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HomeMy WebLinkAbout055-350-026}� Lyle E . ood �► Paradise G�C5 Permit �k935-77P,,E( ti . MH) ELEC .4 2 �. GAS 441f Z SUPPO T STRUCT RE REQ. COMPACTION TEST o r: ro i e Trailer Sales, Oro. - Permit #1547-7`NHI Issued Y-.2.2_ 77 s-35-26 LYLE - WOOD —!21-31197 4779 Pros-ect Lan Paradise PErmit#4130-87E(electrical/SF) to l� • 13(� �g • 131os �r ;e PE'kMIT N0. IM 935-77P,E PERMIT EXPIRES OWNER Lyle E. Wood CONTR. own er LOCATION (A.P. 55-37-56 Port. ) 600'S.of Wayland Rd., 3/10 Ale E.of Neal Rd., Paradise - Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. C J'led PG&E oe P FINALED -7 A (Date1 1011 .' 4 .. 4 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING AN BUILDING (Cont'd) Setback Arewaii Mai Bldg. 1 Rest!Nom Finish Fo inas I Windo Slab Roof Shea in Piers Roofing Garage Fdn. Vents Footings Stemwa I I Garage Vents Insulation Slab Carport Footings V Prov. for ph sical , handica ed Conformance of ex. structure Slab Final Patio I Footings Footing Relnf. Steel 92—A Ong A PLUMBING S Piping 1 Floor 2n loor 3rd k0or To out Water Plplft Sewer Fixtures Water Htr. Heaters Appliances Gas. Piping & Test Temp. Gas Sanitation Final EJfECTRIC Rough Fixtures Mesh MECHANICAL Grd. Fa6lt Prot. Scra h HeatlyJ Servi Brokn Cooldna T mu. Pole In rlor Lath N I Antilation Permanent e oor Closer InaI anal MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal -- -77 Water PipingSewer r Gas Piping MOBILEHOMEI TALLATI N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage nom,¢ %'%—) Gas Piping DATE OR • V I t / , 3 12, 06'f77 OF 001, zz (NOTE: An entry must / 0 be •• /712� C7 lC U t3. i 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 / r.V 7 - 7 %• for the following location - Mobilehome Mfg. N"A W /'"// ,?4J— Model Year Insignia No. ) f A4 /Tdo6- Serial No. !/ 72 It 71 It is hereby certified for occupancy at the above 'described location and may be occupied. Director of Public Works Date 7 / By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. _ V 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 y1 y— -7 7 for the following location: Owner •_•� ��rQ Owner's Address 4J n 2 (A.*. Mobilehome Mfg. • } 40 . �`�r�f Jam, -.•.Model Year Insignia No. 1" t 1-.f! /t- Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Dare // 2A By A � mit u.. •`� "= THIS CERTIFICATE IS VOID WHEN MO,BILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. iiO}3Ii,EliU2t.l 'INSTAL AT'I. )N .l'NSPFCTION CHECK LIST 1. Is the mobilehome located�wil:h required separation. from lot lines and buildings and general].\, conform to plot plan? Yc:; !"No noes the mobilehome have required clearances above ground? (Sec.5085) Yes v No 3. Are foot.int;s and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes � o_ 4. Is the mobilehome level.? (Sec. 5088) Yes`— No— 5. If mothan h single unit, are crossover connections properly installed? (Sec. 5088) Yeses No h. Water. A. Is fle -fble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes (1No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes P No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No ,f/,( 7. Wastes and Drains �y/'' A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yesl- No B. Does it have minimum ." per foot slope and is it properly supported? Yesy No C. Are any leaks detected in drainage system after running 3- allons of water through each fixture including washing machine standpipe? Yes— No] D. If coach is not State of California approved, does station have required trap and vent? Yes No VA 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. IVO &VA S B. Test OK as per following procedure? Yes_ No_ 1. Open all appliance connect gr 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 mc'LA,ilehome with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly]\i.nstal`led? Yes— No 9. Electrical I — A. Is service Large enough to provide adequate amperage. to mobilchome (must equal rating of mobilehome with a s;inv:um 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 v No C. Is power supply cord or feeder assembly properly fused? Yes l/ No` D. Is continuity test satisfactory as per the following procedure? Yes/ No .1. De -energize electrical wiring, system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4.*' Connect one 1(. -_:ad of a test instrument to the mobilehome grounding conductor and _ , . , _,..._ _ supply , apply :lie GL_U.el .lCdll l.0 each Tl7UuL.lCLIUIILC SI.L )1 cUfluliCtor, 111C111Qing YleLlLrd1. 5. All nor, -current, carrying metal parts of the mobilehome (aluminum siding, gas line, salter line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. b. Upon completicn of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity te:=;t shall then be made between the grounding electrode and the chassis of the lJobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. Is ;ob card si-ned by Health Department for water and sanitation? 4I� 11, If everything okay, sign off card and ta; services. 'MOBTLEIJORE DATA - 14 Alb b Manufacture.r and/or Namest•yle /l'/ 'Length 1,,4(_ Widthg1` Y Vehicle Serial No. State Identification No.— Ad( t ional Information on or Comm-ents : 0 Id rzo'*— COUNTY OF BUTTE — lSEPARfTMENT OF PUBLIC WORKS U d G 7 County Center Drive — OroviIIe, California 95965 • �'%�� Telephone: 53@-4541 APPLICATION AND PERMIT auuwnce IeNresenlauves or ine county or twtte to enter upon ine above-mentioned property for inspection purposes. Dat'e�29,U27 vfjn affure of Permitee or A e Ir Receipt No. _;� � %y -B, White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR G NUBLIC WORKS By Date_ 4ng permit expires Date 3-/� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address W3a=3 Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building AddressS PLUMBING No. @ FEE PERMIT FILING FEE $3.00 E� • cY • _ Each Trap 1.50 / • G Repair drainage or vent piping 1.50 Water piping G e -sur X11 aeS C Each gas water heater or vent 1.50 S,^37— A. P. No.�� 0�2 , /°'''fon Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 Fe USC. min Fire ept. Fi//re Zone Use Permit Building sewer •F.99- Qad0 EOA Parking Parcel Plans Declaration arce tJla p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bld P s Recd �� fi-Parce Approval Plans proval Permit Fee $ 06; $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3.0cl Main service 600v OR LESS 5.00 S O 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 �. Main service OVER 600V 100 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DLBLGS.CCUP. &1 OR ADDNS. ACC ll 21tsgft NEW CONSTR. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONST R. POWER APPARATUS & .� NON RES D. (SINGLE OUTL 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: Ex. Occup(OUTLETS OR FIXTURES) 50 BAL� FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 5-0e) 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 I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby C� s d TOTAL PERMIT FEE $ S( auuwnce IeNresenlauves or ine county or twtte to enter upon ine above-mentioned property for inspection purposes. Dat'e�29,U27 vfjn affure of Permitee or A e Ir Receipt No. _;� � %y -B, White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR G NUBLIC WORKS By Date_ 4ng permit expires Date 3-/� G �' y � � � � r i � � 0 5 l Th Setback hall te 5 f,. from the A S� lNe'-propelty line a;d .50 ff. f�om �a6erline 6f the rood, the ��6rmiff ing . M-c,.,i_ jor'o RP04 �!i�?U�iof Q 2 ff. Oave'6lierhang but onfiroly (('easements, 4t 5, 1�4 set of plans and specifications MUST, b�,,, j:) tk F% kepf'o,v f:,q' job at a'l i'mcs and 4 is uniallful 4c ma4e any ng as or.al crcl ionS on, same wifkouf A wrii-ifon e 'lission from ihe Department of Pub lit W Qrk�,��,ounfy of Buffe. 6 < NOTE: Adanq ccor & . rkmanship 'Shall Be in. of a qua:,: Prescrjb,,� �ror` 0 Practices and Uniform Ouj.di the IIPZI'fi�d usL! in the ng, Plwi6,ng, & Mechani' the N6fional Elecfri' cOl Codes crud �01 Code., 311, petm. If will b -reR for Q e req• ui ins on of the mobilehome. SeptAsystem 74 r and *=s 6 But,n f y s par Hevlfh D,,,,,. quirerner, -7 7Q. utility bonnei-flons Shall be 1ocla+ecl withi 4JI..Qqtide the rear Allrd section of the mobile— Bo ,on the left (rood) side of the mobile home. BUTTE COUNTY BUILDING DEPARTMENT APPROVED if 5,S--�� s� - . . 4 . , I r I" ji" -ic f rc,-% 1.) 1 WAYLA-RID AO -A Yl- 53, I ri • I 151 Y. 'i i rt '� 3 � 1 T , f f � 1 � ��! t k r r �.Y �` l E ... - COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 � / 7,77 Tel ephone: 534-4541 APPLICATION AND PERMIT autnonzentad es of a unty of Bu r up th abo eritio pro erty i ecti oses. Date ' Signa re of ermitee 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 above for which fees have_be_en paid. DIRECTOR OR PUBLIC WORKS By t Date`22-7--?7 uilding permit expires Date y �'�'� 09 BUILDING Owner Vzg SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor �� �G+ Total Valuation Mailing Address 3"' j /ff •CJ/ Permit Fee Plan Checking Fee Vor Penalty le4hone No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 7 ✓ t U/ Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �t j — Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Sam+4& rr FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. s Rec'd Parc ro ppvaI Plans vol ro Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [N ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 7 Main service 100V OR LESS 5,00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW DWELLING O OR ADDNST ( ACC. BLDGSCCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID, ( BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS &) NON-RESID, (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the prov�ns of Chapter 9, Div. 3, of the State Californi siness rofess' 'ns a under name r s r Ex. Occup(ourLETs OR FIXTURES) 50 @@1 BAL 25 FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 License N Classification — Mobile Home Facilities 15.00 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 t e provisions of Section3700 of the California Labor Code whit quires every employer to be insured against liability for Wor n's Compensation. / have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordina ces and State Laws relating to ��ding construction, and hVeby / Q I TOTAL PERMIT FEE $ autnonzentad es of a unty of Bu r up th abo eritio pro erty i ecti oses. Date ' Signa re of ermitee 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 above for which fees have_be_en paid. DIRECTOR OR PUBLIC WORKS By t Date`22-7--?7 uilding permit expires Date y �'�'� 09 4 MOBILEHOME SUPPORT DATA Mobilehome Mfr.V, o //j Setup Model No. Year Width (ft.) Length (ft.)-Expando Size ft.x . (Draw support details below) . ti On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation marnial and structural setup sheets ..(if. not .on file with the County of Butte) . a Center Support Locations MR Sin le 1 -® Fo in s-' ( check . one) / 1. Wood :either pressure treated or Center Support fdn.•grade.:: Footing Sizes (in.) :.. ... : /,;L 2. :Concrete pad. `/ / 3. Other, -'specify _ _ _ _ _ Su orts (check one) "Concrete block "piers X 2. Concrete 3. Steel piers ... Other, specify �I Typical Support Footing Size ..... _ . ... Max. -Pier. Spacing .. .. • . Max. n. I 1 Overhang in. ) ^If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DEPARTMENT APPROVED �� 1. Owner's name:. 2. Installer's name: o y BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? (If yes, furnish permit number Is the site an existing.site? Yes / / (If yes, furnish two ( 2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / No (If no, clarify ) 5. What is the mobilehome electrical rating? JZZ I-'-;'Ij�-�O 1 "bwOV±K, -`T � ► Amps 6. What is the mobilehome site service rating? ---------v------------ Amps 1 7. What is the mobilehome site circuit breaker rating?.------------- D Amps 8 I s th an other electric load to be served by the mobilehome (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) ere y site ------------------- Yes /�/ No service? -------------------------- ---- (If yes, identify the load and size: - (Load) C;170 (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural 1p6�! 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.) I) ' 1k r � .1 �� i f+ I � f �� 1 N� � � i � y I +{ ,ti � � � � (j y i t 1 ,� r � '� � � ; 1 � � .�'' , �� ,. N � ,. �� � � � '' � � t a 1 df'r' M IV silverciest Industries, Inc. log County Road 101 P.O. Box 1558 Woodland, California 95695 "�l.tR. • is r. �'' � f A .it ROO 6'5(2ei-n"j) I F, q'zj w+ FW'P- z6R CQ NT BUTTE SUIL t j,Aj E D" L 'dip ed COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AIND PERMIT PERMIT NO. 1�//3/_1- ASSESSOR PARCEL NUMBER —.0 ;%,C, ZONING BUILDING PERMIT OWNER ( � ` � �r I �^ TEL PHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CO NTR A CTOR'S(NAME - w {, TELEPHONE CONTRACTOR'S MAILING ADDRESS " Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP } Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [j] Duplex❑ Mobilehome❑ Other ! SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ f Utilities ❑ Installation[] Other Q Describe work: �� 1 ( r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OOOV 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 (-�FIXED I1�1 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.,N) '/z¢sgft OR ADDNS, ACC, SLOGS. NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID .BRANCH CIRC ITS /POWER APPARATUS e) (SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES .200030 APPLNS, OR Ex. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee �. ,. $ Contractor ` WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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. 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 consequenge of the granting of this permit. X �' 1 ~ Date /� — -� 1 - ff-% _ r �� _�, Signatureof Applicant - OwnerO-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 $ 0CCUP. CONST.TYPE SCHOOL I FLOOD PARCEL I PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC i By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date i . - Receipt No. WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT 1�/ � �a�3,j�3 I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC VPERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 f APPLICATION AND'PERMIT I ASSESSOR PARCEL U4 R - ZONING BUILDING PERMIT owN R Te E HONE SO. FT. OCC. BUILDING VALUATION - OWNER'? 19VAILING DORESS rOs yet CONTRACT:? ME ITELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Tota) Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS r,� Permit fee $ PLUMBING PERM]er Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water he20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping -5.00 Each gas water heater or ve5.00 USE OF STRUCTURE SF� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 out5.00 Building sewer 5.00 Mobile Home S G 0.00ea ---� TYPEOF WORK New ❑ Addition ❑ Remodel Q Utilities ❑ I stallation❑ Other Describe work: (�X �� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ^L -- OFFICE COPY ' I declare and F1Address I al 3 of the Business and I force and effect. Lic GAS By Date their sole compen-sat ELECTRIC untended or offered iorMeter By Dates i licensed contract- ors ❑ 19rn VAC111y, ,,.,._. ___. )d Professions Code for this reason Main service 100v OR LESS 10.00 00 AMP OR LES! Main service EA. ADD'L 100 AMP 2.50 NEW CONST. 1 DWELLING OCCUP.01) Y1�SQft OR ADDN.l NEW CONSTR. MULT NON.RESID RA - U T 2.50 ea (SINGLE OUTLET US & I Zoesoe Ex. OCCup(OUTLETS OR FIXTURES 200590 Ex. Occup. OUTLETS PRBSID.) EA.E12.Meter Temporary service MoDlle Home Fecllities Misc. Wiring 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 iii I shall not employ any person in any manner so as to become subject J4 to the W. C. laws of California. i 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. I certify that I have read this application and state that the above information Is correct. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for Inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again t said County in consequen a of the nting of this permit. ? I, 4'7 Date LJ CL Signotuf pplicant — Owner ontractor F]Agent❑ r o An OSHA permit is required for excavations ever 5'0" deep and demolition or construct- Ion of structures over 3 stories in height. MECHANICAL PERMIT FilIng Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee I = Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 00 occur. CONST.TTPs 71s7LDOD PAR"L Pe No Iasus This permit is hereby Issued under sions. of tha Butte County Code and/or vmrk Indicated above for which DIRECTO F PUBLIC 1. BY�" xa PERMIT EXPIRES Date the applicable provl- resolutions to do fees have been paid. WORKS ' Date -- _r Receipt No. /J 3S WHITE-O.P.W.. YELLOW -A889920111. PINK-INSPCCTON. OOLDCNROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Califomn4 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSORPARCEL UMBER oS:T ' ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S AILING DDRESS ^.. n,T[ �a ..C� N CONTRALTO 'S AME T L PHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 7 &9 c,'44 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF,0 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel Q Utilities ❑ I stallation❑ Other Describe work: �,-� �� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service X00 OR LESS 00 OROR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- 1 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 A OCCUP.NI '/z¢sgft OR ADDNS. 'TII-OUTLET I NEW CCONSTCONSTR.U NON.RESID .BRA CH CIRC TS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCUp OUTLETS OR FIXTURES 5AL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 r Permit Fee$ Vu 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. 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 again t said County in consequen a of the nting of this permit. 7 Date's f - (g / Signatur of pplicant — Owner ontractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCcUP. CONST.TYPE ISCHOOLIFLOODIPAIICELI PD ND IS9UE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO F PUBLIC WORKS Date PERMIT EXPIRES Date Receipt No. WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT �' . , . a _ � r t COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538=7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit. will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 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 i Signed Property Own Social Secur' Numb Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. i J r + C�- Ponderosa Gardens Motel 7010 The Skyway Paradise, Ca. 95969 916/872-9094 -- f 32 SOUND PROOF UNITS • COMMERCIAL RATES • NEW MODERN X -TRA LARGE ROOMS • HEATED POOL JACUZZI • KING & QUEEN BEDS CABLE COLOR TV • DIRECT DIAL PHONES • SECLUDED QUIET TREED SURROUNDINGS • NEXT TO SHOPPING & RESTAURANTS FIRE. REPORT FG -18 (3/861 A­� nRIr.IN W)CATION ) ORDER NUMBER REG. R.U. INCIDENT NO. START MO. DATE YEAR I COUNTY )� X L t L L- - e- 7 y FIRE NUMBER FIRE NAME: ZEG.U. NO. thru —=Z�Z---- IoGt✓l4 04 SEC. TOWNSHIPZJ N RANGE 4l E EZ Os—x Ell MILES DIRECTION [I FRAM IN.NAT L FOREST, FIRE DIST., CITY 8 STREET O., 9 - Number f+r ,�•hd '/7 /boy cf L �ao%r tIINDENT TYPE ❑ FALSE ALARM—GO.TOBLOCK10- RESPONSIBIUTY 4A _ STATE ZONE STATUTORY 0 ❑ WILDLAND BURNED OR THREATENED RESPONSIBILITY 00 ,� CDF LOCAL GOVT. CONTRACT (0 AT IGIN) ❑ UNPROTECTED ATE ❑ ASSIST OTHER AGENCY (Not Gly) S.FS. LOCAL ZONE B_ © ❑ GDF LOCAL GOVT. CO CT ❑ B. . 0 ❑ ASSIST OTHER AGENCY of City) ❑ HER FEDERAL FEDERAL ZONE ❑ THER O❑ ASSIST FED. AGENCY mit.) 8 ❑ CDF LOCAL GOVT. CONTRACT MISC. AND OTHER 0 ❑ ASSIST CITY, CONTRACT Co., OTH CAUSE (STARTS IN O O © OR O ON ❑ LIGHTNING ❑ DEBRIS PLAY W/FIRE ❑ CAMPFIRE ❑ ARSON OTH n SMOKING ❑ EQUIPMENT LAND USE (STARTS IN U W V !f Z cNLYA+'/ . t. ' � �,ts • ` y- -'fit, DOMESTIC ❑ FOREST INDUSTRY ❑ RANCH -FARM - ❑ RECREATION ❑ DUMP ❑ OTHER INDUSTRY-COMRCL , ❑ ROAD �✓"'� ❑ WILDLAND ❑ UTIL.ITY, RAILROAD ❑ NOt4-WILDLAND ❑ UTILITY, ELECTRIC ❑ OTHER AGE -tn OR n own z. 7 ACRES OF VEGETATION BUR s DA" - Number off a N...d 21 1 a/or 8 t S 0 ACRES BURNED DIRECT TIMBER d/OR YOUNG GROWTH c AGENCY ; WILDLAND VEGETATION 'i ACRES. BURNED Aous Wm4ED .„.<"s ;<sb:✓:_,ss:;;>.z: > :` M i„> `>` OTHER Other than T & Y �.�� tifJ(f.0 S{ � {�f/ffr y;�%•���Y!S.t,,':,4ri• la"D6 100-299 ACRES ^ AGRICULTURAL PROD + US.FS. CDF O (Other than T R Y % %'/ . DWEWNGS /B ooO TIMBER R/OR CONTENTS \ OTHER STRUCTURES F - E/OR CONTENTS - OTHER ::�: fi BRUSH - , ' VEHICLES & CONTENTS TOTAL OTHER GRASS TOTAL„jr,,.;. S IGS GO� J-7r,1111m -F-1115 5110aley C, ACRES OF VEGETATION BUR :x” STAM.::. E] E 300-M ACRES ;;, r .• RESPON. 0 ACRES BURNED DIRECT sc: :`x% AGENCY P-ROTECTflm 8 u 'i ACRES. BURNED Aous Wm4ED .„.<"s ;<sb:✓:_,ss:;;>.z: > :` M i„> `>` OTHER ^ �.�� tifJ(f.0 S{ � {�f/ffr y;�%•���Y!S.t,,':,4ri• la"D6 100-299 ACRES ^ :TYPE US.FS. CDF O TIMBER \ WOOD LAND - - OTHER ::�: fi BRUSH - , ' TOTAL GRASS �:.�.•~ .:: %�`��-��•• �;:<�s:>.>::.,f>••.�:• ......... :.:...... . PROD.' 3B CDF SIZE : TOTAL A•.25 ACRE OR LESS :x” STAM.::. E] E 300-M ACRES ` '` B.L.M. .• RESPON. 0 ACRES BURNED ❑' B 26 9 ACRES :`x% OF B.O.R.. El C ,,A`CRES 'i STATE .„.<"s ;<sb:✓:_,ss:;;>.z: > :` M i„> `>` OTHER ^ �.�� tifJ(f.0 S{ � {�f/ffr y;�%•���Y!S.t,,':,4ri• la"D6 100-299 ACRES ^ > rr�%y US.FS. ';fix:, :6 .l .•-- rf..::✓.6,<.r a•� le Ai AL •VEGETATE HRES O�N0) 9_ SIZE NCE (Origin to heed) - - FEET WEATHER TIMATE AT -` . - ` WIND SPEED (M.P.H.) . DIRECTION (FROM) TOV RATURE (4) 2��OVER PLEASE a - 030F7540 -13"I 16 E] E 300-M ACRES ` '` B.L.M. E] F 1000-4999 ACRES rYa: `''`: B.IA.. r• - G 5000 ACRES OR MORE M ..r B.O.R.. - < r' >' OTHER FED. .„.<"s ;<sb:✓:_,ss:;;>.z: > :` M i„> `>` OTHER ^ �.�� tifJ(f.0 S{ � {�f/ffr y;�%•���Y!S.t,,':,4ri• ^ ';fix:, :6 .l .•-- rf..::✓.6,<.r a•� za? :via;:..<.3<.;;`?i�>isss:d«:riE'+s.'>•,; r. le Ai AL •VEGETATE HRES O�N0) 9_ SIZE NCE (Origin to heed) - - FEET WEATHER TIMATE AT -` . - ` WIND SPEED (M.P.H.) . DIRECTION (FROM) TOV RATURE (4) 2��OVER PLEASE a - 030F7540 -13"I 16 N 0PDFR NUMBER U REG. R.U. INCIDENT NO. YEAR HOURS FIRST REPORTSRE STATE 3 LOCAL GOVT. CONTRACT�e CREW NAME � OUTSIDE � FIRE STARTED Eder 1ST. INSIDE C FIRE' DISCOVERED GO TO 1© _6 - 2 .f f! 1 )-7 .r'/_ K)IfrMR. M 1ST... 7Wn , n...t-4n 6v I. ItmAl ORIGINAL REPORT BY! - MAP IS:' ONE SECTION 0 FOUR SECTIONS - ❑ MAP ATTACHED t - ` t/ APPROVED BY: =SIG7NATT - - FIRST ATTACK BY CDF n RATION HOURS FIRST REPORTSRE STATE 3 LOCAL GOVT. CONTRACT�e CREW NAME � 4l NAME: FIRE CONTAINED SITE SECOND REPORT NAME: ORIGINAL REPORT BY! - MAP IS:' ONE SECTION 0 FOUR SECTIONS - ❑ MAP ATTACHED t - ` t/ APPROVED BY: =SIG7NATT - - FIRST ATTACK BY CDF n RATION HOURS FLT. HRS.- STATE 3 LOCAL GOVT. CONTRACT�e CREW NAME ORGAN- IIATION PERSON -'• HOURS J1IRC FLT. FIRE CONTAINED 'S',. ;�`•t�{r .c•- - st -,.� ',i 4t 'CREW OVERHEAD REC RD• : � ., wf 'Jt�C1,''- . , - ,f; � `AIRCRAFT .t .'ia++ �� • . • w., � �•� ..::>; :. .:.. � ,�IR41; aZ CDF STATE S LOCAL GOVT. CONTRACT ORGAN-. � PERSON CDF ORIGINAL REPORT BY! - MAP IS:' ONE SECTION 0 FOUR SECTIONS - ❑ MAP ATTACHED t - ` t/ APPROVED BY: =SIG7NATT - - TITLE • , , � CREW 1JAME - RATION HOURS FLT. HRS.- STATE 3 LOCAL GOVT. CONTRACT�e CREW NAME ORGAN- IIATION PERSON -'• HOURS J1IRC FLT. 1ST. ATK CDF CREW CDF OVERHEAD TOTAL ONFIRES, ENTER 1 2 8 TOTALS BELOW �f fi,..•..::F.'+.y}; :k::; .}'F US.F.S. (Ind. Overhead) TOTAL OTHER FEDERAL (Ind. Overhead) TOTALt s FIRE DIST. a OTHER LOCAL TOTAL: •::.Liv.!A. 1 PAID HOURLY (E-F.F.) TOTAL VOLUNTEERS (Unpaid) TOTAL ;Y,` ❑ FC -18B (Additional crew adivily) ATTACHED ORIGINAL REPORT BY! - MAP IS:' ONE SECTION 0 FOUR SECTIONS - ❑ MAP ATTACHED t - ` t/ APPROVED BY: =SIG7NATT - - TITLE • , , � DATE I INTL DATE s7�, a 4 r Butte County Department of Development Services PERMIT CENTER 7 County Center Drive, Oroville, CA 95965 Main Phone (530)538-7601 Permit Center Phone (530)538-6861 Fax (530)538-2140 : 00CI-91 [K]O-91®© Permit#: FORM NO 1:' Owner Name: .Je r rU L . CJ oo Scale 1" Address / Phone: 4779 Prosdeef LG�+,e. due-aoirst� C'S 95'9,G S% Z'JD— '% Site Location: ca M e- Contact Name: dame Phone: s 2 e K.:\NI{W U'I IiSI"I'fltiuilJing\Building Forms Docwncwt \Approxvd 2011 liwins-handcutts anii on lisl\SiIC Plan 1'aper i)I31'- rrN'd 9.19.1 l.doc Page l of l I o OUTTLt.Qo o -o couNiy