HomeMy WebLinkAbout059-085-00759-085-7
DIANNE HARRIS
T7115 Skyway, Sterling City
Contr; Jeffords Electric, Paradise
Permit #3706-82E (Service change and-
dryer circuit/SF)�.
T- ^
59-085-7. O�
JACK YATES
Permit.#3074-83P,E(util, MH)
ELEC
At
I SUPPORT.STRUCTURE,REQ !�
-COMPACTION TEST REQ
59-085-0 ` 4346-90P,E
HENRY, Madely
17149 Skyway, S -rling Ci
(gas pipe & elec r /e mh site)
5 085-07
Permit# 347-90MHI 1
(installation/m _ ��
A '�
r
RESIDENTIAL
59-085-07 4346-90P,E
HENRY., Madelyn
17149 Skyway, Stirling City
(gas pipe & elec sery/exist mh site)
�mao l
77
'F
jt}
f
31' .
a
JOB FINALE
t Signature
3
4,
r.
v=Ok
O = Not OK
Not
= Not Readyable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3/f,-,,,, Location -Test -Fall -C/O Concrete
j,:1A/ater; Location -Test -Easement Neede (Sketch)
pectricity; Location-Clearences-G d-//f)/Amp-Concrete
. Gas; Location -Test -Wrap: / /"L"ft.
/, /"Nat. orn_rL"ft./'�/" LPG
r
Utility Clearance
Date Card B-1 le,51 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION Plans OK except #'s
1 ning Requirements -Setbacks Easements
F tings; Size -Spacing -Marriage Line
as; MH Test-Demand-Valve—Connector
EI "tricity; MH Test -Crossovers -Breakers -Clearances
Drai ,-MH Test -Fall -Flex Connector
6.,Water; MH Test -Regulator -Connector
7.. Water and Sewer Connected -C/O to Grade -HD Approval
XB Gas and Electricity Tagged
qt;lEgits; Insp.-Sketch
Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
7
113 /
ON /7 r
LX4nA,t:,- 1525'v%0
/'ri5M'.'lcho,✓J,
e"ajvN�
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 -Pane Iboa rds-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
.J Date Card B-1 Date Card B-1
'J OK
O = Not OK
= Not Applicable RESIPENTIAL (Single
= Not Ready
& 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-Purlin-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. Protectipn
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 At
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. -Riser Conductors & Ground -Main Disconnect
78. Guard Rails & Deck Construction -Post Caps
-Service
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 instid.; 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 8-1
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
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA — 534-4541
/ PERMIT N0. `-13 LI7_ a D
Address or location of mobi lehome 71 1/ Sk ww'f •-) -S�i nL �-- y �• �•,
Owner's name1A ELYi✓ Hr= ^^.I/( t
Owners address ^ ?^ t 4,14 57141-1-J S � � P q .a ,
Insignia or'hud number
(Manufacturer's name VIA •����'S� yf
Serial number of V.I.N. v ` /� S L 3 3� CIYear of manufacture
n
(Official Approving Installation) (Date)
IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
5138
..» %"�"�> Y-'�_,;[,rascly.4••ihy�•,Lar;v�yy�q[iii+"-kt.,,%' .. � „s•+�
r
COUNTY OF BUTTE
DEPARTMENT OF1PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, OroviIle — Phone: 538-7541'
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
11044&L
OWNER:. 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.
o•✓
Date i ' Inspector G•^ /�//
- +,r .rw> +A-Ya.lr •-.�.> .s --a c� ,.*. .. r^��i _MF ^s.f _.^-V+y'�Mr's!l�rr-�, w.vn-w/� ...
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
P-e^l G/3 /%_ � a
OWNER _C 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,
explanation, please contact this office immediately.
r4 I"Z`tl rt
0
Date Sf Inspectorsy
1►k _ .
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-75�
APPLICATION AND PERMIT
ASSES OR 08f3_bS NUMBER
NTNG
ff
BUILDING PERMIT
OwNEAadelyn Henry
P
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILIN A DR SS
PO Box3�, tirling 'City 95978
CONTRACTOR'S NAME
Mobile Home Center
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
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
17149 Sk wa StirlingCit
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[] MobilehomebaXXOther
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G W
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationNXXOther ❑
Describe work: Existing Site
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service i°oo AMP ORR1 OR SLESS
10.00
Main service EA. ADO'L too 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.a
OR ADDNS. ACC. BLDGS.
,
2/z¢sgft
NEW CONSTR ULTI.OUTLET
NO N•RESID BRANCH CIRC ITS
2,50 ea
/POWER APPARATUS a
(SINGLE OUTLET CIR.
EO( pOUTLETS OR FIXTURES
Ex. Occup(
BBALeALD 30C
E%. Occup. FIXED OUTTS P(RESID )REAJ
2.00
Temporary service
10.00
me Facilities
Mobile Home
15.00
Mist. H g
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I 'shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
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.
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 said County in consequen a of the granting of this permit.
X Date Ii?
Signatur of Applic t — Owner ontraotor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
of structures over 3 stories in height.
Mobile Home Installation Fee $ 45.00
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE /0.00
HAZ
CU
CAW
SCHL
FV
I PA
H
ISSUE
Th;s permit is nereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PE T EXPIRES Date _
the applicable provi-
resolutions to do
have been paid.
WORKS
Date I—r
�-
Lon
84882
eceptNo. NI T6 -D. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
-
« *' i ;
COUNTY OF BUTTE - DEPARTM9kt OF �13bCIWORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILL' E, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT AN
LICATIO DATA SHEET �.—
/�', Permit No. _
OWNER 4 P / / r;
A. o.
Proposed Building Use /e.)(tShvif kB:ui Jd g Inspector. 6Z6 Date a l O
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
All items have been mitted...:. ...............................
Plot plans inplicate plicate, 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 ...............
Engineered truss details and layout in duplicate (required prior to plan check)
9 Mobilehome installation data including manufacturer's installation
Instructions...........11g 1 Q
10. Fees of $` .......................
11. Chico Urban Area feespaid ........................................
]014.
Park fe paid ..... ...
�� , s4 Sch of Dist tees paid((s. Sanitation approval from i r P; >� i HealTh� Department
ent
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., Contractors license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
Owner -Builder Verification (Given to owner ❑, Mail.to owner ❑) .....
Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail to owner. _ Mail to contractor.
TelephoneL and hold for ickup at / office. Deliver w.
/inspector.
Other
Applicant.Date
i. i
Copy of Haz- Mat corm sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. _Fire Dept. Other Date By.
The following data must be submitted prior tope mit issuanc (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required: TV
Contractor, designer, owner, was advised of above required data by-Zphone---nail—counter bybLj ..date l
Contractor, designer, owner, was advised of above required data by—phone—ma ll_c unter by date
Plans checked by D"/ Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW t
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGrMM
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the> Butte County Code
requires this acknowledgement be recorded
prior to issuance of a building permit.
91-002078 ; R e c Fee 5.00
The property described herein is adjacent
Check 5. 00
to land or included within an area zoned
Recorded
for agricultural purposes, and residents
Official Records
of this property may be subject to incon-
County of ;
veniences or discomfort arising from the
Butte ;
use of agricultural chemicals, including,
Candace J. Grubbs ;
but not limited to herbicides, pesticides,
Recorder ;
and fertilizers; and from the pursuit
2:51pm 16 -Jan -91 ; XX 1
of agricultural operations including,
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 discomfort from normal, necessary farm operations. '
All that real -property situate in the County of Butte, State of California, described as
follows: ,
LOT 21;IN BLOCK 11, AS SHOWN ON THAT CERTAIN MAP ENTITLED "MAP OF STIRLING CITY,"
WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE
OF CALIFORNIA, ON AUGUST 3, 1903, IN BOOK 4 OF MAPS, AT PAGE 33.
Date: %l-9/_
State of
U_)_SS.
County of W__ )
PROPERTY OWNERS:
On this the J1 day,of Q,,,,, /�h , 1996, before me, the
undersigned Notary Public, personally appeared
1-171C TDLIFNIA
JLTYJPersonally known to me.Proved to me on the basis
NOTARYPU�UPIACERof satisfactory evidence.
1OKN� MY CommExn;,to be the person(s) whose name(s) �
subscribed to the within instrument and acknowledged that
executed the same for the purposes therein contained. IN .WITNESS
WHEREOF, I hereunto set my.hand and official seal.
Present A.P: No. _V 9-dfSS
ctary Pub 'c
MAdelyH Ne Nr
17�y9 Sk WA Y
AP•dsq-oas- y sS'
Mobvi Hume
S11V'FRo1Z$sf (!3
d t Aqp -- 4Al)<1Jq
2 O -e el 2 !3 H't �
This set of plans and specifications MUST be
kept on the job at all times and it is unlawful to
make any changes or alterations on same with.
out written permission from the Department of
Public Works, County of Butte.
NOTE.—A(j Materials & Workmanship Shall Be
Accordance with Recognized Good Prc cf;ces a
Df a qualify prescriber for the Specified use in 1
Uniform Bui'di.1g, plu,,,,-g11g &Mechanical Codes a
'be National Electrical Code,
Cetiff– R
SkywA�
OP Ro.4ej
A setback of 5 ft. from the
property lines and a setback of
50 ft. from the road
centerline shall be clear of
structures or equipment except
for a 2 ft. eave overhang. A&b
el�C—Av—' OF Ae-L 64%1 -r
9
N0
BUTTE COUNTY
BUILQING DEPARTMENT
APPR VED
PW I ?�� I', I
0
MOBILEHOME SUPPORT DATA
If other than single wide,
MobilehomeMfr..?G� �i12�s� furnish Setup Model No. (2-3 Year
Width(ft.) Box Length -(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. a2. Other (specify)
SUPPORTS (check one) 1. Concrete block.0 2. Other (specify)
Pier Footing Sizes and Locations
SINGLE -WIDE
MULTI -WIDE
~ � � —
Main Beams
Line 2
Main Beams —
Tag or Triple
— — — — — — — — �� Line 4
Line 1
Line 1 Piers:
Size-Min-------------
Spacing-Max -
-----------Spacing-Max. -------" j _ From Ends -Max. -------
Line 2 Piers:
Size -Min. ------------ „x D „
Spacing -Max. -----'-- -- 4' 6"
From Ends -Max.----- --
Line 3 Roof Wads:
Size -Min. ------------
Location (From Front)
Line 4 Piers:
Line 1 Openings:
Size -Min. ------------------
Each Side of Openings
With Width Over ---------
Line 3 Piers: (Under Bearing Wall Only)
Size -Min -------------------
Spacing -Max________________ ,
From Ends-Max--------------
R7_-3,P
-------------
7_,.x,P. 12 ',x3,D - % „x36 "112 '40" ` .,x3o ..
�� „x • o„ x ..x
Size -Min. ------------
"x
Spacing -Max.--------- .,
From Ends -Max .------- „
Line 5 Roof Loads:
Size -Min. ------------
Location (From Front)
Line 5 Piers: (Under Bearing Walls Only)
Size -Min .------------------
Spacing -Max.---------------
J m Ends -Max.-------------
®
-
FARM
610
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA
PHONE: 538-7541.
MOBILEHOME INSTALLATION SHEET
1. Owner's Name:
2. Installer's Name:
3. Is the site currently under permit?
Yes 1-1 No
(If yes,
furnish permit number
) OR
Is the site an
existing site? .
Yes
No
F
(If yes, furnish two plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach
fields and clear of all setbacks and easements? Yes No 17
(If no, clarify
5. What is the mobilehome electrical rating? --------------- /„!�C7 Amps
6. What is the mobilehome site service rating? ------------- Amps
7. What is the mobilehome site circuit breaker rating? --- Amps
r
8. Is there any other electric load to be served by the
mobilehome site service? -------------------------------- Yes � No
(If yes, identify the load and size: (Load) (Amps)
9. What is the mobilehome site gas pipe size? -------------- (in.)
ItAl
10. What is the type of gas service? -------------------- Natural LPG
11. What is the gas pipe length from meter or tank to the
mobilehome?--,-------------------------------------------
12. What is the mobilehome gas demand? ----------------------
*(This information not required if pipe length less than 6 ft. on
natural gas or less thanr50 ft, on LPG.)
!R 4
(BTU)
. r„ .-� "`fit' -•• �-.,�w"-�'
l
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
C� (One'Form per Building) It
A.P. Number /'"'5� T Building Department No.
School District City � county LU Jurisdiction
Property Owner
Project Locati
Sunalvaslon Lot Number
Residential Development:
IT�1f 11 �� Sq. Footage
# of Living MHI Addition (Group R)
Units
Commercial/Industrial: a Sq. Footage
New Addition (Including Exterior
Roofed Areas)
a
Buil g Department Representative Date
*******************************************************************
(Floor Plans reviewed by School District Personnel)
District Id No. I"CTO
-
,1 . A' .
`r OAA A AQ . (x AA.AA lS M School District certifies that
� o
(Applicant Name) (Phone Number)
I a � �� 6 s4—
(Street Address) f
(City) U (State) (Zip Code)
has complied with the req
uirements of Resolution No.
by the payment of I
C representing square feet.
41- �j �_ 6_�
Sc4661 District Representative t Yate
PAID BY CHECK NO.
BANK NO
PAID BY CASH
white -applicant, yellow -building department, pink -school district
SCHOOL . FEE ( 8 / 8 8) �-:.,
/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville,,Ca(ifo nia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT
/NO.
�2TA
i
ASSESSOR PARCEL NUMBER
59-085-07
ZONING
BUILDING PERMIT
OWNER
MADELYN HENRY
TELEPHONE
873-3294
S0. FT. OCC. BUILDING VALUATION ,
OWNER'S MAILING ADDRESS
P.O. Box 239 Stirling City, CA 95978
CONTRACTOR'S NAME
AJC- QQJ
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation Is
FilingFee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
None
LICENSE NO.
Plan Checking Fee
$
Ener Plan Checkin Fee
Energy g
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS -
Penalty
$
BUILDING ADDRESS
17149 Skyway, Stirlin Cit
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump wat4aes,20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ MobilehomeM Other
SPECIFY
Gas piping system 1 -
5.00
Building sewer5.00
Mobile Home S10.00e
10.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities Q' Installation❑ Other ❑
Describe work: Propane Piping and Upgrade Elec Ser_
Permit Fee
$ 20.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 00v OR LESS
600 AMP OR LESS
10.00 10.00
Main service EA. ADO'L 100 AMP
2.50 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
FlI, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044) 1
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. C ACC. BLDGS.
2/z¢sgft
NEW R
CONST. ULT' -OUTLET
NON-RES'D BRANCH CIRCUITS
2.50 ea
/POWER APPARATUS IN
(SINGLE OUTLET CIR.
Ex. Occu
Occup(OUTLETS OR FIXTURES
20@50e
eAL030
FIXED APLNS
EX. OCCUp. OUTLETS (PRESID )REA.)
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00 15.00
Misc. Wiring
g
15.00
Permit Fee
$ .50
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
fC7I I shall not employ any person in any manner so as to become subject
1� to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in conseq a ce of the granting of this permit.
X Date �� ����
Signature of Applic Vt — Owner Controctar E]Agent EJ
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
-
TOTAL FEE $ 57.50
HAZ
cuA I
PARK
I SCHL
I FLD
I PAR
PD
HD
1. ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work2,cated above for whichf
DIR O, OF PU L
.14412
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
- s have been paid.
WORKS
Date A0
Receipt No.es
� V U
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovil�California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASS€S^SOR PARCEL NUMB R
.--
f
ZONI G
-.. BUILDING- PERMIT------ - -= -
OWN
E
SO. FT. OCC. BUILDING VALUATION
OW R•S AIL G ADORES ,
gyp'( ` >^ 9
C TRACTOR'S NAyAa
/V`
TE EPHONE
CONTRAC OR•S MAILING ADDRESS
Fireplace
CON UCTION LENDER
UNKNOWN
Total Valuation .$
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARC I CT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
B)1 ING ADDRESSy^- `}1.
1 I 0 1
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5,00
Each qas water heater or vent
5.00
USE F STRUCTURE
SF [I Duplex[]- Mobilehome Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G
O.00e
TYPE OF WORK
New❑ Addition❑Rejnodel❑ Utilities Installation❑ Other❑
Describe work: d
_ �± C
Permit Fee
Contractor
$
ELECTRICAL PERMIT
Filing Fee 10.00
- / �
l/
Main service 10ov OR LESS
100 AMP OR LESS
10.00
Main service EA. ADO'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. BLOGS. )
, /z¢sgft
NEW CONSTNON-RESID R BRANCH CIRCUITS
2.50 ea
POWER APPARATUS .&)
(SINGLE OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURES
eAL030
iAL@30
EX. Occup. OUTLETS PIRESID IKEA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00 J
Misc. �Yirin 9
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for 5100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor -
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
.3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property.for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against 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-
structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
HAz
CUA
PARK
SCHL
FLD
PAR
PD HD
ISSUE
This permit is nereby issued under
sions of 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
rReceiptNo.�1
-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
AP L/' 0%;BT -(3 7 _
OWNERi,�� ��y.✓ �iei`7
PERMIT
MH UTIL.CLEARANCE DATE
INSPECTOR
ELECTRIC
GAS
Support
Struc.
Compaction
Test Rea.
Service
.3ize
Other
Load
Type
Pipe
Size
Length
YESI NO
YESI NO
L14
9 02078
Return to DPW AGRICULTURAL STATEMENT OF ACLNOWLEDGEMENT ( _
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code
requires this acknowledgement be recorded
r- -- — - -
- _ - -- �. -. •,
prior to issuance of a building permit.
`
91-002078
R e c Fee 5.00
The property described herein is adjacent
Check 5.00'
to land or included within an area zoned
Recorded _ �.
_, - a .• j
for agricultural purposes, and residents
Official Records
ofthis property may be subject to incon-
I County. of
veniences or discomfort arising from the
Butte
use of agricultural chemicals, including,
Candace J. Grubbs
but not limited to herbicides, pesticides,
Recorder
and fertilizers; and from the pursuit
i ` 2:51pm 16-Jan-91
XX'•'•1'
of agricultural operations including,
-
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 discomfort from normal, necessary farm operations.
All brat real.:pro:perty:' situate in the County of Butte, State of California, described as
follows:
LOT 2'1/fN'BLOCK 11, AS SHOWN ON THAT CERTAIN MAP ENTITLED "MAP OF STIRLING CITY,"
WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNfY OF BUTTE, STATE
OF CALIFORNIA, ON AUGUST 3, 1903, IN BOOK 4 OF MAPS, AT PAGE 33.
Date: % - % PROPERTY OWNERS:
State of�daal�� On this the it day of�i>?wn_/c 19 before me, the
SS. undersigned Notary Public, personally appeared
County of.� )
,Eop . A Oi� k'ICIAL SEAL
JUDY J.BALDRY M Personally known to me. 0 Proved to me on the basis
® NOTARYPUBLIC- CALIFORNIA L4Uof satisfactory evidence.
• ° PLACER COUNTY
°4 ORMY Comm. Expires April 29,1994 to be the person(s) whose name(s)
subscribed to the within instrument and acknowledged that
executed the same for the purposes therein contained. IN .WITNESS
- WHEREOF, I hereunto set my hand and official seal.
Present A.P. Nos-=d�=�
otary Pub c
'END OF DOCUMENT
I
PEAWT NO. 3074-83P,E(MH)
PERMIT EXPIRES
OWNER JACK YATES
ownerCONTR.
ASSESSOR PARCEL 59-085-7
kyway, Stirling City
LOCATION
Q
V
OFFICE COPY e-(dQ0,p
Addresst::?(—g�
Are de?
Temp. Power Poll GAS
IMeter8 Date
&C
Called PG&E ELECT IC
Meter By D a t e7,77( 7-
Temp. Elec. Sery
Called PG&E
k, I
v
Temp. Gas Service
Called PG&E
�r
-Z V
JOB FINALED (Date) -7 -26
1 &�&Signature (4. -.
•
I
PEAWT NO. 3074-83P,E(MH)
PERMIT EXPIRES
OWNER JACK YATES
ownerCONTR.
ASSESSOR PARCEL 59-085-7
kyway, Stirling City
LOCATION
Q
V
OFFICE COPY e-(dQ0,p
Addresst::?(—g�
Are de?
Temp. Power Poll GAS
IMeter8 Date
&C
Called PG&E ELECT IC
Meter By D a t e7,77( 7-
Temp. Elec. Sery
Called PG&E
k, I
v
Temp. Gas Service
Called PG&E
�r
-Z V
JOB FINALED (Date) -7 -26
1 &�&Signature (4. -.
J = OK
0 = Not OK
= Not Applicable
* = Not Ready .
V1
MOBILEHOMES MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except k's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
oning Requirements—Setbacks—Easements
1. Zoning Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
_
2. Footings; Size—Depth—Spacing—Connectors
wer; Location—Test—Fall-C/0—Concrete
_
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_
'
lectricity; Location—Clearances—Grnd.—/ / Amp—Concrete
. asocatiorrTest—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
- --
6. Carports; Windows—Doors
tlity Clearance
7. Elec.
-EBI
Date —6 Card -BI Date
Card -BI
Date Card -BI Daterd-BI
!Card
Date Card -BI Date
Card -BI
Date Card -BI Date
ate
M ILEHOME INSTALLATION (Plans) OK except k's
1. Zoning Requirements—Setbacks—Easements
Date
POOLS (Plans) OK except a's
1. Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4. Electricity; MH Test—Crossovers—Breakers—Clearances
_
4. Elec.; Receptacles and Lighting; Distances—GFI
5. Drain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/0 to Grade—HD Approval
7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghig.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
9. Exits; Insp.—Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card -BI
Date Card -BI Date
Card B -I Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
1
i
Y
Y
J = OK ! - '-
0 = Not OK
- = Not Applicable
* = Not Ready
RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK exce t#'s
Date
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Fig., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
_-5.
Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
_
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -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
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except #'s
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
_
Date Card -BI Date
PLUMBING (Permit) OK except #'s
14. Water Ht.; Vent -Access -Combustion Air
57.
Smoke Detector
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
_
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
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. Countgr
Date
ELECTRICAL Permit OK except #'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 -Meth. Protection
-
21.
Slee. Receptacles Spacing -Lights &Switches at Doors
70.
71.
72.
Plb., Elec. & Mech. Equip. Listed for Location
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
- Foam -Looked in Attic ❑Yes
Insulation-
_ 22. Size Boxes & No. of Conductors -Stapled
23. Romex Installed Close to Edge of Studs & C.J.
--
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
73.
Guard Rai& Deck Construction -Post Caps
25. 2 Appliance Circuits in Kitchen & Conductor Size
-
-
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
-
_
27.
28.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
r-,
Insulated Neutral ,]Yes [I No
Service -Riser Conductors & Ground -Main Disconnect
75,
Following instld.: Drive Yes No; Walks
g ❑ ❑ [I Yes ❑ No;
Planters ❑Yes ONO ,
76.
Stucco; Brown -Finish
--
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
_
30.
Clothes Closet Light -Shower Light __-
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
----
Card I -1
--------------
_
-----
_Date_ _ _ _ _ Card -BI _ _ Date
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground j
81.
Ventilation throughout House
Card B -I
-
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Permit) OK except #'s
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation &Support
85.
86,
Water & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
_
_32.Vent
33.
-
Fan_Exhaust above Insulation _
Condensate Drain _& Overilow; Size & Grade
_
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
Card -BI
Date Card -BI Date
--35.-Attic Access -&-Platform, ii Furnace in Attic
Card -BI
Card -BI
-- -- - _-- - - - - ------ --_- - -------____- _
- Date _ Card -BI Date
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Date
FRAMING(Plans) OK except #'s
Comments at Final:
_
36.
37.
38.
39.
Sills; Proper Material _& Anchors
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing_
Draft Stop in Walls (rat proof)
-
__40.
_Fire Stops; Furred Ceilings -Stairs -Chases -Tub
-
41.
42.
43.
44.
45
46.
47.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access: Size &Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or_Exiting Doors -Sill Hgt. & Dimensions__
Garage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE
DEPARTMENT•OF PUBLIC WORKS
196 Memorial Way, Chico —.Phone: §91-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
C RRECT1,ON NOTICE
BUILDINCYOR PROPERTY AD
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.
n ..
Inspector
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
• 7 County Center Drive - Oroville. California 95965 - Telephone 916/534-4541
APPLICATION. AND PERMIT
ASS PARCEL NUMBER
7
ZONI G
BUILDING PERMIT
OWNER
TE EPHONE
S0. FT. OCC, BUILDING VALUATION
OW 'S MAILING ADDRESS
o a ► -- n
CONTRACTO 'S AME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$+
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE. NO.
Plan Checking `Fee
$
/91100
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
syr DD
BUILDING ADDRESS
5° ' 6
PLUMBING PERMIT
FiIingFee
10.00
_
Each Trap
2.00
-
Solar Water Heater 20.00
_
L'
Water piping
5.00
LOT NO. SUBDIVISION NAME-
r
P CEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets 5.00
USEOF STther SPECIFY RUCTURE
SF Duplex Mobi
❑ lehome O
—✓L(/
Building sewer
5.00
Mobile Home 10.00 a
,0D
TYPE OF WORK
New Addition Remodel❑ Utilities �Installati n Other ❑
Describe work: n 17iLc es ig U n n eAS
Permit Fee
$
,D 0
Contractor
ELECTRICAL PERMIT Filing Fee
10.00
Main service jp0 AMP ORV OR LESS10.00
Oi»
Main service EA. ADD'L too AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
ZthQsgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and m license is in full force and effect.
y
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
6N 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-
ontractors. (Sec. 7044)
ors.
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEw CONSTR. ULT' -OUTLET 2,50 ea
NON.RESID BRANCH CIRC 'TS
NEW NON -CONSTFL RESID• (/SINGLE OUTLET CIR.POWER APPARATUS &
zoesoa
Ex. OCCUp(OUTLETS OR FIXTURES BAL®30
Ex. Occup. OUTLETSIXED P(RESID.IREA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
j
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.
I47 1 shall not employ any person in any manner so as to become subject
W to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood 3.00
Ventilation
Permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all Iiabiliti , judgments, costs, and expenses which may in any way accrue
against d ount in consequence of the granting of this permit.
X Date - �yThis
Signa r of Applicant — wnerJN Contractor 1:1Agent El
An 0 HA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures oveer�3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCcUP. GROUP
I TYPE OF CONST.
I APWL
PD HD
IS5 E
permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC R OF PUBLIC
By
PE T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date/,0-1 $p3
Receipt No. DCS 52
WN'TE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 83-301:9.3.,
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code requires this acknowledgement 1 wrT£
be recorded prior to issuance of a building permit. 'r�CLr?:;; htr,•;;_,.
The property described herein -is adjacent to land or includedSEP
within an area zoned for agricultural purposes, and residents of this
property may be subject to inconveniences or discomfort arising from >L>ANGKr�EE;;�;
CLERK - Rr.
the use of agricultural chemicals, including, but not limited to herbicides, pestlggmk
and fertilizers; and from the pursuit of agricultural operations including, but not limits E
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
.smoke, noise, and odor. Butte County has established agricultural 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.
All that real property situate in the County of Butte, State of California, described
as follows:
Int 2, in Block 11, as shown on that certain Map entitled, "MAP CF STIRLING CITY",
which Map was recorded in the Office of the Recorder of the County of Butte, State
of California, on August 3, 1903, in Book 4 of Maps, at Page 33.
Date:
State of Zj, /'r,-Wwa ) On this
) SS. me, the
County of (I77e_ )
n�annnm�ntuunnanuanu�uenaouunnua�
OFFICIAL SEAL
MARION L. BECKER
•�"_`� :, NOTARY PUBLIC - CALIFORNIA
COUNTY OF BUTT@
My Commission Expires February 1, 1985
. r: cunnuneleaenuunlleluaaaeaaueleeuaaaepssafi
PROPERTY WNERS:
the /`�Tf/ day of �'�"f�TE/I73/'.� 19 52� , before
undersigned Notary Public, personally appeared
/ / Personally known to me. /roved to me on the basis
of satisfactory evidence.
to be the person(s) whose hame(s) /Z1 subscribed to
the within instrument and acknowledged that A/e
executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.o
Present A.P. No. 1,17
y
Notary Public c
M
CZ
1�1111`
Xj
END OF DOCUMENT
A setback of 5 ft. from the
proper y lines and a set ec
of 50 -Fr. from tree road %'SLI
centerline shall-be-clea _f
structures or equipment except
#ear a 2 ft. eave overhat ig,
X permi will 6e Pe uifea for ffie
iasts�lkati. of � mobi�,h��,
Utility Coco enn�ci'ions shall be ithin `
4 ft. of the mobilehome, ei her C r o
directly behind or within t e rear
half of the roadside (left) o the
mobilehom
This set of plans and sp- Viications MUST be
kept on the job at all times and 4 is un,+r
make any changes or alterations on sar,ne witkorai
,wrii- en permission •;rom the Department of Pin-
lic Works, County of Butte. .
.
BUTTE COUNTY
BUILDI G DEPARTMEN
A PROVED
y
M-rf---
N-tvMteriU lk- TV 10 mans it all all Be hi
dance with Recognized Good Practices an8
of a quality prescribed for the Specified use in the
Uniform Building, Plumbing & Mechanical Codes ani ,
the National Electrical Code.
A setback of 5 ft. from 'the ----- - - -
property lines and a setback •
of 50ft. from the road.
c-anterline shall be clear of - ---- --------_._ __
structures or equipment e ccept=
for a 2 ft. eave overhang.;
I
•
r
This set of plans andpecrr"et.,-.ns'--M.rLSr_hE_...-..._..-:_
kept on the job at al `times emd it is unlawful tc Materials & Workmanship Shah 90 in
make any changes or a"2rNHon.s on same'withoui ASg®rdamco %Yiih Recognized Good Practices and
writiten perr,,:asi:on BItC Department of Puh. ®f quallty pro:cr ae�v 's yfsw Sp�acifiod use in tho
Warks, Count of Butte. Uniform Qu Iding, C :urnb ng & Mechanical Codes land
the. Nationallecteicctt C,d�
---�lFc.ci�a..ewc �r.kogwt�rr _ W�rm.^`'rV"+Cn".Sys+.rs.'+-...L,o.av,v,r..s�r.•n..t....o.,or.�y,.a '
- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
-..
ASSESSOR PARCEL NUMBER
Y_ _
ZONING
BUILDING PERMIT
OWNER
P1 AXJN E R
TELEPHONE
SQ, FT, OCC.1 BUILDING VALUATION
_... .
OWNER'S MAILINGADDRESS S,�f (J g,
IE_
1 71s S kv ��. - r T
CONT R IC TOR'S NAME TELEPHONE
EF,=0r S �,-e I gg7.;P-.S"23
CONTRA OR'S MAILING ADDRESS
6;cp1>t c
Fireplace
CONSTRUCTION LENDER _T7!
WN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
�K
PLUMBING PERMIT
9 Fee 10.00
Filin/?/'S
2—APE LL f AJ6 , -t
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF,X Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
:1-7
TYPE OF WORK
New F-1 Addition ❑ Remodel❑ Utilities Installati�❑ Other
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
V OR L
Main service ;$Do AMP ORSLESS
10.00 167,00
Main service EA. ADD'L too AMP
2.50 Z,
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
2I/20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
Nr I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and m license is in full force and effect.
Y
License No. 393 /S Z- Classification el —/C;,
❑ 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-QVE�.
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULTI.OUTLET 2,50 ea
NON.RES ID BRANCH CIRC ITS
NEW CONSTR. I POWER APPARATUS &1
NON-RESID. %SINGLE OUTLET CIR.
Ex. OCcu BALO30
P�o Ts OR FIXTURES BAL®30
FIXEDAPPLNS. OR
IXED
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Lyf Z.D�
Permit Fee
$ O
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
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 Countyof
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 Wanting of this permit
.C:' �r � �, . l L
X /-� Date
Signature of Applicant — O wner ❑ Contractor Eff Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $ /y s✓
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
I HD
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
I
F
DIR CT RR_OUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
?
2�/
Receipt No. /. zQ
WHITE-D.P.W., YELLOW -ASSESSOR, INK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ,.� PERMIT NO.
7 County Center Drive-:Oroville, California 95965 - Telephone 916/534-4541 r
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
——
ZONING' '�
BUILDING PERMIT
OWNER
TELEPHONE
SO.FT.
OCC.1 B IL ING VALUATION
OWNER'S MAILING ADDRESS
C /^,
✓ 7�i�' l I -
-
CONTRA(CTOR'S NAME LEPHONE
CONTRA O/R''SAILING ADDRESS
H V 77 1) t se
Fireplace
i CONSTRUCTION LE ER
UNKNOWN
Total Valuation $
N LENDER'S MAILING ADDRESS '
j It
Filing Fee 1
Permit Fee
ARCHITECT OR ENGINEE
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER' MAILING ADDRESS
j
Penalty $
Permit fee $
BUILDING ADDRESS
j 7/ fS .j uI '
PLUMBING PERMIT Filing Fee 10.00
_ +
(okiCCSolar
—Each Trap
2.00
Water Heater
20.00
Water piping
piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each q water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE '
SFX Duplex ❑ Mobitehome ❑ Other_
SPECIFY
Building sewer
5.00
Mobile Home ISI GJWJ
10.00 e
TYPE OF WORK
New[:] Addition[] f2pmodelQ Utilities Installation❑ Other
Describe work: �2 - _
<C r--
Permit Fee $
Contractor
ELECTRICAL PERMIT FIIIngFeel 10.00
Main service 600V OR LESS
100 AMP OR LESS 10.00 ®i9"
Main service EA. ADD•L 100 AMP 2,50 2, S (j
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Businass
and Professions Code and my license is in full force and effect.
License No. el -3 /s2-- Classification e —/c�
❑ 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)
El I, as the owner, am exclusively contracting with licensed contract-
s ors. (Sec. 7044)
1 ❑ I am exempt under Sec. Business and Professions Code
for this reason
NEW CONST, DWELLING OCCUP.& ,
OR ADDNS. ACC, SLOGS. 2/20sq it
NE'N CONSTR U TI.OUTLET
NON-RESID BRANCH CIRC ITS 2.50 ea
NEW CONSTR, (POWER APPARATUS & )
NON RES D. (SINGLE OUTLET CIR,
Ex, Occu 20050o
P�o OR FIXTURES 5ALe=s0C
FIXED
FIXED TS (REAPPLNS, OR \
EX. Occup. OUTLETS (RESID.) EA./ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
r°Ye 6_ 6
Permit Fee $ O
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure. i
❑ 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
(I provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
--
Permit Fee $
Contractor
I certify that I have read this -application and state that the above information
I is correct. I agree to comply to all County Ordinances and State Laws relating
l to building construction, and hereby authorize representatives of the Countvot
s 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 Vanting of this permit. f
X J� Date 7-1 �� L
-
Signature of Applicant — caner ❑ Contractor -O Agent ❑
An OSHA permit is required forIexcavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home installation Fee $
TOTAL PERMIT FEE $
OCCUR. GROUP I
TYPE OR CONST.
PARCEL
PO
[715SUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
1R CT OF UBLIC WORKS
/ /•
By DCa e ;_z �%� C-
PERMIT EXPIRES Date L <'V
Receipt No. ,
WHITE-D.P.W., YELLOW -ASSESSOR, IN'x•INSPECTOR, GOLDENROD -APPLICANT J
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Cepter Drive Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT N0.j
ASSESSOR PARCEL NUMBER
s—_
ZONING
BUILDING PERMIT
OWNER ^^
IC
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRE5SS 7�2�f v
CONTR CTOR'S NAME TELEPHONE
CONTRA OR'S AILING ADDRESS
FW9P I S6:Fireplace
CONSTRUCTION LE ER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEE
LICENSE NO.
Plan Checking Fee
,$
Penalty
$
ARCHITECT OR ENGINEER'MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SFX] Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00e
TYPE OF WORK
New ❑ Addition ❑ Rfmodel Q Utilities Installation ❑ Other
Describe work:
�--
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service i$o AMP OROR LESS10.00
®�p0
Main service EA. ADD'L too AMP
2.500
NEW CONST. ( DWELLING OCCUP.&
OR ADDNS. C ACC. BLDGS.
I
2/20sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
Nr 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. 393 &57-2— Classification el _/w
❑ 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 ULTI.OUTLET
NO N.RESID BRANCH CIRCUITS
2,50 ea
NEW CONSTR. I POWER APPARATUS &'
NON-RESID. %SINGLE OUTLET CIR.
Ex. Occu zo@gDQ
OR FIXTURES
P.OUTLSALO 30Q
A
Ex OCCUp. FIXEDD APP LNS, OR
OUTLETS (RESID.) EA./
\
2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
g ea_ el e—.
Permit Fee $
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.
FX 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 County in consequence of X thnting of this permit. Date � � � �
Signature of Applicant — caner ❑ 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 $ /y
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
I HD
I ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
IR CT O UB WORKS
BY Da /
PERMIT EXPIRES Date •Z
Receipt NO. S
WHITE-D.P.W., YELLOW -ASSESSOR, INK -INSPECTOR, GOLDENROD -APPLICANT