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HomeMy WebLinkAbout061-350-045.61-35-45 MAX INE� & RON BOYD E/S Bald Rock Rd�700'N EnUihclaw,BC Permitt 320-86P,E(util•L MH) ELEC GAS SUPPORT STRUCTURE REQ_ jD 9 COMPACTION TEST RE Cont; S& H Mobil:e 6 -35-45 f - Permit #484-86me •- ISSUED I nstall MH 61, 35-45 1696-89E NOLEN � Richard & 'Karen ,E/S Bald Rock Rd.,app 700'N E umclaw, Berry.Creek (el.e for°future lot devel'.&_ security) 061-35-0-045 NOLEN, "RICHARD 9-3 1 E "" BALD ROCK RD CONTR: MIKE HURST BERRY CREEK ELEC FOR_LOT DEVELOPMENT /REP ACES -89-169 ... ,• «✓r:-re*.'..� �!v-c=t.d; `+:�+,4�''�;'S^r t ;,,.. ;.7.iy'd..;-S"'^. w :'•..}'`" K � aA., � � . -,, t . � r .. ; >. n _' ' .. }� i.' .'Y •�.. t +.+ . J+. , f,eT .Y :�.-" � r.�•Ms�r 'it• ,r `�� - E p-045CHARD 93-1104 E ROCK RD, BERRY CREEK KE HURSTOT DEVELOPMENT/REPLACES 89- u l 169E' COUNTY OFBUTTE - DEPARTMENT OFPUBLIC WORKS _ ~ 7 County Center Drive -Omvino, California 95965 - Telephone: 916/538- 7541 APPLICATION AND - ... . ~-.~~...�......~ . �,.~"" PERMIT NO* ASSESSOR .- PARCEL NUMBER ZON16NG -7 BUILDING PERMIT OWNER TELEPPT6 11`9 - SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME NE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER NSE NO, Plan -Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT FilingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. UBDIVISIO AME is MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [] DupIexFJ MobilehomeEl other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G J W @ 15.00 TYPE OF WORK New[] Addition El R emode I Uti lities Installation Ei Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT FilingFeef— 15.00 - Main service 600V OR LESS 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and e fect. License No. Classification El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) F1 I am exempt under Sec.—, Business and Professions Code for this reason Main service 200A TO 1 OOOA) 37.501 NEW CONST DWELLING OCCUPM 3.64 sq.ft. OR ACONS. ACC.BLDGS. NEW LUNbTFii. MULTI -OUT LET NON-RESID. BRA NCH CI RCUITS) @ 5.001 (P SINGLE OUTLET CIR Ex. Occup(OUTLETS OR FIXTURES IA1 0 ARA FIXED APPLINIS OR Ex. Occup. OUTLETS (RESI*D.) EA') 3.00 Temporary service 1S.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. F� 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 shal I be deemed revoked. Contractor MECHANICAL PERMIT Fi ing Fee 15.00 Heating Cooling ood 6.50 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 OwnerC] ContractorE] Agent 0 An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structure 5 over 3 stories in height. Mobile Home Installation Fee Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ HAZ I D FEES I IMP I FLOOD I CDF PARCE UE T his permit is hereby issued under the applicable provi- sions of the Buttetbunty-Code and/or resolutions to do work indicat6d,above for wh ' ich fees have beeln paid. D!RECTbR OF PUBLIC WORKS By Pat, PERMIT EXPIRES Date Receipt No. COUNTY OF BUTTE -'DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 • APPLIC�4T1'ON ANTI PFRUIT PERMIT NO. ASSESSOR CEL NUMBER 061-350-045 OWNER RICHARD NOLEN (415) ZONING TELEPHONE 827-0953 BUILDING PERMIT B IL SO. FT. OCC. BUILDING VAL ON ,/ OWNER'S MAILING ADDRESS 2609 PRESTWICK AVE., CONCORD CA 94519 CONTRACTOR' NAMETELEPHONE Ems-' 1 U eq- s33 n CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ _ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESSt S BALD ROCK RD. APP 700 N ENUMCLAW, BERRY CREEK Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other ELE FOR SECURITY LIGHT SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities® Installation❑ Other ❑ Describe work: -_ ELE FOR FUTURE TOT DEVELOPMENT AND SEC'TTRTTY TIGHT Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 (REPLACES#1696-89)Main LESS Main service 200A OR LESS 18.50 18.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury p y p I y (Check One): I am licensed under p ❑ provisions of Cha t. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- X sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason - - - "" service 200A TO 1000AI .37.50 NEW CONST.( DWELLING OCCUPM OR ADDNS. ACC. BLDGS. 3. 64 sq.ft. NEW CONSTR ULTI.OUTLET _NON BRANCH CIRC ITS @ 5.00 (POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 24 @ 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 15.00 Permlt Fee $ 48.50 WORKMEN'S COMPENSATION INSURANCE I declar under penalty of perjury (check one): [V The permit is for $100.00 (valuation) or less. X ❑ 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 [j'Afi VIP V MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai �saaiida County ' co sequence of the granting of this permit. Dates 5ignature of Applicant — Owner contractor ❑ Agent Elsions An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ co"""PE TOTAL FEES 48.50 HAz DFEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued unde of the But oun o a work indic d ov or hi fees E F BLIC By PEMIT EXPIRES Date a applicable provi- /or resolutions to do have been pa W KS �/L6 Da J Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT R - COUNTY OF BUTTE - Department of Public Works 7 County Center Driye;'Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for ccnstruction of the proposed property improvement (yes or no) 2. I (have/have not). signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address' City Phone/&-- - zi- 5'31d Contractors License No. 4.* -I plan -to provide portions of this ;cork, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work I Signed: Property Owner Social Security Number Date i..�- 4_9 3 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and. -Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. � l -36-0 -© 41s 1'• 61-35-45 ' ;1696-89E NOLEN,, Richard[ &' Kar n E/S Bald RockRd. ,app%,700'N Enumclaw, Berry Creek r.. (ele for future lotde el. & security) ' • • d�,� fo ,�o•% -- sem.-µ,ms pg,..►�� s o 04- Wo •4 - f r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICAT14ON AND PERMIT ASSESSOR PARCEL NUMBER J S_' [ '7 ZONING BUILDING PERMIT OWNER rrT��ELEPHONE of SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILINGAD RES r qtj I }. l c �I� r, f �# S� CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is 'Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. t Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 / r Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE ++ i i SF❑ Duplex❑ Mobilehome❑ Other--�''�—+ i.�: 1, SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑Q Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Q Describe work: .6 L 4,1,. �-4!44--t _ (h -t* C;• Le - ley � , ,� � 1;+(� , Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 f i C Main service 100 AMP 00V OR ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ and Professions Code and my license is in full force and effect. License No. Classification XL 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.d` , OR ADONS. ACC. BLDGS. / 20sgff NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID .BRA CH CIRC ITS /POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 209507 SAL930 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 {�.r Permit Fee $ 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. QI 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that 1 have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Dat. % [—Signature of Applicant — Owner,N 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ �"T '7 OCCUP, CONST.TYPC SCHOOL FLOOD PARCEL PD I NO 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. DIRECTOR,OF PUBLIC WORKS By `.0 _ f / j/. y Da e I— PERMIT EXPIRES Date G Receipt No. 7 � 7 J WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. Cawor;iia,L95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. AS ES,SOR PARCEL NUMBER S.- ZONING BUILDING PERMIT ol� R TEL !-0 ( SQ. FT. OCC.1 BUILDING VALUATION NER'S MAILIN H D R SS V ke Car 1 S� {� CONT ACTOR'S NAME TELEPHON CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER. LICENSE NO. Plan Checking Fee ,$ ARCHITECT OR ENGINEER'S MAILING ADDRESS I Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS �� ,l% Permit fee $ "N -- 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 Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex❑ Mobilehome❑Other L- Building sewer 5.00 sPECIFr Mobile Home S I G I W 0.00ea TYPE OF WORK New [tr Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Permit Fee $ Descri a wor : Contractor JUL dp"J. "44.j ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OC cup,") OR ADONS. ,h2sgft I declare under penalty of perjury (check one): ACC. BLOGS. NEW CONSTR. U TI -OUTLET 2.50 ea ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON-RESID .BRA CH CIRC TS POWER APPARATUS e and Professions Code and my license is in full force and effect. SINGLE OUTLET CIR. I License No. Classification EX. Occup�OUTLETS OR FIXTURES 200501 eALa90 as the owner, or my employees with wages as their sole compen- Ex. OCCUp. OUTLETS FIXED APPLNS(RESID )REA.I 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) ❑ I, the Mobile Home Facilities 15.00 as owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) Misc. IYirin g 15.00 ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. Cooling g I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement,should you becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such Permit Fee = provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ I also agree to save, indemnify and keep harmless the County of Butte against OCCUP. CONST.TYP! SCHOOL FLOODPARCEL PD ND Is9_ Dry all liabilities, judgments, costs, and expenses which may in any way accrue I �/ 1 nai st s •d County i�Que a of the granting of this pem . % This permit is hereby issued under the applicable %� Date `5 ��/ OV provi- sions of the Butte County Code and/or resolutions to do gnatureof Applicant — Owner Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- D! C R F PUBLIC WORKS ion of structures over 3 stories in height. Receipt No. S_ WHIT!-D.P.W.. YELLOW-ASBESSORPPL . PINK -INSPECTOR. COLD EN ROO-AICANT PERMIT EXPI ate_ - SP(lJe y7- l�_ rt COUNTY OF BUTTE - Deparent.of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner-builder".building permit has-been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing.your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide ,the major labor and materials for construction of the proposed property improvement (yes or no) .. 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. ,I.plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date NOTE:. This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. i COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS r,. 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 i7`0 O ECTION NOTICE / UWNLH 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. f - Z L-7�`.t�.z° Inspector Date #' PERMIT NO. 320-86P E(MH) ' t PERMIT EXPIRES OWNER MAXINE & RON BOYD �t CONTR. owner ,l ASSESSOR PARCEL 61-35-45 LOCATION ESS Bald Rock Rd, 700'N ofEnumclaw Dr, 9-5-805 Berry Creek L- o��/jeirc�d 55-01-ve� o 7-z4 10's Temp. Power Pole \ Called PG&E Temp. Elec. Servi Called PG&E 4 Temp. Gas Service Called PG&E { 1 JOB FINALED (D i 7 Signature I rF f J = OK 0 = Not OK — = Not Applicable * = Not Ready •,' 1 1 r �y MOBILEHOMES r MISCELLANEOUS Date MOB16FHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's ° ning Requirements—Setba —Ea ents 1. Zoning Requirements—Setbacks—Easements Soils; Swc,i�Yport—Skeielr__- _ 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O trete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails -516r; Location—Test—Easemen Needed ketch) 4• Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing E ricity; Location—Cle nces—G — Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ "L" ft./ "LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Elec.; Pool Lighting; 15 volts—GFI 6 ate,p,-VH Test—Regulator—Connector amara-ni(;�� /uate3 [V—WkL Card -til uate )J Gard -131 Date Card -BI Date Card -BI C,,6ate.:%G5-6i and -BI Date } Card -BI Date Card -BI Date Date MQBILgM6ME INSTALLATION (Plans) OK except N's Date POOLS (Plans) OK except N's onMwj'llequirements—Setbacks—Easements 1• Setbacks—Easements in s; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability G MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining E ricity; MH Test—Crossover —Breaker Clearances 5. Drain; MH Test—Fall—Flex Connector 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Elec.; Pool Lighting; 15 volts—GFI 6 ate,p,-VH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7, 8Wter and Sewer Connected—C/0 to Grade—HD Approval 7• Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8 as and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit ts; Insp.—Sketch + rt. of Occupancy 9. Health Department Approval Ar 44 10. Plumb; Cir. Test—Water Supply Test Card B-1 ate Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready.. r Date 'UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils=Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground _ 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders-Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI 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 N's 57. Smoke Detector _ 14. 15.. Water Ht.; Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W..V.: Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting _ 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61, Elec. Trim & Subpanel; Breaker Sizes -Labels _ 19. Gas Pipe: Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper - 20. 21. 22. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. 71. 72. Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic EJ Yes -- - 23. Romex Installed Close to Edge of Studs & C.J. - 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Guard Rails &Deck Construction -Post Caps -- 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral _,Yes :3 No Service -Riser Conductors & Ground -Main Disconnect 75. Following instld.: Drive ❑ Yes []No: Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 29. Equip. Clearances: Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - - Card B -I Card B -I 30. Clothes Closet Light -Shower Light ------------ Date - Card -BI Date Date Card -BI Date 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. 81. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric _ - Card -BI Card -BI 31, 32. 33. 34 35. A.C. Ducts: Insulation & Support -- Vent Fan:_Exhaust above Insulation _ - -_-- Condensate Drain & Overflow; Size "rade Furnace -Vent Access -Comb. Air -Return Air Vent_ -115V outlet Attic Access & Platform if Furnace in Attic -- --- --- .- -- - - - - Date Card -BI Date _ Date Card -BI Date 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Card -BI I ate Card -BI Date - - Date Card -BI Date Date FRAMING(Plans) OK except q's Comuents at Final: 36. 37. 38. 39. 40. Sills; Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops: Furred Ceilings -Stairs -Chases -Tub 41 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hangers -Pose Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-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: Anentryaust be made each time you visit jobsite) Vj _ COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION -AND rERMIT ASSES R ARCEL NUMBER ZONING BUILDING PERMIT AWNER TELEPHONE ,SQ, FT. OCC.1 BUILDING VALUATION O WNE 'SILING ARESS ^� n `J CONTRACTOR'S NAME 1A TELEPHON CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN _ Total Valuation $ Filing Fee $ 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 A RESS Permit fee PLUMBING PERMIT Filing Fee 10.00 f 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 USEOFSRUCTURE SF F1Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 , Mobile Home 10.00 ea TYPE OF WORK New❑ Addition❑ Remodel❑ Utilitiesnstallation❑ Other❑ Describe work: _ i I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 -�f Main service 1111 OR LESS 100 AMP OR LESS 10.00 VID 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 Busines$ and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a` I OR ACDNS. ACC. -BLD-GS. / /zQsgft NEW CONSTR. U TI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®SOt eAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ,0p Misc. Wiring 15.00 9 Permit Fee $ , WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. (qj I shall not employ any person in any manner so as to become subject `fa 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 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 c sequence of the granting of this permit. 'I tThis %� Date I , `1 11 Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ , Occup. CONST*TYPIJ I F LoJ PARC PD 10, ND y 17 permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO 00 PUBLIC By PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date _3-%%� QQ� �.! ' /J� Receipt No.� Y WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use Permit Fee Based Upon Building Inspector Complete Contract Price Other (Explain) Permit No. A. P. No. . (Q - PW Valuation Date !g" I At time of permit application,*t4as advised the following data must be submitted prior to permit processing and/or issuance: All items have been Sub mitte -� Plot .plans in duplic a/triplicate. a/lTil �(9 3. Complete plans in duplicate/triplicate. 4. Complete engineered plans and calcs. 5. Plans with Energy Design Compliance Statement. 6. CU'SD "Fees Paid ' Stamp on Floor Plan, 7. Statement of. Intent for Non -Heated and AC Buildings. 8. Fees of $ KP etter of signature authorizatiion.anitation approval from D -,y-_0 Health Dept.lanning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner❑. 15. Improvements may be required. Contact Land Dev. Sec. of D.P.W. (see address below). 16. Mobilehome Installation Data. Pre -inspection for required. �i- Recorded copy of Agricultural Acknowledgment Statement. lU �k,{f Other' DRIVEWAY PERMIT (Construction approval required rior to occupancy) When you issue the permit, process as follows: Mail to owner. Mail to contractor: Telepho ; and hold for pickup at office. Deliver w/inspvtor. Other &&inn1 I fr - lis Nal Fla -A �.1444L Agm - l icant- % GENERAL INFORMATION Date BUILDING DEPARTMENT OFFICES HEALTH DEPARTMENT OFFICES Chico . . . . 196 Memorial Way Chico . . . . 196 Memorial Way Phone: 891-2751 Phone: 891-2727 Hours: 8:00 a.m. - 10:00 a.m. Hours: 8:00 a.m. - 9:30 a.m. Oroville . . . 7 County Center Drive Phone: 534-4541 Hours: 8:00 a.m. - 5:00 p.m. Paradise. . . 747 Elliott Road Phone: 872-2961, Ext. 57 Hours: 8:00 a.m. - 10:00 a.m. Oroville 7 County Center Drive Phone: 534-4281 Hours: 8:00 a.m. - 9:30 a.m. Paradise . . . 747 Elliott Road Phone: 872-2961, Ext. 58 Hours: 8:00 a.m. - 9:30 a.m. PLANNING DEPARTMENT - 7 County Center Drive, Oroville - Phone: 916/534-4601 CALIFORNIA ENERGY COMMISSION - 1516 - 9th Street, Sacramento - Phone: 916/324-3000 LAND DEVELOPMENT SECTION DEPARTMENT PUBLIC WORKS - 7 County Center Drive, Oroville - Phone: 916/534-4339 Original—Applicant To: Building Department.' From: 4.nvironmental Health Subject: Sanitation Clearance n 4 4 h / i! IA ,e - Owner cOwner Location Plan Approved for: Sewage disposal 191— " APi/ water supply Hold final for: water supply Final clearance O.K. for: water supply .Clearance for bedroom mobile home. Other NOTE* Sanitarian Date ti COUNTY OF BUTTE - Department of Public Works 7 County Center.Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no)�. 2.' I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner �v I Social•Security Number' Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 21" 1U-�U1ni Llll.:rl\1 Vl FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement 1. 1 c� w)11,,uED IN OFFIC1 �L RECORDS "GUI TE COLIXTY.ULIFORNIA R1'"f11E REQiiEST 0= be recorded prior to issuance of a building permit. 86— 6829 PARTY SHOWN The property described herein is adjacent to land or included 686 MAR -3 PH 2: 46 within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from ELEAI ORF. BE:KE--. the use of agricultural chemicals, including, but not limited to herb(}.IcUi-e C lEKcid ,_ 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 P&g,s as follows: � C_ e- 1. 3, c: S S � o c✓ 9v B iv � d�'f C'.1>,�e 1�f� �.✓ l//i oQ � o % % 7� !� b f3 , ''// �J� �i � ;L%� , �/w � �% �i � C��U C� 7�0 {I l.i/CCGZ dP!t ; CPA Nry of 121,r S _a-`,T� /,Q, i )fv Vk n) &?VIT �� 1 I 7�� 1v 11 r) le �z c o PROPERTY OWNERS: ". I - t - 1 State of On this the day of _ SS. me, the undersigned Notary Pub County of 6, before 3red PXersonally known to roe. / / Proved to me on the basis / of satisfactory evidence. to be the person(-) whose name(o SfTI✓ 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. NOTE: ---All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a qublity prescribed for the Specified use in the Uniform; Building, Plumbing & Mechanical Codes and the National Electrical Code. v 0 This set of plans 'and specifications MUST be kept on the job at all times and it is unlawful +o make any changes or alterations on"same withouf written permission from the Department of Public Works, County of Butte. -Utility connections shall be with'ri 4 ft. of the mobilehome, either directly behind or within the rear half eki the mobilehome. A permit will be required for the installation of the mobilehome. A setback of 5 ft. from the � L%Z/ ' 4 property lines and a -setback of 50ft. from the � clear of ' ad centerline shall be structures or equipment except 2� �� fora 2 ft. eave overhang. � BUTTE COUNTY BUILDING DEPARTMEN►Tr APPROVED 80 /d w dL C. r r, `1 L' G aT w Ic ,i z In -L n m U �Q tD -C. » i f: •`o OT � dL C. r r, L' G aT w Ic ,i z In -L n m U �Q tD -C. » i ,i z -COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. - 7 County Center Drive - Oroville, Califc�rnia 9515 - Telephone 916/534-4541 APPLICATION AND PERMIT AS OR PARCEL NUMBER y ZONI G �� BUILDING PERMIT ow R 1 O TEL PHONE SQ. FT. OCC. BUILDING VALUATION OW SE MAI G ADD ESS .� t- vP C TRACT R' NAM TELEPHONE CO TRACTOR'S M NG ADDR Ka Fireplace CONSTRU ION ENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 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 $ But I ADD SS i Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar.or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME P�4�CEL MA `7� ' Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF F1Duplex[]Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installationy Other ❑ Describe work: ' ' � mabo r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 0V OR Main service 100 AMP ORSLESS 10.00 Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I de la under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ and Profes w'ns Code and my license is in full fore an 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- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.S , OR ADDNS, ( ACC. BLOGS. h2sq it NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRCUITS2.50ea (POWER APPARATUS el SINGLE OUTLET CIR, / Ex. Occup(ouTLETs OR FIXTURES 20@50t eAL030 FIXED Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 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. ❑ 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 liabil' 'es, judgments, cost ,, and expenses which may in any way accrue against d County i onse ence of the granting of this permi X Date r Signature of Applicant — Owner ❑ Contract Agent ❑ An OSHA permit is required for excavations over 5'0" d ep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP, CONST.TYPC I I FLOOD PA;;J PD NO I IS UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D:1ZT R PUBLIC p BY N. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHIT!-D.P.W.. YELLOW-ASS9990R, PINK -INSPECTOR. GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CktflF'6*41iA 95965 - TELEPHONE: 916/534-4541 % PERMIT APPLICATION DATA SHEET �f 4 Permit No. t� A. P. No. (O 7e�" Proposed Building Use Permit Fee Based UDon Building Inspector Complete Contract Price DPW Valuation At time o permit application, I was advised the following data must be submitted prior to permit processing and:/Or �SSUanCe: DATE RECEIVED APPROVE 1. All items have been submitted. • D 2.., Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . , . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner, Mail to ownerEl') 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Required. In request to P q Building Inspector (Date) 18. _ Recorde$figg�11,AgiRIlt,,i,rTCAcknowIed ment Statemnt . 19. Other (`onstruction approvalrequire prior to occupancy Whe you issue the erm•t, proces ,as follows: Mail owner. Telephone "ov and hold for pickup at office. Mail to contractor. Deliver w/inspector. Other Applicant 1 Date—Y-190/ Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone By Mail Other Date Plans checked by Date Plans approved approved byDate %% Other: Copy—DPW BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 7 f I 2 2. Installer's Name: S: 3. Is the site currently under permit? Yes © No (If yes, furnish permit number ��2c3 ^ g� ) 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 F-1 (If no, clarify q4 li * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on .natural gas or less than_50 ft. on LPG.) Z /�� BUTTE COUNTY BUILDNVG DEPARTMENT APPROVED �/� -5. What is the mobilehome electrical rating?---------------^� Amps 6. What is the mobilehome site service rating? --------------------%n 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? ------------i ------------- Yes F] No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- l (in.) 10. What is the type of service? ------------------- Natural n LPG gas 11. What is the gas pipe length from meter or tank to the mobilehome? --------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on .natural gas or less than_50 ft. on LPG.) Z /�� BUTTE COUNTY BUILDNVG DEPARTMENT APPROVED �/� MOBILEHOME SUPPORT DATA 4,f-otfler `than single wide, / Mobilehome Mfr. furnish Setup Model No. Year1�/ Width% , (ft.) Box Length(ft.)_(r 0 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) FT1. Wood -pressure treated or foundation grade.F 2. Other (specify) SUPPORTS (check one)1. Concrete block. 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE — � Main Beams Line Line 2 — — — � Main Beamer Line 1 Piers: Size-Min.------------ Spacing-Max - -----------Spacing-Max. --------- From Ends -Max. ------- Line 2 Piers: Size -Min.------------ 2 "A „ Spacing -Max.--------- From Ends -Max .------- 2 ' Line 3 Roof Loads: Size -Min. -----------.- Location (From Front) Tag or Triple Line 1 Openings: Size -Min. ------------------ „x n Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) — Size -Min .------------------ „x „ Spacing -Max.--------------- From Ends -Max .------------- ,_ n Line 4 Piers: Size -Min .------------ ,k n Spacing -Max.--------- , From Ends -Max .------- Line 5 Roof Loads: Size -Min. ------------ Location (From Front) e 5 Piers: (Under Bearing Walla On y Size -Min .------------------ 'k " Spacing -Max.--------------- From Ends -Max.----------- -- = `k)A-44