HomeMy WebLinkAbout058-170-021- GRANDVIEW RESTAURANT AP 58-17-21
ria -22- 4:;r
T n�„t • �07�►rRx-3e��j
A/s Hwy. 70, 12 mi. N. oapp. 12 mi, past Rock HoPermit4838-74B (repairsl/-
restaurant)
58-1L21
Permit #1240-79B,P,E,M(reft.&
airs'Rest' -
rant) C!3
Moline Mayfield 58-17-21
wY 7 i mi N -of. Deadwood Rd:.
app.12 mi.past Rock House, 0 I vil
Permit #6041-79P,E(util._.MH)
ELEC.
S r
GA -
SUPPORT STRUCTURE REQ. Q
COMPACTION TEST REQ,
{� a / #1417V-8-17-21
>Permit#6574-79E (add' 1 Tele) mH
/n/a/m7958-17-21 y
Cro�.nt�r : Lincoln Village, ORoville
P rmit##6781-79MHI
Issued
058-170-021 06-0235
HAYFIELD, GILE & MOLINE
12222 H WY 70, CONCOW
Cont: OWNER
WINDOWS, DRS ,DECK REPAIR
16-5--06
058-170-021 06-0236 '
MAYFIELD, GILE & MOLINE
12222 HWY 70, CONCOW
Cont: OWNER
REPLACE WATER HEATER
I BOOZER
I , George A.
K:•
Grand View, Hwy. 70r"`r
PONTR: James E. Edwards Electric a�
Electrical Permit) 121w
121 Acaciir
Oroville.
I t
G N, Elmer _
2357B i
- -1820P
23_49E C
58-1 T
Grand V1 W" 22 mi, east of Oroville on 40A
(new, sing family) C
7--G cL I C
a
` Butte County Department of Development Services. �urrF
AREA
IN o T E S 7 County Center Drive, Oroville, CA 95965
(530) 538-7601 vnvw.buttecolintV neUdds
RESIDENTIAL
APN: Permit No.
058-170-021 06-0235
Owner. MAYFIELD, GILE & MOLINE
Site Address: _ 12222 HWY 70, CONCOW
Cont: OWNER ' - -
Contractor. �l WINDOWS, DRS ,DECK REPAIR '
Type of Permit: - - - -
t
r
I
SPECIAL CONDITIONS
ruGr-tecn av
SRA
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
ENV HLTH CLEARANCE
DATE JOB FINALED:
r _
SIGNATURE: / /6nd QD
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and
effect.
License Class : License Number:
Dale: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
app'cant to a civil penalty of not more than five hundred dollars ($500).):
I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is no,
intended or offered for sale (Sec. 7044, B,Usiness and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or Improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ I am Exempt under Article 3 of t e Busin and Professions Code
b I
Date: � �� Owner:
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penally 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 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Policy
❑ 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 workers' compensation laws of California,
and agree that If I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions. .
Date:
Applicant:
PERMIT NO.
BP060235
Issued Date: 02/02/2006 .APN: 058-170-021-000
Site Address: 12222 HWY 70 CON
Map Index:
Description: REPLACE 2 WINDOWS, 2 DOORS; MISC
REPAIR TO EX DECK
Owner: MAYFIELD GILE W & MOLINE JT
MAYFIELD GILE W & MOLINE
3296 FOOTHILL BLVD #3
OROVILLE, CA 95966-7720
Applicant: MAYFIELD GILE W & MOLINE JT
.MAYFIELD GILE W & MOLINE
3296 FOOTHILL BLVD #3
OROVILLE, CA 95966-7720
(530) 403-8692
Contractor:
License #:
Architect:
Engineer:
Total Square Ft:
Valuation:
Census Code:
4 2 1 121
2-2-GC�
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
r
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
Name:
Address:
0 S. F.
$0.00
f9 p� eA&S
A-
LJ DtiV
This permit is hereby issued under the applicable provisions of the Butte County Code and/or
Resol do s to do work indicat d above for which fees have been paid.
By: t Date: (- i o �ii
PERMIT EXPIRES ON:
O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes./% )/ /
Print Name: G )LE `'L) l('��/a lel. ���/—'�t`�C�.�� Signature: ✓lJ���
Date:.
owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
= OK
MANUFACTURED HOMES
MISCELLANEOUS
DATE PERMANENT FOUNDATION SOFT -SET
1 Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; FallIC/0-Concrete
4 Wtr; Loctn-Test-Easement Needed -Regulator
5 Elec Loctn-Clrncs-Grnd Amp -Concrete
6 Yard Gas; Loctn-Test-Wrap . Nat ❑ or LP❑
Inch Sz Ft Lngth
7 Blckng; Sz-Spacing-Marriage Line
8 Gas; MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs
10 Drain; MH Test -Fall -Flex Cnnctr
' 11 Wtr & Sewer Connected -C/O to Grade
12 Gas and Electricity Tagged
13 Tie Downs Q Foundation Q
14 Exits
15 Cert of Occupancy
16 HUD Label/insignia Numbers Serial Numbers
DATE ID E C K S -C O V E R S`C A R P O R T S `G A R A G E S
1 Zoning -Setbacks -Easements
2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel
3 Decks, Girders/Joists-Dcking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; Posts -Beams-Rftrs-Cnnctrs-Shthg
Frmg-Brcng
5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs
6 Carports; Wndws-Doors
7 Electric
8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof; Shthg-Roofing
11 Ext; Steps -Doors -Landings
12 Braced Wall pnls
DATE POOLS
1 Setbacks -Easements
2 Soils; Compaction -Structure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec Rcptcls/Lting; Distance-GFI
5 Elec Pool Lting; 15 volts-GFl
6 Elec Encisrs; Conduit Entries -Terminals -Listed
7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr
8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg
Bokes-Enclsrs-pnlboards-Insultn to Main Conduit
9 Health Dept Apprvl
10 Plmb; Cir Test-Wtr Supply Test
11 Lt Niche
12 Encisr; Fencing -Alarms
13 Bonding, Diving board or Slide
o'` e`
'
Pool Drawing
•
r
f
OK
= Not
RESIDENTIAL (Single
& Duptex)
DATE JUNDERFLOOR
DATE
PLUMBING
1 Zoning -Setbacks -Easements -Flood -Slope
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
2 Ftg Main; Soils-Elec Grnd . Ftg Dpth
54 Wtr Pipe; Test & Anchr-Nail Prtctn
3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth.
55 DWV; Test Fittings & Anchr Nail Prtctn
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth
56 Shwr Pan; Tess, First fir -Tub Acc
5 Stemwalls Main; Steel-Blockouts-Wrapped
57 Test Tub & Shwr, 2nd fir - Tub. Acc
6 Stemwalls Garage; Steel-Btockouts-Wrapped
58 Gas Pipe; Sz & Anchrs
69 Hold Downs and Special Anchrs
59 Fire Sprinkler; Test
7 Slab, Steel Wrapped
60 Yard Gas Piping
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test
,
10 UF, Gas Pipe; Sz Anchrs-Sz Test
°'
°°'* m�
1.t Wtr Pipe; Test-Anchrs-Rgltr-Service Test
12 Elec Undrgrnd
DATE
IM E C H A N I C A L
13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn
61 AC Ducts Insults & Support
_ 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples
62 Vent Fan, Exhaust abv Insultn
15 Acc & Vntltn
63 Condensate Drain & Ovrflw, Sz & Grade
16. Insulation
64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet
65 Attic Acc & Pltfrm if Furnace in attic
DATE IFRAMING
17 Sills Proper Materials & Anchrs
i6 Walls Studs -Nailing Spacing & Braces -Plates -Sound
19 Bearing Walls over Girders & fir Nailing
20 Draft Stop in Walls (rat proof)
21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
22 Headers & Beams-Sz & Bearing
23 Hangers -Post Caps-Anchrs-Cnnctns
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg
25 Frplc Ties or Type A Flue-Frplc Throat Clmc
26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
28 Garage Fire Prtctn Framing -RC Channel
29 Prprty Line Firewall & Opngs
30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs
33 Siding -Nailing Veneer
34 Stucco Lath -Weep Screed-Fndtri Vnts-Undrflr Acc
35 Glazing Area -Glass Prtctn-SkyLts-Plastic
36 Shear Walls; Nailing -Bolts
37 Brace Int/Ext Wall pnls
38 Insultn-Walls-Ceilings
39 Infiltration -Walls -W ndws
c c
DATE JELECTRICAL
40 Fxtr & Trnsfrmr Clmc4ns Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
42 Sz Boxes & No Of Cndctrs Stapled
43 Romex Installed Close to Edge of Studs & CJ
44 Eqp Grnd made up w/Mech Fstnrs
45 Grndng Electrode Bond Gas & Wtr
46 2 Appinc Cires in Ktchn & Cndctr Sz GFI
47 Subfeed Wire Sz ea ❑ CU or 0 A
AC Wire Sz ga ❑ CU or ❑ AL
48 Range Circ ga ❑ CU or ❑AL
Oven Circ ga ❑ CU or ❑ AL
Insulated Neutral EJYes 0 N
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Clrncs pnls-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
e
FINAL
66 Ext Steps -Door & SideLt Prtctn-Landings
67 Smoke Detector
68 Furnace Vnts-CImc-Comb, Air-Cnnctr
In Garage; abv-flr-Ducts-Mech Prtctn
69 Bedroom Exiting
70 GFI & Bath Fxtrs & Tub Acc-Spa
71 GFI Arc Fault
72 Elec Trim & Subpnl, Breaker Sis & Labels
73 Stairs, Guard/Handrails
74 Frplc or Stove, Clrnc-Hearth
75 Elec Outlets at Wood Pnl, Int & Ext
76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking CImc
77 Elec Outlets & Rcptcls at Ktchn Counter
78 Garage Fire Door, Swing -Landing -Closure
79 AC Duct in Garage -Damper
80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir
Mech Prtctn; LPG Appince Undr House 3" drain
81 Plmb; Elec & Mech Eqp Listed for Lottn
82 Elec Rcptcls in Garage (GFI) Romex Prtctn
83 Insultn-Foam-Looked in Attic
84 Guard Rails & Deck Cnstrctn-Post Caps
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 Clrnc Dmge Planters QYes QNo
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Pimb
89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs
90 Wtr Well, Dscnnct, Elec, Plmb
91 Ext Elec Trim, GFI Rcptcl-Undrgrnd
92 Vntltn thru House
93 Glass Prtctn
_ 94 Corrections from previous Inspctns
95 Gas Test -Meters Tagged, Gas-Elec
96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl
97 Energy Cmpinc Cert -Other Certs
98 Address Posted
99 Fire Sprinkler
e
Butte County Department of Development Services. eu re• �Ea
IN o T E S 7 County Center Drive, Oroville, CA 95965
(530) 538-7601 vnvw.buttecCOL my ne.Udds �R I
A
` RESIDENTIAL
APN: Permit No.
Owner. 058-170-021 06-0236
MAYFIELD, GILE & MOLINE
Site Address: , 12222 HWY 70, CONCOW
Cont: OWNER
Contractor. REPLACE WATER HEATER
Type of Permit y
671
CHECKED BY
SRA
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUBSTANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
ENV HLTH CLEARANCE
DATE JOB FINALED:
SIGNATURE: � t-je1 y Q ^�
BUTTE COUNTY
DEPARTMENT. OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and
effect.
License Class : License Number:
Date: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the'alleged exemption. Any
violation of Section 7631.5 by any applicant for a permit subjects the
7nt to a civil penalty of not more than five hundred dollars ($500).):
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 (Sec. 7044, Bdsiness and Professions
Code: The Contractors' Slate License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ lam Exempt under Article 3 of the Business and Profe ions Code
Date: 2 /&60 Owner:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
O 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.
❑ . I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Policy
❑ 1 certify that in the performance of the work for which this permit Is
issued, I shall not employ any person In any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars .($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
PERMIT NO.
BP060236
Issued Date: 02/02/2006 APN: 058-170-021-000
Site Address: 12222 HWY 70 CON
Map Index:
Description: REPLACE WATER HEATER
Owner: MAYFIELD GILE W & MOLINE JT
MAYFIELD GILE W & MOLINE
3296 FOOTHILL BLVD #3
OROVILLE, CA 95966-7720
Applicant: MAYFIELD GILE W & MOLINE JT
MAYFIELD GILE W & MOLINE
3296 FOOTHILL BLVD #3
OROVILLE, CA 95966-7720
(530) 403-8692
Contractor:
License #:
Architect:
Engineer'
Total Square Ft:
Valuation:
Census Code:
0 S. F.
$0.00
CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butie County Code and/or
I hereby affirm that there Is a construction lending agency for the . Resoluti n to do work indicated bove for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.) rt 2 -:1 -No r -/� ('�
Name: By:_ l f� n 1% Date: L- L IJ IL
Address:' PERMIT EXPIRES ON: 2 - --0 1
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with, Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purpose
Print Name:. ILC' I Cc \rte � I/ � (c�J Signature: ✓�Y—�� � / ����i� : �'✓` ".'
Date:
O'Dwner r ❑ Contractor ❑ Agent for Owner O Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
= OK
MANUFACTURED HOMES
MISCELLANEOUS
DATE Lj PERMANENT FOUNDATION SOFT -SET
1 Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; Fall/C/O-Concrete
4 Wtr, Loctn-Test-Easement Needed -Regulator
5 Elec Loctn-Clrncs-Grnd Amp -Concrete
6 Yard Gas-, Loctn-Test-Wrap . Nat 0 or LPO
Inch Sz Ft Lngth
7 Blckng; Sz-Spacing-Marriage Line
8 Gas; MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -00 to Grade
12 Gas and Electricity Tagged
13 Tie Downs Q Foundation 0
14 Exits
15 Cert of Occupancy
16 HUD Label/Insignia Numbers Serial Numbers
DATE D E C K S`C O V E R S`C A R P O R T S `GARAGE S
1 Zoning -Setbacks -Easements
2 Ftgs; Soils -Sz-DpthSpacing-CnnctrsSteeI
3 Decks, Girders/Joists-Dcking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; Posts -Beams -Rftrs-Cnnctrs-Shthg
Frmg-Brcng
5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs
6 Carports; Wndws-Doors
7 Electric
8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof; Shthg-Roofing
11 Ext; Steps -Doors -Landings
12 Braced Wall pnls
DATE IPOOLS
1 Setbacks -Easements
2 Soils; CompactionStructure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec Rcptcls/Lting; Distance-GFI
5 Elec Pool Lting; 15 volts-GFl
6 Elec Enclsrs; Conduit Entries -Terminals -Listed
7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr
8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg
Bokes-Enclsrs-pniboards4risultn to Main Conduit
9 Health Dept Apprvl
10 Plmb; Cir Test-Wtr Supply. Test
11 Lt Niche
12 Enclsr; Fencing -Alarms
13 Bonding, Diving board or Slide
41. OsA O�
O�
Pool Drawing
= OK
= Not OK
RESIDENTIAL (Single & Duplex) i
DATE (UNDERFLOOR
1 Zoning -Setbacks -Easements -Flood -Slope
2 Ftg Main; Soils-Elec Grnd Ftg Opth
3 Ftg Garage; Soils-Steel-Elec Grnd Fig Dpth.
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth
5 Stemwalls Main; Steel-Blockouts-Wrapped
6 Stemwalls Garage; Steel-Blockouts-Wrapped
69 Hold Downs and Special Anchrs
7 Slab, Steel Wrapped
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
1.t Wtr Pipe; Test-Anchrs-Rgltr-Service Test
12 Elec Undrgrnd
13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn
14 Girders-Sills-Anchr Bolts Joists-Vnts-Cripples
15 Acc & Vntltn
16. Insulation
c`
oma. � oma.
DATL IFRAMING
17 Sills Proper Materials & Anchrs
18 Walls Studs -Nailing Spacing & Braces -Plates -Sound
19 Bearing Walls over Girders & fir Nailing
20 Draft Stop in Walls (rat proof)
21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
22 Headers & Beams-Sz & Bearing
23 Hangers -Post Caps-Anchrs-Cnnctns
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg
25 Frplc Ties or Type A Flue-Frplc Throat Clmc
26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
28 Garage Fire Prtctn Framing -RC Channel
29 Prprty Line Firewall & Opngs
30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs
33 Siding -Nailing Veneer
34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc
35 Glazing Area -Glass Prtctn-SkyLts-Plastic
36 Shear Walls; Nailing -Bolts
37 Brace Int/Ext Wall pnis
38 lnsultn-Walls-Ceilings
39 Infiltration -Walls -W ndws
o'• 0. o'`• m`c
DATE JELECTRICAL
40 Fxtr & Tmsfrmr Clrnc4ns Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
42 Sz Boxes & No Of Cndctrs Stapled
43 Romex Installed Close to Edge of Studs & CJ
44 Eqp Grnd made up w/Mech Fstnrs
45 Grndng Electrode Bond Gas & Wtr
46 2 Appinc Cires in Ktchn & Cndctr Sz GFI
47 Subfeed Wire Sz 9 ❑ CU or 0 A
AC Wire Sz ga ❑ CU or ❑AL
48 Range Circ ga ❑ CU or ❑AL
Oven Circ ga ❑ CU or ❑ AL
Insulated Neutral ❑Yes ❑No
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Clmcs pnls-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
UAit IPLUMBING
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
54 Wtr Pipe; Test & Anchr-Nail Prtctn
55 DWV; Test Fittings & Anchr Nail Prtctn
56 Shwr Pan; Test, First fir -Tub Acc
57 Test Tub & Shwr, 2nd fir - Tub-Acc
58 Gas Pipe; Sz & Anchrs
59 Fire Sprinkler; Test
60 Yard Gas Piping
DATE IMECHANICAL
61 AC Ducts Insultn & Support
62 Vent Fan, Exhaust abv Insultn
63 Condensate Drain & Ovrflw, Sz & Grade
64 Furnace -Vent Acc-Comb Air Rtrn[Vent 115 Outlet
65 Attic Acc & Pltfrm if Furnace in attic
Off• O� O+ O�
FINAL
66 Ext Steps -Door & SideLt Prtctn-Landings
67 Smoke Detector
68 Furnace Vnts-DIrnc-Comb, Air-Cnnctr
In Garage; abv-fir-Ducts-Mech Prtctn
69 Bedroom Exiting
70 GFI & Bath Fxtrs & Tub Acc-Spa
71 GFI Arc Fault
72 Elec Trim & Subpnl, Breaker Sts & Labels
73 Stairs, Guard/Handrails
74 Frplc or Stove, Clrnc-Hearth
75 Elec Outlets at Wood Pnl, Int & Ext
76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc
77 Elec Outlets & Rcptcls at Ktchn Counter
78 Garage Fire Door, Swing -Landing -Closure
79 AC Duct in Garage -Damper
80 Wtr Htr; Vnts-DImc-Com Air Cnnctr-PRV; abv fir
Mech Prtctn; LPG Appince Undr House 3" drain
81 Plmb; Elec & Mech Eqp Listed for Lottn
82 Elec Rcptcls in Garage (GFI) Romex Prtctn
83 Insultn-Foam-Looked in Attic
84 Guard Rails & Deck Cnstrctn-Post Caps
.85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 Clrnc Dmge Planters ❑ Yes ❑ No
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Plmb
89 Vnts abv Roof, Plmb-Appinc-Frplc-Cirnc to Opngs
_90 Wtr Well, Dscnnc% Elec, Plmb
91 Ext Elec Trim, GFI Rcptcl-Undrgrnd
92 Vntltn thru House
93 Glass Prtctn
94 Corrections from previous Inspctns
95 Gas Test -Meters Tagged, Gas-Elec
.96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl
.97 Energy Cmpinc Cert-Ofher Certs
98 Address Posted
-99 Fire Sprinkler
&rne MAYFIELD GILE W & MOLINE JT
Asmt # J_ # 058-170-021-000
�I
Status JACTIVE Status Date
Addr1 IMAYFIELD GILE W & MOLINE ]I
w
- - y
Tax 000 ,NORMAL OWNERSHIP TRA 110.003
Addr2 3296 FOOTHILL BLVD #3 11
Situs 12222 _HWY 7000NCOW
Addr3 OROV_I_LLE CA 95966-7720 1
Base Dt 01!0111980
Addr4Land
64,991
Timber Preserve
Structure 7.0,0_8.5
AgPres
Comments 15817002100 CONVERTED 09/08/8�
Fixtures _ 0,
Etal Growing 0
�—
Creating Doc# 197082357179 11 Date ° Notal L&I 135,076;
Current Doc#:::]I Date 01!01!1900 r Bonds �I Fix. R 0
_ _
Killing Doc# Date� (J] MH PP Multi Situs 0,
—� Flagl
Asmt Desc 12222 & 12224 HWY 70 SuplCnt 0 0
_ �i � � FIag2 PP
Zoning FR10 Dwell
�� 910 MH Exempt 0
Net 135,07 ji
Acres/Sq Ft 140 N!C 058
71 Asmt PP Pen
71ITax PP Pen R/C#
PJ Appeal Pending TIR Dt F-
,CjSplit Pending _ R!C State
PHY
�, OWN EXP
TAX
HON
—
ATT
—
SIT
—
APR_ PCL
til
�,'�I ►
►,
IFaA ind
J 2005 I mbyte, 03/17/2004 10:21:53 AM
Title:
Date:
Description:
Title:
Date: '
Description:
RS
Title:
Date:
Description:
Date:
Description:
AN 058-170-021 1-23-06
Pag 1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP060236
B. C. Building Permit 01-16-04 pg 1
LICENSED CONTRACTORS 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
Issued Date: 02/02/2006 APN: 058-170-021-000
the Business and Professions Code, and my license is in full force and
effect.
License Class : License Number:
Site Address: 12222 HWY 70 CON
Date: Contractor:
Map Index:
I DeSCrtion: REPLACE WATER HEATER
P
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: MAYFIELD GILE W & MOLINE JT
to its issuance, also requires the applicant for such permit to file a
MAYFIELD GILE W'& MOLINE
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
3296 FOOTHILL BLVD #3
7000) of Division 3 of the Business and Professions Code) or that he or
OROVILLE, CA 95966-7720
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
t to a civil penalty of not more than five hundred dollars ($500).):
7,1as
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 (Sec. 7044, Bdsiness and Professions
Applicant: HAYFIELD GILE W & MOLINE JT
PP
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
MAYFIELD GILE W & MOLINE
such work himself or herself or through his or her own employees,
3296 FOOTHILL BLVD #3
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
OROVILLE, CA 95966-7720
year of completion, the owner -builder will have the burden of
(530) 403-8692
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor:
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 of the Business and Pro fe ions Code
7` 62
Date: Owner:
License #:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ I 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
Architect:
is issued.
Enginek
❑ 1 have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier: -
Total Square Ft: 0 S. F.
Policy #:
Valuation: $0.00
Census Code:
❑ 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 workers' compensation laws of California,
d�
and agree that if I should become subject to the workers'
O
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there Is a construction lending agency for the
Resoluf n to dowork indicated bove for which fees have been paid.
of the work for which this permit is issued (Sec 3097 Civ.)
daiperformance !i r1('
By: Date: L 0l0
Name:
Address:
f� /-0 t %
PERMIT EXPIRES ON: 9 L
(Date)
O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purpose
, J
Print Name: IL� %�' ► �f� yid /v f/ ��� Signature:
"�
Date: v
❑ ❑
®'Owner ❑ Contractor Agent for Owner Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
• . �Ui�'� BUTTE COUNTY PERMIT
/o o DEPARTMENT OF DEVELOPMENT SERVICES NO.
I/o O BUILDING PERMIT APPLICATION
o O AND SUBMITTAL REQUIREMENTS
o-_ s. '• O 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 $P
o S--. o OFFICE #: (530) 538-7541
A FEE WILL BE REO UfRED AT TIME OF APPLICATION BIN #
Website: www.buttecounty.neUdds
"PLEASE PRINT CLEARLY"
APPLICANT INFORMATION
CONTRACTOR
OWNER INFORMATION
Last Na me
Address
irRa
City
Fax
(�
Address
D
City
I /
Planner
stall
ll
Class
Phone
3 _
Fax
E-mail
APPLICANT INFORMATION
CONTRACTOR
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Book
Fax
E-mail
Planner
Lic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Book
Fax
E-mail
Planner
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X J6,
For office use only: .
Zoning
Property Addressy
is � -2a
Flood Zone
Cross Street
SRA
Yes
I No
Occ.
Type Const.
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
PROJECT LOCATION
API
Property Addressy
is � -2a
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
Sq FY- Living Garage Open Cov,
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the. date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
II Received by: �. 6. Amount: �5 e Bldg
OVER FOR SUBMITTAL REQUIREMENTS 11
K•\F('1RKAC\RI III nimr: FnRhAF\RlrinAnnlCuhRnmtc rine Pace 1 of 2
Receipt #:4 44716
'd C
L
Date: L -
SRA
Other
45 4 Total
REV 8-12-05
I
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans,
all in duplicate
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Building Permit Application Without Required Clearances Form .
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑ 2. Impact Fees.
❑ 3. California Department of Forestry plan approval (if required).
❑ 4. NPDES Form.
❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 6. Contractor's license information. (Number, Name Style, Classification).
❑ 7. Worker's Compensation Carrier and Policy Number.
❑ 8. Owner -Builder Verification (if required).
❑ 9. Letter of Signature authorization (if required).
❑ 10. Recorded copy of Agricultural Acknowledgment Statement.
❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO.
❑ 12. Sanitation and site plan'approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530) 538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05
OWNER-BUIJLDER 'VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary '
delay in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1. I personally plan to' provide the major labor and material for construction of this proposed
property impyovement: YES [ �] NO[ ].
2. I HAVE [/] HAVE NOT [ ] signed an application for a building permit for the proposed
work.
3. I have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS:
PHONE: CONTRACTOR'S LICENSE NO:
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise, and provide the major work:,
NAME: _
ADDRESS:
PHONE: .
CONTRACTOR'S LICENSE NO:
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER: Gj
DATE: -2_.--2_-:252r4
NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California
Health and Safety Code.
This verification must be completed and returned to our office before we are permitted to issue the
permit.
Rev'd 11/4/2004
Butte County Department of Development Services vT r
ADMINISTRATION * BUILDING * GIS * PLANNING o i', F°
° L °
o o
7 County Center Drive =_-
Oroville, CA 95965
(530) 538-7541 Telephone
(530) 538-2140 Facsimile
OWNER -BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has'been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a
permit. Building permits are not required to be signed by property owners unless they are personally performing their own
work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if
that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the city or county. They are also required by law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be
aware of the following information for your benefit and protection:
o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
o If you are an employer, you must register with the state and federal government as an employer and you are subject
to several obligations including state and federal income tax withholding, federal social security taxes, workers'
compensation insurance, disability insurance costs, and unemployment compensation contributions.
o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to workers' compensation insurance.
o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
state law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware
of these matters. The building permit will not be issued until the verification is returned.
Sincerely,
Scott Rutherford
Chief Building Inspector
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
;:
BUTTE COUNTY PERMIT NO.
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT BP060235
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
B. C. Building Permit 01-16-04 pg 1
LICENSED CONTRACTORS 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
Issued Date: 02/02/2006 APN: 058-170-021-000
the Business and Professions Code, and my license is in full force and
effect.
License Class : License Number:
Site Address: 12222 HWY 70 CON
Date: Contractor:
Map Index:
Description: REPLACE 2 WINDOWS, 2 DOORS; MISC
p
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
REPAIR TO EX DECK
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
Owner: MAYFIELD GILE W & MOLINE JT
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
MAYFIELD GILE W & MOLINE
7000) of Division 3 of the Business and Professions Code) or that he or
3296 FOOTHILL BLVD #3
she is exempt therefrom and the basis for the alleged exemption. Any
OROVILLE CA 95966-7720
violation of Section 7031.5 by any applicant for a permit subjects the
app' ant to a civil penalty of not more than five hundred dollars ($500).):
1, 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 (Sec. 7044, Bdsiness and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
Applicant: MAYFIELD GILE W & MOLINE JT
such work himself or herself or through his or her own employees,
MAYFIELD GILE W & MOLINE
provided that such improvements are not intended or offered for
3296 FOOTHILL BLVD #3
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
OROVILLE, CA 95966-7720
proving that he or she did not build or improve for the purpose of
(530) 403-8692
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
Contractor:
pursuant to the Contractors' State License Law.).
❑ I am Exempt under Article 3 of t e Busine and Professions Code
'
Date:_ Owner:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
License #:
❑ 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.
Architect:
❑ • I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
Engineer:
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier: -
Total. Square Ft: 0 S. F.
Policy #:
Valuation: $0.00
❑ I certify that in the performance of the work for which this permit is
Census Code:
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
l l �} Q
q
compensation provisions of Section 3700 of the Labor Code, I shall
I o
forthwith comply with those provisions.
]�
Date:
Applicant:
Y�
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there Is a construction lending agency for the
Resol t"xis to do work indicat d above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.) .
Name:
By: Date: 9-106
I
�' 2- 0!1
Address:
PERMIT EXPIRES ON:
Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name: ))L(A) ����%arl �'�1�y����UJ Signature:
-�
Date:
❑ ❑
Cal caner 0 Contractor Agent for Owner Agent for Contractor
B. C. Building Permit 01-16-04 pg 1
BUTTE COUNTY PERMIT
DEPARTMENT OF DEVELOPMENT SERVICES NO.
BUILDING PERMIT APPLICATION
AND. SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BP
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION BIN It
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
OWNER INFORMATION
Last Nam e/i / _ /
irs/6C—
Address In �Co (L( � 70
City
Slatca
Zip(. '(!
Phone0 _ j03 _c� Q 1)
cc2s,
Fax
E-mail
APPLICANT INFORMATION
CONTRACTOR
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Book
Fax
E-mail
Planner
Lic. #
Class -
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Book
Fax "
E-mail
Planner
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X 1
For office use only:
Zoning
curs
Flood Zone
�U
U
SRA
Yes
No
Occ.
Type Const.
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PROJECT LOCATION
AP#0 5 Q O " (�7 0" o 9.i
curs
Proper,tv Add�2 Hm
�U
U
City
of ovi I It
Cross Street
❑ Structure Built without Permits
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
,Description or Scope of Work: f/
qhszecz)
curs
Sq FT- Living Garage
Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
K•\Fr1RMC\RI m nINr: Fr1RMC\RIrinAnn1SuhRnmts rinc Paoe 1 of 2
Received by: K,G Amount: 2 I q � gE_Bidg
Receipt #: Sheriff
SMIP
r-, (L O Other
Date:L- � � Qrl Q � $' Total
REV 8-12-05
f, I «
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans,
all in duplicate
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and caics in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Building Permit Application Without Required Clearances Form .
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑ 2. Impact Fees.
❑ 3. California Department of Forestry plan approval (if required).
❑ 4. NPDES Form.
❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 6. Contractor's license information. (Number, Name Style, Classification).
❑ 7. Worker's Compensation Carrier and Policy Number.
❑ 8. Owner -Builder Verification (if required).
❑ 9. Letter of Signature authorization (if required).
❑ 10. Recorded copy of Agricultural Acknowledgment Statement.
❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO.
❑ 12. Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530) 538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05
OWNER -BUILDER VERIFICATION
Attention Property Owner:
a i
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary
delay in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1. I personally plan to provide the major labor and material for construction of this" proposed
property improvement: YES [i/ ] NO [ ].
2. I HAVE [ ] HAVE NOT [ ] signed an application for a building permit for the proposed
work.
3. I have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS:
PHONE: CONTRACTOR'S LICENSE NO:
4. I plan to provide portions of the work, but i have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS:
PHONE: CONTRACTOR'S LICENSE NO:
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED: /
PROPERTY OWNER:
DATE:
NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California
Health and Safety Code.
This verification must be completed and returned to our office before we are permitted to issue the
permit.
Rev'd 11/4/2004
Butte County .Department of .Development Services vTr
ADMINISTRATION `BUILDINGGIS r PLANNING o�
o �� o
o c
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 Telephone c�U N'�y
(530) 538-2140 Facsimile
OWNER -BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your naive listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a
permit. Building permits are not required to be signed by property owners unless they are personally performing their own
work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if
that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the city or county. They are also required by law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be
aware of the following information for your benefit and protection:
o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
o If you are an employer, you must register with the state and federal government as an employer and you are subject
to several obligations including state and federal income tax withholding, federal social security taxes, workers'
compensation insurance, disability insurance costs, and unemployment compensation contributions.
o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to workers' compensation insurance.
o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
state law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an `owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware
of these matters. The building permit will not be issued until the verification is returned.
Sincerely,
o�'v kE
Scott Rutherford
Chief Building Inspector
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
.
Butte County Department of Development Services
www.buttecounty.net/dds
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile.
December 29, 2005
Melody Johnson
12221 Hwy 70
Concow, CA 95965
RE: Substandard Housing
Violation address: 12221 Hwy 70, Concow
AN 058-170-021
Dear Melody Johnson;
This department has . received a complaint alleging health and/or safety hazards at the
above -referenced property. Butte County'Assessor's records indicate that you own or
control the property.
On, an inspection was made regarding the complaint and the following conditions were
observed which are in violation of the California Health and Safety Code, Section
17920.3 (a) 5, 6, 11; 12, 12; (b) 2, 6; (f), (g) 2, 4; which pose health and safety hazards to
the occupants and render the dwelling substandard.
This letter is your thirty (30) day warning letter to correct or abate the following
violation.
Any building or portion thereof including any dwelling unit, guest room or suite of
rooms, or the premises on which the same is located, in which there exists any of the
following listed conditions to an extent that endangers the life, limb, health, property,
safety, or welfare of the public or the occupants thereof shall be deemed and hereby is
declared to be a substandard building:
1. Lack of hot and cold running water to plumbing fixtures. (a) 5
2. Lack of adequate heating. (a) 6
3. Dampness of habitable rooms. (a) 11
Melody Johnson
AP# 058-170-021
December 29, 2005 ,
Page 2
4. Infestation of Rodents. (a) 12
5. General dilapidation and improper maintenance to back deck. (a) 13
6. Defective or deteriorated flooring. (b) 2
7. Members of ceilings and roof which sag, split, or buckle due to defective material
or deterioration. (b) 2
8. All mechanical equipment including hot water heater must be maintained in good
and safe condition. (f)
9. Deteriorated or ineffective waterproofing of roof and doors. (g) 2.
10. Missing or deteriorated siding boards -exterior wall coverings. (g) 4.
The Butte County Department of Development Services, Code Enforcement section has
determined by inspection and research that there are currently code violations present on
your property at the above -referenced location. Specifically, the violations include:
At the time the above -referenced property becomes vacant, it shall not be occupied
until all violations are corrected.
It is the County's goal to obtain voluntary compliance with the California Health and
Safety Code. However, you should be advised that Butte County has an active code
enforcement program which provides an effective means of enforcement. A re-
inspection will be made to determine compliance. If voluntary compliance with this
notice is not accomplished by correction of the above -referenced violations, enforcement
may be pursued through the issuance of a citation to appear in the Butte County
Municipal Court.
Upon conviction and per Section 41-7 of the Butte County Code, violators may be fined
and a Notice of Violation may be recorded which include a description of the action
necessary to correct the violation.
Furthermore, failure to comply will result in the Franchise Tax Board being notified
of your non-compliance. You will then be prevented from claiming state tax
deductions for taxes, depreciation, amortization, or interest expenses connected with
the property as long as it remains substandard.
This notice is given to you pursuant to Section 24436.5 of the California Revenue
and Taxation Code.
J
Melody Johnson
AP# 058-170-021
�j December 29, 2005
Page 3
To comply with the California Health and Safety Code, Section 17920.3 (a) 5, 6, 11,
12, 12; (b) 2, 6; (f), (g) 2, 4; you must obtain all required permits for repairs from
the Butte County Department of Development Services, Building Division, 7 County
Center Drive, Oroville, California.
You have thirty (30) days to voluntary comply with the above -referenced directions.
Should you have any questions concerning this matter, please contact me at 538-7601
Monday through Friday, 8:00 a.m. to 4:00 p.m.
Sincerely,
Nick Hoekstra
Code Enforcement Officer _-
N.H.: aj f
cc: Department of Development Services, Code Enforcement
10
9
Butte County Department of Development Services
www.buttecounty.netldds
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
December 29, 2005
Gile and Moline Mayfield
3296 Foothill Blvd. #3
Oroville, CA 95966-7720
RE: Substandard Housing
Violation address: 12221 Hwy 70, Concow
• AN 058-170-021 .
Dear Gile W. and Moline Mayfield;
S
This department has received a complaint alleging health and/or safety hazards at the
above -referenced property. Butte County Assessor's records indicate that you own or
control the property.
On, an inspection was made regarding the complaint and the following conditions were
observed which are in violation of the California Health and Safety Code, Section
17920.3 (a) 5, 6, 11, 12, 12; (b) 2, 6; (f), (g) 2, 4; which pose health and safety hazards to
the occupants and render the dwelling substandard.
This letter is your thirty (30) day warning letter to correct or abate the following
violation.'
Any building or portion thereof including any dwelling unit, guest room or suite of
rooms, or the premises on which the same is located, in which there exists any of the
following listed conditions to an extent that endangers the life, limb, health, property,
safety, or welfare of the public or the occupants thereof shall be deemed and hereby is
declared to be a substandard building:
1. Lack of hot and cold running water to plumbing fixtures. (a) 5
2. Lack of adequate heating. (a) 6
3. Dampness of habitable rooms. (a)'11
Gile W. and Moline Mayfield
AP# 058-170-021
December 29, 2005
Page 2
4. Infestation of Rodents. (a) 12
5. General dilapidation and improper maintenance to back deck. (a) 13
6. Defective or deteriorated flooring. (b) 2
7. Members of ceilings. and roof which :sag, split, or buckle due to defective material
or deterioration. (b) 2
8. All mechanical equipment including hot water heater must be maintained in good
and safe condition. (f)
9. Deteriorated or ineffective waterproofing of roof and doors. (g) 2.
10. Missing or deteriorated siding boards -exterior wall coverings. (g) 4.
The Butte County Department of Development Services, Code Enforcement section has
determined by inspection and research that there are currently code violations present on
your property at the above -referenced location. Specifically, the violations include:
At the time the above -referenced property becomes vacant, it shall not be occupied
until all violations are corrected.
It is the County's goal to obtain voluntary compliance with the California Health and
Safety Code. However, you should be advised that Butte County has an active code
enforcement program which provides an effective means of enforcement. A re-
inspection will be made to determine compliance. If voluntary compliance with this
- notice is not accomplished by correction of the above -referenced violations, enforcement
may be pursued through the issuance of a citation to appear in the Butte County
Municipal Court.
Upon conviction -and per Section 41-7 of the Butte County Code, violators may be fined
and a Notice of Violation may be recorded which include a description of the action
necessary to correct the violation.
Furthermore, failure to comply will result in the Franchise Tax Board being notified
of your non-compliance. You will then be prevented from claiming state tax
deductions for taxes, depreciation, amortization, or interest expenses connected with
the property as long as it remains substandard.
This notice is given to you pursuant to Section 24436.5 of the California Revenue
and Taxation Code.
Gile W. and Moline Mayfield
AP# 058-170-021
December 29, 2005
Page 3
To comply with the California Health and Safety Code, Section 17920.3 (a) 5, 6, 11,
12, 12; (b) 2, 6; (f), (g) 2, 4; you must obtain all required permits for repairs from
the Butte County Department of Development Services, Building Division, 7 County
Center Drive, Oroville, California.
You have thirty (30) days to voluntary comply with the above -referenced directions.
Should you have any questions concerning this matter, please contact me at 538-7601
Monday through Friday, 8:00 a.m. to 4:00 p. -n.
Sincerely,.
• Nick Hoekstra
Code Enforcement Officer
N.H.: aj f
cc:' Department of Development Service3, Code Enforcement
`
-,•
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC'WORKS— 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
L
CERTIFICATE OF OCCUPANCY
This building has been constructed and completed in accordance with the
requirements of the Uniform Building Code under permit number 1240-79
for the following:
Use Classification Restaurant (Grandview)
Address or Location e/s Hwy. 70, 1' mi. N. of Deadwood Rd.,
Oroville
Group F-2 occupancy; Type V—N construction.
It is hereby certified for the occupancy described above and may be
occupied.
Director of Public Works
Date November 16, 1979 B ---�_
POST IN A CONSPICUOUS PLACE i
(Over)
r
4
1240-799,P,E,M
4 PERMIT NO.
PERMIT EXPIRES
OWNER Grandview Restaurant
f CONTR. nwner
58-17-21
LOCATION (A -.P. )
S/SHwy70 nro-f—Deadwood Rd., 12 mi.
past/Rock House, Orovi lle�
e
s
l
k
r
4
1240-799,P,E,M
4 PERMIT NO.
PERMIT EXPIRES
OWNER Grandview Restaurant
f CONTR. nwner
58-17-21
LOCATION (A -.P. )
S/SHwy70 nro-f—Deadwood Rd., 12 mi.
past/Rock House, Orovi lle�
e
s
J
I �
i
9
{
5
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
j'
Called PG&E
z
JOB /
FINALED
J
I �
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont,d)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor 7—
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
StemwaII
Siding
To out 5 -
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for phsically
handicaped
Conformance of ex.
structure
Appliances
Gas Pi in &Test
Temp. Gas
Slab
Final /
Sanitation
Patio
FIREPLACE
Final // -7
Footings
Footing 19
ECTRICAL
Masonry Walls
Throat
Rough 3-7
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE tPRINKLERS
Motors
Framing -- 3
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underaround
Interior Lath Ventilation Permanent
Door Closer Final // /f� 79 _.�/ Final
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal `
Water Piping Sewer Gas Piping
MOBILEH )ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
;7 Iq lee
/�/ � �%`�'tf✓a� �,4-c�.s � 5,.,>Sy ,tom, �t !�✓
'07 9X.4
►'e'o�`--fir Ca �►-�-K. �� ��� /cLu 11�/f�� %�s�l�
T-
(NOTE: An entry must b made on this form each time you vis a lob site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Tei ephone: 534-4541
APPLICATION AND PERMIT
a• -
BUILDING
OwnerSQ.
,zMd64
• w �
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Tei ephone: 534-4541
APPLICATION AND PERMIT
a• -
MUU1V1 I Gri 17VIGAOIIlat1VCA ul Ulu %auuIlty UI OUtte tu t711tty upun Ule
above-mentioned property for inspection purposes.
Xto
?/Y�7 M 3—(z-?
Signature of Permitee or Agen
Receipt No. I U U -7 LA(J
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF -PUBLIC WORKS
BY � Date 3— 1.� � %�
B i ding permit expires Date a—is ?D
BUILDING
OwnerSQ.
,zMd64
FT. OCC. BUILDING VALUATIO C
0
Mai I i ng Address
Telephone No.
Contractor
Mailing Address
Fireplace
Total Valuation
Telephoned
-
Permit Fee 4441
Building Address -70 Ze
Plan Checking Fee&/or Penalty
Permit Fee
e
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 -loco
Each Trao 1.50
Repair drainage or vent piping 1.50 etj Q
A. P. No. ��— � l.r
Zoning & PI ning
aterpiping 1.50
Each gas water heater or vent 1.50
F&s--
Sp ion
Fire Dept.
Fire Zone
Use P rmit
Gas piping system 1 -5 outlets 1.50
EQA
Parking Parcel
Plans Declaration
Parcel Map
60' R/W
Improveme is
Each additional outlet .30
Building sewer 5.00
Ions Recd Parcel A royal
Pla pproval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
is J�
ELECTRICAL No.1 @ FEE
-e
PERMIT FILING FEE $3.00.
Main service 1V DR LESS
10000 AMP OR LESS 5.00
Single Family ❑ Duplex ❑ Mobil Home ❑ Others
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST.
OR ADDNS. ACCLBL GS.LING CCUP. 4) 20sgft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
st le of:
Y
NEW RES,.,CO
NON -REBID � BRANCH CIRCUITS) 2.50ea
-BRANCH
NEW CONSTR. (POWER APPARATUS 6�
NON.RESID. SINGLE OUTLET CIR.
EX. OCcuD{OUTLETS OR FIXTIIRES BAL@;
Ex. QCCU FIXED APPLNS. OR
p•�OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25 /2050
I L44am exempt from the Contractors License Laws of the State of California.
Permit Fee $ /��J'�
$Z2=<
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.
MA I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.003.00
Heating
Cooling
Ventilation
Hood 2.00 g-00
Permit Fee $ 'S'.00$
S~
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 Fee
$
TOTAL PERMIT FEE
$
MUU1V1 I Gri 17VIGAOIIlat1VCA ul Ulu %auuIlty UI OUtte tu t711tty upun Ule
above-mentioned property for inspection purposes.
Xto
?/Y�7 M 3—(z-?
Signature of Permitee or Agen
Receipt No. I U U -7 LA(J
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF -PUBLIC WORKS
BY � Date 3— 1.� � %�
B i ding permit expires Date a—is ?D
�
J
1
1
r
.es
�
V
�a
n
z1lj/ . �
• ti
c
my
0
c-
V — _�jy :,i v.�a�j �✓w vrvv%�� .ice �v--r ,� o `- / �/ (� -y `�--ti.._�f• � \
a
" S ✓. Com. �.� � �C� �,.�, S 7L " _. - -
.e
' � � ,� L;t
�� � �. �
..
1111111 , ---
I
9
f
`a "PERMIT NO. 6041-79P,E
PERMIT EXPIRES
OWNER Moline Mayfield
CONTR. owner
58-17-21
LOCATION (A,P.
W/S Hwy 70 —1-] -- ll OS—Deadwood Rd.
1z mi.pas Rock House, Or� app'
(Para.Insp,)
{r
1�
ff
t
i
1
i,
la
i
N
t
r
S
a
t
f
t�
'7r
Y:
F
FTemp.
emp. Power Pole
Called PG&E
Elec. Serv.el
lled PG&E
Gas Serv.lled PG&E
JOB
FINALED r
(Date)
3 lure)
9. Electrical
A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of
0.
mobilehome with a minimum of 1amp) and other facilities on lot; i.e., water pumps,
garage, cabana, etc.? Yes No_
B. Is there proper clearances around panels? Yes t No
C. Is power supply cord or feeder assembly properly fused? Yes No
D. Is continuity test satisfactory as per the following procedure? Yes c>To
1. De -energize electrical wiring system of the mobilehome at the pedestal.
2. Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
3. 'Switch all breakers and switches in the mobilehome to the "on" position.
4. Connect one lead of a test instrument to the mobilehome grounding conductor and
apply the other lead to each mobilehome supply conductor, including neutral.
5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line,
water line), including fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conductor.
6. Upon completion of the above procedure, the power supply cord or feeder assembly
conductors shall be connected to the site service equipment. A further continuity
test shall then be made between the grounding electrode and the chassis of the
mobilehome. Upon satisfactory completion of 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 Namestyle AV a35,7' .....,<L j G O
Length_6 0 Width _
Vehicle Serial No. O 5d,
State Identification No.
Additional Information or Comments:
MOBZLEHOME INSTALLATION INSPECTION CHECK LIST
1, Is the mobilehome located with required separation from -lot lines and buildings and generally
conform to plot plan? Yes,_ No
2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes ---*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 z-�No_
5. If more than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes 7 No_
6. Water
A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes ✓ No
B. Test - Does water piping withstand work
C. Backflow - If coach is not State
and pressure -relief valve? Yes_
pressure or 50 lbs. air test? Yes ✓ No
rnia approved, does station have backflow device
7. Wastes and Drains /
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes 4-' No
B. Does it have minimum 4" per foot slope and is it properly supported? Yes p--No—
C.
--NoC. Are any leaks detected in drainage system after runn ng 3- allons of water through each
fixture including washing machine standpipe? Ye — No
D. If coach is not State of Califor �does station have required trap and vent?
Yes No
8. Gas Piping and Gas Vents
A. Connector - Is mobilehome connected.to the gas supply with an approved 3/4" minimum
mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as
large as the mobilehome gas line inlet without reductions other than the mobilehome .
connector. Yes-,,'-�No_
B. Test OK as per following procedure? YesZNo_
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? YesV"'No
0
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. It you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
X
5T.5�e/1� f�� t-, ; Lead L"ice ...�
620 Y1.4-v.s
h4! /S Kyi 40d
Inspector Date v2!
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 5, under permit
number 6-25?/-79for the following location: WAC ,.0 7 r
I'5kf-�/c�C
Owner
Owner's Address �n 'o %' 07 ` % CJ fn's'
Mobilehome Mfg. Model Pf Year _1?
Insignia No. n`-. -7 7111-4 ^ / ?fl' Serial No. a A46y'-2 /" ?e4/ 70";
i
It is hereby certified for occupancy -at the above described location and
may be occupied.
Director of Works
By ,
Date �i/?/�71� B _
THIS CERTIFICATE IS VOID WHEN MOBILEHOMIS S RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
�. •
� .�
�,
J 1
�
♦ .
n s
v�
+
�
�
� � � i
•
7
�� ��,
' � �
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
1BUILDING A BUILDING (Cont'd) ` PLUMBING /
ae aCK
FVewall
Z SoI Pipin
For
PaNpets
1s Floor
Mat Bldg.
Resillpom Finish
2nd loor
Fo ins
Windo
3rd Nor
Stemall
Sidin
To out
Slab
Roof SheNhing
Water Pi i
Piers X
Roofing X
Sewer
Garage
Fdn. Vents .
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation It
Water Htr.
Heaters
Slab
Carport
p
Footings
Prov. for ph slc y
handica ed
Conformance of ex .
structure
Appliances
Gas Piping &Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIRE LACE
Final
Footings
Footing
E CTRIC L
Masonry Walls
Throat
Rough
Reinf. Stee
Final
Fixtures
Bond Bea
FIRE SPRINKLE
Motors
Framinq
Test
Water Htr.
Stucco
Final
Sub anel
Mesh
MECHANICAL
Grd. Fadit Prot.
Pole
I rior Lath entilation Permanent
oor Closer NAInal Ilinal
MOBILEHOME UTILITIES ------------------ Elec. Servic 7 Elec. Pedestal/eV 101F
Water Piping /fj �J/ ? Sewer 7 Gas Piping 11 p 7
E OME IN TA LATI N - - - - - - - - - - - - - Support Elec. Continuity ! x`
Water Piping 79 Drainage-/�� �i g 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 — DEPARTMENT OF PUBLIC WORKS
Vounty Center Drive - Oroville, California 95965
Telephone:'534-4541 ��
APPLICATION AND PERMIT j
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date _ C f _S
BUILDING
Owner
SQ. FT.
OCC. B U I L D I ALUATION
Mailing Address t�, )&
Telepl�.yt 34
i
Contractor ZJ AL LVIlOWss � ► L� L��
Mailing Address CRi1a Ali �?
Fireplace
Total Valuation
_ TlhN
ee one o.
DIIu�{��,, IJ� - F; Lc�i ) (�i,�,G�
Permit Fee
Building AddressPlan
Checking Fee&/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
(
Repair drainage or vent piping 1.50
A. P. No.
ng 8 Planning
Water piping 1.50
Each gas water heater or vent 1.50
F
S
FireDept.
FireZone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
I ParcelEach
Declaration
Parcel Map
60' R/W
Improve ents
additional outlet .30
Building sewer 5.00
_�-'
Bldg. PIdk-Irec'd
Parcel A val
PI(ns Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
J1)A_o1al — --.z>n
ELECTRICAL No. @ FEE
6 ® ( - 71
PERMIT FILING FEE $3.00
00V OR L
Main service 100 AMP ORSLESS 5.00
Single Family ❑ Duplex ❑ Mobil Home Ck Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600 25.00
100 AMP OR LESS
Main service EA. ADD -L. 100 AMP 1.00
NEW CONST OR ADDNS. ACCLBL L INGS.CCUP. S1 2C Sq ft
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
styleof] /q! II J / / /]
�J/�
TLET
NEW RESID. BRANCH CIRCUITS)
NON-RESID. (BRANCH CIRCUITS 2.50ea
NEW C ONST R. ( POWER APPARATUS B
NON.RESID. SINGLE OUTLET CIR.
Ex. OCCUQ(OUTLETS OR FIXTIIRES BAL:t
FIXED APPLNS. OR
Ex. Occup. (OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.c3j Classification
Misc. Wiring 6.25
❑ 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.
have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
F
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
autho ize r resentatives of the County of Butte to enter upon the
above enti ned property for inspection purposes.
/
X 0A_B �(, tDate
Signature of P rmitee or Agent
+7 10- 7 /
oe,.e�.,° Alr� L
Fee
$ Q ^
TOTAL PERMIT FEE
..�
$
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
RE T OF P BLIC WORKS
S
Date 1
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date _ C f _S
` MOB ILEHOMESUPPORT DATA
If other than single wide,
Mobilehome Mfr.,' ,Aro j2 furnish Setup Model. No. ; Year
� ZZ
Width '�.''/
(ft.) Box Length �ft-.) Tagalong or Expando Size t. X, t.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 19731furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of,
mobilehome unless otherwise specified, • t ,
Single;
(ft.)(in;
Center support
locations*
(ft.) (in.)'
(in.) (in.)
Center support
footing sizes
(in.)
(in.) (in.)
(in.) (in.).
ax
(in.) (in.)
(in.)l(in.)
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
Footings (check one)
1. Wood either
pressure treated oz
foundation grade.
El 2. Other (specify)
Supports (check one)
-1: Concrete block.
2: Other (specify)
Tagalong or Expando,'
show support details.
kax,3 -- Typical Support
in.) (in.) Footing Size
-- Max. Pier Spacing
(ft.)(in.)
21) Max. Overhang
t)(.)
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED.
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center. Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name:
2.. Installer's name:
3. Is the site currently under permit? Yes / / No
(If yes, furnish permit number ) OR
Is the site an existing site? Yes / / No
(If yes, furnish two (2) plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and
clear of all setbacks and easements? Yes 5;7 No
( If no, clarify )
5. What is the mobilehome electrical rating? ----------------------- 62) Amps
6. What is the mobilehome site service rating? --------------------- MD Amps
7. What is the mobilehome site circuit breaker rating? ------------- /MD_ Amps
8.
Is there any other electric load to be served
by the mobilehome
siteservice?
---------------------------------------------------
Yes 24Z No
(If yes, identify the load and size:
Job Y14� (Load) ® (Amps)
�/�
9.
What
is the mobilehome site gas pipe size? ----------------------
(in.)
10.
What
is the type of gas service? -----------------------------
Natural / / LPG
/
11.
-What
` 1
is the gas pipe length from meter or tank to the mobilehome? � (ft.)
12.
:What
is the mobilehome gas demand? ------------------------------
(BTU)
(This information not required if pipe length less than 6 ft. on natural gas
or less than 50 ft, on LPG.)
1 1 t.
COUNTY OF 8UT-FE — DEPyRTMENT OF PUBLIC WORKS
7 County Center Drive - Qroville, California 95965
Tel ephone: X534-4541
APPLICATION AND PERMIT
AA /.I /
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date ZIQ
Signature of Permi� or t
Receipt No. Z
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do Work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
ByDate 71
Bu ding permit expires Date S, �o
BUILDING
OwnerSQ.
FT. OCC. BUILDING VALUATION
Mailing Address
Cq
pTelephone No.
Y—/,D 7
ef
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address O y IrP/ D
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 .-CnK
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. %.- oZ
/'Zoning & anning
Water piping 1.50 AL,'�-C
Each gas water heater or vent 1.50
s S tion Fire Dept. Fire Zone Use Permit
Parking arcel Parce ap 60' R/W Improvem is
EQA Plans claration
Gas piping system 1 - 5 outlets 1.50 o.00
Each additional outlet .30
Building sewer 5.00 0, 01D
Bldg. Plans Re d I
Part!!!Approval
PIA Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
Permit Fee $ O
$ C
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 00
Main service 100 AMP ORSLESS 5.00 ,�3a
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADO'L 100 AMP 2.50
Main service OVER eoov 25.00
100 AMP OR LESS
.
Main service/ EA. ADD'L 100 AMP 1.00
NEW CONST. OR ADDNS. C ACCDWE` BLDGS.CCUP. S\ 20 sq ft
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
le of:
TLET
NEW RESID. /BRANCH CIRCUITS
NON.CONST 1 BRANCH CIRCUITS 2.50ea
NEWCONSTR. POWER APPARATUS 8
NON -RESID. SINGLE OUTLET CIR.
EX. OccuD(OUTLETS OR FIXTtIRES) BAL ,5 t
Ex. Occup. FIXED APPLNS, OR
p•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 ,Co
License No. Classification
Misc. Wiring 6.25
0i am exempt from the Contractors License Laws of the State of California.
Permit Fee $ r Oa
$ 3 Too
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is Issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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 Fee
$5Z67clb
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date ZIQ
Signature of Permi� or t
Receipt No. Z
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do Work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
ByDate 71
Bu ding permit expires Date S, �o
v COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: �534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
XDate A9 "2-0-7
Signature of Peeerrmitee or 4.ut
Receipt No. �O o
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
T permit is hereby issued under the applicable provisions of
the utte County Code and/or resolutions to do work indicated
abo fo wh71RECTOR
fees have been paid.
A OF PUBLIC -WORKS
3 Date /,o .
z�- -7y
Bm#dpermit expires Date /9•" 19' 8a
BUILDING
OwnerSQ.
aJ /QLD
FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address ,6 IdPlan
N
Checking Fee&/or Penalty
Permit Fee
&W-#V70�l% /k,� .•
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. n_ 1
2 . S
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F e
XJVJ
Sigi ;ion
Fire Dept.
Fire Zone
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
Bldg. Plans Recd
Parcel ApEroval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑J
Permit Fee $
$
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family ❑ Duplex ❑ Mobil Home 2r Others ❑
Main service EA. ADD'L 100 AMP 2.50 .-5-0
Main service OVER e O 25.00
100 AMP OR LESS
Main service EA. ADO'L 100 AMP 1.00
NEW OR ADONST (DWELLING ACCBOGS.Ccup. s) 20sgft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
st y le of:
NEW CONSTR (MULTI -OUTLET
NTS)2.50ea
ON.ONST ( BRANCH CIRCUI
NEW CONSTR (POWER APPARATUS 8
NON•RESID. (SINGLE OUTLET CIR.
Ex. OCCUR{OUTLETS OR FIXTIIRES BAL@101
x. CCU FIXED APPLNS. OR
EO p• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
)_0 I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ 576a
$ �t
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.
�iJll I certify that in the performance of the work for which this
.,1O 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
I Land Development Fee
is
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
XDate A9 "2-0-7
Signature of Peeerrmitee or 4.ut
Receipt No. �O o
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
T permit is hereby issued under the applicable provisions of
the utte County Code and/or resolutions to do work indicated
abo fo wh71RECTOR
fees have been paid.
A OF PUBLIC -WORKS
3 Date /,o .
z�- -7y
Bm#dpermit expires Date /9•" 19' 8a
�S
�'�l�(17,7.7
Owner:
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
�;,...-1 0 ria-ze /`%1 d)I'$ f RAV4eIJ 1 A.P. #
(Address: �f-Aid
Building Location: ) r�zsl
-
Date of Inspection
Inspector
e.. % A ..
/-F . �"�� ri;a.'1-t • . f'`.� Gl e -2-.,,J
Type of Inspection requested:
T 1. housing ff 2. Financing 3. Change of Occupancy to
4'. Other (specify) �'f .r«1 •bK-r/¢�. ./Cr �,v c r' •i4 �i ,� c o �.� C�:.sf'
Present use. of building:
A Sanitation (Hous ) C ",,-- _ .�Ay ti -t �.r•-e !oA �'�«-( '"..:' ,
1. Water closet•`
2. Lavatory:. m _,%j .-"4-
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. Connection to wate•r•.supply:
13. Rubbish and garbage facilities:
--
4 I I/ of t -e . M - C o—c" t '00e- C-
B
B. Structural 71,18/ ,%,� lel
1. Piers and footings:
2.- Floor construction: -s� -� ���� �r�v%n su�S. /►'��!� --F i
I. Wall construction: • o�����r D.-� 7'M-Itc,,, A � b, M,t s
4. Ceiling and : roof construction: sl-�- --`� tia�-c a �' 4-- ccP •�
5. Fireplaces:' La
6Comments:
%� h1vS !/h w-.. !ul,� c -a-1 eJ� f'L.�� ...,�� l tA�•�- i -� _ - rl — � .�..,o k--�.zVic_.
_J
C. Electrical,
l.. Service zc: ground:
2. Recept� c 1s: '
3. Fusing* -
4. Comment. s :
D. Plumbing
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents:
.. 4.. Comments • °
i
E. Other
1. ' Maintenance and repair: �
2. Fire hazards:
3. Safety haz•-Ards:'
•
4. Weatl!er protection:
5. Underfloor and attic ventilation:
6. Corm:�e.nts:
F. Commercial Buildings
1. Reef covering,:
2. Distance to property lines:
3. ' Physically t;gndicap,-ed:
4. ;?est"oom floors and � ai—is:
5. Exits: _
6: Improvements: _
7. Zor.i.r.g:_
8. Comnerit:~
G. Field Problems or Viola;.ior,.s
1. Problem or violation (give rcmplete. description) :
2. Wt at. c:t:rion taken (give complete--Jescripti.on) : --
3. What act.:i.on recommended:
7-7 A. .nfon«::tion only •- f ! .
B. Hold for tcn (10) days, then wri::e l.rtter.
r W-,7l.ie letter, .J
77D.- other• .
¢` jPERMIT NO. 4838-748
P
t
E
M
LIH UTIL.
i PERMIT NO.
i
PERMIT EXPIRES — _ 75-
jOWNER Robert Ausmus
SCONTR.
i�LOCATION (A.P.
fi�s Hwy 70, 121 mi. N. of Deadwood Rd, app.
12 mi. Past Rock House( randview),Oroville
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED 715
�
(Date
i
(Signature)
DATE REMARKS OR CORRECTIONS
r
COUNTY OF BUTTE — DEPARTMENT -OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMBING
SetbacZRn
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn: Vents
Fixtures
Footings
Garage Vents
Water Htr.
StemwaII
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure z
Gas Piping & Test
Temp. Gas
Slab
FinaL7:3
Sanitation
Patio
FIREPLACE
Final
Foot n s
Footing
ELECTRICAL
Masonry W IIs
T11roat
Rough
Reinf. Ste
Fin
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
F aming
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHA CAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE REMARKS OR CORRECTIONS
COUNTY OF BUTTE — DIPARTMENT OF PUB W
7 County Center Drive --tG 4_OtiIle, California 95
Telephone: 534-541
APPLICATtOfV AND PERMIT /
1cF1VQW"LUL1VVS UI 111E lJUullty UI 6uttE W enter upon ine
ab -men oned property fo pection purposes.
ate lI-ZCI
Signature of Permitee or Agent
Receipt No./o167Q =�
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.
DIR CTOR OF UBLIC WORKS
r
B?i1ding
Date /L� � J %
permit expires Date.............�.?-.�.3..'..7�........
07UILDING
Owner AV—
SQ. FT. OCC. BUILDING VALUATION
Mailing Address T
1
• l
V
Tele hone No.
Fireplace
Contractor 0U)
Total Valuation
Mailing Address
Permit Fee
,0
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
$
ffloo
$ �' O
Building Addressi1?l��
PLUMBING
No.
@
FEE
FILING FEE $2.00
-Al.JA-xPERMIT
/(!)—f(,[� OO �1 /¢(>)
Each Trap 1.50
INXF—SAS? 0LIS ,F_
Repair drainage or vent piping
1.50
Water piping 1.50
l �+
/Y 1) V I ItEw
Each gas water heater or vent 1.50
A. P. No. J 7 �� J
/
Zoning 8 Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fis<
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQAParking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im provements
Lawn sprinkler system 2.00
Bldg. 46's Rec'd
Parcel Approval
Plans loaroval
Permit Fee
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL
No.1
@
FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each
1.00
Single❑ Duplex ❑ Mobil Home E] Others ®
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
C�Family
1_Alk e&40— WALL, . F 6.,PJW6 ill E -Water
Heater or Space Heater
1.00
Light fixtures bal X110
Receps., switches & fix outlets
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
[0-i am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
sI certify that in the performance of the work for which this
u permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.1
@
FEEPERMIT
FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOT AL PERMIT FEE
$ QE
1cF1VQW"LUL1VVS UI 111E lJUullty UI 6uttE W enter upon ine
ab -men oned property fo pection purposes.
ate lI-ZCI
Signature of Permitee or Agent
Receipt No./o167Q =�
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.
DIR CTOR OF UBLIC WORKS
r
B?i1ding
Date /L� � J %
permit expires Date.............�.?-.�.3..'..7�........
BUTTE COUNTY
BUILDING DEPARTMrNT'
APPROVED
w hr 4 d e 1.- 6X,17, '
• This set of plans and specifications MUST be.
NK)Tf:--Al Onferitals & Workmanship Shall Be in Kept on the job of all firn ' es and' it is unlawful to
Accorqfwce'., with Recoanhed ir--,nod - Practices and -nake any changes or altPrettions on same without
of a os 144'. prenerlv-4 for, the SrzeiPed use in the written Permission from the Deipartment of Public
Otlifti;n", Pjjjrvt,;nq. & Machanical Codes and Works, Courifv "of Butte.;'
*6 Haflonal^Eleefrical Code.
4Q?P" 0 E b
X (2,
'6
idows
revue Ile, 14, J
-4;—
J