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058-460-012
�......... , r r r 1 u � v t V.Lundy 58-46-12 ` 4 ml�off W/S C��/���/� oncow a O� ; of Jade Shop '' pp•3/10 mi,N,.: Per(m�it #1856-78P,E(util.,Mg ELE• ASCOY 4 k SUPPORT T UCTURE Q. COMPACTION TEST REQ. n Kai 8-46-12 ermit ##5761-79P to � complete tilities started under 1856-78) L- f f i *tet 10 11v*5- Permit##654,3-?g,�2 ' Issued LQ t I r -46-12 E "4085 Freedom Rd.58-46-0-12 contra Concow Paradise Modular Concepts Permit#3676-83 �� M p. { installation/MH issued r lI 4085 F 58-46-12 t reed - Rd, Concow �` Permit��360585B(open deck & ramps 058-46-0_012 JEWETT & HILL 93+416 B;E,M 4085 `FREEDOM RD; . CONCOW- 4-, -e-J GABANA/MH.. y 058-46-0-012 JEWETT & HILL, 93-625 BPEM 4085 FREEDOM RD, OROVILLEvv�-0 BATHROOM ADDITION TO CABANA/MH MISCELLANEOUS 0-012 POWER POLE REPLACEMENT lectrical 4085 FREEDOM RD JEWETT, JOHN l i•��iyy1 . a. t i 6; k.- �: w BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 4085 FREEDOM RD Owner: Permit NO: B08-1490 APN: 058-460-012 JEWETT, JOHN Issued Date: 07/31/2008 By TMP Permit type: MISCELLANEOUS 4085 FREEDOM RD Subtype: Electrical OROVILLE, CA 95965 Expiration Date: 07/31/2009 Description: POWER POLE REPLACEMENT (530) 532-1995 Occupancy: Zoning: TM -40 Contractor Applicant: Square Footage: GOODMAN SERVICES GOODMAN SERVICES Building Garage RemdUAddn P O BOX 4070 P O BOX 4070 YANKEE HILL, CA 95966 YANKEE HILL, CA 95966 Other Porch/Patio Total (530)538-9350 (530)538-9350 FEE INFORMATION DBE Temporary Pole $59.00 Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B8141 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License GOODMAN SERVICES 673423 / C20 C10 B C36 / 06/30/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UND)if PENALTY OF PERJURY that 1 am licensed under provisions of Chapter 9 (comma n th ct' 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) s in f f r of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 07/31/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: C tractors Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier. Policy Number: Exp. Date: (This section nee not be completed if the permit is or one hundreddollars ($100) or ess. El IAM EXEMPT under Section B. 8 P.C. for this reason: MI CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS LAJ ISSUED, I shall not employ any person I any manner so as to become subject to the Workers' Compensation Laws Califomi gree that if I should become subject to the workers' X 07/31/2008 compensati rov' ions of Se ion 00 of the Labor Code,' I shall forthwith comply with those Owners Signature Date provisions X 07/31/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signatury Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND • the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorize to act on the property owner's behalf. CONSTRUCTION LENDING AGENCY V C (ek 6tx 07/31/2008 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ElOwner Eq Contractor OR DAgent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY o�vTrF0 DEPARTMENT OF DEVELOPMENT SERVICES o ° BUILDING PERMIT APPLICATION" o_ o OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 o ==�''' �' o A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.netldds CDU N'�y PLEASE PRINT CLEARLY PERMIT NO. / /,n Vial 4 - 1 BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. APPLICANT INFORMATION OWNER INFORMATION Last Name :Izew `/ First Nam& Mailing Address 40& 5 IFRC-a M City aAI(W City Amw St�t� Zip 6 Phone _ gGJs l Fax E-mail State License Number APPLICANT INFORMATION CONTRACTOR Name 60(J AKA-1 (-OR V1 CC Address 0 6D x �0 -?0 City Amw f � Phone State CA. Fax Phdfie �7 a s� State License Number Fax E-mail Uc. # 4 Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name MCS AS UhIrMS&K Address City State Zip Phone Fax E-mail PROJECT LOCATION AN � b. • . 0 - 0 Property Address City Oinnrow WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK.- Sq ORK.Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning FloodZone SRA Yes No Occ. Type Const: o �uIIZAV"' "V '�j�I 1Le'! •.M/f9M��15iyit`°?�gf9"�'r` s ..`t+�y�AS�' w f *: COUNTY OF BUTTE - DEPfARTMrNT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 058-460-012 ZONING FR -5 BUILDING PERMIT OWNER John Jewett & Helliea Hill TELEPHONE 532-1995 SQ, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4085 Freedom Rd., Oroville 95965 ^ 100 R Olt 00 CONTRACTOR'S NAME Owner TELEPHONE ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $nn LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. 1110ne Filing Fee ,$' 1 15,00 Permit Fee $ 67.50 Plan Checking Fee ,�'BB�-fir,' ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 116.25 Freedom Rd Oroville PLUMBING PERMIT Filing Fee 15.00 Each Trap 31 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[A Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK New ❑ Addition] Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Bathroom Permit Fee s 2. Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000AI 37.50 NEW CONST. ( DWELLING OCCuP 3.6a sq. 3.50 OR ADDNS. \ ACC. BLDGS. • NEW CONSTR.U TI -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS 6) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APLNS.I, Ex. Occup. OUTLETS IPRESID.IREA.7 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ 18.50 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 15.00 Heating Cooling Hood 6.50 Ventilation 1 4.501 Penult Fee $ 19.5 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. also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X ' t Date — Signature of Applicant — Owner ElContractor ElAgent ❑ 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 $ 206.25I HAz 1 0FEES I IMP FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provi sions of the Btlfte Codnty ode and/or resolutions to do / f work indicated above for which fees have been paid. /DIRECTOf2 OF PUBLIC S BY //�� WORK —` Date PERMIT EXPIRES Date //�71e_ ' ` Receipt No. WHITE-D.P.W.. YELLOW-ASSF330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTI'rOF BUTTE - DEPARTMENT OF PUBLIC WO S 7 County Center Drive - Oroville, California 95965 - Telephone: 916/5 8-7541 APPLICATION AND PERMIT -q:3 PERMIT NO. / ✓ 5 ASSESSOR PARCEL NUMBER 058-460-012 ZONING FR -5 BUILDING PERMIT OWNER John Jewett & Mellisa Hill TELEPHONE 532-1995 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4085 Freedom Rd., Oroville 95965 1005,400.00 CONTRACTOR'SNAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. NOne Filing Fee $ 1 •55.00 Permit Fee Plan Checking Fee $ 67.50 $ 33.75 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 116.25 AnR9 Freedom Rd.. Oroville PLUMBING PERMIT Filing Fee 15.00 Each Trap 3 5.00 15.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.o0 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF❑ Duplex[]Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets Building sewer ELE 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition® Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Bathroom Permit Fee $ 52.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER 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) ElI, 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 200ATO1000A) 37.50 NEW CONST. ( DWELLING Occufoo OR ADDNS. l ACC. BLDGS. Vl0 3.64sq.ft. 3,50 NEW CONSTFL U TI -OUTLET NON. CIRCUITS @ 5•00 APPARATUS e) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 QAL1@ 46 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 1 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 Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation 1 4.50 4.50 Permit Fee $ 19.50 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 said County in consequence of the granting of this permit. X� °""'"' Date 3" /a- 93 Signature of Applicant — Owner Contractor I --]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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 206.25 HAz I DFEES I IMP -- I FLOOD --� I CDF PARCEL .�— I PD I HD ISSUE This permit is hereby issue under the sions of the e C ode and/or work indi t d a r which fees I OF PUBLIC 31VORKS By, PE EXPIRES Date applicable provi- resolutions to do have been paid. ate / Receipt No. 135829 WHITE-O.P.W.. YELLOW-A88C890R, PINK -INSPECTOR, GOLDENROD -APPLICANT " COUNTY OF BUTTE -DEPARTMENT OF 4EVEL' OPMENTSERVIC - BUI DING DIVISION " 7 COUNTY CENTER DRIVE- OROVILLE,CALIFORNIA95965-TELEPHONE (916)538-7541''-'* / PERMIT APPLICATION DATA SHED OWNER n),4 A. P. No. Proposed Building Use iz Building Inspector ` Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 0. 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. Fee of $ schedule . �koo ...�n 11. Im act fees as shown on attached schedule. .. I. . � .......... , . 12. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flood�by Cali rnia•Engineer. . . 14. Sanitation and plot plan approval UUCOO/WeHealth 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). .. .. .. . 20. Pre -inspection for 1 1 required. oBuild�9 Inspon eue ctor (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 . ..................... 1 .................. 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...........................................................F 33. *' 34. 'y When you issue'the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup atoffice. Deliver with inspector. Other Parcel Creation 2 Acreage Applicant �G22C�1� ' Date J %� 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 &A)Date 3 1 3 Plans approved by " gQ Date -&L[9-193 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 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 (0�)or no) 2. I hav have not 01 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 t,o .pr,ovide portions. of.:this work; but I' have _h iced .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 Ifumber • Date 3 —J�— 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. f 6- e 3IX f BUTTE COUNTY SCHOOL'S IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District an 11 DYI A.P. Number 0 -01a Jurisdiction 0 Property Owner Property Location/Address Subdivison Residential Development 0 No. of Living MHI Units Commercial/Industrial New Building Department ftlSbsentative Building Department No. City [ County 1�A% : C(D% 1 /� 0)'Itotl / Lot No. Sq. Footage®� A61dition (Group R) Sq. Footage Addition (Including Exterior Roofed Areas) (Floor Plans reviewed by School District Personnel) Date District Identification No. `� " 671 O �2n j) I I. t -g W U N i -I I6N School District certifies that OVt,K) k C) ie Tr t�7 l - l- ! s I (Applicant) 0 (Street Address) (Phone Number) 01LL-E C� (City) (State) (Zip Code) _ has complied with the requirements of Resolution No. by payment of $ representing 160 square feet. School District Representative- Paid by Check Number Bank Number Paid by Cash rX a-� / 2 , 19 q 8 Date Remarks:_ .1�,1� �,� f ►' a� Gtr+-D��v -5-0-10 If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this;project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/9'2) ... MFR— 1 G-93 TIDE 14 2 1 C , ,. P. 0 1 i� i, r r ' 03/.16;'93 12:37 $916 533 3186 KOPPERS � �®�jjv i�001/0.01 • t. � � t • _ 1. Koppers:ndustries Inv, �ilp /ryG0Popr,• ' r Piusburah, Pa. 15219-160Q ' INDUSTRIES, INC. 99� Certificate of Treatment This is to Certify That, the material hereinafter described was treated -at the FEATHER RIVER plant, in the state of CALIFORNIA for WOODPLY FOREST PRODUCTS ,PO BOX 1511,CHICO, CALIFORNIA 95927 _ applying.on their Order No. 1039 our Order No. _ 862-5108 _ destined for N/A _ _ _ — (Nam©),,;. (Address) f' to be used for and the said material was treated with CCA (WOLMAN) preservative by the` FULL CELL pressure process in accordance with A.W.P.A STANDARD, PRACTICES AND KOPPERS INDUSTRIES SPECIFICATIONS .— �. CHARGE' N0: 665 666 F " RETENTION: .34 .31 :r• COMMODITY: CUSTOMERS #2 & BETTER S4S KILN DRIED PINE LUMBER 2x6- 167/8' f 1,. 186/101 344/12' 172/14' 335/-16' 1' '• y Koppers Industries Inc_ 199 '. gated MARCH 16 _., .. 3 PIS�i, RESIDENTIAL 058'46-0-012 .71- 93-416 BP'E,M :'JEWETT & HILL .-4085. FREEDOM RD, CONCOW .CABANA/MH q5 -<o2,5 Jo JOB FINALED (Date) Signature V= OK O = Not OK Not ApplicReadyable. MOBILE HOMES Not Ready Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Net. or/ P'L"ft./ /"LPG - 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks Easements 2. Footings; Size-Spacing=Marriage Line + 3.. Gas; MH Teat -Demand -Valve -Connector 4. Electricity; MH Teat -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fell -Flex Connector' 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval ` 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy km MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2 Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftm. Connectors Shthg -Rfg -Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftre-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining r 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-Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR Plans OK except #'s LAo"Zogjng-Setbacks-Easements-Flood-SLope tg., Main; Soils-Elec. Grnd.-/ tg. Depth ge; oils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 6h emwalls, Main; Steel-Blockouts-Wrapped m6.teel B4ockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slat ,Steel -Wrapped L000._PMl.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples ' 15. c entile ion qQ*14ff-33 . Insulation _Date/Initials PLUMBING (Permit) OK except #'s it:i T13r Ir.; Vent -Access -Combustion Air -Baffle Q -ter Pipe; Test & Anchor -Nail Protection 18 .W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection all 22:31ec. Receptacles Spacing -Lights & Switches at Doors V .„jze Boxes & No. of Conductors -Stapled 05. omex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 2J -2 -Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29.-Rap,ge Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 36 -Service -Riser Conductors & Ground -Main Disconnect 3= . uip. Clearances Panels -Motors -Mach. Equip. 32 -Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access-Comb.--Air-Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FR ING Plans OK except #'s Sils, Proper Material & Anchors ib 40,Walls Studs -Nailing, Spacing & Bracing -Plates -Sound .t7 IA. Bearing Walls over Girders & Floor Nailing 42,,Draft Stop in Walls (rat proof) 2 143 ire Stops; Furred Ceilings -Stairs -Chases -Tub Date/Initials FRAMING (Continued) f angers -Post Ceps -Anchors -Connectors (p . Cing. Joist-Rftr. ties- Puri in -roof Brac-Truss-Shthng.-Rfng. ace Ties or Type A Flue -Fireplace Throat clearance 48. ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50r6erage-Fi a Protection Framing 5]_I2copeRy-Eine Firewall & Openings t. Doors -One 3' -Check Garage -3rd Story, 2 Exits tairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. plywood on Roof Overhang -Attic Vents -Rafter Outriggers iding-Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailin -Bolts 59. Insulatio Bilin s C ' 60. Infiltration -Walls -Windows Date/Initials FINAL Plans OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection edroom Exiting 65. G&� ", Bath Fixtures & Tub Access -Spa rfie."Llec. Trim & Subpanel; Breaker Sizes & Labels fairs & Rails 68. Fireplace or Stove; Clearances -Hearth &9--Ergc. 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 -Mach. Protection Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 9g_ d 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 -Fireplace. -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing W'Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House tklr�Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval .91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE - DEPARTME1 T OF PUBLIC WORKS P!E N 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBEIR 098-460-019 OWNERJJSA ZONING FR5 BUILDING PERMIT HILL- TELEPHONE )582-1268 SO. FT. OCC. BUILDING VALUATION OWNS 'S MAI ING ADDRESS '��7a��1y�f� / og/ / � (�� CONTRAC OR'SNAME TELEPHONE 384 R 20 736 CONT AC R'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Fs- LENDWNSAMAI LING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. MONTP Filing Fee $ 15.00 Permit Fee $ 180.00 Plan Checking Fee $ 90.00 ARCHI OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 4085 -Pp-P-PnnM -PT) CONCOW Permit fee $ 285.00 PLUMBING PERMIT Filing Fee 1 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 7,00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomen Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G I W @ 15.00 TYPE OF WORK New E]Addition M( Remodel ❑ Utilities ❑ Installation ❑ Other E]Permit Describe work: 2BDRM ADDITION Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW 1 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 1, as the owner, or my employees with wages as their sole compen_ sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A) 37.50 137: 0 NEW CONST. ( DWELLING OC CUP �\ OR ADONS. ACC. BLOGS. / 3.64 NEW CONSTR ULTI.OUT LE @ 5.00 NON•R ESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. OCCup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS, OR EX. DCCUp. 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 Filing Fee 1 15.00 Heating EXTEND DUCT 6.00 -- Cooling Hood 6.50 Ventilation Permit Fee $ 21.00 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 said County in consequence of the granting of this permit. �? —1-1-913 X �"'''"�� Date 2 Signature of Applicant — Owner ❑ Contractor El 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 S Energy Inspection Fee $ OCC -T CONST TYPE TOTAL FEE $ 334.40 I— HAz DFEES IMP FLOOD CDF PARCEL PD H SUE This permit is hereby issued under the applicable provi sions of the Butte County Code and/or resolutions to do work indicated above for hich fees have been paid. C ® UBLIC WORKS By 7 Date Z" "a PERMS EXPIRES Date — /a Receipt No. 135454 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT lqq � I COUNTYOF "1/"'...,�%,rt�.tyf 1R�4-+�'r7t�etirw��.�""��..rv^i•-�.+' ':-%..'L..-Y^`�+-,<<,,r-�+1..! -� VILDIVISION, - DEPAAF 4NTOF DEV LOPMENTSERVICES - B CENTER DRIVE'=+OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMITAPPLICATIONNZATA SHEET OWNER--- - - - � - rce z� /4' % C J� o, A. P IDS. �d_ Proposed Building Use Building Inspector Date4W ZZZE At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 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. 00,hoonl.y........ 7 ........ ' 12. California Department of Forestry plan approval/fees. ......; ................ _ lood elevation letter (100 year flood) by Cf Pfornia Engineer. . . IyAi 14. Sanitation and plot plan approval ( v Health Department. ... /o 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,)- . _t. 0 /..... . 20. Pre -inspection for rPreanspection "uest {� required. . to Building Inspector (Date) 21. Contractor's license information. (No.., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. l ....... 23. Owner -Builder Verification (Given to owner , Mail to owner/ .........; 312 53 ?24- 24. Recorded copy of Agricultural Acknowledgement Statement. . MIT 25. Letter of signature authorization . ....................................... a 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .. 27. L' etter`of intent on building use . ......................................... 28. Mobilehome utility clearance . .................... ................... 29. Documentation of legal access . .................,r. f.'..� .................. 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 o ner. Mail to contractor. Telephone _ and hold for pickup at ato office. Deliver with inspector. Other /� /140 , Parcel Creation(,tJ�p N9 /V(rM,P�t2 Acreage Applicant _17 ;2<DateZ - /Gi- 93 Copy of Haz-Mat form sent . Health Dept. 1 Fire Dept. Air Pollution Date Copy of plans sent ?Health Dept. Fire Dept. Other ` Date By The following data must befsubmitted prior top rmit issuance: cle new item not checked above). 1. Index permiffor above items No. � 2. Additional°items required: Contractor, design , owner, was advised of above required data by vphoneU i�riall-Counter 1 Counter ��B,ate r Contractor, designs , r, was advised of above required data by _ phone _ m by _ Date - Plans checked by Date rz Plans approved by Date J/ Sets of plans on hold in , ( File cabinet AP folder Copy - Department of Public Worl s, yr'„*wr�,fG�Y �•�, �_„ar1r,:-ay�—� q"i�r`''"..`` ..... - ...., . , _ .. �y-..-'-c ,:✓ i�,;..,.�...-.a--,.� .. COUNTY OF BUTTE , BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES r' 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this,office immediately. Date,. / S• 3 Inspector .- REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Bliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE lJ:lI r PERMIT NO. Affoulfieospecdmii6cates that the following violations of Butte County Ordinances exist at The afsose ad I and should be corrected. Please notify this office when correction of work iscow4oh mll-Eyouhaveany questions pertaining to this matter, or need additional explanation, pfeaoe sozsace tis office immediately. I Dabe -� Inspector- 11WV 1fD'� COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humbaldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541- 747 Elliott Road, Paradise, CA - (916) 872-6307 - ovullam .11 CORRECTION NOTICE Aroudm hyec8on indicates that the following violations of Butte County Ordinances exist at dm above address and should be corrected. Please notify this office when correction of work scow4deted.Ifyouhave any questions pertaining to this matter, or need additional explanation, Pleaoe contact this office immediately. COUNTY OF BUTTE -- BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE O. ER / PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is com leted. If you have any questions pertaining to this matter, or need additional explanation, plea contact this office immediately. 0 19 C � -f-t7 y'f a -E't (e.1{ c Date Inspector= REV 10/92 ENERGY INSTALLATION•CERTIFICATE Building Owner ee k( ZL T /f,./ BuildPermit # _ y� Building Location e-10FSS IU. - in_ _ %rQl/i & . �itz 9S�f�S� /� DESCRIPTION OF INSULATION ROOF / '� 1� �/eE� y Material Brand Name DuJ�Ns _ Co.�icrr.yG Thickness(inches)_G/;_ Thermal Resistance (R Value)e--_jrd //�� XTERIOR &1 /o cc.veA*y /1 u i �F M) COLO. -M Material 12-2,1 ' Brand Name Thickness (inches) &y Thermal Resistance(R Value) -2 CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material !` - Z J Thickness (inches) `< v FLOOR, SLAB -� Material Thickness(inches) Width(inches) Brand Name Thermal Resistance(R Value) Brand Name . Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name C)we,^J l%d �L1�rsti'C� Thermal Resistance(R Value) Tl Brand Name Thermal Resistance(R Value) FOUNDATION WALL Material Brand Name Thickness(inches) Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building, is consistent with- approved building department--pians--and -attachments and- con- forms wit,() it u' ement of Chapter 2-53 of State of Califor ' Energy Requiremen FIRM R STATE CONTRACTOR"S/LICENSE NO. SIGNATURE 0 TAL ION APPLICATOR DAtE I hereby certify the required features, devices, and equipment, az:; shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy Lequirements. BUILDING CONTRACT /OWN R Please Print) STATE ONTRACTOR'S LICENSE NO. IGNA HVAC FIRM NAME/OWNER (Please Print) - DATE STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF HVAC CONTRACTOR/OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 CI 1� p,ppqc)\IED . Butte County jEn,j-jronrne,,taj VAealth q-3 Date i /gA- I �gn T�r e A iv RESIDENTIAZ PEAR' CHECKING`GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) 1� Bldg. Permit # OWNERy A.P. # Plat Checker GENERAL -T-.—Zoning requirements: (sideyards and number of permitted living units). �.�V1 luation. ans signed by designer. per description of work on application. Existing violations on property. 6 Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). R-ecorded notice of violation. AN Complete parcel size and dimensions. . Setbacks, sidevards, easements, etc. Other buildings or -structures. Grading, fills, drainage. Flood hazard. Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb- ustible, and foundations). AU & FAS road setback. wilding or utilities across lot lines (Record form). FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). squired windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). ':'—Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). -- Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment. T.- rage firewall, door size, and closer (Sec. 503(d)(3)). r7-1 - 3'0" exterior exit door (sec. 3304 (f). fireplace and wood stove location, alcoves, and clearance. i Smoke detectors (Sec. 1210). 4: Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS 1�-- Standard bracing or engineered design (Table.25V) usual shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. e story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. ,T. Elevations and wall construction details complete enough to construct building -8--Roof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. after ties or bearing ridge beam. Garage door or porch header sizes. Stud heights. 3. Adobe soils - special foundation design. Retaining walls requiring design. Special Inspection required. . 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). uardrail details (Sec. 1711 & 3306(j). Brick or stone veneer (Chapter 30). terior plaster - weep screeds (Sec. 4706). • Proper roof pitch for roof convering (Chapter 32). • Roof covering type - (fire hazard). Foam insulation - protection. 36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. • wo exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). • ttic access and ventilation (Sec. 3205). • nderfloor access and ventilation (Sec. 2516). . Combustion air for fuel burning appliances - L.P.G. requirements. . Noise requirements on duplexes. 15. Energy design. rhing at all exterior openings. .CDF responsible area requirements. 0 jo jew' P�ooq Icl kovi de') Clf • 73a -i?,F s fed Q�_Q -ft0 QGT SA2 c -0- COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 COUNtY Or BUTTE BUILDING DEPT MAR 0 3 f993 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.iss.uing 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 improvementyeYs'or no) 2. I ay /have not) signed an ap lication for a building permit fo� 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 coordinat6, 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 Date IQ 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. JEWETT & HILL AP # 058-46-0-012 PERMIT #93-416 :.rry-acw.r r.:, e'' `+?'J'T %!'* 'Jt -Y 'Ne'ii•'w'F^M�'a; �s'�kiM�+` ''F�i`p ,'�prl + 'F10 a ` BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District/�`� v /(P_ n J y Building Department No. A.P. Number 7fo Jurisdiction City County Property Owner Cl I U „ U C km // - � ��/� A.'s 6L /i/ y Property Location/Address Subdivison Residential Development 0 No. of Living Units Lot No. FV Sq. Footage MHI Addition (Group R :z o cZ v� o _+ GZi O a� Ta c �ro Commercial/Industrial 0 Sq. Footage New Addition (Including Exterior Roofed Areas) ;�?-hq& Buildina Degartmen resentative Date (Floor Plans reviewed by School District Personnel) District Identification No. dR v I 1. << U n/ I o ',v I -r `C_ /4,School District certifies that 30 'qb Lo0M (Street Address) (City) has complied with the requirements.of.Resolution No. representing = square feet. School District Representative Paid by Check Number Bank Number Paid by Cash (State) /oma`- 9b \\ �h N d :F W e 1T 6 - (Applicant) (Phone Number) . (Zip Code) by payment of $ c X 4- m ff�T' Date Remarks: '� Ce u1% 2 r r U N O If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkl (4/92) PPP-' t 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 is's.uing your building permit. No building permit will be issued until this verification is received. I. 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 Signed: Property Owner Social ecurity N066er ,// 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. t PERMIT NO. 36OS-85B t PERMIT EXPIRES - �52 OWNER CHARLES & VIVIAN LUNDY .� CONTR. Owner ASSESSOR PARCEL 58-46-12 LOCATION 4085 'Freedom Rd, Concow r q Temp. Power Pole_ Called PG&E _ i Temp. Elec. Service Called PG&E _ i Temp. Gas Servi ce _ Called PG&E _ JOB FINALED (Date) Signature rA4 ",G�) J -.=,OK - 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except -N's 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 Card -BI Date Date Card - BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI "Date Date Card -BI 'Date' POOLS (Plans) OK except q's 1, Setbacks -Easements " 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Linings, 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI -J 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bondirig; Metal w/5' -Circulating Equipment -Heater ' 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'-CircUlating.Equip.-Pool Lghig. Boxes- Enc losures-Pane l boards -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_ J = OK O = Not OK - = Not Applicable * _ Not Ready RESIDENTIAL (Single and Duplex) ' Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Fig. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Fig., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers S. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regulator-Seryice 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 Card -BI Date Card -BI Date Date Card -BI Date Card -B1 Date Card -BI Date Date FINAL (Plans) OK except H's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date _PLUMBING (Permit) OK except q's 57. Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -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 Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access _ 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels Gas Pipe: Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Gard -81 Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except p's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location _ 22. 23. Size Boxes No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72, Insulation -Foam -Looked In Attic 1:1 Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size Guard Rails &Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, _Insulated Neutral Yes ;]No `, 75. Following instld.: Drive Yes _]No; Walks ❑Yes ❑ No; Planters ❑Yes ❑No - 28. Service -Riser Conductors & Ground -Main Disconnect 76. 77. 78. Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. - - -- Card B -.I Card B -I 29. 30. - Equip. Clearances: Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light - ----- - __Date _ Card -BI Date Date Card -BI Date 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Perrr-it) OK except H's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric _ _ 31 _ 32. 33. A.C. Ducts: Insulation & Support Vent Fan: Exhaust above Insulation _ ___-- Condensate Drain & Overflow; Size & Grade 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates _ _ Card -BI Card -BI 34. 35. --. - Furnace -Vent: Access -Comb. Air -Return Air Vent -_115V outlet Attic Access & Platform if Furnace in Attic -. _ _._-_- _ _ Date Card -B1 Date Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: _ _ 3_6._ 37. 38. 39. 40. Sills; Proper. Material & Anchors _ _ Walls: Studs -Nailing, Spacing_ & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) _Fire Stops: Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45• 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles____ Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) a COUNTY -OF BUTTE - DiEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N ld��vr� ASSESSOR PA CE NUMBE ZONING /LEHN BUILDING PERMIT O WNE 1 Q T POE SO. FT. OCC. BUILDING VALUATION t d 1�/L� -V-0 aY'� OWNER'S MA LIN ADORES 'el 6N FTA CTOR'S NAME 6TELEPHONE CO AC 'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ /3.-0,0-0 Filing Fee $ 10 L DER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Vv Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 'Yl lO �Q Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE_��n SF ❑ Duplex❑ Mobilehome❑ Other 005W PgdC =416 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer Mobile Home S I G I W 5.00 10.00ea TYPE OF WORK New FetJ Addition ❑ Remodel ❑ Uti lities ❑ installation ❑ Other Describe work: �/ `/%14 ,qX/p lel+ p 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 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one P Y P l y hk : ( ) ❑ 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 XI, 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) ❑ 1, 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.IE , OR ADDNS. ACC. SLOGS. /2Osgft NEW CONSTR. M ULT' -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occu S P OUTLETS OR FIXTURES AL@AL030 FIXED Ex. Occup. OUTLETS P(RESID,)REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �I I shall not employ any person in any manner so as to become subject y� 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again t said County i consequence of he granting of this permit. ` A DateZee_2 '�Q �$ Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 33 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occu P, CONST*TYPEJ ILOADPARCEL PD I �Z Ii This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE C R OF PUBLIC Byq1 P MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /- Receipt No. .V1!&S--- WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF, RUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,,CALIf 9RNIA 95965 - TELEPHONE: 916/.,534 541 � • jj 4 � PERMIT APPLICATION DATA SHEET /� Permit No. OWNER CJ4-/2Li1SS Ulf//o9/-y GaN DV A. P. No. Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building Inspector /�� Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED. 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. etter of signature authorization. . —sanitation approval from ealth 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 owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . ..' •Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspectori To: Building --Department From: Environmental Health Subject: Sdatistio''n' Clearance Owmer Plan Approve'd-lor: Hold final fdr: Location API Sewage di-,ponal water supply -..::ter supply _ Final clearance O.K. for: hater supply Clearance for bedroom mobile home. Other PA 1-7— V- N07 - Sanitarian Date ti (0 / / 0 NOTE:—AII Materials & Workmanship ShaA 8e to Accordance with Recognized Good Practices and ' 3 of a quality prescribed for the Specified use in the ' Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. This set of plans and specifications MUST be �} kept on the job at all times and it is unlawful to . make any changes or alterations on some without written permission from the Department of Public a 12 Works, County of Butte, U i � n i A setback of,� •eft. from the propert ; lines and a setback Of 50ft. from the. road centerline shall be clear of structures or equipment except X a 2 ft. eave overhang. � BUTTE COUNTY. BUILDING DEPARTMENT APPROVED rl m: V2 rn .1, • el AS CU 1� -A oll, ir fn �% __ ..�.�� �df�b^S E�7/DGta'S- ---t-- ' � :--�—��—_.._ta*-� � --- }1� � - Cep9 - - - - - -- - -- -- �--• - t 2 x` ► 2 :ems©(- p : _ . - - - -- - : - _ SLO ell to 66 f��c&rig; __-►I� - •« - - .- - - - - - - - - � _ _ ._ _ Top-raito be 36 in. high-with in- - termediate_raih_%.. be—not—over. _ -_ _._ _ _ _. _ __ _ . —_ lin. apg4i.. AOF _Provide adequate _bracing_ BUILDING-DEPARTMENT -_ L 47 - -- Yo roil to be 36 in. high with, in , - _ tcrPmediate rails be _not over.,---.-- - . - -- �- - Provide adequate:-bracing.Sfy - - -- --- - - - - — —'- — - -=- - - -- ; -------- i - - -- - -- - — -- -- -- — ! �S 2x 2 3k - - ------ --- — i — --� - - }-- -, - - -- • - - . -;- - - • ------ - -- --- - --- - •- - - -- • - - - - __ .- - -- • ; - --g-t J;i-TE-CO_U NTY '-- ' -- -------- ---i - ----_----- -- - - - --- -- - _BUILDING .-D_EP__ARTM_.FN_ _ L 4 PERMIT NO. 3676-83NRI PERMIT EXPIRES 10/26/84 OWNER CHARLES LUNDY CONTR. PMC I ASSESSOR PARCEL 58-46-12 LOCATION 4085 Freedom Rd, Concow i l Temp. Power Pole t Called PG&E IV Temp. Elec. Service i Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) l L O gelSignaturef 44 i J = OK O Not 01j. = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1, Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -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 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance _ 5: Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures _ 6. Carports; Windows -Doors - 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILFFHOME INSTALLATION (Plans) OK except #'s Card -BI Date _ Date Card -BI Date POOLS (Plans) OK except #'s V Q -tonin Requirements -Setbacks -Easements 1. Setbacks -Easements hgs; Size- pacing -Marriage Line 2. Soils; Compaction -Structure Stability Gas; MH st-Dem d -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. E!.P.Gtricity; MH st-Crossovers-Breakers-Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI QMH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI OPIVater H Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7 �tet'and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater Gj nd Electricity Tagged S. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 00"Ex!s; Insp.-Sketch 1 ert. of Occupancy - 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date r J = OK 0 = Not OK - = Not Applicable .k Noi Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OKexcept #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. _ Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolls 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17 Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except #'s 68. A.C. Duct in Garage -Damper --- 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection - 21. Alec. Receptacles Spacing -Lights &Switches at Doors 70. 71. Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. - 22. Size Boxes & Nd. of Conductors -Stapled 23. Romex Installed Close to Edge of -Studs & C.J. -- 24. 25. Equip. Ground made up w/Mech. Fasteners - Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size 72, 73. Insulation -Foam -Looked in Attic ❑YesBond Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _-_ - 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, r-, r Insulated Neutral ._Yes lNo Service -Riser Conductors & Ground -Main Disconnect 75. Followin g � instld.: Drive ❑ Yes E] No; Walks [I Yes [3 No; Planters ❑Yes EJ No 76. Stucco; Brown -Finish _-- 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light -_ 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. --- ---------------------------- Card B -I Card B -I -----.- Date- -_ Card -BI Date --__ Date Card -BI Date 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82, Glass Protection Date MECHANICAL (Permit) OK except #'s 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric -______31._ A_C. Ducts: Insulation & Support - _ 85. Water & Sewer Connected -C/O to Grade -HD Approval 32.Vent 33. Fan_ Exhaust above Insulation -_ _Condensate Drain _& Overilow; Size & Grade 86, Energy Compliance Certificate -Other Certificates _ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI- Card -BI -- - ----- - - ----- - -------------- Date _ _Card- .- Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except #'s 36. 37. 38. 39. 40. Sills; Proper Material & Anchors_ Walls; Studs -Nailing, Spacing & Bracing -Plates_ -Sound Bearing Walls over Girders & Floor _Nailin_g__ _ Draft Stop in Walls (rat proof) _Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rflr. Ties-Purlin-Root Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles _ Bdrm. Windows or Exiting Doors -Sill H_gt. & Dimensions Garage Fire Protection Framing _ (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number i !L2 T for the following location: Owner���- f Owner's Address �y Mobilehome Mfg. t aril r1 .''iY► JV c—C l Model" r Year Insignia No. -J Serial No. r ' It is hereby certified for occupancy at the above described location and may be occupied. Director -of Public, Works Date I _ By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White- Owner, Yellow- Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CO,oRRECTION NOTICE 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 �/1� Date Z/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS • • 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIOWAND PERMIT PERMIT NO. ASSESSOR PARCEL NUMB E / ZONING BUILDING PERMIT / UA TELEPHONE SQ.FT. OCC. BUILDING VALUA I N OWNER'S MAILING ADDRESS co��o � CO TRACT R'S NAME TELEPHONE ,ZTRACTOR'S MAI IN ADDRESS Fireplace CONSTRUCTION NDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAI G AD RESS Permit Fee $ ARCHITECT OR ENGI EER LICENSE NO. Plan Checking Fee .$ Penalty $ ARCHITECT OR E GINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING- PERMIT9 Filin Fee 10.00 8 — Each Trap 2.00 Solar Water Heater 20.00 /� C vNCo CI) C4 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 ❑ Duplex ❑ Mobi lehome Lvf–/Other SPECIFY Building sewer 5.00 Mobile Home JSTG W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 60v OR LESS 1000 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2-.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 21/20sgit CONTRACTORS LICENSE LAW I declare nder penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession C d and my license is in f force an effect. �1 / 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 U TI-DLTLET 2,50 ea NON•R ESID BRANCH CIRC ITS NEW CONSTR ( POWER APPARATUS & NON-RESID.. (SINGLE OUTLET CIR. EX. OCCUp\OUTLETS OR FIXTURES 9A ®30 EX. OCCUp. OUTLETS FIXED P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ Theermit is for $100.00 (valuation) or less. ave 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 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ofn 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 liabilities, judg nts, costs, and expenses which may in any way accrue agai aid Cou ty i consequen of the granting of this permit. _ X Date �d J iLno f Applicant — ;-74, El COnrroCtor Agent rmit is required for excavations over 5' 'deep and demolition or construct- iouctures over 3 stories in height. Mobile Home Installation Fee $ 6b TOTAL PERMIT FEE $ U OCCUP. CROUP I TYPE OF CONST. PARCEL PD I HD ss E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R OF PUBLIC By � PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date/"' / Receipt No. f��� �t WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT NOTFa,—,AH'A,AWtqi6&6 &nV11cqksr,6rzsWp5hv1b'Se ;in ACr-qrdancd,.W.jt4 P�cdjniized Gobd- Practices -and thd:Specified: user in This set 6f Wans and specifications MUST be kept on thejob.,atall times and it is *unlawful to make any cPs Wit --or'.. alterations on same W7 out Public Work Couptj of Butte. All. !,�cation O-f#�- o L! to ke as per. C, 1--Y -HL-a.lth Der)t. Rp- uirernents. x, jx\ t —,:de the ran honne rnohi!e A setback of 5'ft- f rom the property lines and a setback of 50ft. from the ro )d centerline shall be (lear of strOsstures or equiprient except fora 2 ft. eave ove -hang. /to APR` �� BUTTE COUNTY DEPARTMENT OF PUBLIC.WORRS 7 County Center Drive, Oroyille, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. - Owner's :name: ,2. _ .Installer' e aame : G 4°jit-�%_ $ Is the site currently under permit? Yeh 4 / No /�/ (If yes, furnish permit number OR Is the site an existing site? Yes / No/T (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leaoh fields and clear of all setbacksand easements? Yes ( If no, clarify __ ) 5. What is the mobilehome electrical rating? --=-------------------- Amps 6. What is the mobilehome site service rating? --------------------- Zoo - Amps 7.. What is the mobilehome site circuit breaker rating? ------------- 00 Amps 8. Is there any other electric load to be served by the mobilehome siteservice? -------------------- -------------------------------- : Yes L—L No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ----------------------- - 3/ A in.) 10. What is the type of gas service? --------------- Natural 77 LPG 11. What is thecgas pipe length from meter or tank to the mobilehome? Z 2 (ft.) 12. What;�t he MoWehome gas demand? ------------------------------ (BTU) 0 is�nfynation not required if pipe length less than`6 ft. on natural gas i s j an 50 ft. on LPG.) !0 D O AD z 1M. --1 �� Z MOB ILEIOME SUPPORT DATA If other than single wide, Mobilehome Mfr. Ems_ E .�t :� C( .` , f furnish Setup Model No. Year Width---?(/' (ft.) Box Length�_(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) (ft.)(in:) Center f locat (ft.) S ingle 1. Wood either pressure treated c foundation grade. E] 2. Other. (specify) Su ort (check ono° 1: Concrete- block. -2. Other, (specify) Tagalong or Expando,' show support details. I -- Typical Support .) Footing Size (ft.)(in.) (ft.)(in.). -- Max. Pier Spacing -- Max. Overhang �. rJ FOOTING SIZE 2 X2411 2411x2411 , • �l�,; Il .ti • �i�:i 1• ''i i , •j 11 ,�'-;.�:.. t'�t4i xY •.��, '1 �'� ► � 1.� • • /;. 'r •:1 . � � � yr, i I' NOTE' 1101 L WAAEMJW 51. SM TA ANA, CA, 11105 PHONE, 111411JS�700 ON A,rING T1TLt CARPET LAYOUT AND RIDGE .00it •.O ; � _ 600.0# 3611x24 10 000 60°x24" BEAM FIELD SUPPORT PIERS r-- oRAWN t� Atv,stotr 041WG NO �y0.$ FOR FIELD SUPPORT DETAILS, SEE DWGIS. 5-1 and 5-3 OF INSTALLATION MANUAL_ R 00 V . M•�.4 �TolM•d.O • .. '� 3 0 0 04 ( l�er11�1 • . �I�lll�i�l-IVI1J�i VOL" W — ----_, 14�wd.6IViol la'-oa x 'I" IOt^T'hIJ Gn_Lt�T '. M•*Tt•I---------- 1�=,dK b�3� .. kT y GdT 1-I34 vtNst �tasM,i�H.11i-,f•(' _......... 61A&TH tee. 14- �8•a�a!UTH Sol,' M•E'..f�/ltis�l.!' �a1.� ' SUPPORT PIERS I�i<14. +GOLDEN WttT rzi APACITY 2000 4000# FOOTING SIZE 2 X2411 2411x2411 CAPACITY 80000 m FOOTING SIZE 11 11. 48 x24 Thr- / M 50. FT. NOTE' 1101 L WAAEMJW 51. SM TA ANA, CA, 11105 PHONE, 111411JS�700 ON A,rING T1TLt CARPET LAYOUT AND RIDGE .00it •.O ; � _ 600.0# 3611x24 10 000 60°x24" BEAM FIELD SUPPORT PIERS r-- oRAWN t� Atv,stotr 041WG NO �y0.$ FOR FIELD SUPPORT DETAILS, SEE DWGIS. 5-1 and 5-3 OF INSTALLATION MANUAL_ �_� -ice, A l c PERMIT NO. PERMIT EXPIRES�� OWNER V. Lundy CONTR. owner LOCATION (A.P. 58-46-12 ) 4 Mi -Off W/S Concow Rd.,app.3/10 mi.N.of Jade Shop ., { cr. t ti. IIS s., �r r 7, 'k jmp. Power Pole Called PG&E r Temp. Elec. Serv. �-� Called PG&E _ mp. Gas Serv. w Called PG&E JOB FINALED t(Date) � (Sign ture) t i i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING / BUILDING (Cont'd) PLUMBING'' Setba / ewall SON Piping Forms % Pa ets 1 Floor Main ikdg. Rest om Finish 2n loor FootlAps Windo ; Of 3rd EXor Stemw I Siding To out Slab Roof Shehing Water PI in Piers Roofing X Sewer Garage Fdn. Vents Fixtures Footings t StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings handicar pe� hysical Conformance of ex.Gas structure / Appliances Pi Inq & Test Temp. Gas Slab Final % Sanitation Patio i FIRE ACE Final Footings / Footing ELACTRICAX Masonry Walls X Throat Rou h Reinf. Steel i Final Fixtures Bond Beam/ / FIRE qp-.NKLE& Motors \ Mesh /' \ I /' MECHANICAL I Gird. Faint Prot. orapri N, CogRing X T p. Pole F Ish D cts der round In1frior Lathentilation ennanent or Closer ill inal foal MOBILEHOME UTILITIES ------ Elec_ Service —2 Elec. Pedestal Water Piping .f Sewer —7 Gas Pipin E OME INSTALLATI N - - - - - - - - - - - - - - Support 7777, Elec. Continuity a Water Piping Drainage Gas Pipi DATE2 / REMARKS R CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) To: Building Department From: Invir o.omental. Health Regard .g.: Sewage and/or Water and/or Addition .Clearznce(s) i, (D- M.EIIR LOGATIOff A.P. No. Plans ere approved for: Sewage Disposal Mater Supply / Hold up Final for: Mater Supply Final Clearance OK for: Water Supply Clearance is for a bedroom (horse o obil�Y home). Other The additions) will be Sanitar Da e 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— No 2. ' Does the mobilehome have required clearances above ground? (Sec.5085) Yes v No 3. Are footings and supports properly sized, spaced, and braced as approved plans? (Note possible variation at spring shackles.) (, 2 Sec. 508 & 5083) Yes_ No 4. Is the mobilehome level? (Sec. 5088) Ye's ,v No_ 5. If more than a single unit, ar ros ver connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flex' -le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes_ B. Test - Does water piping withstand working pressure or 50 1 s, air test? Yes`,` No C. Backflow - If coach is not State of California approv WS tation have backflow device and pressure -relief valve? Yes No 7. Wastes and'Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes �No . B. Does it have minimum 4" per foot slope and is it properly supported? Yes N C. Are any leaks detected in drainage system after running 3 n of water through each fixture including washing machine standpipe? Yes No_v D.- If coach is not State of California approdotation have required trap and vent?' v d Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping,is to be at least,as large as the mob�home gas line inlet without reductions other than the mobilehome connector. Yes_ No B. Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehome with connector, t rn 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 mobile;iome'(must equal rating of mobilehome with a minimum o, 100 amp) and other,facilities on lot, i.e., water pumps, garage, cabana, etc.? YeNo B. Is there proper clearances around panels? Yes_L-` C. Is power supply cord or feeder assembly properly fused? Yes_ No_ D. Is continuity test satisfactory as per the following procedure? Yes 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. 'Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and -appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode•and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot'orsite service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufarc-turre%r' and/or Namestyle. Oii►t Length. p � _ Width_ Vehicle Serial No. / State Identification No. 29 -3 D Additional Information or Comments: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue,•Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 8773435 C RRE TI®N NOTICE T4e�,- �, 2 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. i is Inspector --�/�"✓ Date` (D 1i t o8y picked in Oroville Wicc'2709 by owneru Of e 3 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilebome has been installed in accordance with the rnuirements of the California Administrative Code, Title 25, Chapter 5,, under permit number 5 ;-_ " I I I "—for the following location: Owner Owner's Address Mobilehome Mfg. Model Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White- Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 . CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the re uirements of the California Administrative Code, Title 25, Chapter 5, un.5 e permit number L' for the following location : Owner Owner's Address -L Mobileh ome Mfg. Model Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Date Director of Public Works By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. ' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ` 7 Coenty Center Drive — Oroville, California 95965 Telephone: 534-4541 % % `�7 APPLICATION AND PERMITC�7 BUILDING Owner SQ. FT. OCC. BUILDING IALUArTON Mailing Address 6(,:3 elephone No. L e CA T_ &.Z- z Contractor ' Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address l� y(/{1, 6F UA 5 Gp�— Planng Fee&/or Penalty Permit t Fee Vic% O ww. PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 A. P. No. ' — lZ 8 Zaning Pla"g Water piping 1.50 Each gas water heater or vent 1.50 Fe VtvG Sas►i•a:" 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 �.�� Bldg. P acne Recd Parce roval Pla royal Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ • FEE _ PERMIT FILING FEE $3.00 Main service 600V OR LESS too AMP OR LESS 5.00 Sin le Famil Duplex Mobil Home' Others 9 Y ❑ P ❑ ❑ Main service EA. ADDtoo AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW CONST. ( DWELING OR ADDNS. ACCLBLDGSCCUP. 5!. / 22sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style le of: T NEW CONSTR BRANCH CIRCUITS NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 9 NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES) BAL@c AL�1 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 E3 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X EKG ��'�v Date / "1 Signature of Permitee or Agent 1 Receipt No.'-� 7� White-D.P.W. — Yellow -Assess r — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $j This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above which fees have been paid. RE T R OF P LIC WORKS Y Date '-30 Building permit expires Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1.. Owner's name: 2. Instalaer' s name: 3. Is the site currently under permit? -Yet 2% - 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 No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- %.CrCT Amps 6. 'What is the mobilehome site service rating? --------------------- d'd Amps 7.. What is the mobilehome site circuit breaker rating?------------- *Wg�/Vnvmps 8. Is there any other .electric load to be served by the mobilehome (This information not requ red.if-pipe length -less than 6 ft.. on natural gas or less than -50 ft. on LPG.) A_;*1T9A. ; )II1 s.lIU" 7j site service? ------------------------.--------------------------- Yes No (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? ------------------------------ (BTU) (This information not requ red.if-pipe length -less than 6 ft.. on natural gas or less than -50 ft. on LPG.) A_;*1T9A. ; )II1 s.lIU" 7j MOB ILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. Pd�" furnish Setup Model No. Year Width --f (ft.) Box Length(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'oii file with the County of Butte). All center supports measured from front of mobile'home unless'otherwise specified. Footings (check one) (ft.)(in;) Center sup location (ft.)(in. (ft.)fin.) (1t.)I (in.) Single 1.. Wood either Apressure A treated or L foundation grade. X (in.) (i .) a 2. Other (specify) Center pport footin sizes Supports (check one) 1: Concrete block. Lx 2. Other (specify) 4 ---Tagalong or Expando,' show support details. (in.) (in.) 12 x30 -- Typical Support (in.) (in.) Footing Size x (i :) (in.) r(�- -- Max. Pier Spacing (in.)jj,in.) *If center piers are other than drawn above, draw- in lneat-inna•_ anacino_ anri dimen-,inna_ (ft.)(in.) Max. Overhang (ft.)(in.) BlJTT6 COUNTY BUILDING DEPARTMENT apPRovED (�ag3.71 ✓COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS -- 7 County Center Drive — Oroville, California 95965 �/-71Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner L-MDy SQ. FT. OCC. BUILDING VALUATION Mailing Address 5&-3 o22.AC,l`ros AT501J V I Uk F-hrn�Z� I Contractor C E.1 N 6 le- Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address 1/4 M I pi`F $ CMCOW P I an Checki ng Fee &/or Penalty Permit Fee APP., 3�io MI. OF; PDE PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 3, c70 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. �U —�f l Z- Zoning & Planning Water piping 1.50 /.(7,00 Each gas water heater or vent 1.50 Fbdsl .C. Sad tation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 49,40 EOA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 %Q .0 O BI Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES Q'-'OTHER 2 Permit Fee $ 33,00 1b GOMfiLefe QYI L_111 E$ -5'MC—TED ELECTRICAL No. @ FEE �N UT((r.(Zl�'1• j* I$5�V7� PERMIT FILING FEE $3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home 21, Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ACCLBLDGSLING OCCUP. Y\ 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name le of: style NEW CONSTR (MULTI-OUTLET NON.RESID. BRANCH CIRCUITS/ 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. Ex. Occuo{OUTLETS OR FIXTIIRESa ,@ 100 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 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ELI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date � . � Signature of�P(ermitee�ojr Age Receipt No. Z8%(o / White-D.P.W. — Yellow-Assessor — Pink-Inspector — Goldenrod-Applicant Land Development Fee $ TOTAL PERMIT FEE $ 3 o0 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above which fees have been paid. RE OR OF P LIC WORKS / Date 7� Building permit expires Date •l , • - COUNTY OF BUTTE — DEPARTMENT OF P BLIC ORKS 7 County Center Drive — Oroville, California 95965 r elephone: 534-4541 APPLICATION AND PERMIT auuw1W -VIVOcnlaU VC0 UI uIC llvullly UI pull- IU "I't" UNUfI Ln above-mentioned property for inspection purposes. I � r XL Date Signature of Permitee or Agent Receipt No. ! I I C-1-31 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. D1REqZQ,9 OF P LIC WORKS By Date v permit expires Date -- 01 BUILDING 7V1 -77 y Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address 1 T,Tre No. �� Contractor % 29 Mailing Address Fireplace Total Valuation Telephone No. Permit Fee or Building Address �) (,(� S 12111, Lk) Plan Checking Fee &/or Penalty Permit Fee 3 Ano6 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 , Q Each Trap 1.50 honing Yerificaf•on Only Repair drainage or vent piping 1.50 11 h A. P. No ` `� l J---- AZani I Water piping 1.50 L 00 Each gas water heater or vent 1.50 F *S1W .� FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 D,o 0 EQA Par Ing Plans Parcel Declaration Parcel Map 60' R/W Improv n Each additional outlet .30 Building sewer 5.00 JIB, Bldg. PI ns Rec'dar caval P s Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES OTHER ❑ Permit Fee $ is ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Single Family ❑ Duplex Mobil Home Others ❑ ❑ Main service 600V OR LESS r AMP LESS 5.00 EA -L Main service .IADD100 AMP 2.50 Main service OVER .001 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR AODNST V ADWECCLBL GS,LING Ccup. B� 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of:Ex. NEW CONSTR MULTI -OUTLET NON.RESID BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. Ex. OCCUP(OUTLETS OR FIXTIIRES 5 i� 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 g I am exempt from the Contractors License Laws of the State of California. Permit Fee $a(0 I $ 41 (0 11SI WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. . ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this A—Npermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE 1$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $t t TOTAL PERMIT FEE $� auuw1W -VIVOcnlaU VC0 UI uIC llvullly UI pull- IU "I't" UNUfI Ln above-mentioned property for inspection purposes. I � r XL Date Signature of Permitee or Agent Receipt No. ! I I C-1-31 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. D1REqZQ,9 OF P LIC WORKS By Date v permit expires Date -- 01 *, 60, Z i his set of plans and specifications M.UJ i ceps on the job at all times and it is unkw, i •, make any - changes or alterations 6n swne withoui written permisson from the Department of Public Works, County of ' Butte. Septic system and location _ to be as per Lit te County Health Dept. Re- quirements. !� A perm;} installation M utility connections shall be loCated Ivvifl',in 4 ft. oUfSide the rear a~iird section of the mobile home W Q'I I on the left (road) side of the mobile home. V0 z a d y ,4,P?V 5-k-41-- /z MOTE; til Pr. `1,v k t'! W , r! croshi;. Shall Be in G,� P•rnc}Ices and .iu.�li,,, or -'$a Speci.c1ed use in the niform Bus din<�, c Iumr zinc+ & ie. ac ianeca� des and F e National Electrical Code. 'Al 1 14, ' Tlie fes. Setback shall be 5 ft. from fhe Side propari-%, like and 157'` it. from he vY FrSi i 3d= pe.. rt7i tjrig a m xi- i;,at, ,r o 2 ft. e a e overliang but entirely out of all easements. r e e ;red for Jhe e mc.bilehome• I ui • 0, lU �I BUTTE COUNTY BUILDING DEPARTMENZ APPROVED �l� JOHN JEWETT & MELISSA HILL 4085 FREEDOM ROAD OROVILE CA 95965 -_ ,�utte COunt BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (9.16) 538-2140 FEBRUARY 16, 1994 RE: Building Permit #93-416 & 93-625 Expiration Date: 3-10-95 & 3-19-94 A.P. # 058-460-012 With reference to the above subject, our records indicate that -,your building permit expires on the above date and your permit falls into the category marked below: QCX] Permit work started, but not completed. Permit may be renewed for.1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration. date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where .indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required'to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE office. Thank you for your prompt attention concerning this matter. Yours very truly, Michfael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 N Location of, structures & equipmen't snail Le as shown & I'mar o4 ail easements. �• c � , lb' siDe- t re pt, seri; t WorVn-1an5hip.".Shod Rec .00nlZed Good Prucfic fcf ti i.- Spaclf ed me echtmcsal Coc This set of plans and Specif*'0Tfions MUST he lepf on the job of all r..r;d.it is ��nlrywf�d ''ro malm.ony chr•n es or alrera+ians on sm-re without written permission from ',he Qepr7rfinent of Ptjb�jr Works, County of Suffe. v V I V ` I I I , BUTTE COUNTY I BUILDING ®EPART&�,E��`.' APP OVER � Bw 3 I jl9 X93 . 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'ZXivb 245 �TC3Ag' i�; it �3CL 17-y /C/ T�"5r f:.f fG �b UST tqp t�l :, ..................... `'!i ie r ry!� d''•�. �."., .-,; 'ZXivb 245 r.. Cl QINi� 3DG5.� -0c Z 8'' AaoUe �eAoC- o2 USE p /2pw_ pos rn TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance F.)i. 1111: ()\IN Plohilan Attached Floor1' P or I:m Awiched Sent Io 11.1). I Owner Location AP# Plan Approved for: Sewa-e Disposal •----Water Supply: Publi1c. Private Well c learance bedro 1 then � f (1 row, rn U�1 `fcon /4?�<o r Hold final for: Final clearance O.K. for: NOTE: Environmental 19alth Specialist 8/92 Date v i XO i 0 APPROVE© S Butte County'C Environmental Halth Date gna tie, I l 0