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Home My WebLink About056-240-143~ . /. ` � � . _ | � tPermit/chickens ------ & fArm eou�p) FN/S For�-h�-,&Ranch Rd, k mi W Hiqy 32, FR SUPPORT STRUCTURE REQ //& COMPACTION TEST R EQ > 51-24-143 31*6 056-240-143 PERMIT#98-0610 LEMBERG, Jacob ,,OFFICE, COPY Address � . | ----Meter Bv Date ' ., . . , \ ' Er o rl- &TA" OVA aqFA- "Mm�� m . 1� - . c..-. _-�...>�-�.. �. ..., ...- .:. ........... ... y.. .:. , .. „ . _rw . > J'� �� - 75+, _ Y':?'Fy .iY-.: .••,1 Sit 74 ,; 3.E4�7' ._ 1., � .. ., ., s .a. - ' � ins r=RRA K 60 CRUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - ` 7 County Center Drive - Oroville, California 95965 - Telephone (Rev.12/96) 3'�"T" APPLICATION AND -PERMIT BUILDING DIVISION (916) 538-7541.1 PERMIT NO. !�ty e4/lP ASSESSOR PARCEL NUMBER ZONING tTtlE—PHONE �TEEL BUILDING PERMIT OWNE JACOB U MBERG 894-3237 SQ. FT. OCC. BUILDING VALUATION DWNER:S MAIULIr,eq� R':_` ,FOREST RANCH CA 95942 UP 7*17 CONTRACTOR'S TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 16141 FOREST RANCH RD, FR Ener Plan Checking Fee $ Energy g $ PERMIT FEE $ LOT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK yy New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑' Describe Work: EIEC TO WELL Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G W 1 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 V OR UE91 Main Service . '0LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, \ will do the work, and the structure is not intended or offered for sale. [a, I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO 1000A 46.00 NEW CONST. / DWELLING OCCUP. SO OR ADONS. \ & ACC. BUDS. 3.50FT. NpN-RESIDT MULTI.OUTLET 97,50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL so Ex. Occup. ourLEEDTs REFS o.Oew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ ( oo WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEL S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. --' X t -_ ' ,-' I Date � ) _ Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. L Mobile Home Installation Fee is Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE 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. ,,1 � By ' rDate "y PERMIT EXPIRES ON x-1/49 Date Receipt No. rL WHITE-D.D.S.•B. . CAN AR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO./ (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING TM -5 BUILDING PERMIT C� OWNED ACOB LEMBERG 7894.3237 SO. FT. OCC. BUILDING VALUATION OWNEV rWlpVAR�J, FOREST RANCH CA 95942 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 16141 FOREST RANCH RD, FR Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT - Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat*pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: ELEC TO WELL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 600 Main Service 200, OR LESS 23.0023,00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.d License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, % will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by 'section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BUDS. So 3.5CFr. N•RE31DT MAUrL�TI.00UTLET ONTS @7,50 US PSINGLE OUOWER APPARATTLET CIR. Ex. Occu OUTLET OR Fa7uREs o BaI:so Ex. Occup. OFIxLITEL A DORS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE TNSP LIE PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with se pro isions. X Date _ Sig a re of Applicant Owner ❑ ontractor ❑ Agent 7 A HA permit is required for excava 'o s over 60" deep and demolition or construction�I of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PC HDISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. C�i Dat V l e ReceiptNo. ' WHITE -D. .-B.C. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF D 7 COUNTY CENTER DRIVE - OROVILL)4i TNT SERVICES - BUILDING DIVISION 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER: _L <i Lv0 1 "ta Proposed Building Use: Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- 112. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ 1111. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ------------------------------ ❑ 14. Sanitation and plot plan approval Health Department. ------------------- ❑ 15. City of Chico plumbing permit. ---------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- 1117. --------------------- ❑17. Planning approval for (A) Use: (B) Parking: - ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --- 020. Pre -inspection for required. Request to Building inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------=------------- ❑22. Workers' Compensation carrier and policy number. ---------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization.-------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ❑26. Letter of intent on building use. ---------------------------------- ❑27. Manufactured Home utility clearance. -------------------------- 028. Existing violations and/or expired permits. --------------------- 029. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 113 0. Other: en you issue permit, p3 cess as follows ❑ Mail to owner, ❑ ail4o contractor. j (Date) (hone `I 3� and hold for pickup at office. 11Deliver with ector. - 5iy-a Sg I_Applicann: ate: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Pollution Date. --'' Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date:. By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required. data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P.folder`'"F, Note transfer by: 4 Date: Yellow Copy - Department of Development Services,. BuildiQ,Division. TO: Building Department FROM:. Environmental Health,.Chico SUBJECT: Sanitation Clearance `Owner Location AP# Plan'approved for: sewage disposal water supply Hold final for:. water supply Final clearance O.K. for: water supply Clearance for 3 bedroom mobile home. Other } Note***1� I (' Sanitarian Date 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(A] NO[ ]. 2. I HAVE[K] HAVE NOT[ ] sigdedan 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: CONTRACTOR'S 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: CONTRACTOR'S 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 ER: DATE: �S NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Mav 1995 2.26 (Rev. 12/96) COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754, (� / P)rRMIT NO. APPLICATION AND PERMIT d O ASSESSORPARCEL NUMn 5(a) 0 w =ON r) BUILDINGPERMIT OWNER �y TELoNJ��j� SO. FT. OCC. BUILDING VALUATION OWNER DUNG DRESS c�� fry CONTRACTOR'S NAME TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS/4 / / r" e6 t }fP xe X FD e-�t �HG / @h ` %/ /I /� k Energy Plan Checking Fee $ C�! ` - PERMIT FEE t LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heatpump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: �� C Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 00AOR LEss / 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.50FT. NEW CONS NON -RES DT MULTI.O CIRCUITS 07.50 POWERSINGLE AOUTLET CI 6 R . Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL S0 Ex. Occup. OFlxUTIEETS R= =.D ER. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 — *,7 ,Ili PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant • ❑ Owner ❑ Contractor ❑ Agent An OSHA permit Is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FE1= $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HA2. D. FEES IMP FLo00 CDF PARCEL Po HD ISSUE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No.� 161 � WHITE-D.O.S.-B.D. CANARY -ASSESSOR —PILI K -INSPECTOR GOLDENROD -APPLICANT I OWNER: . LOCA DATE: A.P.#: CONTRACTOR: ZONING: PRE -INSPECTION FOR: r ' DATE TO INSPECTOR: la j p � r PERMIT HISTORY: [ ]NONE �}AS FOLLOWS: TYPE OF OCCUPANCY: BUILDING INSPECTOR'S REPORT uilding Description: I [ J Commercial/Usage: [ ] Residential/# of Units:{� Mobile Home: Y No[ ] j,-rcurrently Occupied. [ ] AbandonedNacant. lectric: [ ] Yes [ ] No , Electric is currently : [ ] On [ ] Off .-i Condition of electrical? Natural[ ] Propane[ ` f - None[ ] Obvious problems: tion: Plumbing working Yes No[ ] Well: Yes[ ] No[ ] Obvious Sewage Problems: ion Recommended:�Issue Currently On[ ] Off ] E Potable /water: Yes[ ] No[ ] �/ V�i✓'�i 1 � [ ]Hold for: nspector: c� Date: 5 May 1995 4.7 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT 4 PERMIT NO. z Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING OWNER PHONE NO. 953— OWNER'S ADDRESS 1 9-rrfo 1�v �. ''lo, LOCATION OF BUIL ING L Wes4 b -3 a– USE OF BUILDING., I c,ker4s L-ip SIZE OF STRUCTURE X SO. FT. TYPE OF CONSTRUCN: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SID G ROOF COVERING FLOOR TYPE 60 ,..&e1e_4-e ESTIMATED OF CONSTRU g poo. �b AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: �K FRONT SIDES REAR�a AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date Signature of Owner - Permit Fee - $25.00 The above descri a AG Building is exempt from a builng permit. Receipt No. 50'Y®� Director of Public Works By Date (g •2`1 �, White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant PERMIT NO. 123-84P,E(MH) " / PERMIT EXPIRES T' OWNER JACOB & BEVERLY LEMBERG CONTR. owner ASSESSOR PARCEL .56-24-143 p, LOCATION N/S FR' Rd . 2 mi W Hwy 32, FR _ IF i eOFFICE'COPY i Address ;iiL►�f i' t: �� G +! r t - Met r13 k h� ELECTRIC ate ~ w MetertBy 2 j. aAy7 th i Temp. Powe + � OFFICE COPY Called i � • �. Address Temp. Elea P5Y 1 Called GAS k I." Meter By Dat► �za- E ELECTRIC i + Meter By Date Temp. Gas 1 � Cal led PG&E s JOB FINALED (Date) - Signature r Af I �F I OK 0 = Not OK , T - Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready/ Date MOJKLEHOME UTILITIES (PIAA) OK except q's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's ning Requirements—Setbacks—Easements t 1. Zoning Requirements—Setbacks—Easements ts; Special MH Supp rt—Sketc _ 2. Footings; Size—Depth—Spacing—Connectors we ; Lo ton— —Fall O on to 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails W r; Lo ion— , t—Ease t Needed (S tch) _ 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing_ ctricity; Loc*iiem-CI es - / Ampj9ft _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures Gas; Location—IA—WV:/ /"L"ft./ /"Nat. or 'L"ft./ /"LPG 6. Carports; Windows—Doors ty Clearance 7. Elec. Card -BI 9 Date Card -Bl Date 5?Wz 4— Card -BI Date Card -BI Date Card -BI &D Dat Card -BI Date Card -BI _ Date Card -BI Dale Date MOBI OME INSTALLATION (PIs) dK ex pt N's { Date _ POOLS (Plans) OK except #'s ning Requirements—Set ks—Eas nts 1. Setbacks—Easements . Fo tings; Size—Spa n Marria Line 2. Soils; Compaction—Structure Stability . Gas; MH Test—De nd—Val Conn for 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 1(/Efectricity; MH Test—Cross ers—Brea —ClearafAc , Drain; MH Test— FWJ -�Itjy6ohnector 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Elec.; Pool Lighting; 15 volts—GFI �. fzter, MH T&Regulator—Co 6. Elec.: Enclosures; Conduit Entries—Terminals—Listed ter and Sewer Connected—C/O to ade—HD Approval — 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool Lghtg. Boxes— Enc losures— Pane lboards—Ins. to Main in Conduit Ar FFwits; Insp.—Sketch 11i�Cert. of Occupancy ! 9. Health Department Approval 1 10. Plumb; Cir. Test—Water Supply Test Card B -I Date f(' and -Bl Date { Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date lam. a_� o V = OK 0 =vNot OK Not Applicable Not Ready RESIDENTIAL (Single and Duplex) � = Date UNDERFLOOR (Plans) OK except#'s 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Dept 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-,/ /" Ftg. Depth 5. Stemwalls, Main; Steel -B lockouts 'Wrapped=Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab _ 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts-Joists-Vents-CrioDles Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s _ 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date ELECTRICAL (Permit) OK except #'s _ 20. Fixture & Transformer Clearance -Ins. Protection 48. 21. Elec. Receptacles Spacing -Lights & Switches at Doors 49. 50. 22. Size Boxes & No. of Conductors -Stapled 51. 23. Romex Installed Close to Edge of Studs & C.J. 52. 24. 25. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size 53. 26. 27. 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 Al, Insulated Neutral riYes 01 No _ 28. Service -Riser Conductors & Ground -Main Disconnect -- 29. Equip. Clearances; Panels-Motors-Mech. Equip. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 30. Clothes Closet Light -Shower Light Card B -I Card B -I _ Date Card -BI -----Date Date Card -BI Date Date MECHANICAL (Permit) OK except #'s _ 31. A.C. Ducts -.Insulation & Support _.33. __ 32. _ Vent Fa_n;_E_xhaust above Insulation _ Condensate Drain Overilow; Size & Grade Card -BI 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Card -BI 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI _ Date Card -81_ Date Date Card -BI Date Date FRAMING (Continued) Smoke Detector 48. Property Line Firewall & Openings 59. 49. 50. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection G.F.I. & Bath Fixtures & Tub Access 51. Plywood on Roof .Overhang -Attic Vents -Rafter Outriggers 62. 63. 52. Siding -Nailing -Veneer Elec. Outlets at Wood Panel; Int. & Ext. 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 66. 54. Glazing Area -Glass Protection -Skylights -Plastic Garage Fire Door; Swing -Landing -Closer 55. Shear Walls; Nailing -Bolts 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. 74. Guard Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes CJ No Card -BI Stucco; Brown -Finish Date Card -BI Date Card -BI 78. Date Card -BI Date Card -BI Water Well; Disconnect, Electrical, Plumbing Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 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. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 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. 74. Guard Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes CJ No 76. Stucco; Brown -Finish 77. 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. 82, Ventilation throughout House Glass Protection 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s Comments at Final: 36. Sills; Proper Material & Anchors _ 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing_ _39. Draft Stop in Walls (rat proof) _ -.10. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing_ 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45 Attic Access Size & Romex Protect ion-DraIt_S_top-Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill H_g_t. & Dimensions _ 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) TO: Building Department FROM:. Environmental Health, Chico - SUBJECT: Sanitation Clearance V^ e.,1 we r /zo--2-q — Owner Location APN Plan approved for: sewage disposal water supply Hold final for: water supply Final clearance O.K. for: water supply Clearance for 3 bedroom mobile home. Other Sanitarian Date MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO.3 Address or location of mobilehome 1t, ��tr!< I'nra-�� '�r�r�v F{��• /'•�I� . �; Owner's name —�� 01 �-t it; Ir rJ f V ., Owner's address - d �I t�7 t"1�1 Insignia or hud number / 7 a C 7ci F -- C 9P 7 Manufacturer's name Serial number of V.I.N.j� %�� 1 � j Year of manufacture (A n +� (Date (Official Approving Installation) IF THE"MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION „� �PTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILgHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE r DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE D .11 PERMIT NO. A routine inspection indicates that Wfollowing 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. nspector_90;*—Date__L2�_—� • COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE )z.3 -q 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. I A 43 W VIM— - 1 . 1 ,� /� Inspector /i"'O "l/ Date /f t C COUNTY OF BUTTE -;DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIONAND PERMIT %PERMIT NO. / � O ASSESSOR PARCEL NUMBER .5-6 —z — 3 ZONING _ BUILDING PERMIT OWNER ,I-AeOt3 Bim- ��L TELEPHONE' 3 etZ—ti SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILINE ADDRESS Za CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ •ARCHITECT OR ENGINEER r LICENSE NO. Plan Checking Fee $ JSP Penalty $ ° AR�HITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILaIG ADDRESS r S7, � � PLUMBING PERMIT Filing Fee 10.00 9 6 - Each Trap 2.00 Solar Water Heater 20.00 Q d?r Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP ?-6 Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome'�4 Other SPECIFY Building sewer 5.00 Mobile Home(LIS'G W 110-00e TYPE OF WORKPermit New [_1 Addition ❑ Remodel ❑ Utilities Instal lationf Other E] Describe work: Fee $ Bd Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 ��qp� • D/w Main service EA. ADD'L 100 AMP 2.50 Z50 NEW CONST. // DWELLING OCCUP,& OR ADDNS, l ACC. BLDGS. 2h2sgft CONTRACTORS LICENSE LAW p y p f y (check one): I declare under penalty Of perjury ) ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business20®S0C and Professions Code and m license is in full force and effect. y 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 CONSTR ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR.POWER APPARATUS &' NON-RESID. ( SINGLE OUTLET CIR. Ex. Occup(o X OR FIXTURES 9AL108o IED A PLNS R Ex. Occup. OUTLETS (RESID,)EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 -C6 Misc. Wiring 15.00 ✓�s� Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 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. rV 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. 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 agains said C my in co equen a of the granting of this permit. X Date ASC i ature of Applicant - Owner( ontractor ❑ Agent ❑ n OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures,(ov)er 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ ql-74VO OCCUP. GROUP TYPE OF CONST. PARCEL PD HD 1SSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE Ofi OF LIC By L PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. v / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND'PERMIT PERMIT NO. i ASSESSOR PARCEL UMBERZONING BUILDING PERMIT OWNER 1 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS r CON A/1-1Z— C�TfOR'S NA]TELEPHONE ' CON R CTOR'S MA LING ADDRESS " _6 ca = I I 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 $ /^40 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING O RESS`^ S d / Permit fee $ J D PLUMBING PERMIT Filing Fee 10.00 3� Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeE�'Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK rte / New ❑ Additi ❑ Remodel ❑ Utilities [:1 Installation U Other E] Describe work:c -- ,i-�'^W (L _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V DR 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): 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. _�L�'�Q Classification r '? ❑ 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.8d) , �22sgft NEW AMULTI-OUTLET CONSTR NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CAR. ) Ex. Occu zALO 30 p�OUTLETS OR FIXTURES .200030 Ex. OCcUp. OUTLETS P(RESID IREA.) 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. __'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 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 slid Co t'y in conse nce of the�gr`anting of this permit. X Ute,. Al" Date �<«S Signature of Applicant — Owner ❑ Contractor Q- 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 $ ,010 Energy Inspection Fee $ TOTAL PERMIT FEE VS $ OCCu P. CONST.Ty_PEJ I FLOOD PARCEL I PD I HIF 1 I59U This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC BY PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date '• a</ Receipt No. —f a�% Z� WHITE-D.P.W.. TELLOW-ASS E990R. PINK -INSPECTOR, GOLDENROD—APPLICANT BEDROOM 13o-3" I NO FAMILY Room LIVI413 ROOM 13'-5 ----------- 11 II I II r �D DINING II I 11 MASTER l N Room Om. BEDRO -3 9'-3" 18'-3" Ir .0 17-1 u 515 *64x24/24x10 2 BEDROOM— TAG KITCHEN/DINETTt. FOYER KITCHEN-- —FAMILY ROOM -2 BATHS— 18'-5 z . . -3" " 5.' BONUS ROOM—WITH 2400 TAG'ROOM ... .... ... op _r.�<"(\ n ------------- 0 -a C BED L BONUS ITCHEN V to 131 ROOM ROOM G& 15'-0" M C 14'-1 to r CA rr wprl b0. tp CA Q MASTER FAMILY ROOM L[ BEDROOM = 17'-4". 4 N tol�� 50 x24 2 BEDROOM=CENTERXITCHEN FAMILY. ROOM— 2LO HS ONUS ROOM ------- 00. _1A - . op BONUS DOM z KITCHEN BEDROOM DINING 134 'A.T.1 15'-0" ROOM IEF 10'4" 00 MASTER LIVING Room BEDROOM 0 151-5ol FAMILY ROOM .503T *64x24/24x10 . 2 BEDROOM—CENTER KITCHEN --FAMILY'. ROOM -2 BATHS— Ila BONUS ROOM—WITH 24x10 TAG ROOM 507 *56x24 2 BEDROOM—CENTER KITCHEN—FAMILY ROOM -2 BATHS —BONUS ROOM eE c""""c" 0 BEDROOM •i �� it ii it ii ii BONS -0 'KITCHEN wzoh' ~: oo DINING 10'-3" I. e is 12°-3„ ROOM a II EI II _ ;• DINING/LIVING ROOM m Sy 3 - `: wFl e•e`_ p elL DIC _— Ort. _ �o� I:- �' ' ^` in V I - MASTERFAMILY 1 II II II' II 11 III i+ LIVING ROOM o BEDROOM � I ROOM � 16'-11" I(�1' LI[_] 13'-4" D[LEtfFD 507 *56x24 2 BEDROOM—CENTER KITCHEN—FAMILY ROOM -2 BATHS —BONUS ROOM BONUS BEDROOM BB,M ;DINING/LIVING ROOM;! of14'-3"O = 3 •ix[0•LL L�WxO I i � I I ____-----_--1L _------------------ ____i tx¢D e•e i i \ LLI'�,� RRRRme ' U lxOwF• O MASTER ! KITCHEN; , LIVING ROOM :tx BEDROOM ! 11'-10" 18' 0 16'-0" 516 *60x24 2 BEDROOM—CENTER KITCHEN -2 BATHS—BONUS ROOM _ •i �� it ii it ii ii f" r I n "' ` I. e BONUS BOOM '. "•.•• a II EI II _ ;• DINING/LIVING ROOM m Sy -r BEDROOM..' - `: II 11 '-0f f EF _ �o� I:- �' I I II li- II • 28LO L II II ^` in U K ^ s 1 II II II' II 11 III i+ •�< �: O s.o.i � I � � I i L-- -- II 1 I I c•Einsi ii:.i.a I I I II r�rc o �: 0 KITCHEN ° li I 11'-10';' LIVING ROOM_ I, iri .e o lD x ooa 11 Et D t I MASTER BEDROOM .e 519T *60x24/24x10 2 BEDROOM— CENTER ' ' 17'-0" KITCHEN -2 BATHS— " BONUS ROOM—WITH 2400 TAG ROOM BONUS BEDROOM BB,M ;DINING/LIVING ROOM;! of14'-3"O = 3 •ix[0•LL L�WxO I i � I I ____-----_--1L _------------------ ____i tx¢D e•e i i \ LLI'�,� RRRRme ' U lxOwF• O MASTER ! KITCHEN; , LIVING ROOM :tx BEDROOM ! 11'-10" 18' 0 16'-0" 516 *60x24 2 BEDROOM—CENTER KITCHEN -2 BATHS—BONUS ROOM FA OWNER PERMIT #'7�_ MH UT IL. CLF.ABWCE DATE Z INSPECTO ELE TRIC GAS Support Compaction c Str . Test Req. service ; ize Other Load Type Pipe Size Length YES NO . NO C7 , I- 66< - BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive," Oroyille,, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. owner's name: f%vj-/,dT Co is L- E M A.F- J0,6 2. Installer's name: Uac,�„ 3. Is the site currently under permit? Yes / No _� • (If yes, furnish permit number OR Is the site an existing site? Yes / •E No (If yea,' furnish two (2)� plot plans.) 4. Will the mobilehome be locatedatleast 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No /+ / ( If no, clarify S. What is the mobilehome electrical rating? ----------------------- (� fps 6. What is the mobilehome site service rating? --------------------- 2 ® Amps 7.. What is the mobilehome site circuit breaker rating? ------------- O Amps 8. Is there any other electric load=,to be served by the mobilehome siteservice? ------------------------------------------------- - ;Yes No (If yes, identify the load and size: 11 (Load) 2-0 (Amps) . 4 9. What is the mobilehome site gas pipe size? ---------------------- 3 l� (•) 10. What is the type of gas service? =--------------------- -------- 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.) ® BUTTE COUNTY. BUILDING DEPARTME%1`�` APPROVED � MOBILEHOME SUPPORT DATA If gtiier..than single wide, Mobilehome Mfr. SX YL -//y C- furnish Setup Model No. So 3 Year O ydidth (ft.) Box Length 46C,4 (ft.) Tagalong or Expando Size y7- ft. x �— ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 197:3; 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 (ft.)(in;) Center support locations* /3, V (ft.)(in.) 1/7, (ft.)(in.) c3e%14?io q7 1q#0, 's3 ` *11 (ft;.)(in.) (ft.) (in.) 'r 4 *If center piers are other than drawn above, draw in -locations. spacing, and dimensions. �_,- ;Ji S Footings (check one) ^� Wood either . LY. j• pressure treated or foundation grade. D 2. Other: (specify) Supporte.(check one) L1: Concrete block. .2. Other. (specify) Tagalong or Expando,' show support details. J -- Typical Support in.) Footing Size -- Max. Pier Spacing -- Max. Overhang Utii` j 4 ft. direct half o mobil o' 10 Q. A vAll be re�,t�d�nma installation of th2o for . c nnections shall be wi f tie mobilehome, eithe y ehind or within the F t ie roadside (left) of tN C r 0C)G.HI SB i4C gcs MOTE:—All Materials & Workmanship Sh li Bei.► Accordance with Recognized Good Pract c s anc of a quality prescribed for the S^-cified u e in the Uniform Building, Plumbing « V,'cchanic 1 ode -s and tho National. Electrical Code. This set of plans and specifications MUST t on the job at all times and it is unlawf r' make any changes or alterations on same x _fi anrral ten i;sion from the Departmen j \ :Bice. erd'orksr County of Butt. l Its c�o�s i �a IAS A setback of from the property lines and a setback of 50ft. from the road centerline shall be clear of r tructuros or equipment excQpk e, overhang. i 1 . ,btu j; Y b It 23 -8 BUTTE COUNTY BUILDING DEPARTMENT APPROVED l 3 a . �. (` 4o,a Ae2Zs R P/4 +i+ NOTE:—All Materials & Workmanship _Ihal Accordance with Recognized Good Przctic; of a quality prescribed for'the Specified use Uniform Building, Plumbing & Mechan cal a^d the NwationaP Electrical Code. \ This set, of plans and specifications AA kept on the job at all times and it is unla make any changes or alterations on. Sam out written. permission from the Departrr ki Public Works, County of Butt. I Ze SIDES¢EAR— A setback o? from the '. property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment exce dor a 2 ft. eave overhang. 9 Ja cOL �-,6 e v v y Be in I s and in the :odes .t Ret��cn to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT -=--� PATY RHOWN Section 26-5.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. Arc The property described herein is adjacent to land or included tf within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date:4 PROPE Y OWNERS: - - e r=, State of California ) On this the 17th d4 o€ i July7'.-appeared before SS. me, the undersigned Ndtary Public, personal County of • Butte ) Jacob Lemberg and Beverly J Lemberg f Personally known to me. L / Proved to me on the basis of'satisfactory evidence. to be the person(s) whose names) are subscribed to the within instrument and acknowledged that thpy executed the same for the purposes therein contained.— IN ontaine .IN WITNESS WHEREOF, I hereunto set my hand and official seal. OFFICIAL SEAL F.INMTH MC AV Y °o NOTARY PUBLIC CALIFORNIA �•� : BUTTE COUNTY Notary Public Present A.P. No. '5Z.... 02V /y,3 ~^ ` .GRANT PE m AW his wifii GRANT- JACOB LEMBERG, and BEVERLY 4ANE as jointTenants,au din mal property situate in the - FF State of C&lifqrpia,.de$cr*bed as follows: Cou�nty of tion 3 ier'of$outhwezt quarter of Sao, lar ship 24 No.thq Range East, South hal,f'of Southwest uart' 'i,:6f Nor west qua., Sectio Township '?4 g ';Jeed to EFROM 4one-aCt reel, described in', r to the' Soilthwe'st foot ,THFREFA014 the' - "d recorded VV ly 74 1 14 40 4 1 IT 10 1 1 41 004 7' Nato P*jij colt go 0 Pa 0z"m 4Wv .1�! XIFAL&-Co_� RDS Of - Cow, uTTC Vow It wiiam so Ow To WAR t'' . "". Al 57 AV MQ I f asq vW14 um &OWN, i'4 C40POW do to vow, a "*p$IV a wwow to fts labs ka Was AM OWN10004m, St was of 0". ,`� ,K �P � � t '`. P fyq�f .� �UtL11 .•�:t'(.•��i7�.T:::«.r.7:i Mi•' .'.r � r ,. 01066". 41 Ova" 00 au Ax PAW Lxmulkc. his wife POO VAIAX XZCMVEI� ,iceLMUC snd arjMY JAIS at" as his sole and sapsft iste P"Pty, on y4ftelftSecti o of a portion of the went belf of Mich to of, ch POTC41 "so ww all ain tits Get6bor 31, t9*6 LID 1"k Of. ttio O"ONAS1,69 tb* Cousky At Cutts, 9tate of G*Uforuids- UJr, -Beverly Jane La** Jane StA'MOP CALOOMA V1 ry Mr kw" so 0* to bs dw pwmmF— abwrftd w me Nob kwfwms. MA &*rawt*Spd is m Ila ,. 1C.lsaCawtlsrld'dMs ants. Poi. MOTARY SEAL 00 WAMP WAtnit 0. SUM MIS NCYAWIF putttC - CALIpARrIlA PROtOPAL QaXt, 0 sulls COMM 16T ODAW'Urm WMES OCIOU2 1. I"S O"%a WAIgoom As cmsgcm ASOVII COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, CaN67itra 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSM PA CE NUM ER ZONING Y BUILDING PERMIT OWNER TELE' / `ONE SQ. FT. OCC. BUILDING VALUATION OWNER' AIL G ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ +9.00 LENDER'S MA LING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 11(1� ILI- LICENSE NO. I Plan Checking FeeM $ /,3760 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ v BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 IL -T SUBDIVISION NAME PARCEL MAP 7 �i Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome��ier SPECIFY Building sewer 5.00 Mobile Home 110-00ed () TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other ❑ Describe work: — Permit Fee $-Q Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 00 10. 0, o Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2I/4sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): F-1 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-7ZIA ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U TI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS & NON.RESI D. ( SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES a0 50 FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Sc �U 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 shall 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 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 aid County in consequ nce of th granting of this /per mi X Date ` i OtUre of Applicant — Owner Cant Cr r ❑ Agent n OSHA permit is required For excavations o r 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. I V IF PARC P HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTME,NT OF PUBLIC WORKS PERMIT NO.. - 7 County Center Drive - Oroville, CalIfor6la 9596�s - Telephone 916/534-4541 G APPLICATION=AND- PERMIT ASSESSOR PARCEL.NUMBER _56 � � �f BUILDING PERMIT OWNER7//J `'/jJ TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER' S�f�4AILJNGADD�RJESS 00Y CONTRACTOR'S NAME 6)&1.J A/ a^-41 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER A/jN' £ UNKNOWN Total Valuation $ Filing Fee $ X10:00' LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER A/ f LICENSE NO. Plan Checking Fee/ljifw $ U J Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ D U BUILDING ADDRESS ,/tea �` � ,,.,// PLUMBING PERMIT Filing Fee 10.00 / Each Trap 2.00 Solar Water Heater 20.00 1 6/%Li( f4lx6x'ri � 4a—xfj�/�G,(/( �t Water piping 5.00 LOT NO. SUBDIVISION NAME I PARCEL MAP 7 f, %iY/ Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ®— 0-ther SPECIFY Building sewer 5.00 Mobile Home &S' (sr Ohl 0.00 e TYPE OF WORK /��Permit New F-1Addition E:1Remodel [:JUtilities ® installation[]Other ❑ Describe work: — Fee $ ZfQ, Q (� Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 ��• �Q� !�� 00 AMP MEW 2.50 Cain ONSIT.e DWELLIINGIOCCUP.& OR ADDNS. % ACC. BLDGS. 2'/ZOsgft 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 NEWNON-RESIT R. BRANCH CIRCUITS2.50 ea NEw CONSTFL POWER APPARATUS & NON.R ESID. SINGLE OUTLET CIR. Ex. OccupBAL@30 OR FIXTURES nALe3oc FIXED A Ex. QCCUp. OUTLETSPLNS (RESID )REA.) 2.00 - Temporary service 10.00 Mobile Home Facilities 15.00 S, OV Misc. Wiring 15.00 7 J l�✓�f� !N Sr V U Permit Fee t $ 3-U 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. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 pre7rmit X -y?`r" fir-. -_ '�� '�h�/t7 Date �U ! Signature of Applicant — Owner Contractor ❑ Agentt2/ `An OSHA permit is required for excavations over5'0" deep and demolition or construct- ion of structures over 3 storiesin height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ Q OCcUP. GROUP TYPE OF CONST. ✓ F PAR ' �/ I NDi •V/ IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. P WORKS Date Receipt No. WS^_77 / WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ' - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET / Permit No. OWNER Z", X ��i �O �� A. P. No. Proposed Bu+I-d•i•ng-tJ,Se Permit Fee Based Upon: - Complete Contract Price Z --SDP Valuation /—�dher (E)(pl-ain)) Building Inspector l _�J�% GI�A' Date At time of permit application, I was advised the follow'Iir , data musf`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 and AC Buildings. 8. Fees of $ . . . . . . . . . .—Letter of signature authorization../ _ . 10. Sanitation approval from r i e --,o Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12., Certificate of Workmen's Compensation Insurance. . . . . . X13 Contractor's License Information (no., name style, classif.) SIL X14. Owner -Builder Verification (Given to owner g- , Mail to owner ❑ 15. Improvements may be required.. . . . . . . . . . . . 16. Mobilehome Installation Data. : . . . . 17. Pre -Ins a tion for •} Required- request to (Dote) P q Building'I,speJor �d* Other �G�Go�GQ�O� e O When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/i;7spector.. Other Applicant _ ,� SDate Copy of plans .sent Health Dept., Fire Dept:/ Other 1/ Date v During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of`applicati n, circle item,) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other Plans checked by Plane q nnrnvpri h, Other, By Date Copy -DPW TO: Building Department FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance Owner Location AP# , Plann approved for; sewage disposal water supply ` Hold final -for: water supply Final clearance O.A. for: water supply Clearance for Z bedroom mobile home. Other Note*** LriaA 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 in your name and bearing your signature.* Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 11. 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) h g) (t -e- • 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: . / /,-, Address. City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following ` person to coordinate„ Axaervise, and provide the major work: Address It City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to•provide the work indicated: Name Address / Phone Type of Work S igned : . �-a`" U Property Owner Social Secur y mber 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 permitted to issue the permit. I setback ofZKt. from operty lines and a set.' 50ft. from the road nterline shall be dear 'uctures or equipment r a 2 ft. eave overham FLI f"1ze4-> AX permit will be required for th6 a�stallatioei of the mobilehome. -Gir-N= Ut111fy connections shall be with -11A 4 ft, of the mobileli- rMi ;, either; directly behind or with,,, the rear half of the roadside (left) of the mobilehome. This set of , Ions i�.d specn tions T b• �L; �� kept on the job a` all Mmes anc8r'it is unlawf At ' make any changes or erat�,n�r scarr s- i ,5� t written permission from the artm r ojubl°c 1 .....: Works. County of Butte. . Pzzc.e( OSS-aV-o- lq3-6 ;,- J' 2,3 I 15xj a / i4-. TE:—A,H Materials *9 Workmanship Shall Be nc; A cordance with Recognized Good Practices arra of. a quality prescribed for the Specified use iii 'the Uniform Building, Plumbing & Machanical Codes and f# National Electrical Code. BUTTE COUNTY BUILOING DE:PA R,T )JT ArF- ti C) O o. 4 Z I setback a .fro P9perty lines and a s ' 56ft. from the road interline shall be clea puctures or equipmen r 6 a $t. eave overhar ke/�� p 't �►i!� 6e required for f94ensta110tion of the mobilehome, lltilify connections shall be with n. 4 ft. of the mobilehome, either directly behind or within the rear half of the roadside (left) of the mobilehome. This t bf anal s p hs Ai , pecific T / U �. ept on the job at c,,. times-ond it is unlaw 1 ID�' mn4e any changes or off eo : 4•;ans on-su out ►� written permission from the Depot o Plic \A,4or1 ,-C runty -&f eo%:ittte.. '6-1-e r—'r 7 �� C BUTTE COUNTY" <. T BUILDING UEP .Ri AP V Workmanship Shall Be "6;' g.oTE:—AI1 Materials & Recognized Good Practices and Accordance with rescribed for the Specified use in the of a quality p Plumbing & Machanicol Co:f.es avid i UnifoTM Building, te National Electrical Code. Owner • 11%1 DFS FOREs� Address: MOTE : P4 Tenant: Building Location: Type of Inspection requested: BUTTE COUNTY DEPARTMENT OF'PUBLIG WORKS SPECIAL INSPECTION REPORT •;q PP. •7 Ml1-9--. W. OF NlaY32, / 5 04) 6A7� SI bE5 Or 2014/) / / 1. Housing LL 2. Financing ]Er4. Other (spec Present use of bui A. P. Date of Inspection ,Z O Inspector 3. Change of Occupancy to A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connectlon to water -.supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: ' 3. Fusing: 4. Comments: D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments (continued on back) E'. ` Other 1. Maintenance and repair: 2. Fire hazards:_ 3. Safety hazards: 4. Weather protection: S. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildines 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restz-oom floors and walls: 5. Exits: 6. Improvements• 7. Zoning:_! 8. Comments: _ G. Field Problms or Violations 1. Problem or -violation (give complete descriptimn): 2. What action taken (give complete description): 3. What actiJn recommended: %] A. infor:aation only - file. B. Hold for ten. (10) days, then write letter. C. Write letter. % D. Other: