The URL can be used to link to this page

Home My WebLink About061-480-040��--�_ .t, ' .;"' �. ,w „ � ,. (�V • ' , �_ - I- w 1 a �: �� .F�� . , � � �,�, � � � � � �. . ,; r _ a R o I `- f � � _ _ r � � / _ �� ' ~! !�r � ,. (�V • ' , �_ - I- w 1 a �: �� .F�� . , � � �,�, � � � � � �. . ,; r _ a R o I `- f � � _ _ r � � / _ �� ' ~! FIN i ®RION r PERMIT NO. PERMIT EXPIRES /9//7 OWNER CHARLES R. BUSH CONTR. owner ASSESSOR PARCEL / �-IS-h rCl LOCATION 39 Sycamore Creek Dr, Oroville OFFICE COPY Address GAS6!6 Meter By D4ateELECTRICMeter By. D i Address I � Temp. PoH GAS - + Meter By Date ELECTRIC r �(�.e7 Called ,4 Meter By Dat P Temp. Ele% r Called PG&E Temp. Gas Service Cal led PG&E JOB FINALE[ k Signature a `f 1, I c'� 4: L C r. J_ -e OK 0 = Not OK — = Not Applicable MOBILEHOMES * = Not Ready i 1 f MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Soils; Special MH Support—Sketch _ 2. Footings;.,Size—Depth—Spacing—Connectors te. Z— 3. Sewer; Location—Test—Fall-C/0—Concrete _ 3. -Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails (—y 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts— Beams— Rftrs.—Connec.—Shthg.—Rfg.—Bracing aSlEfectricity; Location—Clearances—Grnd.-1%102) Amp—Concrete 5. Alum. Awn.j Columns—Connections—Splice—Decal—Enclosures f�yEocatior7est—Wrap:/ /"L"ft./ /"Nat. or7,5 'LPG -_ 6. Carport s;.Wi.yndows—Doors . tility Clearance 7. Elec. Card -BI C&ODate I—A-97 Card -BI Date Card -BI Date Card -BI Date Card -BI aL, Card -BI Date Card -BI Date Card -BI Date Date B EHOME INSTALLATION (Plans) OK except N's Date POOLS (Plans) OK except #'s ZPnfn- g Requirements—Setbacks—Easements 1. Setbacks—Easements in Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability Go.'—Mt Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining tricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI Dr fl Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI er Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed t a ewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater nd Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit xits; Insp.—Sketch Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I DateWz Card -BI Date Card -BI Date Card -BI Date Card B-1 Dat/Card-131 Date Card -BI Date Card -BI Date 1 Gei/ 3S�G�Gs i H 0 J = OK 0 = Not OK - = tReadv9ble No = Not Ready RESIDENTIA1 (Single and Duplex) Date UNDERFLOOR (Plans) OK except#'s 1. zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Dept 3. Ftg., Garage; Soils -Steel- / /'' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 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 Date PLUMBING (Permit) OK except #'s 14. Water Ht.: Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 17. Shower Pan: Test, First Floor -Tub Access 18. Test Tub & Showe_r, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors Card -BI Date _ Card -BI Date Card -BI Date Card -BI Date Date ELECTRICAL (Permit) OK except #'s 20. Fixture & Transformer Clearance - Ins. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 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 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size-/ / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral Yes No 28. Service -Riser Conductors & Ground -Main Disconnect_ _ 29. Equip. Clearances. Panels-Motors-Mech. Equip. 30. Clothes Closet Light-Shower-Light- Date ight-ShowerLightDate Card -Bi Date Date Card -BI Date MECHANICAL (Permit) OK except #'s 31. A.C. Ducts. Insulation & Support 32. Vent Fan: Exhaust above Insulation 33. Condensate Drain & Overflow: Size _& Grade 34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet _ 35. Attic Access & Platform if Furnace in Attic Card B -I Card B -I Date Card -Bl Card -BI Date Card -BI Date Date Card -BI Date FRAMING(Plans) OK except #'s 36. Sills, Proper Material & Anchors 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops. Furred Ceilings -Stair s_ -Chases -Tub 41 Header & Beam -Size &Bearing 42.• Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq. 44. F ireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE Anentrymust be made each time youvisit jobsite) Date FRAMING (Continued) 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 51. _ Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 52. Siding -Nailing -Veneer 53. Stuoco Mesh -Drip Screed-Fdn. Vents-Underflr. Access . 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts - Card -BI Date Card -BI Dale Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl !sole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive [I Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet _ 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection 83. Corrections from Previous Inspections 84. Gas -est -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/0 to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Com lents at Final: 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 OWNE � P � RMIT N0. 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. MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE `r DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. � d` sAddress or location of mobilehome.` ,Owner's name � e Owner's address el Mlnsignia or hud number --Manufacturer's name r. �r Serial number of Vr.N Year of,.,inanufacture t (Official Approving Installation) (Date)' yJIF THE4JOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ,ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE `tMOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 11 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 /u-,/-/ V_. / 0 APPLICATION AND PERMIT PERMIT/O. ASSESS PARC L IFQ MBER — ZO I BUILDI PE MI OWNE TELEPHONE �a- Q. FT. OCC. BUILDING VALUATION OWNER'S AILIN DDR 55 NY CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ —to—.015— 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 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 OF STRUCTURE SF [JDuplex❑ Mobilehome Other SPECIFY' Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home J(SJ GA W 9 10.00 ea �• TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6111 OR LESS 100 AMP OR LESS 10.00 Main Service EA. ADD'L 100 AMP 2.50 � CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ 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 SOIe 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 AD NS. ( ACC. BLDGS. �20Sq ft NEW C _0N S f F;L MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®SOS SALO 30 C. FIXED APPLES. OR EX. Occup. OUTLETS (RESID.) EA.7 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 . Misc. Wiring 15.00 Permit Fee $ ,S 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. 19 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. 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 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 g anting of this permit. X:/� ADate Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures or 3 stories in height. over Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. CONST.TYPE I LOAJ P 7 PD Y ND S This permit is hereby issued under sions of the Butte County Code and/or wo ndicated above for which 1 ECTOR OF PUBLIC Y PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS^ g 17l%Ce Q� Date J[n E! °' Receipt No. WHITE -D. P. W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPLI CANT • eb .. COUNTY OF BUTTE - DEPARTMENT,MOU13LIC WORKS - BUILDING DIVISION / 7 COUNTY CENTER DRIVE - OROVILLE1CALIFORNIA 95965 - TELEPHONE: 916/534541 PERMIT APPLIICATION DATA SHEET �. Permit No. OWNER A. . No. �%�'- (0 Proposed Building Use Building Inspector Date - Z/ - 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 talcs, with wet signature on plans. 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. aL-!'1_0. 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 owner ❑.), _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Pre-Inspec. request to (Dote) Required. Building Inspector �8. Recorded copy of Agricultural Acknowledgment Statement. 1`Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: ✓Mail to owner, Mail to contractor. V44" elephone and hold for pickup at—off ice, Deliver w/inspector. Other Applicant Copy of plans sent Health Dept., Fire Dept., Other Date i The following data must be submitted priorAo permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was ad is d of above required data by —phone _maII—counter by date Plans checked by Date1241 Plans approved by Eill— Date Sets of plans on hold in File cabinet AP folder - Hours: 10:00 a.m. - 3:00 p.m. Copy—DPW 11Z To: --uiiding Department From: `,,InvironmentCl Ifs =1t1�T I Subject:', Sanitation Cle.arl-:Tce A Owner Plan Approved for: Hold final for: Final clearance O.K. f6r: Location AR// e. a 0 ( Iispo!-,al i.:at(-,r r..upply /Je CleaTance for bedroo-mKI-5711";) 11011.e. Other NO T7], supply water supply Sanitarian Ate 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: O� Property Owner Social Security Number Date T�41 /7Z 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. Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT 4 196.,0 BUTTE COUNTY, Ch. RECORDER'S OFF=ICE Section 26-8.1 of the Butte County Code requires this acknowledgement . be recorded prior to issuance of a building permit. 86-r41960 ; . 1986 NOV 24 PH 2: 29 The property described herein is adjacent to land or included ' RECORDED AT REQUEST OF within an area zoned for agricultural purposes, and residents of this PARW SHOWN property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbiclKg ,.._pesticid a and fertilizers; and from the pursuit of agricultural operations including, but not Jim ted 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 Wages 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: tee- --4 4, c -. W Date: / /—�a PROPERTY OWNERS: State of _) On this the _,2 day of 19 before SS. me, the undersigned Notary Public, personally appeared County of . ) / Personally known to me. /A Proved to me on the basis m®o® of sa isfactor evidence. PATSY L. CARTER � ( � y . �o be the P erson s) whose name() s n�f�.r1./ sub ibed to NOTARYPUBLIC-CALIFORNIA t+he within instrument and acknowledged that � . r ButteCounty°xecuted the same for the purposes therein contained. ® �,•� My Commission Expires May 13, 1993 ® P P ® �N WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. No. �� — /07 . � .�T ii' }�'. -• v L ..a .. .. • ' � � � ..�. ^�� .._. • 4 1 DESCRIPTION: A All that certain -real property situate in the County of Butte, State of California, described as follows: PARCEL I: Parcel 4, as shown on that certain. -Parcel Map entitled, "The SE 1/4 7, T.20N., R.5E.11, said PSection Parcel Map was filed in the Office of the Recorder of the County of Butte, State of California, on June 10, 1982, in Book 88 of Parcel Maps, at Page 67. PARCEL Ilf A non-exclusive easement '60 feet inwidthfor road and public utility purposes, including but not limited to easements to Pacific Gas and Electric Company' and Pacific . Telephone- and Telegraph for services, to the general public, the right from time to time to install, maintain, operate and use such gas and electric facilities both above ground and' underground, as it may deem necessary over, under$ above, and within the strip as shown on Parcel 3 of that certain Parcel Map, being a portion of the Southwest quarter of Section 89 Township 20 North, Range 3 East, M.D.B. & M., filed in the .Office' of the Recorder,. County of Butte, -State. of California, on November 6', 1978, in Book 68 of Parcel ,Maps, at Pagp*66. PARCEL Ill:. Those certain 60 foot non-exclusive public easements for -ingress and egress and public 'utility purposes as shb%n on that certain Parcel Map entitled, "The SE 1/4 Section 7, T.20N., R.'5E.11,. said Parcel Map was 'filed in the Office of the Recorder of the County of. Butte, State of California, on June.. 10, 1982, in Book.88 of. Parcel Maps., at -Page 67.' EXCEPTING: THEREFROM all that.. portion lying within the bounds of Parcel I described above. - a, 9 sm OF DOCUMENT END OF DX,1UNIENT OWNER PERMIT"�� NSI UT IL. CLEARANCE DATE INSPECTOR �. ELECTRIC GAS Support Stzud. YES N01 Compactioi Test Req. Service Size Other Load Type Pipe Size Length YESI NO 52� 3 0 U COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N 0. 4 v/J 4 _, ASSESSOR PARCEL NUMBER ZONIG BUILDING PERMIT Ow"s� S US TELEPHONE SO. FT. OCC.1 BUILDING VA ION OWNER'S MAILING �DOtRE aI�f_ C_e Cot 6`1e,^4540 Cot /`�C/`%T/E CT CONTR OR' NAME % D 4 ,w LEPHONE ter -/meq C N TRACTOR'S ADDRESS QQ to Fireplace CONSTRUCTION LENDER VNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ / D Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 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 OF STRUCTURE SF ❑ Duplex❑ Mobilehome they SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation � Cher ❑ Describe work: �_ 1/�/ Lf W 4, y Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ensed under provisions of Chapt. 9, Div. 3 of the Busines$ and Professions Code and my license is in full force and effect.' License No. C��lo®� Classification �H!:Z I ❑ 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 GOCCUP.&) oa ADDNST ( DWELLING S./ yzQsgft NEW CONSTULT'-OUTLET NO ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS h\ (SINGLE OUTLET CIR. / Ex. Occup(ouTLETs OR FIXTURES DAL SOC e AL9 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ . Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ave 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. MECHANICAL PERMIT Filing Fee 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 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 agai:�A�outy i�(1 consequence of the granting of this permit. �� `� X ' Date '� �/ Signature of Applicant — wner ❑ 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 $ 0 Energy Inspection Fee $ TOTAL PERMIT FEE $ CONST.T7PEJ I I FLOOD PARCEL PD ND seu ! 14 This permit is hereby issued under sions the Butte County Code and/or war in is ted abo for which fees C OR bF PUBLIC By PERMIT EXPIRES Date the applicable provi �j resolutions to do,, have been aid... p WORKS ate —S�rQr —SEi�B�' Receipt No. WNITC-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT !.�',� wY"V�/ir�i�"LV�sri.�b�"'�f',��' �Y'�1r's'1NT�t'il'—�.S�;F..•,ir�t..t1'-L , •"r'. r"R. '.:�'�SVxt..if+11w�J�,l..�,�. r �� . �t.:{r: rk n�,�r'!��` �'i rp COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, o ALIFORM IA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET /� % I /,� / Permit No. OWNER l�V(C(.rl ES �(JG�S r( A. P. No. o Proposed BuildingUse—Building Inspector Date At time of ermit application, I was advised the following data must be submitted prior to permit processing and/ I Uance: 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. Plans with Energy Design Compliance Statement. . . . . . 6. School District ''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 owner ❑ ) _.__..._15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . . 17. Pre -Inspection for_.___._ Pre-Inspec. request to (Date) __. _ ...._._. _ Required, i3uilding In, 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. — 20. Plot plan approval from city of— _ 21. — — — 22. — — -- Wh n you issue the g� mit, rroc ss as follows: Mail to owner, Mail to contractor- �Telephone �TS-��r and hold for pickupt ✓'a office, Deliver w/'inspector. Other AppIica_/f Copy of plans sent Health Dept., Fire Dept., Other 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: Contractor, designer, owner, was advised of above required data by—phone---Mail by date — Contractor, designer, owner, was advised c9 above required data by_phone_m I b date Plans checked by Date 1,�Plans-approved by Date 56,P—* �7 Sets of plans on hold in File cabinet AP folder Copy—DPW Utility connections shah b�tt�i 4 ft. of the mobilehome, eltb@, directly behind or within the rmr, half mobilehome. of the f permit will be re uired ins tallafion o the ranobilef9amthe e sy� A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. / A�/P C -r /- • /0 7 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 some without written permission from the Department of Public Works, County of Butte. NOTE:—All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and #iI.--^ Electrical Code. Ov wV ko 0 AL BUTTE COUNTY. DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: CR� %,�. `�� S i6 ��. �,� cige• 3. Is the site currently under permit?. Yet No (If yes, furnish permit number S 3 - �� ) ORtqR_ 611 Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes 12-4-- No (If no, clarify ) 5. What is the mobilehome electrical rating? --------.--------------- /dy Amps 6. What is the mobilehome site service rating? ---------------------8 Amps. 7.. What is the mobilehome site circuit breaker rating? ------------- Amps. 8. Is there any.'other electric load to be'served by the mobilehome siteservice? ------------------------------------------------- - Yes E No (If yes, identify the load and size: (Load) (Amps) ll 9. What is the mobilehome site gas pipe size? ------- --------------- �/� (in•) 10. What is the type of gas service?` ---------------------- Natural 77 LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand?`- ----- (BTU) (This information not required i pipe length less than 6 ft. OS Qat,.Vfi�Jas or less than 50 ft. on LPG.)�� ' ``'° f MOBILEHOME SUPPDXf DX A 4 If other than single wide, Mobilehome Mfr. ,o y e 1le— furnish Setup Model No. Year )Width (ft.) Box Length (t, G (ft.) Tagalong or Expando Size eft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 19M1 furnish. manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) . • ` Single Wood either pressure treated or foundation grade. x (ft ) (in.) (in.) (in.) 2. Other: (specify) Center su port Center su ort location * footing izes Supportk (check one) (in.) . Concrete block. x •2. Other. (specify) (f t.)(in. (in. (in.) II--- (ft.) (in.) (in.) (in.) (ft j(in.) I (i�.) (in.) x (in.) Ni.) *If center piers are other than drawn above, draw.in -locations, spacing, and dimensions. Tagalong or Expando,' show support details. /,,L:x -- Typical Support (in.) (in.) Footing Size -- Max. Pier Spacing -- Max. Overhang