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058-570-158
7") ' - -,58 57-j,�j LARGE, Robe -it -58-57- LARGE, Robert 815-90pel.. 1 0 Jo 0 �12480 Jordan Hill Rd, Oro.vi 11 . i 1 j (utilities/travel trailer) - E C LEC S .GAS T Tv�, T D rT Md COMPACTION TEST REQ__ SUPPORT STRU CT REQ 58-57-158 2825-91MHA/P LARGE, Clay �ky 12480 Jordan Hill Road, Orove (MHI/existing site) -A o scab • M i �I �n � �S I 1 �� 4AJ.R AID EO RESIDENTIAL 58-57-158 -- LARGE, Clay 2825-91MHI/P 12480 Jordan Hill* Road, Oroville j (MHI/existing site) i OFFICE COPY { Address GAS i Meter By Date.&6 .i EL JOB FINALE Signature I ,I OK O = Not OKNot I = Not Ready MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch t' 3. Sewer; Location -Test -Fall -C/O Concrete I 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance t Date Card B-1 Date Card B-1 l Date Card B-1 Date Card B-1 Date MO BILE HOME INSTALLATION (Plans) OK except #'s Zoning Requirements -Setbacks Easements ootings; Size -S acing -Marriage 3. as; MH T Demand -Valve Cor Hecto 4. Electricity; MH Test -Crossovers -Breakers -Clearances Drain; MH Test -Fall -Flex Connector W ter; MH Test -Regulator -Connector Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged (/V -its; Insp.-Sketch ert. of Occupancy Date f,.� Card 13-1 Date Card B-1 kl Date tlCard B-1 A Date Card B-1 z d E- 3go7-7�/ 6 MISCELLANEOUS -*% Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)bK except #'s 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-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Dislances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready „ IV RESIDENTIAL (Single ' = Date 'UNDERFLOOR (Plans) OK except q's Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors &. Duplex) 2 Ft Main- Soils-Elec Grnd -/ /" Ft De th --- 9•. 9• P 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Fig., Porches & Decks; Soils -Steel-/ /Ftg. Depth --- 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.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. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except a's -------- -16.-Water Htr.: Vent -Access -Combustion Air -Baffle ------------- --------------------------------- 17. Water Pipe; Test & Anchor -Nail Protection ------------- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection -------------------- - -------------------- - -19. Shower Pan: Test, First Floor -Tub Access ----- - 20. Test Tub & Shower, Second Floor -Tub Access ------------------------------------------ 21. Gas Pipe: Size & Anchors --------- -------------------------------------------------------------- Date Card B -t Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection ------------ - ------------ --------- ----------------------- --------------------- -------- --23.-Elec.-Receptacles Spacing -Lights & Switches at Doors ---------- --- ------------------------------------------------ 24. Size Boxes & No. of Conductors -Stapled ------------------------------------------------------------------------------ 25. Romex Installed Close to Edge of Studs & C.J. ---------------------------------------------------------------- 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ----- ----------------- ---------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI -------------------------------------------------------- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Sizer ! ga. Cu or At ----------------------------- -------------------------------------- --- 29. Range Circ. ! r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect -------------- ---- - -- - --------------------------------------------- 31_ Equip_ Clearances Panels-Motors-Mech. Equip. ------------- ---------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ---- - - - --- - - -- ---- - - - ---- --- -- -- - - ---- -- - -- - -- ----- -------- -- - - ----- - 33. Smoke Detector -- ---------------- -------------- ----------------------------------------------- Date Card B-1Date Card B-1 ------------------- -- --- ----------- --------------------------- -- ---------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except n's 34. A.C. Ducts Insulation & Support ------------- --------------------------------------------------------- 35. Vent --Fan;--E--xhaust -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 --------------- I ------------ ----------------------- ------- ---- ------------- Date Card B-1 Date Card B-1 -------------- ---------------------- ---------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except k's 39. Sils. Proper Material & Anchors ------- ------- --------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------------------------------------------------------ - - 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) ------------------------- ----------- - ---------------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub --------------------------------------- ------------------------------ --------- . 44. Headers & Beam -Size & Bearing 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hot. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs, Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazino Area -Glass Protection-Skvliohts-Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows --------------------------------- Date _ Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft's 61. Ext. Steps -Door & Sidelight Protection -Landings 62-.- Smoke Detector -------------- ---------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection -------------------- - ------ __ 64. ----------- ------------- 64. Bedroom Exilinq - --------------------------------------- - 65. _G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels --------------- 67. --------------67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth - - -- - --- -- - - - - ------------------------ - 6J. Elec. Outlets at Wood Panel: Int. & Ext. ---------------------------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance --------------------- 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer 73.--A.C. Duct in Garage -Damper -- ----- - ------- ------------------------ - 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meeh. Protection ------------- Equip. p -------------------- - - 75. Plb.. Elec. & Mech. E ui Listed for Location ----------------------- - --------- -- 76. Elec. Receptacles in Garage: .(G.F.I.)-Romex Protection ------------ 7. Insulation -Foam -Looked in Attic ❑ Yes _ 78. Guard Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No - ------- ------------------------------------------- 81. Stucco: Brown -Finish - -- 82. A.C. Unit: Disconnect. Electrical, Plumbing --------------------------------------- - 83. Vents Above Roof: Plbg.-Appliance-Firep lace. -Clearance to Openings ..... -------- ------------------------ 84. Water Well: Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House - - - - - - - - - - - -------- ------------------------------- 87. Glass Protection ..... ---- -------------------------------------------- 88. Corrections from Previous Inspections - - - - - - - - - - - -- -- -- ----- -------- 89. Gas Test -Meters Tagged; Gas -Electric ---- ------ ----------------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval ------ - - - -- - --------------------- 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 - -- --- ---- --------- -------------------------- --- ------ Date Card B-1 Date Card B-1 -- - -- -- ------------------------------- Date -----------------------------Date Card B-1 Date Card B-1 Comments at Final: I� r 1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way; Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE A --e_ 7-82 S- WNER J92 , PERMI 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 co ection of work is completed. If you have any question pertaining to this matt , or need additional explanation, please contact this office immediately. '10eo / 1116— Q V110Ao✓(fd Sof O �ti nS . Gc a C- o c /So cc oAoc e i P Date Inspector - MOBILEHOME INSTALLATION ACCEPTANCE , : COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT N0. Address or location of /mobilehomle 12 f18 0 J , Owner's name. ,/1 Owner's address Insignia or hud number—O :S), C) :7 Manufacturer's nameN�'?�'�� Serial number of V.I.N. -S - % 2 Year of manufacture fic9al' proving Installation) / / (Date) IF TFYE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILtHOMEAS INSTALLED ON A FOUNDATION SYSTEM. , 5138 •White - Ownei, Yollnw 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: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE R s -5'J PERMIT NO. 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. 'C Pp G'lv'ra. Date / Inspector xt s COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION,�'NR ERMIT ASSESSOR PARCEL NUMBER 58-97-158 ZONING BUILDING PERMIT OWNER CLAYLARGE533-7808 TELEPHONE ,SQ, FT. OCC. BUILDING VALUATIO.N�-- OWNER'S MAILING ADDRESS 12480 JORDANHILL RD OROVILLE CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $$ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 12480 JORDAN HILL RD V LLE Permit fee $ 25.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5,00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installations Other ❑ Describe work: MH1— '_A—RERLAOE T 1 1 ED&M Permit Fee $ 15-00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 001 OR LESS RSLESS 10.00 Main Service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. VRI, 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 NEW CONST. DWELLING OCCUP.0d OR ADDNS. ( ACC. BLDGS. , hosgft NEW CO N5 ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20@50C .AL93o FIXED Ex. Occup. OUT ETS P(RESID.)APLNS.REA.) 2.00 Temporary service 10.00 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. ful I shall not employ any person in any manner so as to become subject PJ to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling 9 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. 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 against id ounty in nsequence of the granting of this permit. X �,� f2,- 9� Date Signature of A icant —OwnerT Contractor 11Agent El An OSHA permit is required for exca ations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 45.00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 85.00 E HAi. cuA PARK scH FLD PAR PD I H Issu This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. I R. TOta PUBLIC WORKS e B Date 9-'S PERMIT EXPIRES Date �� t� • Z ' Receipt No. 97162 85 fin WHITE-D.P.W., YELLOW-ASe[390R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916./538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 5c.f— S% — 459 ZONIN BUILDING PERMIT OWNER Q TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER'AILINGDR SS C A / (, Allf CONTR ACO 'S E, EPHCTNE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LEN/DER l UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING DRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ /S- ©a Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS �2 022 Permit fee $ -Oa PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehometg OtherBuilding SPECIFY Gas piping system 1 - 5 outlets 5.00 CUc7 sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition Remodel ❑ Uti/li�ties ❑ Installation�j Other [3 Describe work: ifC�14C ��% Permit Fee $ �S Contractor ELECTRIICAoL PERMIT Filing Fee 10.00 Main service 6001 R 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): F1 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 CONST. DWELLING OCCUP.e OR ACDNS. ( ACC. BLDGS. , h¢sgft NEW CONSTR. MULTI—OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OccUp(OUTLETS OR FIXTURES eLeso 2AL@30 FIXED APLN5. Ex. Occup. OUTLETS PIRESID IREA.) 2.00 Temporary service 10.00 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 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ LContractor 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 County in consequence of the 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 $ 1 Gd Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAZ CUA PARK SCHL FLD coF PAR PD HD. ISSUE This permit is hereby issued unser sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. / 160.2 — —c-_� WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT • :H ♦ •` y , . +'rv��1,.1n.�': M +i+iti'✓,.-nay �1''! Yr..l• ,�..r I♦^ .. ...•i.r.. ���rfl—, q.,+.i "r 't .+- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION ; 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER v �� A. P. No. Proposed Building Use Building Inspector tj Q 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, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. 9. Engineered truss details and layout in duplicate (required prior to plan check) Mobilehome installation data including manufacturer's installation instructions....................................................... g aQ t ax 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. 13. 14 Park fees paid�� ool District fees paid ............. . Sanitation approval fromy� ��r, Health Department `1Ste- 1 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to;, Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment St ...... 25. Letter of signature authorization ......... ................. . 26. 27. ,. , When you issue the permit, process as follows: al t owner. Mail to contractor. Telephone and hold for pickup at office. De : sp Other Applicant _ Date -/ 1__'? Copy of Haz-Mat form sent Health Dep . Fire Dept. Air Pollution Date Copy of plans sent Health Dept. _moire Dept. Other Date By The following data must,_be submittedo�EW-ioy,,to pegrIJA .issuance: (Circle new_i.tem..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 —mai l—counter by date Plans checked by Date Plans approved by LbJ Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance i iVv— wa A -p 4S'7 — S fl . t S7 S-�.tl`' Owner Location AP# Plan Approved for: Hold final for: Sewaqe Disposal �� Water Supply 7inal clearance O.R. for: Clearance for 1 bedroom mobile home. Other NOTE * * * Water Supply Water Supply �� �— Date Sanitaria. �.. •�� 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. y Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) C 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 -ta A 5— 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 Security Number 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. s'ti1 •`��'Ni-:w�.�+.,h `'4l''t�"'fi'ft",{.rhlf'''r'Sv�'y9c-rr!�1�3�v'}r f\yv'.�i Hf�b�'.S''i �7i= � ., '��''C.'`ti7f�si3�r'n""'' r^.�''`^xf^:"�,1"t'• 1`i''.Y�'1,"�+C i<"2 t+ �r'�'' �"�. �� BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM D5 -9`,,-5-W �/.6-(One nForm pdr' Building) of 9 A. P. Number �S /�yl L3 Building Department No. CJ s g P School District^^ City County Jurisdiction C Property Owner IA:� ZA� (f . Project Location/Address Subdivision Lot Number Residential Development: a Sq. Footage ,-) # of Living MHI Addition (Group R) Units Commercial/Industrial: a Sq. Footage New Addition (Including Exterior Roofed Areas) B ilding Depa tm t Representative D to J (Floor Plans reviewed by School District Personnel) District Id No. 9202,-9(o �� l 'School District certifies that eta tat- (Ap licant Name) (Phone Number) oL -4 8 (Street Address) c� a,k-o V AL) ��- (City) (State) (Zip Code) has complied with the Fequirements of Resolution No. �D �•'� D by the payment of $ 8� ,'2 representing %.54 d square feet. TP7 9 School istrict Representative Date PAID BY CHECK NO. REMARKS: BANK NO ll - a PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) 1. Owner's Name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET ta'fl 2. Installer's Name : & w1 p 3. Is the site currently under permit? Yes a No (If yes, furnish permit number 3 15 cj ) OR Is the site an existing site? . Yes M No [—] (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft, away from septic tank and leach fields and clear of all setbacks and easements? Yes rX No (If no, clarify 5. What is the mobilehome electrical rating? --------------- ---'/0 0 Amps 6. What is the mobilehome site service rating? ------------- /00 Amps 7. What is the mobilehome site circuit breaker rating? ----- y 100 Amps 8. Is there any other electric load to be served by the n mobilehome site service? -------------------------------- Yes No L �J (If yes, identify the load and size: Y;� tr L(Load) Q (Amps) 9. What is the mobilehome site gas pipe size? -------------- `� (in.) 10. What is the type of gas service? -------------- ----- Natural LPG 7X- 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 required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) l''m Coumn 1 eo MOBILEHOME SUPPORT DATA _ If other than single wide, j Mobilehome Mfr. ekajnpj,Qn `'kfu.r(!t furnish Setup Model No. Year Width O (ft.) Box Length i/S (ft.) Tagalong or Expando Size ft. x ft. 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). FOOTINGS (check one)® 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) 1. Concrete block.a 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE I Lin`e`2_4=_4 Main Beams .ane 1a=Z Line 2 Main Beams ' Line 2 Tag or Triple I Line 1 Line 1 Piers: Line 1 Openings: Size -Min. ------------ „ Size -Min- ------------------ Spacing -Max- --------- ,- Each Side of Openings From Ends -Max. ------- '_ " With Width Over --------- " e-2=Piar's: Line 3 Piers: (Under. Bearing. Wall Only) Size -Min - ------------ I2 "x 2� Size-Min------------------- Spacing-Max ---------- ------------------Spacing-Max.--------- ,_ 5 „ Spacing -Max. --------------- ,- From Ends -Max.------- '- Q From Ends -Max .------------- �- Line 3 Roof loads: Size -Min ------------- Location (From Front) Size -Min .------------ ,k „ Spacing -Max---------- ,-• From Ends -Max .------- Line 5 Roof Loads: Size -Min. ------------ (Under Bearing Size-Min------------------- Spacing-Max ---------------- From ------------------ Spacing-Max.--------------- From Ends -Max.------------- - " „x .11 ,y .11 11 „ „x „ „x. .11 ,yx „ „ „x „ Location (From Front) boo, ;.:xtt:S?A�J�E t;t;lH Q::9trrit13:T3J�s r) is �»sy.�rr,t,:u .fila-) , iFt�i 'I Si `'; i . . 'i rr:"i tEz C?Uj `,..' �t f�G tl`^•.�i t.^ fit) "r•r1i�..ti...1 ;.iL�J �r'f :,`l".n J . t�.i �;�r r ! 3 ° i'r.r-� sit �iiw, trio JI i tu r .:,•f, i 4l t.:.". ill T 0 qL l°= CK is 0 "-- 306.09 to PL• ` a ac 0 ,t� jr 42.38 -- -_ - _-- q�,. O m 10-721 95.53 6.96 c/Q�O9\\ 103.60--- J. 45 ---3.45 AC. . ko O of to /2.92 comas >zEvloUs�Y TePNs��ec� I����(11 I- 02590 /22/91 /6 phis map may or may not be a survey of the land depicted hereon. You should not rely upon it for any purpose other .nan orientation co the general locatfon of the parcel or par- cels depicted TITLE & ESCROW CO,, expressly disclaims any liability for alleged loss or damages which may result from reliance on this mao, I N 020021241.W a 8 92 AC. C 22 i /f�PeA 1r f -e- R•eod=rn to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT 90--17324 Section 26-8.1 of the Butte County Code- requires this acknowledgement be recorded prior to issuance of a building permit. -- - The property described herein is adjacent ' .90-017324 Rec Fee 5.00 to land or included within an area zoned Cash 5.00 for agricultural purposes, and residents Recorded ; of this property may be subject to incon- Official Records veniences or discomfort arising from the County of ; use of agricultural chemicals, including, Butte but not limited to herbicides, pesticides, Candace J. Grubbs and fertilizers; and from the pursuit Recorder ' of agricultural operations including, 10:45am 30 -Apr -90 4"1B,G.- >1 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. ...A1 rDrnnertvs,tuate_ in -.the CQllIlty n£...But,.r_e,_State of_ California, described as..r•!" _- t All that ortlor, o[ Parcel 1, also known ca Lot 1, as shown on that certain ii r• j' t�v P Parcel lisp of a portion of the north -est quarter of Section 20, Township 22 ,�6°� p<<,�1�i,. t{'4`,{'F4f�• ' North, Range 4 East, M.D.B. 6 M. which Parcel Map was filed in the office 7V °r t..f''W3St'r' '' Y of the Recorder of the County of Butte, State of California, Jam.ary 6, 1972, ' �- t"'�. } 1+. •-, a't�ti, .- '' in Book 40 of Parcel Maps, at Page 66, beteg further described as follows: b '�` 1.`�`,'�`;'1�'R° -�'„• Commencing at a 3/4” Iron pipe, tagged L.S. 2780, looted at the North .�0�(j• „- t;•(1.+} r one-quarter corner of said Section 20, as shown on :aid Parcel Map, �r'� �ffL �'� :•}•�j,�%. r` thence South 02'13'42" East, a distance o[ 305.09 feet to the southeast ,fin �' t , corner of that certain parcvl of land described In Book 2570 of Butte m -t �'. , County Official Records, at Page 23 and the TRUE POINT OF BEGINNING, � � •t".} °� thence continuing South 02'13'42" East, a distance of 793.96 feet to `�•� '+ih�.'gs;' ` a point on the northerly right-of-way of Jordan Mill Road, a described ° Q �) in a deed to the County of Butte In Book 1730 of Uffrcial Records at Ft,I .1 rr Page 44, thence North 39°14'02" West, along raid right-of-way, a distanceCA `t_h��S of 42.70 feet to the beginning of a tangent curve to the left having :A- .r^. ije f�tF• a central angle of 34°41'01" and a radius of 130 feet, thence along L�%:�CS:l7i�► tr .?¢1p} said curve, an arc distance of 78.71 feet.to end of r.urva, thence• along i �.`'t'vt }h00"°G•�,aaF•Il, r sold rtpnr-of-way, Norch 73'5.,'G'." west, a distance cf 99.65 feet, thence 6orth 05'0u' Es::t• a distance of 701.11 feet Lo a Poie: in the aouthtrly � �� , i'�j�• Y1 x [' • boundary of that certain parcel of land described in Book 25,0 of Butts 0 County Official Records at ?age 23,thence South 85.00' East, a distance •t. +a ,_�.. +' of 95.86 feet Lc the point of beginning containing 2.4. acres, more Zg :�, t"�•i -:r+r' • or less. - a e1 t i '^'•Lcrt'. �•� •- _ ----^- - — �--.--._. _..—__. __.. ._Y"1VGT'Y�1�1TUW'1V 1J1C� State of ) On this the day of 19 AP, before me, SS. the undersigned Notary Public, 4ersonally appeared County of �) ® WOMEN NE600a0®mOBg136an" { [:] Personally known to me. Proved to me on the basis a KSWAGER" s of sat • sfactory evidence. NOTARY PUUe�untly�N' ° to be the person(s) whose name(s) 'suita My commission 91Wres e subscribed to the within instrument and acknowledged that D ®aasaaol�aasaoaaeaoaaaaa® Wexecuted HEREOF, hthe purposes fined. IN W NESS I hereunto set my hand and official seal. Present A.P. No. _7 0 lS`7'1S 7 No Publ' RND OF DOCUMENT �w Z , r- * �. � Y � � � � 1 � �' . �� • .. i� �� .�` � r :; `. w`' "'�.,� fir.. .. , .rwr �" .: �, , �, � '.E'. ,,. �" " RESIDENTIAL : FT58-57- 153 LARGE, Robert I 12480 Jordan Hill Rd, Oroville (utilities/travel trailer) 4 JOB FINALE Signature J=OK O = Not OK -=Not Applicable Not Ready MOBILE HOMES ' = oping Requirements -Setbacks -Easements Soi s; Special MH Support Sketch Sewer; Location -Test -Fall -C/O Concrete gteT; Location -Test -Easement Needed (Sketch) 6. Gas; Location -Test -Wrap: / /"L"ft. 7. Utility Clearance Date Card B-1 Date Card B-1 DaEe ; a4e�jZ/Card B-1 Date Card B-1 Date 'MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector I 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 1 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval j 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch j 10. Cert. of Occupancy a Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ) MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 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-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses, 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'J OK O = Not OK - = Not Applicable ' = Not Ready RESIDENTIAL, (Single , & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors. 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation &Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1- 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made V COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO. 17 County Center Drive - Orovj)le, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT , 1 ASSESSOR PARCEL NUMB E 58-57— / ZONING BUILDING PERMIT OWNER Robert Lar e 3- O TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAI LIN ADDRESS 708-85 Hw v' CONTRACTOR'S AME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER 'JNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS O Permit fee $ 1-5.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[:X Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I q I G I VkJ 10-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities q Installation[] Other ❑ Describe work: ' _T_ Permit Fee $ lo oo Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OR LE 100 AMP ORSLESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. , 2/4sgft NEWC0NSTR. ULTI.OUTLET NON .RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. EX. Occup( OUTLETS OR FIXTURES 1.20 050t DALO 30 FIXED APLNS. Ex. Occup. OUTLETS P(RESID.)REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 9 15.00 Permit Fee $ 35.00 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. CR I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 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 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 21dog,%ty in consequence of the granting of this permit. X Date 3ate, Signature of Appli t — O - 4r ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct -DI ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE FEE AL E TOTAL $ X80.00 HAz cuA PARK PAR '// PD. V, HD Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees OR OF ELIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS ate "'geceipt No. SAAR FINITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT TO: Building Department FROM: Encroachment Permit Section RE: 'Driveway Clearance `�i, L -4g- /290 owner location AP # J Driveway permit has been issued for the above property. n b 4:: g� 4signe date TOBul I ii* Department FROM: Environmental. He* alth SUBJECT: Sanitation Clearance kilt S �.e,� �w _-- Ower. -+ILocation AP# Plan Approved for: Hold final for: Sewage Disposal Final clearance O.I. for: Clearance -for CP -1 bedroom abile ome. Other Water Supply � 6j_Ie Water Supply Water Supply San:.tazian Data TO Building Department: FROM: Environmental Health SUBJECT: Sanitation Clearance - -�—�- a wner Location AP# Plan Approved for: Hold final for• Sewage Disposal _ Final clearance O.R. for: Clearance for bedroom obil home. Other NOTE * * * Sanitarian Water Supplyn✓c Water Supply Water Supply Date 1 COUNTY OF BUTTE - DEPARTMENT IF PUBLIC.WORKS -.,BUILDING DIVISION 7 COUNTY CENTER DRIVE--OROVILLE, �WFQRNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLIytt' ikN DATA SHEET Permit No. OWNER 4&X4&7` 44yr- 6r-- A. P. No.�s Proposed Building Use 4A 4Z ,1 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. 2. 3. 4. 5. 6. 7. 8. 9. 17: 8. 19. 20. 21. 22. 3. 24. � 26. T All items have been submitted. Plot plans in duplicate/triplicate, signed by preparer of plans ........ Complete plans in duplicate/triplicate, signed by preparer of plans . . Complete engineered plans and calcs, with wet signature on plans .. Hazardous Material Form ........................................ Energy Design Compliance and supporting documentation ......... Statement of Intent for Non -Heated and AC Buildings .............. Engineered truss details and layout in duplicate (required prior to plan check) Mobilehome installation data including manufacturer's installation instructions....................................................... Fees of $ ........................ Chico Urban Area fees paid ........... %!...... �:. '.... Parkfees paid ........... '......................................... School District fees paid .............. Sanitation approval from �;�Health Department City of Chico plumbing permit ..................................... Plot plan and business license approval from City of (see City for other requirements) Planning approval for (A) Use: (B) Parking: ...... Improvements may be required. Contact Land Development Section DPW Driveway permit (construction approval required prior to occupancy) 6-23-96 Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) Contractor's license information (No., Name Style, Classification) ...j `� Certificate of Workmans Compensation Insurance .................: Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... Recorded copy of Agricultural Acknowledgment Statement ......... Le�yl+j�.J. of signature authorization ........ r v — - r . "4 T rWQSy When you issue the permit, process as Telephone 533—"�$'�� and -Other ��JJ C c fol 10ws: i I to owner. —Mail to contractor. hold for pickup at Qf2a) office. Deliver w/inspector. Appl ica Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitte pr' r to 1. Index permit for above items No. 2. Additional items required: itt is--uan ;Y/ Contractor, designer, o4 er, was advised of above required data by ircle n w Item not checked above). hone--nail—counter byt/.As) .dateZ A�--FCd Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by MDate Sets of plans on VId in . File cabinet AP folder Copy—DPW f� _. PARCEL''`9PLIT WORKSHEET DATE Z _ Z o - 9/ MAPPER Al KEYED BY DATE BUS. DIV. RETIRE 0,59-S7,9- /53✓ INTO 0 58 - S7 6 - / -5 2� 05 8 s 70 157 &/ 0-5 E-zo - /Lsi r SECTION, TOWNSHIP, AND RANGE ETALS REMARKS (fi R ANs FE R Coya RS c. 4 A [ i Rev. 1/91 corn&Ve-o UJ/ 0,55-x'70-. 5S5 TAX COL. l A/0 283 NEW PARCEL NUMBER ( s $ - Q - / j DOC. CODE. 0 9 SUPL REQD ` G �) # EVENT DATE /2 ¢, ARAB ILITY T. R. A. �/� - 00.3 -DESCRIPTION --COMMENTSlod S 0 5 8 - S 76 - 153 /S7 64 -Al OMAI Q DOE t-QIOR�i�'6�+� 111 s /le o4 'N .. IN V C./ ROLL STATUS ACRES I W 4A LAND USE- 9999 LABEL N O EXEMPTION t V D OLD DOC .# 2570- O Z S ASSESSED. OWNER Rc / ;r/1,5 LJT _ 11 CB, LE, or C/O Owner STREET ADDRESS -926' Cgoe/ Gh`rD 61 Wd V ' CITY & STATE SlCR14416411-a C4, ZIP CODE 58 4 2 SECTION, TOWNSHIP, AND RANGE ETALS REMARKS (fi R ANs FE R Coya RS c. 4 A [ i Rev. 1/91 corn&Ve-o UJ/ 0,55-x'70-. 5S5 TAX COL. l A/0 283 w ;j COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 Robert Large 708-850 Hwy 395E Susanville, CA 96130 With reference to the above subject: Attached is: OTHER DATE March 26.1990 RE: MHU 815 -90 - A.P. # 58-57-157 Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet . Owner -Builder Verification Form List of Codes Enforced / / We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, .Oroville, for Completed Owner -Builder Verification form. XXX Recorded copy of deed showing Legally Created Recorded copy of agricultural acknowledgement statement. LX21 OTHER It appears parcel was created after 1981, which will require the filing of a parcel map or verification parcel legally created. Should you have any questions concerning the above, please contact _ of this office. Yours very truly, JFG/aj William Cheff Director of Public Works J.F. Glander Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE:' 916-538-7541 O _7b4- ���� �'�� �`iJ DATE S� s � RE: v� u.<. �! S J With reference to the above subject.: /XL A. P. # 5 -e -J %-- /k 7 Attached is: Application for permit Mobilehome Utilities Installation Sheet. Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including - Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification _ Recorded copy of deed showing %ems Recorded copy of agricultural acknow form. 44e 1 ment statement. Should you have any questions concerning the above, please contact of this office. Yours very truly, JFG/aj William Cheff Director of Public Works ,J.F. Glander Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 DATE March 26.1990 . Robert Large - 708-850 Hwy 395E., RE: MHU 815-90, Susanville, CA 96130 A.P. # 58-57-157 With reference to the above subject: Attached is - Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER / / We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by -registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section'(DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd.', Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. XXX Recorded copy of deed showing Legally Created Recorded copy of agricultural acknowledgement statement. /XXL OTHER 0 It appears parcel was create( a parcel map or v Should you have any questions concerning the above, please contact of _this office.- Yours very truly, William Cheff Director of Public Works %J.F. Glander JFG/aj �� Chief Building Inspector