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058-560-003
j AgneFrancis Sutton 3667 Did Rd., Concow Area Permit #2164. 81P,E(ktil. ,NIi ELEC . ;WA GAS UPPORT"STRU'CTURE- K.. h y , COMPACTION TEST REQ. \ ontrt Erne MH Transi,Mys,v • Permit# 8-81MH / Issue B07-1466 058-560-003 MISCELLANEOUS HVAC Change Out CHANGE OUT HVAC 3667 DION RD SUTTON ROBERT R DISC, r 03,, BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds FEE INFORMATION DBM Heat Pump (Package Unit) $58.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires ARTIC AIRE OF CHICO INC 234913 / B C20 C 2 / 01/31/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X �,��f 07/06/2007 Signature Date WORKERS' COMPENSATION DECLARATION I I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performan f the work for which this permit is issued. VE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: ACE AMERICAN INSPolicy Number: RSCC4444706A Exp. Date:12/31/2008 (This section need not be completed if the permitis or or ondollars ($100) or less. X I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. re 07/06/2007 Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. I CONSTRUCTION LENDING AGENCY I I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑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 Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: Owner's Signature 07/06/2007 Date 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 construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmles Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with 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 County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owners behalf. 1,,n<,4 07/06/2007 ❑ Owner ❑ Contractor OR; El Agent for Ownergent for Contractor FILE COPY PROJECT INFORMATION Site Address: 3667 DION RD Owner: Permit No: B07-1466 APN: 058-560-003 SUTTON ROBERT R DISC, Permit type: MISCELLANEOUS 3667 DION ROAD Issued Date: 07/06/2007 By KEJ Subtype: HVAC Change Out OROVILLE, CA 95965 Expiration Date: 07/05/2008 Description: CHANGE OUT HVAC (530) 533-8286 Occupancy: Zoning: FR2 Contractor Applicant: Square Footage: ARTIC AIRE OF CHICO INC ARTIC AIRE OF CHICO INC Building Garage Remdl/Addn 2350 PARK AVENUE 2350 PARK AVENUE CHICO, CA 95928 CHICO, CA 95928 Other Porch/Patio Total (530) 895-3330 (530) 895-3330 FEE INFORMATION DBM Heat Pump (Package Unit) $58.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires ARTIC AIRE OF CHICO INC 234913 / B C20 C 2 / 01/31/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X �,��f 07/06/2007 Signature Date WORKERS' COMPENSATION DECLARATION I I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performan f the work for which this permit is issued. VE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: ACE AMERICAN INSPolicy Number: RSCC4444706A Exp. Date:12/31/2008 (This section need not be completed if the permitis or or ondollars ($100) or less. X I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. re 07/06/2007 Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. I CONSTRUCTION LENDING AGENCY I I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑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 Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: Owner's Signature 07/06/2007 Date 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 construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmles Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with 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 County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owners behalf. 1,,n<,4 07/06/2007 ❑ Owner ❑ Contractor OR; El Agent for Ownergent for Contractor FILE COPY n BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 . CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name irst Name Address - � ti City State Zip Phone 3 _ Fax E-mail CONTRACTOR Name Y �� Addressay, Or City State OA I Zi n� Phone ,?,,qcJ ,- 3 Fax _ 93D C� � E-mail Lic. # Class 18-C1' 7 APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Name Address SRA City �&V_ Ave State Zip Phone Zrpq . Fax E-mail Fax State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME AP# Name ', C, SRA Address aa�L_ �&V_ Ave City ; Type Const State Zrpq . Phone Lot # Fax Date Approved: E-mail If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. APPLICANT SIGNATURE X For office use only: Zoning AP# Flood Zone Property Address3467 SRA Yes No Occ. Type Const Subdivision Name Map Book I Page Lot # Planner Date Approved: PERMIT 6� - jz46( BP BIN # Description or Scope of Work: Laz!z__ D7— Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs' are not refundable. OVER FOR SUBMITTAL REQUIREMENTS L, K:\FORMSWILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by: Amount: Bldg SRA Receipt #: Sheriff SMIP Date: Other REV 6-1 M4 { LOCATION AP# 6<6 Property Address3467 ti City Cross Street WORKER'S COMPENSATION Policy Number ; ,� Carrier " ArneriMn If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Laz!z__ D7— Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs' are not refundable. OVER FOR SUBMITTAL REQUIREMENTS L, K:\FORMSWILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by: Amount: Bldg SRA Receipt #: Sheriff SMIP Date: Other REV 6-1 M4 { SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND ININ% Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). '❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. - 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSMILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 I— 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 — ' ,jcs72-�9i.� X57• C®RECTI® aTICE BUILDING OR PROPERxY ADDRESS A routine inspection indicates that the following violations of County Ordinand'e 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. X 620 Y1�vs j PERMIT N0. .2164-81P,E • _ PERMIT EXPIRES `� — C / OWNER Agnes Francis Sutton CONTR. owner ASSESSOR PARCEL 58-21-83 LOCATION 3667 Dion Rd., Concow Area AU fit d Temp. Power Pole i Called PG&E Z*p Elec. Service � / p Called PG&E/ �� ���i- / S 6U'7417 /1 a/% Temp. Gas Service Cal led PG&E ./" JOB FINA (Date) S i gn a(tgrIt J=OK 0 = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBIL HOME UTILITIES (P)6s) _ns) OK except q's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's o ing Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements a-fojjs; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors ew ; Location—Test—Fall-C/0—Con rete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails ater; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing b/Electricity; Location—Clearances—Grnd.— Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6 Gas; Loca,ion—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7�TTity Clearance 7. Elec. Card -BI 217 Date _ ` Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBI EHOME INSTALLATION (Plans) OK except N's Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N's Zoning Requirements—S cks—Ea nts 1, Setbacks—Easements ?/footings; S cLaj—Marri Line 2. Soils; Compaction—Structure Stability c or 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Elec.; Receptacles and Lighting; Distances—GFI 4. EI ici , MH —Crossovers— a —Cie nces 5. Drpa H st—FpY—Fle Cbrrllector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Wa ; MH st—Reg for—Co 'tor 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Wat d Sewer Co ted—C/0 to ade—HD Orp roval 7• Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. gas -etnd Electricity T ged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghig. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Insp.—Sk 11LACert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card 22 Date J Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date poi T ✓L J=OK 0 = Not OK - = Not Applicable RESIDENTIAL (S'ingle'ond Duplex) * = Not Ready . Date UNDERFLOOR Plans OK except H'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-8lockouts-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/0 -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Card -BI Date Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except H's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. 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. 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. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size 73. 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. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. Following instld.: Drive E] Yes E] No; Walks El Yes ❑ No; Planters ❑Yes El No 28. Service -Riser Conductors & Ground -Main Disconnect 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. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except H's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. 86, Water & Sewer Connected -C/0 to Grade -HD Approval Energy Compliance Certificate -Other Certificates 32. Vent Fan; Exhaust above Insulation _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FRAMING(Plans) OK except q's Card -BI Date Card -BI Date Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing _ 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rflr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 46. drm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) - COUNTY OF BUTTE UEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance withthe requirements of the California Administrative Code, Title 25, Chapter 5 under permit number 2 Gr9 - 5< 1 for the following location: 9//C 7)%/.A 1 kil- Owner R �BEe-T 25`U'7-/7:s� Owner's Address /5<-'1U /1I0A:!�/7-1 /,/L L A �: ,- Lc Mobilehome Mfg. �/-2/1 ifi&r Mode l22X 72 LPA,--' Year -741 Insignia No. 2,f I/ 7_%S Serial No. ;0//;'/7 It is hereby certified for occupancy at the above described location and may be occupied. Dire/ct`or�bfrfublic Works r Date /3- 8 / `By-II&IOW41v THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installar_ Pinie - n a ui I COUNTY.OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO. 9 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �/ re `, APPLICATION AND PERMITyyy ASSESSOR PARCEL NUMBER ZONI G BUILDING PERMIT OWNER J f-/ e o I&A-/' - v /'1` �l� TELEPHONE .-6'�o ¢ SO. FT. OCC. BUILDING VALUATION O WNE� % AILING ADDRESS �,vev,� 1D �� , 4&�� CONTRACTOR'S NAME Iyer` ,' ACL o • V Z1[ GC TELEPHONE CONTRACTOR'S MAIL,,I[NADDR ��pO Fe/��oS v .� ��(`/9 j � l / Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ _ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS '— Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $� Uv+ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ p, r1d BUILDING ADDRESS 36 L C)y /Il ��ou PLUMBING PERMIT Filing Fee 10.00 JIEach Oa u acJ w J. Trap 2.00 Repair drainage or vent piping 5.00 C'o"CU �__ Cy Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex[] MobilehomeXL Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ installationR Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 8001 OR LESS Main service 100 AMP OR LESS -5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.y) OR ADONS. ACC. BLDGS. 2P. sq ft CONTRACTORS LICENSE LAW I d�clare under penalty of perjury (Check one): IYI' I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Cod and my license is in full fore and effect.OCCUP License No. Classification ��'�F ❑ 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)P FJ 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 CONSTR I.OUTLET 2,50 ea NON- RE_BRANCH CIRC ITS NEW CONSTFL I POWER APPARATUS h) -RESTD. %SINGLE OUTLET CIR. NON -R ESI EX. TLETS OR FIXTURES 50@25 IXED APPLNS. OR EX. OCCUp.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑' The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of. Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California: Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said o in consequ nce of the granting of this permit X Date Signature of App icant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ O. 01 o -u TOTAL PERMIT FEE $. OCCUP. GROUP I TYPE OF CONST, PARCEL P7 HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC By PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 7-5—, Q� `%'� r/ -- Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK-INePECTOR, GOLDENROD -APPLICANT MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. V furnish Setup Model No. a,2x�� Year ZI Width_(ft.) Box Length572, (ft.) Tagalong or Expando Size -ft. x: (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 of erwis sp cif. . Single n , , (ft.)(in;) Center support locations* (ft.)(in.) 4o (ft.)(in.) 6 e- (ft.)(in.) ® 0 (ft.) (in.) l•ZxILA (in.) (in.) Center support footing sizes (in.) 2yx-�Y (in.) (in.) 2 Y�Z (In. ) ( in. ) 2y-2, (in.) (in.) Footings (check one) '0 1. Wood either pressure treated or foundation grade. E] 2. Other: (specify) Supporte (check one) 1: Concrete block. -2: Other,* (specify) Tagalong or Expando,' show support details. -- Typical Support (in.) (in.) Footing Size D -- Max. Pier Spacing O -- Max. Overhang (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT *If center piers are other than drawn above, APPROVED.. draw in -locations, spacing,. and dimensions. /Z BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: 3. Is the site currently under permit? Yes :7Z7 No �"� ` r'l ) (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? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- Z"o-e7 Amps 8. Is there any other electric load to be,served by the mobilehome site service?----------------------------------------------------- ------------------------------------------------- Yes No -T. / (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? --- �� (in.) 10. What is the type of gas service? �`—� ------ Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? -----------=-------- — (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK PERMIT 7 County Center Drive - Oroville, California 95965 - Telephone 916/53 -4541()2-Z APPLICATION AND PERMIT J ASSESSOR Pi=NyER ZONIN�r/ BUILDING PERMIT °VN �NCls 51)rM'/ LAO-5za S0.FT. OCC. BUILDING V ALUATIONWlVelg OWNER' ADDRESS /��Wffy CONTR T R'SNNAME U 13 /-S PC r TELEPHONES CONTRACTOR'S MAILING ADDRESSFireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee M u $ /000 Penalty $ ARCHITECT OR ENG NEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS ��06 PICK/ PLUMBING PERMIT Filing Fee 10.00 l/ /s Z>/191V Ob . AfP. f ,90 / � � Each Trap Each 2.00 Repair drainage or vent piping 5.00 60A)a9q% /e b, Water piping /D.49 LOT NO. 2 SUBDIVISION NAME PA EL MAP Y' —5;g-- Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex[] Mobilehome�Other SPECIFY Building sewer rd Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑Utilities installation❑ Other ❑ Describe work: Permit Fee $ .0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 _00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.y) OR ADDNS. ACC. BLDGS. 20 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No: Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered ,for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. MULTI -OUTLET 2,50 ea NON•RESID BRANCH CIRC ITS NEW CONSTR (POWER APPARATUS 9 NON SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES B L@; IXED APPLNS, OR EX. OCCup.(OUT LETS (RESID•) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 -Q(� Misc. Wiring 7.50 1©a 314 *P PON Permit Fee $ 01 Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE .I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. LId ' shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemn, fy and keep harmless the County of Butte against all liabilities, judgment co s expenses which may in any way accrue against i is granting of this permit. X Date 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 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 3J OCCUP, GROUP I TYPE OF CONST. PARCE t1111 PD ND I ISSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE :TOR OF BLIC By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS f� Date _ `— Receipt No. 36 Fe WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT to im 07� wr lb t r N ` Ch .�' �. ,� �� '� Z 1A orf'jl� I Ll tp. la AA n 14 I la n 14 C T:) N VI 'A Ln -C 04 12 4 IV ,j -tl ti Ai I 93. -f 4 .5 0033*/6'•f It d f n-" 1 :70 tl Ok yj 14 'A 12 4 NZ 4. 93. -f 4 .5 0033*/6'•f It d f n-" 1 :70 tl Ok yj (07,r: e lur�Z �D �� anis,-ovo-8/ BUTTE COUNTY IDEPARTMEN - OFPUBLIC ,WORKS h ` SPECIAL INSPECTION REPORT nwnpr• oR �(iTTan! YUD 13/SPOPr53,1 A.P. # Address:' PT Tenant: Building Location: . Type of Inspection requested: i1eoyIGGG a/AR7- RAy (010113 eo)�APA goo W sTA7701/, �Cfo6VC� l� 9 s/ Date of Inspectio Inspector E_ Or e0A) 60aj eo, /I c ep rS i 1. Housing. f (2. Financing 3. Change of Occupancy to 4 Other (specify) /'� WG�T1- l� $ P0SS/614� TEAUL , 77?4-CL 1As-1Rt1-G� ' � . 0 p��s�1i ice• .. Present use.of buildin : A Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: ..6. Heating -facilities:" 7. Natural light and ventilation: 8. Room and space requirements: 9.. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connectior-to sewage disposal: 12. Connection to water -,supply: 13. Rubbish and garbage facilities: 14. .Comments: B. Structural 1. Piers and footings: 2. Floor construction: J. Wall construction: 4. Ceiling aud'roof construction: 5. Fireplaces: 6. .Comments - C. Electrical. l.. Service :cam ground:_ 2. ReceptL r: 1s: ' 3. Fusi.113:r 4. Conzwnts, D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4.. Comments E. 'Other 1. Maintenance and repair: 2. Fire hazards:.—..- 3. Safety haz,-Ar.ds:' 4. WeaV!'er protection: 5. Underfloor and attic ventilation: 6. Conments,* F. Cmmercial Buildin&s 1. Roof covering:_ 2. Distance to property lines: 3. PIrysically handicapped: 4. Restrom floors and walls: 5. Exits: . 1 6. Improvements: 7. Zolung:_ . 8. ComeAt:z,—.-- G. Field Problemis or Viclallioris 1. Problem or .!z A..olation "'give complete. description): 2. W -r -as actio:) tafe?,l (give complete-Jescription): :,�4 17 If 3. Wh,,flt actl.nri recommended: -� ,nfor.miation Only - LLI"-. / /. B. Hold for tc,) (1.0.) days, then wri:,u letter. W- 1. -C_ letter. 77D. Other: