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HomeMy WebLinkAbout062-600-0339 Bil Chene SIS Oro -Q ncy Hy f.L e Mad on B err re Per 3 6-78B ,M( s n1le f ilv) Richard Lash� E S Orov Quincywy,'_11�._3-�mi.N. of Lake-Madrone @ National Foist Sign Permit #3847-80P,E(util.,MH) ELEC. 3120-$1 200 A GAS 3-20 -81 ,Atnoiti SUPPORT STRUCTURE COPACTION TEST REQ. Michael R. Lash E S Oro Quincy Hwy,app3 mi.N.of Madrone @ National Forest Sign, Permit #4386-81P,E(utiMH e)vj GAS 1 (o - &-�L J j E --fq, °' SUPPORT STRUCTURE REQ. No COMPACTION TEST REQ. No 4 na I s //a/, contr-Tom s Mobile & Motor, Oro. Permit #4.17-82N HI(exis . site) Issued ...�__ . A�=04 ,« contra Tom's Mobile & Motor, roville Permit #44 -82MHI forIVA386 g1) _Issued��o% ( I Permit#487-82P as _�'0 (g piping/Cal s Contr: Cal Gas, Oroville j4a1s��4�r� Permit#486-82P(gas piping/ex site/417-82 MICHAEL_ T_ASH Permit42430-81P (waster line for �futurdot"dA; �IQ�Ve4Iirn") ^ ta GL4A'vv'6��O �'11� � I I I � f � I I u COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1 7 COUNTY CENT DRIVE OROVILLE, CALIe. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with therequirements of the California Administrative Code, Title 25, Chapter 5, under permit number A&u3- —for the following location: T /�� Owner.9•11 /- rl Act C /f Owner's Address Ll* l -i a, / ArN` Gd,. ^t ` Mobilehome Mfg. ;'!I ✓ill ?In. oModel ?a —f � - Year Insignia No. _7:c 1 :7 74` Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director oj Public Works Date 3 3 - By y l THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. PERMIT NO. r 4386-81P,E a PERMIT EXPIRES • Michael R. Lash r OWNER owner CONTR. _ 62-04-155 ASSESSOR PARCEL t 9JAS LOCATION E/S Oro Quincy Hwy,app ,,,. N. 0 Lake Madrone @ Nat °hd.. , Forest �r sign, Berry Creek, r s , a Temp. Power Pole Called PG&E Temp. Elec. Service S" Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) —?c 3 t -:,t— C Signature IF I J = OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS. Date MOBILEHOME UTILITIES (Plans) OK except q's Date DECKS, COVERS, CARPORTS, _TC. (Plans) , -sept b"foning Req L"ents—Set cks—Gy"M+rrm 1, Zoning Requirements—Setbacks—Easements _,Vi! Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors Pe"Sewer; Lodi -ion— Test— FaPdC / OeC J ­.c _rete • 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Fails v.-fater; Loon—Teff- ) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg. Bracing__ Electricity; Local—Clearanm6—Grw = / Amp—Concret 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enc.vs::res t 6. Gas; L on—T t—W*0'-/ /"L" ft./ /"Nat. or/ /"L'ft./ / LPG 6. Carports; Windows—Doors Y/6tility Clearance 2 _ 7. Elec. Card -BI 05C Date j Lard -BI Date Card -BI Date Card -Bl Date Card -BI Date Date Card -BI Date MOB!IEHOME INSTALLATION (Plans) OK except H's Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except k's 410"Zoning Requirements—Setbacks—Easements 1. Setbacks—Easements ootings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability Gas; MH Test—Demand—Valve—Connector 4.-'Ve tricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining _ 4, Elec.; Receptacles and Lighting; Distances—GF) rain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6 ter; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed er and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater s nd Electricity Tagged t 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. i Boxes—Enclosures—Panel boards—Ins. to Main in Conduit xit W nsp.—Sketch 1 ert. of Occupancy t 9. Health Department Approval i 10. Plumb; Cir. Test—Water Supply Test Card B- Date '- 'Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI - Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58: 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. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK exce-t k's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. 73. Insulation -Foam -Looked in Attic ❑Yes 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 ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 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 Outle. 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. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32_ Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade _ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic -- ---- Card -BI Date Card -BI Date Card -BI - Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs --:Nailing, Spacing & Bracing -Plates -Sound _ 38. 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-iiftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. _Bdrm. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. _ mit 1 nit— .5 7-nIA . tnil tr'r rte L1 17` k QL Inspector Date - ► COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico —'Phone: 891-2751 7 County Center Drive, Orovi I le- Phone: 534-4541 T Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BU,VLDING OR/PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this J matter, or need additional explanation, -Please contact this office immediately. I v i t �, Date Inspect :COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS ,�P�i1T NO.,/ 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45 � -• APPLICATION AND PERMIT ASSESSOR PARCEL NUM ER '_ Z=O — SSS ZONING, FlZBUILDING PER C� TEL37/ &.7 SO. FT. OCC. BUILDING VALUATION O K(/S�`MTTAIL7„1J1CGADDR 0 9SiZ( CONTRACTOR'S NAME /�� ��r,7 W V U TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINE;/tt LICENSE No. Plan Checking Fee $ /0-00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL NG ADDRESS PLUMBING PERMIT Filing Fee 10.00 r/ /7 �- O� G n `>G � M n,Tv�4VJ6 0 Each Trap 2.00 Repair drainage or vent piping 5.00 rwr�sr �Sl��/ C Water piping 10.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each gas water heater or vent 5,00 Gas piping system 1 - 5 outlets USEOF; RUCTURE SF [:]Duplex ❑ Mobilehome Other SPECIFY Building sewer Q Lawn sprinkler system 5.00 TYPE OF WORK New❑ Addition [3 Remodel❑ Utilities Installation ❑ Other ❑ Describe work: Permit Fee $ ,QO Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESSS.Qe—/0. 100 AMP OR LESS 0 Main service EA. ADD'L 100 AMP 2.50 S NEW CONST. ( DWELLING OCCUP.EI� OR ADONS. ACC. BLDGS. 2� sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ElI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. MULTI -OUTLET 2.50 ea NON•RESID BRANCH CIRC ITS NEW CONSTR ( POWER APPARATUS &) NON•RESID. SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES B L@; FIXED APPLNS. OR Ex. Occup.(ouTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15.O 17 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 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 of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject 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 liabilities, judgments costs, and a penses which may in any way accrue agai t id -Eo ty in se nce o e g nting of this per it. — tll(el XDate Sign ar re of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 33 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ , jD OCCUP. GROUP I TYPE OF CONST. PARCE PD ND SSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date1—s���Z b'? Receipt No. 58 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT p 6� ft, fron , I tile .:,es UP L 'for a 2t ft, eave ee 5b c.jf'jc-,,oions tIUS-T T4 -is 4, njons and spc-' S . . , - - unlawtul is -p 4 on +he rna�e an y Deparlmon.i. Olt. wri-hion PC"r)"I r; 1, - I -kc YOAS, c;:)tlnfy bDf alai }ane . M,�ti,���/ y� �osll C'. 7,— M,�ti,���/ y� �osll COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ,PERMIT NO. ASSESSOR PARCEL NUMBER 62-04-1 55 ZON G A ' BUILDING PERMIT OWNER MICHAEL LASH TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 486 SELBY AVE. SAN JOSE, CA. 95127 CONTRACTOR'S NAMETEL TOM 1 S MOBILE $c MOTOR 5 P10 3—'I'I CONTRACTOR'S MAILING ADDRESS 6366 LINCOLN OROVILLE, CA. 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Zo ,00 BUILDING ADDRESS E/S Oro QuincyH a 3 mi N of Lake Madrone PLUMBING PERMIT Filing Fee 10.00 @ National Forest Sign, Berry Creek 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 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel [:1Utilities El Installation Installation IJ Other ❑ Describe work: INSTALL MOB I LEHOME 3 / Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 5.00 e Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCU1.5i) OR ADDNS. ACC. BLDGS. 22 sq 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 Professions Code and m license is in full fo(rCpT ^gnd effect. y ljV 1 License No. 327023 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 I.OUTLET 2,50 ea NO N•RESID BRANCH CIRCUITS) NEW CONSTR. \ POWER APPARATUS &) NON•RESID. SINGLE OUTLET CIR. 50@25a Ex. Occup OUTLETS OR FIXTURES BAL@1 Ex. Occup. �OUT ETS FIXED P(RESID,)LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. rl i have placed on file with the County of Butte Building Department LAS a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ 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, qqAts, andenses which may in any way accrue against sai C u ty in co quence o he granting of this permit. �j� � X Dat ev Sign re 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 $ S 0 .00 TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD 1 ND 1 ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DJREC OFoPU By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. IC WORKS ate Receipt No. (0 I WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT MOBILEHOME SUPPORT DATA �a If other than single wide, Mobilehome Mfr. nHAMP ION HnME Bu ILQERSEurnish Setup i4oddl"No. 811—S Year 1982 Width -14 (ft.) Box Length 52 (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. Single x (in.) (in. Center sup rt Center s pport locations footing sizes (in. (ft.)(in.) (ft.)(in.) (in.) (in.) (ft.)(ik•) I (in.� -('in.) �.J (ft.) I (in.) (in.) ('in. *If center piers are other than drawn above, 'draw in -locations, spacing, and dimensions. Footings (check one) 1. Wood either pressure treated or foundation grade. 2. Other (specify) Supports (check one) 1: Concrete block. 2. Other (specify) E—Tagalong or Expando, show support details. x-- Typical Support 101 ?(,in.) in.) Footing Size Max. Pier Spacing 1 2" j -- Max. Overhang (ft.) (in.) BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 1 MOBILEHOME INSTALLATION SHEET 1. Owner's name: M 1 6WA L L AAM 2. Installer's name: TnM 1 e Mna 1 L F k. MnTnW 3. Is the site currently under permit? Yes 7—/ No/ (If yes, furnish permit number ) OR e Is the site an existing site? Yes // No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes// No ( If no, clarify ) 5. What is the mobilehome electrical rating? ---------------------- 400 Amps 6. What is the mobilehome site service rating? --------------------- 2nn Amps 7. What is the mobilehome site circuit breaker rating? ------------- 200 Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- _� �� (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG / / 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------=---------- --------- (BTU) (This information not required if pipe length less than 6 ft.' on natural.gas or less than 50 ft. on LPG.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS r J 7 CO(YN"1i'Y CF,t%TER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with therequirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location: t --A f)o< Of 11A.l wt, Nt� Ls4�c /1s�l�i'�^/��� /✓ t� !C E Owner_ t_�itr�n 7 LAS pt Owner's Address 9X` .SE L6V LAI -S-AW iSi%_. L° A 5�ZA % Mobilehome Mfg. 0-1-19441 P/ 04( Model Slt Year �-- Insignia No. (2A L--- -j//5j- q Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date --L By ;/ ' - .. THIS CERTIFICATE IS VOID WHEN MOILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. r 417-82MHI PERMIT N0. (extsttag s! e) PERMIT EXPIRES OWNER Richard Lash CONTR. Toms Mobile & Motor, Oroville ASSESSOR PARCEL 62-04-155 LOCATION E/S Oro Quincy Hwy, app.XU 3 mi. N.of Lake Madrone @ Nat.Forest Sign, Berry Creek � rr 0 Temp. Power Pole_ Called PG&E Temp. Elec. Service Called PG&E_ Temp. Gas Service _ L. Calledf6G&CE . JOB I. Si 4C-�o V = OK - 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's' 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Siie—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date _ Card -BI Date _ Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N's Zoning Requirements—Setbacks—Easements 1, Setbacks—Easements oot' gs; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3ellas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4, ctricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI `6!ilrain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI L,Wa—te'r; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed It -Vater and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater s and Electricity Tagged fps; Insp.—Sketch 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Qoxes—Enclosures—Panelboards—Ins. to Main in Conduit tslCert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B- ai — Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (Sipgle and Duplex) �k Date UNDERFLOOR Plans OK exce tll's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /•' Fig. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Fig., Garage; Soils -Steel- / /" Ftg.'Depth 50. Stairs; Width -Headroom -Rise -faun -Landing -Fire Protection 4. Fig., Porches & Decks; Soils -Steel- / /•' Fig. 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. 11. Water Pipe; Test -Anchors -Regulator -Service Test Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Card -BI Date Card -BI Cate Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except k'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. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors r 62. ,Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer - 68. A.C. Duct in Garage Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Receptacles Spacing -Lights &Switches at Doors 22. Size 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 E] Yes _ 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. 74. Guard Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive C] Yes ❑ No; Walks F1 Yes E] No; Planters ❑Yes []No 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. 81. Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House Card 8-I Date Card -BI Date Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except k's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/0 to Grade -HD Approval _ 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. 34. Condensate Drain & Overflow; Size & Grade Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Card -BI Date Card -BI Date Card -BI -Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI `Date Card -BI Date Date FRAMING(Plans) OK except p's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _ 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing ^ _ 42. Hangers -Post Caps -Anchors -Connectors _ 43. 44. 45, _46.I3drm. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. _ Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Windows or Exiling Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 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 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. 7,�E. S / �f q Inspector i ?'�" / ��t / .� l _ i+ Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 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 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. 1 1/ ! I I Zz J)r I A,' Z;- G u) r 774 !/Y Inspector Date�-- COUNTY OF BUTTt - DEPARTMENT OF PUBLIC WORKS / PERMIT NO. 7 County Center Drive - Orovill!�,, California 95965 - Telephone 916/534-45 �%--�� APPLICATION AND PERMIT / ASSESSOR PARCEL NUMBER 62-04-155 ZONING c BUILDING PERMIT OWNER RICHARD LASH TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILINGADDRESS 986 SEL BY LN. SA JOSE$ CA 95127 CONTRACTOR'S NAME TOM IS MOBILE & MOTOR LTELEPHONE CONTRACTOR'S MA_I�L..I►NGG ADDRESS C U I t�•g q-R0-L'—���C-A-s-9� UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee IS $ 16,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 6 ,i Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDI G ADDRESS PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 S 7 r �re Water piping LOT SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome" Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities[] Instal lation ER Other ❑ Describe work: NSTALL MOBILEHnFIEELECTRICAL l (7�� 3 /�v Permit Fee $ Contractor PERMIT Filing Fee 3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP.&) 2t sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): [R 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. 202 Classification C61 License No. �7 � ❑ 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 CRC" NEW CONSTR.POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50@� BAL�IOQ Ex. Occup.(P OUTLETS (RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6:25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 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 liabilitie j dgments, costs, and expenses which may in any way accrue against Coy ''nc�onseqbence of th/e/granting of this permit. X /! �U �v Date Sign lure 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 $ 30.00 Land Development Fee $ TOTAL PERMIT FEE $ 0-M OCCUP. GROUP I TYPE OF CONST, PARCEL PD I HD I ISSUE is permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF UBLIC "'� By k. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date' Receipt No. � I ( b a- WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT NOTE:—Ali Pcftrials & 'Workmanship Shall, Be in Accordance with Gn*d ! Pracf ices and of a quality prescr'')'-I t.7f r!te Snaci�f'c.-I 1.mm in the Uniform Building, Plum')inv u Machanical Codas and the National Electrical Code. {1� �= ti A setback of 5 ft. from the roperty lines and a setback SS- oft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. 0� i • This set of plans and specifications MUST lit kept on + e iob a+ cell +imus rnd it is unlawful to make any changes or niterc�ii�s;;s on same without written p .rmission from the Department of Public Works, ourty of Butte. j+, i MOBIEEHOME•SUPPORT DATA If other than single wide, Mobilehome Mfr.Sfurnish Setup Model No. all Year �9I Width i4 Box Length 52 (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 A A pressure treated or foundation grade. ( .)(in:) J (in.) ❑ 2. Other (specify) Center s pport /in) Centert (check one) locatio s* footisSupports (i 1: Concrete block. ❑ 2. Other (specify) Tagalong or Expando, show support details. (in.) (in.) X -- Typical Support (in.) in.) Footing Size s (ft (in.) (in.) (in.) -- Max. Pier Spacing (f .) in.) / � x (ft.)(in.) (in. I (in.) *If center piers are other than drawn above, 'draw in --locations, spacing, and dimensions. -- Max. Overhang (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 1 MOBILEHOME INSTALLATION SHEET 1. Owners name: RICHARD LASH 2. Installer's name: TOM' S MOBILE &, MOTOR 3. Is the site currently under permit? Yes / / No /X / (If yes, furnish permit number ) OR e Is the site an existing site? Yes /X / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes /X / No (If no, clarify ) ( ) 100 5. What is the mobilehome electrical rating? -------12------------ Amps 6. What is the mobilehome site service rating? --------------------- 200 Amps 7. What is the mobilehome site circuit breaker rating? ------------- 200 Amps 8. Is there any other electric load to be served by the mobilehome site service? -=------------------------------------------------- Yes / x/ No (If yes, identify the load and size: PU M P (Load) 20 (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- ►" (in.) 10. What is the type of gas service? --------------------------=-- Natural f / LPG / x/ 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) ✓ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS , RMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534 41 APPLICATION AND PERMIT ASSESSOR ARCEL N BER �. ZO IN BUILDING PERMIT ow'RT LEPHONE SQ. FT. OCC. BUILDING VALUATION O R;,S MAI LI G DRESS CO TRACTOR' AME TELEPHONE CONTR CTOR'S MAILING ADDRESS Fireplace CONSTRU ION ENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADCrRESS Permit fee $ BUIL ING ADD Ess PLUMBING PERMIT Fee Filin Fee 10.00 Filing Each Trap 2.00 Repair drainage or vent piping 5.00 F -n r i^ Water piping LOT NO. SUBDIVISION NAME PARCEIL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets d USE OF STRUCTURE SF ❑ Duplex[:] MobilehomeL21'�Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Ad d i t i onyl Remodel ❑ Utilities Installation Other ❑ Describe work: 1 In I,S. h 0 S� S Permit Fee $ Contractor Zp$ ELECTRICAL PERMIT FilingFee 10.00 Main service 10 S 0 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST./ DWELLING OCCUP.01 OR ADDNS. \ ACC. BLDGS. 2� sq 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 Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST R. I.OUTLET 2.50 ea NON.R ESID BRANCH CIRC ITS NEW CONSTR. / POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR, EX. Occup OUTLETS OR FIXTURES BAL@@1 FIXED APPLNS. OR \ EX. OCCup.�OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ 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 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. 1 also agree to s v indemnify keep h less the County of Butte against all Ilia b' ities, gm nt , os and ex ses which may in any way accrue again aid my i o nce of t granting of this permit. X Date / � — Signature of Applicant — Owner lal Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND 9SDE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do r�. work indicated above for which fees have been paid. TO F PUBLIC WORKS By - Date PERMIT EXPIRES Date Receipt No. J �4J C� WNITE-D.P.W., YELLOW-ASSlSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 3847-80P O „ • PERMIT NO. `.' PERMIT -EXPIRES/ OWNER Richard Lash CONTR. LOCATION (A.P. 62-04-155 E/S Oroville Quincy Hwy, app.3 mi.N.of Lake Madrone @ National Forest Sign a F - Temp. rower role -'o Called PG&E1/6 Temp. Elec. Serv. 1 Called PG&E Temp. Gas Serv. • � Called PG&E JOB _ FINALED • (Date) (Signature) COUNTY OF BUTTE — DEPARTMEN-f OF PUBLIC WORKS BUILDING INSPECTION -RECORD BUILDING A BUILDING (Cont'd) PLUMBING SekSoSet ck FI wall Piping ForMN Para ets 1 Floor Main Bldg. Restro m Finish 2nd loor Fo ins Windows 3rd F or Stem all Siding To out Slab Roof Sheathtog Water PI I Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for ph sically handica ed Conformance of ex. structure Appliances Gas PI ing & Test Temp. Gas Slab Final Sanitation Patio REPL CE Final Footings Footing E CTRIC Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels/ Mesh \ MECHANICAL Grd. Fa t Prot. Scratof Heatid Servic Bron CooLfhg T p. Pole F ish Du is der round Int rior Lath ntilation ennanent D or Closer *Ina final MOBILEHOME UTILITIES -------•---------- Elec. Service „'� Elec. Pedestal Water Piping f Sewer -- Gas Piping BI E ME INSTALLATION Support Elec. Continuity Water Piping Drainage Gas Piping / DATE -� ��r '1004 X10 6A5 �o �o•�.r' REMARKS OR CORRECTIONS � Sti-!� (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS' F. 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile —,Phone: 5344541 - Skyway and Elliott Road, Paradise— Phone: 872-2961,'Ext. 57 .CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 'A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. d N. W/j, 4ate 3-1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 • APPLICATION AND PERMIT - �R IT N0. AAnl"2,A ASSESSOR PARCEL NUMBER Z p,ot —I i;_� ZO ING r `?_ BUILDING PER I OW R a Lw„� O TELEPHONE Zse _"Ifl SO. FT. OCC. BUIL G V AT ION OWNER'S MAILING ADDRESS CONTRACTOR'S NAMOE `` -- C< TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER �-`�- (� UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER C2 44”, CZ LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS 0Gr�v` y 10 VCcfd PLUMBING PERMIT Fee Filin Fee 3.00 Filing 14,- JiAa, L7 IWIf Trap 2.00 Repair drainage or vent piping 2.00 Water piping /0, 00 LOT NO.SUBDIVISION NAME P CEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome5Z Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 ,fid Main service EA. AOD'L 100 AMP 2.50 z4-0 NEW CONSDWELING O OR ADDNST ( ACCLBLDGS.CCUP,&) 22 sq ft CONTRACTORS LICENSE LAW declare under penalty of perjury,. (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. Classification IV 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 (MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW -CONSTR. ( POWER APPARATUS . / NON R ESID, SINGLE OUTLET CIR&) so @ 25C Ex. Occup(OUTLETS OR FIXTURES BAL®10s Ex. Occup.(OUTLETS FIXED APP(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 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. Heating Cooling Hood 2.00 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 en costs, d exp es which may in any way accrue all liabilities, '7ti again aid n se u of ranting of this permit. X IX 00 Date _ Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ S L9 OCCUP. GROUP I TYPE OF CONST, PARC PD HD ssDE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By. , PERM EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date -gip _�� "7- Receipt No. "5f/_41! WHITE-D.P.W., YELLOW -ASSESSOR, PIN K -IN SPECTOR, GOLDENROD -APPLICANT .r-�:.:-�yk�..�4c._�w�,-!{r:.-i.......-r,....+��.,3o�c..�•+,v..r aa1,x.,t,,:'�.�-r1� ,:v�.e:.. `K�f..-w...av:,:.,�.wY�-+.:. ��n�s---..��'.�---<:�..�-.�'-�:- SX I t 46 ,. COUNTY OF BUTTE - DEPAR'P .MENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-454111 APPLICAtION AINO PERMIT a 7 t ASSESSOR PARCEL NUMBER 6 _ZSy ZONIN BUILDING PERMIT OWNER�, r.. } �1� f ,��� & fl' s 41141S TELEPHONE 371- 4 9f SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 91,860 - sr& I k. sra CONTRACTOR'S NAME Q4(_IN E TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDE�R"/`/A/�/,✓ UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER�t ,� '� v�` LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL�DING ADDRE5wl_ c Lo / 1-. � � 1 / `+ , '.^ Y > ,��/' PLUMBING PERMIT Filing Fee 10.00 '� f,// N. iar L f7k �� l�K,,t' — o k1471(./v//Z_ Each Trap 2.00 Repair drainage or vent piping 5.00 ;' 514 Water piping 60 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other ZZIA n L %�� SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ RRem�odel ❑ Utilities ❑ Installation❑ Other Describe work: Gt/AMLk� V Permit Fee $ 15. tJ v Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.tl) OR ADDNS. ACC. BLDGS. 20 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. Classification AI, 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 I- UTL T 2,50 ea NON-RESID BRANCH CIRC ITS NEW - (POWER POWER APPARATUS , b RESID. SINGLE OUTLET CIR 50 e ass Ex. Occup OUTLETS OR FIXTURES BALP100 IXED APPLNS. OR \ Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling 9 Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the gr nting of this permit. f / G �.- X %f -til :�1 1L :> GE ' �- Date Signature of Applicant — Owner p Contractor ElAgent11 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 $ 6*� TOTAL PERMIT FEE $-- OCCUP. GROUP I TYPE OF CONST, I JPARCELJ PD HD 59UE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do .1 /work 1pdicated above for which fees have been paid. D! C`FOR OF PUBLIC WORKS B lv PERMIT EXPIRES Date /r �! q Receipt No. /� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT e COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/53471 APPLICATI ONrANDITERMIT ASSESSOR PARCE NVMBER ZONIN ILDING PERMIT OWNER �08��y��- �i /C 1-l/¢EL Z_A-s/� TELEPHONE SO. FT. CC. BUILDING VALUATION 79� 'O Wyyj{.!/MAI 5eA ESS L/V ���V V✓S� v ' �S1Z7 /� ` //�� CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL ING ADDRESS , /' •' I/ %ZO L&E /k/T P o•�M�' PLUMBING PERMIT Filing Fee 10.00 �-KJ Each Trap 2.00 Repair drainage or vent piping 5.00 �r�- /w,/ O � �/(,/�/Y� r -o, _ T 5_/e; X1, pt✓IC.IC_ �i Water piping bli LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE ^rr,, I SF ❑ Duplex❑ Mobilehome❑ Other ���/�� � Li/t/E SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Additio/n, ❑ Remodel❑ Utilities [:1 Installation ❑ Other / Describe work: Gf�4-766 [ /-/VE X-04- ;q)7UP-45 L-07—�CVr`,��/v! / Permit Fee $ /,,5_00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 5.00 Main service EA_ ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCC UP.y` OR ACDNS. 1 ACC. BLOGS. / 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F]NON-RESID. I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea NEW CONSTFL I POWER APPARATUS 611 %SINGLE OUTLET CIR.1 Ex. OCCUp OUTLETS OR FIXTURES 50@250 gAL@1 FIXED APPLNS. OR \ EX. OCCUp.�OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 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 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. 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ag;Ma*Zou ty in sequence of he�gr�ting of this permit. q X sem, Jhe t Date 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 storiesinheight. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARCEL PD ND 1550E This permit is hereby issued under sloplTf the Butte County Code and/or w rk ica d ove for which fees I COR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS %attee 7/! Receipt No. �� /�V WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT E i''a`' E` G FOR RESIDENTIAL DEVELOPMENT BUTT E COUNTY -CALIF. ECOHDS P,r QUA ` i %'? BY Section 26-8.1 of the Butte County Code requires this acknowledgementR � be orde recd prior to issuance of a building permit. JAN 5 12 33 PH1987 CLARK A. NELSON The property described herein is adjacent to land or included CLERK -RECORDER within an area zoned for agricultural purposes, and residents of 82-- 171 F E this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which 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: A portion of the Southeast quarter of Section 14, Township 21 North, Range 5 East, M.D.B. & M., more particularly described as follows: Beginning at the Southeast corner of the Northwest quarter of the Southeast quarter of said Section 14; thence South 870 34' 30" West along the South line of the Northwest quarter of the Southeast quarter of said Section 14, 220.0 feet; thence North 000 33' 29" West, 322.22 feet to a point in the center of the Orovlle-Quincy Road; thence along the. centerline of the Oroville-Quincy Road the following courses and distances, North. 560 34'•' 06 East, 86'.28 feet,,.Noxth' 450 48' 27" East, 203.38 feet to a point on the'East boundary line.of the Northwest quarter of the Southeast quarter of said Section. 14; thence SOgth.000 331' 29"' East along the said East boundary line 501.82 feet to the t of beg Date:i ") � i' ,I RICHAM "• IJAiW _PROPET,TY OWNERS: Nooveciber MICHAEL ASH' State of California ) On .this the 30th day of November_, 19 81 , SS. before me, the undersigned Notary Public, personally County of Santa Clara ) appeared MICHAEL R. LASH ------ known to me to be the person(s) whose name(s) OFFICIAL SEAL subscribed to the within instrument and acknowledged PAT 0.SKOW that he executed the same for the purposes t. NOTARY PUBLIC -CALIFORNIA therein contained. SANTA CLARA COUNTY ? IN WITNESS WHEREOF, I hereunto set my hand and official My commission expires June 14, 1985 = seal. \­IN..I...H I.M. N.III.I_S Present A.P. NO. 1D2-091-' �SS .STATE OF ss. Notary Public Pat B. Skow COUNTY OF _. ON AL,19L�, be9q, me,, the undlfsignit a No"r Public/iri and for said State, personally appeared DELLA L. HARMS NOTARY PUBLICLIFORNtA �® SANTA CLARA COUNTY •. My commission expires April 8,1983 ACKNOWLEDGMENT—General—Wolcotts Form 231-4n. SM to Le the persog4.z whose name G2w s and acknowledged to me that �_/ executed the same. WITNESS my hand and official seal. cm a known to me, to the within Instrument, Cil rr� � 11alt, END OF DOCUMENT' Wotary Public in and for said State. EC( C Return to DPW A, OF ACKNOWLEDGEMENT .TY - i AGRICULTURAL STATEME ,.. FOR RESIDENT).,,DEVELOPMENT EU i .,� EQU" - ;: •+I_:'r. IECIORDS ?� fly' �=1'E: ?Y Section 26-8.1of the Butte County Code requires this acknowledgementJM 5 I% 33 1481 :be_rec.Oxded prior to issuance of a building permit. CLARK A. N:_i -0N The property described herein is adjacent to land or included CLERK -RECORDER within an area zoned for agricultural purposes, and residents of 171 E E this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which 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: A portion of the Southeast quarter of Section 14, Township 21 North, Range 5 East, M.D.B. & M., more particularly described as follows: Beginning at the 'Southeast corner of the Northwest quarter of the Southeast quarter of said Section 14; thence South 870 34' 30" West along the South line of the Northwest quarter of the Southeast quarter of said Section 14, 220.0 feet; thence North 000 33' 29" West, 322.22 feet to a point iii the center of the Orovill.e-Quincy Road; thence along the centerline of the Oroville-Quincy Road the following courses and distances, North.560 34' 06" East, 86.28 feet,.North 450 48' 27" East, 203.38 feet to a point on the East boundary line of the.Northwest quarter of the Southeast quarter of said Section,14; thence South -000 33' 29" East along the said East boundary line 501.82 feet to the' W*.* of beginning. Date: 53if RICHARD I... LASH: E., LAS PROPERTY OWNERS Novenber 3 , 198 MICHAEL LASH State of California ) On this the 30th day of November_, 19 81 , SS. before me, the undersigned Notary Public, personally County of Santa Clara ) appeared MICHAEL R. LASH C I=i 1 Present A.P. N0. 62-6XI `kSS Notary Public Pat B. Skow STATE OF ` SS. 1 COUNTY Of A '�•;_ ON- 19 be9re, mey the and fsignPtdl a No ar , Public/in and for 'sai� State, personally appeared DELLA L HARMS NOTARY PUBLIC -CALIFORNIA Y® SANTA CLARA COUNTY i. My commission expires April 8, 1983 a ' , known to me, to Lt the person,4.z whose name l�iLlJ subscribed to the .within Instrument, and acknowledged to me that h executed the same. WITNESS my hand and official seal. 1 known to me to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that he executed the same for the purposes �- OFFICIAL SEAL PAT B. SKOW NOTARY PUBLIC -CALIFORNIA therein contained. SANTA CLARA COUNTY IN WITNESS WHEREOF, I hereunto set 'my hand and official My commission expires Juno 14; 1985 2 seal. I=i 1 Present A.P. N0. 62-6XI `kSS Notary Public Pat B. Skow STATE OF ` SS. 1 COUNTY Of A '�•;_ ON- 19 be9re, mey the and fsignPtdl a No ar , Public/in and for 'sai� State, personally appeared DELLA L HARMS NOTARY PUBLIC -CALIFORNIA Y® SANTA CLARA COUNTY i. My commission expires April 8, 1983 a ' , known to me, to Lt the person,4.z whose name l�iLlJ subscribed to the .within Instrument, and acknowledged to me that h executed the same. WITNESS my hand and official seal. 1 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER _ L�_ i — �—' 1 ZON NG B114LDING PERMIT OWNER _ A!ll f f -A �SSO. TELEPHONE FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Q lA i h , /. CONTRACTSS'NSA E r I O nJel r TELEPHONE CON RACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER �` UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD[ G ADDRESS. �I' 1i � ti �% � =3 PLUMBING PERMIT Filing Fee 10.00 / S f, ` 1 ' C , ""� Each Trap 2.00 Repair drainage or vent piping 5.00 _ _ _ 0 1 a V Water piping LOT NO� SUBDIVISION NAME �ARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 -5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New❑ Addition Remodel❑ Utilities Installation Other Descri a work: i t ' t 1 , 't1 V t C�'�� `a { Y ' ' Permit Fee $ Contractor ) a S ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.EI� OR ADDNS. ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and 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 0�or 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 CONSTRI.ou LET 2.50 ea NON.RESID BRANCH CIRC ITS NEw .CONI(POWER POWER APPARATUS e NONRES D. SINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES 50 a 250 _.BA FIXED Ex. Occup.(P OUTTS (RESID )LNS REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 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 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. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and exP_enses which may in any way accrue agains a County in c�orisequence of the granting of this permit. / X ) X e��Gt:/_?cis Jc�ur�'"l- Date .% r Signature of Applicant - Owner a Contractor ❑ Agent ❑ An OSHA permit Vs required for excavations over 5'0" deep and demolition or construct -Bt ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ Occup. GROUP I TYPE OF CONST, PARCEL PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which EC OF PUBLIC — ey -- V `� ' PERMIT EXPIRES DPte the applicable provi- resolutions to do fees have been paid. WORKS I Da� r( Receipt No. 114 1 1, — WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS ERMIT 7 County Center Drive - Oroville, California 95965 - Telephone 916/534 541 APPLICATION AND PERMIT ASSESSOR PARCEL. UMBER ZON NG BUILDING PERMIT OWNER •,lnyn` — a -C.- TEL PHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAIL[ N_ DDR S J J I C NTRJkCT9NAI91E I SI TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDI ADDRESS � '2Filin PLUMBING PERMIT9 Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 S Water piping LOT N SUBDIVISION NAME ARCEL MAP Ir Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ AdditionEJ Rem 1 ❑ Utilities Instal Iation Other ❑ Descri ework: S t ,, S th f�tt' I Permit Fee $ Contractor S ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP,N) OR ADDNS. ACC. BLDGS. / 20 sq 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 er sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I.OUTLET 2.50 ea NON.RESID BRANCH CIRC TS NEW CONSTR. POWER APPARATUS h NON-RESID. %SINGLE OUTLET CIR. 500250 EX. OCCUp OUTLETS OR FIXTURES BAL@10! Ex. OCCUp.�OUT LE PIXED P(RESID )LNS REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. 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. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws 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 ex enses which may in any way accrue again Cou ty in seq nce of t e granti g of this permit. (� X Date � / b � Signature of Applicant — Owner Contractor ❑ - Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which EC R OF PUBLIC BY PERMIT EXPtRES D to the applicable provi- resolutions to do fees have been paid. WORKS Date —y (r�� Receipt No. W 1 D WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT � r Me. C*w*Y WkS Dg<,jbC� NoT P--r-o 2- S erS �S v ®k'DC D ASD mal 4 GN iC`f a eaud* q JJutWt4e- OROVILLE, CALIFORNIA GENERAL CLAIM William G. Cheney CLAIMANT: ADDRESS: P.O. Box 2424 Oroville' CA. 95965 CITY & STATE: IMPORTANT: December 18, 1978 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT-� 6/14/78 ' I Decided not to build. (Permit #3336-78B,P,E,M - Receipt #177765AP I 62-04-155) —�- - Building Permit Fee ----- $133.00 Retain 113. -Of buildrri�fee- 44.33 Amount of refund due ---------------$.88.67 Plumbing permit fee ----- $ 15.00 - Retain ing fee ------ 3.00 Amount of refund due ---------------$ 12.00 i Electrical permit fee --- $ 30.60. i Retain filng fee --- ---- — - -- - -. - Amount of refund due ---------------$ 27.60 Mechanical permit fee --- $ 5.00 Retain fi!g fee ------- 3.00— ,.. Amount of refund due --------------- 2.00 Total Permits Fees Refund due ------ 136:27 Land Development Fee Refund due ---- 25.00 TOTAL REFUND DUE -------------------$155.27 $155.27 TOTAL $155i,27 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Datedthis .................................. day of ............................. 19......, at................................. Calif..................................................................................... Signature of Claimant 1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that thereisa Budget Appropriation ❑ or Specific Board Approval F-1(Checkone) for the same. Dec. 78 Oroville Dated this ,,,,,,,,,,,,,,,,loth ................. day of ............................. 19....... at .............................. . Calif..................................................................................... Department Head or Authorized Deputy Dept. Exp. Code............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD• SUB. OBJ. CLAIM NO. I INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. I i INSTRUCTIONS 'to - CLAIMANTS� All claims against the county must be itemized, giving dates and character of service rendered or work performed; quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval -the Department head will forward claim to County -Auditor- for payment procedure. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office -before -preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. PERMIT N0. 3336-78B,P,E,M PERMIT EXPIRES OWNER Bill Cheney CONTR. owner 'LOCATION (A.P. 62-04-155 S/S Oro Quincy Hwy, 2.9 mi.E.o& Lake Madrone Bridge, Berry Creek t 5 i t r Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E 1 JOB FINALED (Date) t (Signature) s 1 i >. c c• COUNTY OF BUTTE — DEPARTMENT -OF PUBLIC WORXS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidina To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sically handica edy Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping BI E OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY 0P 8UTtE - DEPARTMENT OF PUBLIC WORKS " 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT AA 4 authorize representatives of the County of butte to enter upon the above-mentioned property for inspection purposes. X �� Date a Signature of Permitee or Agent Receipt No. �? 7 S White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OP -PUBLIC WORKS BY Date B ding permit expires Date 4 BUILDING Owner ill! SQ. FT. OCC. BUILDING VALUATION a aQ Mailing Address Q Y el f� U I 1 elephone o. (� r Contractor Mailing Address Fireplace 0>00 Total Valuation Telephone No. Permit Fee Building Address 1 L6 0a 11 Plan Checking Fee&/or Penalty Permit Fee /'1 = 'mak PLUMBING No. @ ^JFEE r PERMIT FILING FEE $3.00 ` Each Trap 1.50 Zoning Neri Ical<ion Only Repair drainage or vent piping 1.50 A. P. No g Water piping 1.50 Each gas water heater or vent 1.50 Fe<Wle Sani Ion I Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. PI Recd I Parcel A roval I Plan Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ 1 .jt ELECTRICAL NO -1 @ FEE + PERMIT FILING FEE $3.00 8011 OR LE Main service SS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADO'L 100 AMP 1.00 NEW CONST.( DWEJn6 OR AODNS. ACC "SUP. �) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9,. Div. 3, of the State of California Business & Professions Code under the name style le of: NEW CONSTR M T NON-RESID ( BRANCANCHH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS 811 NON -RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTURES 50@251 BAL@1 FIXED APPLNS. OR Ex. Occup. p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 , Heating " Cooling rjy+, Ventilation Hood 2.00%tiff Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE authorize representatives of the County of butte to enter upon the above-mentioned property for inspection purposes. X �� Date a Signature of Permitee or Agent Receipt No. �? 7 S White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OP -PUBLIC WORKS BY Date B ding permit expires Date 4 1714 All Materials & Workmanship Shall Be ire NOTE:— Practices. pnd.r.. .accordance with Reca9nizecl' CoedAe of a q�jality prescribed for the Ma Specified Codeuse s and Uniform Building, Plumbing the National Electrical Code. A setback of 5 ft. from +6 .property lines and a setback of'IFt. from the road centerline shall be clear of structures or equipment except (for a 2 ft. eave overhang. 4A • ill be rear' baa om or e q per of the Utility connect i ns shall be n 4 ft. of the mobs eh , either directly behind o within the rear half of the roadside (left) of the mobilehome. ec;fic".tions MUST bo This set of plans and sp end it is unlawful to the job at a,l tunes . Or" without kept �r""'"sa�ment of Public make ny changes or colt.. wri n permission¢ from t1he Dep orks, County 7-PI fwtpo y4?4,7-460 BUTTE COUNTY BUILDING ®EPARTMENI I APPROVED