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Home My WebLink About062-510-049ell 62-51-49' Edward Poor �/corner @ i6ters Bald Rock Rd, and Treel ed Lane, Bald Rock Permit # 68-82P,E (MHiutil)_ Electric (;81 —Zoos A Support structure _ . q hw — �_ Y •a Compaction test reSUV LEACH 62- -49 3 S/W cor B,a'ld Rock d & Treelined Lane, Bald Rock �� Contr t M6b,,i4Ye Home Center 10 Permit#_2-003-83MHI for 1168-82) Iss, 62-51-49 49 e Lined Lane, Berry Creek Permit 7-88B(new covered deck/MH) - Per�rra�#2456-88t("new open deck)MH 62-50-49 RICHARD DENT -@ 9 Tree Lined Lane, Berry eek Permit#2817-89B;P,E(new-gar- J; — 1-49 Permit#3221-90B (1st renewal/ 7.-89) ' -� ---T9M--r,223 DENT, RICHARD � 9 TREE LINED LN. -BERRY C. RICHARD WOOD GARAGE 1 I I l . C i ell 62-51-49' Edward Poor �/corner @ i6ters Bald Rock Rd, and Treel ed Lane, Bald Rock Permit # 68-82P,E (MHiutil)_ Electric (;81 —Zoos A Support structure _ . q hw — �_ Y •a Compaction test reSUV LEACH 62- -49 3 S/W cor B,a'ld Rock d & Treelined Lane, Bald Rock �� Contr t M6b,,i4Ye Home Center 10 Permit#_2-003-83MHI for 1168-82) Iss, 62-51-49 49 e Lined Lane, Berry Creek Permit 7-88B(new covered deck/MH) - Per�rra�#2456-88t("new open deck)MH 62-50-49 RICHARD DENT -@ 9 Tree Lined Lane, Berry eek Permit#2817-89B;P,E(new-gar- J; — 1-49 Permit#3221-90B (1st renewal/ 7.-89) ' -� ---T9M--r,223 DENT, RICHARD � 9 TREE LINED LN. -BERRY C. RICHARD WOOD GARAGE 1 l._� �,. � � - __ 062-51-49 ` r _ #98-2823 DENT, RICHARD RESIDENTIAL 9 TREE LINED LN. BERRY C. RICHARD WOOD GARAGE PERMIT NO. 1E PERMIT EXPIRES I OWNER CONTR. ASSESSOR PARCEL LOCATION CHECKED SRA BY FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PGA JOB FINALEO Signature V=OK 0 = Not OK Not NotRealdyble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except It's Date 1. Zoning Requhments - Setbacks - Easements y. 2. Soils; Special MH Support Sketch 3. Sewer, LocatiorrTes 1-CI0Zoncrete 4. Water; Location -Test Easement Needed (Sketch) S. Electricity; Location -Clearances Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / AA / /Nat. or/ /ttj /LPG 7, Well Clearance & Disconnect 8. Utility Clearance Ifiel;mg.: Slls-AnchorsStuds-R - rrusses 9. Sidi ; Nailing -Veneer -Stucco -Mesh Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements Date Date 2. Footings; Sme•Spadrg-Marriage Line Date 3. Gas; MH TesH)emandVabeConneotor 4. Electricity; MH TesWAossows-Breakers-Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal 10. Plumb.; CO. Test Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 C r/ MISCEL Date EC , GAR(Plans) OK except Al's y. Zo!irig Requirements -Setbacks -Easements Footings; SoilsSiae-DepthSpaang-ConnectomSteel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg -Bracing 5. Alum. Awn.: Columns-ConnectionsSplice-0ecal-Enclosures 6. Carports; Windows -Doors 7. Elec ' Ifiel;mg.: Slls-AnchorsStuds-R - rrusses 9. Sidi ; Nailing -Veneer -Stucco -Mesh off, ShOV-Roofing ExL, ,Sups Doors lendings raced Wall Panels Date Date Card B-1 Date Cana B-1 Card B-1 Date Card B-1 Date POOLS (Plans) OK except is 1. Setbacks -Easements 2. Soils; CompactionStructure Stabft 3. Pool Structis-e; SteeE4Cannec6onz-Thiclvress Dead Men -Lining 4. Elec.; Receptacles and Lighting. Distance-GFI S. Elec.; Pod Lighting. 15 Volts-GFi & Elec.; Enclosures; Condrat Entries-Terminals-Usted 7. Elec.; Borx*V. Metal w/5'dtirctAa&g Equip. -Heater & Elec.; Groundng; Equip. w/S Ciaiating Equip. -Pod Lghtg. Boxes-Endomres-Parwtboards-Ins. to Main in Conduit 9. Health DepartmentAppoval 10. Plumb.; CO. Test Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 C r/ = OK O = Not No OK RESIDENTIAL (Single &[duplex) - = Not Applicable Not Ready Date UNDERFLOOR (Plans) OK except it's 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / ' Ftg. Depth 3. Ft -q. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ C Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-JoistsVents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except Vs 17. Water Htr; Vent Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Fl= -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sae & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacirg-Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex stalled Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GF 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AJ -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meth. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card Date Card B-1 Date -B-1 Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except 8's 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roll Brac: Truss-Shting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fre Protection 65. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls: Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Via IIs-Cedmgs 62. Infiltration-WallsANindows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext 72. Kit Fut. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes Q. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ` 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 �Tp - R NO. (Rev.12/96) APPLICATION AND PERMIT OO ASSESSOR PARCEL NUMBER 62-51-49 ZONING BUILDING PERMIT " OWNER DENT, RICHARD D. T�tS�_x+632 SO. FT. OCC. BUILDING VALUATION 720 12,960 .OWNER'S MAILINC�-PDBRE6$�E LINED LANE, BERRY CREEK "u"ME IHAA' CONTRACTOR'S RD WOOD I � HO��. 20 CONTRACTORS 'ITTMBAR RD., OROVILLE, CA 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 12,960 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 144.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRES§ TREE LINED LANE `J Energy Plan Checking Fee $ $ BERRY CREEK PERMIT FEE $ 257.60 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW GARAGE Gas piping stem 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W @20.00 PERMIT FEE _ ELECTRICAL PERMIT Fling Fee 20.00 Main Service AOR LaoovORLEESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is ' full force and effect. _ t� License Class Lic. No. 7�o��S, `1 �C,� DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section !/ 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensationlinsurance carrier and policy number are: Carrier �o �•. Policy Nu (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those prov' ions. XDate _ Sig ature of Applicant - ❑ Own Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00so CCU000A NEW CONST. OwELLINo occuP. 3.5Qso. OR W:,L FT. NEW CONST. MUL�Tcou�rLFS. NOWRESID. @7.50 PGWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU GurLET OR FIXTURES Bnl p L:s�o FIXOWNER-BUILDER Ex. Occup. GurLEEDTSA RaIp,OEEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 60 HAZ. FE IMP FLOOD CDF p HD ISS This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. J 46 le Receipt No. 257610 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE MI NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER / ' /g ZONING BUILDING PERMIT OWNE i �� 1 TELEPHONE y63 T6r 3 0s SO. FT. OCC. BUILDING VALUATION OWN MAID ADDRESS R -,P e qv COM 'S NAMETELEPHONE /�-also CO RACTOR'S MAILING ADDRESS v <-_ ,4- ti CONSTRU TION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation ARCHITECT OR ENGINEER LICENSE NO. —2 Filing Fee b 20.00 Permit Fee $ E ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee b BUILDING ADDRESS Energy Plan Checking Fee b b PERMIT FEE $ LOT NO. SUBDNSIONS NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE ��vv SF ❑ Duplex ❑ Mobilehome ❑ Other G A SPECIFY Solar or heat um water heater Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2�o.OR LE': 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages astheir sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. OWE II INO OCCUP. s0 OR ADDNS. ( a ACC. 12S. 3.5Q�; =Rc.0,p ' mu LTH' @7.50 POWER APPARATUS 8 SIN. OIrILET CIR. 20 1'50 Ex. Occup. OUTLET OR FIXTURES SAL o .w ED AP1 Ex. Occu . oUn =.) A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ ,,,,�. o FEESIMP FLOOD CDF PARCEL Po HD SSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date are Receipt No. WHITE•O.D.S.•B.D.CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance d. S j ONLY Not Plan Attached Floor Plan Attac ed Sent to B.D. / -/� -r C f+Afl D CA j L Zug- d2 Owner Location AP# Plan Approved for: Sewage Disposal�. Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,.CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET / OWNER: 21,, 414 -Mt) ASSESSOREus2tbe E*or Proposed Building Use:/� Building Insp At time of permit application, I was advised the following data to permit processing and/or issuance: Date Received By ❑ 1. 1 items have been submitted .------------------------------- Plot plans, 3/4 sets, signed by the preparer of plans. ------ 03. ----- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 06. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ ❑ 8. Hazardous Material Form.--------------------------------------------------------------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ 1 Fees.of $-----------------------`-------,-�------------- - -- pact fees as shown on the attached schedule.. l 4------� — � �� C----------------- �'Yl 2. Zood mia Department of Forestry plan approval/fees. --- I--J�=--`r----�- ---------------- ❑ 13 elevation certificate. ---------------------------------------------------------------------------------------- 4. Sanitation and plot plan approva I Ile-ge-alth Department. ------------------------------------------- / t. - i fi -S- 0 S❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required. Request to Building Inspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. ----------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -- 024. Letter of signature authorization. -------------------------------------------- E125. ------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ------------- ❑ 26. Letter of intent on building use. ---------------------------------------------- 0 27. Manufactured Home utility clearance. --------------------------------------- ❑28. Existin violations and/or expired permits. --------------------------------- ❑29. 3 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ Other: A �1G� Wh th t f ll ❑O UTeleZyou issue a me , process as o ows Mail to owner, 1/t� conLrauLur. phone a b/ --� and hold for pickup at �v office. ❑ Deliver with inspector. Applicant: -Date:./2– Copy ate:/2- –Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department,er: Date' By: 1. Index permit application for the above items numbered: wr 1 ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by 03oflione, ❑ mail, ❑ Building Division counter, by ate: /Z • ZZ- jc� Contractor, designer, owner, was, advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ B ildin n co , ter, by Date: Plans reviewed by: Date: Plans approved by: Date: tZ • Sets of plans on hold in ❑ Plan Cabinet, 0 A.P. folder. Note transf b : Date: Yellow Copy - Department of Development Services, Building Division. V RE: Attached Building Permit Dear Permittee: utte 160, LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 Attached is your building permit along with the approved set of plans and a job card. Please post the job card on the job site in a conspicuous location for the inspector to sign during the various phases of construction, and also have the approved set of plans on the site at all times. Inspections will not be made if the job card and approved plans are not on the job at the time of inspection. Please review the approved set of plans 'before construction and make note of any corrections made in red. If any of these notes or corrections are not clear to you, please contact this office - do not proceed with the work without making the correction. The job card must be signed by the inspector before proceeding with each item listed. Should he not sign the card, a white correction notice will list the corrections to be made and a call back inspection must be made before going any further. Please allow 24 hours for inspection service. As a reminder to you, it is illegal to occupy this building or portion of building for which this permit is issued without approval from this office. On certain occasions a temporary occupancy will be permitted. Please do not confuse gas or electrical service to the building as an occupancy clearance. Before occupancy, all of the "final items" listed on the job card must be signed by the inspector or special permission given. Your permit expires one year from date of issuance. If the work has started, but is not completed and finaled by the expiration date, a renewal permit is required. If the renewal application has not been made within 30 days of the original permit expiration date, or if the work has not commenced, a new permit application and fees will be required. tpon completion of the work covered by this permit, please contact this office for final inspection. Should you have any questions concerning this letter or any other matter pertaining to building construction, please do not hesitate to contact this office. Micliael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments E COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE �" OWNER ��.,,/? A.P. # Q(l/Z'��O'D� PROPOSED BUILDING USE DATE RECEIPT # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ 2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x ; = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE T Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) •'�.� w r /'•ti,aT••ri'1�.."*. ,t'F"+'x"yr! J n.. sti /t,+,� ('i � .J -ti. "Y`•� COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CAA 95965 TELEPHONE (916) 538-7541 ,f ' ,SCHEDULE OF FEES DUE OWNER �CaUl J'"" A. P. # Q(JZ'�JIO'D�i PROPOSED BUILDING USE L% DATE % 7 4b _q C7 1. BUILDING PERMIT FEES -- Balance Due .... $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ . -- Revised Plan Checking Fee ....... $ 2. SCHOOL DISTRICT. FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq -ft). .. x $0.03 = $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . '_X: = $ #Units Amt. ` R Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. RECEIPT # DATE REC 5.'RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paidat Building Division) 7. SRA FIRE iNSPECTION' AND PLAN CHECK 9 $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid:at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to -be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT ' "+� DATE / E3 Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your poject. You have 90 ,bays from the date of approval of the project or from the imposition of the above mentioned items during which you may pr • test. The requirements for a protest are specified in Government Code Section 66020(a). R Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541{ SCHEDULE OF RECEIPT OF FEES OWNER '-(duo' �,�i��✓L A.P. # 61 - ��"-UC%� PROPOSED BUILDING USE ,f'Yl�-j,�,,..,. DATE -/ ;l RECEIPT. # DATE REC 1.tBUILDING PERMIT FEES -- Balance Due ................ $ == Additional Fees Due ........... $ --Additional Fees Due ............ $ -- Revised Plan Checking Fee .:` ..... $ 2. SCHOOL DISTRICT FEES .(paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq -ft.). .. x $0.03 = $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid of District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) r 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion #, ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to -be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT "3 DATE t# -Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project: You have 9Q,/days from the date of approval of the project or from the imposition of the above mentioned items during which you may p2est. The requirements for a protest are specified in Government Code Section 66020(a). F y ' ,Original. Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) y- COU OF BUTTE - DEPARTMENT OF DEVELOPMENT ERVICES OWNER'S STAT (ENT OF USE - DETACHED ACCMBORY BUILDING PN: ONE: BUILDING PMT. # --p 4� -- OWNER: PHONE: 5-36— � 7 MAIL /i.�/ ADDRESS: %,eQ [�. dJ t? tQ C �1'S ai.4-� SITE ADDRESS: PROPOSED USE: D PLEASE ANSWER QUESTIONS 1-20. PLEASE EXPLAIN YES ANSWERS (2-18) IN THE SPACE PROVIDED ON THE REVERSE OF THIS FORM. (PLEASE PRECEDE EACH COMMENT WITH RELATED QUESTION #) GENERAL INFORMATION: 1. Is there a primary dwelling on the property? Yes: No: 2. Is the structure already built, under construction, or under notice of code violation? Yes: No: 3. Will items produced in this building be offered for sale? Yes: No: ✓ 4. Will the public have access to this building? Yes: No: ; 5. Will any advertising, on or off site, be associated with the use of this building? Yes: No: 6. Will this building be occupied at any time as a sleeping quarters? - ' ' Yes: No: 7. Will this building be occupied at any time as an eating area? Yes: No: 8. Will this building be occupied at any time as a cooking area? Yes: No: 9. Will this building be occupied at any time as a living area? Yes: No: SITE CONDITIONS: 10. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes: No: / r/ 11. Is any portion of the proposed structure located closer than 20' to your front property line? Yes: No: 12. Do you plan to add a driveway or modify existing access to a county maintained road? Yes: No: 13. Will the proposed structure encroach within any recorded easement? Yes: No: CONSTRUCTION FEATURES: 14. Will this building have insulated floor, walls, or ceiling? Yes: No: 15. Will this building be heated or cooled? Yes: No: 16. Will this building have a water closetttoilet? Yes: No: 17. Will this building have a sink? Yes: No: 18. Will this building have a water heater? Yes: No: 19. at type of floor covering will the building have? tJ 20. What type of wall covering will the building have? b Q • ADDITIONAL INFORMATION: I hearby affirm under penalty of perjury the above infromation is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when o#ered for sale. OWNER'S SIGNATURE DATE OWNER'S SIGNATURE DATE FOR DEPARTMENTAL USE .. REVIEWED BY: COMMENTS: DATE: r I hearby affirm under penalty of perjury the above infromation is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when o#ered for sale. OWNER'S SIGNATURE DATE OWNER'S SIGNATURE DATE FOR DEPARTMENTAL USE .. REVIEWED BY: COMMENTS: DATE: BUILDING. DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Date: December 16, 1998 Permit Applicant: Richard Dent Permit Number : 98-2823 9 Tree Lined Lane Assessor Parcel #: 062-510-049 Berra Creek, CA 95916 With reference to the above subject, attached is: [X] Plan Check List [ ] Red Marked Calculations [ ] Red Marked Plana [ ] Other Action Required: [X] Comply with Plan Check List [ ] Resubmit Plans with Revisions As Required [ ] Return All Original Materials and Revised Plans to the Building Department [ ] Other Should you have any questions, please contact this office at the address or phone number listed above. Sincerely, Martha Whitney �J• ,per.^�`�\.=_;'. LAND OF NATURAL WEALTH AND BEAUTY BUILDING. DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Date: December 16, 1998 Permit Applicant: Richard Dent Permit Number : 98-2823 9 Tree Lined Lane Assessor Parcel #: 062-510-049 Berra Creek, CA 95916 With reference to the above subject, attached is: [X] Plan Check List [ ] Red Marked Calculations [ ] Red Marked Plana [ ] Other Action Required: [X] Comply with Plan Check List [ ] Resubmit Plans with Revisions As Required [ ] Return All Original Materials and Revised Plans to the Building Department [ ] Other Should you have any questions, please contact this office at the address or phone number listed above. Sincerely, Martha Whitney Date. December 16, 1998 Permit Applicant: Richard Dent 9 Tree Lined Lane Berry Creek, CA 95916 0 Permit Number: 98-2823 Assessor Parcel #: 062-510-049 The above referenced built ing plans were received by this office. Provide additional information and/or make revisions to plans, specifications and calculations as follows: Please fill out the enclosed form and return to Oroville office of Building Department. Enclosed: Detached Accessory Building Form. If you wish to discuss any requirements, you may contact me at (530) 538-7541 between 1:00 P.M. and 4.00 P.M., Monday through Friday. Martha Whitney I PERMIT NO. 7�$f7Lg$R PERMIT EXPIRES OWNER CONTR. ew ASSESSOR PARCEL 62-51-49 LOCATION 49 Tree Lined Lane, BC { I i I r Temp. Power Pole Called PG&E t Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E / JOB FINALED (Date) Signature = OK 0=Not OK = Not Readyiable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date E S COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements Pf. Zvfiing Requirements -Setbacks -Easements . Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 0-W- ood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-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. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date oof; Shthg-Roofing Card -131 Date Card -Bi Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -131 Card-Data�,l�Card-B1 Date - Card -B1 Date Date 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector T - _• 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit Card -Bt Date Card -B1 Date Card -B1 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -131 Date Card -131 Date = OK = NotOK - Applicable =Not Applicable RESIDENTIAL (Single and Duplex) • = Not Ready Date UNDERFLOOR (Plans) OK except #'s - Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg: Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance- Material -Su pprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -131 Date Card -81 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuits in Kitchen & Conductor Size 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnace in Attic Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s 38. Sills, Proper Material & Anchors 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Date FINAL (Plans) OK except #'s 60. Ext. Steps -Door & Sidelight Protection -Landings 61. Smoke Detector 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels 66. Stairs & Rails 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 70. Elec. Outlets & Receptacles at Kit. Counter 71. Garage Fire Door; Swing -Landing -Closer 72. A.C. Duct in Garage -Damper 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 74. Plb., Elec. & Mech. Equip. Listed for Location 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish 81. A.C. Unit; Disconnect, Electrical, Plumbing 82. Vents Above Roof; Plbg.-Appliance-Firepi. Clearance to Openings. 83. Water Well; Disconnect, Electrical, Plumbing 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 85. Ventilation throughout House 86. Glass Protection 87. Corrections from Previous Inpections 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Card -131 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) fi/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PER IT N0. ' ASSTOR PARCEL NUMB R (/ff_ - Z{1NItl BUILDING PERMIT IV DW O TE EP'O{J SO. FT. OCC. BUILDING VALUATION OW E S MAI G ADDRES J 12 CO RA TOR'S AME / r,�2 el TELEPHONE 191!2268f CON,YACTOR•S MAILI G ADDRESS (��// F i rep I ace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS oe- Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS j Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 1 SUBDIVISION NAME P RCEL MAP 1493 -g70� Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomepo Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home IS=E 0.00 ea TYPE OF WORK tiliti s ❑ Installation[] Other rV New ❑ Addition ElRemodel ❑01610, Describe work: 1/ I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 10.00 (00 AMP OR LESS Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW 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) ❑ 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.y\ y:2sgft OR ADDNS. ACC. BLDGS. / NEW CONSTR. MULTI -OUTLET 2,50 ea RA CI NON-RESID .BH CIRC TS POWER APPARATUS S) SINGLE OUTLET CIR. EX. OCCUp�OUTLETS OR FIXTURES 509500 5"`930 FIXED APPLES. OR EX. DCCUp. 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. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against a'd County in con quence of the granting of this permit. X iii Date "I _f6__& 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, I CONST.TYPE SCHOOL F a PAac�L l� PD N0 39UE 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 PUBLIC WORKS By Date 7 -pp PER EXPIRES Date —, ' & Receipt No. a64& WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for _ bedroom mobile home. Other �iLQ NOTE *** Sanitarian Dat -..ys 'hw"arr, d"Y'"`'�d►'^I+''"fisy:i: s: ;'�' y. �'Kl:,,4�w+y�w `�„4.'i':.f�.IC`• • • f i.� ' k 41 'Y� yet{�.j .i 4, COUNTY OF BUTTE - DEPARTMENT,"OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE: 916/538-7541 r ,PERMIT APPLICATION DATA SHEET Permit No. OWNER F`L_-Cf ®e j I A. P. No. c� -s� Proposed Building Use 0 l/ 000 k 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. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. . 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Desig-i Compliance Statement. . . . . . 6. School District "Fees Paid” Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . A. Letter of signature author Izat2ion... . . . . . . �'`C '. Sanitation approval from V V'D (/•i � . Health Dept. . . A - /--5-' &� 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 recuired. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec.request to (Date) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement.=. , w .19. Driveway Permit. 20. Plot plan approval from city of U 21. Engineered trusses'in duplicate (required prior to plan check). 22. 0 When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone and hold for pickup at -off ice, Deliver w/inspector. Other Applicant` "Date IJ 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---nail—counter by Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by. Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder date date Ite - - 3'-17 -$� COUNTY OF BUTTE - Department of Public Works 7 County Center Dri-ve,,- Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916 -538 -7541 - 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) 1165 2. I (have/have not) e- signed an application for a building permit for the proposed work. 3. 4. I have contracted with the following person (fir ) to provide the proposed construction: Name Address City Phone Contractors icense No. I plan to provide portions of this to coordinate, supervise, and prov Name Address k, but I have hired the following person the major work: Phone Contractors License No. 5. I will provide some of t persons to provide the w Name Addr,4 City e/work but I have contracted k indicated: s . Phone Signed: Alt,Property Owner Social Security umber Date I -- I S- — ,-V (hired) the following Type of Work 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. r` rDENT, -51-49 ; 2817-89B,P Richard Tree Lined Rd, Berry Creek 1 (new garage) PERM PERN. r� - OWNER CONTR. P, ASSESSOR PARCEL �1 LOCATION 9,6 I R Temp. Power Pole i Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature = OK 0 = Not OK yable MOBILE HOMES ' = Not Ready h MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DE S,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements-Setbacks-Easements . Zon' Requirements-Setbacks-Easements 2. Soils; Special MH Support-Sketch %. ootings; Soils-Size-Depth-Spacing-Connectors-Steel 3. Sewer; Location-Test-Fali-C/0-Concrete 3..Dosk "Gffders and/or Joists-Decking-Bracing-Stairs-Rails 4. Water; Location-Test-Easement Needed (Sketch) Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp-Concrete 6. Gas; Location-Test-Wrap: / /"L"ft.5.lumns-Connections-Splice-Decal-Enclosures / /"Nat. or/ /"L"ft./ /"LPG 6tarp'yng Windows-Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing-Veneer-Stucco-Mesh Card-131 Date Card-131 Date 10. Roof; Shthg-Roofing Card-131 Date Card-81 Date 11. t.; Steps-Doors- Land in s Date MOSILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements Card-131 Date Card-131 Date 2. Footings; Size-Spacing-Marriage Line Card-131 ('�,Date)-L K>ZCard-81 Date 3. Gas; MH Test-Demand-Valve-Connector 4. Electricity; MH Test-Crossovers-Breakers-Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test-Fall-Flex Connector 1. Setbacks-Easements 6. Water; MH Test-Regulator-Connector 2. Soils; Compaction-Structure Stability 7. Water and Sewer Connected-C/0 to Grade-HD Approval 3. Pool Structure; Steel-Connections-Thickness- Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries-Terminals-Listed 7. Elec.; Bonding; Metal w/5'-Circulating Equip.-Heater 8. Elec.;Grounding; Equip. w/5'-circulating Equip.-Pool Lghtg. Boxes-Enclosures-Panel boards-Ins. to Main in Conduit Card-B1 Date Card-81 Date Card-131 Date Card-131 Date 9. Health Department Approval 10. Plumb.; Cir. Test-Water Supply Test Card-81 Date Card-61 Date Card-61 Date Card-B1 Date = UK o = NotRESIDENTIAL (Single and Duplex) - = Not Applicable ' _ :Jot Ready , Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel- Blockouts-Wrapped 49, Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration -Wal Is-Wndws Card -B1 Date Card -81 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Liqht-Spa Liqht Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -131 Date Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 8i. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Of. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Date Card -61 Date Card -B1 Date Card -131 Date Card -131 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit iob site) Richard Dent 9 Tree Lined Ln. Berry Creek, CA 95916 ,bane Co LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE t OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7541 RONALD D. McELROY July 27, 1990 Deputy Director RE: Building Permit No. 2817-89 Expiration Date 8-25-90 (A.P. No. 62-51-49 ) With reference to the above subject, our records indicate that your Building Permit es�irAa 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 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 within thirty days of the expiration date, it cannot be renewed and all work must cease until a new building permit is issued. If your construction is completed or should you have any questions concerning this matter, please contact the Oroville office. For your convenience, we are enclosing a renewal application form and 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. JFG:aam Attachments: Permit Application Owner -Builder Information Owner -Builder Verification cc: Building Inspector - Yours very truly, William Cheff Director of Public Works Glander ief Building Inspector Chico - 196 Memorial Wav/891--2751 Paradise - 745 Elliot Rd./872-6307 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 �r 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE a2 1,7 - 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 Da rCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 62-51-49 ZONING U - BUILDING PERMIT OWNER Richard Dent TELEPHONE 589-4632 S0. FT. OCC. BUILDING VALUATION Tat renewal OWNER'S MAILING ADDRESS 9 Tree Lined Rd Berry Creek CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee 151 1 FF. E $ 43.25 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Tree Lined Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 1 SUBDIVISION NAME PARCEL MAP 83-92 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other a a PECIFV Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 1110.00e TYPE OF WORK New EJ Addition❑ Remodel❑ Utilities❑ Installation[] Other ❑ Describe work: 1st renewal of BP#2817-89 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 11 10.00 Main service EA. ADD -I.- 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusineSS and Professions Code and my license is In full force and effect. License No. Classification I, as the owner, or my employees with wages as their SOIe COmpen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.(DWELLING OCCUP.a OR ADONIS. ACC. SLOGS. I , 2/20sgft NEW CONSTR. ULT' -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS Q) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20060c 9ALe 8o FIXED . OR Ex. Occup. OUTLETS TS (RESRESI D.) 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. Y�I I shall not employ any person in any manner so as to become subject �N to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabi 'ties, judgments, costs, and expenses which may in any way accrue agains s id ou ity in co !iV the granting of this permit. (�] Ci' X Date / r�`' ® Signature of Applicant — Owner X Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct-DIR of structures over 3 stories in height.Receipt Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE $ 53. 2 5 FEE 2 TOTAL ALi E HAz CUA_ PARK PAR HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or wor2ited above for whichJfeesave T PUBKV PERMIT EXPIRES Date 8-95-91 the applicable provi- resolutions to do been paid. a*ion No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNITY OF BUTTE - Department.of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538_741. OWNER -BUILDER VERIFICATION G��Y_. Attention Property Owner: v An "owner builder" building permit has been applied for :.n 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) e S 2. I (have/have not) h zi V e 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 wort: but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Ll / Property Owner /i-C— Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the'California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER .^. ZON BUILDING PERMIT OWNER ,�&P014W l<%tif}' TELEPHONE SQ. FT. OCC. BUILDINGVALUATION OWNER'S MAILING ADDRESS w Lely /�>i CONTRACTOR'SN ff TELEPHONE CON RACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuationuclzu FSling Fee ,$ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / i `/�'/�V/ Permit fee $ -75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. / SUBDIVISION NAME PARCE MV) S `(7l/ Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCT� SF ❑ Duplex❑ Mobilehome❑ Other C SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer* 00 Mobile Home S G W 0.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: -So QA-,<4lslc CLM Permit Fee $ - Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'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) ElI, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ACDNS. ACC. SLOGS. , AZ /z¢sgft NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS IN SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 2AL SOC eoso FIXED APLINIS Ex. Occup. OUTLETS IPRESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ( I shall not employ any person in any manner so as to become subject �! to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 liabili s, judgments, c ts, d expenses which may in any way accrue against I'd Co my i cons uen a of the granting of this permit. �-Z(` %� Date LL 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 $ occ CONST TYPE TOTAL FEE $ AL E HAZ _ CUA PARK �-` PnR, `/ v PD H Issu This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PER EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Datey_ rt �� Uf' f Receipt No. y 7 ,� WNITC-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT TO Building Department •y'':� FROM: Environmental Health SUBJECT: Sanitation Clearance Hold final for: Final clearance O.K. for: Clearance for bedroom mobile home. Water Supply Water Supply Other C� NOTE *** Sanitarian Date Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Final clearance O.K. for: Clearance for bedroom mobile home. Water Supply Water Supply Other C� NOTE *** Sanitarian Date ,iR",i6ew R r� y dy, `rfr .. c 9 e^i tKi F i�ic' r-��r sr ..,: rrir vim* �w+li •� n�._ urs,.:�-„r. i�: a i- 1V � COUNTY OF BUTTE - DEPARTMENT'OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER CRIVE - OROVILLE: CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET •' Permit No. OWNER ��/Q�i A. P. No. Proposed Building Use 1"QA �4 Building Inspector zgelz Date r� 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/tripl cate, 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 ................. 2- 13. Sanitation approval from�7pa L(n Health Department ... 14. City of Chico plumbing permit ...................................... 15. Plot plan and business IiCEnse approval from City of (see City for other requirements) 16. Planning approval for (A) iJse: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required .... Pre-Inspen request to re ld p q •Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... t 21. Certificate of Workmans Compensation insurance .................... ` 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of AgricLltural Acknowledgment Statement ............ 24. Letter of signature autho-ization..................................... 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone_ F—'?��2 and hold for pickup at office. Deliver w/inspector. Other /? > Applicant O Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_—mail counter by date f Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by �� Date $'a� Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTED- Department of.Public. Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) kAS 2. I (have/have not) J60ye— 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 Securit Date r a 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. S 787-88 PERMIT NO. —2456-88B PERMIT EXPIRES r OWNER' EDMUND POOR r r-nNTR owner ASSESSOR PARCEL 62-51-49 LOCATION .9 Tree Lined Rd, Berry Creek Temp. Power Pole i Called PG&E_ Temp. Elec. Se Called PGI Temp. Gas Ser Called PG! JOB FINALED Signature = OK' 0 = Not OK = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Card -81 Date Card -61 Date Card -81 Date Card -131 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date MISCELLANEOUS Date DEC S,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s o ' g Requirements -Setbacks -Easements o s; Soils -Size -Depth -Spacing -Connectors -Steel da"becks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -B Date Card -B1 Date Card-BDate Card -81 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements • 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -61 Date Card -61 Date Card -131 Date Card -131 Date = OK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable _• Not Ready ' Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance _ 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration -Wal is-Wndws Card -61 Date Card -131 Date Card -61 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -81 Date Card -B1 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Card -131 Date Card -81 Date Card -131 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive •❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -81 Date Card -B1 Date Card -61 Date Card -B1 Date Card -131 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) \ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO/ �^ 7 County Center Drive - Orewille, California 95965 - Telephone: 916/538-7541 cp APPLICATION AND PERMIT 4SSE5 O ,rR PARCEL NU R r ZONING BUILDING PERM aff-N El R TELEPHONE ,SQ. FT. OCC, BUILDING VAL fON EA r •D M G ADDRF.,.QS re; yAny (�J' CONTRACTOR'S NAME TELEPHONE ot CONTRACT R'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER VN WN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ j 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 �� Q. 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 is G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other (� Permit Fee $ Describe work: I 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 NEW CONST. / DWELLINGOCCUP.5i) / yzQsgft I declare under penalty of perjury (Check one): OR ADDNS. l ACC. BLOGS. NEW CONSTR MU (.OUTLET 2.50 ea ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER NON.RESID .BRA CH CIRC ITS APPARATUS &I and Professions Code and my license is in full force and effect. (SINGLE OUTLET CIR. / License No. Classification Ex. Occup OUTLETS OR FIXTURES eAL030 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESIO.) EA.) 2.00 16�(, 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 Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors. (Sec. 7044) ❑ 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. Cooling 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 permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ I also agree to save, indemnify and keep harmless the County of Butte against OCcuP. CONST.TYPC SCHOOL FIOo PARCEL I all liabilities, judgments, costs, and expenses which may in any way accrue —� (/ I I'V71ILP id County in conse a ce of the granting of this permit. agaU11 ��/ This permit is hereby issued under the applicable provi- Xil'� �-Ut` Date�r•�— t� sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. 1-763 By ,yp Date Receipt No. c WHIT[-D.P.W.. YELLOW-AESE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT PE4tf EXPIRES Date `#'� T�W1i�i#s+�'ti V �r bh 7F�•l'A�'�%�'µ�71'`�ii.,Wly'. �tM°',�''��.�- •� 1,t.. y�e.34y moi, - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE = OR A ILLE.•CALIFORNIA 95965 - TELEPHONE: 916/538-7541 I PERM IT`APPLICATION DATA SHEET 1� Permit No. A �-(� V�C� V r _ j OWNER P. No. — Proposed Building Use ulidIng Inspecto , 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, . . ... . . . . . . . 2. Plot plans in duplicate/triplicate, signed by preparer of plans. . 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and •calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid'' Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . Letter of signature author.,i.�ation, l �ezy( Health' . Sanitation approval from Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) _.-._15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . Pre -Inspection for __ _ Required. Pre-Innpec. request to 17. Pre -Ins P ------ --- q Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. r, 19. Driveway Permit. 20. Plot plan approval from city of 21. — 22. (Dote) When, you issue the permit, process as follows: Mail to owner: Mail to contractor - Telephone and hold for pickup at office, Deliver w/inspector. % Other Appl ican t e�9------ r cs Copy of plans sent Heal -.h 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---nail—counter by date Contractor, designer, owner, was advised c, above required data by—phone _mail—counter by date Plans checked by Date Plans approved by a� Date e-� : Sets of plans on hold in File cabinet AP folder .g y i z Copy=DPW TO Building Department FROM: Environmental Health SUBJECT: 'Sanitation Clearance rV - P—Z4, `owtier. �ation AP# Plan Approved for: Hold final for: Final clearance O.R. for: NOTE *** Sanitarian Sewage Disposal _ Water Supply Water Supply Water Supply COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. Y. I personally plan to provide the major labor and mawials for construction of the proposed property improvement (yes or no) 2. -I (have/have not) Y signed an application for a building permit for the proposed wo k. 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 Gt�it� Social Security Number Date -- NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to -our office before we are per- mitted to issue the permit. 4')c V' PLYWOOD CC EYT. - L4�x(,„ DF'2 2"xl'n" DECKINIS' (ALT) --- GoQ -T- FRMIJ (1 CLIPr V x 12" STAIR STRiIJ6ER. 4B'o.c. MAX. -TDP V1EW HAW2VAIL NOT SHOWM FOR CI-R91T`f. Ar\, r 3/8' BOLT GIRDERS I'/s" Ti G PLYWOOD CC EXT. z ijj GrUARPRAIL r'#nAnv rnrrvtiIr_ x j4`° 110N. FOOT 1 N6 - w MOBILE HOME OR D44%&' �' a .O o —N MTL. FKMU48" MAX. CLIP (EA: 9'MIN. `I 4"X4° POST— Ty OST 2"x IV *' fZDF � 2` 4" FRtSSURE 8 M TRfATCD GIRDESZ DOLTS .-RFD WOOD PLAT E- - _ q"X4,. POST �Q 9 AV7 — APfQ�gTE DIACONAL BRracI ��U. TYPICAL RES/Drtmoz tOUNTY OF BUTTE — DEPART Ojft BLIC WORKS'._ 7 County Center Drive — Orovi e, Caia 95965 Telephone: 538-7541 7-14 III II i 12" FIERS L4�x(,„ DF'2 2"xl'n" DECKINIS' (ALT) --- GoQ -T- FRMIJ (1 CLIPr V x 12" STAIR STRiIJ6ER. 4B'o.c. MAX. -TDP V1EW HAW2VAIL NOT SHOWM FOR CI-R91T`f. Ar\, r 3/8' BOLT GIRDERS I'/s" Ti G PLYWOOD CC EXT. z ijj GrUARPRAIL r'#nAnv rnrrvtiIr_ x j4`° 110N. FOOT 1 N6 - w MOBILE HOME OR D44%&' �' a .O o —N MTL. FKMU48" MAX. CLIP (EA: 9'MIN. `I 4"X4° POST— Ty OST 2"x IV *' fZDF � 2` 4" FRtSSURE 8 M TRfATCD GIRDESZ DOLTS .-RFD WOOD PLAT E- - _ q"X4,. POST �Q 9 AV7 — APfQ�gTE DIACONAL BRracI ��U. TYPICAL RES/Drtmoz tOUNTY OF BUTTE — DEPART Ojft BLIC WORKS'._ 7 County Center Drive — Orovi e, Caia 95965 Telephone: 538-7541 7-14 P11168-82P,E PERMIT NO. PERMIT EXPIRES S h /6 , Edward Poor OWNER Owner CONTR. 62-51-49 ASSESSOR PARCEL LOCATION S/W cor @ inters Bald Rock Rd., a — r; and Treelined Lane, Bald Rock a{ } r . I 1 } y Temp. Power Pole Called PG&E r Temp. Elec. Service Called PG&E Q�� Temp. Gas Service Called PG&E,! - JOB FINALED (Date) ✓�v Signature V = OK O = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILE_KOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) 0:. except N oning R uirements—Setbacks—Easements 1. Zoning Requirements-Setbacks—Easements _ A s; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors ewer cation—Test—Fall-C/O—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails ater ation—Test—Easement Needed (Sketch 4, Wood Awn.; Posts— Beams— Rftrs.—Connec.—Shthg.—Rfg. -Gracing lectricity; Location—Clearances—Grnd.—,WAmp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures ocatio rap:/ /"L"ft./ /"Nat. or /"L"ft./ a' LPG 6. Carports; Windows—Doors 7. Utility Clearance _ 7. Elec. C I at Card -BI Date Card -BI Date Card -BI Date _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except p's 4i-Z_o_ning Requirements—Setbacks—Easements Date _ POOLS (Plans) OK except N's 1. Setbacks—Easements to s,; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability s; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining _ 4, Elec.; Receptacles and Lighting; Distances—GFI ectricity; MH Test—Crossovers—Breakers—Clearances MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI er; MH Test—Regulator—Connector 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 ash Electricity Tagged 8. Elec.; Grounding; Equip, w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panelboards—Ins. to Main in Conduit xits; Insp.—Sketch 1 ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test C fate Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI. Date Card -BI Date = OK = Not OK Not Applicable = Not Ready RESIDENTIAL (Simgle and Duplex) Date UNDERFLOOR Plans OK exce tk's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 48. 49. Property Line Firewall & Openings 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. 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 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 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 19. Gas Pipe; Size & Anchors 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except q's 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 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. &Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic ❑Yes73. Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size _ - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ElYes CJ No 75. Following instld.: Drive []No; Walks ❑Yes E) No; Planters❑Yes 0 -No 28. 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 -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except Ws 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 Card -BI - _- --------- --- Date --_ Card -BI Date 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 q's Comments at Final: 36. Sills; Proper Material & Anchors _ 37. 38. 38. 39. _Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing__ Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Rom_ex Protection -Draft Stop -Ins. Baffles 46. 47. Bdrm._Windo_ws or Exiting Doors -Sill Hgt. & Dimensions _ Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE c DEPARTMENT OF PUBLIC WORKS 4 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the fo=lowing 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. � I I r Rovz CH r fy �. Inspector��' �'z�'�' /�✓-! Date COUNTY OF BUTTE DEPARTMENT.OF PUBLIC WORKS 7 COUNTY CENTER'DRIVE E� t OROVILLE, CALIF. - 534-4541 • 4 ' CERTIFICATE OF OCCUPANCY This mobilehome has been'ins_talled in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit numbe`l —.f' for the following location:^tb/—J « en a rl� Owner_ Owner's Address�`n` Mobilehome Mfg. Model Year k �� Insignia No. _ A- / .::? `� !! Serial No. ----- =_' It is hereby-ertified for occupancy at the above described location ;and may be occupied. Director., of Public Works,,- Date. orks,rDate �.� -"a ? - 8r _1> By THIS CERTIFICATE IS VOID WHEN MOBILEHOME,IS RELOCATED White - Owner. Yellow - Installer. Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive - Oroville, California 95961,;- Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT s n�. • gr- 0"z ASSESSOR PARCEL NUMBER a _ z 1 _ ZONING BUILDING PERMIT OWNER TELEPHONE � S0. FT. OCC. BUILDING VALUAVbN OWNE 'S MAILING ADD ESS / Ae / CON RACTQ 'SNA A) C_ TELEPHONE 1�3-,7-�•b CONTRACTOR'S MAILING ADDR SS 't/b*t— Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR E EER LICENSE NO. Plan Checking Fee ,$ LI Penalty $ ARCI$6r-ECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filin Fee 10.00 9 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home S G W j10.00 ea TYPE OF WORK New ❑ Addition Remodel ❑ ti lities ❑ In tallation Other ❑ Describe work: I SInaS �. 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 NEW CONST. DWELLINGOCCUP.8, OR ADDNS. ACC. BLDGS. 1 2/20sq ft 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 Profess' ns Code and m license is in full orce and effect. Q y License N 6n 1 T �� 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 ULTI-OUTLET 2.50 ea NON.RESID. BRANCH CIRC ITS NEW NON -CONSTR ESID. SINGLE OUTLET CIRR (POWER APPARATUS &) . Ex. Occu / 20@som P\o OR FIXTURES 9AL®sos FIXED APP LNS, OR FIXED EX. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 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. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate/Pl 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 $ 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 I' ies, judg s, costs, and expenses which may in any way accrue a Inst id o in sequence of, the granting of this permit. Date 4 %+- �� Signature of Ap Icant — Owner ❑ Contractor JT Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories inheight. Mobile Home Installation Fee $ r TOTAL PERMIT FEE $ QI OCCUP. GROUP I TYPE OF CONST, F PARCEL PD 1 HD s5 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTORQF PUBLIC By P MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date/^�o�?--J? V �-L<)�� /" Receipt No. Fl %� Qr- i� WHITE-D.P.W., YELLOW-ASSVeS90R, PINK -INSPECTOR, GOLDENROD -APPLICANT i i COUNTY OF BUTTE - DEPARTMENT OF f?U ' iC WORKS -BUILDING DIVISION ` 7 COUNTY CENTER DRIVE - OROVILLE, C'ALIFQNIA 95965 - TELEPHONE: 916/534-4541 l + PERMIT APPLICA . DATA SHEET r _ /* Permit No. OWNER A. P. No. Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (,Explain) / Building Inspector \ Date, <'. Rr At time of permit application, I was advised dhe 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 and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to owner [].) 15. Improvements may be required. . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre Inspection for /R'equired, Pre-Inspec. request to Builling Inspec or (Dote) W-18\ Other � 7 t ,.f� JJ 4 IV When you issue the permit, process as follows: U Mail to owner. Mail to contractor. ___4..T-e1l9phone2M —7) n (.� and hold for pickup atCT office. Deliver w/inspector. Other , Applicant Co of plans sent Health Dept., Copy p , p Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, ised of above required data by Telephone Mail By Date Plans checked by Lim I Date Plans approved by Jr %CfV Date Other: Copy—DPW Other f BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: -534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: ------------------------------ -------------------- Yes No 2. Installer's name: f %%�/� I 'I'le 3. Is the site currently under permit? Yes No (I£ yes, identify the load and size: : (Load) (Amps) (If yes, furnish permit number What ) OR Is the site an existing site? Yes / / No / ?� Natural /% LPG (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 (f t.) 12. What is the mobilehome gas demand? ------------------------------ clear of all setbacks.and easements? Yes,, f No (This information not required if pipe length less than 6 ft. on natural ( If no, clarify ) 5. :What is the mobilehome electrical rating? ----------------------- /20 Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- �� Amps 8. Is there any other electric load to be served by the mobilehome siteservice? ------------------------------ -------------------- Yes No (I£ 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 /% LPG 11. What is the gas pipe length from meter or tank to the mobilehome? SD (f t.) 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 If other than single wide, Mobilehome Mfr. a D furnish Setup Model No. Year 46i3 Width_(ft.) Box Length 4Z (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 1. Wood either /Al.pressure treated or .._ foundation grade. x 2. Other: (specify) (ft. in;) (in.) (in.) ❑ Center sup ort Center support locations foot' g sizes Supports (check one) 1: Concrete. block. (� ❑ 2: Other. (specify) x (i .) (in.) <--Tagalong or Expando,' show support details. L� (in.) (in.) 41n. Typical Support in.) Footing Size x (ft.)(in.) ('n.) (in.) -- Max. Pier Spacing Max. Overhang (ft.) Cin.) (•n.) Cin.) (ft.)(in.) BUTTE COUNTY BUILDING DEPAUE° EN! APPROVEI) *If center piers are other than drawn above, draw in-locations, spacing, and dimensions. OWNERf-aw*A,0 PERMIT'Ik Il 0 -- MH UT -IL . CLEA,kANCE DATE 'L INSPECTOR ELECTRIC GAS Support Struc. Compaction ITest-Req. Service Size Other Load TV -pe Pipe Size Length YES NOI YESI NO COUNTY OF BUTTE - DEPARTINT OF PUBLIC WORK PERMIT NO. Center rive - r 'll q 7 County C n D 0 ovl e, California 95965 -Telephone 916/5 541 ' 1 � O 'y 2— APPLICATION IONS AND PERMIT,, .n ASSESSOR PARCEL NUMB 6z-,5-/- ZO NG ,,, Fla 9 BUILDING PERMIT OWER 2f DW,4� L PHONE SO. FT. OCC. BUILDING VALUATION OWy E R'SOMAI Lr✓O�ADDRESS / �/�?�� CONTRACTOR'S NAME el&ly ne TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEE LISE No. CEN Plan Checking Fee l $ O_oQ Penalty $ ARCHITECT OR ENGIN R'S MAILING ADDRESS Permit fee $ Bul IN AD RES PLUMBING PERMIT Filing Fee 10.00 L•� Each Trap 2.00 Repair drainage or vent piping 5.00 /�/� Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USEOF ST UCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Oc 00 Lawn sprinkler system 5.00 TYPE OF WORK / New ❑ Addition ❑ Remodel ❑ Utilities er Installation❑ Other ❑ Describe work: Permit Fee $ ro Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V OR LESS100 AMP OR LESS /Q` a Main service EA. ADD'L 100 AMP 2.50 . Sd NEW CONST. (DWELLING OCCUP.y) OR ADDNS. ACC. BLDGS. 2�sgft 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 CONSTIRMULTI-OUTLET 2.50 ea NON-RESID BRANCH CIRCUITS) NEW CON ST FL /POWER APPARATUS &I NON-RESID. \SINGLE OUTLET CIR. 50 @ 28¢ Ex. OCCUp OUTLETS OR FIXTURES BAL@1 IXED APPLNS. OR jj Ex. Occup.(ouTLETS (RESID,) EA,/ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 0o Misc. Wiring 7.50 tip 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. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation penult 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 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 anting of this permit. agaZz� n consequMz__Date X_YM - �- L — t I— 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. PARCE PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECM OF PUBLIC BY PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date,5,43—,P jam. 7 Receipt No. �OoZ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ^,�,i � "'�.•:r;r-ar-^,r�-tY �..�r�-"'R:::..'i :V S:. lr�v.r"'t31= z70�t-'-�•:...i�`ri,:^t'�,,i .+..r�'1�..;�.1.�,� � � �.a m; �:. r COUNTY OF BUTTE - DEPARTMENT OF,PUBLIC WORKS - BUILDING•DIVISION _5 ' 7 COUNTY CENTER DRIVE - OROVILLE,'d,LIFO RNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. ' t OWNER E7DGt)Ae-D PO®r A. P. No. Proposed Building Use Permit Fee Based U on. Complete Contract Price DPW Valuation Other (Explain) Building Inspector Date At time of 'permit application, I was advis3d 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/triplicEte. . . . . . . . . . . 3. Complete plans in duplicate./tr plicate. . . . . . . . . 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. jesof $ oi.Letter of signature authorization. Sanitation approval from ealth 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 (G ven to owner0, Mail to ownerE]) 15. Improvements may be required. , , . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . •Pre-Inspec. request to (Dote) 17 ire -Inspection for Required. Building Inspector ]"5"Other �� L� C �C--� � ( L When you issue the permit, process as follows: MaiI to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant -,Yl Q:2::,Date 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 lme of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: ' (Contractor, Des' r, ne` was advised of above requi d data y elephone Mail Other By Date Plans checked b Date Plans approved byPNW Date — 7:&s. - Other: ZOther: Copy—DPW To: Building Department From: Environmental Health Subject: Sanitation Clearance t Owner Location AP# Plan Approved for: Sewage disposal water supply Hold final for: Final clearance O.K. for: Clearance for bedroom mobile home. NOTE` Sanitarian Other crater supply water supply e 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 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) �fle—, 2. I (have/have not) a signed an application for a building permit for the pro osed 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 (1)'1) Address City Phone Contractors License No. 5. I will provide some of the work but I have persons to provide the work indicated: Name Address contracted (hired) the following Phone ' Type of Work Signed: �11/ Property Owner �A Social Security number Date 3 — A R 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. 80 Thi set of plans and spec kept n. the job at a I times a mak any changer altenif out ritten perm ion i�om Pu lic Works, Cf But 1 �ations. MUST be I iti"njj�wful to ,is on same w Tn- e Department o r' 6 z S/- g5' o!4„/,4t IV/W _._.. _.._. ._ .. property li perl ill be requf red for the of 50ft. frc tion m + of the ot ilehome. centerline � -4_ / structure; � /4'x GS' Mob; t o, fora 2 ft.� . y Utility onnections sha wit hiQ//0N. 4 ft. of he mobileh aa�therg directly ehind with&v_*Olrear• -, k. a� _half of roadside (left) of the ehome. i� /, o/ 4CA?4�5 AV/S♦ , ---- /V N f:—All Materials & Workmans ip Accordance with Recognized Good Practices anc' of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the -National Electrical Code.. /N Ar -AD'S MIS ' dE 0! C A-TI7-0 • • • � C�l"'7� G.O. PSK � �� '7 9- N14aP15, 95 / elm . 5 ti. TF1714V,11-7/ and a,setback the- road 311 be clear of equipment except re overhang.' IV N Goa. SLG e N oz ° :�,;ase; . ' t rs DAR1MN-s R'4'!4'to DPW AGRICULTURAL STATEMENT OF. ACKNOWLEDGEMENT 82-1226 trc. FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgementti.0 Q N. Tf be recorded prior to issuance of a building permit. 6 The property described herein is adjacent to land or included Oyu within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arisin LEANOR M: lel.. �l from the use, of agricultural chemicals, including, but not limited pesticides, and fertilizers; and from the pursuit of agricultural operations includlwg, 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 operations. All that real property situate in the County of Butte, State of California, described as follows: Date • PROPERTY OWNERS: NOT COMPARFD WITH ORIGINAL DOCUMENT State o On this theV� day of GZ,ci , 19 SS. before,me, the' undersigned Notaryblic ersonally County of ) Cppeared/y�yj Ina `: 0 r, SCHEDULE C The land referred to herein is described as follows: All that certain real property situate -in the, County of Butte, State of California, described as follows: PARCEL A: Parcel 1, as shown on Parcel Map being a portion of Sections 28 and 33, Township Augustt28,R1981,nge 5inaBookM83DofBParcel,MapscatParcel page 921. was and lic utilitINpurposesROM A nonexclusive- over the Westerly 300feettofatheeaboverdescribed parcel. utility purposes appurtenant to the remaining Said easement to be for the benefit of and app may be Grantor herein and shall inure to the benefit of and a ay or be land of.the used by a,Ll persons who may hereafter become the owners o any p ` portions of said appurtenant land. 4 PARCEL B: purposes over a strip A nonexclusive easement for road and public utility purpo rtion of a of land 60 feet in width as shown NorthpRange 5arcel ap being East, M.aD. B. & M. which Sections 28 and 33, Township Parcel Map was recorded August 28, 1981, in Book 83 of Parcel Maps at page '92. 0 C* 11�ll••1 l� r• 4 1' File Nn BUTTE COUNTY (For Action 1, 2,3) Public Works Dept. (For Information ✓) Director Dep. Dir. Sec. Rd. & Br. Mtce. I I Shop & Yards I I i Bldg. Insp. Admin. I IZ I CLr1 D&C / Traffic Y Const. Rd. Des. Br. Des. Sur. & Loc. Transp. R/W Mapping Land Dev. Ref. Disp. Drng. / S. I. Sub. & Pcl. Maps Permits 4 STATE OF CALIFORNIA -HEALTH AND WELFARE AGENCY C-1 E OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT 1600 9TH STREET SACRAMENTO, CA 95814 i (916) 445-2603 he hz 'September 23, 1982 S-0547 Mr. Robert W. Kearney, Project Director P.O. Box.142 Brownsville, CA 95919 Dear Mr. Kearney: SUBJECT: BERRY CREEK HEALTH -CENTER Bald Rock Road and Town Hill Way P.O. Box 40 Berry Creek, CA 95916 (New'Wood Frame Outpatient Clinic) EDMUND G. BROWN JR., GoveRlo► t JOSEPH D. K. DIAZ, Director ' }- 4 Receipt is acknowledged of an application for plan review, specifi- cations and drawings numbered 1 through 8. One set of these drawings has been forwarded to the State Fire - Marshal's Office in*Sacramento. An evaluation of these final drawings with respect to applicable provisions of Title 24, Part 6, Division T17 of the California Administrative Code.'reveals.the following.- 1. ollowing:1. One additional floor plan and a radiation physicist's report 6n the x-ray protection for the proposed x-ray room shall be submitted to this office for review by the Radiologic Health Branch.. 2. Pocket doors should not'be used. They are difficult to, clean. 3. Please verify the surgical procedures if any to be done in the Trauma -Room. 4. The mechanical floor plan is unfinished and inadequate for review. The design of the HVAC system must be shown on the floor plan. Approval to commence construction is withheld pending receipt of information and/or drawings that accommodate the above items. Sincerely, c ill F. Batts chitectural Associate Division of Facilities Development cc: L&C-Redding SFM-Sac Fac File b4utte County Bldg. Depat. f � .� `�� i ��li �.: ��, �p fills `� �f� �� J�� py�pam@ � o A kN :j 1,� I , , , , ,,,,, i, I , ", 'i'!I,II1,i';I,ty,� ,''i__ f"! ,,;� I , , ,; , , , ,'i , . , Ii 10", �,, , , ,I � , . " , ,, �,Ii , .,�, � � ,,I'1,:,1t I I , I ,l I, " I ,�,,%,I '� ,., ol , I 'I "i " � , !� , , , , , ,F I , � " ,';,�,��- �. ,,� :I� . I T, , , , , , . I ",!?�, �,�,� i. � I, t " , ,, 4 ,, 11, I , ,,i'.,,, l. � f 'I, , I �ill' , t -, iiti�; " �I', . , , , , , : ,�, � , ,,;:� ill ,, �� I4, -I "., , , � I ,� ` I, t , 'n 'i",I � ,1,1�, 1. ; � � ", , , ,:;,. ,� l.�Ii� l - , I, I � 7 rif 11 �- , , - . , � , �', I ) , , I I , ;� � � , , I � -1 - I I , 'I �j , , I 'I- It It, , j I f II I - , " I. 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