors-Mech. Equip. --------- -------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light -------------- -------------------------------------- - --- - ---- 33. Smoke Detector ------------------------------- ------------------------------------------------- Date Card B-1 Date Card B-1 ------- - - - - --------------------------------------- ---------- Date Card B-1 Date Card 6-1 Date MECHANICAL (Permit) OK except A's 34. A.C. Ducts Insulation & Support ---------------------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation -------------------------------------------------------------- ------- ---------- 36. Condensate Drain & Overflow: Size & Grade --------- ---------- ----- ---- --.. _.. 37. Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet ---------- ----- - ------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic --------------------------------------- ---------- -------------- --------- Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except p's 39. Sils. Proper Material & Anchors ------- ----- - ----- - - ------------------------------------------- ----------- - 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ----- -------------------------------------- ------------ - - -- 41. Bearing Walls over Girders & Floor Nailing - - - - - ------------------------ 42. Draft Stop in Walls (rat proof) .............. Fire Stops: Furred Ceilings -Stairs -Chases -Tub -------------- ----------------------- --___ ------------ ----------- ---------- 44. Headers & Beam -Size & Bearing 'Ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions -50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ------------ ------------------- _ 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection ___ 54 plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. -Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ---------- --------- --- 57. Glazing Area -Glass Protection -Skylights- Plastic 58. Shear Walls; Nailing -Bolts -------------------- _ 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Date Card _B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft's 61. Ext. Steps=Door & Sidelight Protection -Landings ----------------------- - 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection --------- --------------------- 64. Bedroom Exiting 65. G_F.I_& Bath Fixtures & Tub Access-Spa----------------------------- �. 66. Elec. Trim & Subpanel; Breaker Sizes & Labels --------------- 67. Stags & Rails --------- -------------------------- 68. Fireplace or Stove: Clearances -Hearth -- ------------ ------------------------ 69. Elec. Outlets at Wood Panel: Int. & Ext. - ----------------------------- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ------ ------------------ Outlets ---------------Outlets & Receptacles at Kit. Counter - ------------------------- ------ 72. Garage Fire Door: Swing -Landing -Closer -------------- - -------------- 9 -- per a -Dam ------------73.----A.C.----Duct in---------Gara---------- ------ 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ----------------------------------------- - 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7;. Insulation -Foam -Looked in Attic ❑ Yes -------------------------------------------- -- - 78. Guard Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ...... ------------------------------- --------- 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No _ 81. Stucco: Brown -Finish - --- - 82. A.C. Unit Disconnect Electrical, Plumbing ---------------------------------------- -- -- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ----------------------------------------- ---- 84. Water Well: Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim: G F.I Receptacle -Underground 86. Ventilation Throughout House - - - - - -------------- 87. - ----- -- ----------------------------- - 87. Glass Protection . ------------------------------------------------- 88. Corrections from Previous Inspections ----- ------- --- ------------------------------------ 89. Gas Test -Meters Tagged: Gas -Electric ------ --------- --------- ---- ---------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates -------------------------------- ----- --- Date Card B-1 Date Card B-1 - --- ------------- ------------------- Rate --- -------------_Date ----------- Card -B- 1 Date __ Card B-1 Date Card B-1 -Date Card B-1 Comments at Final: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE TKPsser 3`i73 -9i 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 whe correction of work is completed. If you have any question pertaining to this m ter, or need additional explanation, please contact this office immediately. A, _ •• 1Z tom- r ou,rl r r r\ G 0,0,0'-ecl Cd ho ce, 76 1 iA 9 o L rt 11 -( L. ,. ,r p r� i� rGrUt 70 GA, o—f�.r C-rryfcr. y .c 171 Sf4 f v t J NY t � Date //— `i 1 Inspector On MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT NO. Address or location of mobilehome 13661 99 Owner's name t Owner's address 3/2MaInsignia or hud number CA 00Q 9312- Manufacturer's nufacturer's name �, Q� /,� Serial number of V.I.N. � i'"" ' o Year of manufacture (Official Approving Installation) (Uat IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTRNCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE M091LEHOME IS INSTALLED ON A FOUNDATION SYSTEM. .t 5138 White - Owner, Yellow - Installer, Pink - D.P.W. ` COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. / 7 County Center Drive,- Orovllle, California 95965 - Telephone. 916/53607541 3504-91 APPLICATION AND PERMIT ASS SSO C NUMUISM 47-27-20 ZONING BUILDING PERMITV OWNER Flora Besser TELEPHONE 343-0924 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3820 Keefer Rd, Chico 95926 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 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 ADD S Hca 99 Ch] CO 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 STRUCTURE SF ❑ Duplex❑ Mobilehome®x Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 15.00 Mobile Home JSFG W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities] Installation❑ Other ❑ Describe work: gas piping d I I Permit Fee $ 20.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20rATO1o0OA) 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 KiI, 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&\ OR ACDNS. ACC. BLDGS. I 3.64 sq.ft. NEW RESID, ULTC' OUTLET NON•R ESID BRANCH CIRC ITS @ 5,00 POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES AD 76 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.) EA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Ifi71 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 g LHood 6.50 I Ventilation FPPerWIt 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. ave, indemnify and keep harmless the County of Butte against I alsWtounty s, and expenses which may in any way accrue all ldgment;o�ncetqence agaicof the granting of this permit. q X J e= d 4 Date C/ " 2 l 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 ,S 20.0 HAz 0FEES IMP FLOOD CDF PARCEL PD HD ISSu l This permit is hereby issued under the sions of a Butte County Code and/or wor 7ndate'd ab for Wfshave DI FWORKS PE I S Date applicable provi- resolutions to do been paid. Date 01 Receipt No. 101078 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT v '" COUNTY OF BUTTE EPARTMENT OF PUBLIC WORKS - BUILDING DIVISION .7 COUNTY CENTI RW' RIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 / PERMIT APF L .AT -MN DATA SHEET .-.. Permit'No. OWNER A. P. No. Proposed Building Use I/4� �� Building Inspector Date 2 At time Xof.peit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 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 ......... ement of Intent for Non -Heated and AC Buildings .............. 8. gineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. 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 ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant .Date Copy of Haz-Mat form sent Health Dept. Fire Dept. air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive'- Orovllle, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. —Qv-- g r- ASSESSp EL NUMBER — Z — � ZONING BUILDING PERMIT OWNER 'n TELEPHONE SQ, FT. OCC. BUILDING VALUATION OWN 'S M FLING RESS� LFE CONTRACT •S NAME TELEPHONE CONTRAC R•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 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit tee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBOIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE ,�O,,F• STRUCTURE SF ❑ Duplex❑ Mobilehomel( Other �\ SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilit s ❑ Installation❑ Other E] Describe work: E/ /1,77 �� Permit Fee $ O t Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 0V OR LESS 200A OR LESS 18.50 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 .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 Main service 200A TO 1000AI 37.50 NEW CONST. / DWELLING OCCUP. y\ OR ADDNS. 1 ACC. BLDGS. // 3.6t sq.ft. ET NNO N.RE NS EW CONSTR __B;ANC. CTIRLC ITS @ 5.00 POWER APPARATUS e\ (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20 764 A FIXED EX. OCCUp. OUTLETS �RESIO IRE A.) I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Ilyirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 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 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 overr�3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ �QI I MAz 1 0FEES FMP FL000 CDF PARCEL PD MD SSUE 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 paid. WORKS Date v Receipt No. 04 W MI T!•O. P. W.• YELLOW -A99 0930 R, PINK -INSPECTOR. GOLDENROD•APPLICANT COUNTY QF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916 -538 -7541 - An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) 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 Nu ber - _Date NOTE: This Owner -Builder Verification is sent to you'as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per - witted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS / 7 County Center Drive •Orovllle, California 95965 - Telephone: 916/'538-7541 APPLICATION AND PERMIT PERMIT NO. 3473-91 '"ASSESS R PARCEL NUMBER ZO`J i47-97-90 G BUILDING PERMIT OWNER Flora P�esser TELEPHONE 343-0924 SO. FT. OCC. BUILDING VALU ION OWNER'S MAILING ADDRESS 382n T<Pef Chico 99996 CONTRACTOR'S NAM Ownpr 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 $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Igg13661 Hwy 99 Chico Permit fee $ .35.00 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 STRUCTURE SF ❑ Duplex❑ Mobilehomea Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK . New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installationfxi Other ❑ Describe work: Existing site _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 18.50 200A OR LESS Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON•RESID I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, Or my employees with wages as their SOIe 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 OCCUM P3.64sq.ft. OR ADDNS. l ACC. SLOGS. / NEW CONSTFL ULT' -OUTLET ^ 5,00 BRANCH CIRC ITS POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES AO @ 76d FIXED APP OR EX. Occup. OUTLETS (RESIESID.) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Not ce to Applicant: If after making this statement, should you becomesubject 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 $ LContractor 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 save, indemnify and keep harmless the County of Butte against gments, s, and expenses which may in any way accrue al*td agy i co a ence of the granting of this pe mit. Date -' I— / 5int Owner Contractor ❑ Agent ❑ An OSHA permit is required for eXc vations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.I Mobile Home Installation Fee S 70.00 Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 105.00 .,X HAz DFEES IMP FLOO CDF PAR PD HD 'ssu This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do I work indicated abov or which tees have been paid. OF PUBLIC WORKS By ,�s` Date 10-2-54+ PER EXPIRES Date /1-0Z�j/_4 __ Receipt NO. 101068 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r.•,•+.r��*+�",'.►w,j+�a+'n•i31vY'a..'p-+'."""i` - �, f--.ri: : nT �_ T r`x+' frit :�a"ti-. _ _ - _ , ^ "t.,�;.� { ..ry: .l.. ' ,i.,a tly!<' Y""V}'r.,,[Y,K"�_.. h..�. �''+.•_•,..-fS,:..,. �a-�. �r COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS - BUILDING DIVISION t----7 LOUNTY CENTFzR'DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 C ' PERMIT APPLICATION DATA SHEET ' Permit No. 01// OWNER TL �C�y` % i/ � �Er `-- A. P. —,:;Z:?—/ 5 Proposed Building Use r7 % �X Building Inspector Date �U At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED All items have bee submitted. ..-T ���?�f�,c�,,...............• 72. Plot plans in is by preparer -of plans ........ 3. Complete plans in duplicate replicate, 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 .............. :(�9$!Engineered truss details and layout in duplicate (required prior to plan check) . Mobilehome installation data including manufacturer's installation / Instructions ........................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... ,-,42,.-Park fees paid .................................................... l�L��� Sf h�ool Distri t fees paid .............. 4. Sanitation approval from S ( I T 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: ...... Improvements may be required. Contact Land Development Section DPW 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 ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of i atu're authori tion 26.. � 6 - _9 Z-�.— 27. When you issue thAz�_� follows: Mail o wrier. Mail to contractor. Telephone hold for pickup at�office. Deliver w/inspector. Other Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Ci w of checked above). 1. Index permit for above items No. 2. Additional items required: s Contractor, designer, oOde,was advised of above required data by phone---mail—counter by _date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date a� Plans checked by Date Plans approved by Date Q f Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO ASSESSOR PARCEL NUMBER _ . ZONING BUILDING PERMIT OWNER VD `^J a SO. FT. OCC. BUILDING VALUATION 'SMAI OWN: LING RESS A CON S N /A TEELLEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 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 $ BUIL Ess -T ] J (A)` , r] !/ Y 1%�1 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 _ C �T Each Trap I 5.00 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 US OF STRUCTURE SF ❑ Duplex Mobilehome Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installatio r ❑ Describe work: h4H Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000AI 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 .Jo. Classification 17I, 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.OR ADDNS. ( / ACC. BLDGS. DWELLING OCCUP.&) 3.6l sq.ft. NEW CONSTR ULT' -OUTLET NON-RESIO BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20 764 A EX. OCCUp. OUTLETS P(RESID )FIXED APLNSREA.) I 3.00 Temporary service 15.00 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. ❑ 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 15.00 Heating Cooling Hood 6.50 1 Ventilation pertnit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor C1 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 $ OCC CONST TYPE TOTAL FEES d I HA2 OFEES I IMP I FLOOD I COF I PA CEL I PO HD 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 PERMIT EXPIRES Date applica provi- resolutions to do have been paid. WORKS Date Receipt No. 110106 WHITE-O.P.W.. YELLOW-AS9E330R, PINK -INSPECTOR, GOLD ENROD-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. J b Please completeand return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I.(have/have"not) 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. )1 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.' L 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 Nu ber Date �,-_?0 - 9/ 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. TO Buihdinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Hold final for: Final -clearance O.R. for: Clearar_ce for bedroom mobile home. NOTE x** Water Supply Water Supply Water Supply Other k4elj 04. Sanitarian Date Ep4�,5t,,N� /6 - 17 - ci 1 -- i o\Iqe�� �� SOe BESSEP, 13 I NOF: All Materials worlcenship Shall Be in " "t Of Pum I ..o8niz0 t Good Practices and.- and of a Quality" Prescribed for - e ;i ecifi"ed use k#Pt Oft th0 job at all times and itTent awful to In the Uniform Building, PI " bing & M eabanj Mie any ohmiges� or alterationsithatrt Codes and the National El " Written permission from the DepPnblio' t M061 � 500 SQ' pr. MINI, I UM MOBILE • o mpe8 so eof o M etcAs �1 MOBILEHOME SUPPORT DATA *.... w C If other than single -wide, 2 Mobilehome Mfr. d A— furnish Setup Model No. Year Width Z- (ft.) Box Length L (ft.) Tagalong or 'Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)® 1. Wood -pressure treated or foundation grade. ❑ 2. Other (specify) SUPPORTS (check one) 1. Concrete block.❑ 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI - Main Beams ine 2 Line 3 Line 2 Main Beams — — — — � Line 2 �.. Line 1 ...►.-Line s Tag or Triple Line 4 Line' 1 Line 1 Piers: Line 1 Openings: Size -Min. ------------ Size -Min. ------------------ Spacing-Max - -----------------Spacing-Max. --------- Each Side of Openings From Ends -Max.----- -- Z d With Width Over --------- Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only) Size -Min. ------------ 2 „x Size -Min ------------------- Spacing-Max - ---------------- --Spacing-Max.--------- ,_ „ Spacing -Max .--------------- From Ends -Max.------- I '_ From Ends -Max -------------- Line 3 Roof Loads: Size -Min. ------------ Location (From Front) Line 4 Piers: Size -Min ------------- Spacing-Max ---------- From ------------Spacing-Max.--------- From Ends -Max. ----- Line 5 Roof Loads: Size -Min .------------ Location (From Front) e 5 Piers: (Under Bearing Walls Only Size -Min .------------------ "x Spacing -Max.--------------- _ From Ends -Max.------------- "I "x "X "X "X "x "x "X "X ' BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: ��� 4 �`-I.oY-e�,��'eJ� 3. Is the site currently under permit? Yes No (If yes, furnish permit number ) OR Is the site an existing site? Yes No F-1 (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach Nri fields and clear of all setbacks and easements? Yes 1/1-1 No F11 (If no, clarify 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- r -2i(") (ft.) 12. What is the mobilehome gas demand? ---------------------- (BTU) ; *(This information not required if pipe length less than 6 ft. o. natural gas or less than 50 ft, on LPG.) G, 04 . y 5. What is the mobilehome electrical rating? ------------- -- � D U Amps 6. What is the mobilehome site service rating? ------------- CZ Amps 7. What is the mobilehome site circuit breaker rating? ----- /XAmps 8. Is there any other electric load to be served by the Yes No mobilehome site service? -------------------------------- (If yes, identify the load and size: (Load) _(Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) 10. What is the type of gas service? ------------------- Natural F-1 LPG 11 1-1 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- r -2i(") (ft.) 12. What is the mobilehome gas demand? ---------------------- (BTU) ; *(This information not required if pipe length less than 6 ft. o. natural gas or less than 50 ft, on LPG.) G, 04 . y }tsv?7YT'�^".+,*tri+w.w'1(c'-.1',^'Cjce;}ricze!?"!►fyip}-0tJhyi'1:�'."'%e`1.x'rtQ.""n" y°+n`'"•1'^I''$71.T,`'di?N"c�"'i yA"4;i'i'=q"'. 'r'+A4.•4°i0th'^'h`.Y+'r11."MiaFyar»!GM7"�.�%^= .. BUTTE''COUNTY SCHOOLS DEVELOPMENT FEE -CERTIFICATION FORM , (one Form per Building) A.P. .Number �7'��'' Building Department No." School District City County,�ES Jurisdiction Property OwnerGw-Q/�`�� , Project Location/Address Subdivision Lot Number, Residential -'Development: Sq. Footage # of Living- MHI' Addition (Group R) Units i . Commercial;/Industrial: New Building^epartment Representative Sq. Footage. Addition (Including Exterior Roofed Areas) all Date • ,,.(Floor Plans reviewed by School.District Personnel) ! 'f .i=. District Id No'. A School District certifies that -'� (4pplicant Name) d (Phone Number) .(�Street Address) (City) (State) (Zip Code) has .complie:d�with the requirements of Resolution No. 9/ "by the payment of $ _ �� � representing '%p� � square et. School District Representative Dat r PAID -BY CHECK NO.REMARKS: r ; BANK NO PAID BY CASH white -applicant, yellow -building department, pink-school'district SCHOOL.FEE (8/88) J= OK O=Not OK =Not Applicable Not Ready MOBILE HOMES ' = Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete MISCELLANEOUS Date DE KS, COVERS, CARPORTS, GARAGES, (Plans)OK except It's oning Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails, 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10 Roof; Shthg-Roofing Ext.; Steps -Doors -Landings Date ( Card B-1 Sk Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except If's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except n's 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DE KS, COVERS, CARPORTS, GARAGES, (Plans)OK except It's oning Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails, 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10 Roof; Shthg-Roofing Ext.; Steps -Doors -Landings Date ( Card B-1 Sk Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except If's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) = Date UNDERFLOOR (Plans) OK except ti's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except a's 16. Water Htr.; Vent -Access -Combustion Air -Baffle ---------------- --- -------------------------------- 17. Water Pipe; Test & Anchor -Nail Protection - --- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ----------------- ------------------- --- - ---19. Shower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors ---------------------------------------------------------------------- - Date Card B-1 Date Card B-1 --------------------- --------------------- ------------------------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection --------- ---------------------------- -- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---------- ------------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ----- -- --------------------------- - -- -------------------------- 25. Romex Installed Close to Edge of Studs & C.J. - - - - ------------------------------------- 26. Equip. Ground made up w/Mech. Fasiners-Bond Gas & Water ----- -- -- ---- ------------ ------------------------- ---------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ------------ --------------------------------------------------- 28. Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size / ga. Cu or At -------------- - ------ --------------- -- --- -------- ------------ ---- -- -- - 29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 11 -Yes ❑ No ---------------- -------------- 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip Clearances Panels-Motors-Mech. Equip. --------------- ---------------- ------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light -------------------------------------------------------- ------------- ------------ 33. -Smoke-Detector ------ -- - - - -- --- ------------------------------------------------- Date Card B-1 Date Card B-1 ----------------- --- -- --------------------------------------------- ---------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's 34. A.C. Ducts Insulation & Support 35. Vent Fan: Exhaust above insulation ------------- ---------------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade - --------------------------- -- - ----- -- -........ 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---- - ---- -- - - --------_--------------------------------- 38 ---- -------------------------38 Attic Access & Platform if Furnance in Attic --------------------------------- -------- - ---------------------------------- Date Card B-1 Date Card B-1 --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors - - -- - -- ------------------------------------------------... -- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ---------- -41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) ----------------------------------------------- ------------------------ 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub --------------------------------------------------------------------------------- 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ----------- ---------------- 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ------------54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------ - 55. -Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights- Plastic _ 58. Shear Walls; Nailing -Bolts _________ 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ----- ------ ------------- - Date _ _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings ------------------ --- 62. Smoke Detector -------------------------- - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------------ ------- ------------------ 64. - Bedroom -Exiting ------------- --- 65. G.F.I. & Bath Fixtures & Tub Access -Spa ----------_ 66. Elec. Trim & Subpanel: Breaker Sizes & Labels --------- 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth ----- ------ -------------------------- ____ -- 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Gap-CookingClearance 71. Elec. Outlets & Receptacles at Kit. Counter ----- 72. Garage Fire Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. . In Garage: Above Floor-Mech. Protection 75. Plb. Elec. & Mech.Equip. Listed for Location -------------------------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection -------------- 7;. Insulation -Foam -Looked in -Attic ❑ Yes -------------------------- ____78._ Guard Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes .. - - - - --------------------- --------------------- 80. Followinginsild.; Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No - - --- -------------- 81. Stucco: Brown -Finish ------------------------------------- 82. A.C. Unit Disconnect. Electrical, Plumbing ------ ------------------------ --------- --- -- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings _ ------------ -- 84. Water Well: Disconnect, Electrical, Plumbing - ------------- ------------------------ -- --- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground a6. Ventilation Throughout House . . - - - ----------- - ------ 87. Glass Protection - - --------------------------------- a8. Corrections from Previous Inspections 89. Gas Test -Meters Tagged: Gas -Electric ------ ---------------------- ------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates -- --- ----------------------------------------------- ---- Date Card B-1 Date Card B-1 ------------- ---------------------------- -- ------ Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF f ''1TTE - DEPARTMENT OF PUBLIC WORKS �— 7 County Center Dr�e - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT.' PERMIT NO. ASSESSOR PARCEL NUMBER 47-27-020 ZONING 1 BUILDING PERMIT OWNER Flora Besser TELEPHONE 343-0924 SO. FT. OCC.1 BUILDING VALUATIO 6 8 00 OWNER'S MAILING ADDRESS 3820 Keefer Rd., Chico 95926 / CONTRACTOR'SNAME 77TTELEPHONE Owner CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$448.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Five $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $50.00 PLUMBING PERMIT Filing Fee 15.00 13661 Hwy 99, Chico 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 O STRUCTURE -xgr DDuplex[:]Mobilehom Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 YPE OF WORK New ❑ Addition 2 Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Add Porch & Circuit for w/d _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000A) 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. OR ADDNS. 1 ( DWELLING OCCUPM ACC. BLDGS. 3.64 sq.ft. NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 5 0 IPOWER APPARATUS e1 %SINGLE OUTLET CIR. Ex, OCcup(OUTLETS OR FIXTURES20 @ 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA. 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g -15.00 Permit Fee Q0.00 — 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 of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 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 liabilitie , dgments, Cos", and expenses which may in any way accrue against s nt in copse nce of the granting of this permit. X Date Signature of Applicant - Owner)4Contractor ❑ Agent El An OSHA permit is required for etdcavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspectio Fee $ occ Co sTT PE TOTAL FEE $ 70.00 rlAz 11 F11 I IMP I FL OF PARCEL PD HD ISSu i This permit is hereby issued under the of the Butte County Code and/or work fees Work indicated ab for whiJBIC D R OF U By V PER IT EXPIR ate �� [ applicable provi- resolutions to do have been paid. WORKS Date [y'—C�� Receipt No. 103971 :U 'NITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT G---- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE= C° LIFORNIA 959U-+�;Ei`_EPHONE: 916/538=7541 a PERMIT APPLICATION DATA SHEET � OWNER Proposed Building Use ding Inspector Permit No. 'JA No. Date—Z 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. 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......................................................I 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 1 Park fees paid...................................................I 3 School District fees paid .............. 14.Sanitation approval from C- I C Health Department lot 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 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. Date) When you Issue the permit, process follows: Mail o wrier. Mail to contractor. elephone nd hold for pickup at office. Deliver w/inspector. Other 11 Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fjxe-Be{.L- t. Other Date The following data must be submitted 1. Index permit for above items No. - 2. o._2. Additional items required: By it iiOsuance: (Circle new item not checked above). Mil Contractor, designer, owner, was advised of above required data by_phone_mail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date l Plans checked by Date Plans approved by _ Date Sets of plans on hold in File cabinet AP folder Copy—DPW 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 - 2- - d 2-C� ZONING BUILDING PERMIT OWN Epj�� _ / C]•/�7 TELEPH NE SO. FT OCC. BUILDING VALUATION £ OLI G ADDR SS OW 'SCK ,® 9 �� py'1jR fCTq TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $7 d - ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fire $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ E3UILDING ADDRESSPermit feeIt $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 t 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 STRUCTURE SFO Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work' ie P -I- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 20000AA OR LESS 2OR LESS 18.50 Main service 200A TO 1000AI 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 OCCUP.y\ OR ADDNS. 1 ACC. SLOGS. I 3.64sq.ft. NEWC CONSTR. U TI.OUTLET BRANCH CIRC NON.RESID ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FI%TURES20 76d Ex. OCCup. OUTLETS PRESID IKEA.) j 3.00 Temporary service 15.00 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. ❑ 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 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ L202ntractor f I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant - Owner g pp ❑ 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$,�a HAZ 1 0FEES I IMP I FLOOD I CDF PA EL I PD I HD 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 PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. COUNTY OF BUTTE - Deoartment of Eublic Works 7 County Center Drive, Oroville,.CA 95963 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) .PiJ 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 �rto 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: v r Property -Owner ' Social Securit Num er Date �� �-- NOTE: This Owner -Builder Verification,is sent to you as required by Sections 19831• and 19832 of the California Health -and Safety Code. This verification must be completed and returned to our office beffore we are per mitted to issue the permit. i� '1 O ;o 1 — 400 J � OC� (0 S Q cn 77 a Z 7 TO Buildina Department FROM: Environmental. Health SUBJECT: Sanitation Clearance Owner L anon AP# Plmn Approved for: Sewage Disposal Water Supply Fold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom mobile home. Other NOTE *** /L Sanitarian Date 0 9 � ' N r I t IT i s 51� 9r s C -P 4, C. P L A N D OF -NATURAL WEALTH AND :-BE ..UTY DEPARTMENT 09PUBLIC- HEALTH.. DIVISION OF ENVIRONMENTAL HEALTH', Address 0 196.-Mernorial Way;. Aj_7-..Coun!y Conten -Drive: 0747 Elliott! Road Reply to Chico, CoWornio,95926- Orovillo; Coli.famia"95%5. Paradise, California 95969 Telephone: 916/891-2727 Telephone: 916/5,34-4281 Telephone: 916/872-?961,-E'xt.584 RE': Unsafe. Housing .. Complaint. -FMobi'_1:e__ho__m__e_'., - Route 1 Box 472 A Chico,, CA/AP#...47-27_'0-13 just north of. Wilson.. Landing. -.Road, Chico.),. Dear, Mr., & Mrs. Bessex:, This department has received a aomplaint.,. alleging health.. -.and. safety hazards -in the liste'd.,mobile home- rental.. The Butte .County Assessor's:.. records indicate you are -the: owner's of the property: On'November 5, 19847 -1 visited the property and the'o_tenant.permitted me.to-make an inspection of-his.mobile home -(license .-# HJ 7871=4973' tag).. The following conditions were' observed wh-ic';h are in violation: of the -California Administrative Code,..'Title..25' Chapter2-' Subchapter. 1, Section 1702 (a), (b)', (c)` ' -(e),. (f'), and'. (h);.'and -.which pose health. or safety hazards to -the tenants-:. I The mobile. home heating fac.ilitie.0 are- inoperative... Heater. -vents are blocked - -in kitchen, and - bathroom.... Only -heat available is from electric heaters provided.:by tenants. -- 2. Decklacks- proper -railings-.. SDacihg--is.-not correct. 3. The kitchen. f 166.r. is -damaged due', to- water leaks-'r6tti-Jag. floor material ... loormaterial... 4. Electric:. * -breaker box in bedroom 'Glo 't se.lacks- face plate,, present— ing.electrical shock'danger°.- Porch'.1ight is unsafe -and doesn't function. 5. Plumbing-vent-in.middle bed -room clo8et.is..not -:glued'properly-and : is not. 'gas tight. The kitchen sink plumbing leak 8. with, water rotting floor andcabinetsand-dripping.onto the ground. There, is an open' waste drain in.the wall of th&.bathroom: 'r Page .2 Besspr-ContinuQd 6. Side- - window .latching- me chani 8t is.. inopexatV ** e Windows- are. not I - weathertight. These conditions. shal1.be. corrected as follows' andwithin.. THIRTY (30)' - -DAYS from receipt of.- this notice., - Obtain ..a-1-1. *-. required - permits for.. repair of she mobile - -home . from the ' Department -,of.' Housing and Community Development.,. 1814 -Mangrove. Avehu'e­,.-.y-Suit-e.-. D:...Chico, CA ($95'-x+334)4) ", and for the:.deck from the.. 'Butte - Count Department. of.. -: -Public. Wbrka,,., '196, -Memorial,. Way.-, Chic.o,.. CA,.': 11±ovide-p -.ap roved and -properly- installed, heating,facilities 'capable. of.maintaining a minimum -te-mperature.--:of seventy degree -s. 'Fahrenheit.- jn.easured..at:a, point. three -f Let above-; the floot,-An all habitable. rooms. 2.. Provide' properly: ..in -stall ed 'railing a on the mob.ile:. home -deck' 3.* Repair or-replace.the -wat6r damaged kitchen:. f.l'oox..... Provide a face plate on the eleictric breAker-b,ox.- Replace%. defe.c.tive• porch light.. 5. Make. plumbing vent in middle bedroom gas j tight:. Repair, or replace: kitchen sink. plumbing - .a plumbing nate all.leaks.:... Cap: open waste- - drain in bathroom wall 6.'.. - Make all windowa weatherproof and/6'r. repair latching mechanisms: So they can-. be, securely, closed.. A reinspection will bemade.. If you have any que.sti'ons concerning this matter, please contact me at..theabovalisted 'addre.-s.s.or tele ­' phone number..' Very truly yours, -4 1 Howard J. e J Division of-EnvironmentAl.'-Health. HJS/ d/a cc,: blit; Work s -:-.Jim: - Gldnde r , Housing & Comm, Develop., Gedrge..Kurisu'. 700-87 ?_V 8� i • PERMIT NO. — ? PERMIT EXPIRES /c72 t . r OWNER ELDRA BESSER } OWNER ' CONTR. rr. ASSESSOR PARCEL �{ 150' Wilson Landing Rd, Hwy 99. LOCATION .j t r Temp. Power Pole _ Called PGBE— Temp: Elec. Service Celled PG&E _ Temp. Gas Service Called PG&E _ JOB FINALED (Dah Sipnatu 11 = OK 0 = Not. OK = Not Read�yable MOBILE HOMES - MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s • Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s A. 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-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures. .5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -131 Date 10. Roof; Shthg-Roofing Card -81 Date Card -61 Date , 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'.s 1. Zoning Requirements -Setbacks -Easements ,Card -131 Date lJ!grd-61 Date 2. Footings; Size -Spacing -Marriage Line . Card -BT -Dat Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector -2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged, 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -131 Date Card -B1 Date Card=B1 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -B1 Date Card -131 Date r = OK = Not OK - =Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready 1 0 Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Fig., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance- Material -Su pprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -B1 Date Card -131 Date Card -B1 Date Card -81 Date Card -B1 Date Card -131 Date Card -B1 Date Card -61 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W,V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -131 Date 66. Stairs & Rails Card -B1 Date Card -B1 Date 67. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuits in Kitchen & Conductor Size 74. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish Card -B1 Date Card -61 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -B1 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -131 Date Card -B1 Date 38. Sills, Proper Material & Anchors Card -131 Date Card -B1 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 01 PER 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 / APPLICATION�AND� PERMIT ASSES�SfTR PARC L NUMBER ZONING BUILDING PERMIT OWNER L 02 T LEPHONE :_ SO. FT. OCC, BUILDING VALU TION la OWNER'S MAI LI NC;DORESS /: /yj�T /], ✓ CONTRACTOR'S N M� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace _ CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ r ,� ARCHITECT OR.ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan.Checking Fee $ . ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 417 PLUMBING PERMIT Filing Fee 10.00 C Each Trap 2.00 [ 01) 21/L) < 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�U Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W - 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: /�'t�/�s'T7jt_ G�GC%l1/� C _ X �G��,J')� L. [�7—� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check.one): ❑ 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 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. DWELLING OCCUP.81 /zQsgft OR ADDNS, ACC. BLDGS. / NEW CONSTR.U TI.OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) POWER APPARATUS &) OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 9A 0 0 30C FIXED APP LHS. OR I EX. OCCUp. OUTLETS (RESID,1 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. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 liabili ' s, judgments, costs, and expenses which may in any way accrue agai t County in sequence of the granting of this permit. X Date / � Signature of Applicant — OWnerX 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 $ !�v OCCUP, CONST.TYPEJ I IF I_O �.c P H �ysye� !� This permit is hereby issued under sions of the Butte County -Code and/or work indicated above for which DIRECTCM OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date — Za ' 7—` Receipt No. �r,' WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION v 7 COUNTY CENTER DRIVE _ OR0, LLLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET ��•r''y ' N OWNER ,7�a%-�3 ll��l/Z s . Proposed Building Use � ermlt V. A. P. No. 12-�27 r Building Inspector Date :Z,<24 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 F1 or Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . 10. Sanitation approval from _ Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) –14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required . . . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Ins ection for –_ __-..____ _ Re uired- Pre-Inspen request to p -- - q Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway 'Permit, — 20. Plot plan approval from city of 21. 22. — 0 When you issue the p rmit proce s as follows: Mail to owner, Mail to contractor. y Telephone 25&_ and hold for pickupA.�:Loffice, Deliver w/inspector 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)q_ w 1. Index permit for above items No. – 2. Additional items required: ;L ✓ ✓ ✓ v U ' _ -- -- —5�aLla A A Q III! Contractor, designer, own was advised of above required data by— Vphone_—maiI—counter by XVdate � Contractor, designer, owner, was advised c£ above required data by—phone —mai l counter by date A Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy–DPW iL TO Bui ldincq'u-epartment FR6M: Environmental Health SUBJECT: Sanitation Clearance ZI 7-r1 Owner Location AP# Plan 'Approved for: Sewage Disposal Water Supply Hold final for'.- Final or: Ficial clearance O.R. for: Clearance for bedroom mobile home. NOTE * * * Nanitarian Water Supply Water Supply Other ?'1 /i e Date s This sef of pions and specifications MUST be kepton the job at all times and it is unlawful to make any chnges or alterations on same without u1 ! written; permission from the Department of Public �^ Works out► of Butte. N 'C I ; Be ift NOTE:--AII Materials & Workmanship Practices and Accordance with Recognized Good ; � r of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Machanical Cod% aWl 9 3 em the National Electrical Code. ` A setback of 5 ft from t w ' property lines an I a;setb ck • �� W. from the road i ! centerline shall clear structures or equ pment c ! ' liLINSTAUol �✓rVii' I i - ft. leave o erhang. ti ! 'TjpIgUC� 14kC14Q' R! r e t IDE .. T-7 OF I � yZ010 t V N? 86959 OFFICIAL RECEIPT 7, 7 OFFICE OR DEPARTMENT ISSUING RECEIPT from',:, 34 t Received The Sum of For ............ t41 Received: Received Bv-- CASH ❑ Title CHECK 46, � .r �� - • �r'r\ •\ � � v :, , Y _ . . . i / •r .'• ` ••, '.via_ , '�-. ,. _ - - ^ _' �� y � �+�a �� 7-7 COUNTY -OF BUTTE N? 86959 OFFICIAL RECEIPT 91 OFFICE OR DEPARTMENT ISSUING RECEIPT from',:, 34 Received The Sum of For Received: Received Bv-- CASH ❑ Title CHECK By • ��4104-79P,E , PERMIT NO. PERMIT EXPIRES Q • �� OWNER WYLIE BESS .R, CONTR. owner LOCATION (A.P. 47-27-13 ) Ws Hwy 99, 200' N ofWilson Landing Rd, C ico I• ' a 2';'• Temp. Power Pole Called PG&E Zerary!Elec. Serv.— =:a Called PG&E s Serv. JOB �/- `' FINALED (Date) (Signatur a Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Beam Framing Stucco Mesh Scratch Brown 'Finish Interior Lath Door MOBILEHOME �e Water Piping M961LEHOME Water Piping ®0 DATE i� t q �p N J_ J � Q \� � 4v COUNTY OF BUTTE — DEPARTMENT -OF PUBLIC WORKS t •' BUILDING INSPECTION RECORD Temp. Gas BUILDING BUILDING (Cont'd) Sanitation PLUMBING Firewall Soil Piping ELECTRICAL Parapets 1st Floor Final Restroom Finish 2nd Floor Motors Windows 3rd Floor Sidin • To out Underground Roof Sheathing Water Piping Roofing Sewer Final Fdn. Vents Fixtures I ------------------ Elec. Service Garage Vents Water Htr. '7C2T� Insulation Heaters Gas Piping 19� Prov. for ph sically handica ed Conformance of• ex. Appliances Gas Piping & Test v structure Temp. Gas Final Sanitation FIREPLACE Final Footing ELECTRICAL Throat Rough Final Fixtures FIRE SPRINKLERS Motors Test Water Htr. 0 il (NOTE: An entry must be made on this form each time you visit the job site.) Final Subpanels MECHANICAL -Grd. Fault Prot Heating Service Cooling Temp. Pole Ducts Underground Ventilation Permanent Final Final I ------------------ Elec. Service Elec. Pedestal '7C2T� Sewer _X1' Gas Piping 19� 1TION - - - - - - - - - - - - - - Support Elec. Continuity Drainage Gas Piping REMARKS OR CORRECTIONS 02oo A S ceV/GE ;2 S_0 "C"`1 bV77e 9>11 e -C- 40AJ D. -71 0 il (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number or the following location: Owner t Owner's Address - l Mobilehome Mfg. Model - j'�r - Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date f� By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome 1pcated wit}l required separation from lot lines and buildings and generally conform to plot plan? Yes_ No_ 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes 'L,,/No 3. Are footings and supports properly sized, spaced, and braced'as per•'approved plans? (Note possible variation at spring shackles.).(Sec . 5082 & 5083) Yes__�/No i 4. Is -the mobilehome level? (Sec. '5088) Yes_tNo_ 5. If more than _asingle unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes V No B. Test - Does water piping withstand working Pressure or 50 lbs, air test? Yes ,/ C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? es_ 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes I,, No_ B. Does it have minimum 4" per foot slope and is it properly supported? Yeses No C. Are any leaks detected in drainage system after running 3-g/lions of water through each fixture including washing machine standpipe? Yes_ No !tel D. If coach is not State of California approved, does station have required trap and vent? Yes Nom; 8. Gas Piping and Gas Vents , A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes --/No B. Test OK as per following procedure? Yes JNo 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? Yes 1 No 9. Electrical ' A. Is service large enough to provide aclequatt amperage -to mobilehome (must equal rating of mobilehome with a minimum of /100.amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Yes__t/No C. Is power supply cord or feeder assembly properly fused? Yes LI/No- D. Is continuity test satisfactory as per the following procedure? Yes L�' 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 theelectrical 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 Manufacturer and/or Namestyle Length Width / Vehicle Serial No.�( J �� State Identification No. Additional Information or Comments: i v ., COUNTY O BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, California 95965 "telephone: 534-4541 Lam/PO APPLICATION AND PERMIT -Jl 7", AA authorize representatives of the County of Butte to enter upon the above-?7n,property for inspection purposes. Xate Z Z 9 ignature of PPeermit6/or Agent Receipt No. `' / / 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 abov o which fees have been paid. IREC OF PU IC WORKS r % A&M Date —go—)f permit expires Date 4h. BUILDING IV Owner �� C �jnCC�C� C SQ. FT. OCC. BUILDING ALUATION Mailing Address Fr `j(j}•�j L , `• ^�:,yi:;.-; el one N 24 ,. Contractor EO AJC✓r— Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address s Wwy Q { s�o , J O 'v Plan Checking Fee&/or Penalty Permit Fee 1 � (� (--soAJ—PrOD1 t,3 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Gf-ilL� Repair drainage or vent piping 1.50 �� Z-7— 13 A. P. No. Zoning 8, tanning Water piping 1.50 Each gas water heater or vent 1.50 4 F •6eni�atierr FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking PI s Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Pans Rec'd Parcel Approval P ns Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER� Permit Fee $ ELECTRICAL No. @ FEE $ 1M l+i (L on_- �� j.� 4I --A PERMIT FILING FEE $3.00 Main service eoov OR LESS 5.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD -L 100 AMP 1.00 NEW CONST. / DWELLING OCCUP. 7i�. 20 sq ft OR ADDNS. % ACC. BLDGS. 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 CONSTR. MULTI-OUTL T NON-RESID BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS d NON-RESID. SINGLE OUTLET CIR. Ex. Occuo{OUTLETS OR FIXT11RES) g L25 FIXED LISIS Ex. Occup. ( OUTLETS P(RESID )KEA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 L e H$ TOTAL PERMIT FEE $ n7 16,,t authorize representatives of the County of Butte to enter upon the above-?7n,property for inspection purposes. Xate Z Z 9 ignature of PPeermit6/or Agent Receipt No. `' / / 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 abov o which fees have been paid. IREC OF PU IC WORKS r % A&M Date —go—)f permit expires Date 4h. l� � v � COUNTY -OF B(JTTE'- DEPARTMENT OF PUBLIC WORKS —BUILDING DIVISION 7 County Center Drive — Oroville,-C,?,lifornia 95965 — Telephone 534.4541 PERMIT APPLICATION DATA SHEET I `� / Q Permit No. OWNER 1-4 )YL/� SLSSE/Z_ A.P. No. 7- 77-- /'? Proposed Building Use Permit fee based upon: Complete Contract' Price z/DPW Valuation Other, exp (explain) Building Inspector // Date R • 7'7--75' At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted.....................................:............................. 2. Plot plans in duplicate/triplicate...,­.. ... * ....... ........... --- 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $.................................................. 9. Letter of signature authorization.............................................................. 10. Sanitation approval from Health Dept.... 11 Planning approval for j 'mo 12. Certificate of Workmen's Compensation Insuranc&9h.....iq-� 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. 15. Pre -inspection for required. Pre-inspec. request to (date) bldg. inspector 16. Other r When you issue the permit, process as follows: Mail to owner Mail to contractor. Telephone and hold for pick-up at office. Deliver w/inspection. Other -Applicant W,,r7.4 0 rrC )� .,, Date 9 -Y -17 4 Copy of plans sent Health Dept., Fire Dept., Other Dater 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, Design , Owner) as advised of above required data by Telephone MailOthe B �� Dater Y Plans checked by Date Plans approved by Date OTHER: r.nnv/rlpW Owner Mailing Address Contractor Ole Mai I i ng Address Building Address •.COUNTY OF BUTTE — "DEPARTMENT OF PUBLIC WORKS 7 County Center Drlivp t— Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT / _ A Y_ YS G G G Q TelephoieONo. 5q3Telephone No. GO. v A. P. No. � -Z7 ` l� Zoning a�t Plsan ng F6CS WterjajP10nTFire Dept. FireZone Use Permit EQA I Parking Parcel Parcel Ma 60' R/W Improvements Plans Declaration p p Bldg. Plans Recd Parcel royal Plans Approval NEW ❑ ADDITION ❑ UTILITIESJR OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home Others ❑ 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: License No, E3 I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE 1 am aware of the provisions of Section3700 of the California Labor Heating 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. 1 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. Classification _ BUILDING SQ. FT. I OCC. I BUILDING A Fireplace Total Valuation Permit Fee P I an Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L too AMP Main service OVER 100 AMPP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. / DWELLING OCCUP. S N $3.00 1.50 1.50 1.50 1.50 1.50 30 5.00 2.00 TI FEE U I $ 55S166 $ .� @ FEE , $3.00 . 13 v 5.00 5,66 2.50 (S 25.00 1.00 NON-RESID. \SINGLE OUTLET CIR. EX. OCcup(OUTLETS OR FIXTIIRES) BAL@1 BAL01 EX. OCCU FIXED APP LNS. OR p•�OUT LETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 1� Misc. Wiring 6.25 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 Gv Date 9. Signature of PeAige or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Cool $3.00 Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ 5�— TOTAL PERMIT FEE $ 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 PUBLIC WORKS %—� - 21 By Date B i (ding permit expires Date 7 �o wll-�K^:k COUNTY OF BUTTE ~ DEPARTMENT OF PUBLIC WORKS M 7.CUUNTW CENTER DRIVE OROVILLS, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number 626-77 for the following location: W/S Hwy. 99E ann. 350' N. of Wilson Landing Rd., Chico Owner Raymond Coleman Owner's Address _2433 Guynn Ave. , Chico 95926 Mobilehome Mfg. Parkwood Model Year 1967 Insignia No. 01950 Serial No. 2129 It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date 4/12/77 By THIS CERTIFICATE IS VOID WI N, MOBILEHOME IS RELOCATED t PERMIT NO. 54-77P,E —7 PERMIT EXPIRES OWNER Ray Coleman w CONTR. owner LOCATION (A.P. 47-27-13 ` W/S Hwy 99E,app.350'N.of Wilson Landing )Rd., Chico r- 1� i ' 14 ' tf If Temp. Powe/Pole Calle PG&E T.eFR Iec: Serv. i6 -7 C lied PG&E _:r>- % 7 Te p. Gas Serv. J Called PG&E" JOB 1 /� 7 �-7 " FINALED / (Da e (Signature) COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS r BUILDING INSPECTION RECORD BUILDING EkUILDING (Cont'd) PLUMBING Setback©- ZZ Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor. StemwaII Siding To out Slab Roof Sheathinq Water Piping Piers Roofing Sewer Z —/ "'7 % Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for sic-flyphy handica ed Conformance ex. structure o Appliances Gas Piping &Test Temp. Gas .---= Slab Final Sanitation Patio FI5gPLA4;A Final % Footings Footing ELECTRICAL Masonry Walls Throat Rough - 7 Relnf. Steel Final Fixtures I Bond Beam ` FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MEC A Grd. Fault Prot. Scratch Heatina y Service BKown Cooling Temp. Pole Finish Ducts 4 Under round Interior Lath Ventilation Permanent Dilor Closer Final Final -�7 •% DATE MARKS OR •' • -a- 0 -777 _L;Z� - X_ -'`' / O J i r / (NOTE: An entry must be made on this form each time you visit the job site.) a. Electrical A. Is service Large enoitgl.. to provide adegW.It-C! amperage to mobilehome (must equal rating of mcibi_lehome (aith a :;;in.b::um of .l0�mp) anal Daher faciliti_c:; on lot, i.e. , water pumps) gara,,e, caba.nca, etc.? Yeses No_ B. Is there proper clearances around panels? Yes_I-- o C. Is power supply cord or feeder assembly +propetly fused? Yes_ D. Is continuity test satisfactory as per' the following procedure? Yes Ciro 1. De -en ize electrical wiring system of the mobilehome at the pedestal__ 2. ialce sure that the power supply cord or feeder assembly conductors, including neutral �con�duc6r, have been disconnected. n the mobilehome to the "on" position: 3. Switch all breakers and switches i 4: 'Cect one load of a test instrument to the mobilehome grounding conductor and ,. •, _,.... supply , app _y ti` - of u.e �.�an %u Caul niu��—' ehome su i coriuuctu"r ill Liiiliig nevi rai. 5. nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances,'shall be tested for continuity from such eq. ment and the grounding conductor. 6. n completion of: the above procedure,. the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity te.-;L sha-11 then be Wade between Lhe4 grounding electrode and the chassis of the - ciobilehome.. Upon satisfactory completion of theelectrical tests, the.lot-or site service equipment may' be approved for energizing. s_101, Is job -card sinned by Health Department for'water and sanitation? 1.1.. If everything okay, sign off card and, t.a; services. 'MOBTLi::1M.M.L•• DATA q G 7 Manufacturer and/or Namestyler___�� d �JLergth J Width Vehicle Serial .No. --- State Identificatio-n No. A&,Iitional Information or Coaup.ents: r ii0}3T1.1?Ii0 it INSTALLATIOiN INSPECTION CHECK LIST 1. Is the. mobilehom� located wi�.i_�h rdlred separation from lot lines and buildings and generally, conform to plot plan?' Yes -No ?•lloe; the mobilehome have required clearances above ground? (Sec.5085) Yes No 3. Are footings and supports properly sized, spaced, and braced as perry proved plans? (Note possible variation at spring shackles.) (Sec, 5082 & 5083) Yest— 0 4. Is the mobilehome level.? (Sec. 5088) Yes Z/leo 5. If more tha _'finit, are crossover connections properly installed? (Sec. 5088) Yes_ No � 5, Water A. Is Plexi connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Y"es No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes C_--N-5- C. Backflow - If coach is no talifornia approved, does station have backflow device and pressure -relief vale 7. Wastes and Drains A.. Is connection made with Schedule 40 DWV and have flex connectors at each end? YesZ®4t6' B. Does it have minimum k;" per foot slope and is it properly supported? Yes"lsPva- C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture incl/h, washing machine standpipe? Yes No D. If coach ate of California approved, does station have required trap and vent? Yes N 8. Gas Piping and Gas Vents A. Co ector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobile e connector not more than 6 ft, long? Note: All piping is /'to b t least as large'as obilehome gas line inlet wit out reduc ns other th e mobilehome connector. Yes No B. !'est OK as per followin ocedure? Yes_ No 1. Open all appliance conned valves. 2. Shut off appliance burner and t lves. 3. Air test with manomet o 10"-14" water col or test with slope gauge (minimum 6oz.-maximum 8 o calibrated in tenth pound inc nts. Test for 10 min, without drop. 4. Cor._ne gas meter to mobilehome with connector, turn, on gas, tes nnections with so, y water. C. e all appliance vents properly installed? Yes No Col. No. Insp. Fee $ 4/ V ?� Insig. Fee $ S Lam' Alt. Fee $ PROGRAM HOURS M/H Mfr. C/N4. M/H Dlr. # Comp. . M/H Other r_) R/V Mfr. E M P R/V Dlr. Insignia R/V Other No. Voided FBH Mfr. r r FBH Other ., DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS _.ACTIVITIES REPORT NORTH AREA OFFICE ❑ SOUTH AREA OFFICE ' 700 L, ROOM 300. 28 CIVIC CENTER PLAZA SACRAMENTO, CA ROOM 639 95814 SANTA ANA, CA .92701 f Date -3101-1-77' Inspected by , Fir t Location 50 /., lv oyl 1 1,J! ; r L +1� tC71 e Owner and Address if othek than Page one of / PSN No. ID No. PI RI FTS CPT CPT No. DOM DOP r Legal C/N4. # Insp. # Comp. . Violations S E M P Insignia No. Issued r No. Voided 1 •NOnCE: Items indicating corrections are violations of the California Administrative Code, Title 25, Chapter ❑ 3 ❑ 4, Sections indicated. Copics of these regulations may be obtained from the State of California, Documents Section; P.O. Box 20191, Sacramento, CA 95820. It is unlawful to sell, offer for sale, rent, or lease any noncomplying mobilehome, recreational vehicle, or commercial coach, or to sell or offer for sale any noncomplying factory -built housing unit or component system thereof. Upon receipt of a notice of violations, the person served shall notify the department in 'writing within 10 days of the action taken to correct the violations. A person so served 31)011 not move or cause to be moved said vehicle, unit, or component system until the department has been notified of its destination and disposition. A person,Cserved with the notice of violation contained in this activities report has the right to request,. and shall be granted, o hearing on the matter before "'e Director of the Department or his authorized representative. A request -for such hearing shall be in writing and shall set forth a brief statement as to the-grounds.j -refor. Requests for such hearing must be resented to the Department by moil or in person at 1807 13th Street, Sacramento, CA 95814. VIOLATIONS INDICATED SHALL BE CORRECTED AND A :REQUEST FOR FURTHER INSPECTION FILED WITH THE AREA OFFICE INDICATED ABOVE ON OR ' BEFORE THE REQUEST FOR INSPECTION SHALL BE ACCOMPANIED BY MINIMUM FEES OF - 14 F C P/A No.' Manufacturer--Modeh-••Location Type of Occupancy Insignia No. Serial No. JA iJ " r r f- . f 1 k4all-e� Received by. -L l nt�t�Y''/Title Li CC: ❑ Mfr. ❑ Dlr_ ❑ Plant CSI .. ❑ CC's Mailed. ❑ Other COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Driye - Oroville, California 95965 Telephone: 534-4541 APPLICATION -AND PERMIT -__._ ....-........ _.. ,....,..... .� .... .... r....... v.. r... �....,...,. X X Da SiV/aturee of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have een paid. DIRECTO 0 PUBLIC WORKS ?uildinag Date �� 7-1-- 1 permit expires Date 7— —7 BUILDING Owner Q �d� SQ. FT. OCC. BUILDING VALUATION Mailing Address �. Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ ' // Building Address s'O /r /LcJ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ' /1/p f�,j Each Trap 1.50 / C7 Repair drainage or vent piping 1.50 Water piping 1.50 /(d Each gas water heater or vent 1.50 A. P. o. 15V7— I?Z---' 3 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 es Santtat+eft Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Ap� PI pproval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 OR L Main service io°0°o AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service �VER 600V 0 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW CONST. DWELLING Or -cup. OR ADDNS. ACC. BLDGS. 2¢Sq ft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONST. POWER APPARATUS & NON .R ESIR D. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: Y Ex. Occup(ourLETs OR FIXTURES) 50 @@ BAL@1 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 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. ❑ 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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the ,I �a n Z TOTAL PERMIT FEE $ C This permit is hereby issued under the applicable Drovisions of -__._ ....-........ _.. ,....,..... .� .... .... r....... v.. r... �....,...,. X X Da SiV/aturee of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have een paid. DIRECTO 0 PUBLIC WORKS ?uildinag Date �� 7-1-- 1 permit expires Date 7— —7 1 t � COUNTY OF BUTTE - DEPARTME,NT OF PUBLIC WOS 7 County Center Drive Oroville, California 95965 / /` 7� Telephone: 534-4541 . APPLICATION AND PERMIT JJJ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X is �ate Sign�ture of Permitee or Agent lfV Receipt No. x�(!�/0 6�4 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 pnB DIRECTOR OF PIC WORKS By ate %—t z-27 B zpgermit expires Date �'' BUILDING Owner 6e -R/ SO. FT. OCC. BUILDING VALUATION .Mailing Address " 33 FTeipphone No. Fireplace Contractor -� v Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty ' Telephone No. Permit Fee Building Address (N r�� .� �� D PLUM -GING No. @ FEE PERMIT FILING FEE $3.00 Qp I Each.Trap 1.50 / 4' Repair drainage or vent piping 1.50 Water piping 1.50 pp `�Sl ref Pion Or1l Each gas water heater or -vent 1.50 A. P. No. ,� % Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 es S ril tion FI re Dept. FireZone Use Permit EOA Parking Parcel Parcel Ma 60' R/W Improvements Plans Declaration P P Building sewer 5.00 Lawn sprinkler system 2.00 �//n � ,��� �. Plan ss Recd ` Parcel Approval Plan pproval Permit Fee $ 3 v $ C NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORV OR LESS5.00 Main service EA. ADD•L 100 AMP 2.50 1� Single Family ❑ Duplex ❑ Mobil Home 19 Others ❑ Main service OVER 600v 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 ]A NEW CONST. DWELLING OCCUP. & A CC) 2¢sq ft OR ADDNS.MINIMUM NEW CONSTR. MULTI OUTLET NON-RESID, ( BRANCH CIRCUITS) 2.50ea v FOR MOBILES NEW CONSTR. (POWER APPARATUS & NON -RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: Y f i4 wa Dv Ex. Occup(OUTLETS OR FIXTURES)BAL@@230 1 Ex. Occu (FIXED APP LNS, OR P•\OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 291 am exempt from the Contractors License Laws of the State of California. Permit Fee $ S b $ G WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 $ $ 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 TOTAL P RMIT FEE $ �. authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X is �ate Sign�ture of Permitee or Agent lfV Receipt No. x�(!�/0 6�4 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 pnB DIRECTOR OF PIC WORKS By ate %—t z-27 B zpgermit expires Date �'' J, /. `A-3" AG_R_"?r_ LILT Ia AL WOWEIR AFFIDAVIT" r' 1. App? itant A3db :-i-as ( Tal --p ona e. CIM3 o Addzrjza 2. 'AssersO is POZC01 N:0. On : +bsla hOrmS is to ]-.-t located: 3. b h3n 'ourchaaod,--_�iP1�'-r _ Data/Daad Dumber 4. Plazza bead the fo 1,l0wirg ca-L-efully bnfora signing: 5'e -3" (Agricultural!) Saction 2.1-d €llowz: ®d. Housing Fsucilitias r: .'A_Ia- nomua) to acCommdata only agri.c It-ursl c raplo els z..-adx leair Zni�i lies wmploved byo caner or cpo ntor of c: Q pTo-aizea; ary:'I prQv-4 d -,d further 'that Bauch housing Zacl2 it v shadi ba r c os sar:a to the r a i n tui ing and shall conlcxm to th« pew' isiorn p-G::tai_sing L rGquir.-d yard and open space for dwellings.' o diZmca No. 16 33 3:tataa: "I. a. ACRiCUZ2`I` K'"`a EMOLO b ' E ; individual who vzrifaas , by pars :nal o f f-1 ':avit and by a-2. S=davit -�,Ip Izis _-niT_A jj;?®r that is , ha , of H111 ba o for at least 16 Ta► mp _:;fed ��: 1 r :�t hots) p=3r a nzk. 31ZO per year, or tiltt his prim -D: ,6 F3Ot:ArCe Of w2laua incOmm is, ©r .is anticipated to ba, der vad from, --,,,.y ol the Ifo to _inn da:;scribed occupations: (1) Vv;, propi:-" a tion,- s�;d treatment of fa= land, piyelin�, , or,ditches, in luding 1ayia1 ng for aga:.cultural purpos®s, plowing, discing, and f nrtili ai g t;zo poll; (Z) Tho sowing and pl ��ti,ng of any agricultural or horticultural s.off-modity; g3i Tho cire of .=.y agri.cult ural or horticultural commodity. As uzed is: �Uahs subdivision, 'ca ram includes, but is not limited to, cultivation, rriga•tion, waved c;ahtrol, thinning, heating, pruning, or ticin� r, f= :? - gating, -pr:.,�: •'ng, and dusting a�� Thca~her-�� �tirg of any �:g-i C-1,21 sural Or rorticultural co modity,, includiF% butt niot li^it: d u®,. p_',ck3nq, cutting, threshing, rr wing, I;nocking off, hold ch-s;-pA eg, b<mching, baling, balling, field packing, a. -,d placing i da0ld containara or in the vehicle in Which th.:, co-: .=)dity b3 haiuled on the fa= or -to the place of Zirst 4-e Tht 3,Z?":_`ply zapOZ any agbiolelt°. ral or horticul- tural CC., '-ac .f `• ik3C1 ,n_.y.n-' bu`_`. not g g to, bcs din , roads din _d L .a 1 ; ns. ; i �� ari�3 y. 3g, ^-.:��:=. e: ?:Y�'.''�-I�i'��.' OI -It O ll'o°�3 t°J^.h, ftY� b��e- Ing f�, frcn�LjJ d of ar aquatic &nioiags, and bad.s, inclZ:di .f but not llr: i l;od to,* b -U tiding houzirg, hatching, ,ilki n 9 T a b LCh �. , stir [f z3h.� b iA Pn.: nc; �gS 3 ,;?''. , C'_ is"a isbg rater e y ea Tho e errs --Ion, �T'i ?�"z7y ,O3 j ids i2es7gi �fi :'1 '�5 9iia`}a��ie�AC� C ,:3=1h fa �.._ -and its t.�Dls and 'mac p�p��R,Mt A a _s _._•Lf�s.P�---- y..._-...�. .>,.._ r7DC1�.'T_":fi�c`"'�:p.io?'�. S � t _ of, tient X res.ds afcpP / �� �f,i5 - e. and that the pernat ,appeiod for under this applica'tio s,, fox housing facilit30s on xiropezty ,idontified in Ssction 2, • dm3 con9orm. to Szctlon 2.1-d as .idantifiOld in Section 4 of ti`3is applica% :n. mid Enployea as def inad in Ordinamca No. 1439. .13b',--$'}.d®$C3'inE.®13 and num b:'3S. Dag© is sued 9 . �y _ • mew ; w "_�ERMIT NO. 700-87MHI ex site PERMIT EXPIRES , fff -OWNER' FLORA BESSER CONTR. owner 'r ASSESSOR PARCEL 47-27-13 LOCATION Hwy 99, 150'N Wilson T.and;ng Rd i FOFFICE COPY Address GAS Meter By Date ELECTRIC • ; :- Meter By Dat���/ Temp. Power Pole Called PG&E b Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E r � � JOB FINALED (Date) Signature---- J = OK 0 = Not OK — = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date �p. Date DECKS,'COVERS, CARPORTS, ETC. (Plans) OK except N's . Zoning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS,'COVERS, CARPORTS, ETC. (Plans) OK except N's . Zoning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements Soils; Special MH Support—Sketch _ 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test-Fall-C/0—Concrete _ 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) i 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.-Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's "Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's Zoning Requirements—Setbacks—Easements 1, Setbacks—Easements NP Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability -. Gas; MHT t—Demand—Valve—Connector., 3. Pool.Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Elec.; Receptacles and Lighting; Distances—GFI 4 Electricity; M est—Cr ers— kers— arances Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI Water; MH Test—Regulator— actor 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed N. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9: Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card -BI Date Card -BI Date Card 6-I Dat Card -BI Date Card B -I to Card -BI Date Card -BI 1. . Date Card -BI Date V - OK ti O -!-Not`DKP _•Not Applicable RESIDENTIAL (Single and Duplex) k Not Ready Date UNDERFLOOR (Plans) OK except N's Date FRAMING (Continued) Zoning requirements -Setbacks -Easements 48: Property Line Firewall & Openings ___1. 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3_ Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection _ 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. _ Plywood on Root Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Ste_mwalls, 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. 10. Gas Pipe; Size -Anchors Water Pipe: Test -Anchors -Regulator -Service Test _ 11. Electric; Underground 12. Plenums &_Ducts; Clearance -Material -Support -Ins. ` - Ea rd Card -BI Date 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Date _ Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except H's Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector Card -BI Card -BI 14. IS. 16. 17. 18. 19. Water Ht.: Vent -Access -Combustion Air Water Pipe: Test & Anchors -Nail Protection D.W.V.: Test-Fttngs & Anchors -Nail Protection Shower Pan: Test, First Floor -Tub Access Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe: Size & Anchors - Date _ Card -BI Date Date Card -BI _ Date 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61, Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. 64. Fireplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except P's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper Gard B t Card B -I 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. Fixture & Transformer Clearance - Ins. Protection Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral Yes 'No _ Service -Riser Conductors & Ground -Main Disconnect -__ Equip. Clearances: Pane ls-Motors_Mech. Equip.--------- Clothes Closet Light -Shower Light _ Date Card -BI Date _- Date Card -BI Date 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72, Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor [J Yes 75. Following instld.: Drive [Yes [I No: Walks [} Yes E] No; Planters Dyes ❑No 76. 77, Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 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 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except q's 83. 84. _ Corrections from Previous Inspections _ Gas -est-Meters Tagged; Gas -Electric Card -BI Card -BI 31. 32. 33. 34. 35. A.C. Ducts. Insulation & Support - Vent Fan: Exhaust above Insulation_ Condensate Drain & Overflow: Size _& Grade Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Date Card -BI Date Date Card -BI Date - _ _ - _ 85. Water & Sewer Connected -C/O to Grade -HD Approval gg, - Energy Compliance Certificate -Other Certificates -- - - - - Card -BI Date Card -BI Date Card -BI Oate Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Com: lents at Final: 36. 37. 38. 39. 40. 41 42. 43. 44. 45. 46. 47. Sills. Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fre Stops: Furred Ceilings -Stairs_ -Chases -Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfti. Ties-Purlin-Root Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows of Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE Anentrymust be made each time youvisit jobsite) MOBILEHOME INSTALLATION ACCEPTANCE c COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. Address or location of mobilehome Owner's name�.�.. f� Owner's address Insignia or hud number ' "1 7- i t Manufacturer's name Serial number of V.I.N. Year of manufacture (Official Approving Installation))" (Date) C- IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE"USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. ;4 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OrovNle — Phone: 538-7541 747 Elliott Road, Paradise hone: 872-6307 /. CORRECTION NOTICE OWNER — PERMIT'NO. .Fyr. . Alroutine 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. y A ' . e`M Inspector fit. Date o//d 'V�r � t COUNTY OF BUTTE Y DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-1541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE MI1rNO. A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector— n Date / p - COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5384541 747 Elliott Road, Paradise— Phone: 872.-6307 CORRECTION NOTICE OWNER PERM N0. 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. 1L COUNTY OF BUTTE -,DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville California 95965 - Telephone 916/534-4541 13 APPLICATION AND PERMIT PERMIT44 N�, A ASSESS PARCL NUMBER –7 — ZONI _S' BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC -1 BUILDING VA ON OVJ,�ERILIN ADDRESS CONTRACTOR'5NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER' AILING 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 O SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomD�g Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallatioJV Other ❑ Describe work: _ Z�TIS17AJC' J2I-t.i—r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p l y (Check One): F -1I 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 SOIe 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.&\ yz¢sgft OR ACDNS. l ACC, BLDGS. / NEW CONST R. MULTI -OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATU ( S e) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®50¢ 9ALO 80 FIXED APPLINIS(RES. OR Ex. Occup. OUTLETS TS (REST D.) 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): F] 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 �Il 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 Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities. judgments, costs, and expenses which may in any way accrue against s ounty in co equence of the granting of this permit. /1 „ _ g7 X Date .J d Signature of Applicant — Owner Contractor F-1 Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories inh ight. Mobile Home Installation Fee $ gZfla 115- 19_e TOTAL PERMIT FEE $ OCcUP. CONST.TTPE V �4_. FILP601PAVIELI PD I ND ISSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS � Date'/ �% T I Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT .-i-.s i ✓'� r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 r PERMIT APPLICATION DATA SHEET {, Permit No. '/ OWNER ESS�iQ , /C_d�CcJ A. P. No. 5/7 Proposed Building Use Building Inspector Date Date 3 �� At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: 11 DATE RECEIVED APPROVED 1. 2. 3. 4. 5. 6. 7 8. 9. 10. 11. 12. 13. 14. —15. . 16. 1*7. 18. 19. 20. 21. 22. All items have been submitted. . . . . . . . . . . . Plot plans in duplicate./triplicate, signed by preparer of plans. . Complete plans in duplicate. /triplicate, signed by preparer of plans. Complete engineered plans and calcs, with wet signature on plans. Plans with Energy Design Compliance Statement. . . . . . CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . Statement of Intent for Non -Heated and AC Buildings. Fees of $ . . . . . . . . Letter of signature authorization. . . . . . . . . . % Sanitation approval from L% Health Dept. . . Planning approval for (A) Use: (B) Parking: Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner0, Mail to owner ❑•), Improvements may be required. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Date) Pre -Inspection for Required. Building Inspector Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. Plot plan approval from city of When you issue the permit, process as follows: Mail to owner, Mail to contractor. � Telephone ...39. e�w and hold for pickup at—off ice, Deliver w/inspector. Other Applicant ate' Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior 1. Index permit for above items No. 2. Additional items required: rmit issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised of above required data by—phone _mail—counter bye date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder — Flours: 10:00 a.m. - 3:00 p.m. TO: Building Department FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance Owner Location , 8 IV, 1504, 144 API Plan approved for: sewage disposal water supply Hold final for: water supply Final clearance O.K. for: water supply Clearance for -2- bedroom i�hom Other Note*** Sanitarian Date - COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,'Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for iny our 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 im rovement (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 t Signed: + ' Property Owner GZ�. Social Security Number Date 3- 5 —,?'7 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. This iset of pQlans and specification's MutST be 1. �1 kept on the I* L ct. al! times and it. is iuilawfu) to make any chongels or gltera,ions on same withou I ' - written! permission from the Department -of Public orks,I Co my of Butte. N }. VI NI NOT -A I M terials & Workma ship Shall Yo M► I I Accor anc F wi �h Recognized I Good . Plrooti es and of a alit; prescribed, fir the Spy cified us3 in ,�Ae Plulnbin � & Machanical Coder ond.. _ 1 ' Unifor_ Building, 9 U National Electrical Cdde. ?` 9 `' �tl . ° I }q setback lof 5 ft from t �rop rty Imes n i a isetbi ick o f a• I aif. frm tF e road L, I cVill rlinegshall b clear o sl struc lures or ecru prr�ent sept ft. eave 10 erharig. 3 Utility co nections shall a�51 9� TNIA 4 ft. of the m (bileN o � dire Dine, either ctly behind or writhi the ear er mob lehome. "'�► r f n 1i n cr ? f L. n - �A) f 0` •ti `.' ' � -.'.. r•` (�! (((fff [ .x- yrs ( +.'r � Y Y BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,'ICA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET W 1 - Owner's name: 2. Installer's name: n )P -s e_5 sir 3; Is the site currently under permit? Yes / / No / (If yes, furnish permit number ) OR •Is the site an existing site? Yes %/ No f (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 _L (If no, clarify 1 ( S. What is the mobilehome electrical rating? ----------------------- /490 Amps 6. What is the mobilehome site service rating? -=--=- o2'd a Amp 7. What is the mobilehome site circuit breaker rating? ------------- 0 -Amps ' 8. Is there any other electric load to be'served by the mobilehome site service? --------------------------------------------------- Yes No 7-77 (If yes, identify the load and size:. (Load) (Amps), 9. What is the mobilehome site gas pipe size? ------------- (in.) 10. What is the type of gas service! _.1_,_/_0 Natural %- LPG / / 11. What is the gas pipe length from meter or tank to the mobilehome? / (ft.) . 12. What is the mobilehome gas demand? ----- ---------------- (BTU) (This information not required if pipe length less than 6 ft. on natural 'gas . or less than 50 ft. on LPG.) • MOBILEHOME SUPPORT DATA If other than single wide, 0 Mobilehome Mfr. To�_O_Lk I-, furnish Setup Model No. Year j4idth0 (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. Single I- - -1` (ft.)(in:) x7T_1 (in.) (in.) Center support Center support locations* footing sizes - (in.) L—� =� (ft.)(in.) (in.) (in.) (ft.)(in.) (in.) (in.) I - X -1 (ft.)(in.) (in.) (in.) (ft.) (in.) (in.) (in.) *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. Footings (check one) 0 1•. Wood either pressure treated or foundation grade. 2. Other. (specify) Supporta,(check one) 1: Concrete block. -2: Other. (specify) Tagalong or Expando,' show support details. ' -- Typical Support (in.) Footing Size "C)" -- Max. Pier Spacing (ft.)(in.) 1 91 -- Max. Overhang (ft.)(in..) 13UYTE Co(.Dwl SUJIDING DEPARTT ENI PP�V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 ,r-3 APPLICATION. AND PERMIT ASSESS PARC L NUMBER - �, 7 ZONING BUILDING PERMIT OWNER TELEPHONE' 3 V3 U , SQ. FT. OCC. BUILDING VALUATION OER'S MAILINq ADDRESS /^ CONTRACTOR'S NAM TELEPHONE CONTRACTOR'S MAILING ADDRESS Firepl e CONSTRUCTION LENDER UNKNOWN Total Valuation Filing Fee $ 10.00 LENDER' AILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ' OZ) Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee" $ C' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 / 1 �� - Solar or heat pump water heater 20.00 T NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehom Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installatiorl� Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service aoov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 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- cation; 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 OR ADONS. CONST. ( ACG. BLDGS. DWELLING OCCUP.& �20sgft NEW CONSTR ULT' -OUTLET NON-RESID BRANCH CIRCUITS) 2,50 ea POWER APPARATUS &) (ANGLE OUTLET CIR. Ex. Occup( OR FIXTURES 2A0t eL@ 301. FIXED S. OR Ex. Occup. OUTLETS(RE (RESID.) EA.) 2.00 Temporary service 10.00 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 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the aboveinformation 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 Ilabilitie judgments, costs, and expenses which may in any way accrue agains s ounty in c equence of the granting of this permit. %� Date 3 ' S _ g7 I Signature of Applicant — Owner � Contractor ❑ Agent F]work 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 $ —Energy4,nspee44er+-Fee- 75- cfire TOTAL PERMIT FEE $ OCCUP. CONST.TYPc FLOOD PARCEL PD ND 1390E This permit is hereby issued under sions of the Butte County Code and/or 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. WNITj P. W.. 1rELL0W-AS8E3S0R, PINK-IN3PECTOR, GOLDENROD -APPLICANT STATE OF•CALIFORNIA=DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT 1 '• CERTIFICATE OF TITLE MOB OM IDECALK AAJ7142 YAIIU iunk MME) ID.f 1UYC MUVEI DOM ( Df5 ION tAkArWTOD100/60 00/000//60 AAO 08/31/84 • ^�•r - - - y^• �. - _____EA1AL AULISER SINU NUYEEt T U 517033 70311 00000 Ohm. D L '• ?� :v rr IOW FTOTAL EES e PAID: E ( fi1B.00 0 I c 0 E'OR MARGARET. L•DUNANAY + r o TENCOM Inawsa OF Dauu j R New REOISTERaO OW9N, /ILL IN %TONS A 1 Nr - PO BX E012 BLACK BUTTE �J. s ` SISTERS 1 OR 97759 i• �.! �+ oa RT—+-F�dra. S Brs5ei• PLEASE '`A'`'. ' ' �POIINT BUTTE LIMITED , ,j s.A,2oAQ�Cy2C Il x A 2920 CLARK RD �"'� •`' s 1 s x L a cxn cNTY IT IIP ' :S,q�, c ALE 959!15 a. G a ' - ICfTURt pAILSNq R�;N. . /LCLdL r •. [ o lr � PELIAW OrOZIOSYRP40 aNN[R � 7,A) /� �� o s 2920 CLARK RD � -AODNCS , c u OROVILLE CA 95965---"` _� I Ci7r�•, a CNTY IT ZIP ' R s . jt�"rn -7 L U IA --A-0144 0 E OR MARGARET. L OUNAHAY i , .: sa,'!R [ .�. WTe ",+• TENCOM { a. .. O A 1 4 NEY RCOitT[[ tll ij9WLTVeC i PG BX 8032 BLACK B(TiTr.: rrrr NEN LISA& IN ITIM 34 - 1t ■w• 'a 0 ��•,� /ON!N_i-rsLLtt 5ISTERS ; 111111 io.AI�1/J-/Jr a P_ Ll ,y� !7759 .•� [y�ey DATES 1 05/8710:50 _T e0D L N! L •. SRI 'r _ ' NAM�[ PW rU•':�ptN�T s - N [[ s[ or !ROA ONN[R 11.— AAADDDVVV RI. p t TLNT �� � Li./GeL.,�� .r+r. I✓,w 4f��- .! a {r PITY �:f CNTY ST IIP + OI ( MEM lif'+JNC'lIa((NOIDst• rxtf ITEMS � � � �t ASSIGNMENT OF•CWif IN ti --xS Nrr : MA& O[R yG"/ _tpl �••. •y -a � ROBERT OR HELEN S k is. NAME • PL9Aaa PRINT"' u r TSUESS ENCOMC N I o s 14. PO BX 15157 ADDRass • SEATTLE NA 96115CSTY ONn sT xxr L I DATE: 12/05/83 09:50:01. rrr NEN to UR. LIENNpttat. FILL IN ITEMS 1A la MNM N t NAM-- PLEAta PRxNT N a L O O N ADORaaa'- R CITY.- QMTY - IT IIP IMPORTANT02_347-00306 THIS CERTIFICATE OF TITLE MAY NOT REFLECT ALL.LIEMSLRECORDED NITM THE DEPARTMENT ;!N OF HOUSING AND. COMMUNITY DEVELOPMENT AGAINST.THE, DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE -DEPARTMENT: 0200062 6 I 0 has complied Mich the equip_ rega7ding on Assessor arca Z17 13 payment of foss ofSA�O. - School Impact Nitigatfon 3 (vat�J i /-00 A�7. �f. addz&,"4e"a, - ` W 9033 7. /D t, -jP7 ', T I