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062-700-020
S' 1 . C(eQ_-700-0-_PLD C.H. Bush E/S Bald Rock Rd.7Rock mi-of Oro Quincy Hw��y++� d 6 Perm ��163-79 ,in leyjr DA JOHN FTJENTES Permit 805-86E(ele for well) 601 Bald Rock Berry Creek Permit #4124-87P, (utilities, MH)p� 14 r !� ELECTRIC .? �-`f 1G : / •ai '� GAS iolor OMPAC i IO C - i EST SUPPORT STRUC RE r Permi 4125-87MHI (in gall, MH) IS D O(o�-700-0 6--39 Permit#1634-89B,E(new pri det Hara�o i - f } i R 4 ,e C cfli c� rte' r #� PERMITAO. PERMIT EXPIRES OWNER DAVID FUENTES CONTR. Owner ASSESSOR PARCEL 62-5(1-1 4A 'y LOCATION hnl BA1 rl Rork Rd. RPSr Greek Temp. Power Pale i Called Temp. Elec, Called K 1 Temp. Gas Called JOB FINAL Signatu =01K 0 =•No4 OK Not Not Readyiable MOBILE HOMES Date. MO1JJLE HOME UTILITIES (Plans) OK except #'s Date r MISCELLANEOUS PORTS,GARAGES, (Plans)OK excegt #'s f Z ning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements ir-Sqifs; Special MH Sup ort -Sketch j 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel . e 7; Location all -C/O -Concrete j 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails "aW; Location -Test- sement Needed (Sketch) 4 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing lectricity; Location learances-Grnd.-/ / Amp -Concrete as; Location Wrap: / /"L"ft. / P'Nat. or/; J"L" ft./ $/'LPG 1 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors Utility Clearain-dA 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses i 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Dat Card -131 Date 10. Roof; Shthg-Roofing Card -B Date Card -B1 Date :. i 11. Ext.; Steps -Doors -Landings Date MOB HOME INSTALLATION (Plans) OK except #'s 1. o • g Requirements -Setbacks -Easements Card -131 Date Card -B1 Date o 'ngs; Size -Spacing -Marriage Line (Card -131 Date Card -B1 Date as"MH Test -Demand -Valve -Connector f EI ricity; MH Test -Crossovers -Breakers -Clearances j.Date POOLS (Plans) OK except #'s r • ; MH_ Test -Fall -Flex Connector t 1. Setbacks -Easements a H Test -Regulator -Connector j 2. Soils; Compaction -Structure Stability r a d Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel- Con nections-Th ickness- Dead Men -Lining s Electricity Tagged sp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI . Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -13 at and -131 Date Card -Bt Da Card -B1 Date 9. Health Department Approval 4, 10. Plumb.; Cir. Test -Water Supply Test i I Card -131 Date Card -131 Date Card -131 Date Card -81 Date f = OK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready t Date fJNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance- Material -Su pprt- Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -131 Date Card -131 Date Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Card -81 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -B1 Date 66. Stairs & Rails Card -131 Date Card -B1 Date 67. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuits in Kitchen & Conductor Size 74. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish Card -81 Date Card -B1 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -81 Date Card -81 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Card -81 Date Date FRAMING (Plans) OK except #'s Card -B1 Date Card -131 Date 38. Sills, Proper Material & Anchors Card -81 Date Card -B1 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (ret proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY tENTER'DRIVE +s OROVILLE, CALIFORNIA — 534-4541 Address or location of mobilehome Owner's name Owner's address Insignia or hud number Manufacturer's name_ Serial number of V.I.N. PERMIT N0. Year of manufacture (Official Approving Installation) (Date IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891=2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 1�7 ERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date �� COUNTY OF BUTTE _D.EPARTMENT OF PUBLIC WORKy • =� 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 -CORRECTION NOTICE - y OWNER 'ERMIT NO. A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector / Date / ` J �P6rinit#1805=86E (David John Fuentes E/S B ld Rock Rd, 2 mi � S Oro Quincy, Bald Rocl «t 4. a= OFFICE COPY Address GAS Me y ate ELECTRI . Meter By Date 2*/ i OFFICE COPY Address GAS Me y ate ELECTRI . Meter By Date 2*/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR -P ARC EL.NUMBER �%r-J _'D-[..-. ZONING BUILDING PERMIT OWNER J6111y�a�s� �di�f n <U 'J �r.�E�!/T TELEPHONE :;�5�7 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS �F,5.y!,uT !u 3 CONTRACTOR'S NAME Qom(/�1r' TELEPHONE CONTRACTOR'S MAILING ADORESS—� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER ` 1 LICENSE NO. Plan Checking Fee .$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ' Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 h,ql o 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[ --I Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JWI10.00 ea TYPE OF WORK New Q -Addition ❑ Remodel ❑ Utilities ❑ Installation El Other ❑ Describe work: E,'F•'"7,� fr Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 Z S!/ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON-RESID 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 1L�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 Codefor this reason NEW CONST. ( DWELLING oCCUP.8d) yZ¢sgft OR ADDNS. l ACC. BLDGS. NEW CONSTFMULTI-OUTLET 2,50 ea BRANCH CIRC ITS POWER APPARATUS a (SINGLE OUTLET CIR. Ex. Occu 20ee0e Occup(OUTLETS OR FIXTURES eALO 30 FIXED APP LNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ ::77 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 Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. � I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, andbexpenses which may in any way accrue against said County'iA consequence f the granting of this permit. �. _..� r X - L .�/� /! .-•..- Date / Sig ature of Applicant — Owner Contractor ElAgent16 An OSHA permit is required For excavations over 5'0" deep and demolition or construct-��gIRECTPUBLIC ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $��" Occup. CONST.TTPE I IFLOODIPARCELI PD I HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. r /�041FWORKS K, B Da PERMIT EXPIRES Date - Receipt No. �� ��y� WHITE-O.r.W.. YELLOW-ASeE33OR. PINK -INSPECTOR, GOLDEN ROD-APPL I CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, California 95965 Telephone: 916/538-7541 It APPLICATION ANY PERMIT AAPERMIT NO�� ASSESS R PARCEL NUMBER ZONIN BUILDING PERMIT OWNE , TELEPHONE SQ. FT. OCC. BUILDING VALUATION OW, E 5 AILING A DRESS /) A v #� CO ACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONST UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 1.8;Q0 LENDER'S MAILING ADDRESS Permit Fee $ ARC ECT OR ENGINEER V1 — LICENSE NO. ' Plan Checking Fee $ / Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ac D Permit fee $ / 00 1 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME VfARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S GA .00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utill. ies 9 Installation❑ Other ❑ Describe work: I Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP ORSS10.00 Main service EA. ADD'L 16-0 6 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. cerisezoesoe No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.eI) zltsgft OR ADDNS. \ ACC. BLDGS. NEW CONSTT'-OUTLET NN.R ES, D .BRA CH CIRCUITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. EX. DCCUp OUTLETS OR FIXTURES .AL030 FIXED APPLNS. OR EX. -_ — OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 S 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 Certificate of Workmen's Compensation Insurance or a Certificate 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 shall be deemed revoked. MECHANICAL PERMIT FilingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permlt 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 agr to save, indemnif and kee harmless the County of Butte against all Ilabi ties, judg s, s, and penses which may in any way accrue against aid Count in se uence the granting of this permit. X A Date Sig ature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -R ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ W. OCCUP. CONST.TTPE S�NDoI plan PARC PD ND ssu This permit is hereby issued under BJonsthe Butte County Code and/or wcated above for which TOR OF PUBLIC B PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ��� 01bC69, Receipt No.�7 WHITE-D.P.W.. YELLOW-A366800t. PINK -INSPECTOR. GOLDENROD -APPLICANT I`t"��7%"'' �',Y-ff4 ��t�:1� ���i`..>�Y''.�:T •.� .��ar v.r.. :.���``-:`�.,-Y....�.�1'F�'�nrti;..-'r-a•""r�YE`�}^ r .yY.�Y �� ..�^��y,4 •���.� <s^�` �`,j. �..y,,, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,CALIFyORNtA 55965 - TELEPHONE: 916/538-7541 3 ro. PERMIT APPLICATION DATA-SNEET + >�=. , ; r)} Permit No. %% t OWNER �QV [�`( / G((� t/I I s P. No. Proposed Building Use /'/ Building Inspector Date % D At time of permit application, I was- advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. — 2. Plot plans in duplicate/triplicate, signed by preparer of plans. . 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with -Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authoriz-•tion. 0- Sanitation approval from U r®U I )h 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 0, Mail to owner ❑ ) _.__.--_15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to Doty) 7. Pre -Inspection for______ _.- _. _Required- Building Inspecw Recorded copy of Agricultural Acknowledgment Statement. '`1,9. Driveway Permit.�- 20. Plot plan approval from city of_ _ 21. _ — 22. — — -- When, you issue the permit, process as follows: XMail to owner, Mail to contractor - Telephone and hold for pickup at office, Deliver w/inspector. Other DrIe 64-71 a v X4_ A p p I i c a Date Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. — ,2. Additional items required: —__— Contractor, designer, owner, was advised of above required data by—phone---mai I counter by date - Contractor, designer, owner, was advised c? above required data by—phone —mail—counter by date Plans checked by Date Plans approved by v� ,e/r Date • l Sets of plans on hold in File cabinet AP folder Copy—DPW TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance av<< Y. owner locution AP # :u Driveway permit g70 5 17'/ 1 has been issued for the above property. signs re date TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location Plan Approved for: Sewage Disposal Hold final for: Final clearance O.K. for: Clearance for bedroom mobile home. Other AP# Water Supply Water Supply Water Supply vane NV e COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916 538=7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 4H±O . 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person ,to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address ' Phone Type of Work Signed: Property Owner Social Security Date /j/ NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. UPW ACK1'CUL1lJ1xN. S1AT|Oq1iX1' 01-"' ACKN0WL .}D1|�N'[� / 0K ' —~` / �FMQALRECORDS QY Section 26-8.1 of the Butte County Code requires this ockxuwledQemexc he recorded prior to issuance of a building permit ' 1$81 DEC 30 �''h � - - 'Uir property described hereio is adjacent � QA"u*Cc Jnnuomu Lo |I;. -Ind or included within an area zoned ' for agricultural purpoaes, and residents CLERK -RECORDER FEE o/' this property may he subject to incon- ^. '������ ' vroicxcex or discomfort arising from the '~+-~-m7��~_~°" use of agricultural- chemicals, including, , hui not. ]imiicJ to herbicides, pesticides, nod fetiilizura; und [rnm the pursuit vl ugriculturul operations inc]uding, NOT CoMnAaEOVNTR 1) LI L not Tim -i Led to cultivation, plowing, ORIGINAL DOCUMENT spray /xA. pruning, and nurvoaLznA which orcusioou]1y generxLc dust, smoke, noise, and odor. Butte CouxLy has eoiohlis|v'J :gri'n|- Loru| zoney whidh have as a priority use for productive aXricx]Luru| purpn�;ua� mx| n'si'|,x|, yi�hin said zones and on adjacent property should he prepared to uc,oyi uudh ionmvn/inxr OF diecon[orm from normal, necessary [arm operations. A|] ih:L real pruperLy situate in the County of Butte, 3LaLe of Culi{orni:, Jc.-;rri|,n| :, [oDova: Date:/ SLaic CuonLy ^ � oI 01, this tho- day of ' ) "> SS' the undersigned Notary Public` personally appeared + A, jTt },c|\`n` m,, � /m0mamo���m��ommHURE050000�_ElPersonally known to me. [AProved Proved Lo me on tile huxi, ��ERU��UAYLE 0 � of aaLia[ecLory oviJm/cr' NOTARY PUBLIC -CALIFORNIA � to he the person(s) whose name(s) is Butte County a subscribed to the within instrument and acknowledged Lh:t ___ w'c^mmissi^ns»pim'om.c»'1mm 0 executed the same for the purposes therein conLnincd' 1K W11�N|'3S +mms WHEREOF, I hereunto set my buod and of ficial seu]' Present- A.P. No. 111 SCIIEDULE C r The land referred to herein is described as follows: V I U L.ik . it%.. LJ.A"; •n 85-29669 All that certain real property situate in the County of Butte, State of California, described as follows: , A portion of the South half of the Southeast quarter of the Northeast quarter,M.D.B. lying Easterly of the centerline of the Bald Rock County Road, of Section 33, Township 21 North, Range 5 East, M & M., described as follows: BEGINNING at a point in the North line of said South half of the South- east quarter of the V ortheast.quarter of said -Section -YJ, from which point the Northeast corner of said fraction bears North 860 51' 07" East 654.54 feet;thence from said point of beginning and leaving said North line, South 170 41' 56" West, 580.51 feet; thence North 540 15' West 200.00 feet to a point in the centerline of said Bald Rock County Road, being a point on a curve concave to the Northwest having a radius of 330 feet; thence along said Road centerline and along said curve, through a central angle of 110 17' 08" (the long chord bears North 150 06' 34" East, 64.90 feet) for a distance of 65.00 feet; thence North 9° 28' East, 219.88 feet to a tangent curve concave to the West having a -radius of 270 feet; thence along said curve, through a central angle of 270 48' for a distance of 131.00 feet to the beginnithenceaa 11.47 curve concave to the Southwest having a radius of 315 feet; said curve through a central angle of 20 05' 12" for a distance of feet -to' a point in the North line of said South half ofthe Southeast o theastavingsaid quarter of the Northeast quarter 3f said Section 33; id North line of said fraction, North 860 road centerline and along sa 51' 07" East, 300.00 feet to the point of beginning. EXCEPTING THEREFROM the following described parcel of land: BEGINNING at a point'in the North lint of said Southeha.1f of thfrom Southeast quarter of the Northeast q which point the Northeast corner of said fraction bears North 860 51' 07" East 654.54 feet; thence from said point of beginning and leaving said North line, South 170 41' 56" West, 30.00 feet; thence South 880 57•' 44" West, 226.94 feet to a point in the centerline of said Bald Rock County Road; thence along said road centerline; North 90 28' East 67.53 feet to a tangent curve concave to ';he West having a radius of 270 feet; thence along said curve, through a central angle of 270 48' for a distance of 131.00 feet to the beginning of a curve concave to•the Southwest having; a radius of 315 feet; thence along said curve, through a central angle of 2c' 05' 1211,for a distance of 11.47 feet to a point in.the North line of said South half of the Southeast quarter of the Northeast quarter of said Section 33; thence leaving said road centerline and along said North line -of said fraction, North 860 51' 07" East 300.00 feet to the point of beginning. ALSO EXCEPTING THEREFROM the following described parcel of land: COMMENCING at the Northeast corner of said Section 33; thence South 10 33' 10" West, along the East line of said Se 1848.11 feet; thence South 8G0 50' 115" West,ction 33, a disLanc� Of 035.07 feet; thence Southerly along the arc of 'i non-tanr..cnt 435 foot radius curve corrc�rve to the West (radial line to said curve at this point bears North 70° 5y� 34" East) a distance of ?_10.11 fc,Ot, through a czrdr parcelang land1 Lha, 270 40' 28" to a point on the North 1 iro' e of of said Nyf.,. Contin•ucd -1- ---_-...�--.,s. .�.��—.� ........_,.. _.-•.,.-..e�-yr--"'- _ ,.-- ORDER NO'. 133494 85�29fi69 Continued from Schedule. C. true point of beginning; thence continuing Southerly along said 435 foot radius curve 6.02 feet through a central angle of 00 47' 36"; thence South 90 27' 38" West, 119.35 feet to a point, said point being designated Point A and hereinafter referred to; thence Southerly along the arc of a 265 foot radius curve concave to the Northeast a distance of 144.55 .feet, through a central angle of 311 15' 15" to the South line of said Nygard parcel; thence North 540 15' 22" West along said South line 89.05 feet to the Southwest corner of said Nygard parcel on the centerline of bald Rock Road as of January 1, 1975; thence Northerly on said centerline along the arc of a non -tangent 330.05 foot radius curve, concave to the Northwest (radial line to said curve at this point bears South 690 15' 14" East) a distance of 65.01 feet, through a central angle of 110 17' 08"; thence North 90 27' 38" East, 152.36 feet to the Northwest corner of said Nygard parcel; thence leaving said road centerline North 880 57' 22" East, 35.56 feet to the true point of beginning. -2- END OF UC�UPAEn� 0 .a' s s.' ORDER NO'. 133494 85�29fi69 Continued from Schedule. C. true point of beginning; thence continuing Southerly along said 435 foot radius curve 6.02 feet through a central angle of 00 47' 36"; thence South 90 27' 38" West, 119.35 feet to a point, said point being designated Point A and hereinafter referred to; thence Southerly along the arc of a 265 foot radius curve concave to the Northeast a distance of 144.55 .feet, through a central angle of 311 15' 15" to the South line of said Nygard parcel; thence North 540 15' 22" West along said South line 89.05 feet to the Southwest corner of said Nygard parcel on the centerline of bald Rock Road as of January 1, 1975; thence Northerly on said centerline along the arc of a non -tangent 330.05 foot radius curve, concave to the Northwest (radial line to said curve at this point bears South 690 15' 14" East) a distance of 65.01 feet, through a central angle of 110 17' 08"; thence North 90 27' 38" East, 152.36 feet to the Northwest corner of said Nygard parcel; thence leaving said road centerline North 880 57' 22" East, 35.56 feet to the true point of beginning. -2- END OF UC�UPAEn� 0 19 oq� 5 \OTOOft m \ be OkX�p1 --0? 2,4tA ia 01 �\.qy0ly\ ctsor0! , ot e "ql), VII -3- IV- eiba f ft eve aq pd 0 2 ��� �C COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PER IT NO. 06 - ASSES ARCF �NDUMB =R J ZONING BUILDING PERMIT OWN R TELEPHONE SQ. FT. OCC. BUILDING VALUATION OW R'S MAI LnIINAAG ADDRESS CON RACTOR'S NAME �W Y� TELEPHONE CONTRACTOR'S MAILING ADDRE 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 $ ,E Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAIL NG ADDRESS Penalty $ BUILDING ADDRESS �• /� Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Aeo 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❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New [Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work:F�Q/C ,C� GUcCGL Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR ,LESS 10.00 0' Main service EA. AOD'L 100 AMP 2.50 Z 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. 1IFircense No. Classification 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) ontract- ❑ i, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.. '/z¢sgft OR ADDNS. ACC. BLDGS. / NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS /POWER APPARATUS e� %SINGLE OUTLET CIR. Ex. Occu zo a 9oe p�O TS OR FIXTURES eALO 30 FIXED Ex. Occup. OUTLETS P(RESID,)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Virin 15.00 t11&cA 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 FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee I $ 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 liab�es, Jud g nts, osts, and/expenses which may in any way accrue againg't s �d Coun 'n equence the granting Of this per 't. X Date Signature of Applicant — Owner Contractor El 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 IFLOODIPARCELI PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IRE OR PUBLIC By 14! PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date / 901 Receipt No. o WNIT!-O.P.W.. YELLOW-ASSE390R, PINK -INSPECTOR. GOLDENROD -APPLICANT AP # OWNER_",_.�� PERMIT MH UTIL.CLEARANCE DATE - 2'5 �d INSPECTOR ELECTRIC GAS Support Compaction Service Other Pipe Struc. ITest.Req.' Size Load Type Size Length YES NOI YESI NO 3a � N COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 916/538-7541 APPLICATION AND"PERMIT WPE7RMIT ASS=PARCEL NU _50— % ZONING BUILDING PER T Dw 1 /�BUILDING v' ! Fj ?5 VALUATION O R'S MAI LING ADD ESS CO TRACTOR,'^S NAME Y TELEPHONE CONTRACTOR'S MAILING ADDRESS ' Fireplace CO S RUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ AR H TECT2 OR ENGINEER LICENSE NO. Ptan Checking Fee $ /5- QKJ Energy Plan Checking Fee $ ARCHIITTE T OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS ©/ © Permit fee �_ $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME ARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeE4 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home is G W O.00ea TYPE OF WORK New❑ Addition❑ R odel Utilities Inst llation( Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10Dv OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one.): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is in full force and effect. License No. Classification �FIXED i vi '. 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.111)sgft OR ADDNS. ACC, BLDGS. NEW CONSTR MULTI.OUTLET NON•RESID .BRANCH CIRCUITS) 2,50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. Occup(OUTLETS OR FIXTURES Ex. Occu 20 a Doe eAL030 APPLNS. OR EX. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 9 onsent 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. also a to save, indemnif and keep harmless the County of Butte against all Iia li ies, judgm s, and xpenses which may in any way accrue agaZn7sAid County n ns uence the granting of this permi, X Date �� Signature of Applicant — Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ A,4,6 - Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYP[70LI FLOOD P AceL PD ND Is ue This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which iRVCTPA OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ~�© Receipt No. WHITE-D.P.W.. YELLOW-ASSCSS K, PINK-IIISP[CTOR, GOLDENROD -APPLICANT i COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 9161`__-- ;538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and m terials for construction of the proposed property improvement (yes or no) 2. I (have/have not) _ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I. have hired the following person to coordinate, supervise, and provide the major work Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address ' Phone Type of Work Signed: L Property Owner Social Security Nu er — — Date /2_ � q-7 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLICI WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET -J 9 Permit No. OWNER Q V I Q /� u(3- h �@_S A. P. No. 1,a A _ "-/ C 9 Proposed Building Use �/y Building Inspector AIA Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . — 2. Plot plans in duplicate/triplicate, signed by preparer of plans. . 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 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 owner❑, Mail to ownerE]) Improvements may be required. Mobilehome Installation Data. . . . . . . �4A- Pre•Inspec. request to (Dote) 17. Pre -Inspection for__._____ _.. _ ..-___ _ Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. — 20. Plot plan approval from city of - 21.&�)-22. ��t___ QC� When, you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone and hold for pickup at office, Deliver w/inspector. Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: b permit issuance: (Circle new item not checked above). .55' Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised c? above required data by—phone —mai I—counter by date Plans checked by— �� Date "Plans approved by Date _ Sets of plans on hold in File cabinet AP folder Copy–DPW g A setback `�..� of S Property line ft, trom the s �D G of Soft from t and a setback _ I cent he ro (� structs s a be clear o f fbr f e vipment av overha �4P-'i nq, i 2 ► ity connections shall be w• ft. of the mobilehome nth r direct) ,either y behind or within the rear half of the roadside (left) of the mobilehome. This set of plans and specifications MUST b kept on the job at all times and it is unlawful to make any changes or alterations on same with- out written permission from the Department of Public Works., County of Butte. 6^e NOTE:—All Materials & Workmanship Shall Be rr� Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing and t� nr_.. &Mechanical CorlQr .330. S/ _ _, _ y^ BUTTE COUNTY DEPARTMENT.OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 1. Owner's Name: MOBILEHOME INSTALLATION SHEET 2. Installer's Name: F] 3. Is the site currently under permit? Yes No (If yes, furnish permit number '77 ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No F] (If no, clarify 5. What is the mobilehome electrical rating? --------- �Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- lgz 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? ----=- ------ e® (in.) 10. What is the type of gas service. -------------- ----- Natural F] LPG 11. What is the gas pipe length from meter or tank to the mo bilehome?---------------------------------------------.� + (BTU) What is the'mobilehome gas demand? -------------------- ,, *(This information not required if pipe.length less than 6 ft. on natural.gas or less than 50 ft. on LPG:) MOBILE -HOME SUPPORT DATA I B .Y If other than single wide, KA Ntobilehome M L' furnish Setup Model No. Year Width (ft.) Box lgn'gth (ft.) Tagalong or Expando Size *- ft. x t. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) Wood -pressure treated or foundation grade. 112. SUPPORTS (check one) P�1. Concrete block. a 2. Other (specify) Pier'Footing Sizes and Locations 11NCLE-WIDE MULTI -WIDE Line 1 Main Beams ^ Linc2�.------------ Llne 1 Piere• Size-Min.------------ Spacing-Max - -----------Spacing-Max. --------- Fran Ends -Max. ------- Line Z Piers: size -Min. ------------ r,x Spacing -Max.--------- J Jai From Ends -Max .------- " Line 3 Porof loads: Size -Min.------------ Main Beams Tag or Triple 17 — Line 1 Line 1 Openings: Size-Min.------------------ Each ---------------- Each Side of Openings Other (specify) With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ x 'Spacing -Max. --------------- From Ends -Max .------------- "x "x"x Location (From FronL) _ _1.1 1- 11 1 _ - 1. _ '- - Line 4 Piers: Line 5 Piers: (Under Bearing Walls Only) Siz,:-Min.------------ Size -Min.------------------ 'k------ rx SpacluR-Max.--------- r n Spacing -Max .---'--- -- -- R From Enda-Max.------- From Ends -Max --- -------- - Linc 5 Roof (nada: IL Size-Mln.------------- location (From Front) q r 4 PERM NO. 5163-79B,P,E,M PERMIT EXPIRES( OWNER C. H. flush owner . CONTR. 62-50-139 LOCATION (A.P. ) E/S Bald Rock Rd., app.2 mi.S.of Oroville Quincy Hwy, Bald Rock rile i ' I 1 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidina To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing* Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTAL LaTI ON - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) • COUNTY OF 15UTTE� = DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovill", California 95965 Telephone: If -34-4541 APPLICATION AND PERMIT / authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. J X y ., Date sign;/t/. ofCPer mitee or Agent Receipt No. �a [ 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. DIRECZOR OF PWBLIC WORKS By /vim 7,a14,CA!f Date �lT Building permit expires Datev 62-- y BUILDING Owner C. t+ RUSH SQ. FT. OCC. BUILDING VALUATION Mailing Address 112,PI`MON A, ( Tele hon`e� W t V � q5-70 (JN Contractor Mailing Address Fireplace Total Valuation 10.2WO Telephone No. Permit Fee („(p Building Address ; Plan Checking Fee&/or Penalty Permit Fee ,00 56 1 Or - P I S 04C C)eDUI � PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 a 4a� n Rack- Repair drainage or vent piping 1.50 A. P. o. (9/Z,=50_ Zoning & I Water piping 1.50 115 Each gas water heater or vent 1.50 1,50 F es I O/C. FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 150 EQA Par •ing Pans Parcel Declaration Parcel p 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg Ions c'd Parcel A royal Plans oval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ permit Fee $ .00 15.00 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,06 Main service 10ov DR LESS 100 AMP OR LESS 5.00 Single Family V Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100 AMPP OR LESS O 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR CONST• � L CUP. 5) 20sgft Q 2� CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9. Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR. MULTI.OUT T NON -CONS BRANCH CIRCUITS) 2.50ea NEW CONST R. (POWER APPARATUS e NON -RES D. SINGLE OUTLET CIR. Ex. OCCUDtOUTLETS OR FIXTURES 5BAL01 (RESID.)FIXED ALNS.REA) 2.00 Ex. Occup. ( OUTLETS PP Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I,- /f/ , I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ,.20 $ % MECHANICAL No. @ 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. certify that in the performance of the work for which this / KI ermit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 c) Heating 00ae-e. ZOOM U.rb U, 0a Cooling 10 1j T, U00 4.00) Ventilation Hood 2.00 Z. CC) Permit Fee $ Moo $ 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 $ 25,00 TOTAL PERMIT FEE $ ZZ ZC authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. J X y ., Date sign;/t/. ofCPer mitee or Agent Receipt No. �a [ 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. DIRECZOR OF PWBLIC WORKS By /vim 7,a14,CA!f Date �lT Building permit expires Datev 62-- y RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) '•Bldg. Permit # OWNER A.P. # A. GENERAL Y Zoning requirements (sideyards and parking). _2! Valuation. ,1.' Signature by R.C.E. or Architect (if required). B. PLOT PLAN Complete parcel size and dimensions.. ,2-:' Setbacks, sideyards, easements, etc. '3: Other buildings or structures. - 4t, Grading, fills, drainage. A C. FLOOR PLAN ,1ri- Complete to scale plan with -dimensions. Required windows for light and ventilation (Sec. 1405). -3_' Required windows for second exit (Sec. 1404). �+� Allowable glazing for energy requirements (20% max. per.State•law). Human impact glass (Sec. 5406).. _�6! Required room sizes, ceiling heights (Sec. 1407). G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance -of mechanical equipment. �,.Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. �. Garage firewall, door size, and closer (Sec. 503(d)(4)). 1 - 3'0" exterior exit door (Sec. 3303d). Fireplace location. _JL3'.® Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS !"Foundation plan complete enough to construct building. 2,.*,O! Floor construction details complete enough to construct building. o Elevations and wall construction details complete enough to construct building. ,,4'**' Roof construction details complete enough to construct building. Fireplace construction details and calcs if over one-story in height. 00Sufficient data and details to.satisfy energy insulation requirements (State law). EMS TO LOOK OUT FOR ' CCX plywood on exposed locations and overhangs. ¢ Stairway details (Sec. 3305). Guardrail details (Sec. 1716).. Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706 & 4708). Proper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. '8 Garage door or porch header sizes. Adequate bracing. Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. 6. — Two (2) exits on three-story dwellings (Sec. 3302). PERMIT NO. 16344;-/8\9B , E PERMIT EXPIRES �� -�!y OWNER DAVID FUENTES CONTR. owner ASSESSOR PARCEL 62750-139 LOCATION 601 Bald. -RoG k Rd, Berr -or-eak Temp. Power.Pole Called PG&E Temp. Else. Service Called PGa Temp. Gas Ser Called PGa JOB FINALED Signature = OK. 0 = Not OK ' MOBILE HOMES MISCELLANEOUS = Not Readyable Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DEC S,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements-Setbacks-Easements ;TZ-onZ-on 'A4 Requirements-Setbacks-Easements 2. Soils; Special MH Support-Sketch ootings; Soils-Size-Depth-Spacing-Connectors-Steel 3. Sewer; Location-Test-Fall-C/O-Concrete ---3--Beeks; Girders and/or Joists-Decking-Bracing-Stairs-Rails 4. Water; Location-Test-Easement Needed (Sketch) fi! Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp-Concrete 6. Gas; Location-Test-Wrap: / /"L"ft. e-Wurn. Awn.; Columns-Connections-Splice-Decal-Enclosures Windows-Doors / /"Nat. or/ /"L"ft./ /"LPG-6—Carports; 7. Utility Clearance . Elec. Frmg; Sills-Anchors-Studs-Rftrs-Trusses JY Siding; Nailing-Veneer-Stucco-Mesh Card-B1 Date Card-B1 Date . Roof; Shthg-Roofing Card-B1 Date Card-B1 Date 'jY Ext.; Steps-Doors-Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements Card-81 Dat Card-131 Date 2. Footings; Size-Spacing-Marriage Line Card-61 t " Date 3- 22_- ctard-B1 Date 3. Gas; MH Test-Demand-Valve-Connector 4. Electricity; MH Test-Crossovers-Breakers-Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test-Fall-Flex Connector 1. Setbacks-Easements 6. Water; MH Test-Regulator-Connector 2. Soils; Compaction-Structure Stability 7. Water and Sewer Connected-C/O to Grade-HD Approval 3. Pool Structure; Steel-Connections-Thickness- 8. Gas and Electricity Tagged Dead Men -Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries-Terminals-Listed 7. Elec.; Bonding; Metal w/5'-Circulating Equip.-Heater 8. Elec.;Grounding; Equip. w/5'-circulating Equip.-Pool Lghtg. Card-131 Date Card-81 Date Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card-Bi Date Card-B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test-Water Supply Test Card-B1 Date Card-B+. Date Card-B1 Date Card-B1 Date T .S- -7/ ry44, ro � o -2z-9U �. Ora-�-- = uK = Not OK Applicable = Not Applicable . RESIDENTIAL (Single and Duplex) = Not Raady Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils -Steel -Elect Grnd.-/ • ^./" Ftg. Depth 46. Cing. Joist-Rftr. Ties- Purl in -Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth' 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50.,Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51, Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel - 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test , 153. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58..Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Card -81 Date Card -B1 Date Card -B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s ' 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 85. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -B1 Date 67. Stairs & Rails Card -B1 Date Card -B1 Date 68. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 69. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 71. Elec. Outlets & Receptacles at Kit. Counter •24. Size Boxes & No. -of Conductors -Stapled 72. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 73. A.C: Duct in Garage -Damper - 26. Equip. Ground made up'w/Mach. Fasteners -Bond Gas & Water 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- _ ,_ In Garage"Above Floor -Mach: Protection 27. 2,Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75. Plb., Elec. &.Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or'Al - 76. Elec.'Receptacles in Garage; (G.F.I:)-Romex Protec. - - 29. Range Circ. / / ga. Cuor AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 77. Insulation -Foam -Looked in Attic ❑ Yes. 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes- ❑ No; Planters •❑ Yes ❑ No 33. Smoke Detector 81. Stucco; Brown -Finish Card -B1 Date Card -B1 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -B1 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 9i. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date 92. Roofing Certificate Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -B1 Date -Card-131 Date 39. Sills,. Proper Material & Anchors Card -B1 Date Card -B1 Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) FriCOUNTY OF BUTTE - QEPARZMENT OF PUBLIC WORKS PERT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 J APPLICATION AND PERMIT A ES R PA EL NUMB ZONING BUILDING PERMIT O ER•TEL HONE,rJJ S0. FT. OCC.1 BUILDING VALUATI , 4WNER' D ES 1 C`ONTR`AC TO SNA TELEPHONE NTRACTO 'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ v ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS D I Permit fee ,$ 1 0 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.0 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIE Gas piping system 1 - 5 ets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK NewkAddition❑ Remodel❑ UtilitiesInstal lation❑ Other ❑ Describe work: nnit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00- 0.00Main Mainservice eooV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the BuslneSS and Professions Code and my license is in full force and effect. (cenNo. 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) 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST.(OWE LLING OR ADDNS. ACC. BLDGS. , �2�SQft NEW CONSTR TI -OUTLET NON-RESID BRANCH CIRC S 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. I EO Occup(OUTLETS OR FIXTURES x. ccuse z0930e eAL030 FIXED APLNS. Ex. Occup. OUTLETS IPRESID IREA.I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate gYConsent 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 shall be deemed revoked. Contractor MECHANICAL PERMIT FiIirlgFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee = Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agr to save, indemnify and keep harmless the County of Butte against all liab' ti s, judg ts, ts, and xpenses which may in an way accrue sai Coun i c quence the granting of this pl�i X Date 5 gnature of Applicant — Owner Contractor ❑ Agentwork An OSHA permit is required for excavations over 5'0" deep and em.lition or construct- ion of structures over/3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ oe,�iP. c rPe ISCHOOL FLooD PAReeL PD `ND Issu This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRECTOR OF PUBLIC By PEAll EXPIRES Date the applicable provi resolutions to do fees have been paid. WORKS Date `P tf-Zfe Receipt No. r WNITe-O.P.W.. YELLOW-A3eC330R. PINK -INSPECTOR, COLD eNROD-APPLICANT k COUNTY OF BUTTE - DEPART Afl.6 PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. i OWNER S QA, Jt ' A. P. No. /,7 Proposed Building Use nA.t 0 C A p� Building ;Inspector Date__!��_/,--)'7& . At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School i-trictfeespaid................. Sanitation approval from Health Department ... 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. ec Pre -Ins tion for required , , , , Pre-Inspec. request to Pre -Inspection q Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone d__/-7/ and hold for pickup at 45�4, -office. Deliver w/inspector. Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_—nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW ze. TO Buildinq Department FROM: Environmental Health SUBJECT:. Sanitation Clearance owner Location. plan Approved for: Sewage Disposal Water Supply Hold.final for: Water Supply Final clearance O.K. for: Water Supply Clearance -for bedroom mobile home. Other CA- -C, !2 Jr 10 a ILU-- Sanitarian Date TO Buildinq Department FROM: Environmental Health SUBJECT:. Sanitation Clearance owner Location. plan Approved for: Sewage Disposal Water Supply Hold.final for: Water Supply Final clearance O.K. for: Water Supply Clearance -for bedroom mobile home. Other CA- -C, !2 Jr 10 a ILU-- Sanitarian Date COUNTY OF BUTTE =,Department"of.Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -.BUILDER VERIFICATION Attention Property Owner.: An "owner -builder" building permit has .been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no). 2. I (have/have not) signed an application for a building permit ,for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person tocoordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . A Phone Type of Work Sign NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. AljjLj)iPIG SpA. 7,0 dIx i i 5� � j3y l�" F�� Q��es I --