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HomeMy WebLinkAbout061-350-028- , 578-89P,E 'BRAUDRICK, Carl Green Cedar Berry Creek . Contr : , con- Blake (util, MH) ELEC.GAS L SUPPORT STRUCTURE REQ. A10 COMPACTION TEST REQ. �d I Contr': -` Don Blake Pe6it#2700-89 I Issued K- - I i oZ700—�'r/ 61-35-28 2578-89P,E BRAUDRICK, Carl Green Cedar Way, Berry Creek i Contr: con Blake PER (util, MH) PER r OWNER CONTR. x• ASSESSOR PARCEL LOCATION 3 > t Temp. Power Pole Celled PG&E ` Temp. Elec. Service c Called PG&E Temp. Gas Service 1 Called PG&E JOB FINALED (Date �! �� P5 .=OK . rI 0 = Not OK ' = Not Readyable MOBILE HOMES nv • - MISCELLANEOUS Date MO LE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s Z ning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel $war; Location -Test -Fall -C/O -Concrete , 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails geWater; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing ectricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Gas; Location -Test -Wrap /. /" L" ft. / /"Nat. or/l /"L" ft./3 /"LPG f 6. Carports; Windows -Doors P-litility Clearance ' 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Datek—/ Card -131 Date 10. Roof; Shthg-Roofing Card -B Dat • Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOB HOME INSTALLATION (Plans) OK except #'s on' g,Requirements-Setbacks-Easements Card -B1 Date Card -B1 Date 2. n s; Size -Spacing -Marriage Line Card -131 Date Card -B1 Date 3 MH Test -Demand -Valve -Connector 4. EI ri ity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s ,VbLaK MH Test -Fall -Flex Connector F 1. Setbacks -Easements r; Test -Regulator -Connector ( 2. Soils; Compaction -Structure Stability r a d Sewer,Connected-C/O to Grade -HD Approval ,pd 3. Pool Structure; Steel-Connections-Thickness- Dead Men -Lining nd lectricity Tagged ansp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 1 ert. of Occupancy 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed ' 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater ► 8. Elec.;Ground ing; E Equip. w/5' -circulating Equip. -Pool L ht g Boxes-Enclosures-Panel boards- Ins.to Main in Conduit Card -B Dat Card -B1 Date Card -B Date Card -131 Date 9. Health Department Approval t 10. Plumb.; Cir. Test -Water Supply Test Card -1211 Date Card -B1 Date Card -B1 Date Card -81 Date 0 , =UK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready ° Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance A. 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-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr.. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -131 Date Card -B1 Date Card -Bi Date Card -131 Date Card -B1 Date Card -131 Date Card -81 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 119. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 85. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -131 Date Card -81 Date 67. Stairs &Rails Card -81 Date Card -131 Date 68. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 69. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 71. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 72. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 73. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 77. Insulation -Foam -Looked in Attic ❑Yes 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 33. Smoke Detector 81. Stucco; Brown -Finish Card -131 Date Card -81 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -B1 Date 83. Vents Above Roof; PIbg.-Appliance-Firep I. -Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date 92. Roofing Certificate Card -B1 Date Card -B1 Date Card -81 Date Card -131 Date Date FRAMING (Plans) OK except #'s Card -131 Date Card -131 Date 39. Sills, Proper Material & Anchors Card -131 Date Card -B1 Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. Address or location of mobilehome Owner's name_ Owner's address Insignia or hud n Manufacturer's name Serial number of V.I�.N�.75 (/ lith/"/ Year of manufacture 0" pproving 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. A {„ 513B White - Owner, Yellow - Installer, Pink - D.P.W. t r -w �... .... -. _�, �v.w..rr-...sr.�..�...ti.�ry.;.-'�q.�ary�...r:�y ;t+y:. ��`.v-•--�+.w.�.. ,...y.. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive�OroviIle — Phone: 538-7541. 747 Elliott Road, Paradise = Phone: 872-6307 CORRECTION NOTICE 2 A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector J � � Date AP OWNER PERMIT4 MH UT IL . CLEARANCE DATET� INSPECTOR Z07 ELECTRIC GAS Support Struc. Compaction Test -Req. Service Size Other Load Tvpe Pipe Size Length YES NO YESI NO COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,,Californa 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT0 --oa ASSESSOR PARCEL NUMBER �-- 3 -.- ZONI AS BUILDING PERMIT OWN I�S I T€L PHONEE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS N S5_,21 o . 9g6 CONT CTOR'S AME TELEPHONE CONTWA( MAILING ADDRESS (/ Fireplace CONSTRUC71ON LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ %S — ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 01�z' an,-ule :�Z� Permit fee $ - PLUMBING PERMIT Filing Fee 10.00 — Each Trap 2,00 Solar or heat pump water heater 20.00 LOT N . SUBDIVISION NAME P C1EL MAP t? A/ — Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome,W Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 10.00ea. 11:5 TYPE OF WORK New ❑ Addition ❑ Re odel ❑ Uti litieseq Installation❑ Other ❑ Describe work: 17 Permit Fee Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OOOV OR LESS 100 AMP OR LESS 10.00 (3 — 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 y license is in full force.10W, d ect. License No Classification ❑ I, as the owner, or my em loyees 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.eI OR ADONS. ACC. BLDGS. , /2(tsgft NEW CONSTR TI -OUTLET NON-RESID .BRA CH CIRC ITS 2.50 ea /POWER APPARATUS D (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eA 0530 FIXED APLNS Ex. OCCUp. OUTLETS P(RESID )REA.J 2.00 Temporary service 10.00 J, Mobile Home Facilities 15.00 -� Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. to the W. C. laws of California. NotiI shall not employ any person in any manner so as to become subject ce to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. 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 1s 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 ree to save, indemnify and keep harmless the County of Butte against all I' bi 'ties, judgments, costs, and expenses which may in any way accrue agast s id County Uiofl3u�e e t e granting of this per 'it. Date + I� Sign ure of Applicant Owner ❑ Contractor,gy.�� Agent ❑ An OSHA permit is required for excavations over 5',*tNeep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE oceuP. CONST.TYPC SCHOOL -� FLOOD PARCEL PD o seu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By. PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS i T q r t) Receipt No. !",K 2Date WHITC-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR,' GOLDENROD -APPLICANT 9 7 COUNTY OF BUTTE - DEPARTMENTS OFPUBLIC WORKS - BUILDING DIVISION \ 7 COUNTY CENTER DRIVE - OROVIL LE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET' 4` Permit No. � OWNER C�'//�� AZC 2!92_ bLlo c ?� A. P. o., -X/ Proposed Building Use Building Inspector ADate 9A7 /0107 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. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Parl f es aid ..................................................... 12. School Distri t fees paid ............ ... . • 13. Sanii ion approval from (t Health Department ... 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... Pre-Inspec. request to 19. Pre -Inspection for required ...... Building Inspector 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance ..................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: _ Telephone and hold for pic Other A Date) Mail to owner. Mail to contractor. 1-.` office. Deliver w/inspector. ate Copy of plans sent Health Dept., Fire Dept,, 0�4ef Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: i Contractor, designer, owner, was advised of above required data by_phone---jnall—counter by date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Date Plans approved by 4? Date Sets of plans on hold in Copy—DPW File cabinet AP folder r, .'i v1• Tb Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Locat',Qn AP# �L: L/G Plan Approved for: Sewage Disposal _C/ Water Supply Hold final for: Final clearance O.K. for: Clearance for -�? bedroom mobile home NOTE -* * * Sanitarian er Water Supply Water Supply -7 Date 89-029496 1 Rec Fee 7.00 : Cash 7.00 Recorded Official Records County of Butte ; - Candace J..Grubbs Recorder ; 8:15am 7 -Aug -89 S BG 2 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT 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 to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit 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 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: Date: State of California ) County of .Butte ) LcGA L_ TD(�::5, se,Zt PV oK� PROPERTY OWNERS: On this the 4th day of August , 19g_, before SS. me, the undersigned Notary Public, personally appeared aye®asaeeoesaelenee.eseepe® _ CYNTHIA A. COLLIER Lea �r� NOTARY PUBLIC -CALIFORNIA � • .� Butte County m My Commission Expires Oct. 30, 1992 p eeeteoeeeoeee�eeeee®eeeeete® -------------CARL H. BRAUDRICK--------------------- Proved to me on the basis of satisfactory evidence. to be the persong�� whose namekf) ;S subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. 'resent A. P. No. _CYNI111IA Notary Public 11 Ism IL 6*0 1 �08..-)qa(o taMI 4, am 60" on that oartaits ltreel Map eotitied p 026 9ettlets 31# T.21W: s 1.4% M.D.X."9 amid Parcel kap vas filed in the Off too of the Xecardst of the County of lutte, State of California# on January 260 IM p is look 94 of ?oreel Xapaj at pais ad. RUSRYI1t0 TIMUFRCk s *on-exclusive eatemat for road and publie utilities as shown on the above descOW Pateel !laps _ PARM 11 f-1 A non-exclusive easement for ia$sass and estttt over tbaC partioA of the gut-da-map lying In tame! 4 of the Yareal Map Bled June 140 10121" is D00% as of Pa:ael X&PIT tlt lata 69. • A man-eanluaive eateswat for road and public utilitiam over Parcels 1, 2, gad =1 as shove oo that aertaia Parcel kap eptitleds In 9actlba yls T.21N.s R.6E. j 11.M."s said Hap Vas filed in the offies of the Recorder of the County of buttes Mte of Cm UforzLal as January Up 19941 In D00% 34 of Parcel ldapo l at Page 99. AFFOrIDABLE 13_LAKE'S MUSING CONCEPTS L 2175 FEATHER RIVER BOULEVARD Orovllle, California 95965 0 Telephone (916) 534.8336 To: Butte County Public Works A;� Butte County health Dept. P. 0. & E. This is to authorize lion or Jolene Blake 'to'obtain permits on my behalf. Name C4RL v 5" iGK Acne rens - �i- -,= AP Dam—G�� - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS qM�T p r/ 7 County Center Drive - Oro Ul le, C� fornla 95965 - Telephone: 916/538-7541 1 d APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONI BUILDING PERMIT OWNE �rJ? � uD --i,> It L c. ,SQ, FT. DCC. BUILDING VALUATION — OWNER'S MAILING ADDRESS CO CTORAME I T P.HON_ E73 •-IJ CONTRACTOR'S MAILING ADDRESS j' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10 ,90 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fees PLUMBING PERMIT Filing Fee 10.00 C 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[] MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00ea TYPE OF WORK New ❑ Addition ❑ ReJ�Imod/el ❑ ti lities ❑� Ins all io Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 LEOOV ORSS Main service 100 AMP 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in f I force and effect. License No. EZ5 -4,2 Classification � � �- F-1as the owner, or my employees with wages as their sol'e compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1,a as7044) owner, am exclusively contracting with licensed contract- ❑ 1 am exempt under Sec. , Business and Professions Code for this reason oR ADONST \ DD EACCLLIN GSCCUP sI) '/z¢sgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) EX. CCCup(OUTLETS OR FIXTURES 200500 e AL030 QCCUp. Ex. OUTLETS FIXED P(RESID )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. 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 o save, indemnify and keep harmless the County of Butte against al labilities, judgments, costs, and expenses which may in any way accrue�-- ainst said C unty in con qu a of nting of this per it. X e Signature of Applicant — Wner ❑ Contractor gent An OSHA permit is required for excavations over 5'0" deep and demolition Or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ TOTAL PERMIT FEE OCCU P. CON ST.TYPC SCHOOL Fw PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PE00T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date1f �'p Receipt No. g WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT �MAx �l^"Ny.. lr.` _i,•. t H► ... r .�-.+. .Y . w+�. 4.. -. ,.-,�.;+, �. .'V+..arAu1t,Fe+v:���.4e 5e._+,. -y �.,t� Vyiw.'{ i. �iRS'.Y. i'fi .+.n'S R -{-... � ... � F'+15:` .F :,e 3 � � \ $ '3 COUNTY OF BUTTE - DEPARTME,NT PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROV, Eec IFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER — tllea f. J74 04 - i A. P. No. t .. Proposed Building Use Building Inspector at 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. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) ' 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ............................' ....................... 12. School District fees paid ................. r 13. Sanitation approval from Health Department ... 14. City of Chico plumbing permit ..................................... . 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use:—(B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Ins tion for required . , , , Pre-Inspec. request to ec Pre -Inspection q Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 4. 5• 2 s Letter of signature authorization .....................f� _-1��I�L(.Lf'��� �lrn�� ��f'.�ix,�>v �jGt<� -��.-��'�'+-0 When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Copy of plans sent Health Dept., M Fire Dept., The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: to Others Date (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by—phone � aail_counter byAL-date S-7--/5 Contractor, designer, owner, was advised of above required data by_phone_mail_c nt by date Plans checked by Date Plans approved by Date �r a / Sets of plans on hold in File cabinet AP folder Copy—DPW ck ox 5 '610y, esoa Pc'c`I P �p�• e shad ��pc o{ \.\w \r s oc ea cia' doVe anshlp Shall Be in won�,.,,,Ap aerials & 4WD' Good Practices and with R4cog t dor the S�QGYT46d US9 M _ t SQf66 E�w'� I aand Ft ting d. � I' WO ont�4e io at all times and it is ut+law�Fui to . e whom ch noes or c4 orc }ions an sam ank• it�Qn permission #ram the Depe�rlmeA 4A ; "I wak, c Cd 51� be �eaueo� or petm'; w {the m tolls ACA M1N � \ i % I ck ox 5 '610y, esoa Pc'c`I P �p�• e shad ��pc o{ \.\w \r s oc ea cia' doVe anshlp Shall Be in won�,.,,,Ap aerials & 4WD' Good Practices and with R4cog t dor the S�QGYT46d US9 M _ t SQf66 E�w'� I aand Ft ting d. � I' WO ont�4e io at all times and it is ut+law�Fui to . e whom ch noes or c4 orc }ions an sam ank• it�Qn permission #ram the Depe�rlmeA 4A ; "I wak, c Cd 51� be �eaueo� or petm'; w {the m tolls ACA M1N � \ i % a 5?p-f-y OJM COOK" I EPAWMA" ppR0\1 �5 t l i • a 5?p-f-y OJM COOK" I EPAWMA" ppR0\1 �5 -r, 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 No F] (If yes, furnish permit number OR Is the site an existing site? Yes ® 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 © No F-1 (If no, clarify ' 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? -------------"?> .. Amps 7: What is the mobilehome site circuit'breaker rating? ----- /' ®�. Amps 8. Is there any other electric load to be served by the mobilehome site service? ----------------- --------------- Yes No (If.yes, identify the load and size: � Q/ , _ � (Load ) i� (Amps) 9: What is the mobilehome site gas pipe size? -------------- 30 (in.) �. 10. What is the type of gas service? ------- ------------ Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------- v� 12. What is the mobilehome gas demand? ---------------------- _ %�j 7��f�(BTU) *(This information not required if pipe length less than 6 ft, on natural gas or less than 50 ft. on LPG.) P % O C —�f ouyfc- COUNTY' BUILDING DEPARTMENT APPROVED r MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. 5 ( /1/ _ furnish Setup Model No.6�ip Width(ft.) Box Length ,6 t.) 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/\ I1. Wood -pressure treated or foundation grade . 2. Other (specify) SUPPORTS (check one) 1. Concrete block.F2. Other (specify) �yd I Pier Footing Sizes and Locations SINGLE -WIDE Main Beams ins 2 — — — — — — — — — — — — ——1.111f� Line 1 Piers: Size-Min.------------ Spacing-Max - ----------- Spacing-Max. -------"- From Ends -Max .------- Line 2 Piers: Size -Min ------------- ------------Spacing-Max. Spacing-Max ---------- From Ends -Max .------- Main Beams — — — — — — — Tag or Triple r Line 1 kine 1 Openinsa: Size -Min. ---------------- Each Side of Openings With Width Over"-------- " Line 3 Piers: (Under Bearing Wall Only) Size -Min------------------- ,yx „ Spacing -Max.--------------- ,- „ From Ends -Max.------------- It Line 3 Roof Loads: _ Size -Min. it. Ipvx xIIIcJ�;,"x3 Location (Fom Front) 10'- 0 „ al _ `1 „ �`,_ y „ �! ,_ v ee 4 rigs: Line 3 rlera: kunwsi cooLinS No..o ­Yj Size -Min ----------- ,k Size -Min.------------------ Spacing-Max.---------Spacing-Max S acin Max.--------------- ,_ „ P g" From Ends -Max.------- ,_ „ From Ends -Max -------------- e 5 Roof Loads: Size -Min.------------ "x 'k 'k 1. "x I. It "x " "a P, "x ft Location (From Front) ,_ G:`: - r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 17 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 Chi Q59�5 DATE F- /6 ` � / A.P. # (/- 35 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. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. 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