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HomeMy WebLinkAbout062-600-034JIM CURTIS 62-60-2j?-3 S/S Oro -Quincy Rd, 4 mi E Lake Madrone erry Creek _. Contr: Theveos Const "a— Permit #725-86B(new garage) 1413 .i - _ 14_� 62-60-�' Permit#1-86P,E(util, MH) ELEC 'S,26-1500 GAS ZPG SUPPORT STR REQ 4 n� /S COMPACTION TEST _REQ �' Contr: Toms ile & Motor, Orovil e Permit -86MHI e 4IN D '062-600-02-� 02-1790 OZ.2 I ALPINE SIERRA LLC t 11644 ORO QUINCY HWY., OROVIL NEW ELECTRIC SERVICE 062;600= 'ALPINE SIERRA LLC { 02-2398 11644 ORO. UIN I� �Yu, (2) OPEN•D� KSCY HWOROVIL Z Z7—OZ v w 062-600-02) 02-1790 ALPINE SIERRA LLC 11644 ORO QUINCY HWY., OROVILI-E. NEW ELECTRIC SERVICE __Y,3/03 OFFICE COPY Address ELECTRIC Meter B Date ()Z� i . A n COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PMI o. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER �+�� (irl—buu-022 ZONING BUILDING PERMIT OWNERALPINE SIERRA LLC .916- 837-TELEPHONE5000 SD. FT. OCC. BUILDING VALUATION DWNF3i•$'MAI, ADD WILLIAM DR., MMURN, CA 95602 CONTRACTORS NAME UWNER TELEPHONE r - CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 11644 ORO UINCY HWY. OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW ELECTRICAL SERVICE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G w @20.00 PERMIT FEE $ ELECTRICAL PERMIT ' Filing Fee 20.00 Main Service zaOA OR LESS 23.00 23. M 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.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: p 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.fte—Inspectim ❑ 1 am exempt under Sec. Business and Professions Code for thisI reason ••, 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. ❑ 1 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.) E7 I certify that in the performance of the work for which this permit is issued, I shall notemploy 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 Libor Code, I shall forthwith comply with those provisions. Date ~% !X /t� 7 Signature of Applicant - ❑ Owner ❑ Contractor ❑ Ageni r An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service zooA TO IOOOA 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a Acc. BLOS. 3.5QFT; NEW CONS CY111,1@7,50 APPARATUS a SINGLE ovrLET cIR. .00 EX. Occup. OUTLET OR FIXTURES BAL O I. 0 Ex. Occup. oi/TItTS REEBIUNSD.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 66.00WORKERS' MECHANICAL IPER MIT Filing Fee,- t 20.00 Heating i Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 66-00 HAZ. I D. FEES IMP I FLOOD CDF PARCEL Po HD Issu This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have B /~���.�.G� � �' y` PERMIT EXPIRES ON� I the applicable provisions Resolutions to do work been paid. Date / Dete .vr.ay Receipt No. yvv.VV WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 p� I o• (Rev. 12/96) APPLICATION AND PERMIT ASSESSO,�L P�q ,CELLAy MBER UbL-b00-022 ZONING BUI _ G PERMIT OWNER ALPINE SIERRA LLC 916--837-5000 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER MAIUNG ADDRESS 15555 WILLIAM DR., AUBURN, CA 95602 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Fifing Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS 11644 ORO QUINCY HWY. OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O Describe Work: NEW ELECTRICAL SERVICE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT I Fling Feel 20.00 LES Main Service xoOVA OR LESS 23.00 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 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.Pre—Inspection ❑ 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. ❑ 1 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.) 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 workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall orthwith comply with those provisions. Date P_ Z ature of Applic nt - ❑ Ow O Contractor Agertt 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. DWBWNG OCCUP. SO W OR ADDNS. ( 6 ACC. BLD S. 3.5¢FT. NOON-pES,p ' MULTI . BRANCH IRCUT @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES SAL p I.50 Ex. Occup. oiITLEEDTs RE�s J EE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee is Energy Inspection Fee is Occ CONST. TYPE TOTAL FEE $ 66-00 HAZ. O. FEES IMP FLOOD COF PARCEL PD HD 5SU 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. B D to ID PERMIT EXPIRES ON 3 Q� Defe ReceiptNo./a WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DI WON 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538 0 PERMIT APPLICATION DATA SHEET OWNER: J't 1 n P� �f 't° < < G� 1. •ASSESSOR PARCEL NUMBE Proposed Building Use: i� ��(�► el �'s? V���'s✓ Counter Technician: � Date: /� b Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ❑ 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation'instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By Flood Elevation Certificate, wet -stamped and signed, in duplicate...........' .................... Plot plan and business license approval from the City of Biggs .................................... Letter of intent for non-residential buildings......................................................... Detached Accessory Building Form filled out by the owner ..................................... Hazardous Material Form............................................................................... Other Remaining items needed to issue the permit. (May require add plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ....I ................. ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ................;;.............. ❑ 1. Encroachment Pe for driveway from the Pub 1. Works Dept. (construction approval prior to occupancy). t� 22: Pre -Inspection foro l)er�j LU� �3 �}{� Itl rS required. p .............. ❑ 2 . Contractor's license information. (Number, Name Style, Classification) ...................... fly I4. Worker's Compensation Carrier and Policy Number//............:.............. r 5. Owner -Builder Verification (❑Given to owner, t1�'Mailed to owner).�:.g'.V .... g 26. Letter of Signature authorization....................................................:1............... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from -Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been i formed of the above items and requirements for obtaining a building permit. Applca �2 1. Index permit application for the above items numbere 2. Additional items required Contractor, designer, owner, was advised of the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: ❑ phone ❑ mail, ❑ counter, by ❑ phone, ❑ mail, ❑ counter, by _ Plans approved by: Structural approved by: Yellow: Building Division Plan Check Letter Date: Date: Date:_ Date: f CQ -C-... O`VNER-BUILDER VERIFICATION mention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your sig:taung. Please complete and return this information at your earliest opportunity to avoiduhmaeesset , delay ill in processing and issuing your building permit. No building permit wbe 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 0 NO E 2. I HAVE W HAVE NOT E3 signed an application for a building permit for the proposed WO& 3. I have coaasctcd vrith the follov^:ng person(,firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHOrT: CONTR.kCTOR'S 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: NA�LNIE: W s lc. <24~ u S ADDRESS: ), s 3 srCITY: Ggl�4� PHOivE 33,4(, Y6 CONTRACTOR'S LICENSE NO. -7,-tz -MIP 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: P R 0 P E RTYO WNE R: SOCIAL. SECURITY NULM13ER: DATE: 1;A 17 NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 VF&W California Health and Safety Code. This verification must be eompleW and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION cea: Proper^, Gw An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subconttac % you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ [f you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may Ee financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specifx information about your obligations under Federal Law, contract the Internal Revenue Service (and, i,•'vou wish, the U.S. Small Business Administration). For more specific information about your obligations under Sate Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the stricture is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1030 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely. .Cv�� otic el C. Vi iia, C.B.O. tit ger, Building Inspection NOTE: Tris 0wner-8uilder Information is rewired by Section 19810 of rhe California Health and Saldy Code. OVER Ala r� 66 70" aw A1�21 67 sT'qTt ;� Ir is 6*WlDlljq syaa�'o-..c �A. _ -n ,ve rte.. �--,-�:�s- 's.a�;��wgi.7� 7716"tr.o�-.+.wy M+ •s.a`� COUNTY OF BUTTE ; BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 4.11 Main Street - Chico, CA • (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE bu I t L O, NER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date ���/� Inspector REV 10/92 OWNER PRE -INSPECTION REPORT DATE: ::� Z LOCATION: A.P. #• CONTRACTOR: 4) /6 /'1 �e_ ( ZONING: i ,� 0 1 , PRE-INSPETION FOR: �J Pf I I (' , t P (4 �10,u U L F 0 DATE TO INSPECTOR: % - q Zn -2— PERMIT HISTORY:( ) NONE (,A AS FOLLOWS: BUILDING INSPECtOR'S REPORT Banding Description: eommerciaUvtar: ResidentiaW of Units: Currently Occupied Abandoned/Vacant Electric: Yes No Electric currently On Off Condition of Electric Gas: Natural Propane None Currently On Off Obvious Problems: . Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems Comments: ACTION• • i FOR Inspector. Date ZIV //Gi�/b2_� Sketch buildings on reverse and indicate location on p'ropert; DOTES SFp/;I. SAY `4♦w�+ �. l� �� I. •r.� r._ xJT RESIDENTIAL 1,00 PERMIT NO:' 062-600-022 02-2398_ ALPINE SIERRA LLC 11644 ORO QUINCY HWY., OROVILLE '. (2) OPEN DECKS 01 1 O SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date)Z dZ— Signature J=OK 0 = Not OK . = NotReadyab1e 8. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch Card B-1 Date Card B-1 3. Sewer; Location -Test -Fall -C/O -Concrete Card B-1 Date Card B-1 4. Water; Location -Test -Easement Needed (Sketch) _ 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or / P' L "ft./ P LPG 7. Well Clearance & Disconnect Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date 8. Utility Clearance 441, Z Ihg Requirements -Setbacks -Easements Footi ; Soils -Size -Depth -Spacing -Connectors -Steel Date cks, Girders and/or Joists -Decking -Bracing -Stairs -Rails Card B-1 Date Card B-1 Date Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing Card B-1 Date Card B-1 Date MOBILE HOME 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 Date 9. Tie Downs -Type -Installation Cert. Date 10. Exits; Insp.-Sketch Card B-1 Date Card B-1 11. Cert. of Occupancy 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability Date 3. Card B-1 Date Card B-1 Date 4. Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Elec.; Pool Lighting; 15 Volts-GFI 1. Zoning Requirements -Setbacks -Easements Elec.; Enclosures; Conduit Entries -Terminals -Listed 2. Footings; Size -Spacing -Marriage Line 7. 3. Blocking 8. 4. Gas; MH Test -Demand -Valve 9. 5. Electricity; MH Test 10. 6. Water; MH Test 11. 7. Water and Sewer Connected 12. 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKe; COVERS, CARPORTS, GARAGES (Plans) OK except #'s 441, Z Ihg Requirements -Setbacks -Easements Footi ; Soils -Size -Depth -Spacing -Connectors -Steel cks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures _ 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings - 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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, Distance-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-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 t J -OK - 0 = Not OK = Not Applicable + =Not Ready RESIDENTIAL (. - � - Date UNDERFLOOR (Plans) OK except #'s ' 1. Zoning -Setbacks -Easements -Flood -Slope Date 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Date 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" 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/O -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-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 78. Plb.; Elec. & Mech. Equip. Listed for Location Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s - 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 Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Date 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Date 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or At Date 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No Comments at Final: 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. 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 (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing "Ingle & Duplex) Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Bract-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings= 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels. 62. Insulation -Walls -Ceilings 63. I nfiltration-Wal ls-Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s ' 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector ` 66. Furnace Vents -clearance -Comb, Ar -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails - 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext: 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter - 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper. 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Mach: Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic. 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ ' 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, ECectrical, dumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water &Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates ' 95. Address Posted 96. Fire Sprinkler 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) 538-753PERMIT No. (Rev.12/96) J APPLICATION AND PERMIT a -aa ASSESSOR PARCEL NUMBER 062-600-022 ZONING U BUILDING PERMIT OWNER ALPINE SIERRA LLC 9161837-5000 TELEPHONE SO. FT. OCC. BUILDING VALUATION 990 00 . OWNERS MAILING ADDRESS 15555 WILLIAM DR. AUBURN CA 95602 __1540 ` CONTRACTORS NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $In ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ -17-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ SUIL.DINGADDRESS Energy Plan Checking Fee $ PERMIT FEE $ 80-00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: (2) OPEN DECKS Gas piping -system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 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 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP, OR ADDNS. ( a ACC. BLDS. So 3.50 FT. N" N.RESD. RANCH MULTI.OUTLET CIRCUITS @7.50 POWER APPARATUS a SINGLE OUTLET CIA. Ex. Occup. OUTLET OR FIXTURES SAL 9 1.550 Ex. Occup. oP"LUTLEEDTSA aL DD )ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ 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. ❑ 1 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 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) 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 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 grthwith comply with those provisions. 1 Date 3 f a 2 RlOwner [3 Contractor Agerft ature of Applicant - i OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAz D FEES IMP FLooO CDF PARCEL Po HD ISS it This permit is hereby issued under the of the Butte County Code and/or Resolutions indicated above for which fees have been By Ly PERMIT EXPIRES ON / applicable provisions to do work paid. �� ate t ate Receipt No. WHITE-D.D.S.- . AN S SOR PINK -INSPECTOR GOLDENROD -APPLICANT TO: FROM: Building Department Environmental Health SUBJECT: Sanitation Clearance 'jOwnerLocation Plan Approved for: Sewage Disposal Water Supply: P,uJ Clearance for dwelling. Other f �� V S- Q- 30 >[ SS - Hold final for: Final clearance O.K. for: NOTE: E.N. USE ONLY 'Piot Plan Anachcd Fiona Plan A cha Sant to 62 =j,a --) a. AP# lic Private Well Environmental Health Specialist 8/96 g4 ---/)-I Date .. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT -SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA.4-,965'Phone (530)538-7541 Fax (530)538-2140 PERMIT APPI;e&TION DATA SHEET OWNER: SASSESSOR PARCEL NUMBER (tea-- (000-, 0a Proposed Building Use: Oosonn Counter Technician: Q(kvDate: Items required in, or(lek to apply for a permit. All boxes MUST be checked R marked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signed,�y the preparer of the -plans. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will bg, indexed and returned to the plan review line-up when required items are received. Date Received By r ` ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) Fees as shown on the attached Schedule of Fees Due Sheet ....................................... •' 417. State of Intent for Non -heated and A/C Buildings ............................................ anitation and plot plan approval from the Environmental Health Department in ,:... City of Chico Plumbing permit.......................................................................: ❑ 18. California Department of Forestry plan approval ❑ paid. Sent- by: ...................... ❑ 19. Planning approval for (A) Use: 0 K (B)Parking: (C) Parcel Check: 6) 1q-02 ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... •E; : x: ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. r ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. ,r I have been informed of the above items and requirements for obtaining a building permit. Applicant: A,per- �t�n.^�.� Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the abo e d a by ,❑ phone, ❑ mail, ❑ counter- by Date: Plans reviewed by: �%-j, Date: Q 7. '. ;;,,Plans approved by: Date: p Structural reviewed by: Date: - ;; : 3`: ;, tructural approved by: Date: Note transfer by: Date: .Yellow: Buildihk1jivision O`VNER-BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing Yaw SIPMM Please complete and return this information at your earliest opportunity to avoid noneoeattq►&W in processing and issuing your building permit. No building permit will be issued =10 dds verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES )g NO ❑ 2. I HAVE ❑ HAVE NOT ❑ signed an application for a building permit for the proposed WO& I I have contracted with the following person (firm) to provide the proposed consul -'--n: NAIiE: ADDRESS: PHONE: CONMACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to eoordinaft, supervise, and provide the major work: ADDRESS: -'�; 3 Vc) CITY: Lz- l 14� PHOS:'S-3u CONTRACTOR'S LICENSE NO. 71-f;2 k5.(, 5. I will provide some of the work but I have contacted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL. SECURITY << ER: , DATE: 491 1 "OTE: This Owner•Budder Verification is required by Section 19831 and 198314WAt California Health and Safety Code. This verification must be -eompleW and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORINIATIOY I Cea.- P -otter^: C;71 - An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection. you should be aware that as "owner -builder' you are the responsible pally of record ogsuch a permit. Building permits are not required to be signed by property owners unless they are personally pafocmiq�`t6e>t own work. If your work is being performed by someone other than yourself, you may protect yourself from poanble liability if that person applies for the proper permit in his or her acme. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract. you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family. and the work ('including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ If you are an canplover, you must register with the State and Federal Governments as an employer and you are subject to several obligations including'state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation eoau*utions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with resoec%: to worker's compensation insurance. ♦ For more speci,:c information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, to U.S. Small Business Administration). For more specific information about your obligations under State Law, c:,-.:ac'r.he Department of Benefit Payments and the Division of Industrial Accidents. If, the suvcn:re is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providin, his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 10:0 N Street, Sacramento, CA. 95814. Please complete the -Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely. kl�pl-e(cl Mic el C. Vi ira, CB.O. NI ger, Building ion NOTE: Thin Owner -Builder lnformatioit is required by Secdlon /9810 of the Calijornla Health and Safe* CO& OVER All I C. S,c�-is L.LL /, 10 ro 100, hoTt: See -the attached ' esid ai nstn,rtion Pe dt —._ —Pages w S / 7 AL ey V APPROVED Butte Coun ALL SM40ttyy TMR6S AND EQUIPMENT INMWNG Environmental Ff IM 411�AHI4N68 $HALL 8E CLEAR OF ALL EASEMEM S� A SET SACK OF S FT FROM THE SIDE AND a FT. FROM THE REAR PROPERTY LINES FROM THE ROAD CF-14TERLINE SMALL 9E .5 2OR—OF STRUCTURES AND EQUIPMENT E;C AN�hT..EAVE OVERHANG, BUM �n BOUNW DEPARnm APPROVED 9�z/oma LN an, On 1, v"Iti- ;,:7,11 " '. � *1 .. 4m -1. - . - -- - OWA WiflUM Bm-1 40 i T! r_ vt Ywnnn rr_ FYL z GUARD RAIL DECKIIJG PRECAST ER • 8'�NtuJ. __ 4(c' " MIN. FooT r NG IxF I ♦J. CLI� m STAIR STRI146ER. 48'o.0. MAX. 12;x12'PIFS -TOP VIEW %n 14 it + l� �.n. cot"�� H AWDRAIL NOT 59OW M FDR CLARITY. ALT) 3/S" BOLT 7 MOBILE WE KTL. VFIMU� `� 1 MAX. CLIP (EA. DE y'MIAI `4 m IV -AV Q 4'11 4' POST � � X " 2QF. co 2"X4" PRESSURE - - ('2� 3/l3' T Rl/17ELt o R h °: 8'MI�• B0LT5 �RFDWOOD PI.A7F. at �- GIRDER _ - 'jc 14'X4" POST — ADE 04TE DIA4 ONA L 13RACING. TYPICAL RE -51n Am.41 s7zps COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovitle. California 95965 Telephone: 538-7541 -_ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-275' 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE MIT 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. !J i Cry Inspector ! � Date 6 ^ -)-- ! ` � '_" PERMIT NO. 1 , E(M PERMIT EXPIRES_fT/&z�Z 7 OWNER JIM CURTIS CONTR. owner ASSESSOR PARCEL 62-60-22 LOCATIONS/S oro -Quincy Rd, i E Lake Madrone 2- e.i,� OFFICE COPY Temp. Power' Address Called P(�. GA %ate %A Temp. Elec. Meter By - ELECTRIC Meter By Date Called PI .J Temp. Gas Servi ce Cal led PG&E JOB FINALED (Date) Signature J = DK' ' ` 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBIL ME UTILITIES (Plans) OK except 11's I Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except M's Zo ' Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements _ Soils ecial MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors ocation—Test— II -C/ —Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. ter; Location 1—Ea ment Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg:—Bracing Electr' it , Loca 'on le rances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. G s' do W :/ /"L"ft./ /"Nat. or/ u ft./ "LPG 6. Carports; Windows—Doors ility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI ate (0 - Card -BI Date Card -BI Date Card -BI Date Date MOBIL ME INSTALLATION (Plans) OK except q's Date POOLS (Plans) OK except N's 1 onin Requirements—Setbacks—Easements 1. Setbacks—Easements o gs; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability . Gas H Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4ft2eiricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI r , MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI at , MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7'4itej,and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater as -and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit Exits; I p.—Sketch 1 of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card 13-1 ' Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK - = Not Applicable � = Not Ready RESIDENTIAL - (Single and Duplex) Date UNDERFLOOR Plans OK except #'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- Land inc-Fire Protection 4.`Ftg., 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 7. Piers -Fireplace Ftg.-Steel 53. 54. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 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. r 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI' Date 1 Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protect ian- Land ings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Ai., -Connector - In Garage; Above Floor-Ducts-Mech. Protection Card -BI Date Card -81 Date Date PLUMBING (Permit) OK except q's _ 14. Water Ht.; Vent -Access -Combustion Air 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: Ccunter I Date - ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer - S8. 69. A.C. Duct in Garage -Damper i - Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection - 20. Fixture & Transformer Clearance -Ins. Protection 21. 22. Elec. Receptacles Spacing -Lights &Switches at Doors 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 EJ Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails &Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes __- - 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, ,-, Insulated Neutral L,Yes ED No _ _Service -Riser Conductors & Ground -Main Disconnect 75. Following tnstld.: Drive g ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish - 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet _30. - -- - Card B -I Card B -I V Clothes Closet Light -Shower Light - - - - Date _ Card -BI Date Date Card -BI Date 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date _ MECHANICAL (Permit) OK except N's 31. A.C. Ducts: Insulation & Support 32. Vent Fan; Exhaust above Insulation _ _ 33. Condensate Drain & Overflow; Size & Grade _ 83. Corrections from Previous Inspections 84. Gas Test=Meters Tagged; Gas -Electric 85. Water &Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates _ 34. Furnace -Vent Access -Comb. Air -Return Air Vent -115V outlet Card -BI Card -BI 35. - Attic Access & Platform if Furnace in Attic - - - -• - - -- Date Card -BI ^ Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI 11ate Card -BI Date Card -BI Date' Card -BI Date Date FRAMING(Plans) OK except Ws Comments at Final: _ 3_6. 37. 38. 39. 40. Sills; Proper Material &_Anchors_ Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) _Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill H_g_t. & Dimensions__ Garage Fire Protection Framing _ _ y (NOTE: An entry must be made each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 //// PERMI,T1 NO. I- " R4:> Address or location of mobilehome-5l5'�'�t,UfNC�I�'�'�� re 4 j - Owner's name ' V✓ • w Q -r/ S Owner's address � v4 F'1 Insignia or hud number -30zkwa Manufacturer's name Serial number of V I.N. r//d���C> /e/ - Year of manufacture (Official Approving Installation .IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE �--MbBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. 4 V/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT DRM'J'.' d ASS SSG R P RC L NUMB F.�2 d► � ZONI G BUILDING PERMIT NJ p ` L(Y TELEPHONE SQ. FT. OCC. BUILDING VALUATION O E -MAI ADDRESS D ^ CON)ACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONS UCTION LENDER AF UNKNOWN Total Valuation Is Filing Fee $ � LENDER'S MAILING ADDRESS Permit Fee $ ARCH IT CT OR ENGINEER F LICENSE NO. Plan Checking Fee $ O 1 Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUIL I ADDj1 SS; , cll Permit fee $ PLUMBING PERMIT Filing Fee 10.00 tlO it Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeA Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 1 110.OOea TYPE OF WORK New ❑ Addition Remodel Utilities Installation❑ Other ❑ Describe work: R'07 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Q Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSInesS nd Professions Code and my license is in full force and effect. License No. ClassificationFIXED 8/ I, as the owner, or my employees with wages as their sole compen- on,will do the work,and the structure is not intended or offered orsale.(Sec. 7044)Mobile ea" , 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.ad yZ¢sgft OR ADD -NS. l ACC. BLDGS. NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS /POWER APPARATUS 61 (SINGLE OUTLET CIR, / Ex.Occup(OUTLETSOR FIXTURES 8AL03t AL00 Ex. Occup. OUTLETS PLNS (RESID )REA.) 1 2.00 Temporary service 10.00 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. ❑ 1 have placed on file with the County of Butte Building Department a ertificate of Workmen's Compensation Insurance or a Certificate 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 s Id County in consequence of the granting of this permit. X Date �'2 Sig Lure of Applicant — Owner Contractor ❑ Agent ❑ An SH permit is required for excavations over 5'0" deep and demolition or construct- ion oY tructures over 3 stories in he' I. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occUP. CONST.TYPE FLOG PARC PD ND ZS This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. p WORKS _ Date tel' �8 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT V OWNER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE¢ CAW.. _ . � ;FpR,Nj. 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET -_ - Permit No. A. P. No. I Wl. L,(r 1,1S Proposed Building Use. Permit Fee Based Upon I Complete Contract Price DPW Valuation At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. All items.have been submitted. . . . . . , . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . Letter of signature authoriza ' n. . . . . . . . Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) 'Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. , . . . . . . . . . . 16. Mobilehome Installation Data. . . • . • • •• • erequest to iuI— °te)Pre-Inspection for Required. BuildingInspector ecorc ��m fy Vf �I o Aiknowled�gment Statement . therURI ons ructiapproval required pr or to occupancy When you issue the permit, process as follows: I X Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Z�%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 t me of pplication, circle item.) 1. Index permit for above Items No. t t 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by 70iiiiiDate Other: Copy—DPW To: Building Department From: ,?nvironmental Health Subject: Sanitation Clearance Owner Location Plan Approved for: Sewage disposal 1/ Hold final for: Final clearance O.K. for: Clearance for zv12— bedroom mobile home. Other NOTE *** . �_ ROOM 1�rL i AP# / water supplyy water supply water supply Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT RECORDED IN OFFICIAL RECORD,: FOR RESIDENTIAL DEVELOPMENT OF BUTTE COUNTY,CALIFOiRN" ATTHE REOUEST OF Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. PfaF�Tl'v(':il"1;1 . 86-14284 The property described herein is adjacent to land or included 1986 14AY -6 ki 8: 45 within an area zoned for agricultural purposes, and residents of this. 1. , CKER property may be subject to inconveniencesordiscomfort arising from ELEANOR C �ScER. the use of agricultural chemicals, including, but not limited to herb ci es, pesti ideSE and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: DESCRIPTION A portion of the Southeast quarter -,of Section 14, Township 2.1 North, Range 5 East, M.D.E.&M., more particularly described as follows! Commencing. at the South east corner of the Northwest quarter of the Southepsf quarter of said Section 14; thence South 87P3,4130" West along the South line of the Northwest quarter of said Section 14, a distance of 434 feet to the point of beginning for the parcel of land herein described; thence South 87 34' 30" West along the South line of the Northwest quarter of the Southenst quarter of said Section 14, a distance of 280.17 feet; thence North 01 13' 51 West 34.56 feet to a point imthe centerline of OrovilleQuincy Road as the same existed on April 14 1970; thence North 58 31' 40" East 385.42 feet to a point that bears North 12007' 00" East from the point of beginning; thence South 120071 00" West 229.02 feet to the point of beginning. Date: S�Z 91'� State Z ) SS. County of - ) PERTY OWNERS: On this the da(/cf 19,�L, before me, the undersigned Notary Public personally appeared y` Personally known t me. / / Proved to me on the basisir�,�` of satisfactory evidence. to be the person(s) whose names) 1641" sued ed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. Notary ublic �nmmmu�nneunem�mm�me.«.cyctitati�tattc T OFFICIAL SEAL w MILDRED MAY LOWE NOTARY PUBLIC — CALIFORNIA COUNTY Of SANTA CLARA Comm. Exp. Oa. 4, 1988 AP # OWNER (An AXA PERMIT -# MH UT IL . CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Re . Service Size -Other Load Type Pipe Size Length YESI NO YES Z O d �7 F, 3 !q- I�NO COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California'B5965 - Telephone 916/534-4541 APPLICATION -AN® PERMIT 1 PERMIT NO. ASSESSOR PARCEL NUMBER 62-60-00-22 ZONING BUILDING PERMIT OWNER J . W. CU RT I S 5,39-5089 TELEPHONE S0. FT. OCC. BUILDING VALUA ON OWNER'S MAILING ADDRESS P.O. BOX 321 BERRY CREEK CA 95916 CONTRACTOR'SNAME TOMS MOBILE & MOTOR TELEPHONE CONTRACTOR'S MAILING ADDRESS 6366 LINCOLN BLVD OROV 1 LLE CA g 966 Fireplace CONSTRUCTION LENDER N A UNKNOWN Total Valuation $ Filing Fee � 10.00 ` G LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER N/A LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUI ql 5DDR s VIC,, Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome[Z Other SPECIFY Gas piping system 1 - 5 outlets ' 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installations! Other ❑ Describe work: INSTALL M O B I L E H O M E _ /0� — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 8Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): IWVI 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 �Lj 7 El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST, DWELLING OCCUP.p( / , �20sq ft OR ADDNS. ACC. BLDGS. NEW CONSTR. MULTI -OUTLET 2.50 ea NON•RESID BRANCH CIRC ITS POWER APPARATUS Q\\ (SINGLE OUTLET CIR, J Ex. Occup( OR FIXTURES 5AL@3 C eAL00 FIXED APPLNS. Ex. Occup. OUTLETS (RESID,)REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. bYirin 15.00 g 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 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 liabilities, judgments, costs, and exes which may in any way accrue against said County in cons ence of ranting of this permit. %� -��74 — -Date 05/01/86 ' Signature of Applicant — Owner ❑ Contractor KI 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 $ OccuP, CONST.TYPEJ I FLOOD PARCEL I PD ND Iseu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO"F PUBLIC BY PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dat e 9� Receipt No. s$'3 9 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT II OWNER COUNTY OF BUTTE - DEPARTMENT=°OF—PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLEF_CALS,FORNIA 95965 - TELEPHONE: 9160 534541 ;a PERMIT APPLICATION DATA SHEET ---- Permit No. U. �( C Proposed Building Use ' "' , y Permit Fee Based Upon: Complete Contract Price DPW Valuation Other( xp)lai 4 S / Building Inspector Date At time of application, I was advised the following data must be submitted prior to permit processing /permit and./or Iss-( ante: DATE RECEIVED APPROVED L l• All items.have been submitted. . . . . . . . . . . . 2., Plot plans in duplicate/triplicate. . . . . . . . . . 3. Complete plans in duplicate/tri-plicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD ''Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 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. . . . . . . . . request to 17. Pre -Inspection for Required. p q Building Inspector (Date) 18. rdAf muuc D� struinapproval requi'reprior to occupancy 19. Other Whe you issue the permit, ro( il ss as follows: Mao owner. S — Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant ate � Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date d "� Other: Copy—DPW BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: J . W. CU R t_1 S 2. Installer's name: tnmc Mna a i c 1, wo rna ; 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number ) OR. Is the site an existing site? Yes No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks.and easements? Yes / / No ( If no, clarify 5. :What is the mobilehome electrical rating? ----------------------- a QQ — Amps 6. What is the mobilehome site service rating? ------ Amps 7.. Whai._is the mobilehome site circuit breaker rating? ------------- 20000— Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes x. No (If yes, identify the load and size: -M (Load) 40 (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ----------------------------- Natural 7_7 LPG ; 11. What is the gas pipe length from meter or tank to the mobilehome? y'� (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.) / .;?Sy -84 BUTTE COUNTY BUILDING DEPARTMENT � APPROVED �y MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr CHAMP ION .HPME 9U I LDERS fUrn'jSh _Setup Model No. 181 Year 19RR5 Width 24 (ft.) Box Length 44 (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. tagalong or Expando,' show support details. (ft.)(in.) (in.) (in.) I x -- Typical Support (in.) (in.) Footing Size , HI (ft.)(in.) (in.) (in.) -- Max. Pier Spacing (in.) (in.)' 'YTI/lUOD 3TTU8 tl 13M,TM93CI �)IjICjj4U8 *If center piers ;are��%%other than] drawn above, -4 raw in.locatigns,rapaAng,and dimensions. -- Max. Overhang , Footings (check one) • Single ® 1'. Wood either A A pressure treated or .— foundation grade. (ft.)(in:) (in.) (in.) 2. Other: (specify) renter support locations* Center support footing sizes Supports (check one) (in.) 1, Concrete block. ❑ ..2: Other. (specify) (in.) (in.) tagalong or Expando,' show support details. (ft.)(in.) (in.) (in.) I x -- Typical Support (in.) (in.) Footing Size , HI (ft.)(in.) (in.) (in.) -- Max. Pier Spacing (in.) (in.)' 'YTI/lUOD 3TTU8 tl 13M,TM93CI �)IjICjj4U8 *If center piers ;are��%%other than] drawn above, -4 raw in.locatigns,rapaAng,and dimensions. -- Max. Overhang , NOTE ---All Materials & Workmanship Shall Be, in Accordance with Recognized Good Practices and ,_ ,• ,1 , of a`qualify prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and j the. National Electrical Code. -! . r, ; •PtY fP� This set of plans and specifications MUST be kept on the job at all times and it is unlawful for make any changes or alterations on sam®w4houf ,• - written permission from the Department of Public Woks, County of Butte. Utility connections shall be withlm N. 4 ft. of the mobilehome, either directly behind or within the rear half of the roadside (left) of the ���, :�Gj r��Zi mobilehome. �;0 0 , � S.L. -....... A- 0 permit will be -required for-fhe 3 mstaWi on of the mobilehome. A setback -of 5 ft. from the property `lines and a setback: of 50ft from the, road . . _ centerline shall 6e clear df structures or CgUipment exceo¢ for a 2 ft. eave overhang. y S BUTT ° E; COUNTY - PEI .7_gUILDING•DEPARI'IVtENT APPROVED PERMIT N0. PERMIT EXPIRES` , � OWNER JIM CURTIS CONTR. Theveos Const ASSESSOR PARCEL 62-60-22 LOCATION S/S Oro-Qu9ncy Rd.Apomi E Lake Madrona 1 Berry Creek r V Inn -as F©rest ,r Temp. Power Pole_ 1 Called PG&E _ y Temp. Elec. Service I Called PG&E_ Temp. Gas Sei Cal led PG JOB FINALE[ Signature V = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Sirgle and Duplex) * = Not Ready Date UNDERFLOOR (Plans) OK except N's Date FRAMING (Continued) le'foning requirements -Setbacks -Easements 48. Firewall & Openings 2. Ftq,,, Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth oors-One 3' -Check Garage -3rd story, 2 exits tg., Garage; Soils -Steel- / /" Ftg. Depth 5 -Headroom-Rise-Run-Landing-Fire Protection 4. s; Soils -Steel- / /" Ftg. Depth ywood on Roof Overhang -Attic Vents -Rafter Outriggers emwalls, Main; Steel-Blockouts-Wrapped-Slab - ailing -Veneer Stemwalls, Garage; St lockog5-Wrapped-SI 53,- tVCU-6-191esh-Drip Screed-Fdn. Vents-Underflr. Access 7. Piers-Fimplace -Steel ing rea-Glass Protection -Skylights -Plastic 8. 9.4 way C/0 -Sewer Test ear Walls; Nailing -Bolts 9. ize-Anchors 10.s - nchors-Regulator-Service Test 11. nd 12. learance-Mater ial-Support -Ins. 13. G44ers=571�nchorSol ts-Joists-Vents-Cripples Cfikfo6l Date ` Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI CDD Date Aj,j /i Card -BI Date Date FINA tans) OK except q's 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 Uy-.6moke Detector -38r-l"'M tt ace; 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'•I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 64rE1•ec. Trim & Subpanel; Breaker Sizes -Labels _ 19. Gas Pipe: Size & Anchors AZ_84eirs & Rails treplace or Stove; Clearances -Hearth 6'4--Ell-Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date -fi&--�444•Eixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date e6 --,E TTc: Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except k's ar a Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection r. tr.: 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 �--=�- Elec. & Mech. Equip. Listed for Location �l-Eer c. �ieceptacles 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 7 nsulation-Foam-Looked in Attic E] Yes _ 25_ 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27 Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral -;Yes DNo _28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances: Panels-Motors-Mech. Equip. ward Rails & Deck Construction -Post Caps 74. s &Crawl Hole Door -Drainage &Wood -Earth Clearance Looked under Floor El Yes g instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters Oyes []No 7 ucco; Brown -Finish 77--q,@--U7fpisconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Card B -I Card B -I - 30. Clothes Closet Light -Shower Light --- - -- --- - Date _ Card -BI Y _ Date Date Card -BI Date 73, Abeve Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Z2__ later-Weli-Disconnect, Electrical, Plumbing 80. FYra. Trim; G.F.I. Receptacle -Underground 81 Vim^ Throughout House 2. Glass Protection Dale MECHANICAL (Perrr,it) OK except N's 8orrections from Previous Inspections 84 eters Tagged; Gas -Electric _ Card -BI Card -BI 31. A.C. Ducts: Insulation & Support _ _ - - ----- ---- 32. Vent Fan; Exhaust above Insulation _ _ _ 33. _Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent Access -Comb. Air -Return Air Vent_ -115V outlet 35. Attic Access & Platform if Furnace in Attic - Date Card -BI _ Date - Date Card -BI -6a -te 85.r1Netertr9ewLrr Connected -C/O to Grade -HD Approval 86. a Certificate -Other Certificates Card -BI ate Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRA G(P s) OK except p's Comments at Final: _Sil Proper Material & Anchors 37 _ alts: Studs -Nailing, Spacing & Bracing-PI_ates-Sound 3 ring Walls over Girders &_F_loor Nailing 39--rrra-ft Sto in Walls (rat proof) 418-->� _tops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing �- rs-Post Caps -Anchors -Connectors - 43. Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Tr-Shthnq.-Rfnq. 3�.place Ties or Type A Flue -Fireplace Throat 5.-All�ic Access: Size & ROmex Protection -Draft Slop -Ins. Baffles 46. - )df -m. Windows or Exiting Doors -Sill Hgt. & Dimensions e Fire Protection Framing _ _ - - (NOTE:Anentrymust be made each time you visit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIN AVB PERMIT PERMIT NO. i ASSES PA CE NUMBE - ZONI G BUILDING PERMIT OWN TELEPHONE SO. CT. OCC, BUILDING VALUATICK OWN 'SAI LIN A RESS >R 9S CONT CTO ' AME_,�LE /ell's HO E CON RACTOR'S MAI G ADDYMSS 200 r Fireplace CONSTRUC N LENDER UNKNOWN Total Valuation Is Filing 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 �! �It C Y Permit fee $ C , PLUMBING PERMIT Filing Fee 10.00 C Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARqkL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCT EGas SF ❑ Duplex❑ Mobilehome❑ Other Wood. SPECIFY piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00 ea TYPE OF WORK New 7 Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. � 14 V y � Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.EI OR ADDNS. ACC. BLDGS. , /2dsgIt NEW CONSTR. ULT I.OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea (POWER APPARATUS &) SINGLE OUTLET CIR. I Ex. OCCUp�OUTLETS OR FIXTURES 20t3ao0Q eALe® FIXED APPLNS. Ex. Occup. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mobile M Ho 15.00 g 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 FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree save, indemnify and keep harmless the County of Butte against all liabilit' s ju gmen s, co ts, and expenses which may in any way accrue against s 1 o ty ons uence of the granting of this permit. G %� Date 3- 2 d �6 Signature of Applicant — Owner E)ContractorAgent ❑ 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 $ OCCUP. CONST.TYPEJ FL PA L PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC BYeEr PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS DatetE� '- u Receipt No. / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i OWNER COUNTY OF BUTTE - DEPARTMEN-t OPIT° UBLIC WORKS - BUILDING D'IV'ISION 7 COUNTY CENTER DRIVE - OROVILLE�CAL'IFFORNIA 95965 - TELEPHONE: 91634-4541 PERMIT APPLICATION DATA SHEET Permit No. (J / kK �U Vfi 1; A. P. No. -0- Proposed Building Use Permit Fee Based Upon: Complete Contract Price Building Inspector At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED ✓GiCi re DPW Valuation 1. All items have bee submitted. lot plans in plicate/ replicate. . /} Complete plans in icate i.plicate. ✓i h��C . ,�!�� S 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . Letter of signature authorizatio%� Q� 10. Sanitation approval from v�C'�✓r// ealth.Dept. 1 Planning approval for (A) Use: (B) Parking: 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-Insp17. Pre -Inspection for Required..Building In request to (Dote) pBuilding Inspector 18. Record-,' Q� LCur,�J Acknowledgment StateTent . 19. Other �KE���AY V' '1 ((t�;onstruction approval required prior to occupancy Whe.�n//�y ou issue the er I rrQ�}ess as follows: Mailo owner. Mail to contractor. —TTelephone 6153 v/ and hold for pickup aty�� office. Deliver w/inspector. Other .. Applicant Date 3 _ 2 �- 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 ti of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by By Plans checked by_ Plans approved by Other Copy—DPW Telephone Mail Date Other tem to To: Building Department - From: ,!nvironmental Health Subject: Sanitation Clearance time r Plan Approved for: L cation AP// Sewage disposal water supply Hold final for:. water supply k Final clearance O.K. for: pwater supply Clearance for er C2, NOTE ** Sanitarian Date 0 r Theveos- Construction 1900 ORO DAM BOULEVARD, SUITE 7B OROVILLE, CALIFORNIA 95965 (916) 533-0716 2 to - '7 A setback of 5 ft. from the peoperN fines and a setback Of kfis from the road NAW11RO &hall be clear of Ot equipment gigrtI /-1V LICENSE NO. 319048 This 4ef of p1m ors&'Sp'"M86ions, MUST be le mlon Ab j06 of ail' vm*V unlawful, i16- wriftes permission` from the Deipartment of Public Works, C6wOy of BW*e. �z � sum COUNTY BUIDING DEPAROAFN APPROVED ��Z MAX-sp F� I R-��LARC H �41 L. 8V!�'TEMS 752 S'd �.W'-i`37TH #'Li,.: FLOklt)" i�['' s N*1 I wee, 840ftk