HomeMy WebLinkAbout056-320-007i AP 56-32- r�
E RNE S T W. MORENO
e/s Hwy 32, a mi. ast lid I ge
Xrmit#
ad, Forest Ranc {}
4523-74P,E t� l.l;�MH) 2 �i2, ll� g- �? ��
AP 56-32- 7 . � + 9
Permit/# 3282tL
Issued - / - %75
ELEC..
GAS -7 1,/ /-7_ ,
rR
SUPPORT STRUCTURE REQ. Gjp
COMPACTION TEST REQ. no
56-32-7
Ernest & Marlene Moimo
SE corner of inters
.of Hwy-
waters
wy-waters Rd., Forest Ranch
Permit #_5242_;i-9B,P,E,M(new st07
e
family) -el'93
56 32-7
permit #5595-79B,P, ,M(new private de
,arage )
Permit#2435-81B(1 -t renewal/5595-
79)
56-32-7
Permit�2436-81B(ls enewal/5242
79)
056-32-0-007 92-3412
MORENO, Marlene �.Q3
5242 Headwaters Rd,. F est Ranch +
(permit to comple #5242-79 & 5595-79)
056-320-007 94-0619E,M/
NAGEL, JAMES �'f-f,�►^�-�- 3�7y/1��/
5242 HEADWATERS RD., FOREST RANCH
CONT: JACK YODER
NEW HEATPUMP/SF
056-32-0-007 96-2824
NAGEL, JAMES
CONTR: FLINT CONST., JIM
5242 HEADWATERS RD., FOREST R
GENERATOR BACK-UP//SF
f �� 7
I
i
s3 'tnn—n
PERMIT
N0. —5242 79),r'zz
• � � {
PERMIT EXPIRES �•
Ernest & Marlene Moreno
OWNER
" CONTR.
owner n
56-32-7 v
LOCATION
(A.P. )
�ZuZ
SE
corner of intes.of Hwy 32 & headwaters Rd.)
Forest Ranch
i
i
031
..
Temp. Power Pole
Called PG&E
i
E'1'ec. Serv. 6
Called PG&E i
I'
Temp. Gas Serv.
Called PG&E
JOB
FINALED
V
(Date)
—.
(Signature)
r
f
t�
'COUNTY OF BUTT*-,, DEPARTMENT OF PUBLIC WORKS •K
BUILDING INSPECTION RECORD
B ILDIJ G
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Idg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwal l
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for ph sically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping &Test
Temp. as
Slab
Final
Sanitation
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rou h
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE 4PRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES ------------------ Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MIOBI E MEINSTALLATION - - - - - - - - - - - - - - Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE REMARKS OR CORRECTIONS
J�
I
(NOTE: An entry must be made on this form each time you visit the job site.)
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From,: i;nvdxonmanta? Healtih
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RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX, & MISC. ONLY)
Bldg. Permit #
A.P. # 4
A. GENERAL
Zoning requirements (sideyards and parking).
.2. Valuation.
Signature by R.C.E. or Architect (if required).
B. PLOT PLAN
Complete parcel size and dimensions.
Setbackq, sideyards, easements, etc.
jOther buildings or structures.
Grading, fills, drainage.
C. FLOOR PLAN
,,- Complete to scale plan with dimensions,
�2!"* Required windows -for light and ventilation (Sec. 1405). ,
�3.-'Required windows for second exit (Sec. 1404)...
Allowable glazing for energy requirements (20% max. per.State law).
�5 Human impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1407).
G.F.C.I.'s in baths and exterior outlets (Sec. 210-8).
Light fixtures, switches, receptacles, and-ext-&r#orrecaptYE-1e-sr-fo'r-maintenanrce-of
meGhan i:ca1,-equ4pment .
191.71 Llocations of water heater, b atmngo&-cooxlAirtig�- equ- pment, other electrical or gas
equipment, and plumbing fixtures.
Garage firewall, door.size, and closer (Sec. 503(d)(4)).
1 - 3'0" exterior exit door (Sec. 3303d).
,1b2*.'o Fireplace location.
1-3to Smoke detectors.(Sec..1413). Z
D. STRUCTURAL DETAILS
il!• Foundation plan complete enough to construct building.
.,�,2110 Floor construction details complete enough to construct building.
Elevations and wall construction details complete.enough to construct
/4 Roof construction details complete enough to construct building.
i Fireplace construction details and calcs if over one-story in height.
,fi,;O�Sufficient data and details to satisfy energy insulation requirements
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
CCX plywood on exposed locations and overhangs.'
/e" Stairway details (Sec. 3305).
Guardrail details (Sec. 1716).
a Brick or stone veneer (Chapter 30).
Exterior plaster - weep screeds (Sec. 4706 & 4708).
�6 Proper roof pitch for roof covering (Chapter 32).
a,7< Rafter ties -or bearing ridge beam.
Garage door or porch header sizes.
Adequate bracing.
building.
(State law).
Living area over garage - complete 1 -hour separation required including supporting
walls and posts, etc.. I.. '
Two (2) exits on three-story dwellings (Sec. 3302).
.
1. Water Heater --
2. Water Pipe'
3. Drai#i-,P e --TEE
PLUMBING--Abovel Floor
Permit No. . �Zr
t Inst. properly{--Access--Combustion_ Air
& Anchors,,-
, _
-Fitt lt5 s & A n4kors 42"
4. Shower Pan --Test first floor —1-b Acces
5. Test Tub & Shower, second floor- Tub Acces
7. Sign Job Card
AL•L OF ABOVE COMPLETED M EXCEPT /
Sice!d,
ABOVE LISTED CORRECTIONS COgPLETI',D
Date:
Date:
ELECTRICAL --Above Floor Permit No.,5 (
_1. Clearance & Insulation Protection at Flush Light Fixtures
F1 Pr'. _ RPC`Pnt.A(`1 PG Sna('ari PrnnPr1 )r--T.i ohtc Rr Rwi tr}•hca a+ T)nnrc
Cm
�5A. Equip. Ground made up w/Mech. Fasteners
6. _lance17.i.rcui s
7 -8u ee ers--p
8. Service= -Riser Conductors & Groux,,.d
9. ZZeR_Gas & V atPr p= -1,e
10 osigh - ""t
11. Sin Job Card
ALL OF ABOVE COMPLETED EXCEPT
Signed: r� ate : -f -
ABOVE LISTED CORRECTIONS COMPLET71 Date: *!;-) - .41—
PIE.M ANIC.AL--Above Floor Permit No.
-
2
3.CL
en s a t e i n& ve. i^
4 nst. Proper y --Access-- omb. Air --Return Air Ventj
5. .Attic Acce �" & Platform if Furnace in Attic
o. Sign Job Card
A T.T n'W A T MMI r' n-MT)T' M -C n i1 �vn7nm e
r .. -
Signed
ABOVE LISTED CORRECTIONS COMPLETED
Date:
pau J T co,
C"Ll"%w1aadNOD
V- ,�Ta —UB
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r -I C1U_rT_I.j_W00 aA,'J'lqv do a1v
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'TaGuoud
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K-caacLoad P@O-e, s • e
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T.
1
UNDERFLOOR Permit No..., . "
1. Setback—Easement
2..N'ootings & Stemwall--Steel.-- - 1 & 2 story--Block-outs--Elect.Ground
3.. Piers --Fireplace Footing & Steel
4. Plumbing--Drain-Fall-Fittings--vl-.rapped in Concrete 42" test
5. Mater Pipe --Test & Anchors
5. Electrical
7. A.C. Ducts --Clearance- Proper Ma4•erial & Surmorts
8. Girders—Sills—Anchor Bolts--Jo-sts--Vents
9. Sign Job Card.
I
All OF ABOTE .COMPIETED PT
�.Jt-
Signed: Date:
ABOVE LISTED CORRECTIONS COMPLET.FD SIGN JOB CARD
Signed. • Date:
1
P
" FINAL' Permit No .j,a ll(z
1. Entrance Steps, Door & Sidelight Protection
2. Smoke Detector t
3. Furnace & 'dater Heater --Vents, Clearances,Combustion Air
4. Bedroom Exit & Glass Protection
5. G.F.I. & Bath Fixtures.
6. Electric Trim.& Sub Panel
7. Stairs & Rails
8. Fireplace or Stove
9. Electric Outlets at Wood Panel--'nt. & Ext.
10. Fixtures & Appliances in Kiteber.--Grounded
11. Electrical Outlets & Receptacles at Kitchen Counter
12. Fire Door to Garage & Swing
13. Proper Type A.C. Duct in Garage ---Damper if Required
14. Furnace & Water Heater (if in Garage) off Floor & Vents & P,R.V.
15. Firewall & A11 Openings in Firewall
16. Electrical Receptacles in Garage (G.F.I. where required)Romex protect
17. Type Insulation --Attic & Underfloor
18. Steps at Ext. Doors & Landings Where required
19. Guard Rails and Deck Construction
20. Foundation Vents & Crawl hole Door
21. -A.C. Unit --Disconnect, Clearances, Breaker & Conductor Size
22. Vents Above Roof --Plumbing, Appliances, Fireplace
23. Water Well --Disconnect, Electrical, Plumbing
24. 'txterior Electrical Trim & G.F.I. Receptacle
25. Required Ventilation Throughout House
26. Corrections from Previous Inspections
27. Meters Tagged --Gas & Electric
28. Energy Compliance Certificate
29. Sign Job Card
ALL OF ABOVE COMPLETED Q EXCEPT
Signed: Date:
ABOVE LISTED CORRECTIONS COMPLETED SIGN JOB CARD
Signed: Date:
). Electrical
A.
Is
service large enough to provide adequate amperage -to mobilehome (must equal ru=ing o:
mobilehome with a minimum of.10 mp) and other facilities on lot, i.e., water pumps),.
garage, cabana, etc.? Yes No
B.
Is
there proper clearances. around panels? Yes o
C.
Is
power supply cord or feeder assembly properly fused? Yes o
D.
Is
��
continuity test satisfactory as per the following procedure? Yes N'� o
1.
De -energize electrical wiring system of the mobilehome at the pedestal.
2.
Make sure that the power supply cord or feeder assembly conductors, including neutral.
conductor, have been disconnected.f
3.
Switch all breakers and switches in.the 'mobilehome to.the "on" position.
4.
Connect one lead of a test instrument to the mobilehome grounding conductor and
apply the other lead to each mobilehome supply conductor, including neutral.
5.
All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line,
water line), including fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conductor.
6. . Upon. completion of" the above. procedure,=.the power supply cord or feeder. assembly
". conductors -shall. -be- connected: -to the site service equipment-. A further continuity
test shall:then-be- made. between --the- grounding electrode and -the- chassis_ of the
mobilehome. . Upon :satisfactory. completion, of the electrical. tests, the lot or site
'service equipment: "may be approved.for.energizing.
10..Is job card signed by Health Department for water and sanitation?
11. If everything okay, sign off card and'tag services.
MOBILEHOME DATA
Manufacturer- and/or" Narne-style
Length, Width C_�
Vehicle Serial No,
State Identification No.
Additional Information or Comments:
0
MOBXLEHOME INSTALLATION INSPECTION CHECK LIST
1. Is the mobilehome located witequired separation from lot lines and buildings and generally
conform to plot plan? Yes No
2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes ` No
3. Are footings and supports properly sized, spaced, and braced as per approved plans?. (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No
4. Is -the mobilehome level? (Sec. 5088) Yes'No
5. If more than a single unit, are crossover connections properly installed? (Sec: 5088) '
Yes No `
6. Water
A, Is flex" e connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes No
B. .Test - Does water piping withstand working pressure or 50 lbs. air test? Yes'— No
C. Backflow - If coach is not State o alifornia approved, does station have backflow device
and pressure -relief valve? YesNo
7.` Wastes and Drains
.A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yesre No
B. Does it have:,:minimum 4" .per foot slope and is'it properly. supported? Yes No
C. Are any leaks detected in drainage system after running 3-ga ns of water through each
fixture including washing machine standpipe?, Yes No
D. If coai.s not State of California approved, does station have required trap and vent?
Yes
8. Gas Piping and Gas Vents
A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum
mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as
large as the mobile �e gas line inlet without reductions other than the mobilehome
connector. Yes No
B. Test OK as per following procedure? Yes__ N� o__
1. Open all appliance connector valves.
2. Shut off appliance burner and .pilot valves.
3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum
6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test.for 10 min. without
drop.
4. Connect gas meter to mobilehome with connector, turn on gas, test connections with
soapy water.
C. Are all appliance vents.properly'installed? Yes' No
f
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
!/ 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR P RCEL NUMBER �
—%
ZONING
-7-A4.6BUILDING
PERMIT
OW ER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
O R' MAILING ADDRESS
rb -0 C9_6 --1 ro resT ,qnac;i-k CA 951 y Z_
CONTR AC TOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 155,00
Permit Fee $ 52.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
5242 HEADWATERS ROAD FOREST RANCH 95942
Permittee $ 67.50
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF [5� Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home I S I G JW I @ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: PERMIT TO COMPLETE WOt k STAfTEh _
_(I bloce Re* SZ411;k n 79 AANp .55t?5
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service R LE
200A OR LESS 18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 Of the BUSIneSS
and Professions Code and my license Is In full force and effect.
Icense 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
Main service 200A TO IOOOA)
_37.50
NEW CONST. / DWELLING OCCUP.&1 3.6Q sq.ft.
OR ADONS. 1 ACC. BLDGS. II
NEW CONSTR. MULTI -OUTLET
NON.RESID BRANCH CIRCITS @ 5.00
POWER APPARATUS &1
-SINGLE OUTLET CIR. /
EX. OCCU 20 76
p OUTLETS OR FIXTURES RES
FIXED APPLNS.
Ex. Occup. OUTLETS IIRESID )REA.� I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring '15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT FiIingFee 15.00
Heating
Cooling
Hood 6.50
Ventilation
penult 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 County � co sequence of the granting of this permi
X Date
Sig ature of Applica — Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.0
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
I
TOTAL FEE $ 67.50
HAz
I DFEES I
IMP
I FLOOD
I CDF
I PARCEL
I PD
I HD
ISSUE
�
This permit is hereby issued under the applicable provi
�
sions of the Butte County de and/or resolutions to do
work indicate 0 bove r hich fees have been paid.
F PUBLIC WORKS
BY
PE IT EXPIRES Date — Z
Receipt No.
WNITE-O.P.W.. YELLOW -ASSESSOR. PINx•INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916 '538-7541
APPLIC,ATIONAND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
56 - 3 (`�Q '3' `
Z NTNG {
/�ij�]'
BUILDING PERMIT
OWNER
Ares Ne tev o
TE EPHONE
3 Y5- Z 6
SO. FT. OCC. BUILDING VALUATION
O ER'S MAILING ADDRESS
6, Z e .. Z
Z/
CONTRA�C T R)µ/5S��,t/�AME
t k 1`
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is C> L
LENDER'S MAILING ADDRESS
Filing Fee $ 1 Q
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
5-Z e to
Permit tee $ S
R
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF/K�r`Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00.
Mobile Home S I G I W 615.00
TYPE OF WORK
New❑ Addition' I Remodel❑ Utilities❑ Installation❑ Other,
Describe work: eY�/til( t' �b L� C�/�t 1� ��e E e
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
IL1 SS 5 %
Main service 600V OR LESS 18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 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
Main service 20CATO 1000AI 37.50
NEW CONST, ( DWELLING OCCUP.y\ 3.6Qsq.ft.
OR ACDNS. AGC. BLDGS. //
NEW CONSTR ULT LOUT LET
NO N.R ESID BRANCH CIRC ITS @ 5.00
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES 20 60 76,
EX. QCCUp. OUTLETS PIRESID IRE I 3.00
Temporary service 1 15.00
Mobile Home Facilities 15.00
Misc. Wiring
9 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT FiIirig Fee 15.00
Heating
,
Coo Iin
Hood 6.50
Ventilation
Permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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 Date
Signature of Applicant — Owner❑ Contractor ❑ Agent ❑
An OSHApermit is required For excavations over 5'0" deep and demolitionwork
or construct-
ion of structures over 3 stories in height.DIRECTOR
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $ �-
HAz
OFEE$
IMP
FLOOD
COF
PARC
PD HD
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
indicated above for which fees have been paid.
OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
Receipt No. IR-S/JCJ
WNITC-D.P.W.. YELLOW-ASe[S 70R, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE.-,Aeoartment of Public Works
7 County.Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name'and bearing-'
your signature.
Please complete and return this information at your earliest opportunity to avoid
.unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1.. I personally plan to provide the-ma
'or labor and materials for construction of
the proposed. property -improvement es no) e
.2. I (have/have not: signed an application for a. building permit
for'the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, 'but I:have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the,following
persons to provide the work indicated:
Name' Address Phone 'Type of Work
Signed:
Property Owner
Social Sec u 'ty Z.
'Date �z 4 Z �_
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
V
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PE,RMIT NO.
ASSESSOR PARCEL NUMBER —7NG
ZO
BUILDING PERMIT
owN v
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING APDRESS
i
CONTRACTOR'S RAME
TELEPHO E
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EBO,
Describe wrk�����L� �'%# ,`.��Z��
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OROR LESS5.00
Main service EA. ADO'L too AMP
2.50
NEW CONST. ( DWELLING OCCUP.51)
OR ADDNS. ACC. BLDGS.
20 Sq ft
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 m license is in full force and effect.
y
(cense No. Classification
.I )r 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)
-114100C 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 I.OUTLET 2,50 ea
N O N.RESID BRANCH CIRC ITS
NEW CONSTR. I POWER APPARATUS.9
NON-RESID. SINGLE OUTLET CIR.
so @ asa
Ex. OCCUp OUTLETS OR FIXTURES BAL@io¢
Ex. Occup.(OUTLETS P(RESID.)R EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
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
f Consent to Self -Insure.
L ' 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
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby. authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against s id Couijnty in C se qu of the granting of this permit.
X' dT
Date
Signature of Applicant — Owner H 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 $ 66, on
occuP. GROUP
I TYPE OF CONST.
PARCEL
PD
I HD
I ISSUE
his permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT9R OF PUBLIC
B All,
PIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
AZA /1,17
Date
_
��
Receipt No. Z, 2 s,2
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
r
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.
1. I personally plan to provide the major labor and materials for construction
of the proposed property * provement (yes or no)
2. I (have/have not) Le ---signed an app cation for a•building
permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction.
Name
4.
Address >S�� City
Phone Contractors License No.
I plan to provide portions of this work, but I have hired the following
person to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name^ Address Phone Type of Work
Signed: ::2&-/,;
Property Ownerri A
Social Security n ber - -
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831
and 19832 of the"California Health and Safety Code.
This verification must ,be completed and returned to our office before we are
permitted to issue the permit.
COUNTY 0P LTE — ..DEPA-RTMENT OF PUBLIC WORKS
7 C6unty Cente,Drive- -= Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon t e
above-mentioned property for ins ection purposes.
ZVX Date
Signature of Perrmm{itee or Agent
Receipt No. Sig �3
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
T
th
a
By
B
ee �
TOTAL PERMIT FEE $% - b,
Th
permit is hereby issued under the applicable provisions of
e Butte County Code and/or resolutions to do work indicated
hove for which fees have been paid.
DIR CTOR 0 PUBLIC WORKS
c-• Date 3—e
uilding permit expires Date ;4
L
BUILDING MY 114 z
Owner R—fNEST IIIARLOJE HD��J (j
S0. FT. OCC. BUILDING A ATIO
/IS7 T_2��
Mai I ing Address P.0• SOX SO
57,2, op&uS
°'FFOPZ�ST- P'AtJ � q_G 4Z
Np
Contractor Q ftp !l} Eliz—
Mailing Address
Fireplace W
Total Valuation
Telephone No.
Permit Fee
Building Address 15 COP-AJE 2 /Ai MES
Plan Checking Fee&/or Penalty
Permit Fee //.?-00
/a Oil
}1�Gtl j! 32 /-f ��DltJ/fl�e5 �D-
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 3.06
`
Each Trao g 1.50 12 •69e)
r� / _ ee I,
KJ4� 0AAAP—
Repair drainage or vent piping 1.50
A. P. No. 5(o -3Z-7
�oning & Pla Hing
Water piping 1.50 /1,5-O
Each gas water heater or vent 1.50
F s
S ' ion eDept.
FireZone
Use Permit
Gas piping system 1 -5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bld Plans Recd
or
Parcel Apk000val
Plan pproval
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $ 16, sz)
is S
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 3-40b
Main service 1000 AMP OR01 OR LESS5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L too AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
j q
NEW CONST. DWELLING 5.10
OR ADDNS. ( ACC. BLDG?O 5 20 sq ft . /h
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
NEW CONSTR. MULTI-OUTL T
( BRANCH CIRCUITS 2.50ea
_NON.RESID.
NEW CONSTR. POWER APPARATUS &
NON.RESID. (SINGLE OUTLET CIR.
Ex. OCCUP(OUTLETS OR FIXTI1QES B L@;
FIXED ALNS
Ex. Occup.(OUTLETSP(RESID IKEA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
—L -e r_
I am exempt from the Contractors License Laws of the State of California.
Permit Fee
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
mit 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 Oa
Heating
Qa 7—
Cooling
Ventilation
Hood 2.00 =00
Permit Fee $
$ 1j
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
Land Development F
$ ®c7
authorize representatives of the County of Butte to enter upon t e
above-mentioned property for ins ection purposes.
ZVX Date
Signature of Perrmm{itee or Agent
Receipt No. Sig �3
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
T
th
a
By
B
ee �
TOTAL PERMIT FEE $% - b,
Th
permit is hereby issued under the applicable provisions of
e Butte County Code and/or resolutions to do work indicated
hove for which fees have been paid.
DIR CTOR 0 PUBLIC WORKS
c-• Date 3—e
uilding permit expires Date ;4
L
COUNTY`OF BUTTE.-- DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION
7 County Center Drive — 0roville, California 95965 — Telephone 534-4541
,PERMIT`APPLICATION DATA SHEET
_ Permit No.
OWNER QST MArz l �c M OOF j 0 A.P. No. g ( -Z-.) - -7
Proposed Building Use /
Permit fee based upon:, Y/ Complete Contract Price l,," DPW Valuation
Other, /(/explain)
Building Inspector �/�1� .. Date S2 - 7d_?4,
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or
issuance: - DATE RECEIVED APPROVED
1. All items have been submitted...................................................................
2. Plot plans in duplicate/triplicate...............................................................
3. Complete plans in duplicate/triplicate...................................................
4. Complete engineered plans and calcs.....................................................
5. Plans with Energy Design Compliance Statement ............................
6. State Energy Forms No. ....................
7. Statement of Intent for Non -Heated & AC Buildings ...................
8. Fees of $..................................................
9. Letter of signature authorization............................................................ -
10. Sanitation approval from �/y J 4!9Health Dept....
11. Planning approval for .............
12. Certificate of Workmen's Compensation Insurance ........................
13. Contractors License Information (no., name style,
classification) ...............................
14. Improvements may be required. Contact Land
Development Section of Dept. Public Works (see
addressbelow).................................................................................................
15Pre inspec ion f r re ed Pre-inspec. request to 1 te)
bidg.inspector
IOther
`When you issue the permit, process as follows: 1�Mail to owner Mail to cpntractor.
Telephone and hold for pick-up at office. Deliver w/inspection.
Other
Applicant , df f 4111�w r , AA>.'Date
Copy of plans sent Health Dept., Fire Dept., Other Date—
During
ateDuring the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of applic rcle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Design , caner) as advised of above required data byp one
Mail
B Other
By— Date
Plans checked by—
Date
Plans approved by O7- Date
OTHER:
Conv/DPW
.�•� -: .:.. utte ount
LAND OF NA TU2AL vdEALTH Ai'.iD 3EAU T Y
DEPARTMENT OF PUBLIC HEALTH ,
DIVISION OF ENVIRONMENTAL HEALTH
Addrem 1469 Humboldt Road 7 County Center Drive 747 Elliott Road
. Hepy to: Chico, California 95928 Oroville, California 95965 Paradise, California 95969
Telephone: (916) 891-2727 Telephone: (916) 538-7281 Telephone: (916) 872-6308
• Fax:.(916) 538-2140
October 2, 1992
' Ernest Moreno
RE: Water Sample
5242 Headwaters Rd. 5242 .Headwaters Rd.
Forest Ranch,'CA 95942 AP# 56-32-42
Dear Mr. Moreno:
On September 28�, 1992, • a sample -was . taken of the water from the
well -serving the residence at the above cited address. The water
has been found to be • free of coliform bacteria and is therefore .
considered an.acceptable source of,domestic'water.
Should you have any questions, please contact me at the Chico
office between 8:00am and 9:0.0am weekdays (except Fridays).
Sincerely,
Charles W. Bird,.,R.E.H.S.
Division of Environmental Health!
CWB/gl -
cc:-,Butte County Building•Dept
�� A CLEAN.INDOOR AIR ENVIRONMENT FOR A HEALTHIER TOMORROW
ENERGY CERTIFICATION
E
LOCATION A. P.
DESCRIPTION OF INSULATION
ROOFy
�`
I 11ATERIAL '�D-fJ �'1I_ BRAND NAME
M.
THICKNESS (INCHES) —T THERMAL.RES
,EXTERIOR WALL -A�--
MATERIAL TYPE FIBERGLASS BRAND NAME CERTAINTEED
THICKNESS (INCHES) THERMAL RES. R-
CEILING
BATT OR BLANKET TYPE FIBERGIASS BRAND-NAME CERTAINTEM:D
THICKNESS (INCHES) N q THERMAL RES. R—
Lt�D3E FILL TYPE F' lr BRAND NAME CERTAI[1TEEU
TTICKNESS ( INCHES) /f/ p THERMAL RES. It—
VLOOR, ELEVATED
MATERIAL FIBERGIASSC.ERTAINTEED
BRAND NAME
THICKNESS (INC}IES) THERMAL RES. —
r'.'10R, SLAB
MATERIAL BRAND NAME
THICKNESS (INCHES), _ _ THERMAL RES.
WIDTH _
FOUNDATION WALL
MATERIAL. _ BRANT) NAME;
THICKNESS (INCHES)_ THERMAL RES.
I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED
IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF
CALIFORNIA ENERGY REQUIREMENTS.
HAWKINS INDUSTRIES INC. 622184
FIRM NAME STATE CONTRACTOR'S LICENSE #
Xr,9
Xc,
SIGNATURE DATE
R s R R M 1► R R R R NR -R R. R 11 R R R R R R R R I! 11 R R A R k R 11 R R R R R R R R R R 1F R R 11 R R 11 k R 11 R R R R R R R
I HEREBY CERTIFY THE ABOVE INSULATION AND ALL REQUIRED
ITEMS AS SHOWN ON THE BUILDING DEPARTMENT APPROVED PLANS AND
ATTAC!IMENTS HAVE BEEN INSTALLED AS REQUIRED BY THE STATE OF
CAS JFORNIA ENERGY REQUIREMENTS.'.
FIRM NAME
SIGNATURE -GEN. CON'TR. /OWNER
. T
STATE CONTRACTOR'S LICENSE #
DATE
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Cal fo-Mia'95965 - Telephone (916) 538-754 PE T NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
056-320-007
ZONING
TM5
BUILDING PERMIT
OWNER
JAMES NAGEL
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
5242 HEADWATERS RD FOREST RANCH 95942
CONTRACTOR'S NAME
JACK YODER
TELEPHONE
891-6012
CONTRACTOR'S MAILING ADDRESS
XKEKXXXX 3150 HWY 32 BLDG L CHICO 95926
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 5242 HEADWATERS
PERMIT FEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,QQ
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF M Duplex ❑ Mobilehome ❑ Other
SPECiFr
Gas pipi6g system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New ❑ Addition EIRemodel ❑ Utilities ❑ Installation ElOther
Describe Work: NEW HEAT PUMP
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( 10101 LESS
200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR AODNS. ( & ACC. BLOS. )
SO.
3.5C FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. -4(9(4,329 Classification L-o1Q L-3
❑ I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
-NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POW ER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 eni @ 1.00
Ex. Occup.FIXED APPWS. OR
( OUTLETS IRESID.I EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑This permit is for $100.00 (valuation) or less.
1 have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating HEAT PUMP
is nn.
Cooling 310N
15.00
Hood
6.50
Ventilation
PERMIT FEE $
50 00
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California 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, j ents, costs, a expenses which may in any way accrue against said
County i cons ence of th g nting of this permit.
X Date 3 -' —
Signature pplicant - w er Contractor ❑ Agent
An OSH ermit is re uire for excavations over 5"0" deep and demolition or
construction of structure r 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. rrPE
TOTAL FEE $
HAZ-
D. FEES
IMP
FLOOD
CDF
PARCEL
PD
HO
ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
Indic Ptve for which s have been
BY
PERMIT EXPIRES ON
IDatel
provisions
to do work
paid.
Receipt No. 156331
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
_'!�1',ry'-fa=.,,,,xrr%s��=,:tt�:a+ ..,...,r.:�r.:w='.•3�. ;r:F+,-r r ca..$ e,..:.•.Qaj'i"�`'�'� .••. a:.`.-�'F'1's�:.`a'vyP t,—.t4
056-320-007 -�' 94-0619E,M
tNAGEL,, JAMES
„.
5242 HEADWATERS RD., FOREST'RANCH:
CONT:` JACK YODER
.NEW HE:ATPUMP/SF ;
y
r
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California95965 -Telephone (916) 538-754 PERMIT NO.
APPLICATION AND PERMIT`
ASSESSOR PARCEL NUMBER
056-320-007
ZONING
TM5
BUILDING PERMIT
OJP11'IES NAGEL
TELEPHONE
SQ, FT, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
5242 HEADWATERS RD FOREST RANCH 95942
CONTRACTOR'S NAME
JACK YODER
TELEPHONE
891-6012
DOSS
XXCKXTXXIN315ADD0 HWY 32 BLDG L CHICO 95926
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
5242 HEADWATERS ROAD FORM RANCH
PERMIT FEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF LX Duplex ElMobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other KIT
Describe Work: ![EW HEAT PUMP
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( BOOV OR LESS )
200A OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR AOONS. ( ACC. BLDS. )
8
S
3.50 FTO..
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
(i
License No. q {oto 399 Classification li-3O
C aC) C---39
❑ I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. R MULTI -OUTLET
NON-RESID. ' RANCH CIRCUITS
�° 7.50
POWER APPARATUS
1 & SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
BAL. @ 1 50
Ex. Occu FIXED APPS. OR
p' (OWUTLETS (RESID.) EA. ) 2
5.00 10.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
30.00
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating HEAT Pt LLIP
15.00
Cooling 3MN
15.00
Hood
6.50
Ventilation
PERMIT FEE $
50.00
Contractor
I certifythat I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County inconsequence of the granting of this permit.
r i �Date 3 - 1e� —9
Signature of Applicant - ❑ OwAer Contractor ❑' Agent
An OSHA permit is required. for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee' $
OCC
CONST. TYPETOTAL
FEE $ 80.00
HAZ.
D. FEES
IMP
FLOOD
COF
PARCEL Po
HD
ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated=ab ve for which fomes have been
By
PERMIT EXPIRES ON
(De rel
provisions
to do work
paid.
!�(/
Date JO i I
`O J�-�
Receipt No. 156331
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
L9
056-32-0-(f T' 96 2824�� `
i NAGEL , ,JAMES ,'
q. CONTR: FLINT CONST., JIM i
5242 HEADWATERS��RD.', FOREST- RAN
,GENERATOR BACK-UP/SF
R
y.
i
056-32-0-(f T' 96 2824�� `
i NAGEL , ,JAMES ,'
q. CONTR: FLINT CONST., JIM i
5242 HEADWATERS��RD.', FOREST- RAN
,GENERATOR BACK-UP/SF
COUNTY OF BUTTE -DEPARTMENT OF DEVELRPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California '9555 - Telephone (916) 538-754f / � PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
56-32-07
ZONING
7"1.5
BU LDING PERMIT
JAMES NAGEL
T898-•871 1
SQ. FT. OCC. BUILDING VALUATION
OWNER5_MAILING ADDRESS
PO OX
CONTRACTOR'S NAME
JIM FLINT CONST.
TELEPHONE
343-3354
CONTRACTOR'S MAILING ADDRESS
PO BOX 6105 CHICO •95927
Fireplace
CONSTRUCTION LENDER
UNIOVOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDING ADDRESS
5242 HEADWATERS RD FOREST RANCH
PERMITFEE $
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater 23.00
Water piping 15.00
USEOFSTRUCTURE
SF J Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ZO
Describe work: ADD GENERATOR TO BACK UP ELIC SERV
Mobile Home I S I G W @20.00
PERMITFEE $ 50.00
Contractor
ELECTRICAL PERMIT Filino Fee 20.'00
Main Service000v OR LESS \
( 200A OR LESS J 23.00
Main Service ( 200A TO 1000A ) 46.00
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. 9
License Class 13 Lic. No. (� t ?_ 00 y
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
NEW CONST. DWELLING OCCUP. SD .
OR ( a ACC. BUDS. ) 3.5¢ FT.
CNS.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS ) @7.50
POWER APPARATUS )
8 SINGLE OUTLET CIA.
Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00
BAL 50
FI%ED APPWS. OR
Ex. Occup. (OUTLETS (RESID.) EA ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $
Contractor
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
9
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be c`pmplgted 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 Californi , and agree that i =should become subject to the
workers;.compensation prIons of sgctiorf 3700 of the Labor Code, I shall
forthwith comply with those rovi Ions.
/
X y`` . /�Date _ �_ �Ci
Signature of Applic-ant - ❑ Owner ID,Contractor ❑ Agent
An OSHA permit,is required for excavations over 5'0" deep and demolition or constructionof structures -over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
R3
cor��,,TVPE
Yp
TOTAL FEE $ 93. 00
HAZ.
I D. FEES
IMP
I FLOOD
I CDF PARCEL PD HD
I ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicat7,,bove for which fees have been paid.
BY t//CXk� �-� S-B�^^G'�'1 Date `7
PERMITEXPIRESON 1d 3 -99-
(Date)
Receipt No. 206964
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENTPF DEVELOPMENT SERVICES -BUILDING DIVIS
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 ERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
56-32-07
ZONING TMS
B LDING PERMIT
OWNER
JAMES NAGEL
TELEPHONE
898-8710
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
PO BOX
CONTRACTOR'S NAME
JIM FLINT CONST.
TELEPHONE
343-3354
CONTRACTOR5MAILING ADDRESS
PO BOX 6105 CHICO 95927
Fireplace
CONSTRUCTION LENDER
UNMOWN
Total Valuation Is
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESS
5242 HEADWATERS RD FOREST RANCH
PERMITFEE $
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar Or heat pump water heater 23.00
Water piping 15.00
USEOFSTRUCTURE
SF [X Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent 15.00 15,00
Gas piping system 1 - 5 outlets 15.00 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other X3
Describe Work: ADD GENERATOR TO BACK UP ELEC SERV
Mobile Home S G W 920.00
PERMITFEE $ 50.00
Contractor
ELECTRICAL PERMIT Filina Fee 20:00
Main Service EOOV OR LESS
( 2ooA OR LESS ) 23.00
Main Service ( 200A TO IaooA ) 46.00
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./ 15161Ex.
License Class JB 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
NEW CONST. DWELLING OCCUR s0.
OR NS. ( 8 ACC. ) 3.5{1 FT.
NEW CCONST. MULTI-OUUTLETLE T
NON-RESID. ( BRANCH CIRCUITS ) 97.50
POWER APPARATUS
(a SINGLE OUTLET CIR. )
Occup. ( OUTLET OR FIXTURES ) 2U @ I.00
BAL
FIXED APPLNS. OR
Ex. Occup. (OUTLETS (RESID.) EA ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring GENERATOR 23.0
23.00
PERMITFEE $ 43.00
Contractor
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
9 Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
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
be a subject to workers'
not employ any person in or
compensation laws of Califoould become subject to the
workers' ompensation pr0 of the Labor Code, I shall
forthw c ply with those
o�
X e _2_ 213 ^ `
Signature App ant - ❑ OwnerContractor ❑ Agent
An OSH permi s required for excavations over 5'0" deep and demolition or constructionA4
of struct er 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee Is
OCC
R3
CONST. TYPE
VN
TOTAL FEE $ 93.0
HAZ.
D. FEES
IMP
FLOOD
CDF
PARCEL PD HD
SSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated ove for which fees have been paid.
A Q
By / Date 7
PERMITEXPIRESON l� `a3 -99—
(Date)
ReceiptNo. 206964
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
PERMIT NO. s
Ice -
P
E
M
MH4523-74P,E
PERMITMIT NO.
PERMIT EXPIRES // c;Z 7 Z
]OWNER Ernest W. Moreno
ICON TR. Owner
56-3.2-7
pLOCATION (A.P. )
EIS Hwy. 32, 1/4 Mi. Past 2nd Stage
Road, Forest Ranch, AORNM
,Y
4
4"
t, Temp. Power Pole
Called PG&E
Temp. Elec. Serv—
Called PG&E
Te Gas Serv.
r Called PG&E
JOB
7-
FINALED
(Dat6)
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RkORD
BUILDING
Setback —/to ..�%
Forms
Main Bldg.
Footings
Stemwa I I
Slab
Piers
Garage
Footings
Stemwa I I
Slab
Carport
Footings
Slab
Patio
Footinas
Reinf. Steel
BUILDING (Cont'd)
Firewall
Parapets
Restroom Finish
Windows
Siding
Roof Sheathing
Roofing
Fdn. Vents
Garage Vents
Prov. for physically
handicapped
Conformance of ex.
structure.
Footin
Throat
Final
REPLACE
PLUM"G
Soi I Piping
1st Floor
2nd Floor
3rd Floor
To out
Water Piping -7/0 —%
Sewer /do -•'% S"
Fixtures —'
Water Htr.—�
Heaters
Appliances
Gas Piping & Test %--/Q
Temp. Gas
Sanitation? -Z.
Final s-_�, R-4 — 2
ELECTRICAL
Bond Beam l
FIRE SPRINKLERS
Motors r a—
Framing
Test
Water Htr. —'r
Stucco
Final
Subpanels
Mesh
MECHPJNICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath ILI
Ventilation
Permanent
Door Closer
Final
Final—7—%
DATE REMARKS OR CORRECTIONS
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC VI% S -7 -7r
• 7 County Center Drive — Oroville, California 95965 J
Telephone: 53,4-4541
APPLICATION AND PERMIT (/
BUILD NG '
Owner i
SQ. FT. OCC. BUILDING VALUATION
Mailing Address 60 d644 J-6:2
Telephone N
Fireplace'
Contractor
Total Valuation
Mai I i ng Addres
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. .-
Zoning &Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Seni-tattIIh
Fire Dept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma p
60' R/W
Im rovem "ts
p
Lawn sprinkler system 2.00
Bldg.A�t`ans Rec'd
Parce Approval
Plans proval
Permit Fee $
.$
NEW ❑ ADDITION UTILITIES ❑ OTHERry
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
7/
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
-
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures b I %2
a 150
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. di sp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
1 am exempt from the Contractors License Laws of the State,of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
/W rkmen's Compensation Insurance.
f' -l/1 certify that in the performance of the work for which this
LL[[dd permit ,is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
' California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Feg $
$
I certify that I have read this application and state that the above
.information is correct. I agree to comply.to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X ��"`�" DateZ-7-75.
Signature of Permitee or Agent
Receipt No. ter&
White-D.P.W. — Yellow-Assesso — Pink -Inspector — Goldenrod -Applicant
D a
"TOTAL PERMIT FEE $ 30 106
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 aid.
DIRECTOR 0 UBLIC WORKS
By Date %—j 7 1. _
ilding permit expires Date �'
COUNTY OF BUTTE — DEPARTMENT OF PW45:�-
7 County Center Drive — Oroville, CaliforniaTelephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for Zction purposes.
X
6,00z".:40 /o,z9�>c
Signature of Permitee or Agent
Receipt No. / � 5 2—�
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 0 PUBLIC WORKS
By Date-//-- z- -7 — `7 Z
wilding permit expires Date ............... .11.:--..�.:�.-..7..J"
BUILDING
Owner S 7 �� / 1,9XCAJO
SQ. FT. OCC. BUILDING VALUATION
Mailing Address Z0 7
9v, /
�L�j/
�lep s-2hone No� . 6
F ireplace
Contractor
Total Valuation
Mai I i ng Address
Permit Fee
Plan Checking Fee&/or Penalty
•
Telephone No.
Permit Fee
$
$
Building Address ,C Gt/ 3ZPLUMBING
No.1
@
FEE
PERMIT FILING FEE $2.00
�rQ
/_
& ¢(� C
Each Trap 1.50
/� oigi
Repair drainage or vent piping
1.50
Water piping 1.50
O� S 7 /�/� ��
Each gas water heater or vent 1.50
�l'j/
A. P. No. 6-6— S=Zoni�g'8 Psnning
Gas piping system 1 - 5 outlets
1.50
Each dditional outlet .30
Building sewer 5.00
�.OQ
F
S
Fire Dept.
Firezone se Permit
EQA
Parking Parcel
Plans Declaration
rc a P
60' R/W
Im r
p ovements
Lawn sprinkler system 2.00
g PI1-s- ec
Parc 000e
Approval
Pla Approval
Permit Fee
$
$
NEW [JADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
3,0 -
Main service incl. 1 meter
oo
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures ball d?g
Receps., switches & fix outlets E -01
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 31sl
AQ
Mobil Home Facilities 5.00
S7OZ
Temp. Power Pole 5.00
Licen No. Classification
Misc. wiring
�•2ramexempt from the Contractors License Laws of the State of California.
Permit Fee
$
$ f 0`1
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.
-_. certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$ 6t
authorize representatives of the County of Butte to enter upon the
above-mentioned property for Zction purposes.
X
6,00z".:40 /o,z9�>c
Signature of Permitee or Agent
Receipt No. / � 5 2—�
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 0 PUBLIC WORKS
By Date-//-- z- -7 — `7 Z
wilding permit expires Date ............... .11.:--..�.:�.-..7..J"
_
PERMIT NO.
-
WC PERMIT EXPIRES
OWNER
Ernest Moreno
CONTR.
owner
56-32-7
LOCATION (A.P. )
E/S Hwy 32, app.50'S.ofHeadwater.Rd.',
Forest Ranch
,j
k
Al
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
1
Temp. Gas Serv.
Called PG&E
JOB
Z
FINALED
(Date
„
c
(Signature)
COUNTY OF_BUITE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
e
BUIVDING, BUILDING (Cont'd) PLUMBING
Setback
Firewall
Forms Z71-f,—l'& 17
Parapets
Main Bldg.
Restroom Finish
Footings
Stemwall -
Windows
Siding
Slab
Roof Sheathing
Piers
Roofing
Garage
Fdn. Vents
Footin s44
Stemwall ''
Garage Vents
Insulation
Slab
Carport
Footings
Prov. for physically
handica ed
Conformance of ex.
structure
Slab
Final
Patio
FIREPLACE
Footinas
Footina
Soil Pipingli
1st Floor
2nd Floor
3rd Floor
Topout
Water Piping
Sewer
Fixtures
Water Htr.
Heaters
Appliances
Gas Piping & Test
Temp. Gas
Sanitation
Final
Retnf. Steel I Final I Fixtures
FIRE SPRINKLERS
ELECTRICAL
Framing
Test
I Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES
Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
BI E OME INSTALLATION - - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE - DEPARTMF_NT OF PUBLIC WORKS
7 County Center Drive - Oroville, Califdraia-o�G%5 - Telephone 916/534-4541
APPLICATION AND PERMIT
0 W11
o'Ai ,
ASSESSOR PARCEL NUMBER
..
ZO NG
BUILDING PERMI
OWN
ITLEPRONE
�9
SQ. FT. OCC. BUILDING VALUATION
O /AER'S MAI LIN ADDRESS
V / L
CONTRACT R'S NAME TELEPHONE
CONTRACTOR'S NTAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ '20,0b
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT ENGINEER'S MAILING ADDRESS
------
Permit fee
$
BUILDING ADDRESS
�
PLUMBING PERMIT
Filing Fee 10.00
—
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
PARC'EL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other tPI)
S ECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe work: lit /��_�fl�tJ/�G o���j
%
P unit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST'( DWELLING OCCUP.EI)
OR ADDNS. ACC. BLDGS.
22 sq it
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the BusinessE
and Professions Code and my license is in full- force and effect.
Icense No. Classification
X-11, 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 TI.OUTLET 2.50 ea
NO N ESI D, BRANCH CIRC ITS
NEW CONSTR.(POWER APPARATUS tr`
NON•RESID. SINGLE OUTLET CIR. /
5D@25¢
X. OCCUR(OUTLETS OR FIXTURES BAL@1 00
FIXED APP LHS. OR
Ex. Occup.(OUTLETS (RESID,) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
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.
❑ 1 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.
hall 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
S
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
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 sai Coun in cons q e• the granting of this permit.
XAM Date
Signature of Applicant — Owner Contractor ❑ Agent ❑ `
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structuress over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCcuP. GROUP
I TYPE OF CONST.
F
PARCEL
PD ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
,
P116T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date d
Receipt No. v :57
WHITE-D.P.W., YELLOW -ASSESSOR, P NK INSPECTOR, GOLDENROD -APPLICANT
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.
1. I personally plan to provide the major labor and materials for construction
of the proposed property improvement (yes or no)CV061
.2. I (have/have not) signed an application for a"building
permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone N Contractors License No.
4. I plan to provide -portions of this work, but I have hired the following
person to coordinate, supervise, and provide the major work:
Name `
Address City
Phone / Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated: \
Name Address �J Phone Type of Work
A/,,�'�t��c��iog� /_—`/,�.r'7i�i�: �- LZ
Signed:
Property Owner �� 2
Social Secu ity mber -
Date A 32 AV
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 andtreturned to our office before we are
permitted to issue -the permit.
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive ' Oroville, California 95965
• !: 1�' Telephone: 534-4541
APPLICATION ARID PERMIT
BUILDING
Owner Uwm r 6
SQ. FT. OCC. BUILDING V L ATION
6
Mailing Address
FVK On
elephyne No.
q
Contractor
Mailing Address
Fireplace
Total Valuation
e
Tlephone No.
Permit Fee Un W
Building Address !mow 7 ��
Qp��y
��TT Lt/�
Plan Checking Fee&/or Penalty
Permit Fee t
'S' O W 11 -ft -59 RP,
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 3+00
Each Trap 1.50
F�Q e4MTrftVC-9
Repair drainage or vent piping 1.50
A. P. No. �J �� _'0-7
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F s
S ton
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking rcel
sans Declaration
Parcel Ma 60' R/W
pBuilding
Improvements
Each additional outlet 30
sewer 5.00
dg. Plans Re 'd
Parcel A royal
Plans Approval
Lawn sprinkler system 2.00F:3
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
C; Q Coro"6(-�
ELECTRICAL No. @ I FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS 100 AMP OR LESS 5•��
Single Family ❑ Duplex ❑ Mobil Home ❑ Others
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 25.00
100 AMPP OR LESS O
Main service EA. ADD'L 100 AMP 1 1.00
NEW OR ADDNST ( A GSCCUP. 4') 22sq ft
/
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business 131 Professions Code under the name
style of:
NEW CONSTR BRANCH CIR T
NON-RESID � BRANCH CIRCUITS) 2.50ea
NEWCONSTR. POWER APPARATUS &
NON - RES ID, (SINGLE OUTLET CIR.
EX. Occuo(OUTLETS OR FIXTI1QES BAL@1
FIXED APPLNS
Ex. Occup. (OUTLETS ((RESID )REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I aLASm exempt from the Contractors License Laws of the State of California.
Permit Fee $ 4C
$
MECHANICAL @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
PERMIT FILING FEE 3.00 ,30
rt$
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
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.
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.
JA/, Date 7�;
Signature of PPermitee or Agent
Receipt No. •2' OGo I
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
I Coo I i ng QA)AQ M P. I I R.n61 -3.,loo I
Ventilation
Hood 1 2.00
Permit Fee $ $
Land Development Fee $
TOTAL PERMIT FEE $ -73,46'
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 Q17 PUBLIC WORKS �n
BY Date ��`�✓
Building permit expires Date o�'�
'COUNTY OF BUTTE — DEPARTMENT OF U%LIC WORKS — BUILDING DIVISION
7 County Center Drive — 0roville, California 95965 — Telephone 534-4541
PERMIT APPLICATION DATA SHEET
_((�� pp,,,,,. Permit No.
OWNER Lk-A)(3ST f)lo/me-AX) A. P. No. n— 2 -0-7
Proposed Building Use .-oez, YaG1 Arc"(-4F:b Gn49A(,C-'
Permit fee based upon: Complete Contract Price l./` DPW Valuation
-Other (ex la' )
Building Inspector,
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or
issuance: DATE RECEIVED APPROVED
1. All items have been submitted...................................................................
2. Plot plans in duplicate/triplicate...............................................................
3. Complete plans in duplicate/triplicate............................................:......
4. Complete engineered plans and calcs.....................................................
5. Plans with Energy Design Compliance Statement ............................
6. State Energy Forms No. ....................
7. Statement of Intent for Non -Heated & AC Buildings ...................
8. Fees of $
9. Letter of signature authorization.............................................................
10. Sanitation approval from �f-�!G® Health Dept.... Q, Idj/Z
11. Planning approval for .............
12. Certificate of Workmen's Compensation Insurance ........................
13. Contractors License Information (no., name style,
classification) ...............................
14. Improvements may be required. Contact Land
Development Section of Dept. Public Works (see
address below).................
.....................................................................
15. Pre -inspection for required. Pre-inspec. request to
16. Other bldg. inspector (date)
When you issue the permit, process as follows: )Mail to owner Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspection.
Other /Applicant
Pj� ��vy2 /Y �jo N///i� Date %07- //� , 7";
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone
Mail
Other
By Date
Plans checked by Date
Plans approved by Date
OTHER:
Copv/DPW
BU'T'TE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL !NSPECTION REPORT
Owner:
Address: .2i 2i'
Tenant:- /%
Building Location:
Type of Inspection requested:
1. Housing Ll 2. Financing 3. Change of Occupancy to
4. Other (specify)
Present use of build
A. 'Sanitation (Housing)
1. Water closet: f
2. Lavatory: \ f
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:
E.'�' 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. Receptacle::: '
3. Fus ing:
4. Comments: -
D. Plumbing
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas hearing vents_
4. Comments:
E. Other
1. Maintenance a.nd repair:
2. Fire hazards: _
3. Safety haz•srds _
4. Weatl!er protection: _
5, Un.de:.rfloor and attic ventilation:.
6. Comnents:
F. Commercial Buildings
1. Roof covering:
2. Distance to property lines:
3. Physically handicapped:
4. I estroora floors and :galls:
5. Exits. �� •, .�,
6. Improvements:
8. Cornmaiit.,-
G. Field Problems or Viclat.ioris
1.�P /oblem -r• iolatior., ;give complete descriptio -n) :�it/
2. What/acrion taken (&-j e complete :.Jescriptloii) :
3. What act:i.on r.e6nm.ended:
%/ A. ''nfor;;;:tion only - f_l.„
for tcn (10) days, then writ. -c- lf!tter.
letter.
d -) 0 _AC;l /
t,
to be
the Art
of 'em would
our living room
grab a handful
,he paintings are
t The Store. . .
newest road in
is off Nopel'and
property that.
of a contro
.because"of
e site: The
ing a sense
•they? ),
my put a
t reads -
T!
IEK
115
Club
arters
AA . ._-
MORENO AUTOMOTIVE
Automotive - Industrial
ERNEST MORENO
KWY. 32 & Headwaters, Forest Ranch, Ca.
Phone 345-2153
DOE MILL RESIDENTS SEEK
COMMUNITY STATUS
by Gary Lee
On Thursday, July 9th,
at 7;30pm in the Chico Muni-
cipal Council Chambers, a
group of citizen's and resi-
dents having in common the
need to use access to High-
way 32 via Crown Point Road,
will pursue the formation of
Crown Mill Ridge, a Com -
munity gervices District.
Many of the landowners
and residents in this pro-
posed District have formed
an -Ad Hoc Committee, and
appointed George Forester
chairman, in hopes of suc-
cessfully petitioning the
Butte County Board of Super-
visors for their approval of
this District.
.The proposed District
encompasses all the parcels
which are presently obligated
to maintain Crown Point Road
through the Crown Point Road
maintenance agreement, ori-
ginally established by Tony
Santos. The present condi-
tions of Crown Point Road
make driving at best, hazar-
dous, and in the winter,
many places totally impas-
sable.
The District, 'if established,
would affect approximately 54
landowners and approximatefy
2800 acres adjacent to Crown
Point Road, Blackberry Road,
Village Drive, Burro Road,
and 2 miles of Doe Mill Road
(from 1/2 mile north of and
1-1/2 mi1Fs south of the
intersection of Crown ??int
Road and Doe Mill.).
If this District is formed,
it will have the authority to
levy taxes on the la-md t4�im -
prove and maintain the roads.
To raise enough money, how-
ever, to repair the roads
properly,- a bond would most
likely have.to be floated by
the landowners. However,
no bond obligations may be
entered into without the ap- -
proval of the registered '
voters within the proposed'
Crown -Mill Ridge Community
Services District.
The proposed District
would have the option to float
a bond for not only road main
tenance, but could, with voter
approval, create or 0,1n,
a school, roa
lights,
If, at the
9th, the group
people agree on I
and take their pr
Butte County Supe
donation of $1 per
be solicited to pay
and State fees req,
up the District.
Many more q,
answers and idr
forth from this
With all land• ,
residents ir-r,'
gether the pr
trict should
No
j t• s.. ( /
10/44 1�� co
� ,Q� l
1tC
w
Q
� � t
s �
The X13*. Setback shall be 5 ft. from
the side property line and 50 ft. from
the centerlinew-of—tiie road, perm/
a maximum of a 2 ft. eave overhang,, g�
—Septic,system.and.
to be as per
Butte County Health Dept. Re-
quirements.
All ut-ilii.y connections
located within 4 ft. shall be
third section outside the rear
on the left (ro dj s de mobile home
home. of the mobile
'his
set
Of plans and specifications .
sOpt on the job at all ti MUST .be
Mahe any changes
times and it is unla
written or alterations unlawful to
works, Perm' from the Departmentnof p °uf
of Butte. ublic
PHONE: 534•-4541.
cn
rt,
• MOSILEIOME INSTALLATION
K
Lnj
Mobilehotre Data
r�
1.
Plot plan dimensioned, -'location of mobile
1.
Len?th�_ Width I Z:
'
O
and, utility connections?
Yes_ No "
Manufacturer
Vehicle Serial No. Zg
U,
y
2.
Electrical.service.equipment ampacitAo—A
Insignia Control No.
Circuit bre'd-ker ampacity 5!7/4
2..Feeder.assembly
utility
_
Permanent Wiring Connection
Conduit size
�.
1=--pa-city
1n or
•�-
0
3.
Gas inlet size 3 �i
3.
Gas:. Natural LPG �c
Mobilehore connector size 4 t'
•
20'
Gas riser size 3
rt
-
4_
tri
4.'Drain•connector:.describe
on rave'tse side
5..1dzter
riser• size
5..Ilater
connector: describe on -'reverse side
CD car
Uri
-Ara utility connections located outside
6.
Designe3 loads:.
w
the rear 1/3'of.the mobileLome.-within
5'
"rr
H
. �
r
X: rot; sho.a di.r arsions.above.
Hi
o
Is the mobilehome clear of septic tank,
rt
3'
R
o -
N
H
a,
Manufturer's inn
stallutiore instructios?
utility -easements? Yes i� No
Yes - • No
8:
Do you propose to do other -wort: on the
g.
Will the mobile home be installod on a
property other than the mobilehoma
installation -vhich -will require a pe: -mit �
separate support structure?
Yes .
leo
Yes No
If.so, specify
*For
plans and specifications of support system,
see other. side.
• , �. ..
�• �
Len th = � •' :.. ..
cn
rt,
• MOSILEIOME INSTALLATION
K
Lot Facilities
Mobilehotre Data
r�
1.
Plot plan dimensioned, -'location of mobile
1.
Len?th�_ Width I Z:
'
O
and, utility connections?
Yes_ No "
Manufacturer
Vehicle Serial No. Zg
U,
y
2.
Electrical.service.equipment ampacitAo—A
Insignia Control No.
Circuit bre'd-ker ampacity 5!7/4
2..Feeder.assembly
•t7
Permanent Wiring Connection
Conduit size
�.
1=--pa-city
Vie•
•�-
0
3.
Gas inlet size 3 �i
3.
Gas:. Natural LPG �c
Mobilehore connector size 4 t'
•
H
Gas riser size 3
rt
4_
tri
4.'Drain•connector:.describe
on rave'tse side
5..1dzter
riser• size
5..Ilater
connector: describe on -'reverse side
H
-Ara utility connections located outside
6.
Designe3 loads:.
•
the rear 1/3'of.the mobileLome.-within
Roof live load �sf.
H
. �
r
X: rot; sho.a di.r arsions.above.
r
7.
Is the mobilehome clear of septic tank,
H
o -
leach fields and located outside public
7_
Manufturer's inn
stallutiore instructios?
o
• MOSILEIOME INSTALLATION
INFORMATION
Lot Facilities
Mobilehotre Data
R.
N
1.
Plot plan dimensioned, -'location of mobile
1.
Len?th�_ Width I Z:
and, utility connections?
Yes_ No "
Manufacturer
Vehicle Serial No. Zg
y
2.
Electrical.service.equipment ampacitAo—A
Insignia Control No.
Circuit bre'd-ker ampacity 5!7/4
2..Feeder.assembly
aapacity
Permanent Wiring Connection
Conduit size
1=--pa-city
Power'supply cord -(amps) 091*17
keceptacleAt aci-ty'
3.
Gas inlet size 3 �i
3.
Gas:. Natural LPG �c
Mobilehore connector size 4 t'
Gas riser size 3
Capacity
4_
Drain inlet size '
4.'Drain•connector:.describe
on rave'tse side
5..1dzter
riser• size
5..Ilater
connector: describe on -'reverse side
6_
-Ara utility connections located outside
6.
Designe3 loads:.
•
the rear 1/3'of.the mobileLome.-within
Roof live load �sf.
[: feet of the left wall? Y a s x No
',-Wind load Lpsf. '
X: rot; sho.a di.r arsions.above.
(only for -mob. l.ehomes manufactured after -
7.
Is the mobilehome clear of septic tank,
October 7,,1973)
•-
leach fields and located outside public
7_
Manufturer's inn
stallutiore instructios?
utility -easements? Yes i� No
Yes - • No
8:
Do you propose to do other -wort: on the
g.
Will the mobile home be installod on a
property other than the mobilehoma
installation -vhich -will require a pe: -mit �
separate support structure?
Yes .
leo
Yes No
If.so, specify
*For
plans and specifications of support system,
see other. side.
ADDITIONAL CO:,D!.7.;TS
Drain Connector, Describe? ,rG S Le)/77-1
..LOAD BFAF,I\'G
4dat',�z 'Connector, Describe
LOAD) BEARING SUPPORT"Al"M _'OOTIIiG INFOiLNLI1 I0i3
Pier Spacing Used_
M�ximLm Pier LoadOgg
AN
4 Maximum Column Load (multi -units only)
dl
Soil Bearing Capacity
Footing Din:ensiori
TYPE OF PIEI? USED .
Steel Concrete Concrete Block_
Other
TYPE OF FOOTING' M"TERIAL
Pressure Treated Wood
Concrete _
�Redwbod (Grade).
Other Approved Type
BUTTE- COUNTY .
PARTMENJ r
TM 5.611 5 -VS -1 S
a
Figure 14. Gexerator •et, right rear that- Quarter view, with thip*g &meeiona.
2;�
y
TOOL
BOX
f
- - - -�,
p
kECTIFIER
/
1
r
FUEL TANK
ADAPTERIr
.�
:ft -
GENERATOR -
FUEL
TANK
iL
AUXILIARY FUEL
CONNECTION
•
.L
A
BATTERY ,
SHIPPING DINENSICNS S
`
GROUND
— - -- - —
STUD
FUEL
!
LENGTH 57 INCHES
FILTER
FUEL DRUM
MOTH 29 INCHES
TOW
ADAPTER
NEIGTN 21.7.41 INCHES ,
IEIGTN ISO FOUNCS
BOLT
/
•' .
Y::
'
ME 6115�2T3.1S/1.1
Figure 14. Gexerator •et, right rear that- Quarter view, with thip*g &meeiona.
2;�
TM 5-6115-275-15
Figure I -L Generator set, left front three-quarter vkw.
E.
LQ
CHAPTER 1
INTRODUCTION
Section 1. GENERAL
1-1. Scope
This manual contains instructions for the use of
operating, organizational, direct and general sup-
port, and depot maintenance personnel maintain-
ing the Military Design Model SF -10 -MD gen-
erator set, as allocated by the Maintenance
Allocation Chart. It provides information on the
operation, lubrication, preventive maintenance
checks and services, organizational, direct and
general support, and, depot maintenance of the
equipment, its accessories and auxiliaries.
TM 3-6115—V5-15
(D f4zr- , I
lCo -a 9C)_ 1-1
1-2. Forms. and Records
a. DA Forms and records .used for equipment
maintenance will be only those prescribed in TM
38-750.
b. Report of errors, omissions and recommenda-
tions for improving this publication by the indi-
vidual user is encouraged. Reports should be
submitted on DA Form 2028 (Recommended
Changes to DA Publications) and forwarded di-
rect to the Commanding General, U.S. Army Mo-
bility Equipment Command, ATTN: AMSME-
MPP, 4300 Goodfellow Boulevard, St. Louis, Mo.
63120.
Section 11. DESCRIPTION AND DATA
1-3. Description
The Military Design Generator Set, Model SF -
10 -MD (figs. 1-1 and 1-2), is a self-contained,
skid -mounted, portable unit. It is powered by a 4 -
cylinder, air cooled, engine that is directly coupled
to a 10 -kilowatt, alternating current generator.
1-4. Identification and Tabulated Data
a. Identification. The generator set has three
identification plates.
(1) Generator Set Plate. Located on the top
of the tool box. Specifies the nomenclature, manu-
facturer, model and serial numbers, contract num-
ber, weight and dimensions.
(2) Engine Plate. For information on the
engine plate, refer to TM 5-2805-259-14.
(3) Generator Plate. Located on the upper
right side of the generator. Specifies the rating
and rpm (revolutions per minute).
b. Tabulated Data.
(1) Generator Set.
Manufacturer -- ------------Military Design
Model --_—__-- ------- ____ _SF -10 -MD
Type - (alternating
current)
(2) Engine. For tabulated data on the Mili-
tary Standard Engine, refer to TM -5-2805-259-
14.
(8) Generator.
Manufactures _—_—--l[ittt.ry Des4p
Type------------------------------ &C
Speed ------------------------------3600 rpm
(4) Battery.
Volts -----------------------------24
Type----------------------------US 4HN
Cells ----------------------------1t
Polarity -------------------------Negative ground
(5) Fuel Filter.
Manufacturer --------------------Military Standard
Part No.---------------------------MS51085
(6) Muffler.
Manufacturer---w__-----------Military Design
Part No. _—____------------- —13211E4870
(7) Capacities.
Fuel tank ------------------------5 gal. (gallon)
Engine crankcase ----------------4 qL (quart)
Oil Filter ------------------------ % qt.
(8) Dimensions and Weight.
Length - -----------------____57 in. (inch)
Width ----- --- -----_-- 29 in.
Height -------------------- 28% in.
Weight --- ---------- ------_x_SW (pound)
(9) Wiring Diagram. Refer to figure 1-8 for
the wiring diagram.
1-5. Difference in Models
This manual cover's only the Military Design Model
SF -10 -MD Generator SeL The only known unit
difference is that all units, with the exception of
the generator sets utilized on all single trailer -
laundry units,' E1DA 14 Model ELT -9T, FSK
8510-782-5294, have a shroud installed on the
generator stator frame. Refer to paragraph
I
11 ., e -i...
December 17, 1979
CERTIFIED - RETURN RECEIPT
Ernest 119arlene Nforeno
P.J. Box 207
Forest Ranch, Cie. 95942
Re:AP 56-32-07
Dear Mr. P, Mrs. ;'oreno :
It has come to my attenti t t
are operating an auto
repair.shop on your Parc 1, r e
d above. This use is
in violation of the But
a Coun y Zoning
ordinance fdr "TM-
5" (Timber Mountain - 5
e P r els)
zone, Section 24-174
(see copy attached
You are, thereto a ins cted to cease
the above mentioned
use or move it t
-here is legal within.30
days of the
receipt of this 1 t o the matter
will he referred to the
County Counse r appropriate`
legal action.
`.Butte
If you -would like further information
concerning this matter,*.
'please feel free to contact.this office.
Sincerely,
Vince Anzalone
Zoning Investigator
VA:lr
Enc.
cc: Planning Director
County Counsel
Order No. BU-130236—MD
Escrow No.
Loan No.
WHEN RECORDED MAIL TO:
ERNEST W. MORENO ET UR i ti.: ::.` :(?1`0 AT' TP,F REO.I.IESI• or.
5242 HEADWATERS ROAD i`:r!i1.:' V\LLEY TITLE CR)1M Af9Y
FOREST RANCH, CA. 95942 E?;1')'s I`sF:C(..)RD1--D:OCT 2 0 1992
SPACE ABOVE THIS LINE FOR RE DER' USE
MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX$ ............. .............................,
..............
SAME AS ABOVE ...... Computed on the consideration r va a of property conveyed; OR
...... Computed on the considerati value less ' s or encumbrances
pKiw1anme of sale.
AP NO. 56-32-0-023
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ERNEST W. MORENO,
A MARRIED MAN, DEALING WITH HIS SOLE AND SEPARATE PROPERTY
hereby GRANT(S) to ERNEST W. MORENO AND MARLENE E. MORENO, HUSBAND AND WIFE, AS JOINT
TENANTS
the real property in theme UNINCORPORATED AREA OF THE.
County of BUTTE State of California, described as
A NON EXCLUSIVE EASEMENT FOR DOMESTIC WATER LINES, WELL, APPURTENANT FACILITIES
AND PUBLIC UTILITY PURPOSES, FOR THE PURPOSE OF EXTRACTING AND TRANSPORTING WATER
FOR DOMESTIC PURPOSES, TOGETHER WITH THE RIGHT TO ENTER,AND MAINTAIN, OVER ON AND
UNDER THE EASTERLY 35.00 FEET OF PARCEL NO. 2, AS SHOWN ON THAT CERTAIN PARCEL
MAP RECORDED IN THE OFFICE OF THE COUNTY RECORDER OF THE COUNTY OF BUTTE, STATE
OF CALIFORNIA, ON MAY 18, 1972 IN BOOK 41 OF MAPS AT PAGE(S) 94.
SAID EASEMENT IS FOR THE BENEFIT OF AND APPURTENANT TO THAT CERTAIN REAL
PROPERTY DESCRIBED AND DESIGNATED IN THE DEED RECORDED JUNE 20, 1974 IN BOOK
1918 OF OFFICIAL RECORDS AT PAGE 143, BUTTE COUNTY OFFICIAL RECORDS, CALIFORNIA
AND IS MORE COMMONLY KNOWN AS ASSESSORS PARCEL NO. 56-32-0-007.
Dated / �. 1997
► ERNEST W. MORENO
STATE OF GA#m'F@ d1A )ss.
COUNTY OF )
On (/5 i'7id- before me,
personally appeared ERNRST W- MORF.NO
personally known to me (or proved to me on the basis of satisfactory
evidence) to.be the person(s) whose name(s) is/are subscribed to the within
instrument and acknowledged to me that he/she/they executed the same
in his/her/their authorized capacity(ies), and that by his/her/their Signa-
ture(s) on the instrument the person(s) or the entity upon behalf of which
the person(s) acted, executed the instrument.
WITNESS my hand and . 'tial seal. p
Signature Ol 4 ^�i (This area for official notarial seal)
MAIL TAX STATEMENTS AS r DIRECTED ABOVE 1002 (1/91)
of
o �f higme
hD fil -e
GrJ, �ld ww
r
1
d
Order No'. �BU-130236—MD
Escrow.. NI
Loan No.
WHEN RECORDED MAIL TO:
ERNEST W. MORENO ET UX
5242 HEADWATERS ROAD
FOREST RANCH, CA. 95942
MAIL TAX STATEMENTS TO:
SAME AS ABOVE
AP NO. 56-32-0-023
AP 50-G _3Z
�eq Z _ 3y/ z_._
rM��
:'.:'•r: r'
AT THE PEOI.►FST OF
VAI. -Y TITLE CONWA..roy
F! `4 Errr-r►13r�rmOCT 2 0 1992
SPACE ABOVE THIS LINE FOR RECMDERA USE
DOCUMENTARY TRANSFER TAX $.
...... Computed on the consideration
...... Computed on the considerate
re arlime of sale.
b�ah t V'E€v
of property conveyed; OR
less s or encumbrances
l
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ERNEST W. MORENO,
A.MARRIED MAN, DEALING WITH HIS SOLE AND SEPARATE PROPERTY
hereby GRANT(S)to ERNEST W. MORENO AND MARLENE E. MORENO, HUSBAND AND WIFE, AS JOINT
TENANTS
the real property in theme UNINCORPORATED AREA OF THE
County of BUTTE State of California, described as
A NON EXCLUSIVE EASEMENT FOR DOMESTIC WATER LINES, WELL, APPURTENANT FACILITIES
AND PUBLIC UTILITY PURPOSES, FOR THE PURPOSE OF EXTRACTING AND TRANSPORTING WATER
FOR DOMESTIC PURPOSES, TOGETHER WITH THE RIGHT TO ENTER;AND MAINTAIN, OVER ON AND
UNDER THE EASTERLY 35.00 FEET OF PARCEL NO. 2, AS SHOWN ON THAT CERTAIN PARCEL
MAP RECORDED IN THE OFFICE OF THE COUNTY RECORDER OF THE COUNTY OF BUTTE, STATE
OF CALIFORNIA, ON MAY 18, 1972 IN BOOK 41 OF MAPS AT PAGE(S) 94.
SAID EASEMENT IS FOR THE BENEFIT OF AND APPURTENANT'TO THAT CERTAIN REAL
PROPERTY DESCRIBED AND DESIGNATED IN THE DEED RECORDED JUNE 20, 1974 IN BOOK
1918 OF OFFICIAL RECORDS AT PAGE 143, BUTTE COUNTY OFFICIAL RECORDS, -CALIFORNIA
AND IS MORE COMMONLY KNOWN AS ASSESSORS PARCEL NO. 56-32-0-007.
BUTTE COUNTY .
iilk PARTJWENT
U
Dated Akl:5 1992
l ERNEST W. MORENO
STATE OF GAP61FORMA 4 .jJ.. Ice
541
dk
COUNTY OF BUTTE
' DEPARTMENT OF PUBLIC WORKS
196 Memoriam Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phonc!: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County_ Ordinance
exist at t above address and should be corrected. Please notify this office
when rection of work is completed. If you have any question pertaining to this
ma r, or need additional explanation, please contact this office immediately.
r" i�
ee
A9, Z- . "7,- k -
a
f
ii &rT
7 To /o1jr,-z -7-
A,01. -,c c 4 ad &e'er Osty aeric
Inspector %�•�v / / `�( �—_ Date
maU-dr, or need additional explanation, please contact this office immediately.
11 rw
1LVW1 �ZIIIIIIIIIIIIIi
'MV
Date Inspector
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747,Elliott Road, Paradise— Phone: 872-6307
V
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist ntXeabove address and should be corrected. Please notify this office
when fforrection of work is completed. If you have any question pertaining to this
maU-dr, or need additional explanation, please contact this office immediately.
11 rw
1LVW1 �ZIIIIIIIIIIIIIi
'MV
Date Inspector
OWNER
AP#
REC' D BY 013 DATE: a3-'� /-L
PERMIT NUMBER: TIME:
RESIDENTIAL COMMERCIAL
00000000000000000000000000000000000000000o00000000000000000000000000000000000000000000000000000
FROM DATA SHEET
_OTHER/COMMENT:
000000000000000000000
YES NO
ITEM:
REQUIRED BEFORE PERMIT ISSUANCE
REQUESTED BY PLAN CHECKER ENGINEERING
REQUESTED BY CORRECTION NOTICE
LOCATION IN BUILDING WHERE CHANGE OCCURS:
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ****a** 0 040006000 0 00400 0 000094 0 a* *a 00 0000000 0 0 0 a* 0 o 0 a* o 0000000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MAIL TO OWNER:
MAIL TO CONTRACTOR:
CALL #:
WHEN APPROVED PROCESS AS FOLLOWS
AND HOLD FOR PICKUP AT THE
OFFI
DELIVER WITH NEXT INSPECTION
(000000000000000000000000000'00000000000000000000000000000000000000000000000000000000 O 000000000
REVISED PC FEES PAID: RECEIPT# $23.00 $46.00 NOT REQ
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JOIN REACT(LPS) MIN NRG(IN) WEDS ARE TO 1'E 2If4 STA:,D PRY/GRN HEM FIR
2.7 �.
TOP CHP- 2X♦ NO 2 S IIRY/GRN LCJG F:R F=1_50 T. 1?0 C=) a 0
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