Loading...
HomeMy WebLinkAbout062-510-055_ . TRA S PELFREY 62-51._55 44 -Tre ined Lane,'Berry Creek Perm 'tib •0-86P,E(util, MH) 1 ELEC„ „ GAS SUPPORT.STRUCTURE EQ_ .OMPACTION- TEST REQ 62 1-55 GINA ARRABITO- s44%Tree Line Lane, Berry.Cree Gonc;2:- Paul-Arlat�ito___..._. Permit#17.10,-89P(to complete•util for 3680-86) ELEC. v� GAS 3 i SUPPORT STRUCTURE REQ., • COMPACTION TEST R Q/�/j� .. Z yArrabito 9MHI I I LO,, rm .Mw�i 711 - s PERMIT NO. _ PERMIT EXPIRES �v 1 OWNER TRAVIS PELFREY CONTR. owner ASSESSOR PARCEL 62-51-55 o LOCATION 44 Treelined Lane, Berry Creek I/714l/ e,)1T /o 4��s Ser�l'R y ._ (` ti I •. IN, OFFICE COPY, -, -Address S A ,. �.,,,_� jr t MGvp� ( ELECTRIC`` ' Meter By ate � + Temp. Power Pole Called PG&E a 3 Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E r JOB FINALED (Date) Signature _ _ S=3 JAOIt 0 = Not OK - = Not Applicable = Not Ready MOBILEHOMES 1 MISCELLANEOUS .S Date MOBI HOME UTILITIES (Plans) OK except Ws Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's VZ9p4g Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Ow"S-oils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test- II -C/0 oncrete 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.-R'fg.-Bracing ectricity; Location-Clearances-Grnd. Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures _ Gas; Location -Test -Wrap:/ /"L"ft./ P'Nat.or/,*ST'L"ft./ /"LPG 1 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. S Card -BICHO Dates 4/,MCard-BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBI EHOME INSTALLATION (Plans) OK except N's Date POOLS (Plans) OK except #'s Zonin equirements-Setbacks-Easements 1. Setbacks -Easements 2 tings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 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 L1111-6rain; MH Test -Fall -Flex Connector t�. a er; MH Test -Regulator -Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed ater and Sewer Connected -C/O to Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 6. gasand Electricity Tagged '"` f 8, Elec.; Grounding; Equip,w/5'-Circulating Equip. -Pool Lghig. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit E .its; Insp.-Sketch Cert. of Occupancy t 9, Health Department Approval 10. Plumb; Cir. Test -Water Supply Test 1 Card B -I JY4 Date Z.14fGj`Card-BI Date Card -BI Date Card -BI Date Card B -I Date2•1-S• Card -BI 4W Date Card -BI Date Card -BI Date J = OK 0 = Not OK - = Not Applicable = Not Ready s RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK exce tk's Date FRAMING (Continued) �. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings y 2. Fig., Main; Soils=Steel=Elec. Grnd.- / " /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits • , 3. Fig., Garage: Soils -Steel= / • ,/'' Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection - - 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents=Rafter Outriggers - 5. Stemwalls, Main; Steel-Blockouts=Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh=Drip Screed-Fdn. Vents-Underflr. Access _ 7 Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic t _ 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts _ _ _9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date r, Card -BI -- Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except p's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector Card -BI Card -BI 14. 15. 16. 17. 18. 19. Water Ht.: Vent -Access -Combustion Air Water Pipe; -Test & Anchors -Nail Protection D.W.V. Test-Fttng_s & Anchors -Nail Protection Shower Pan: Test, First Floor -Tub Access Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe: Size & Anchors - `- -• - - - Date_ Card -BI Date Date Card -BI Date 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. 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 Date ELECTRICAL Permit OK except 11's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper Card B -I Card B -I 20. Fixture & Transformer Clearance -Ins, Protection 21. Elec. Receptacles Spacing-Lights & S.witches 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 Al Ci 27. Range rc. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral - Yes 11No _ _ 28. Service -Riser Conductors & Ground -Main Disconnect_ _ 29. Equip. Clearances: Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light _ Date Card -Bi T Date _ Date Card -BI Date 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. 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 !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor El Yes 75. Following instld.: Drive ❑ Yes No; Walks ❑ Yes ❑ No; Planters ❑Yes 0 -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 Date MECHANICAL (Permit) OK except k's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric Card -BI Gard -BI 31. 32. 33. 34. 35• A.C. Ducts. Insulation & Support _ _ Vent Fan: Exhaust above Insulation _ Condensate Drain & Overflow; Size & Grade _ Furnace -Vent: Access -Comb, Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic _ Date Card -BI Date _ _ - Date Card -BI Date 85. Water & Sewer Connected -C/0 to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI bite Card -BI Date _ Card -BI Date Card -BI Date Date FRAMING(Plans) OK except p's Com lents at Final: 36• 37. 38. 39. 40. 41 42. 43. 44. 45. 46. 47. Sills; Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops_Futre_ Ceilings-Stairs=Chases-Tub_ Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Atlic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing_ (NOTE Anentry must be made each time you visit job site) l MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT NO. 7!/ " Address or location of mobilehome 4/ 41 _el:�. ��^ -� . C. (-� Owner's name A^ , K " k 1, , 7� Owner's address Insignia or hud number �. �-� �P �o ii,-,. + •� Manufacturer's nameId 04�� S Serial number of V.I.N. Z/,;g 4:3 <j Year of manufacture l� I Afp(o)�i6g Installation IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 1 L_.-5t3p_ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS =_ 196 Memorial Way, Chico — Phone: 891-2751 - 7 County Center Drive, Orovi Ile A— Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE R IT 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 Z2 / / Date_.S t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ' 1469 Humboldt Rpad., Chico; CA - (916) 891-2751 Y 7 County Center Drive, Oroville, CA - (916) 538-7541 sr 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER ' PERMrF NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction at work is completed. If you have any questions pertaining to this matter, or need additional explanatiom please contact this office immediately. t; rr r k ! Date L •L4/• 9L Inspector hM l � s' REV 11/91 Y' il. 1? i f' s f.; t; rr r k ! Date L •L4/• 9L Inspector hM l � s' REV 11/91 COUNTY OF BUTTE DEPARTMENT OF PUBLIC'WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE A, —r— A , r c, /7 /% —< OWNER PERW NO_ A routine inspection indicates that the following violations of Butte County Ordnaix=estat the above address and should be corrected. Please notify this office when cwrectian of wat is completed. If you have any questions pertaining to this matter, or need addidonalexplaratikim please contact this office immediately. ONtor iis�t. N A ���YJS Z' off' .tic) rGh..�.J 0.yG Date 2- 2S -FZ Inspector REV 11/91 COUNTY OF BUTTE - DJcPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541. APPLICATION AND PERMIT PERMIT New ❑ Addition ❑ Describe work: TYPE OF WORK Remodel ❑ Utilities ❑ Installation Other ❑ l els J-7//, 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 ProfessionsCodeand my license is in full force d effect. License No. 4"f 3 920% Classification (11-79. 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 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. 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 con ruction, and hereby a thorize representatives of the Countyot Butte to enter on t above -me 'o ed property for inspection purposes. I also agree sa ir}&mnify keep harmless the County of Butte against all liabiliti j 9 (1 , co nd expenses which may in any way accrue against Co ty ' onse a of the granting of this permit. X Date 5130`ef Signature of Applicant — Owner ❑ Contractor R Agent ❑ An OSHA permit is required for excavations over 5'0" deep nd de olit' cons�r`uct ion of structures over 3 stories in height. IWO !"1%01 �j'°�'%f�Jr T 1 �� Receipt No.6 ��f �f �1 J%Q WHITE-O.P.W., TELL6W-A36E33OR, ;INK -INSPECTOR. GOLDINROD-APPLICANT Permit Fee Contractor ELECTRICAL PERMIT Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. ( DWELLING OCCUP. OR ADDNS. \ ACC. BLDGS. s Fi I i ng Fee 10.00 2.50 POWER APPARATUS e _ SINGLE OUTLET CIR. Ex. Occu p(OUTLETS OR FIXTURES 1.200504 ALO 30 FIXED LNS Ex. Occup. OUTLETS APP (RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee Heating Cooling Hood 3.00 BUILDING PERMIT owns TEL PHONE SO. FT. OCC. BUILDING VALUATION R'S MAILING PDRfSS Mobile Home Installation Fee $ Energy Inspection Fee $ r $ OCCUP, CONST.TYPE CONTR CT AME I TELEPHONE PD i CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 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 Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex❑ Mobilehome� Other Building sewer 5.00 SPECIFY Mobile Home I S FG7 W F 1 1110.00ea New ❑ Addition ❑ Describe work: TYPE OF WORK Remodel ❑ Utilities ❑ Installation Other ❑ l els J-7//, 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 ProfessionsCodeand my license is in full force d effect. License No. 4"f 3 920% Classification (11-79. 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 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. 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 con ruction, and hereby a thorize representatives of the Countyot Butte to enter on t above -me 'o ed property for inspection purposes. I also agree sa ir}&mnify keep harmless the County of Butte against all liabiliti j 9 (1 , co nd expenses which may in any way accrue against Co ty ' onse a of the granting of this permit. X Date 5130`ef Signature of Applicant — Owner ❑ Contractor R Agent ❑ An OSHA permit is required for excavations over 5'0" deep nd de olit' cons�r`uct ion of structures over 3 stories in height. IWO !"1%01 �j'°�'%f�Jr T 1 �� Receipt No.6 ��f �f �1 J%Q WHITE-O.P.W., TELL6W-A36E33OR, ;INK -INSPECTOR. GOLDINROD-APPLICANT Permit Fee Contractor ELECTRICAL PERMIT Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. ( DWELLING OCCUP. OR ADDNS. \ ACC. BLDGS. s Fi I i ng Fee 10.00 2.50 POWER APPARATUS e _ SINGLE OUTLET CIR. Ex. Occu p(OUTLETS OR FIXTURES 1.200504 ALO 30 FIXED LNS Ex. Occup. OUTLETS APP (RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP, CONST.TYPE SCHOOL ___ FLOOD PARCEL / PD i 10.00 10.00 This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. / DIRECTOR OF PUBLIC WORKS By Date f� PER EXPIRES Date • g YraC.' j. ' 1- — COUNTY OF BUTTE - DEPARTMEIfr.dF-kPUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLL%£, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 / PERMIT APPLICATION DATA SHEET '--- � Permit No. OWNER l I" AAD-," A: P,No.�� Proposed Building Use / Building Inspector Date 4< . At time of permit application,- I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. _ 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. e 13. Sanitation approval from I J,a Health Department 14. City of Chico plumbing permit ..................................... . 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... Pre-Inspec. request to 19. Pre -Inspection for required ..... Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner o) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. t� Telephone ��_ and hold for pickup at office. Deliver w/inspector. Other - 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---mai I counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by �c�— Date�� Sets of plans on hold in —File caa'bi-net � —o1P j`� 13- Copy—DPW Tip � _ L, n P Lo P � owner Location. AF# plan Approved for: Mold final -for: Sewaqe Disposal _ Final clearance O.K. for: Clearance for -2---bedroom il.e home. Other Water Supply .- Water Supply Water Supply Date Sanitarian oc 1 NOTA:—AO Materials & Workmanship ShaA Be in r ; o 1 p u�i .s. srL 9 s a0 ACCOP6lanGp wlfih Recognized Good Practices and ®f a quality prescribed for the 5 ecified use"in the p 1 Plumbing & Mechanical Codes s isd Uniform Building, g Phe National Electrical This set of plans and specifications MUST be*:' • • L ,' ' ! • • - ��` t� kept on the iob at all times and it is unlawful -to-.- !mss t `/ JP make any changes or alterations on some withovit. 1 s� • written permission from the Department of Pub& - ♦� A � . ; � Works, County of Butte. - - •� �� ' v •' •: r OO 0 A setback of 5 ft. from the Property lines and a setback •. .. fy !�'' �i - 0 Of 50ft. from the road - • • •. . •t - r "`E� .38 �1 �a centerline shall be clear of structures or equipment except �'—V, fora 2 ft. cave overhang. '' � � �4 S . _ fwd• •� .�•' � • f,a � .. • � Utility connections shat( be within- 4 ithin4 ft. of the mobilehome, either directly behind or within the rear �,:j• !`. half of the roadside (left) of the - ` ' , ..J ��4 p 3`, }` A permit wig .66 14f 1% i .•.: , %� :' - f • . . installation of tw mobilelio s •: �- «.` . A • �j4' ' 'INU !M- N A CEPA TMENT or. •:`Q�f-ttr, ::,;' ?•�'. •mac ! �� F L: ' AS .�'.'•':'• .J ",•. Vii•' �.• .'. •►•. • '-'-'••+•: • • `• L • J t-•� rol i - r t.:su.rt t";rf eft !+�W '� ••`•-i �.' ILI air tAtIp'lu 1r}t., L^: k F w¢ w� t+ + f iL e4. tib l iiii:i £?A1Gi7; po i.�.Li{���: l�lai..`�P$I:�LI ?s�1,.r1 �,�'1,' �5��6•�.Ws:•1I�. Q� �1'��i�:i� *":; wai fA,?l b*,vr L:',tttl.►i;j:.y".I:Fs,'�;�v;�t€; dn VZb el if -a. �+ w'k:CI Vt..�C. 1 rpt♦•,�Si ���s�-.s :3;.ra .~f+�y y� R>M� !�:;5.'t1C'�2 �i3'w i.� f f`�•. I i`lt}Ci L}:t•'. �` V i�"Y wiJ r 'l� �(r'1' '''�' 'ie1 t BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: e 64 J 2. Installer's Name: 3. Is the site currently under permit? Yes NoF1 _ (If yes, furnish permit number�10'��) OR Is the site an existing site? Yes R No Er, (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic..tank and leach fields and clear of all setbacks and easements? Yes No F1 (If no, clarify 5. What is the mobilehome electrical rating? ------------- e� 4 O Amps 6. What is the mobilehome site service rating? -- t '2� Amps 7. What is the mobilehome site circuit breaker rating? ----- �_ Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? --------------/ y / (in.) 10. What is the type of gas service? ------------------- Natural LPG '[ 11. What is the gas pipe length from meter or tank to the --------------------------------------------- mobilehome? � `�� (ft.) * 12. What is the mobilehome gas demand?----------------------iJ) *(This information not required if pipe length less .thanvon natural gas or less than 50 ft. on LPG.) ,VIDNG �� MOBILEHOME SUPPORT DATA If other than single wide, Mob ilehome Mfr. /V !' furnish .Setup Model No. Width /p (ft.) Box Length__�(ft. ) Tagalong or Expando Size Year ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)E]1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) 131. Concrete block Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 Piers: Size-Min.------------ -----------Spacing-Max. Spacing-Max --•------- From Ends -Max. ------- Line 2 Piers: Size -Min.------------ „x „ Spacing -Max .--------- ,- From Ends -Max .------- '- Line 3 Roof Loads: Size -Min. ---------- Location (From Front) 1.1ne i Line 1 Line 1 Openings: Size -Min. ------------------ „x n Each Side of Openings With Width Over --------- Line 3 Piers: (Under Rearing Wall Only) Size -Min.------------------ "x Spacing -Max ,_______________ From Ends -Max .------------- Line 4 Piers: Size -Min ------------- 'k " Spacing -Max.--------- From Ends -Max .------- . (Under Size -Min .------------------ Spacing -Max.--------------- r u From Ends -Max .------------- Line 5 Roof Loads: Size -Min .------------ x x a 1k uxn 1`x 1. 11x n six n Location (From Front) �_ in 1- u _ _ �_ _ f April 23, 1987 Prank J, Pelfrey,' P.H-0. P,O.Box 338 Grangeville, Idaho,83530 To Whom it may concern: My parents, Travis A., and Rita M. Pelfrey, have my authorization to sign any documents, and permits regarding the property located at; 44 Treelined Lane Berry,Creek, CA, 95916 Bute County, C.A.. Uery truly yours-." 7YI c J. PeVT y AP OWNER (r I �`%� j'1 TO PERMIT MH UTIL.CLEARANCE DATE L INSPECTOR GAS Support Struc. Compaction Test Reg. ELECTRIC ervice ize Other Load Type Pipe Size Length YES NO YES NO 3/,1 y �\ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT AS ESSOR PAR E UMB ,R ZONING , BUILDING PERMIT O TEL PHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S M"LINyG QADOR t C T AC O N M k TELX-PHONE a�3 MA D SS tg_T_P ACTIN Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMITF/ilingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex❑ MobilehomeAJ Other Building sewer 5.00 SPECIFY Mobile Home S W 0.00 ea , TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities LA Installation[] Other ❑ Permit Fee $ Describe work: i Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1 100 00V OR LESS AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. / DWELLING OCCUPM OR ADONS. C / , /Zdsgft I declare under penalty of perjury (Check one): ACC. BLDGS. NEWCONSTR U TI -OUTLET 2.50 ea I am licensed under provisions of Chapt. 9, Div. 3 of the BUsines$ NON.RESID BRANCH CIRCUITS) POWER APPARATUS e and Professions Code and my license is in full force and effect. (SINGLE OUTLET CiR. 4 3 ff0 License No. Classification ` Ex. OCCUp(OUTLETS OR FIXTURES 209500 eAL930 ❑ as the owner, or my employees with wages as their sole compen- FIXED 11 Ex. Occup. OUTLETS P(RESID )NSREAJ 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) 1 ❑ I, the licensed Mobile Home Facilities 15.00Misc. as owner, am exclusively contracting with contract- Wiring ors. (Sec. 7044) 9 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. A Coolin g �I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such Permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I a ree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building co struction, and hereby a thorize representatives of the County of Butte to este pon the above-ment' property for inspection purposes. TOTAL PERMIT FEE I also agree s e, in nify a eep harmless the County of Butte against OCCUP. CONST.TYPE SCNOOL PLOOD PARCEL PD ND 139U all liabilit' j dgme �, costs nd expenses which may in any way accrue 'ty inst s C i nsequ f the granting of this permit. X D -�% This permit is hereby issued under the applicable provi- Date sions of the Butte County Code and/or resolutions to do nature of Applicant — Owner ❑ Contractor � Agent ❑ work indicated above f r which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct -DI R O F UBLIC WORKS ion of structures over 3 stories in height. Receipt B No. SDate0 WHITE-D.P.W.. YELLOW -ASS [S30R, PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT EXPIR F Date `� V _ COUNTY OF ESUTTE - DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive - OroviWe, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT rAE MIT NO.Y ^D ASS S OR PARCEL NUM�,ER C v ZONING BUILDING PERMIT D l^ 1 S Y151 V TELEPFMNE CC SQ. FT. OCC.1 BUILDING VAL ATION OW.` MADE ING R SS F ;� — v 1, cia 9 CONT ACTOR'S NAf 7ELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONST UCTION LENDER UNKNOWN Total Valuation is Filing Fee $ LENDER'StMAILING ADDRESS Permit Fee $ ARC ECT OR ENGINEER hC— LICENSE NO. Plan Checking Fee $ S 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 SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G y 10.00 ea TYPE OF WORK New Addition❑ Remodel❑ Utjlitiesrrrr,,,,����� Instalation❑ Other E] Describe work: '�e�-11�——�'��.-��='� �i�7Qf3/« - �J� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10000 AMP ORSLESS 10.00 16, Main service EA. ADD'L 100 AMP 2.50 CONTRACT RS LICENSE LAW I declare under penalty of perjury (check one): F1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.D , OR ADDNS. ( ACC. BLDGS. /20sgft NEW CONSTR. ULTI.OUTLET 2.50 ea NON.RESID BRANCH CIRCUITS POWER APPARATUSe SINGLE OUTLET CIR. Ex. Occu 20050, Occup(OUTLETS OR FIXTURES DAL@30 FIXED Ex. Occup. OUTLETS (RESINS.D))REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wir1W 15.00 K'J1UJ_U NA 0d` r� Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate � /o,f Consent to Self -Insure. Lit ' shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s Cou n c n quence of the granting of this perm't. Date ignature of Appiic — Ow Contractor ❑ Agent ❑ An OSHA permit ' required for excavations over 5'0" deep and demolition or construct- ion of structures o9ver stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ _ TOTAL PERMIT FE $ t OCCUP. CONST.TYPC Loop PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D EC R OF PUBLIC BY P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS DateJ� 4— Receipt No. V ;—//1 WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT TO Buildinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance f_�Ca tLs Pei-[ re I �/C/ Owner Location AP# Plan Approved for: Hold final for: Sewage Disposal A Final clearance O.R. for: Clearance for bedroom re home. Other NOTE * * * Sanitarian Water Supply Water Supply Water Supply Date COUNTY OF BUTTE - DEPARTMENT OF. PUBLIC WORKS - BUILDING DIVISION ,r 7 COUNTY CENTER DRIVE - OROVI'LIfE ,EAL.IFO NIA 95965 - TELEPHONE: 9 1 6/53454 1 PERMIT A", LI`CATION DATA SHEET ' NrPermit No.OWNER QU fS �e A. P. No. 07P Prnnnsed Ruildina Use AN Uf 1 Building Inspector ��o Date At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED All items have been submitted. D2. Plot plans in d licate 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 $ . . . . . . . . A,. Letter of signature authorizatio�•. % . . . Sanitation approval from v� OV /(CHealth Dept. 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 owner0, Mail to owner ❑.), _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec, request to (Date) 1 Pre -Inspection for Required. Building Inspector S. -Recorded copy of Agricultural Acknowledgment Statement. /02/�%� 1 �1(9. Driveway Permit. 20. Plot plan approval from city of r +tea 21. 22. F_ When you issue the permit, process as follows: ail to owner, Mail to contractor. Telephone and hold for pickup at—off ice, Deliver w/inspector. Other Applicant/_. . �-�---.Date Z y- 6 �i. Copy of plans sent Health Dept., Fire Dept., Othdr Date The following data must be submitted prior o ermit 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---mai [—counter by date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder — Flours: 10:00 a.m. - 3:00 p.m. Copy—DPW 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) re c 2. I (have/have not) 7 GZ v C_ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Secur' y Numbers' Date /vZ — 2! — I F -e. 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. T Refurn to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT s R,_COR AD BUTTE. C�}'aI FOR RESIDENTIAL DEVELOPMENT OFFIC11"I RECORDS BY l�4I�YR�e� Section 26-8.1 of the Butte County Code requires this acknowledgement PART( be recorded prior to issuance of a building permit. 87!;11512019'T1 APR 27 PH 1; 52 The property described herein is adjacent to land or includedCDACE.1. GR. APd within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising' from CLERK RECORDER FEE the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: -f I I - 9 Z State of County of _ ) 1 PROPERY OWNERS: On this theI day of 19�, before SS. me, the undersigned Notary Public, personally appeared -7�ct-d 1 C5 24, Re. i �r e.L{ JA Personally known to me. / / Proved to me on the basis of satisfactory evidence. 111111molval SMo be the person(s) whose name(s)u���, s bscribed to °FFICIA SEAL he within instrument and acknowledged that �ifiNr`'YPJ L. R'RE xecuted the same for the purposes therein contai ed. MOIL,i raJEiC — CAWMI� P P BUPiE COUNTY N WITNESS WHEREOF, I hereunto set my hand and official seal. "Y CDaon 5*n Ezpwes June 19. 1997 wt Notary Public Present A.P. No. �% _ / U V �— 8T-12486 • JJ�f DESCRIPTION: 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, "Parcel 3, 79 of Maps °5, Sections 28 6 33, T.21N., R.SE., in the unincorporated area o.f Butte County, CA"„ said Parcel Map was filed in the Office of th(,' Recorder of the County of Butte, State of California, on September 16., 1981., in Book Bu of Parcel Maps, at Page 7. RCSERVINC THEREFROM a 60 foot non-exclusive easement for ingress and egress and public utility purposes as shown on sai.d.Parcel Map. PARCEL II: A 30 foot non-exclusive easement for ingress and egress and public utility purposes over Parcels 2 and 3, as shown on that certain Parcel Map entitled, "Parcel 3, 79 of Maps 95, Sections 18 h 33, .T.21N., R.H ., in the unincorporated area of Butte County, CV,, said Parcel Map was filed in the Office of the Recorder of the County of Butte, State of. California, on September 16. .1981, in Book 86 of Parcel Maps, at Page 7. A 30 foot. non-exclusive easement for ingress and egress and public utility purposes over Parcel 4, as shown on thaL certain Parcel Map entitled, "Lying in Sections 28 & 33, T.21N., R.5E., M.D.M.", said Pa, -cel Map was•filed in the Office of the Recorder of the County of Bu':te, State of California, on December. 15, 1980, in Book 79 of Parcel Maps, at Page 95: .. �.r�+.. <� rya•: �,�;�•:, ft 9 / Nor � ng�dco)�U, ne pp Ng Permit #1304-3,7M 62-51_55 �. Issued I'= v COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSP RCEL NUMBER �I- 5` S ZONING BUILDING PERMIT OWNE TELEPHONE � � �-� SQ. FT. OCC. BUILDING VALUATION OrR' M LING ADDRESS �/ n CONTRACT NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ ,6� Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSe � e l . e Permit fee $ 5- PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT, NO. /yl/- SUBDIVISIO N NAME PL C,E�MAP !(J(/l//Y" Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[]Mobilehome� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 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 100V 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): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. cense 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) F1 1, 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.tr` , OR ADDNS. ACC. BLOGS. / hQSgft NEW CONSTR. MULTI -OUT LET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) SINGLE OUTLET CIR. SOC CcupOUTLETS OR FIXTURES e Ex. O(2ALe90 FIXED ALINIS Ex. Occup. OUTLETS-((RESID )R EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f -Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling 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 againstOCCUP. all liabiliti 's, judgments, posts, and expenses which may in any way accrue agains d Co r'ty n s�sequence of the granting of this permit. Date -S17 gnatur0 of Appli ant - OW Contractor ElAgent❑ An OSHA permi Is required for excavations over 5'0" deep and demolition or construct- ion of structure over 3 stories in height. Mobile Home Installation Fee $ 5 �- Energy Inspection Fee $ TOTAL PERMIT FEE $ 0 CONST.TYPC FLOOD PARCEL PD ND ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WNITE-D.P.W., YELLOW -ASSESSOR, PIN..INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE i DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N0. ASSESSOR PARCEL NUMBER _ 6.4 - S / - S 5 ZONING ( BUILDING PERMIT OWNER' /G1 l:011 / 1~ re300 TELEPHONE � SO. FT. OCC. BUILDING VALUATION 1 ADDRESS OWNS) V, /� L/1 / (J� J � O CONTRAC�TO/R''SS NAME TELEPHONE t CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is �1 Filing Fee $ 10,00' LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ /5 - Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ pt; )' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOUT NO. / SUBDIVISION NAME PARC MAP �(� �, Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeFA Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S FG 7W H 10.00 ea TYPE OF WORK New;' Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: _ et12 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.d+ , New CONSTR.(A ) h�sgft ULTB OUTLET NON•R ESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e ' %SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20050C eALO 30 FIXED PR Ex. Occup. OUTLETS (RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ®/I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you musl forthwith comply with such provisions or this permit shall be deemed revoked. Contractor 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 againstaaid Co nty�n consequence of the granting of this permit. X� ��,� — 07 Date .Signature of Applic of - Owe ❑ Contractor E] 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 $ ly, S - Energy Inspection Fee $ TOTAL PERMIT FEE $ 7a Occup. CONST.TYPC JFLOOOJPARCELJ PD 1 ND 1 ISSUE This permit is hereby issued under sions of the Butte County Code and/or work !indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /y Receipt No. `h �? Th WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. •> 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ( 2(� ZONING BUILDING PERMIT OWNETELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS /Ja ;-,3ss CONTRACTOR'S NAME /' TELEPHONE t• CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 1Q,QQ 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. `/T' SUBDIVISION NAME PA C,EL MAP C 17 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome© Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S G W 110.00 ea TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ® Other ❑ Describe work: %�✓� �?��� ,T - '3 k1/— �j Cji Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR L Main service 100 AMP ORSLESS 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 Qll, 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP.SI\ OR ADDNS. ACC. BLDGS. / , /20sgft NEW CONSTR. ULTI.OUTLET 2.50 ea NO N•RESID BRANCH CIRC ITS (POWER APPARATUS 61 I SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200501 IIAL030 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. ❑ 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. F,;fl 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 correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against.said County, in,consequence of the granting of this permit. X� �-� ��—�`" `'1 Date�'�" �` �- - ) 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 $is Energy Inspection Fee $ TOTAL PERMIT FEE $ 7 (/ OCC"P, CONST.TTPC I IFLOODIPARCELI PD ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. -�, 7 1 cl 0( WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING v BUILDING PERMIT ) OWNERI�r - / r' ��/ '�' r / / TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER!,"/,, OWNER MAILING ADDRESS //� /r 4 . �1� .i- U CONTRACTOR'S NAME oe or TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ I Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS I / Permit fee• $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 7 SUBDIVISION NAME PARCEL MAP I/7 Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome0 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New Addition❑ Remodel[] Utilities[ Installation® Other ❑ Describe work: 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): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. License No. Classifi ration Q/I, as the owner, or my employees with wages as their sole compen' sation, will do the work,and the structLre is not intended or offered for sale. (Sec. 7044) ❑ 1,a th(Sece owner, am exclusively contra. -,ting with licensed contract- 7044) ❑ I am exempt under Sec. , BLsiness and Professions Code for this reason NEW CONST. DWELLING OCCUP.& , OR AODNS. ( ACC, BLDGS. /20sgft NEW CONSTR. ULTI.OUTLET 2,50 ea NO N•RESID BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20030t eALO 30 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESIO.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. F, -, ],,'l shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked_ Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the grantirg of this permit. 7 X Date • Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occu P. CONST.TYPEJ FLOOD PARCEL I PD ND 59UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. I / WHITE-D.P.W., YELLOW-ASSE390R, PINK -INSPECTOR, GOLD E4ROO-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER /i�Z �l V�e��A. P. No. 19 Proposed Building Use Building Inspector Date 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. 91�Z2. 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 $ Dq9. Letter of signature authorization. ��f . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner, Mail to owner R), _15.; Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . 17. Pre -Inspection for Required. Pre-Inspec. request to (Date)Building Inspector , 18. Recorded copy of Agricultural Acknowledgment Statement. A4 19. Driveway Permit. ti 20. Plot plan approval from city of 21. 22. k When you issue the permit, process as fol lows: /Mai I to owner, Mai i to contractor. Telephone and hold for pickup at—off ice, Deliver w/inspector. Other Applicant to 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: f Contractor, designer, owner, was advised of above required data by_phone_ mall counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Sets of plans on hold in Copy—DPW n Date Plans approved by File cabinet AP folder Date — Flours: 10:00 a.m. - 3:00 p.m. TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance r PQ Owner Location AP# Plan Approved for: Sewage Disposal /i Water Supply (✓(-11 Hold final for: Water Supply. Final clearance O.R. for: Water Supply Clearance for 'bedroom obil home. Other 'NOTE *** Sanitarian Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS NOTICE Post job card In a safe, conspicuous place. Do not remove until all required Inspections are made and building Is approved for occupancy. Plans must be available on job. A. P. No. 62-51-99 Owner FRANK PELFRRY Contractor OWNER Permit No. Expires PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION DATE INSPECTOR Footings Piers Underground Conduit Do Not Pour Concrete Until Above Signed Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Do Not Install Floor or Slab Until Above Signed Do Not Cover Until Above Signed Fireplace Footing Fireplace Throat Do Not Continue Fireplace Until Above Signed Stucco Lath Scratch and Brown Do Not Cover Until Above Signed Sewer Service _ Water Service Plumbing Final Electrical Final Mechanical Final Buildina or MH Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILEHOME IS APPROVED FOR OCCUPANCY CHICO - 196 Memorial Way - 891-2751 OROVILLE - 7 County Center Dr. - 538-7541 PARADISE - 747 Elliott Road - 872-6307