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HomeMy WebLinkAbout056-140-027a - i 1 I 1 3, AP 56-1-4-27 ADOLPH SIEBENEIG {r; f 700' W. of Vil8. s Rd., 22 mi. E. of Cohassett Rd., Chive _71 .Permit# 4152-75P,E(uti.1., MH) ''� sw;• ELEC. GAS --'' SJPPORT STRUCTURE REQ._ COMPACTION TEST REQ. --- !�-1r4-2 7 P ->8� 5 3 — Issu {. 56-14-27' Permit 4 572-77B,P"'E;M(add garage & , living spa - & install stem wall & slab in worksh area/SF) { 1 =t , renew 56-14 7 F Permit #626-79P b`r g/4 79 F . 56-14-27 'Permit# 1-81B (2nd & 3rd renewals 57 7)SF i LO n r' P PERMIT N0. ,M ` 3 PERMIT EXPIRES AeZ OWNER Adolph Siebeneicher owner CONTR. ` LOCATION (A.P. 56-14-27 Turn left at State Div.of Forestry on Vilas Rd. and follow road to property, app.1/8 mi., Cohasset ;9 t i Temp. Power Pole Called PG&E ° Temp: Elec. Serv. Called PG&E Temp. Gas Serv. . Called PG&E JOB FINALED (Date) -COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION,RECORD t BUILDING Setback -� „ joo�tins Slab Piers Gari Footi Slab Footi Slab Patio Footi Bond BUILDING (Cont'd) Firewall Restroom Finish Windows Siding Roof Sheathing Roofing 1/ Fdn. Vents Prov. for phsically handicapped Conformance of ex. Footin Framing — rJ v `"U Test Stucco Final Mesh MEC NICAL LACE i PLUMBING Soil Piping 1st Floor 2nd Floor 3rd Floor To out Water Piping Sewer Fixtures Water Mr. Heatin Heaters Brown — Appliances ' Gas Piping Temp. Gas & Test — Sanitation Interior Lath Final Permanent ✓ Door Closer. ELECTRI AL Rou h MOBILEHOME UTILITIES Fixtures Motors Water Piping Water Htr. _ MOSILEHOME INSTALLATION - - - - - - - - - - - - - - Support Scratch Heatin Service Brown — Cooling Temp. Pole Finish Ducts — Underground Interior Lath Ventilation' r-- Permanent ✓ Door Closer. Final Final - MOBILEHOME UTILITIES Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOSILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping i I r __ - A is 4rm/ach meyou vi he /1Kev/dL /i k1k- 1p RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS (location) BUILDING PERMIT NO. X5-72-- 77.0 A;P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or.write N/A if not applicable) INSULATION: Slab Edge. W/14 Fdn. Walls :! Floors Walls Ceiling/Roof Ducts - lr/4 Circulating Pipes M A - APPROVED HEATER iv 14 APPROVED WTR.HTR. y A — GLAZING: Single Glazed Special (Insulated) Vj A CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. M/,¢ BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES A- I CERT. APPLIANCES AZ A4 I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQU IREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIF KATE AS SUBMITTED. Insulation Applicator Name Signature of / (please print) Insulation Applicator 4&kk & ��itZ% State Contractors License No. ,A/ & General Contractor/Owner Name 7cle14 t C. 9!e � e .o– (please print) S iguature of s .. General Contractor/Owner �.e-a� Date 91 o State Contractors License No. 1v .THIS CERTIFICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION.AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE rp DEPARTMENT OF PUBLIC -WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE zr BUILDING OR PROPERTY ADDRESS 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 tette or need additional explanation, 'please contact this office immediately. Inspector (�����f'(/f l�� Dates, � ' k/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Oroville, California.95965 -Telephone 916/534-4541 cgg7/ C l/ APPLICATION AND PERMIT / ( l ASSESSOR PARCEL NUMBER ZONING -- ,,Z /I —Is BUILDING PERMIT OWN TELEPHONE_ 2— s2s SQ. FT. OCC. BUILDING VALUATION G.^ OWNER' AI NG ADDRESS CON RACTOR'S NNAA�ME/�� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNO, w! !� Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit F $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUI A D OA ESS K � PLUMBING PERMIT Filing Fee 10.00 % � Olt/ G z Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping L OY44 O. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Re odpl [:1Ut�litie Installation ❑ Other Describe work: y�� 10ELECTRICAL a'i %7 Permit Fee $ Contractor PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 5.00 6i 655—'z Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.5) OR ADDNS. ACC. BLDGS. 22 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bus Iness and Professions Code and my license is in full force and effect.. License No. Classification 2--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 CONSTR U .OUTLET 2.50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR. POWER APPARATUS y NON.RESI D, SINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES 50 0250 BAL@10t IXED APPLNS, OR Ex. Occup, TLETS (RESID,) EA. 2.00 Temporary service 1.10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. 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 consequence of the granting of this permit. X lGi �� � �—P.�-r�.L���� Date Signature of Applicant — Owner R Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OccuP. GROUP I TYPE OF CONST. PARCEL Pb HD 550E 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. IRSCTOEt OF,PUBLIC WORKS r' By Date a w_ Pl PERMIT EXPJaL Receipt No-�� 7� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovil;e, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 42 BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mai I i ng Addr s yy ei, a. T e of �e�7�� Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee &/ rPenalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. PL -/-7 Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 F Santeltfun Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Pians Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans RecdParcel A roval Plans Approval Lawn sprinkler system. 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER ❑� permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR LE LESS5.00 Single Family a Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 6 00V25,00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELLING OCCUP. 5) 20sgft OR ADDNS. 1 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 BRANCH TLET NON•RESID (MULTI BRANCH CIRCUITS/ 2.50ea CIRCUITS) NEW CONSTR. (POWER APPARATUS B NON•RESID. SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTIIRES g 0 FIXED ALNS Ex. Occup -(OUTLETS P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 LTam 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. FL-L-4—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. 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 PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ Land Development Fee $ $ TOTAL PERMIT FEE $ 6u authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X� Date J Signature of Permitee or Agent Receipt No. � /.!5-3 ' J White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P LIC WORKS Zui �lding permit expires Date ry COUNTY 0- BUTTE- — DEPARTMLNT OF PUBLIC WORKS 7�ounty tenter Drive — Orovi Ile, California 959657 �f Telephone: 534-4541 ���r. —/ APPLICATION AND PERMIT AA above-mentioned property for inspection purposes. it x a 7 Signature of/Peermitee`or Agent Receipt No. z�y 710 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF B461,BLIC WORKS BY Date //— zZ —2,2 Bui (ding permit expires Date /I- 7Z __7 BUILDING ift Owner£ �- `G 6r �,�Iwlely SQ. FT. OCC. BUILDING VALUATION O o0 Mailing Address O If 7 O ]Joan No. Fireplace Contractor Total Valuation 4 Q, a G Mailing Address Permit Fee ZOAZOO Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address / O PLUMBING No. @ FEE PERMIT FILING FEE $3.00 / S / O eJ'1`15-0110&1 Each Trap 1,50 O I/ icCJ G► / Repair drainage or vent piping 1.50 Water piping 1.50 O Each gas water heater or vent 1.50 A. P. N �`���% Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 s .C. Sa on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma P 0' R/W Im provem Lawn sprinkler system 2.00 BI Plans Recd Parcel An&odvol Planto<ooporoval Permit Fee $ $ NEW ❑ ADDITION UTILITIES [J OTHER OTHER No. @ FEE PERMIT FILING FEE $3.00 O A ay—al !i ' f' �/S% Main service 100°o AMP ORLESS5.00 G� /„ �� ��� �IMain Main service EA. ADD'L 100 AMP 2.50 Single Family Du Duplex ❑ Mobil Home ❑ Others 1'JyJ ❑ service OVER 600v 10o AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACC`BLDGO ) 20sgft NEW CONSTR. MULTI.O TLE NON-RESID. ( BRANCH CIRCUITS) 2.50ea 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 style of: @2-104 Ex. Occup(OUTLETS OR FIXTURES)@ Ex. Occu / FIXED APPLNS. OR p.(FIXED (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 AI 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. OI 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 ZOO Heating Cooling Ventilation Op Hood 2.00 Permit Fee $ D $ Jr 06 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 TOTAL PERMIT FEE $ above-mentioned property for inspection purposes. it x a 7 Signature of/Peermitee`or Agent Receipt No. z�y 710 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF B461,BLIC WORKS BY Date //— zZ —2,2 Bui (ding permit expires Date /I- 7Z __7 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X � Date Signature of PPemiteee or Agent Receipt No. Z r61� 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. DIREZ7TOR OF PUBLIC WORKS By Date o` 1 Building permit expires Date Zz. BUILDING Owner , SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone NS0. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address W.'t— A /m Plan Checking Fee&/or Penalty Permit Fee " 4621-- PLUMBING No. @ FEE ev PERMIT FILING FEE $3.00 p Each Trao 1.50 L, Repair drainage or vent piping 1.50 `! A. P. No. f0 7 ,,((^ 0niAPJ.6nning Water piping 1.50 Each gas water heater or vent 1.50 6efftVion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach Declaration I Parcel Map 1 60' R/W Improvements additional outlet .30 Building sewer 5.00 one ec Parcel A proval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ®' Permit Fee $ ,5v $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER s 25.00 100 AMP O OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELLING OCCUP. 4'� 20sgft OR ADDNS. ACC, BLDGS. CONTRACTORS LICENSE LAW State of California Business & Professions Code under the name style of: NEW CONSTR. (MULTI -OUTLET NON-RESID (BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS B OUTLET CIR, Ex. OCCUD(OUTLETS OR FIXT11RES B L@; Ex. Occup.(OUTLETSPRESID)FIXED APLNS.REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑'iam 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 I 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 $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ PP U authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X � Date Signature of PPemiteee or Agent Receipt No. Z r61� 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. DIREZ7TOR OF PUBLIC WORKS By Date o` 1 Building permit expires Date Zz. Adolph E. Siehene icher 426 .Broadway Chico, CA 95926 s. Re: ,a AP_56-14-27 Dear Mr. Siebeneicher At the regular meeting of the Butte County Board of Supervisors, ' held August 1.0, 1976, the Boar enieL your app lzcationor a _ use pe.xmit to'="allow a duplex on property ..f located on the ,rest side. o£ Vilas Road, approx.`1 mile north of. Cohasset Road, south of Cohasset - Shouid you have any questions regarding this natter, please contact this office Sinct'rely, MARGE CATT Clerk of the Board of Supervisors /bw cc: " Dept . of Public Works Health Dept. rL �� �� eoun4 Of a9uttz OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: A.E. Siebeneicher ADDRESS: 426 Broadway CITY & STATE: Chico, California 95926 IMPORTANT: Oct. 22' 1975 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES ✓p - DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Refund in order as mobilehome existed on site prior to effective. i - date of or Mance requiring instatiation perms . (Permit Appin. #5118-75MHI - Receipt #136488) -AP 56-14-27 Mobilehome installation permit fee ----- -------------------- $30.)0 TOTAL $30.)0 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this 21S.................. day of ,,,, OCt............. . 19 75, at Cih1C0 Calif.. .,_` ,G'•„. -�'l, '1..E.1 ^ Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge. the services or articles specified above have been performed or*de- livered and that there is a Budget Appropriation❑ or Specific Board ApprovalF-1(Checkone) for the some. Dated this ...........22114 .............. day of ....9....Ct.......•.............. 19,75 at .... Oroville... Calif:................................................................. ................... Department Head or Authorized Deputy Dept. Exp. Code Code PAYABLE FROM........................................................................................... FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROJ• SUB. OBJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC.. GROSS AMOUNT ENCUMB. SUB -DIST. f COUNTY OF BUTTE DEPArRTMENT OF PUBLIC WORKS 7 County Center Drive - — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT - OwnerZA Mailing Address Iffel hone No. trg—OS Contractor ty 'LTJ Mailing Address Telephone No. 1 Building Address SS G A. P. No. '?OL, Zoning & Planning F W. FireDept. FireZone Use Permit EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rove ents p Bldg. Plans Rec'd Parcel A vol Plans pproval NEW I -I ADDITION r"I UTILITIES OTHER Single Family Duplex E] Mobil Home OthersEl 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. Classification BUILDING OCC. BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan 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 incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven Water Heater or Space Heater Light fixtures Receps., switches & fix outlets Hood, Ex. Fan or F. A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole Misc. wiring 1�j am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE I 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. ❑I have placed on file with the County of Butte a certificate of Cooling Workmen's Compensation Insurance. jV I certify that in the performance of the work for which this Ventilation ermit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood Cal i forni a. Permij, 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. kX GL�� to SignalCre /of Permitee or Agentt Receipt No. _/ �7�L� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant @ FEE $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 ' 2.00 2.00 1s7, -v-,1 Z --v /ro � O 6�l TOTAL PERMIT FEE 1$-30,10 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have,been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date 1. AP NO. ab At time of permit application, the applicant was advised the following data or information must be submitted pr' r to permit processing and/or issuance: 1. All items have been submitted 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. By L . , Plot plans in'duplicate/triplicate. Complete plans in duplicate/triplicate .. Complete engineered plans and calcs.. Fees of $ Letter of signature authorization. Sanitation approval. Planning approval Workmen's Compensation Insurance Certificate. Contractors license information. Parcel declaration. Access declaration. Aunt Minnie information. Deed of access. Deed of parcel creation. Parcel map. Pre -inspection request for Other y�GO/ZE_� s ��a2U S Date �� `� -- ] 1 Bldg. Inspector ncacsacae=aaaaaaaaaawacacaceaacaoeeaaaaavaacacaacaac=cc.=aca.cccs=ococaxviceaaaaacaaaaanmaenaaa u When permit is issued, process. as follows:1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone 5. Other and hold for pickup. - During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items numbered 2. Applicant advised.by telephone we need 3. Send letter to applicant_. We need 4. Pre -inspection for 5. Other above. NOT verified. (Index) 6. Plans checked and/or approved by Date Additional.Processing or Notes: Q " ' " S NC�TI=:—All ..vlra+eriafs & WorkmanslRip Sl aU We rhis set of plana and -MMT be tri Accor+r.nc:e with Recoanized Good Practices an cept on She job at all times ani. itis unlevrful to - of. a ai=^I�+,� r�ree�r hAri for the Spec;fied use in 0 Uniform B4jilrlina,Pl;,r,t,;na & Machanical Codes an x►ake any changes or alterations on same without the National Electrical Code. w+rkfen permisson from the Department of Public Works, County ai�#t®. `X15 L'9Lr, 7 Asa All utility connections shall be > located within 4 ft, Outside the rear third section of the friobile home I on the,left (road) side int the mobile - ' home. - Septic system aril lotatio'ft be dsi o p Bute County Health DepfyR: quirements. e,- rhe Setback shall, be 5 ft. fro* the side property line and 50 ft from .the centerline of the road; permiitir; UZ k 4 01' ? ' �-- " ' s maximum of a 2 ft. eave werhar 0 Ar f j 4 P E tvA72 f'2.•�n SPIT' Yt�.. -- `, oG� BUTTE COUNTY BUILDING. DEPARTMENT .; 4 . .. :• • APPROVED ej,, PHONE: 534-4541. A90to If e• 6 a)"7 a c� 1, e FAY `"- # , Utility � � ' n car!- • _ �� g 2Q' , 3 d� i rt P ,y g3 '� cr 9+ to - n 1>rt. cr CL g - o a Length = _ . 11OSILEHO E INSTALLATION INFOMATIOv � � 24, Lot Facilities. - tiobilehome Data 0- 1. Plot plan dimensioned, location of mobile 1. ' Length ±/&- Width £S z and utility connections? 14anufacturer - Yes ✓ No Vehicle Serial No. IV, D g7,,0r�J 2. Electrical service equipment azapacity !®0 1-",L " Insignia Control No. N' o •-" C Circuit Ure*--ker ampaci;:y� -� 2.. feeder assembly anpacity ; Permanent Wiring Connection Conduit size. ,;' Ampacity Po�rer'supply cord --(amps) P.eceptacle' �Ampacity' '©,e ?��% " 3. Gas inlet -size 3/ -3. Gas:. r;atur 'LPG i = 116bilehome connector size ' ' Gas riser size �d Capacity - 4. �� Drain inlet size ;3 4. Drain.conaector:. describe on r�'ve-cse side 5..Z:ar_er user. size ' 3/�/ 5- Slater connector: des ybe o:i'xcvzrse .side 6. .Are utility connections to ated outside 6. Designed load -' the rear 1/3 of. the rnobilel:ore vrithin Roof live load sf. !: Feet of t,1e lcf t tall? x o. -; .Y I:ot';inc: load sf . If not,- shoca di.rtersions.above. (only £or nobs).ehome.'s r.!a*iufactured after 7. Is the mobilehome clear of siN_p'Lk- tank, October: 7,' l 73) leach fields' and located outside public 7. I•Ianu: acturer's installatior' instructions? utility ease-ments? Yes �_ No Yes. I"To ✓ 8: Do you. propose to do otter cork on the 8. T;il.1 the rnobi 1e home be install( on a property other than the mobilehoma separate support structure? • installation which will require a peonit yes NoYes No If . so, specify w► cya 2R eek TO ' VIP S a .,F ADDTTIQ;�hL C05LXt.`\TS- ' Drain Connector,. Describe—_3 E — TM e tie T, j'zt'k.,.CorncctoDescribe' G LOAD 6U.TTE- COUN . BUIL DINT a. DE?ARTM-ENT PRO' lw 'k M03TLEftOME'INSTALLATION INFORMATION SHEET Street or Driveway. Fl Width - v 0 r a� o� �•�� 0000 rn •rj rn u o o 0 p a! d 4 rj Cd 41 O u 1N+ b 'b 0) N C) H C U rl 4J ? p m °G a U) co O a) PL •0 0) 0) N G •r+ O �O 0 c c 'In 0 41 ., 4a ca A A• o 5. u 41 o 0) ami O v1 0) 'b z L 'v' •Ly O x 0 El 3 70.ri au) .. .. NM•rZ1 m $4 N H u 2 O cn ^ I r-1 r-4 a) 'c1 w p, r -I CO 41 .o N O 4J 4J b m .a r�. A+ r♦ H •r) p a) >, •ri u u u cd o o w o .A 0 rG 4) H O U N r -I N. N 0 O T-4 [: ^ al, �� `T O a H N U N •r1 (n to rl. 4) 41 6 G G G G r-1 4) b n H H O o �, • oW a H 41 Cd Cd O 0) O>. O O b Tr i O H 41 H U 4) •ri 41 (O r-1 .Z 41 U U 4) 4 O 44 a1 U 4J Cd .[: cd r -I G H •r.( f✓ 4) •r{ G r -I r -I .L1 ri 4J 44 U 00 a) O H M -I r-1 " U �, H OO ; , O 4-i r( cHd OO O r4 •r1 b b 0) •rl cd .•r4 (1) •r•1 w 'U r-( 41 O 4 O G G rC tO a) G 3 N .0 a cd u co O G G U C (O N z DHc°ac°Ua°� vA3Qv°4:B: °O >+ 1.4 H n 00 O H r- rr � ®I � S H r4 1) x .r4 rd y O I °� Cd r4 I 4�1 H u N -H 41 O a w J 0 rq\ .r4 Ia. o o p •to o !+1 w a 0 •r1 0 a � v v 0)) z 41 S m � .0 r4 .H � � o H 4.1 41 4J .V 0 , t PC cd G G H 0 Ua; ,. O 44 O H O O o u a tq . o w r1+ ,D 10 cu �i H O r -I n• G •r1 (d .a \ ri r -I P. cl• Nrl U (0 0 H (0 CO 4J CO O C r-( v ^ (.' :+ •r1 4) m G O r 1 S~ 0) cd N 41 •r( 0 a b O v' U0 O 0 O r -I u ,7+ O � L 0 ar c. o u 'Zn, u o 'b G 4W1 v y U � N U N U W O1 N 0 X U r0 C: G �J 4 H G N N 1 44 H •n O 4) N H$ (d 4/ rl O U O) ri d :CG H GI •ri U (O •ri tO O O U of b 4) p Q) 44 to •r( •r1 ? H cn 07 O Ic G •,I 41 .rlW 0 'f� D1 O of `,G- U. y M H (O 4-i H- M .� r�1'� JJ ra '0 (n O a. 41 O O U rz Iu N O a1, r -I H W O a) C.) -Wr✓ 4 ,-4 cd ° O O d W r7 C: r-1 I.-" 'r•I •H 41 ro .n 41 r( 41 ai . - H •ri G r-1 4J 4J CJ i •rI 41 H H J) -H •r+ (O H •r-( 44 •r'1 (d 41 U JJ (n .dj 4a � 4- N a W "' " 1-I r -I 0 -4 e p 4.1 O, cd u a H G H O >J a, O •O 4 0 d) p. U cn .ro O u ura >1a41 w Co. I 'O N P N 1. c; 0) 44 cd ra O 0 W r-1 AL! c• Cs O) H •r( 4)4) .'s( W U a as G P+ U' cd H U A 0 v H rC Qi 41 .7 LW H r H a 0 H r i N cr1 �7 t!1 n 00 r tax/ ADDITIONAL CO'K,�! -"%'TS Drain Connector, Describe 3 /e X � �A J."" � s� /, e- d 4 ZAD Water Connector, Describe % /yes C LOAD BEARING SUPPORT AND VOOTING INF02t1ATION Pier. Spacing Used����� Maximum Pier Load __ c Maximum Column Load (multi -units only) Soil Bearing Capacity ���Q Footing Dimension Used r TYPE OF PIER. USED Steel Concrete Concrete Block Other TYPE OF FOOTING MAT"'RIAL LYSED Pressure Treated Wood Concrete Redwood (Grade) Other Approved Type LOAD BEARING SUPPORTS . W#E C-60Tl WILDING DEPARTMENT APPROVED I MH UTIL. PERMIT NO. PERMIT EXPIRES OWNER Adolph Siebeneigher CONTR. LOCATION (A.P. 5614=27 ) ;i 7001 W. of Vitas Rd., 22 mi. E. of M Cohasset a Rd,, Chico 5 6 js, J Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Tempe Gas Sero. Called PG&E • JOB /s FINALED / (Date) (Sig'Ui&4 COUNTY OF BUTTE-, DERARTMENT`OF PUBLIC WORKS BUILDING INSPECTION. RECORD BUILDING BUIL"G (Cont'd) UMBING Setback tr- �- Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Pi in ' Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Y Sanitation Patio t - FIREPLACE Final Footings Footing ELECTRI AL Masonry Walls Throat Rough "- Reinf. Steel Final Fixtures Bond Beam FIRE SPRIN LERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECH ICAI Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Penna en Door Closer Final Final DATE REMAR S OR CORRECTIONS W COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS Z� 7 County CengerfDrivb Oroville,'California 95965 Telephone: 534-4541 \! 1 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. c X e ' $ig ture of PermGitteee or Agent Receipt No. ` (60 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 b n paid. DIRE_Z�)CTOR PUBLIC WORKS By Datefo wilding permit ex0 res�Date BUILDING Owner ,� ® �- � SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address ©J( Gj 4S. 5'6: 7 Telephone No. Fireplace Contractor 4Z2> Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 5, E ® C d �s 'L� Each Trap 1.50 G Repair drainage or vent piping 1.50 Water piping 1.50 40, Each gas water heater or vent 1.50 .� A. P. No. -r�{'�'f_ 5 / zoning Gas piping system 1 - 5 outlets 1.50 , 60 Each additional outlet 30 ReelfW. Sa i on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQAParking I -Plans Parcel Declaration Parcel Ma p 60' R/W Im rov ents p Lawn sprinkler system 2.00 g. Plans Redd I Parcel Approval Plans Approval Permit Fee $ 3 r�G,$3 0 NEW ❑ ADDITION ❑ UTILITIESR OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) _ Single Family ❑ Duplex ❑ Mobil Home Dg, Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b %25 10 a Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Zu Temp. Power Pole 5.00 License No. Classification Misc. wiring 2f -am exempt from the Contractors License Laws of the State of California. Permit Fee (j 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 I 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. c X e ' $ig ture of PermGitteee or Agent Receipt No. ` (60 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 b n paid. DIRE_Z�)CTOR PUBLIC WORKS By Datefo wilding permit ex0 res�Date ° NOTE: Materials &Workmanship S all Be in { 11R be. rhis set of. PlOnd �' aaa - A. A.c�ard�±nce with Recognized Good Practices and sept an tfise. job at all times anal it is urt}e�wfu+ to „ of n t+i,i�l�f► nrerCr;h,-4 for the Specified :ase in the take any changes or alt®rations on sem witfi®ut llniferm g��ilriinq, Plurn +inq & Maehanical Cedes o i& " *rWen permwon from the Deporirnee,:t ref Public 4he Nleeficrcdl Ele�ricol Code. 440. /e e3? /edr:�/� Works, County -of BO"O VVI •���� -- y7O srj Irl. � b s y �'/:``a -.. ��'�•ij � All utili.t connections located %vi hin 4 ft outs dent all be , 1! 5' third section of tli� he rears i I j A 0 rOw on the IL5ft (road) side f he mobile rhe Setback shall. be. 5" ft. firm home, Septic systems and location ofbj.H fhe side property line and' 50 ft. from i ' to be as perp® ee'nferline .of the road, permttiirig Butte COO* Heatih Dept. R -,,; _ 9 Quiremenfs. �� -- A maximum of a 2 ft: eave `overharoq.. .gyp - w �rcli A l0 ��. F1 >Gl fs `A permit. will 6e required for the installation of the mobilehom(t. 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