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HomeMy WebLinkAbout062-200-040I Don e e VYA 611%( `R S/S Bald Roc app.3.2 mi.from Oro -Quincy Hwy, Berr eek Permit #1241-79B(add open- e 62-20-40 �rnst_ reamer S/S Bald Rock Rd., 4 mi.W.of Sugar Pine Store ald Rock con Marsh Con t Oroville� Perm' (uti�. ,NIH) �rJJ law A � GAS SUPPORT STRUCTURE REQ. 4/42 COMPACTION TEST REQ. d/O_ 62-20-40 Contr Orovil Trail r Sal s Per MH ,( 4� 62-20.40 Permit #45" ( e- open decks/MH) 62-20-40 'Tneola anders E//_Bald-Rock.Rd.,,.app--1.200.'. -- 0. >- ?-Pine Store, Berry Creek, Permit # 1740-8 �(�V � X st contr: S & H Sgrv. OroviUe Issued 62-20-40 ROMX A. MARTIN Permit 65-82B,E (New Pri Deft Garage' 62� -20-40 gi b��g-2 Permit#3370-82P ig/2965-82)garage ✓J 62-20-40 Permi. 3-83B(wood burning stove/gar) 69-20-40 -_ - - --- • y Permit#2201-83B,E,M(add foyer/SF, .3-10 JACKO, Betty 2810B I s1s Bald Rock Rd. -I- mi. west Sugar ine S CONTR: Floyd Roberts, Box 108B Star Rte., (repairs) Berry Creel c� — —6 yr rJAGOE, Charles H. 4964E 4fT 2-20-27 OI s/s Bald k Rd. west Sugar Pine ore,BE,1 Creek G�9^i3�6s (repair roof) 'ir; �;,;. :,�,� CJI ' ,(A^_\ r, , o y � � `F^ n o PERMIT NO. 2201-83B,E,M PERMIT EXPIRES' �T_ � OWNER ROBERT MARTIN ► owner CONTR. ASSESSOR PARCEL 62-20-40 LOCATION N S/S Bald Rock Rd, 3.2 mi from Orc Quincy-Hwy, Berry Creek j • Temp. PouverP le Called PG&E i Temp. Elec. Service Called PG&E - I Temp. Gas Service Cal led PG&E 1 JOB FINALED (Date) , lo j Signature !f"Ov Z I _ - f J Ok 0 = Not OK = Not Applicable MOBILEHOMES = Not Ready y MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors' 7, Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1, Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except N's 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining___ 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I - Date Card -BI Date Card -BI Date Card -BI Date V=OK 0 = Not OK r , - = Not Applicable RESIDENTIAL (Single aAct Duplex) * = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) W'Zoning requirements -Setbacks -Easements -4ai.. P erty Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth-b9^Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth , Plywood on Roof Overhang -Attic Vents -Rafter Outriggers temwalls, Main; Steel-Blockouts-Wrapped a Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab.63�S o Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel . Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test SS -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-BIDate j Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Da Card -BI Date Date Fl�lans) OK except N's Card -BI Date Card -BI Date Date _ PLUMBING (Permit) OK except q's 14. Water Ht.: Vent -Access -Combustion Air Steps -Door & Sidelight Protection -Landings 40r Smoke Detector dents -Clearance -Comb. Air -Connector - I In Garage; Above Floor -Ducts -Meeh. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection sting _ 17. Shower Pan; Test, First Floor -Tub Access 40,-G"F-1,-�' Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access LA3,!Elec. Trim & hPls 19. Gas Pipe; Size & Anchors - 63.. Fjlpphee or Stbie; Clearances -Hearth Card -BI Date Card -BI Date .54. 54ee euttets at Wood Panel; Int. & Ext. %rxt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66.--E�lets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. -4. -"age -Fire Door; Swing -Landing -Closer bar 4.G-4NM i ra e -Damper - 20. _Fix e & Transformer Clearance -Ins. Protection r. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meeh. Protection 21 Alec. Receptacles Spacing -Lights &Switches at Doors 70. PIb. Elec. &Mech. Equip. Listed for Location Size Boxes & No. of Conductors -Stapled JA--Eiet^Aeceptacles in Garage; (G.F.I.)-Romex Protec. oam-Looked in Attic E3 Yes 73��& Deck Construction -Post Caps 23 omex Installed Close to Edge of Studs & C.J. -- Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Sizeents & ravel Hole Door -Drainage &Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subieed Wire Size i / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al - 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral [ Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect ng instld.: DriveC]es No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No��(iR+r 7a c, ,^^ o awn -Finish -_ 29. Equip. Clearances; Panels-Motors-Mech. Equip, con nect-CIrnces-Brkr. & Cond. Size -115V Outlet __ -- Clothes 30. CCloset Light -Shower Light -_ -__ j$,�llsats-A�ave Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -- --- Card B -I Card B-1 ----- --- /� Date_ �3G Card BI Date Date �/� Card -BI Date ater Well; Disconnect, Electrical, Plumbing . Trim; G.F.I. Receptacle -Underground ents othroughout House t P Glass Protection Date MECHANICAL (Perrr,it) OK except q's _ 83. Corrections from Previous Inspections -Meters Tagged; Gas -Electric A.C. Ducts; Insulation & Support & Sewer Connected -C/O to Grade -HD Approval _ 32. Vent Fan; Exhaust above Insulation4.8V.-Energy 33. Condensate Drain Overilow; Size & Grade Compliance Certificate -Other Certificates - _ Card -BI Card -BI _& 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic _ _ Date _ -Card-Bl- Date Date Card -BI Date and -BI Dat Card -BI Date C rd -BI Date Card -BI Date Ca -BI Date Card -BI Date Date FR ING(Plans) OK except q's Comments at Final: - ills; Proper Material & Anchors IIs; Studs -Nailing, Spacing & Bracing -Plates_ -Sound Bearing Walls_over Girders & Floor -Nailing_ Draft Stop in Walls (rat proof) - .40s ire Stops; Furred Ceilings -Stairs -Chases -Tub /f'��sr/rvy - �/4eader & Beam -Size & Bearing _ .4,4 -Hangers -Post Caps -Anchors -Connectors 4&-'CIng. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq. .4+r Fireplace Ties or Type A Flue -Fireplace Throat .4& Attic Access: Size &_ Rom_ex Protection -Draft Stop -Ins. Baffles r46 Bdrm. Windows or Exiting Doors -sill Hgt. & Dimensions ..4Z- Garage Fire Protection Framing _ (NOTE: An entry must be made each time you visit job site) BEAUTY 7 COUNTY CENTER DRIVE, OROV.I.LLE, CALIFORNIA 95965 Telephone: (916) 534-4541 WILLIAM (till) CHEFF irector October 11, 1.984, Robert. Martin RE: Building Permit No. 2201-83 P.O. Box. 1032 Expir.e4 7/7/84 . Oroville, CA 95965. (A. P. No. 62-20-40 ) Dear.Mr, Martin; With reference to the.above subject, our records indicate that your Building Permit expired ,•, on the above date. Building permits.are valid for one year and. should construction be started but not completed by the expiration date of the permit, the permit shall be renewed for 1/2 the original Building Permit Fee (plus a $10.00 "Filing Fee"). The renewal permit will extend the Building Permit for an additional.year from the original expiration date. Should you not renew your permit in a timely manner, it cannot be renewed and all work must cease.until a new building permit is issued. If your construction is completed or should ypou,have any question concerning ,this matter, please contact the Oroville office. For your convenience, we are enclosing a renewal application form and an owner - builder form to be completed and signed by you where indicated and returned to this office together with the.fee shown. Please return all copies of the application form. Thank you for your prompt.attention concerning this matter. Yours very. truly,. William Cheff Director, of Public Works F. Glander --� JFG:'aj Chief Building Inspector Attachments: Permit Application Owner -Builder Information Owner -Builder Verification cc: Building Inspector - Oroville Chico - 196 Memorial Way/891-2751 Paradise - 747 Elliott Rd/872-29.61, Ext. 57 ENERGY INST LLATION CERTIFICATE Building Owner n ilding Prmit Building Location / Q( `�U ROOF DESCRIPTION RIFT ON OF INSULATION Material cap " `f I (WITH ����� 3 �� �aF�n1 : Brand Name Thickness(inches) Thermal Resistance (R Va ue) EXTERIOR WALL [ =� Material 1 �� Brand Name Thickness(inches) 6 Thermal Resistan e(R Valu CEILING Batt or Blanket Type /`QA�/�1 ONO Brand Name Thickness (inch_es) u K Thermal Resistance (R.Valu�7()— Loose Fill Type _ Brand Name . Minimum Thickness(Inches) Number of Bags Wt. per bag lb. Area covered(ft.2) Thermal Resistance(R Value) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Cd�uc Material Thickness(inches) Width(inches) _ FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building, _2s.consistent-with-approved building department plans and-attachments--and-con- forms with requirements of Chapter 2-53 of State of California Energy Requirement F NAME/OWNER SIG TURE OF INSTALLATION APPLICATOR STATE CONTRACTOR'S LICENSE NO. DATE I hereby certify the required features, devices, and equipment, a5 shown on the approved Building Department plans and attachments have been installed and conform to the -appli- ance standards and Chapter 2-53 of the State of California Energy Lequirements. BUILDING CONTRACTO OWNERease Print) (FIRM AME ' J, il�w L SIGNATURE OF BUILDING CONTRACTOR/OWNER Z AE FMM NE lease Print) SIGNATURE _OF HVAC CONTRACTOR/OWNER STATE CONTRACTOR'S LICENSE NO. �=�- �/(b' DATE STATE CONTRACTOR'S LICENSE NO.- '< A,) G DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE UWNtH PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ... ./ O / f I Inspector Date l-1 COUNTY OF BUTTE - DEPARTMENT ;UF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California '4;6965 - Telephone 916/534-4541 _ APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER c�0 ZONING BUILDING PERMIT OWNA _6C / I ��jj� E `� FT. OCC. BUILDING VALUATION ! (O 44&SQ. O' vV OWN r'fS �lA1 LIN Gj� o R ES 103 6`/4 r6 L V kNNAMEO CONTRA(/CCTOR'S 4& TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 8(0,00 Filing Fee $ 10,00 LENDER'S MAILING AD CRESS Permit Fee $ 50, 0,0 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 21s-00 P` `� av $ l� ARCHITECT OR ENGINE 'S MAILING ADDRESS I Permit fee $ &0 BU I NG ADDRESS PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Solar Water Heater 20.00 (/ �7 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system- 5 outlets 5.00 �/ USE OF STRUCTURE SF lei Duplex ❑ Mobi lehome ❑ Other SPECIFY _1 Building sewer 5.00 Mobile Home JS I G W 10-00ea TYPE OF WORK New ❑ Addition (> Rgm del Utilities [:1Installation❑ Other ❑ Describe work: - Fnl�r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR 000 AMP ORLESS10.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCC11.6) OR ADDNS. ( ACC. BLDGS. / 21/20sgft r O 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. No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW NON -RESIT R- BRANCH IITlrs 2.50 ea NEW CONSTR POWER APPARATUS V NON-RESID. SINGLE OUTLET CIR. Ex. Occu P(ouTLETs OR FIXTURES FIXED APPLNS. ORLicense Ex. Occup. OUTLETS (RESID.) EA.) qDAL@30" Temporary service Mobile Home Facilities Misc. Wiring 15.00 Permit Fee $ JO 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. 1 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 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 C—Li4p Hood 3.00 Ventilation Permit Fee $ 26?,to 626 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 accrue3 agai t ai ounty in conseque a of the granting of this permit. X �'3 Date Signature of Applicant — Owner W Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 33sttoories in height. Mobile Home Installation Fee $ CAJBe4v f SP , 3Q,� TOTAL PERMIT FEE , /5 O 90 OCCUP. GROUP TYPE aj NST. PAR L PD ND ISSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PE EXPIRES Date-_. the applicable provi- resolutions to do fees have been paid. WORKS Date 7 )% 3 7- /��� Receipt No. 11 / o J WHITE-D.P.W., YELLOW -ASSESSOR, INK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT;OF!P6BLIC'WORKS - BUILDING DIVISION :. 7 COUNTY CENTER DRIVE - OROOLLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET -J %% Permit No. OWNER >c-066eT RIIEWAJ / n A. P. No. �°Z-Z,0 -ac) t Proposed Building Use,. 149DAJ !� G Permit Fee Based l'Jpo'' I Complete Contract Price i/ DPW Valuation Other (Explain) Building Inspec ,fir Date — ?. %' At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RE ED APPROVED I. All items have been submitted. —0Plot plans in dupl ci atel/triplicate. . . . . . . . . . 3. Complete plans�rn duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization., � • 10. Sanitation approval from �c� Health Dept. v`f 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. . . . . . . . . . . Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. 1� Telephone 589-026.1 an• olid)for pickup at 1-14-,,o office. Deliver w/inspector. Other i x Applicant vn �I ;Il�� Dates 2 t, Copy of plans sent Health Dept., - Fire Dept., y 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, Desi Plans checked(b) Plans approved Other: Copy=DPW .. .. . Owner) was advised of above required data by Telephone Mail Other By Date Date 92 dft Date ueTJ_0 TT -LEES V ✓ j: *-y �'i� \'=ALL �! J Soli. }d °Gwoq.2TLCt01 '2iCOJ_7oC� JOT. OCT t--ap _,.Lcan� JOT •;�•p a0E�zaaZOL1f FZc.cns ,za;m of�Pui:, 1�Zc,H LZG.GnJ aCq-um LaJOGTJ Tp Cco, C:1'!'J3 :✓_O.-: l.:U�V -Ll"Td •7:3CL0111J COUNTY OF BUTTE -'Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIF ICAT ION 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing 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. Phone Contractors License No. C ity 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 Sec}�rity number - Date b � Z `�_ Y3 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 permitted to issue the permit. 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 the rational Electrical Code. This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same with- out written permission from the Department of Public Works, County of Butte. 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.. PP.oK tDE Arr . o RCPF 51�,eok.Tww, 4, wvew N4. .24 4i -_'_0X6 VkU4 FFP'C E -Ar. StpsN4 Provide .� " x 10" anchor bolts, @ 6' O. . max. and within_ u x 12" of joi D ��2 N�� S dog t A l40V low ff7X9 - li• BU �I BUILDI DEPARTMENT APPROVED. a t,t PERMIT NO. 1740-82MHI (ex Site) •r PERMIT EXPIRES 6/28/83 OWNER THEOLA SANDERS CONTR. S & H MH Ser i ASSESSOR PARCEL 62-20-40 • L i LOCATION E/S Bald Rock R�, 1200' S Sugar Pine Store, Berry Creek b 1 1 I t' . I e 1 j`1 1 7 t i Temp. Power Pole Called PG&E S Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINAL EO (Date) Signatureye; V = OK 0 = Not OK = Not Applicable M'OBILEHOMES = Not Ready t MISCELLANEOII!q Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) 0.. except N 1, Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch _ 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete _ 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 4• Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.-Bracin_g__ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enc.os„res e 6. Gas; Location—Test—Wrap:/ /"L"ft./ P'Nat.or/ P'L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date v MOB!,L-EH_QME INSTALLATION (Plans) OK except k's Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s ingRequirements—Setbacks—Easements 1. Setbacks—Easements F ngs; Size—Spacing—Marriage Line 2.• Soils; Compaction—Structure Stability G , MH Test—Demand—Valve—Connector 3. Pool Structure: Steel—Connections—Thickness—Dead Men—Lining__ Al"Elpeffi;4y; MH Test—Crossovers—Breakers—Clearances 4• Elec.; Receptacles and Lighting; Distances—GFI 5e,6rajH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6 QMH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed -"ate and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater---- al,and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enc losures— Pane Iboards— Ins. to Main in Conduit Insp.- Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test C B- ' ate and -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date I J = OK 0 = Not OK . - = Not Applicable RESIDENTIAL (Sing -le and Duplex) = Not Ready Date UNDERFLOOR Plans OK exce t#'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 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 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/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date ;Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s + y 57. Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air j ' 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Pipe; Test & Anchors -Nail Protection 16. _Water D.W.V.; Test-Fttngs & Anchors -Nail Protection ! 59. 60. Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access 17. Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elk. 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 Date Card -BI Date ELECTRICAL Permit OK except #'s 66. Elec. Outlets & Receptacles at Kit. Counter_ 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture &Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 70, 71. 72. Plb., Elec. &Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic ❑Yes 22. Size Boxes & No. of Conductors -Stapled 23. Rumex 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. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing - 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B-1 Date Card -BI Date 81. Ventilation throughout House Card B-1 Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except #'s 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ _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 -BI Date Card -BI Date 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 FRAMING(Plans) OK except #'s Comments at Final: 36. Sills; Proper Material & Anchors 37. Studs -Nailing, Spacing & Bracing -Plates -Sound _ _38. 39. _Walls; Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub _40. 41. 42. 43. 44. Header & Beam -Size & Bearing _ Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties - Purl in - Roof Brac.-Truss-Shthng.-RIng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Graft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgl. & Dimensions _ 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE— OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number //y0' k2- for the following location: 'VS k;V4, F) Vin- e. O Ya -x, (1. ni:� 6c1 !„d )�. P/IV/- ti o;t i, P-41 Owner Owner's Address-.fk Ark- ltm all L i.) Mobilehome Mfg. Model Years Insignia No. Serial No. ln� It is hereby certified for occupancy at the above described location and may be occupied. Director of.Public Works Date �%�- By J1�.��co.� .,/ -• 1 I THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. 4538-79B • PERMIT NO. i PERMIT EXPIRES OWNER Ernest &XKMXX Creamer CONTR. owner LOCATION (A.P. 62-2062-20 40 ) S/S Bald Rock Rd., mi.W.of Sugar Pine Store, Bald Rack i 7-2— A — 7—A 0-r Temp. Power Pole Called PG&E i Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB� FINALED / (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING.(Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonr .Walls Throat Rough Retnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal most Water Piping Sewer. Gas Piping MQBILEUOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ESSOR P'A CEL NUMBER- 0-O ZON{ G BUILDING PERMIT TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OW ER'S MAI LI ADD S CONTRACTOR'S AM L, p CONTRACTOR'S MAILING ADDR V Fireplace CONSTRUCTION LENDER U N K14bWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT ORENGINEER'S MAILING ADD ESS Permit fee $ BUILDING/ADDRES S PLUMBING PERMIT Filing Fee 10.00 J J Each Trap 2.00 Repair drainage or vent piping 5.00 r r Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[�KOther SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition [:1model ❑ Utili 'es [_1Installa ' n[9/ Other ❑ Describe work: ` S 4 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP,y) OR ADDNS. ACC. BLOGS. 22 sq ft CONTRACTORS LICENSE LAW I declare u er penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profes s©C�d�,a�d my license is in full f e a effect. License Noll�j o Classification Fl 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 N ECO NON -RESIT R. BRANCH CIRCTITS2.50 ea NEW CONSTR. / POWER APPARATUS 8) NON-RESID. \SINGLE OUTLET CIR. sD � � Ex. Occup OUTLETS OR FIXTURES BAL@1 FIXED APPLNS, OR EX. QCCup.(OUTLETS (RESID.I EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ✓ 1 I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S 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 gree to save, indemnify and keep harmless the County of Butte against all Iia 'lilies, judgments, co s, and expenses which may in any way accrue against aid County i cos uence of the granting of thisKermit. X Date v`�J" lj Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- of structures over 3 stories in height. Mobile Home Installation Fee $ ©'" TOTAL PERMIT FEE $ - OCCUP. GROUP TYPE OF CONST. PARCEL PD No ISSUE v This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OR OF BLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dat ,? 3E-D.P.W., pz eipt No. PV"I LRe YELLOW-ASSE930 R, PINK -INSPECTOR, GOLDENROD -APPLICANT r � f This set of plans and specifications MUST be kept on the job at all times and it is unlawful make any changes or alterations on same ith- out written permission from the Depa ent of. Public Works, County of Butte. I NOTE.—All Materials & Workmansihip Shall t Accordance with Recognized Good Practicesa of a quality prescribed for the Specified use in t e Uniform Building, Plumbing & M chanical C and the National Electrical Code. l A setback of 5 ft. from the property I nes and a setbackOhio of 50ft. fr m the road �1 �enterline shall be clear of ��, structures or equipment except for a 2 ft. t ave overhang. A ApW' 42.2,0—',/s 1 Mot,- euu� couNre WADING DEPAR7MENl7 AppRovFn (too, BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,,CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET S 1. Owner's name: r 2. Installer's name: 3. Is the site currently under permit? Yet No (If yes, furnish permit number ) OR. Is the site an existing site? Yes / T� 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 setbacks.and easements? Yes / / No lof.all ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? ---------- O© 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 No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ----------------------- 10. What is the type of gas service?"--=-------------------------- Natural 7 LPG / X/ 11. What is the gas pipe length from meter or tank to the mobilehome? J (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.) MOBILEHOME SUPPORT DATA n If .other than single wide, `' ^ Mobilehome Mfr. d.IR� furnish. Setup Model No. Year. Width (ft.) Box Length(ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) 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). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single `t�- 1. Wood either' (ft. (in:) Center su ort location * (ft.)(in. II (ft.)(in.) (ft.)(iV.) pressure treated or foundation grade. x (in.) ( in. ) El 2. Other: (specify) Center Supp t footing siz s Supporta (check one) (in.) 1: Concrete block. x 1: Other. ( specify) (in.) n.) Tagalong or Expando,' show support details. (in.) (in.) -- Typical Support (in.) (in.) Footing Size x (i .) (in.) -- Max. Pier Spacing (ft.)(in.) Max. Overhang (ft.)(in.) /7�-�z &MIt COUNTI AUILDING DP-PARTMEN ApPPOVPD *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. y� Z DESCRIPTION EXHIBIT "A'', ORDER NO. 25701-0 All that certain real property situate in the County of Butte, State of California, described as follows: That, -portion of the Northeast quarter of Section 34, Township 21 North, Range 5 East, M. D. B.. & M.,. lying South and East of.the Bald Rock' -Road and lying North of the following described line: Beginning at a point on the Eastboundary of said Section 34, distant North 1° 181 East 566.04 feet from the quarter corner common to.Section 34 and 35s of said Township and Range; thence South 88° 26, West, 936.96 feet to a point in the Easterly line of said Bald Rock Road. EXCEPTING TIIERE FROM,:'all that portion thereof which lies Easterly of the following described line:. Beginning at a point in the East boundary of said Section 349 distant North 1 181 East, 566.04 feet from the quarter corner common to Section 34 and 35 of said Township and Range; thence North 1° 181 East, along said East boundary 317.43 feet to a point in the Southerly boundary of the Bald Rock Road; thence along the Southerly boundary of said road, the following courses and distances: North 53 52' Westr 191.75 feet to the beginning of a curve concave to the Southwest having a radius of 880.0 feet; thence Northwesterly along said . curve an arc distance of 130.55 feet, through a central angle of 8° 301 to the point of tangency of said curve; thence North 620 221 I -lest, 6.24 feet to the beginning of _a_curve .concave_ to the South_ having_ a -radius of. ;255 feet; thence:. Westerly along the are of said curve an arc distance of 100.58 feet through a central. angle of 220 361; .thence North 840 58' West, 5.61 --feet to the Northwest corner of the parcel of land described in the Deed from Charles Jagoe, et ux, to Willard R. Faulkner, et ux, dated November 9,1955 and recorded December 23, 1955 in Book 805 of Official Records of Butte County, at page 375; thence continuing along -the South -line of said Road, North Be 58' West., 78.0 feet to the true point cf beginning for the line to be described; thence from said true point of beginning, parallel with the Westerly boundary of said Faulkrer parcel, South 80 021 West, a distance of 559 feet, more or less, to a point on the South line of the parcel of land described in the Quit Claim Deed from Forras J. Nelson, et ux, to Charles Jagoe, et ux, dated October 26, 1955 and recorded December 23,• 1955. in Book 805 of Official Records of Butte County,. at page 373, and the end of 'said described line. ALSO.EXCEPTING TH RMOM the Southerly 138 feet as measured along the centerline of Bald Rock Road. AP No. 062-20-0-040-0 END OF DOCUMENT 0_-., Return 'bo `bPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 8Z�-192 5 FOR RESIDENTIAL DEVELOPMENT Section 26-8aof the Butte County Code requires this acknowledgement 8tJr1ic CUUft, 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 EVANOR M. this property may be subject to inconveniences or discomfort arising CLERK - RECORDER from the use of agricultural chemicals, including, but not limited to herbicides, FEE pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should, be prepared to accept such inconvenience or discomfort from normal, necessary farm oprations. All that real property situate in the County of Butte, State of California, described as follows: . , _: ZJ�4. '71 �i `i Date: PRO ERTY OWNERS: State of 6�G ) On this the day of , 19 SS. before me, the undersigned No. ry Public, personally County of ) appeared uuunu�menc�eeem���u°ne�ee�a„eeos,oe,namaAe�el / ) 0��� f � /�' �/�i�%s%I% . OFFICIAL SEAL 4 "' RHONDA N. DILLENBECK NOTARY PUBLIC CALIFORNIA C= COUNTY. of � My BUTTE COMMIsslon 198 3 known to me to be the person(s) whose name(s) l ��omenoaeeaaoo� ellacea oeueoo®�eol®.aeros a:e� eceaeoe igloo, subscribed to the within instrument and acknowledged that At— executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official rn seal. Cts // Notary Public " Present A.P. NO. PERFORMANCE ENTERPRISES RODERT A. MARTIN b a�� C;20, . I.. V4M�'u/n"- Al4�i (N"�' j�°J'JMN.1✓ n C . (40 a 1 P.O. Cox 540 ............ (91 W -&s4wSitpoG Palermo, CA 95968 J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534:4541 APPLICATION AND PERMIT Owner C&=-At%02 Mai I i ng Address 8;o)( 00 o—pev c�e-� ^� elepho-e Noq Contractor n (A) N E_ Q V Mailing Address ((�� Telephone No. Ju Building Address SLS R ALD 205-c RD , OC So a A-2 A A)e STOez RAU PK)t A. P. No. (D-2,— `ice' J C) ' �[ O 'Zoning & Planning Fres W.6 S t fon Fire Dept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 0' R/W Im roveme.— PI s Declaration p p oo Bldg. Plans Recd Parcel A40 royal Plan w0r5oporoval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Single Family ❑ Duplex ❑ Mobil Home Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: -?9 _ BUILDING IIV '} SQ. FT. I OCC. I BUILDING VALU TION Fireplace Total Valuation---II-- Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service soov OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. ( DWELLING OCCUP. s OR ADONS. ACC. BLDGS. NEW CONSTR. /MULTI.OUTL T NON-RESID 1 BRANCH CIRCUITS NEW CON ST R. (POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. Ex. OCCUP(OUTLETS OR FIXTIIRE; Ex. Occup ( FIXED APPLNS. OR • OUTLETS (RESID.) EA Temporary service Mobile Home Facilities Misc. Wiring License No. Classification I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Cooling Workmen's Compensation Insurance. I'f th t' th f f th k f h' h h' FEE $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 >-.50ea 0@23¢ IAL @ 1 2.00 10.00 15.00 6.25 @ FEE $3.00 certl y a (n a per ormance o e wor or w )c t Is Ventilation permit is issued I shall not employ any person in any manner to become subject to the Workmen's Compensation Laws of Hood 2.00 California. Permit Fee $ $ 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.— iIding construction, and hereby authorize representativ of the ounty of B tte to enter upon the ab -mentione prop ty for in a tion purpo es. ignature of Permitee or Agent ece' t No. �5-77Z e-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Land Development Fee $ TOTAL PERMIT FEE $ S loo This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above which fees have been paid. DR OF PU LIC WORKS Date ' 364 Building permit expires Date 7" AQ _7 r 2965-82 PE4iMIT NO. PERMIT EXPIRES /V h 5� OWNER Robert A. Martin CONTR. Owner ' ASSESSOR PARCEL 62-20-40 LOCATION E/S Bald Rock Rd, app 1000' W of Sugar Pine Store, Berry Creek j �r ;1 A . i Temp. Power Pole Called PG&E i r Temp. Elea Servi, Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Da r c Signature / J OK-, 0 = Not OK - = Not Applicable * = Not Ready 1� MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg. Boxes -Enc losures- Pane lboards- Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date 9 J = OK 0 = Not OK Not Applicable Not Ready RESIDENTIAL (Single and Duplex) = Date UNDE$fLOOR(Plans) OKexcepWs r 11n,to FRAMING (Co ti d) 441 -Zoning requirements-Setbacks-Easements FT M"11121�i^5>1TTs-Steel-Elec. Grnd.- Ftg. De g., Garage; Soils -Steel- / Ftg. Depth 4. gF�fJPdf125'&-Decks; S, y -Steel- / /" Ftg. Dep emwalls, Main; Stiff Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7, Pi - ;replace Ftg.-Steel 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 C r I ate Card -Bl Date Card -BI Date Card -BI Date Date PLUMBING (P OK'except N's _ 14. Water H .; Vent -Access -Combustion Air e ip,,f 'dter Pipe; Test & Anchors -Nail Protection Card -BI Date y 6 17. t 6 $ills; Proper Material Anchors 18. Test Tub & Shower, 2nd Floor -Tub Access Card -BI Date Card -BI Date Date PLUMBING (P OK'except N's _ 14. Water H .; Vent -Access -Combustion Air edroom Exiting ip,,f 'dter Pipe; Test & Anchors -Nail Protection Card -BI Date 1_4_-E VTV.; Test-Fttngs & Anchors -Nail Protection 6 17. Shower Pan; Test, First Floor -Tub Access 6 $ills; Proper Material Anchors 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub �,&_-9eader & Beam -Size & Bearing _ 42. Hangers -Post Caps -Anchors -Co rs Cing. Joist-Rftr. Ties-Purlin Roof Brac -Truss-Shthng.-Rfnq. 44. F'replace Ties or Type A Flue -Fireplace Throat Card -BI Date -,7. Card -BI Date Card -BI Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing Date Card -BI Date _Date ELECTRICAL (P it) OK except q's . & Transformer Clearance -Ins. Protection ff Elec. Receptacles Receptacles Spacing -Lights & Switches at Doors ve,-ze Boxes & No. of Conductors -Stapled Z4 5,ofnex Installed Close to Edge of Studs & C.J. �4.�Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / ga. Cu.o A A.C. Wire Size / / ga. Cu or 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes E3 No 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light Card B I a Date'--!ard-BI Date Card B -I Dat Card -BI Date Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 32. Vent Fan; Exhaust above Insulation n nue 4§^�Operty Line Firewall & Openings 4A. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits SO­7Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection $1: lywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding - 53. -Stucco Screed-Fdn. Vents-Underflr. Access `94--G'Iaging Area -Glass Protection -Skylights -Plastic -55.r-Shear Walls; Nailing -Bolts Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINA (Plans) OK except k's Ext. Steps -Door & Sidelight Protection -Landings 'tr Smoke Detector Se: Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 40 edroom Exiting 00 G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels Card -BI Date irs & Rails 6 Fireplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. -66w Elec. Outlets & Receptacles at Kit. Counter -ems Garage Fire Door; Swing -Landing -Closer -W. A.C. Duct in Garage-Damper -99-Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection P b., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic ❑Yes Guard Rails & Deck Construction -Post Caps -"T Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ,11 ollowing instld.: Drive ❑ Yes []No; Walks ❑ Yes ❑ No; Planters ❑Yes El No iM`9"tucco; Brown -Finish l71-A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 7K4.ylls Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ater Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House .BP!' Glass Protection _ f - Corrections from Previous Inspections "0** s Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval ,86. Energy Compliance Certificate -Other Certificates _ __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 -BI Date Card -BI _ Date _- _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plrans OK except q's Comments at Final: 6 $ills; Proper Material Anchors _ 3.7JWalls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38e -Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub �,&_-9eader & Beam -Size & Bearing _ 42. Hangers -Post Caps -Anchors -Co rs Cing. Joist-Rftr. Ties-Purlin Roof Brac -Truss-Shthng.-Rfnq. 44. F'replace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) Card -BI Date Card BI Date Card -BI Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Groville Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE lv"? OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you,have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date ' f s COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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 / � � Date �� 4� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle— Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE MAl2 TIA" /,:'/,/LJJ4ncrt r<-0 BUILDING OR PROPERTY ADDRESS 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. cJ 4 L L_ V<- C...J,1T7-t- X y� 5 7z- fl, d� �Ca�" F�•ti C.. i af_7GtJ ,.J4L L. . I nsP ector �h�J�+!/�'"� i Date i COUNTY OF BUTTE-'DEPAPTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilie, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT • PERMIT N k� ASSESSOR PARCEL NRIMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION R' MAILING ADDRESS •2 � v CO'NTRACTOR'S"AME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ (1000 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 0 ID. 00 Penalty $ ARCHITECT ORENGINEER'S MAILING ADDRESS Permit fee $ /00-00 BUIL TNG A DRESS S PLUMBING PERMIT Filing Fee 10.00 ~ Each Trap 2.00 Repair drainage or vent piping 5.00 _'[SUBDIVISION Water piping LOT NO. NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUIPV71E SF ❑ Duplex❑ Mobilehome❑ Other - SPECT PY Building sewer Lawri sprinkler system 5.00 TYPE OF WORK New [/Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2;5'50 NEW CONST.DWEL O UP.eI OR ADDNS. ( ACC. B ) gq 1 ft O CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSInesS and Professions Code and my license is in full force and effect. License No. Classification �] I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR (.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR / POWER APPARATUS 6) NON-RESID. (SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES_ gA� 250 ,� FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID,) EA, 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ t® Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I 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 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 agains al County in onsequen a of the granting of this permit X Date o 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 $ TOTAL PERMIT FEE , OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND 1550 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT F PUBLIC By PE EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 7I96 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ' PERMIT NO. 1241-79B I PERMIT EXPIRES. OWNER Don George owner CON TR. 11 LOCATION (A.P. 62-20-40 ) S/S Bald Rock Rd.,app.3/2 mi.from Oro - Quincy Hwy, Berry Creek I { t r { Temp. Power Pole r Called PG&E Temp. Elea Serv. + Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED Setback Forms Main Bldg. Footings StemwaI I Slab Piers Garage Footings Stemwa I I Slab COUNTY OF BUTTE=.DEPARTME"NT OF. PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) structure 04Temp. Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water PI inc Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for phsically handicaped Conformance of ex. Appliances Gas Piping PLUMBING Footings structure 04Temp. Gas Slab Final Wzf12V= Sanitation Patio FIRE LACE Final Footings Footing ELECTRICAL Masonry Walls If Throat Rough Reinf. Steel Final - Fixtures Bond Beam' FIRE SPRINKLERS Motors Framina Test Water Htr. Stucco _ Final Subaanels Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES --------•--------- Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) loll COUNTY OF BUTTE — DEPAP�TMENT OF PUBLIC WORKS 7 County Center,Drive' Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of t3utte to enter upon the above -me oned p o Yty for ' spection purposes. X Date ZL79 Signotur of Pe ltee or Ag nt Receipt No. l � "� 7V White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO"F PUBLIC WORKS BY Date —3 — f L(— 7 B ilding permit expires Date `�—�� BUILDING Owner �' b SO. FT. OCC. BUILDING VALUATION ® o Mailing Address Teleph-ne No.rr Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address 15� Plan Checking Fee&/or Penalty Permit Fee 20 Y, 044 — PLUMBING No.1 @ FEE ^ PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. v'Z — D C?..-ninq &Planning Water piping 1.50 Each gas water heater or vent 1.50 Ft—ee I 4,e- S t' on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans i3arcei Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 B ilding sewer 5.00 Bldg. ns Rec'd Parcel A Plans Approval,,, -'Lawn sprinkler system 2.00 NEW ❑ ADDITION ® UTILITIES ❑ OTHER ❑ Permit Fee $ P ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP LESS 5.00 Single Family Duplex Mobil Home 9 Y � P ❑ ❑ Others ❑ -L Main service EA, ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 OR ADDN5. ACCNEW CONST.LBLDGSCCUP. S) 2¢Sgft ( CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR / BRANCH CIR T NON-RESID l BRANCH CIRCUITS) 2.50ea NEW CONSTR. /POWER APPARATUS 9 NON-RESID, \SINGLE OUTLET CIR, Ex. OCCUD(OUTLETS OR FIXT11PES) 50@25C BAL @ tOs Ex. OCCU FIXED APPLNS. OR P• 2.00 OUTLETS (RESID•) EA) Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ " authorize representatives of the County of t3utte to enter upon the above -me oned p o Yty for ' spection purposes. X Date ZL79 Signotur of Pe ltee or Ag nt Receipt No. l � "� 7V White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO"F PUBLIC WORKS BY Date —3 — f L(— 7 B ilding permit expires Date `�—�� rill Owner: Address: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT 0 P. g59_/6 Date of Inspection Tenant: iii 1/I i n (G(/ d� r Inspector �G� I� 4-4 Building Location: Type of -Inspection = 1. Housin 4. Other . ( specify) Present use of bu �/� o,wag See -fko m -'4ie road 9:, M�Ao� A. Sanitation (Housing) / i`6 �S eCN2cS% 1. Water closet: 19K0111ile 110AC10P- 2. Lavatory: 3. Bathtub or shower: • 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: '12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments• B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: - D. 'Plumb in 1. Fixtures connected and vented:. 2. Gas water heater: 3. Gas heating vents: 4. Cments• (continued on back) E. Other r 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: 77A. Information only - file. Hold for tea (10) days, then write letter. / / C. Write letter. 77 D. Other: Omer: Ltvi C: Address: Tenant:--- Building enant:--.._ Building Location: Type of Inspection requested: B1717E COUVTY DEPARTMENT OF PUBLIC WORKS `SPECIAL "IMS..tECT-1G-M REPORT A. P. # (Y 4�,()`� Date of Inspection 3((J9[ -)q Inspector 7-1 1.. Fousiag / / 2. Financing 3. Chance of Occupancy to 1 i4. Other specify) W/o Preseut use: cf build-in�:_ A. Sanitation 1., Water closet:_ 2. Lavatonj Bathtub ar shower. -- — 4. Kitchen sink: _ _' 5. Hot arta cold vatr_r to fi.rtures: 6. Heating xac:{tlties: ___�_ — 7, Natural light and vent i.larion: 8. Roo, -P and space requirements: 9. BedrocAn window or door; for second exit;: 10. Infestation of insects, vermin, or. .rod -zts: 11. Connection to sewage disposal.: '12. Cornect.ion to grater supply: 13. Rubbish and garbage faci-lities: 14. Comments: - - B. Structural 1. P .ers and footings: _ 2. Floor constnicti.on: 3. Wall constriction:�- 4. Ceiling and roof constriction: 5. P r :places:�_Y� 6. Comments: C. Electrical s i. Sergi•ices ^nom ss-canj:_...._ '.,_._..._._.._._._.._._. 4. D. PljYmbink 1. F.x:ur.es co:i_�act�d and'vente.d: L�, E.. Other -. 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: ' 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial_ Buildings 1. Roof covering: 2. Distance to property lines: 3 Physically handicapped: 4.. Restroom floors and walls: 5. Exits: 6. Improvements: - 7. 8. Z on -ing Comments: G. Field Probl.ens or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description) 3. .YccaL c—l-Lvcc L-leccxwmenuea: T7 A. information only - fil.-33. B. Hold for test (10) days, then write letter. C. Write letter, 77D. 0 i I PFIMIT NO. 4051-79P,E PERMIT EXPIRES • DOWNER Ernest Creamer ICONTR. Marsh Const., Oroville h 1 ,LOCATION (A.P. 62-20-40 ) ' S/S Bald Rock Rd., k mi.W.ot Sugar Pine Stogy, Bald Rock' C• ! Temp. Power Pole i ( Called PG&E Z -T-enp Elec. Serv. Called PG&E 'L_ow. Gas Serv. CallecLE - 1 10ELED (SignrZ /� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Set ck kewall Sok Pipin Form Pa)qpets 1 ALF I oor Mal Bldg. Rest om Finish 2nd loor Fo in s Windovh 3rd F or Jr Stem all Sidin To out Slab Roof Shealking Water Pi in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal l 4 Garage Vents Insulation 4 Water Htr. Heaters Slab Carport Footings X Prov. for ph sicall handicapped Conformance of ex. structure A Appliances Gas Piping & Test Temp. Gas Slab - Final Sanitation Patio FIREPL CE Final Footings Footing LECTRIC L Masonry WallifThroat 4 Rou h Reinf. Ste I _ Final Fixtures Stucco f Final Subpanels Mesv MECHANICAL Grd. F ult Prot. Scr tch Heajfng Servi e B wn Coiling T mp. Pole Inish D cts N I Anderground erlor Lath Jentilation Permanent oor Closer Final Inal MOBILEHOME UTI ITIES------------------ Elec. Service' Elec. Pedestal--, Water Piping . 2 Sewer Gas Piping E OME Nm.nnST LL TION - - - - - - - - - - - - - - Support 9 Elec. Continuity 1 Water Piping ���I V Drainage /f 2 7t? -Jr- Gas Piping --71 <,-7 5P5P, DATE --REMARKS OR OOjR CC/ORRR.EECCT•IIONS e - �'DO�� .2O � � (� �� �(� CCS/ 1�� %l•� 5-�.�'/=� t r � •� t C&7 (NOT :An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number - r the following location: Owner �. - , •ter Owner's Address • + �_ Mobilehome Mfg. �� y Model _ Year Insignia No. r Serial No. ' It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By _ THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes_LAO_ 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes No 3. Are footings and supports properly sized, spaced, and braced as pe approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes— No 4. Is the mobilehome level? (Sec. 5088) Yes A./No If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes— No__0 .6. Water A. Is fl xible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) YesVf No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes_LZ No C. Backflow - If coach is not St a e o California approved, does station have backflow device and pressure -relief valve? Yes 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum k" per foot slope and is it properly supported? Yes_;//No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No� 1 — D. If coach is ot, State of California approved, does station have required trap and vent? Yes— No --w /Pr 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as large as the mobil home gas line inlet without reductions other than the mobilehome connector. Yes mobil B. Test OK as per following procedure? Yes �N_ 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test -for 10 min, without drop, v 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes ✓ No 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal raft*g of mobilehome with a minimum of 0 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Yes ✓No_ C. Is power supply cord or feeder assembly properly fused? Yes t../No D. Is continuity test satisfactory as per the following procedure? Yes'/ No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length Width Vehicle Serial No. `-> State Identification No. Additional Information or Comments: 1 Owner Mailina Address • COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 ` Telephone: 534-4541 APPLICATION AND PERMIT [T/ BUILDI G SQ. FT. I OCC. BUILDING V LUATIO __�f Telephone No. Contractor Ger. C, Mailing Address r 1 Vim' Fireplace Total Valuation ,S '' Telephone o. �- Is Permit Fee Building Address Y ���0 Plan Checking Fee&/or Penalty Permit Fee 1� L, O C PLUMBING No. @ I FEE PERMIT FILING FEE $3.00 ,Cy0 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. i �onina & Planning Water piping 1.50 Each gas water heater or vent 1.50 F _ W S .' on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 /0,6-0 EQA Parking plans, Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. ane RecdParcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ permit Fee $ , ©D ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Qd Main service 100v OR LESS 100 AMP OR LESS 5.D0 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 -� Main service OVER e00v 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW OR ADDNST ( ACCLBL GS.LING CCUP. h) 22Sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR BRANCHCIR-OUTLET NON.RESID (MULTI BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS 8 NON.RESID. (SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES) 50@25e BAL1 FIXED APPLS. OR Ex. Occup.(NOUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 , C�o License NoSZ!s/." ClassificationA - f3 Misc. Wiring 6.25 ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee Jq $ 'FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor A h' h I t b' d 1' b' ' MECHANICAL N0.1 @ PERMIT FILING FEE $3.00 Heating Co e w is requires every emp oyer o e Insure against la Illty for Workmen's Compensation. fel I have placed on file with the County of Butte a certificate of k� Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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. X ✓ter%- ���� Date,:;;- Signature ate Signature of Permitee or Agent / Receipt No. �( White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO PUBLIC WORKS By Date 7-/0 B ding permit expires Date %—°�'d�o To: Building Department From,.Subject: Sanitation Clearance _d�. &a "wner Loca ion Plans approvers for: Sewage Disposal � Water Supply Hold final for o Water Supply Final clearance O.K. for: Water Supply Clearance for a bedroom mobile home. Other Clearance for addition of Note" Sanitarian COUNTY OF BUTTE—.DEPARTMOSPt Of PUBLIC WORKS — BUILDING DIVISION 7 County CenterfDrive — 0roville, California 95965 — Telephone 534-4541 G PERMIT APPLICATION DATA SHEET 6` _ OWNER S C --)A �r.�i�r�l/l' Proposed Building Use All , OZ % Permit fee based upon: Complete Contract Price .Othi?rr (explain)___ / Building Inspector ��% ---�� _ �.__ ,.yrs- . Permit No. A. P. No. �_�.. 7�� _ 4 —A r 1 v �_,�.DPW Valuation Date �C �-�� At time of permi.t'.app.lication, I was advised jhe;f ol.lowing 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............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ ' kt 6. State Energy Forms No. 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $ :......................... 9. Letter of signature authorization............................................................. Sanitation approval from Health Dept.... Planning approval for 12. Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see n addressbelow)................................................................................................. 5. Pre inspect' n for required. a re -in request to 16. Other N> P Spector When you issue the permit, process as follows: Mail to owner »lf Telephone and hold for pickup at office Other Applicant:,— f�.�%�.1�. , Date I to contractor. Deliver w/inspection. 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 iteG% 1. Index permit for above Items No. 2.. Additional items required: V, . (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other BY - Date Plans checked by Date Plans approved by Date OTHER: Copy/DPW AP (YOVER PEEMUT V M-H..:UT'-rL,, CLEARANCE DATE Support us sellvice �cher lize o..,d-_Zvpe_ Pipe Site Lenath Ab� Support COUNTY OF.BUTTE — DEPARTMENT OF PUBLIC WORKS �! 7 County Center Drive - Oroville, California 95965 ., ,. Telephone: 534-4541 APPLICATION AND PERMIT authorize represen fives of the County of Butte to enter upon the above-mentioned operty for i spec ion purposes. X Date g- 7 Sign ure of P itee or Agent I Receipt o. �s �� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated aboZ.671DAF.C—,9AF ich fees ha been been paid. PUBILIC WORKS Building permit expires Date BUILDING Owner 07' UCAINCK SQ. FT. OCC. BUILDING LUATION Mailing Address 90um Aox `OP Telephone No. ContractorIl Mailing Address Y �� - Fireplace Total Valuation T� j�pow e No S Permit Fee Building Address /000� �-f SOMA,Plan Checking Fee&/or Penalty Permit Fee oy g&.09 g6cle RoAvo PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 �,/ A. P. No. G'o� "yO Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 Fwfw Slffl at+ela-• Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel De laration I Parcel Map 6 R/W Improvements Eac .additional outlet .30 wilding sewer 5.00 Bldg. Plans c'd Parcel ApAovol I Plans Approval Lawn sprinkler system , 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ _) " C ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR LE LESS5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD -L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service/ EA. AOD'L 100 AMP 1.00 NEW CONST.OR ADDNS. C ACCDWELBLDGSCCUP. ! 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: 096" TAgzz,69 5&'IES - MULTI -OUTLET NEW RESID, / BRANCHCIRCUITS NON.CONS ` BRANCH CIRCUITS/ 2.50ea NEW CONSTR. POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. Ex. OccuD(OUTLETS OR FIXTI1RES BAL 25 FIXEAPPLNS. OR D Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 a6 9fl C—/7 License No. Classification t� Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor ode which requires every employer to be insured against liability r Workmen's Compensation. 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 1 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. @ MECHANICAL No. FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws r94ating to building construction, and hereby Land Development Fe $ — TOTAL PERMITfFEE$ authorize represen fives of the County of Butte to enter upon the above-mentioned operty for i spec ion purposes. X Date g- 7 Sign ure of P itee or Agent I Receipt o. �s �� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated aboZ.671DAF.C—,9AF ich fees ha been been paid. PUBILIC WORKS Building permit expires Date COUNTY OF BUT DEPARTMENT OF'PUBL.IC WORKS — BUILDING DIVISION s Jr -.r. .,: yL :y 7 County Center Drive — 0roville, California 95965 — Telephone 534-4541 PERMIT APPLICATION DATA SHEET OWNER if /W, Proposed Building Use_ Permit fee based upon: ;a — Complete Contract Price er (expjain) r� Permit No. A. P. No. Building Inspector ,'1 1&4A Date -a_._ //— DPW Valuation 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............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $.................................................. 9. Letter of signature authorization............................................................. 10. Sanitation approval from Health Dept.... 11. Planning approval for ............. 12. Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see A addressbelow)................................................................................................. 15. Pre -inspection for required. Pre-inspec.request to bldg. -inspector (date) 16. Other When you issue the permit, process as follows: Mail to owner Mail to contractor. Telephone and hold,for pickup at office. Deliver w/inspection. Other Applicant —>' ... / Date /A Copy of plans sent Health Deot., Fire Deept., Other Dater 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 Mail Other By Date Plans checked by Date Plans approved by Date r Coov/DPW MOBILEHOME SUPPORT DATA ' .If other than single wide, Mobilehome Mfr. 1 �iN(�3�'% furnish Setup Model No. Year Width r (ft.) Box Length 6 1) (ft.) Tagalong or Expando Size ft. x 1 ft. (SHOW SUPPORT DETAILS BELOW) 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). All center supports measured from front of mobilehome unless otherwise specified. �I x�1 (ft. (in.) x (ft.)I .(in.) (in.) (in.) *If center piers are other than drawn above, 'draw in. -locations, spacing, and dimensions. Max. Pier Spacing (ft.)(in.) -7/09 1 -= Max. Overhang (ft.)(in.) sum; COUNT`f BUILDING DEPARTMEW APPR0VGD f Footings (check one) Ingle 1. Wood either pressure treated or foundation grade. (ft. n;) (in.) (yin.) "� 2. Other (specify) Cente Center sup ort locations support footing sizes Supports (check one) (%in.) 1: Concrete block. x yin.) 2. Other (specify) (ft.)(in.) (in.) --Tagalong or Expando, show support details. (in.) Typical Support (in.) (in.) Footing Size �I x�1 (ft. (in.) x (ft.)I .(in.) (in.) (in.) *If center piers are other than drawn above, 'draw in. -locations, spacing, and dimensions. Max. Pier Spacing (ft.)(in.) -7/09 1 -= Max. Overhang (ft.)(in.) sum; COUNT`f BUILDING DEPARTMEW APPR0VGD BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 e MOBILEHOME INSTALLATION SHEET 1. owner's name: 6&k S'7- C"EA91-9 2. Installer's name: 0/70Y/LEERILt SRI �3 3. Is the site currently under permit? Yes No (If yes, furnish permit number ���'T�791� ) OR 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 '�Z/ No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- 160 Amps 6. What is the mobilehome site.service rating? --------------------- /00 Amps /00 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 M/ (If yes, identify the load and size: (Load) (fps) 9. What is the mobilehome site gas pipe size? ---------------------- / (in.) 10. 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 (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.) V NOTE.—All Materials & Workmanship od ractace ll 8 and Accordance with Recogn+ze the Specified use int e Of a quality prescribed for F Mechanical Codes and Uniform L�uild+ng, Plumbing Electrical Code. the National This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any change written permissionfrom the Department of P blip Works, County of Butte. Septic system and locati n/ r e as �C'° Butte County Health Dept. quirements. A permit will be requim lehome e nstailation of the All utility connections shall GOIfZ/ `� The W. Setback shall be 5 ft. from the side property line and 50 ft, from the located within 4 ft. outside the rear ' centerline of the road, permitting amaxi- third section of .the mobile home nwm of a 2 ft, cave overhang but entirely • on the left (road) side of the mobrle �g � all. easements. home. _ 40GI.-21 BUTTE cou►vrY BUILDING DEPARTMENT APPROVED