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HomeMy WebLinkAbout058-330-043. | 58-33-43 13-39 eadow Springs Rd,Oroville Permi &05 88P,E(util, MH) ELEC GASSUPPORT STRUCTURE/ -REQ. ZZ F�j. � | COMPACTION TEST EQ. 58-33-43 ContR: 'm Fields ' | � | Io � 58-33-43 3079�89E .OLSSON, Patricia 13390 Me�adow Springs,4,90rov�ille PERMIT NO. PERMIT EXPIRES OWNER PATRICIA'OLSSON CONTR. Owner ' ASSESSOR PARCEL 58-33-43 LOCAT ON 13390 Meadow Springs Rd, ORo r 1, Temp. Power R-'- Called PG! i Temp. Elec. Se Called PG! Temp. Gas Ser Called PG! JOB FINALED Signature = OK 0 = Not OK - = Not Applicable = Not Ready Date MO MOBILE HOMES QtCE HOME UTILITIES (Plans) OK except #'s Ring Requirements -Setbacks -Easements ils; pecial MH Support -Sketch Ker; Location -Test -Fall -C/O -Concrete iter; Location -Test -Easement Needed (Sketch ictricity; Location-Clearances-Grnd.-/ / Am Acation -Test -Wrap: / /"L"ft. . or/ /"L"ft./ /"LPG lity Clearance Card -B Dat -Card-B1 Date Card-B&2Date/,6-EG Card -131 Date Date MQJRLEHOME I STALLATION (Plans) OK except #'s Zojlmg Requirements -Setbacks -Easements op"gs; Size -Spacing -Marriage Line. G ,&- MH Test -Demand -Valve -Connector Aetl_getricity; MH Test -Crossovers -Breakers -Clearances r 'n; MH Test -Fall -Flex Connector MH Test -Regulator -Connector 4—Wer and Sewer Connected -C/O to Grade -HD Apprc Gas nd Electricity Tagged Age-6xi�p.-Sketch h ert. of Occupancy . Card-B15-4tTate/'Tf Card -131 Date Card -61 Date - "/Card -B1 Date crete d , MISCELLANEOUS -i, _; Date DECKS, COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -B1 Date Card -131 Date = OK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Fig. De 3. Ftg., Garage; Soils -Steel-/ /" Fig. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /"Ftg. Dei 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -81 Date Card -B1 Date Card -B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -81 Date Card -131 Date Card -61 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -131 Date Card -61 Date Card -131 Date Card -61 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration -Wal Is-Wndws Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks- ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -131 Date Card -61 Date Card -81 Date Card -131 Date Card -81 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE hsEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 Address or location of mobi lehome Owner's name Owner's address Insignia or hud number Manufacturer's name Serial number of V.I.N. (Official Approving Installation PERMIT NO. Year of manufacture IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. i .r+,a.ain.f+++�iY..^-,w�.!+.a.r.."�.`A--moi,,y„u,,•G��"�v..+.+s►.,..�"'""'l.,*s""".�.,�.`.r"--Rr-tom^. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS * 196 Memorial Way, Chico — Phone: 891-2751, , 7 County Center Drive, OroviIle— Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 r CORRECTION NOTICE ZA R A routine inspection indicates that the following violations of County Ordinance w 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. ,a A r� 7. 1 s rt ;i. J Inspector 61Z Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS /kE RrIT NO 7 County Center Drive - Orovilte, California 95965 - Telephone: 916/538-7541. D/J APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONJNG BUILDING PER O WNE LS-sD TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAtAE TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDE UNKNOWN Total Valuation $ Filing Fee $ —}0-.m� LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR EEN`G IEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ / PLUMBING PERMIT FiIingFee 10.00 �`>"3 d Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome,>?) Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home G W TYPE OF WORK New❑ Addition❑ Remodel[] Utilities Installation❑ Other❑ Describe work:Ie/;7 ••, __O-OOea Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10 00 D Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. 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 oR ADDNST DWELLI G OCCUP.a) /22sgft NEw CO _TR. NON.R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES 200501 eALvso FIXED S. OR EX. DCCUp. OUTLETS TS (RE(RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. bYirin g 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ ' I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,. should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 Iia 'udgments, costs, and expenses which may in any way accrue ag st said C my in consequenc94 the granting of this permit. - `0 �, Signature of Applicant — O Contractor E]Agent ❑ ner❑ 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ SCHOOL I FLo ARe I PD %:4 Is This permit is hereby issued under sions of the Butte County Code and/or work Indic d ab a for which DIR F PUBLIC By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS n� Dategl/ a Receipt No. _ 17--a I — �7Z WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. G NROO-APPLICANT ` COUNTY OF BUTTE - DEPARTIUfT O -BUILDING DIVIS�QF O 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 / PERMIT APPLICATION DATA SHEET `I// Permit No. OWNER A. P. No. Proposed Building Use Building Inspector 4 Z _ 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. i-.! . . . . . . . . . . 2. Plot plans in duplicate/triplicatefsigned by preparer of plans. . 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . \ •,, / 9. Letter of. signature authorization. . . . Sanitation approval from 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, classif.) 14. Owner -Builder Verification (Given to owner, Mail to ownerF]) _15. Improvements may be required. . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . P spection for Required. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of Pre-Inspec.request to (Date) Building Inspector 21. Engineered trusses in duplicate (required prior to plan check). 22. 1 When you issue the permit, process as follows: " Mail to owner, Mail to contractor. Telephone and hold for pickup at office, Deliver w/inspector. L Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted pri 1. Index permit for above items No. 2. Additional items required: V i rmit issuance: (Circle new item not checked above). i" Contractor, designer, owner, was advised of above required data by_phone_Jnall_counter by date Contractor, designer, owner, was advised of above required data by—phone _maiI_counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Locatifon AP# Plan Approved for: Sewage Disposal _ Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for _ bedroo mo it home. Other NOTE * +� Sanitarian i Defte TO: Building Department FROM: Encroachment Permit Section yf . ' RE: 'Dilveway Clearance ,,2T�.���aXq -/ 8'33 owner /jj location AP # Driveway permit kog 2 ee�'ll has been issued for the above property. n b sign re date COUNTY OF BUTTE - Department of Public Works . 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not).r d��� signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name 4;l L Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate,su ervise, and provide the major work: Name ��Q. Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Prope Socia 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 per- mitted to issue the permit. v:.t . j, .'ii:i�. i ;:'fi �, - ii?rvYa'S�(, �5; � x�roy ry t 001AAA+� I Return ,to DPW AGRICULTURAL STATI? Order No. 27761 DESCRIPTION *********** All that certain real property situate in the County of Butte, State of California, described as follows: Being a portion of the Southwest quarter of Section 3, Township 22 North, Range 4 East, M.D.B. & M., more particularly described as follows: COMMENCING at the South quarter corner of. said Section 3; thence along the East line or said Southwest, quarter North 0012' East 2312.78 feet to the true point of betlinning for the parcel herein described; thence from said true point of beginning, continuing along said East line North 0012' East 320.0 feet to the Northeast corner of said Southwest quarter of Section 3; thence along the North line thereof, North 89044'37" West 660.0 feet; thence South 0012' West 320.0 feet to a point that bears North 89944137" West from the true point of beginning; thence South 89°44137" East 660.0 feet to the true point of beginning. TOGETHER WITH AND RESERVING THEREFROM a non-exclusive easement for road purposes and public utility purposes over a strip of land 60.0 feet in width lying 30.0 feet on each side of the following described line: BEGINNING at the Northwest corner of the above described parcel; thence along the West line of said parcel, and said line projected, South 0°12' West, 2553.92 feet; thence'South 36°31130" East 24.30 feet; thence South 76145130" East 137.0 feet; thence South 89°54' East 512.0 feet to the East line of said Southwest quarter of Section 3. ALSO TOGETHER WITH a non-exclusive easement for road purposes and public utility purposes over a strip of land 60.0 feet in width, the South line of said easement being described as follows: BEGINNING at the quarter corner common to Section 3 and 10, said Township and Range; thence running Easterly along the South line of that certain property conveyed to L.A. Schager, et ux, by Deed dated July 8, 1955 and recorded July 12, 1955 in Book 781 of Official Records, at page 333, records of Butte County, California, a distance of 720.0 feet; thence North 11132' East along the South line of said L.A. Schager property a distance of 147.0 feet; thence continuing along said South line, North 56118' East 774.0 feet and South 68°28' East 445.54 feet to the Northwest corner_ of that certain property conveyed to F. S. Marshall dated October 30, 1942 and recorded December 3, 1942 in ,Book 305 of Official Records, at page 473, records of Butte County, California; thence along the Northerly line of said F. S. ,Marshall property, Easterly to the East line of said Section 3 �i..d���Aon ;;;be•n:92�k3,81.;50,. feet .,Northerly.. of ,they; Southeast{corner • .. �`.?Y4 .5 �F. AP # OWNER PERMIT 41�S YT MH UT IL . CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compactioi Test -Req. Service Size Other Load Pipe Type Size Lerith YES NO YESI NO o- c� Y. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSM17f�0 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541n�g APPUCATIN AND PERMIT ASSESSOR PARCEL NUMBER ZONING 211 I= BUILDING PERMIT OWN 5'5On TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS lu,, CNT,�.,(C OR S N ` E •C CONTRACTOR'S MAILING ADDRESS SS ?0 `/f y' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS r - Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeEg' Other SPECT FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation®' 0th r ❑ '', Describe work: 42 U v S -- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS t00 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full for c and effect. e: -:J License No. �S� ��� Classificationy IEA.)2.00 ❑ as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a` , OR ADDNS. ACG. BLDGS. / iosgft NEW CONSTR I.OUTLET NON.RES'D BRANCHCIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. EX. OCCUp�OUTLETS OR FIXTURES 20050! 6AL030 FIXED APPLISIS R Ex. OCCUp. OUTLETS (RESID ) Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 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 Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against id County in consequen a of the granting of this permit. 1/_s X Date '7 O Sig ure of Applicant — Owner ❑ Contractor Q Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ FiReFoy Insp__"--$ TOTAL PERMIT FEE $ OCCUP. CONST.TYPE SCNooL FLOOD PARCEL PD No i IssuE This permit is hereby Issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PE T EXPIRES Date�riO the applicable provi- resolutions to do fees have been paid. WORKS Date%�- P 00 Receipt No. WHITE-D.P.W.. YELLOW-ASSE350R. PINK -INSPECTOR. GOLDENROD -APPLICANT - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORO�Vyj� 0CE-, CAtIFfbRNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER v I, A. P: No. — Proposed Building Use Building InspectorDate I T_ C4W11a1_ At time o ermit 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, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing. permit ...................................... 15. Plot plan and business license approval from City, of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Ins ection for re uired .. , , Pre-Insperequest to p q •Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner o) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When ou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephonei r(—Land hold for pickup at0 r�,I.—office. Deliver w/inspector. Other Appl icant - Date Copy of plans sent Health Dept., Fire Dept., Other Date 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_-nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by 6_1<9 Date Sets of plans on hold in File cabinet AP folder Copy—DPW Phis set of plans and specifications MUST be cept on the job at all times and it is unlawful to make any changes or alterations on same without written permisson from the Department of Publk Works, County of Butte. ��tlll Utility connecti ns shall be. within 4 ft. of the r ;,a'lahome, either dir ctly behind r within the rear half ) of the mobilehome. - A permit will be*r uired for Ilia. installation of the obilehorm 18 A setback of6ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of - structures or equiprrlpnt except for a 2 ft. eave overhang. N TE:—AII Materi!-ognized & Workmanship Shall Be in Ac oreance with . Good Practices and of duality presc ibed for the Specified use in the Uniform gui'ding, wrnbing & Mechanical Codes and the National Elec rical Code. Z9.= BUTTE COUNTY - A9V"pe10t, 12g`�69,5q .�o ALL. ---- -- 464)) tG DEPARTM.ENI APPROVED 3�os-�Iy�c Y 44 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: ��%!�?le I fit SSG on 2. Installer's Name: /---,e 3. Is the site currently under permit? Yes No F-1 (If yes, furnish permit number ) OR Is the site an existing site? . Yes F I No E� (If yes, furnish two 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 1 5. What is the mobilehome electrical rating? --------------- /g d Amps 6. What is the mobilehome site service rating? ------------- 204P Amps 7. What is the mobilehome site circuit breaker rating? ----- ) 690 Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes El No 2 (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?--------------------------------------------- * 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe length less than�-6, f't. ons natural gas or less than 50 ft, on LPG.) Q MOBILEHOME SUPPORT DATA If otlher_than single wide, Mobilehome Mfr.U4;r furnish Setup Model No. ,6&If/2 Year' Til Width�(ft.) Box Length d (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structuralsetupsheets (if not on file with the County of Butte). FOOTINGS (check one) Wood -pressure treated or.foundation grade.2. Other (specify) SUPPORTS (check one)Iy(1. Concrete block. a2. Other (specify) u Pier Footing Sizes and Locations SINGLE -WIDE MUL11- Main Beams Line 2 Main Beams Tag or Triple in, 4 Line 1 Line 1 Piers Line 1 Openings: Size -Min- ------------ x „ Size -Min- ------------------ Spacing-Max - -----------------Spacing-Max. --------- _ Each Side of Openings From Ends -Max. ------- ' " With Width Over --------- Line 2 Piers: Size -Min. ------------ Spacing -Max.--------- s -� From Ends -Max.------- Line 3 Roof Loads: Size -Min. ------------ Location (From Front) Line 4 Piers: •'x a. �' 'x3 0' o� /'k Size-Min ------------- .k „ Spacing -Max.--------- n From Ends -Max -------- Line 5 Roof Loads: Size -Min. ------------ Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size-Min------------------- Spacing-Max ---------------- From ------------------Spacing-Max---------------- From Ends -Max .------------- " .k he "A tine 5 Piers: (Under Bearing Walls 0-17— Size -Min .------------------ Spacing -Max---------------- From Enda-Max.------------- - " ,. .. .. ._ _ .. ,,. o. rr*"rl"-,-'rr,,....-c �7' � •••- :4'r'v "i} i'✓`• �Y'. ...�- . _. .... .� .. v.,= __;. .,ry-lx[ zi.?; r�i� .. �..'.. L3343 3079-89E iaprings RdOrovillergan H A r_ r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 8 ` ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS o V &p ,--) s r 111.« CONTRACTOR'S NAME /LoK n e, e- TELEPHONE �3`f-S3�3 CONTRACTOR'S MA11LII�,IG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ' Penalty $ BUILDING ADDRESS V L 6. CwJ % r K •" .f Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 (Q Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mob ilehome?,",Other I SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK r1 New [-I Addition Remodel El Utilitiestn Installation❑ Other ❑ Describe work: ✓ !/. L ��Cti_-�� e�-i. _ w� G Permit Fee $ Contractor Contractor ELECTRICAL PERMIT FilingFee 10.00 V OR Main service 1000 AMP ORLESS10.00 /0.00 Main service EA. ADD'L 100 AMP 2.50 2 . CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuSlnesS 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 CONST. DWELLING CCCUP.tr NEW AMULTI-OUTLET , h¢sgft CONSTR.( NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. FIXTURES 2-LO0@50t elo30 FIXED Ex. Occup. OUTLETS ( R RESID 1EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 / . GV Permit Fee $ U Contractor 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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- agaiii`st said Cou ty in consequenc f;?he granting of this permit. X ����� L�{1��.� Date Signature of Applicant — OW%r ❑ Contractor ❑ Agent / ( An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 379 S O AZ CUA PARK SCHL FLD PAR JTTD This permit is hereby issued under sions of the Butte County Code and/or work indicatedbovq for which fees /I O1 ECTO_R_O'K PUBLIC By \/-� PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date ,. '9 ! % Receipt No.q-719 n WNITC-D.P. W., YELLOW-ASeE730R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION ANb PERMIT PER IT NO. ASSESSOR PARCEL NUMBER 8 — . — 3 ZONING BUILDING PERMIT OWNER TELEPHONE SQ.FT. OCC. BUILDING VALU.PftION OWNER'S MAILING ADDRESS �� 0,-0. D ecJ rr ONT ACTOR'S NAMETE`EPHONE� Q2 S���JJJ19 SJ (p! CONTRACTOR'S MAILIN. ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / O G.G— C.eI / YC S Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USEOF UCTURE SF [IDuplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 5.00 Mobile Home S I G I W 1 110-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities installation❑ Other ❑ Describe work: CF.- .. ��y I/ - L--e2C x'�i oK _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 p, i.`?o Main service EA. ADD'L 100 AMP 2.50 2— 5'0 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUsineSS and Professions Code and my license is in full force and effect. License No. Classification El 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 CONST.OR ADDNS. ( / ACC. BLDGS. DWELLING OCCUPM '/z2sgft NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050Q eAL@30 FIXED Ex. OCCUp. OUTLETS PR RESID )EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 IS -00 Permit Fee $ Q Contractor 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 Iia . dgents, costs, and expenses which may in any way accrue $aid rmit. ag ou ty , n conse uence granting of this pe Date ontractor ❑ Agent ❑ Signature of Applicant — OwLova,iacns An OSHA permit is required for over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ �o S d HAz CUA PARK SCHL FLD PAR PD I HD Iss E This permit is hereby issued under sions of the Butte County Code and/or ch fees BLIC work in21a5f By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date _ Receipt No. �%�1� WHITE-D.P.W.. YELLOW-ASDE350R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DeoarM- nt of Public Works 7 County Center Drive, Oroville., CA 95965 Phone: 916=538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the 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 constru ti° Name Address v `- 0 -L - City Phone S_ - ntractors License No. _ 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: , Property Owner Social Security Number — Date 9/ 14 ,meg NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit.