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058-230-030
58-23-30 _LARRY A. HUNT I , J L ,o __ W/S Oro Con ow Rd, app ? mi. S of ! Jade Shop) Cocow o58 — 0(. --- Permit ## 614-MP,E (q r - _L4 ,`/5 �2�•q jvl d GS SUPPOR STRUCTUR r COMPACII',ION TEST --]-Zp 50 �— Contr : Pa_a adise" ymll a t Permit #578-78NHI Iss 58-23-30 JOHN P. CARRIOK NW Cor Hoffman & Concow R. H.D. CLEARANCE SF &wd* off- irmue OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Artic Aire ADDRESS: 2838 Hwy 32 CITY & STATE: Chico, CA .95926 IMPORTANT: January 11, 1993 SEE INSTRUCTIONS- _ DATE OF CLAIM:. ON REVERSE -SIDE SUBMIT CLAIM. TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) I AMOUNT • -Owner has decided not to do work_. Permit #92-4173P AP#058-230-030 Recei t 130004 dated 11/25/92. i I Total Permit Fees Paid ------------- ---------------- $30.00 Retain Plumbing Permit Filin -Fee-=---------------- 15.00 TOTAL REFUND DUE -------- ----------- =---------------- $15.00 i I i - I i TOTAL $15 00 the undersigned, declare under penalty of perjury that the services or articles claim h ve be performed or delivered, and that this claim is true and correct as stated. ( / Dated this 1, •......, day of �`-�L 19 f-3 et,•.... ..,.., Calif. '•'•."""of Cleiment...••.. �. ... ....... ..... .... ...... .. igna urs I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation E] or Specific Board Approval U (Check one) for the same. Dated this 11th January93 Oroville ................................... day of ............................. 19....... at Calif. ......... ep .........: �ertinent Heed or Authorized De utY 1od`' 440-002 ""D' 4210500 Const :'Permits Code ............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. i .RTI Al E R (S _ HEATING & AIR UO— NDITIONING SPECIALISTS SINCE 1958 F RESIDENTIAL • COMMERCIAL LIC. #234913 CHICO: (916) 895-3330 PARADISE: (916) 872-3330 C()Ut4 F%/ OF SUTTE BUILDING DEPT December 29, 1992 EC 3 0 County of Butte-Dept. of Public Works 7 County Center Drive Oroville, CA 95965 f To whom this may concern: ; In November Artic Aire purchased a permit for our customer Virginia Carrick. She informed us that she has changed her mind and does not want the unit installed. We are requesting a $30,4)refund less any handling fees. Please call us if you need more information. Sincerely, Victoria Lambert Customer Service #1 -IN NORTH VALLEY 2838 HIGHWAY 32 • CHICO, CALIFORNIA 95926 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi4let California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT (PERMIT NO. / � ` '111V ASSESSOR PARCEL NUMBER 70NING 098-230-030 - FR -5 BUILDING PERMIT OWNER TELEPHONE 533-2237 SQ. FT. OCC. BUILDING VALUAITION OWNER'S MAILING ADDRESS 3963 ROffman Rd., cow 95965 CONTRACTOR'S NAME AC TELEPHONE 895-3330 CONTRACTOR'S MAILING ADDR SS Fireplace CONSTRUCTION LEND_tlr R UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ kL PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I 1@ 15.001 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities[XI Installation[] Other ❑ Describe work: Permit Fee $30.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declar under penalty of perjury P y p l y (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Coe and my license is in full force and effect. License No. Classification 1, as the owner, Or employees with wages as their sole compen• sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000AI 37.50 NEW CONST. / DWELLING OCCUP.yd\ 3.64sq.ft. OR ADDNS. l ACC. BLDGS. // NEW CONSTR.ULT'.OUTLET NON.RESID BRANCH CIRC', TS @ 5.00 /POWER APPARATUS e1 l SINGLE OUTLET CI R. / P( OUTLETS OR FIXTURES 20 76 Ex. Occup( AI n. ARJ FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID,) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, in emnify and keep harmless the County of Butte against all li bill les, judgme , costs, and expenses which may in any way accrue again t aid- ounty i ons a of the granting of this permit. X Date — Si nature of Applicant — owner 9 PP ❑ Contractor ❑ Agent An OSHA permit is required For excavations over 5'0" deep a d demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 30.00 HAZ DFEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of t utte o ty Code and/or resolutions to do work i i to b for which fees have been paid. R R OF PUBLIC WORKS B Date/Z /-1L PERMIT EXPIRES Date z — — Receipt No. 43 0 O'O WNITE-D.P.W.. YELLOW-A88[BSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ..r.•. ... - '3.rc. --��,��/•"�•v��v►--.Tti-*r'a-w^.�-a-,,riff:^,w+..w-.'�,"j-�"'',,.''�".r-='�(r�'"�^j'"�w--`..-,-,F,f.»�1..,Y,. :r -�:� ^.i ...r..« _ r. r7 COUNTYOF BUTTE - DEPARTMENTQF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORO.V.II LZ'�AL4FORNIA95965 -TELEPHONE (916) 538-7541 a -- PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use /Z L/ Lj�2,lts Building Inspector A. P. No. Date At timeof pe mit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). .. ' A r . Pre un ed ion requ 20. Pre -inspection for required. .. to eui�di�9 inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _)............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. �. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at officeq Deliver with inspector. Other _ Parcel Creation / Acreage Applicant i ,, �/'" i Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution/ Date ` Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works r r P1582-83B,E PERMIT NO. PERMIT EXPIRES c { OWNER JOHN P. CARRICK i CONTR. Owner ASSESSOR PARCEL 58-23-30 I LOCATION 3963 Hoffman Rd, Concow ?z 4,01 1► 1 Temp. Power Pole_ Called PG&E _ Temp. Elec. Service Called PC Temp. Gas Sei Called PC JOB FINALE[ Signature a J' =" OK 0 = Not OK = Not Applicable = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except k's .1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch Date DECKS, COVERS, CARPORTS, ETC. (PI ) OK except N's oning Requirements—Setbacks—Easements kf�tings; Size—Depth—Spacing—Connectors _ 3. Sewer; Location—Test—Fall-C/O—Concrete P-Illecks; Girders and/or Joists—Decking—Bracing—St 'rs—Rails 4. Water; Location—Test—Easement Needed (Sketch)P-6--d! 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete _ Awn.; ng_ _ 5, wn.; o umns— onnections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6, s 7. Utility Clearance i Card -BI Date Card - BI Date C d -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except N's 1, Setbacks—Easements 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining _ 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 6. Water; MH Test—Regulator—Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed .7. Water and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panelboards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date 1 1 1 J = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready Date UNDERFLOOR (Plans) OK except k's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth o =One 3' -Check Ga=3rdstory, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth rs; dth-Headroom Ri Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth a4.&Jyworod on.R Overhang- ents-Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wraoped-Slab iding a' eneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. es -Drip Scr ed-Fdn. Vents-Underfir. Access 7. Piers -Fireplace Ftg.-Steel Glazing AreaProtection-Skylights-Plastic _ 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 5 - 9. Gas Pipe; Size -Anchors 10. .Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date(..::a07_ Mand -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL ans) OK except H's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except k's Ext. Steps -Door & Sidelight Protection -Landings 5;9-r-bmefce"D8T8i°tor _ 14. Water Ht.; Vent -Access -Combustion Air 5 - rance-Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protectionedroom Exiting _ 17. Shower Pan; Test, First Floor -Tub Access 60. t b Access 18. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 6 frim & Subpanel; Breaker Sizes -Labels �tairs & Rails _ ___19. 6 _ ve; earances-Hearth 6 ood Panel; Int. & Ext. Card -BI Date Card -BI Date 6 -ppliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. e s & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67.oor;wing- anding-Closer 68. rage-amper _l 24e F' ture & Transformer Clearance -Ins. Protection .Receptacles Spacing -Lights & Swit hes at Doors 69. - ea ance-Comb. Air-Connector-P.R.V.- Iri Garage; Above Floor-Mech. Protection 70 _ ch. quip. Listed for Location - Size oxes & No. of Conductors -Stapled 71. Garage; (G.F.I.)-Romer Protec. om Installed Close to Edge of Studs & C.J. --- - quip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72�Insulation-Foam-Looked in Attic PAeig 7��nerlation s & Deck Construction -Post Caps 2 cutis in Itchen & Conductor Size - ga. u or AI-A.C. Wire Size / / ga. Cu or Al Urr�n. V nts & Crawl Hole Door -Drainage &Wood -Earth Clearance ed under Floor ❑ Yes __ ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutra ❑Yes ED No 28-9 ce-Riser Conductors & Ground -Main Disconnect 70.- Following instld.: Drive es ❑ No; Walks ❑Yes ❑ We Planters ❑Yes o 7 _ Clrnces-Brkr. & Cond. Size -115V Outlet - -_ 2 learances; Panels-Motors-Mech. Equip_ _ met Light -Shower Light _ 7g.-Appliance-Firepl.-Clearance to Opngs. ----------------------- Card B -I Card B -I Date -------- _Date_&]��Card-BI Date _-- Date Card -BI Date 1 / MECHANICAL (Permit) OK except q's onnect, Electrical, Plumbing .F.I. Receptacle -Underground er�bHation throughout House g 8 las ection _ orrections from Previous Inspections - e ers , Gas -Electric ted -C/O to Grade -HD Approval gy Compliance Certificate -Other Certificates - - - _ 31. A.C. Ducts: Insulation &Support 32. V_ent_Fan; Exhaust above Insulation _ - 33. _Condensate Drain _& Overilow; Size & Grade 34. Furnace-Vent;_Access-Comb._Air-Return Air Vent -115V outlet Card -BI- Card -BI 35. Attic Access & Platform if Furnace in Attic -- - - - - -- - -- --------- Date - Card -BI Date Date Card -BI Date Card -BI Date and -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRA (Plans) OK except q's _ _ _ IIs; Proper Material & Anchors _ ��ells: Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Be g Walls_over Girders &Floor Nailing_- _ a_ft Stop in walls (rat proo) _ _ 40 airs -Chases -Tub _ a �-� - qj)/H r & Beam -Size & Bearing 4 Fjangers-Post Caps -Anchors -Connectors-- CIng. Joist-Rftr. Ties- Purlin -Roof Brac.-Truss-Shthnq.- --R_ing. 44. ies or -Fireplace Throat as-$ize-li+(_omex Protection -Draft Stop -Ins. Baffles 4 drm. Windows or E_xiting Doors -Sill Hgt. & Dimensions 47.-- -- -- -ection Framing------------_ --- -- -- - _ (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDIN(YOFT—PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, 'please contact this office immediately. Inspector COUNTY OF BUTTE - DEPAI'TMEWT1 OF PUBLIC WORKS 7 County Center Drive - Oroville„Ca��,�ia 95965 - Telephone 916/534-4541 _ APPLICATION AND. PERMIT PERMIT NO. ��. k�, iQ ASSESSOR PARCEL UMBERD ZONING BUILDING PERMIT O WNE igkn,33- LEPHON`E/ 4 SQ. FT. OCC. BUILDING VALU ION OWNER'S MAIL N ESS .50 S' Cid®R'S NAME 34 1A La TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace ” CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER IIMMS� LICENSE NO. Plan Checking Fee ,$ so Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING A ESS 3903 PLUMBING PERMITg Filin Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF [:1Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New ❑ AdditioRemodel [I utilities [IInstallation ❑ Other Describe work:&L-Aacd!4=�c~i!�]`a. 7- _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 _ NEW CONST. ( DWEGHQ P•&) OR ADDNS. 1 ACC.L QtY 21/4sgft (� CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEWCONSTR ULTI.OUTLET 2,50 ea NON -REST D. BRANCH CIRC ITS POWER APPARATUS &1 NEW CONSTR.NON-RESID, (SINGLE OUTLET CIR. 1 20@50c Ex. Occup(o OR FIXTURES eAL@soQ IXEDTs Ex. Occup. OUT OUTLETS PLNS. OR (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 46 / 0 Contractor MECHANICAL PERMIT FiIIng Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Bu to to t bove-men ned property for inspection purposes. I a o r t e in emnify arUkeep harmless the County of Butte against all ti 'udg t expenses which may in any way accrue a u the granting of this permit. Date Signat re of Applicant — Owner$ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 6 OCCUP. G.OUPi tD- J 1 T P 0 ST. I•�►1 I JPAZC�J ;171 s E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for hich DIR�FCTO OF BLIC � g By / PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date���a/ �3 Receipt NO. on 7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APP.LI CANT ,. COUNTY OF BUTTE-,DE',PARTMENT.Q'ltIPUBLIC WORKS - BUILDING DIVISION t` } 7 COUNTY CENTER DRIVE• -• OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. C, OWNER A. P. No. Proposed Buildincfl�'se Permit Fee Based Upon: %Complete Contract Price DPW Valuation 7/ / 76, hh6r, (explain) / Building Inspector. ,g Ct,/ / Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. .Plot plans in duplicate./triplicate. . . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. , 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . , . , . 9 Letter of signature authorization \. anitation approval from /) ..T Health Dept..' 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License' Information (no., name style, cl�assif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑•) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . ._ •Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector at 18. Other i ./ + I When issue the permit, process as follows: Mail to owner. ` ' Mail to .contractor. v Telephone' / and hold forrpicku'p at° office. t rr 'Deliver w/inspector. Ka —any , Other_ _ Applicant �� 't t ` Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required -items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Okvner) advised of above required data by r `• v5`By Telephone Plans checked byDate --� Plans approved by Date Other: Copy—DPW -Mail Other Date To: S7.;,' :.iIIi-, De7?�... L t. c O5e �� i'i3t? Li" l for: -ter su plf Fi�:a! clearance 0. K. for: vete_ suppl Cl a r, c for bedroom T.Ob:le home. 0t-her V ' .J 4r'_ v _d' i ar '! L Da'u I a , _ , '' i j I COUNTY OF'BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIF ICAT ION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your ~ earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit.- No building permit will be.issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) _signed an application -for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address. City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise; and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work S igned : Property Owner �, • Socia- i '�,ber Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. 4P. NOTE:—All Materials & Workmanship Shall Be in Accordance vTItF —Recog-nized Good Practices —and--' a quality prescribed for the Specified use in the an This se s and specif 4tior,is- MUST be - )7-U'�r'form,-BuVcrrng-,-Numi:�rn' -&-Mecha'rrica-�-Codes�--_'_ !.q -f pl- Ilep, - - - I- - 1- 9 fo-- and the NatiQnal Electrical Code, make any changes or alterations on same with- out written per 'Mission from the Deportment of Public Works, County of Butte. -from-the pro edy lines anu a setback . f 50ft from the road c�nterline-shall be clear of ructures or equipment except I 2 ve overhang - JA 1 {L INR I jUILID D, PAI. i I i A PROVE rm4de adequatelclepran Protection and aType-A F ue, I 1 j �t6 rN e vc rei6 3 � , CAP - -- - - -- - ;---�si��—Ery-- -- - — --- Pt+ovide adequate r � � i Tod _ ► � -: � , des' rot RWM 1 i - ; � � ; � � � a� � pv�4A n C4 to Bu'�TC- C'i ►DING DSP � R'i Gvtilp. SHINGLES rAll �6 `lrO� NI adequate brach 1. L)IJ 7- Prov! e adequate cl' 'Vi I i y f � i '�. � I t � } i 4� Ur jj BU co BU TO C, f/ TH N� 4_ PA A'n r% r L-�'++'ti.�t'��^.,`�d�'..{�l:J``�1.r-- i� 7`""yrr,��^C`:{�rs� �'y.,r.�r.J'^�C ^�� .-�'.�-..�t.'i fir: -.. `:+.i�'�-...�'*V�,�r �,�:..(]+''ti,�.sr r..♦ �1))..i-,.•-rl.. . �•t,.. ,,..,_�y.�. i . / / t �►., t' • ` l� �� _ ���--�� � �G ���� . , d ♦. ��"i.,.�i� f Y COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive. — Oroville, California 95965 Tel epthine: 5s0-4541 APPLICATION AND PERMIT ' authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. EI Signature of Permitee or Agent Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach Declaration Parcel Map 1 60' R/W Improvements additional outlet .30 Building sewer 5.00 Bldg. Plans Rec'd Parcel A proval I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 800V OR LESS 100 AMP OR LUSS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'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 CONS. DWELING OOR ADDNST ( ACCLBL GS.CCUP. 1e� 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 of: -OUTLET NEW c°NSTR BRANCHCIRCUITS NON.RESID, BRANCH CIRCUITS 2.50ea NEW CONSTR (POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. EX. OCCUD(OUTLETS OR FIXTIIRES) BAL@1 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE 1$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. EI Signature of Permitee or Agent Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Tel ephor.e: 531t=4541 APPLICATION AND PERMIT 67S 0 79 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 12v®ry1m x� f Date UAL% 20 ignature of Permitee or Agent pq Receipt No. C% -D 1 17— __1 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. ECTOf 0 P BLIC WORKS y By Date g permit xpires Date v20 cgs BUILDING Owner 0 10 X SQ. FT. OCC. BUILDING VALUATION Mailing Address ✓ �, e�i�ll6 Tel=phone No.� U is Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Address Building S �� �v0'�L«'� PI an Checki ng Fee &/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 C��GQ Repair drainage or vent piping 1.50 7A� A. P. No. — - V Loiling & Planning Water piping 1.50 Each gas water heater or vent 1.50 F Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bf,d R 'a I Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 5 Permit Fee $ fs ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 QQ 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. AOD•L 100 AMP 2.50 G _ 0 ��- C�✓� C �� �) Ri [7 (�-4 Main service OVER 600V100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. % DWELLING OCCUP. 7i\ 209 ft OR ADDNS. ACC. BLDGS. I q CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW RESID, MULTCH CII T NON -REBID BRANCH CIRCUITS 2.50ea NEWCONSTR. POWER APPARATUS a NON -RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES I 1 BAL@ BAL� FIXED APLNS Ex. Occup.(OUTLETS(PRES(D.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Mise. Wiring 6.25 I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ , Qilz� $ ce 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. 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 Workmen's Compensation Laws of California. MECHANICAL No. @ F_EE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 12v®ry1m x� f Date UAL% 20 ignature of Permitee or Agent pq Receipt No. C% -D 1 17— __1 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. ECTOf 0 P BLIC WORKS y By Date g permit xpires Date v20 cgs r, PERMIT /NO 6614-77P,E PERMIT EXPIRES OWNER LARRY A . HUNT CONTR. QWnP-r LOCATION (A.P. 58-23-30 W/S Oro I Co'n'c6w Rd,"app, 1'2km.L. S of Jade Shop I (cor Hoffman Rd�Cojnc:ow I vmp. Udb OefV. Called PG&E JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING hero cu Firewall 14oll Piping Forms Phka ets 1st Floor Main dg. Restroom Finish 2nd Floor Footings Windows 3r6. Floor Stemwali, Sidin To ou't, Slab '� Roof Shel'thing Water Fi in Piers Roofing Sewer 3' GarageFdn. Vents :!, Fixtures; Footings Stemwali Garage Vents 'Z\ Insulation 4 Water Htr. Heaters Slab Carport Footings sa handicapi r pehyslcalfy� Conformance of ex. ��. structure \ Appliances Gas Piping & Test, Temp. as Slab �., Final N, Sanitation Patio FIREP ACE Final Footings t4 Footing ELECTRICAL Masonry Walls Throat ��. Rough Reinf. Steel Final Firruran t3ond Beam FIRE SPRINKLERS. Motors '1 Framing `1 Test Water Htr. Stucco '1 Final A Subpanels Mesh A MECHANICAL Grd. Fault Prot. Scratch Heating�1 Service Brown 11� Cooling " Temp. Pole Finish Ducts Underground . Interior Lath ': Ventilation Permanent Door Closer Final *sinal 4 e ' MOBILEHOME UTILITIES ------------------ Water Piping Elec. Service Sewer �- ✓ Elec. Pedestal Gas Piping MOBILEHOMEINSTALLATION--------------Support Elec. Continuity r Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) 0 C MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation'from lot lines and buildings and generally conform to plot plan? Yes�o_ 2. Does the mobilehome have,required clearances above ground? (Sec.5085) Yes L -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 1 ----No_ 5. If more 'than a single unit, are crossover connections properly installed? (Sec. 5088) Yes l/'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 working pressure or 50 lbs. air test? Yeses/No C. Backflow = If coach is not Sta e f California approved, does station have backflow device and pressure -relief valve? _ 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes ANO B. Does it have minimum•k" per foot slope and is it properly supported? Yes 'I/No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes_ No_Q D. If coach is not State of California approved, does station have required trap and vent? Yes_ No 8. Gas Piping and Gas Vents A. Connector - mobilehome connected to the gas supply with an approved 3/4",minimum mobilehome con ector not more than 6 ft. long? fe: All piping is•to be at least as large as the mo 'lehome gas line iiilet withou reductions .other than the mobilehome connector. Yes No B. Test OK as per foll11aing procedure? es_ No 1: Open all appliance connectorydIves. 2. Shut off appliance b rner and pilot valves. 3. Air test with manonfeter to 10"-14" water column or test with slope gauge (minimum 6oz.-maximum 8z.) calib ated in tenth pound increments. Test for 10 min. without drop. 4. Connects as meter to mobile h me with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes t/No B. Is there proper clearances around panels? Yes U ---No C. Is power supply cord,or feeder assembly properly fused? Yeses No_ D. Is continuity test satisfactory as per the following procedure? Yes_ANo_ 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 d ectrical 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. MOB ILEHOME DATA Manufacturer and/or Namestyle d �J L,ength�q Width Vehicle Serial No. State Identification No. Additional Information or Comments: COUNTY OF B.UTTE- — DEPARTMENT OF PUBLIC WORKS ounty Center Drive —. Uroville, California 95965 " Telephone: 534-4541 APPLICATION AND PERMIT 42 BUILDING Owne SQ. FT. OCC. BUILDING VALUATION Mailing Addre Telephone No. Fireplace Cotr Total Valuation Mailing Addres j�O ?3 — Permit Fee Plan Checking Fee &/or Penalty C/aT �O Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE . $3.00 2 Each Trap 1.50 Repair drainage or vent piping 1.50 ' 3 Q — Q Water piping 1.50 Each gas water heater or vent 1.50 A. P. N9. —.2 r Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Canitatinn Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. P ns Rec'd Parcel Ap)p� Plan�proval Permit Fee ,$ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORLESS5.00 y _ ,APJI Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Q' Others ❑ Main ER 600V 0 0 AMP OR LESS 25.00 service 1 Main service EA. ADD•L too AMP 1.00 NEW CONST.DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. ) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON -RES D. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: ^ / J Ex. Occup(OUTLETS OR FIXTURES)BAL@2- FIXED ALNT. Ex. Occup.(OUTLETSP(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License N C Classification n 61 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. �f ave 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 em p employ y an y 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 State Laws relating to building construction, and hereby Q TOTAL PERMIT FEE $4.9 above-mentioned property for inspection purposes. X Date Signatureof mitee or Agent Receipt No. Llp(e 6 3 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. 1U DIRECTOR F /PUBLIC WORKS BY Date_ �� ? .� B ding permit expires Date �' % hL 7: /MR ITi IL. CL 6 Pe=it DATE. . 7'' I Support I &6N-72 C4- RAte- `r' tion MOBILEHOME SUPPORT DATA Ao-bilehome Mfr. h/ 10 O Setup Model No./ Year —1-f— Width (ft.) Length.: :.. (ft.) Expando Size ft.x ft. (Draw support details. below) . On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation• manual and structural setup sheets (if not on .file with .the County of Butte). - Single Center Support Footing Sizes ` (in.) r �.x 3 I ;ft5 pini (in.)(in.) .(in.) (in.) I i I L P3.nW) . ft. in.) (in.) (in.) I Footings (check.one) i /IJ—t. Wood.: either . pressure treated or 1 I fdn. grade. ZZ2. Concrete pad. +1 / / 3. Other,:specify 3 v Supports (check one) �w Ay/chi -Concrete block 2. Concrete.piers 3D 3. Steel piers 4. Other, specify 7,Z x Typical Support Footing Size Max. Pier (10 I Spacing s, f Max. Overhang -- ;-W1n--) *If center piers are other than drawn above, �'v BUTTS CUwl-AI draw in locations, spacing, and dimensions. DEppRTME'NI 1. Owner's name: 2. Installer's na BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA.. PHONE:•534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes �. No ( If yes, furnish permit number (p � f L/ —77 ) 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 No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- /,sC' Amps 6. What is the mobilehome site service rating? -----------------= g)-yLy ( � Amps 7. What is the mobilehome site circuit breaker rating? -------------/ 5 y Amps 8. Is there any other electric load to be served by the mobilehome �� site service? --------------------------------------------------- Yes / / No / t/ / (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? - - -- -- (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG / / 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information` not required if pipe length less than 6 ft. on natural gas ` oi'.Tess, than. 50 ft. on LPG.) c r' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS / �f"/]� 7 County Center Drive — Orovi Ile, California 95965 /J(/��, Telephone: 534-4541 APPLICATION AND PERMIT eceipt No..� � i - i White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant ermit expires Date BUILDING OwnerLa rr SQ. FT. OCC. BUILDING VALUATION Mailing Address / f c J Tee hone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address W lI �,— PLUMBING No. @ FEE PERMIT FILING FEE $3.00 c7 -0 J _ Each Trap 1.50 Y Repair drainage or vent piping 1.50 Water piping 1.50 r00 W O re'ar'm do ach gas water heater or vent 1.50 ._. a1 _ g %J—'Z_ A. P. No.% 12 d D ng & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FW SarktaTon Fire Dept. Fire ne Use Permit Building sewer 5.00 EQA Parkin PlansBldg. Declaration P ap 60 /W Improvements Lawn sprinkler system 2.00 PI ac'd Parcel Approve Plan ps�roval Permit Fee $ !3 NEW ❑ ADDITION ❑ UTILITIES ETI�' OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 V OR Main service 100 AMP ORSLESS 5.00 C% Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW CONST. ODWELING R ADDNS. ( ACCLBLOGS.CCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTSL(POWER APPARATUS & ON•R SID, (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: 3 roO r Ex. Occup(OUTLETS OR FIXTURES) BAL 25 Ex. Occu 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 21 am exempt from the Contractors License Laws of the State of California. Permit Fee $ Q 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. 2 . certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE J$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 ws relating to building c struction, and hereby authorize pr sentati es a County Butte to enter upon the above -me do ed pro a y"nspection rposes. Date �� .-7 rXAA_Si9r_-, f Permitee or Agent1191 ON. e.. TOTAL PERMIT F $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above fir which fees have been paid. IREC OF PU LIC WORKS /A k ,,//+� y� /`/'P B � Date la 7/ �-7 eceipt No..� � i - i White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant ermit expires Date �•;-�' `�w it,"�` « �-. f:'�� is �' r_ ._ TY •• ..t- �."i :�-�, d.. tr f -YS 4 _ S, .:.+a^ �.f f;4t„� q7"k .: y'. :•}..^. . .k.'+.,:,:. >-R* �N i�p�idy.'cs ',, .. '.:• � h `a �^°",�.�y��•'�, �,yi.�� •,- T vr.. ':? d 'i - zr ss T. 1YtiS • � � - i .r •:�t:`y t z.��k � ,i ..� � � :.z.�•: a +i- .• .�„ .. 1'. `z� � r, .:•5 ��,:�,y✓�r- - ip�',F .f _."'i' --,�> Fx' .w��.r'.''-•'^_�' 'r ;�i �"' if.�r, i Yu �,... is{�' .e. 1.:�. _ C,4. .:t"'.T"� ,, ,3 <` '.t - •��+•.4- �-�. ..fav Y �.�+io�+.�^f" .4 ;.Jd��`,..•,yjr... =. C"B"-. ':-. • .r(, l; -SJ, .y -#.r fir � : \. 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Setback shall be 5 � e rt line and 50 { t. from he �,• I �a roe Y a m x� . de p I' - ermi` t�� � nterline of the road, p tent re m► Cb 40� um of a,2 ft. eaents.�erhanc '�� ut of all easem I\ )1-1 .�r�o o941 U— \ X06 div o '�,s _ Z r:: 3 BUM COUN, '-� -. e,. C. }-✓ /�/.D.t�'t�'.. ter'.—^�/W/"r /•' � }` I�VGR•A ' R - ..^. rt - TM ENI t "�,- r ! ,• � __ > ' aStF ', f t� 1 � r,_ �t r �,Jy.� Y • t �C ~ �a , �.�'(�I ; �l, :' , �_`; r• .,., r ^''yy� ^/ ;,f y'4w+" �, jg�`•�yjj, ]f'+) yam, ! p" V{ �w/•7^ y`ir' Z i•.1D "• ^lam ; ti.�.. yrJ',F",�"' _i 1Y _ 3"F.i -. � , ,' '�,� 4 w �:ij � � ; _ a_.� ,'-'^'Y=.. :oa..•s+•',!'.,.�r V- �l �X+tc•s ,. # ��lF''•'�+.�o.+*,Y'.�'tii'` rsae'K^�'L"•n'w a -F,. -�Ey'�' ;1��' `,�%if+.'K.,[". n°d�32#.t6.�' nr3-.,7t- c 1; �•Y:�,ti .:-.r•. F°S�.•..`fX '=.: �(.. ;p... K •�r y. :Y � ,-� 7+� c j � � �,:�,. A +c�`f h•.j,f. i'ti?'3.rei+4- ,'�:, •'?5, v +` ,� �r...+iiva•is�+.,l;`3:•F ,r¢.y�4y����? .:: �,�"'j •T�>,7:-. w �. +n�t�.«cra^ � - rLr w .. '`':-,•Y.r'R"'-`p'°-.r 1.4 cy� �,�; ,� �.: 7'�5a !A'.. «�-}., b Mc� ,� ti "a' 1 c' ,ate ss:+ie � x '-`r s' �Y+r 'e�y�'a .r• .-�1 r •S. A �r�. �� ,?:I_�st:+? �, : �•'- 4.i` �"a•b`.� �"4 � '3 ' � ;i[•'�,w, .�}� •4���.. i.j- l #.x'S[,{7� 3' /�h� 'ti,�Y: jL�i�•y�- �ti PT, ':1+Y�,fta9..rfi✓r=t�•rI�' �.c.. i; .�iF'. �:Y-.w-k i.y. - - .. ... +W .."Y'^. 3 BUTTE COUNTY DEPARTMEJJT OF PUBLIC WORKS "SPECIAL'INS,i'i%CTIONREPORT— ' Owner:_ A. P. # �r$ 2— 3 U Address: -- Tenant: Building, Location:,,. Type of Inspection requested: 28 — 7e Ir Date of Inspection 7 1 / 7 2pector& -- g l.. Housing 2. Finai►ci.aig 3. Change of Occupancy to �.ther (specify)_ Pres;n1t usF: of hui,l.d'.n g, A. Sanitation 1. l.;atFr closet: 2. I.avatorj:.._.. ". Bathtub or shower: 4. Kitchen. sink: 5. Hot and cold water t 6. -Heating fa.riii.ties:_ 7, Natural 17gl t and entllatio l: - 8. Rooxm and space rP _uirements:- 9. Bedrousn window o door for second exit. -. Infestation o i• secs, vermin, or ro&nitr: _ - 11. Connc:en',,on to se ase disposal.: 12. Cor-nec€..:i.on to Haat r supply: 13. Rubbish and g?rba facilities: 14. Comment. s : -- - "r-ures: - B. Structural 1. Pars and footings: 2. Floor constriction: 3' Wall corstr=.ict "':. _ 4. Ceilin and roof constric 5. 6. Ctrm-►ents: C. Electrica' �i_ . Setviccs ^nd r,,-ound: 2. Rece-otacles: J 3 . Fus 4. Cmrt^tas: D. P111mb ink 1. Fixtures and vented: 3. G::+s4. -- E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventil on: 6. Comments: F. CommercialBuildings 1. Roof covering: 2. Distance to property lines: 3 Physically handicapped: 4. Restroom floors and walls: S. Exits: 6. Improvements:--- - _ 7. Zoning,:_. 8. Comments: G. Field Problems or Violations 1. Probes orr,- iolation (give d. . tte description): 2. What action taken (give complete description) 3. ;.LatA.cs-n reco=ended: Iz�for.;�ation only - five. B. Hold for teal (10) days, then write letter. C. Write letter. 77D. Other: FIRE REPORT F C- 115 :qE'v 1-79 -?— A - LOCATION (COF Direct P.A.) SEC 10'..1045HP 51 N RANGE G9 E MILES DIRECTION ®FROM U N I NTL fOREST. F;JqE C)i-,r. C; -v3 ,-p E, LI.,: Cl w —212— Z /-,-\REzSP0NSE TYPE A, ACRES BURNED (CDF Ovec: Prot�,ct,on ;i,ily: K-J,..OFALSE ALARM DIRECT TO t0 AGENCY TOP 0 PRO I ECTION, ... : 8C CST A RES BURNED IPA A C.D.F. DP.A. C.D.F. VEG. RESPONSIBILITY (AT ORIGIN) TYPE ACRES BURNED DIRECT I STATUTORY OTHERIN' ' T PROTECTION RESPONSIBILITY TIM -BE ro STATE TOTAL 1IL'OlUilop MAP --/ ' PEF Ori[ STATE ZONE U 11 SiATE LOCAL (Contr3ct) L(.'X',AL ( Non -Contract ) LOCAL ZONE LOCAL (Contract) IM LOCAL-(Non-confract) ❑ FEDERAL ZONE k MISC./OTHER El DISTRICT CITY ❑ COUNPY El U.S F.S. 'El BL KI ❑ B!.A. ❑ NPS. OTHER FEDERAL ❑ OTHER rCAUSE (Starts in COF� Direct Protection A(ea only) I -J, DEBRIS IJGFJNING L� [71 PLAY W/FIRE r-lA!,APt:lRI: I AR"J",11 X M I S C F-1, L A,,., E 0 us A'j ---!K:t4G .1 i P"JIP"At N!' - C - I 'PROPERTY USE ("CIV Dere:; Proieci.on.4rea only) uflUTY, E) 1-01RIES! FIF RAIL R()Ar.) 0-Jil!,17- ELECI VI!LDi AND L"ItU I 7 ) I * 1 S DAMAGE on /01-1 YOUN(i GPOwf,H VEGETATION 00. ".74;"100 -P*n--c,),[—)! im. s Co. ll'Jr; e --10H (;ON rE,.ri i s 300. I, --s P, C, 0--� i L- t 00. VE H11 -A F'; P CGNTFNTS 10. 0 0. 11 SIZE CLASS ❑ A 'S ACHF OH S F1 RCPT. S ❑C 10 -�X) ACRLS ❑ D i00-1199 ACRES BRUSH :]GRASS1 LGR' PR is TOTALI 8D STATUT C.D F. D.P.A RESP- ACRES BURNED OF STATE S.F.S.l B.L.M. OTHER TOTAL ON ARRIVAL �C'V; Cvec! V, C !A!% )N 1-01- 1. 1 v p PERMIT NO. n,�._ 2393-82MHI PERMIT EXPIRES OWNER John Carrick CONTR. Bond MH Serv, Oroville ASSESSOR PARCEL 59-23-30 " LOCATION W/S Oro Concow lid, app i`\Mi. S of Jade Shop, Concow Temp. Power Pole_ Called PG&E _ Temp. Elec. Service I Called PG&E _ Temp. Gas Service _ Called P,G&E _ JOB F VILED (Date) 0 j—�L— c Signature S J = OK 0 = Not OK - = Not Applicable MOBILEHOMES * = Not Ready 5, i MISCELLANEOUS Date MOBIL OME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s Zoning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements �2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors — 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBIL ME INSTALLATION (Plans) OK except q's Date POOLS (Plans) OK except N's oni Requirements—Setbacks—Easements 1, Setbacks—Easements ootings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability Test—Demand—valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining lectr_ ity; MH Test—Crossovers—Breakers—Clearances 4• Elec.; Receptacles and Lighting; Distances—GFI in; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI t<r; st—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed a and Sewer Connected C/0 to e—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater - nd Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes— Enc losures— Pane [boards—Ins. to Main in Conduit Exits• sp.-Sketch ert. of Occupancy 9. Health Department Approval 10, Plumb; Cir. Test—Water Supply Test B- a rd -BI Date Card -BI Date Card -BI Date and -1 at and -BI Date Card -BI Date Card -BI Date APO J Oae2,D /n/',rid J = OK O = Not OK - = Not Applicable * = Not Ready Date UNDERFLOOR (Plans) OK except#'s 1. Zoning requiremen*.s-Setbacks-Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel -B lockouts -Wrapped -Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall-Fittir.gs-Test-2 way C/0 -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date ELECTRICAL (Permit) OK except #'s 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spa-,ing-Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes [:)No 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light Card B-1 Date Card -BI Date Card B-1 Date Card -BI Date Date MECHANICAL (Perrcit) OK except #'s 31. A.C. Ducts; Insulation & Support 32. Vent Fan; Exhaust above Insulation _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI _ _Date Card -BI Date Card -BI Date Card -BI Date i Date FRAMING(Plans) OK except #'s 36. Sills; Proper Material & Anchors _ 37. Walls; Studs -Nailing, Sparing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin - Roof Brac.-Truss-Shthng.-Rfng. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire -Protect ion Framing t RESIDENTIAL (Single and Duplex) Date FRAMING (Continued) 48. Property Line Firewall & Openings 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 52. Siding -Nailing -Veneer 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic E] Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection _ 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to -Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: (NOTE: An entry must be made each time youvisil jobsite) COUNTY OF BUTTE DEPARTMENT Of- PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE - /H0X-/`-«'4fv k' BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 1�...— COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. "� ir- 171//-/ / T W( -IS -r 6 'E &- ' 4o) J,5- r& f) F. Inspector &/1 /���/s r�lV L� Date b '���u• L.._ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 17 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 _,._. CERTIFICATE OF OCCUPANCY This mobileh me has been installed in accordance with the requirements of the California Administrative- Code Title 25, Chapter 5, under permit number` X35= for the following location: Owner Owner's Address '-y.,� G r� ✓1 . ,1 a ---, ,.... - . °`� Mobilehome Model Year Insignia No. -a .A d �i -7 Serial No. l—.w v It is hereby certified for occupancy at the above described location and may be occupied. Director of,,Public_Work's- Date E_ � -5 -4 j.`-'_ , By THIS CERTIFICATE IS VOID WHEN MOBILE140MEJIS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. �i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,iCalifornia 95965 - Telephone 916/534-4541 APKICOON AND PERMIT PERMIT NO. 1 ASS S PARCEL NUMB E r ZONING BUILDING PERMIT 0"T TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNEER'S MAILING ADD SS CO ACTOR'S NAMTELEPHONnnE -6 Z1V ONTRACTO ILING A RESS 72 I 2"kFireplace rCOINS71RIOCTION LENDER UN (/ Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ,a BUILDI ADDRF�SS , S � PLUMBING PERMIT Filing Fee 10.00 9914 C1 Each Trap 2.00 Repair drainage or vent piping 5.00 14 ovtm B74h" ) — Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USEOFSRUCTURE [:1SF Duplex❑ Mobilehorn Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Addition❑ Rpe�modeIQ utilities El Install tionOther Describe work: U 14 XI C� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 5.00 1 f 'T Main service EA. ADD'L 100 AMP 2;50 NEW OR ADDNST �ACCLBLDGS.LING CCUP.y) 20sgft CONTRACTORS LI NSE LAW I declare under penalty of perjury (Check one): 7,1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. ZIo S{o f03 Classification C--<0/ ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI -OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR (POWER APPARATUS &) NON.RESID. SINGLE OUTLET CIR. EX. OCCUp OUTLETS OR FIXTURES BAL@1 00 IXED APPLNS. OR Ex. Occup.�OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. -1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith Comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against Couylty i� sequence of he granting of this permit. y// f�/Z% � —16 —8,L— X ZQiI Date Signature of Applicant — Owner ❑ Contractor ©/'Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition Dr construct- ion of structures over 3rrstt�ories in height. Mobile Home Installation Fee $ ^ TOTAL PERMIT FEE $ I� r OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ss0 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC "OF PUBLIC By- PE EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date �� J�–r L Xr� !I 1v �3 Receipt NO. � q4�_c WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT cf z gv2lit , p-oscribed for the Specified use in t'- vfom• ' UrrBuilding, Plum, g MecVanical Gadd wmd'"the National Electri4wo This set of plans and -specifications MUST 6N rr kept.on the job at'all times -aid itis unlawful t make any changes or alteratiol�s on same with- out written permission from the Department of - Public Works, County of atiatto.% N �► tot ck of 5 ft, from the If -8041 film tl* 9�01114 have overhang, y'c.e l 8 AY# .4 It guTTE C.UuN.l %UILDING DEPARTMGN pROV�_Dr /Z BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET L I 1. Owner's name: Jai a i�-ap-puck— 2. Installer's name:_f�a,Q 4A a L„ L s-- l4 W- 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 77� No (If no, clarify ) 5. •What is the mobilehome electrical rating? ----------------------- /5 D Amps 6. What is the mobilehome site service rating? ---------- D Amp 7.. What is the mobilehome site circuit breaker rating? ------------- /.5 Amps 8. Is there any other electric load to be -served by the mobilehome siteservice? --------------------------------------------------- Yes No / / (I£ yes, identify the load and size: (Load) 2 4 (Amps) 9. What is the mobilehome site' gas pipe size? -------- ------ 10. What is the type of gas service? ---------------Q6=------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.): 12. What is the mobilehome gas demand? ------------- ----------- (BTU) (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) MOB ILEHOME,SUPPORT DATA N,�I�Z CfaTe� If other-4han-single wide, Mobilehome Mfr. ����nfr- furnish Setup Model No. _ Year Width— )'2— (ft.) Box Length (b (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome'unless otherwise specified. Footings (check one) Single �l. Wood either pressure treated or ._ x foundation grade. (ft.)(in:) (in.) (in.) ❑ 2. Other: (specify) Center support locations* Center support footing sizes Supporta (check one) (in.) Concrete block. _ %Oµ ❑ L Other.(specify) Ce�exiT P �S (ft.)(in.) (in.) (in.) p2�c�S 1� --Tagalong or Expando,' show support details. (ft.)(in.) .(in.) (in.) L x3 v -- Typical Support (in.) (in.) Footing Size (ft.)(in.) (in.) (in.) ! -- Max. Pier Spacing (ft.) (in.) Max. Overhang (in.) (in.) (ft.)(in.) 2393 -$2 BUTTE COUNT t BUILDING DEPARTMEN A PQ_QVC_ *If center piers are other than drawn above, draw in -locations, spacing,, and dimensions. N COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Galffornia 95965 - Telephone 916/534-4541 L APPLICATION AND PERMIT ASSES !M—U ff ZD" "� BUI NG PERMIT O, In, r ) TELEPHONE SO. FT. OC BUILDING VALUATION rWN R' MAILIN ADD E/rON RACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER VNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE ND. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING AD RE S Permit fee $ BUILD( IG A130BESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 tAi Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeRl"'Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK �,/ New❑ Additi Remodel[:] UtilitiesE Install ion❑ ther ❑ Describe work: D A R Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS Q p o Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.al OR ADDNS, \ ACC• BLDGS. _ 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ i am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR TI.Ou LET 2,50 ea NON.RESID BRANCH CIRC TS NEW CONSTR. (POWER APPARATUS 6) NON-RESID. (SINGLE OUTLET CIR. EX. OCCUR(OUTLETS OR FIXTURES BAL@1 00 IXED APPLNS. OR EX. OCCUp.�OUTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00'� Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabiliti judgmen costs, d expenses which may in any way accrue again t s 'd i c equen of the granting of this ermit. X Date g Signatu of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -IR ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD 159UE This permit is hereby issued under sions of the Butte County Code and/or I work indicated above for which C OF PUBLIC By PERMIT EXPIRES D to the applicable provi- resolutions to do fees have been paid. WORKS Date —�� '- Receipt No. WHITE-D.P.W., YELLOW-ASSl9SOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement_(yes or no) 2. I (have/have not) 114VO signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed 1 construction: J Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following \person to coordinate, supervise, and provide the major work: Name \Address City -Phone Contractors License No. 5. I will provide some of the work but I have persons to provide the work indicated: Name Address Signed: , Property Owner R11i1� Social Sec ity numb r Date G( / T" T contracted (hired) the following Phone Type of Work NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. 5 b��: 'F4e = Sra'�aita��ian C e'c,-rance ,L li. nl! c7 µ �rovi ed f`\.rr, Sewage .L..�. �J��Yi16'a �.. m� L ale., S�rpply Water au. Dly Pi C.1 e",saC".nae for a.tid i `Ciio."I. o ��{{ u .e..�...�sy.m<�. �. n.,a,.�s...,.�>M, �f,�s�>ate„-�,�-..,.-A�.�._�-...a.�..rn. �_M.�•,.�,.., 1 ote,, f iryaauvuz �F�1 1:yRzT k