HomeMy WebLinkAbout062-730-003- - -� _,- - .2 � • - - - tie . _ _ ���: , ti/�;..
r73o'003 A. P .,•,.,
MOBILEHOME UTILITIES & INSTALLATION j- SEPH ' F . MANN
WITHOUT PERMITS / L� 500' off n/s Bald Rock Rd . , 600 ,
6/11 /91 li�o�a��'oU��
west Rockefeller Rd., a Rock
Permit 2943-73P, E �A
6
(utilities for mobile home)
2826-91P,E /
COMPLAINT TO INSPECTOR MANN, Joseph
�Q 3133 Menzie Ln, Berry Creek 9.27,.92
q-to�3 lx""- , i (mh util - -- - _ =- -- __ — - -
- 93-200 P,E
LOCKHA Peggy.__.-_-.--- --
- L B Creek
33 Menzi
! rmhjutili'tie --
mss=s_-1 -
---- T✓
ELEC 00 14
�
GAS 3
COMPACTION TE REQ
SUPPORT STRU REQ
- -�
-93-201MHI�
LOCKHAl , Peggy
33 Me zie LN, Berry
Creek
mhi
1� M
William A. Vaniman
APN: 062-730-004
14 July 2005
Paoe 2
Butte County Code, Chapter 31, Section 31-50 - The owner or tenant of any premises,
business establishment or industry shall be responsible for the satisfactory removal of
solid waste accumulated on said premises. To prevent propagation, harborage or
attraction of flies, rodents or other vectors and the creation of a nuisance, solid waste,
excepting non-flammable inert material, shall not be allowed to remain on the premises
for more than seven (7) days.
Non-flammable inert materials stored on a premises shall not be allowed to become either
a harborage for rodents, insects or other vectors, nor a public nuisance. Such inert non-
flammable materials which are not properly stored shall not be allowed to remain on a
premises for more than thirty (30) days.
The determination that these violations exist on the property is based on the following definitions
in the Butte County Code:
Butte Countv Code, Chapter 24, Section 24-305.240 - Junk. Any worn-out and discarded
material in general that may be turned to some use including, but not limited to, any old
iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of
bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole
or in part, kept, stored, located, situated or piled in public view, and all other similar
persona property ordinarily defined and classified as "junk" kept, stored, located,
situated or piled in public view and not screened from public view by a fence.
• Butte County Code, Chapter 24, Section 24-305.170 - Garbage. "Garbage" means
every accumulation of animal or vegetable waste, matter that attends or results from the
preparation, consumption, decay, dealing in, or storage of meat, fish, fowl, fruits,
vegetables or other food products and shall include any food container in which there is
putrescible material either solid or liquid.
Butte Countv Code, Chapter 24 Section 24-305.370 - Rubbish. "Rubbish" shall mean all
nonputrescible solid wastes, combustible, or noncombustible, including, but not limited
to, paper, cardboard, yard clippings, grass, ashes, wood, bedding, crockery, glass, metal
and other similar materials, excepting compost boxes.
It is the County's goal to obtain voluntary compliance with the Butte County Code. However,
you should be advised that Butte County has an active code enforcement program which provides
an effective means of enforcement. If voluntary compliance with this notice is not accomplished
by correction or abatement of the violation(s), enforcement may be pursued through the issuance
of a citation to appear in the Butte County Municipal Court. Upon conviction, violators may be
fined and a Notice of Violation may be recorded which will include a description of the action
necessary to abate the violation.
In order to bring the property into compliance with the Butte County Code and avoid further
enforcement actions, you are hereby requested to take the following abatement or. correction
action:
William A. Vaniman
APN: 062-730-004
14 July 2005
Page 3
1. Remove all garbage, rubbish and refuse from your property and maintain a regular
removal schedule in accordance with Butte County Code, Chapter 31, Section 31-50.
2. Remove all "junk" in accordance with the Butte County Code, Chapter 24, Section 24-
305.240.
3. Remove all inoperable/junk vehicles from the property
You have thirty 30 days to voluntarily comply with the ahov-z directions or to present an
acceptable plan for abatement or corrective actions. Should you have any questions concerning
this matter, please contact me at the address or telephone number lisied above.
Sincere'
y+'
Nick Hoekstra
Code Enforcement Officer
NH: mj s
cc: Department of Development Services, Code Enforcement
COUNTYOF- BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1.469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Croville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
ti
CORRECTION NOTICE
'_3-z0
OWNER PERMIT NO.
A roufine:inspection indicates that the following violations of Butte County Ordinances exist at
the above :address ,and should be corrected. Please notify this office when correction of work
is completed.lfyouhave any questions pertaining to this matter, or need additional explanation,
please zontactthis :office immediately.
M -WAN
• •,
�
\01 -
COUNTY OF BUTTE
�. BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
NO
ArcuFfine6nspeation indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
us�a Ruled. Ifyoahave any questions pertaining to this matter, or need additional explanation,
�leai�3ac4 this office immediately.
Gate Inspector��
IREVa
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road- Chico, CA - (916) 891-2751.s
7 County Center Drive, Orcville, CA - (916) 538-7541
747 Dliott Road, Paradise, CA - (916) 872-6307:
CORRECTION NOTICE
L,.
QA7000�t PERMIT NO.
Ats — - 1 indicates that the foGowing violations of Butte County Ordinances exist at
on minae mesa and should be corrected. Please notify this office when correction of work
-scow4ph!2wL WVmhave any questions pertaining to this matter, or need additional explanation,
Daft Inspector
RE/ MM
3 '
RESIDENTIAL
93-20 P
062-23-0-050
LOCKHART, Peggy Creek
33 Menzie Ln, BerrY
mh utilities
3 /to lq%
Ns1o6 4#
i
OFFICE COPY
Address
i
GAS
Meter By Date
ELECTRIC
ff—
Meter By Date
JOB FINALED (Date) b• 7
Signature
r.
,t OK
O = Not OK
= Not AppliUble
= Not Ready
MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s )
,(. Zoning Requirements -Setbacks -Easements
Soils; Special MH Support Sketch
Sewer; Location -Test -Fal / oncrete I
". ater; Location -Test -Easement Needed (Sketch)
I ctricity; Location-Clearence -Grn mp-Concrete
OGas; Locatio e9 -Wrap:./ /"L"ft.
I. /"Nat. or & 'ftV"LPG 1
Well Clearance & Disconnect {
Utility Clearance
Date, 9� Card B-1 Date Card B-1
Dat- Card B-1 Date Card B-1
Date MOVE HOME INSTALLATION (Plans) OK except #'s
. Zo ing Requirements -Setbacks Easements
Footings; Size -Spacing -Marriage Line
y.'/ MH Test-Demand-Valve—Connector 1.
V' ctricity; MH Test -Crossovers -Breakers -Clearances
rain; MH Test -Fall -Flex Connector
kle-Water; MH Test -Regulator -Connector
Water and Sewer Connected -C/O to Grade -HD Approval
Lplas and Electricity Tagged
laxltxits; Insp.-Sketch
Cert. of Occupancy
Date 7 1j Card B-1 B71 Date Card B-1
Date �— Card B-1 Date Card B-1
s
P10
s-oiyz
2,4
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
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, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK s'
O=Not OK
= Not Applicable
Not Ready RESIDENTIAL` (;
=
Date UNDERFLOOR (Plans) OK except ti's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
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 -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except k's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
---------------- - -----------
-----------------
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.: Test -Fittings & Anchor -Nail Protection
------------------ - ------------------
19. Shower Pan: Test. First Floor -Tub Access
-------------- -
--------------------------------
20. Test -Tub & Shower, Second Floor -Tub Access
------------------ -------------------
21. Gas Pipe: Size & Anchors
Date- - - - Card B_1 --- Date -- - Card B_1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except ti's
22. Fixture & Transformer Clearance -Ins. Protection
----------------------- -------------------------- --------------------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors-Stapted
---------- -------------------------------------------------------------
25. Romex Installed Close to Edge of Studs & C.J.
----------------------------------------------------------------
26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water
------------------------------- ---------------------- ---------------------------
27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI
---------- - ---------------------------------------
28. Subfeed Wire Size / / ga Cu or AI-A.C. Wire Size r r ga.
Cu or AI
------ ---------------------------------------------
29. Range Circ. / r ga. Cu or AI -Oven Circ. / ! ga. Cu or At.
Insulated Neutral ❑ Yes ❑ No
--- ------ - --- ------------------------- --- -------- - - --- - - -
30. Service -Riser Conductors & Ground -Main Disconnect
---------------------------------------------------------------------------------
31. Equip. Clearances Panels-Motors-Mech. Equip.
----------------------------------------------------------------------------------
32. Clothes Closet Light -Shower Light -Spa Light
---- ----- -------------------------------------------------------------------
33. Smoke Detector
--------------------------------------- ------------------------------------------
Date
--------------------------------------------------
Date Card B-1 Date Card B-1
-------------------- ---------- -------------------------------------------------
Date Card B-1 Date Card 13-1
Date MECHANICAL (Permit) OK except h's
-------------- 34. -.A. -C.-
Ducts Insu-lation & - Support
---- ------- ------ ------------ ----------- ------ - - - ---- - -- --- ----
35. Vent Fan: Exhaust above insulation
------_----------------- ------------------------ -- ------ ----
36. Conden=ate Drain & Overflow: Size & Grade
--------------------------------------- ----- - --
37.Furnance-Vent: Access -Comb. Air -Return -Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
---------------------------------------------------------------------------------
---------------------------------- ----------------------------------------------
Date
------ ------------------------------------
Date Card B-1Date Card B-1
--------------------------------------------------------------------- --------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except h's
39. Sils. Proper Material & Anchors
- - ---._---------------------------------------------------------
------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
- - - - -- - ------------------------------------------------------------
---------_42.- Draft -Stop -in--Walls-- (rat - proof)- ------------------------------------ -----------------------
-------------
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
------------------------------------------------
44. Headers & Beam -Size & Bearing
'ingle & Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin -roof Brac-Truss-Shthng.-Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
_ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
_ 55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. -Insulation -Walls -Ceilings
-----------
60. Infiltration -Walls -Windows
------------------------------- -
Date ______ _ Card B-1__ Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except ti's
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
-------------- -----------
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage; Above floor -Ducts -Meeh. Protection
64. Bedroom Exiting
--------------------------- - -----
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
----------------
------------
----- ------------------
67. Stairs & Rails
68. Fireplace or Stove: Clearances -Hearth
-------------
69.
---------- 69. Elec. Outlets at Wood Panel: Int. & Ext.
70. Kit.Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
-------------------------------------- ---
72. Garage Fire Door: Swing -Landing -Closer
-------------- -- --------------
---7-3. --- - -
A.C.-Duct in -Garage -Damper
------------------------------------ -
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. .
In Garage: Above Floor-Mech. Protection
75. Plb.. Elec. & Mech. Equip. Listed for Location
------------
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
------------------------------------------
7;. Insulation -Foam -Looked in Attic ❑ Yes
---78.-Guard-Rails & Deck -Const ruct ion -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive O Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
..------------------------- --- -
81. Stucco: Brown -Finish
- -- ---
82. A.C. Unit: Disconnect. Electrical, Plumbing
- --------------------------------------- - ---
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
-------------------------------------
------
84. Water Well: Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G F.I Receptacle -Underground
86. Ventilation Throughout House
- - - - -------------------------- -------------------------
87. Glass Protection
--------------------------------- -------
-
88. Corrections from Previous Inspections
- - - - -- -- - - -- ---- ----------
89.
---------89. Gas Test -Meters Tagged; Gas -Electric
------- ------------- -----
90. Water & Sewer Connected -C/O to Grade -HD Approval
------------ -------- - - --------------------------
91. Energy Compliance Certificate -Other Certificates
-- --- --------------------------
Date Card B-1
- - - -------------
Date Card B-1
Date Card B-1
Comments at Final:
Date Card B-1
Date Card B-1
Date Card B-1
J
COUNTY OF BUTTE - DEPARTMENTiOF PUBLIC WORKS � PERMIT NO. d
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541%
APPLICATION AND PERMIT /
ASSESSOR -PARCEL NUMBER
ZONING
062-230-050
U
BUILDING PERMIT
OWNER
Peggy Lockhart
TELEPHONE
589-2069
SQ. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS
P.O. Box 111 Berry Creek 95916
CONTRACTOR'S NAME
TELEPHONE
Unknown
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
None
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$
ARCHITECT OR ENGINEER
None
LICENSE NO.
Plan Checking Fee
$ 20.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$ 35.00
PLUMBING PERMIT
Filing Fee 15.00
Mpnzip Lane- Berry Creek
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
Gas piping system 1 - 5 outlets
5.00
SF ❑ Duplex❑ Mobilehome® Other
Building sewer15.00
Mobile Home S G W
615.00
SPECIFY
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[M Other ❑
Permit Fee
$
Describe work: 11``111ri111 (2 Bedroom) _
Contractor
-
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
18.50
Main service 200ATO1000A1
37.50
CONTRACTORS LICENSE LAW
NEW CONST. ( DWELLING OCCUP.a\
3.64sq.ft.
I declare under penalty of perjury
p y p jy (Check One):
OR ADDNS. ACC. BLDGS. //
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslneSS
NEW CONSTR U TI -OUTLET
NON.R ESID BRANCH CIRC ITS
@ 5.00
and Professions Code and my license is in full force and effect.
(POWER APPARATUS e)
\SINGLE OUTLET CIR.
License No. Classification
Ex. OCCup(OUTLETS OR FIXTURES
20 @ 76
I, as the owner, or my employees with wages as their sole compen-
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS (RESIO.) EA.)
3.00
sation, will do the work,and the structure is not intended or offered
Temporary service
15.00
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract -
Mobile Home Facilities
15.00
ors. (Sec. 7044)
Misc. Wiring
-15.00
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
Contractor
I declare under penalty of perjury (check one):
MECHANICAL PERMIT
Filing Fee 15.00
❑ The permit is for $100.00 (valuation) or less.
Heating
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I Cooling
shall not employ any person in any manner so as to become subject
Hood
6.50
IVI
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
Ventilation
to the W. C. provisions of the Labor Code, you must forthwith comply with such
Permit Fee
$
provisions or this permit shall be deemed revoked.
Contractor
I certify that I have read this application and state that the above information
Mobile Home Installation Fee
$70.00
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Energy Inspection Fee
$
Butte to enter upon the above-mentioned property for inspection purposes.
OCC CONST TYPE
I also agree to save, indemnify and keep harmless the County of Butte against
I TOTAL FEE
$
all liabilities, judgments, costs, nd expenses which may in any way accrue
'n
HAz 0FEES IMP FLOOD CDF
PAR PO HD ISSUE
agains aid County conseque of th granting of this permit.
L7�
411
X Date —
This permit is hereby issued under the applicable provi
signature IC n - owner CDntroctDr ❑ Agent ❑
sions of the Butte County Code and/or
resolutions to do
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
q
work indicated above for which fees have been paid.
ion of structures over 3 stories in height.DIR
O PUBLIC WORKS
Receipt No. 135171
By
a e _5; 5
PERMIT EXPIRES Da
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
POUNTYOF BUTTE - DEPARTMENTOF DEVkLdP 111ENTSERVICES - Bu, L.664G DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,, CALIFORNIA95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER �o �f��/y/9%X P. No. �3 GIGS
Proposed Building Use Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/orissuance:'
DATE RECEIVED BY
1.
All items have been submitted. ......
2.
Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3.
Complete plans, 3/4 sets, signed by preparer of plans . ......................
.4.
•Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5.
Hazardous Material Form . ..............................................
6.
Energy Design Compliance and supporting documentation . ..................
7.
Statement of Intent for Non -Heated and A/C Buildings . ......................
Engineered truss details and layout in duplicate (required prior to plan check). .
9.
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
.,Fees of $ ..........................................
11. Impact fees as shown on attached schedule . ..............................
I g�
12.
California Department of Forestry plan approval/fees......................
�^
13.
Flood elevation letter (100 year flood) by California Engineer . ................. .
14.
Sanitation and plot plan approval Health Department . ............
15.
16.
City of Chico plumbing permit . .........................................
Plot plan and business license approval from City of Biggs/Gridley. ............
17.
Planning approval for (A) Use: (B) Parking: ..... . .
18.
Contact Land Development.about (A) Improvements (B) Drainage. ...........
19.
Driveway permit (construction approval required prior to occupancy). .. .
20.
Pre -inspection for P�a"�P Inspector required. . . to Building Inspector (Date)
21.
Contractor's license information. (No., Name Style, Classification) . ..............
22.
Certificate of Workmans Compensation Insurance . ..........................
23.
Owner -Builder Verification (Given to owner , Mail to owner . .......... .
24.
Recorded copy of Agricultural Acknowledgement Statement . ..................
25.
Letter of signature authorization . ........................................
26.
Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
Letter of intent on building use . .............................. .
. ..........
2g.
Mobilehome utility clearance . ..........................................
S �_
29.
Documentation of legal access . ...... ...............:..................
30.
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements. .............. .
31.
Existing violations/expired permits . .........................: .
32.
Plan check list. ..... y ............................................. .
33.
34.
Wheny ou issue the er 't ro ess as follows: Mail to ow r. Mail to contractor.
Telephone p O(o' and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant �Date () �i 3
Copy of Haz-Mat form sent Health -Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted r' r to p r it issuan(Circl item not checked above).
1. Index permit for above items No. f
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by Date
Contractor, designer, owner, was advised of above required data by _ phone _ mai Counte _Date �
Plans checked byr Date Plans approved by Date6jjy
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSES OR ARCEL.NUMBER
�s1�
ZONIN
(�
BUILDING PERMIT
OW E
to `I HA 12T
Gc
TELEPHONE
x069
SO. FT. OCC. BUILDING VALUATION
OW ER'S MAILING ADDRESS
' I
X
CI'S NAME
V �Ol//-`'// 41
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTI" LENDER
UNKNOWN
Total Valuation Is
L-ENCER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$
ARCHITECT �ONGINEER
LICENSE NO.
Plan Checking Fee
g oI O 6)
AR�CCCCHIIITTTEElIC�'T OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
I ►�I V Ci l�/V
Permit fee
$ r Q
`r C�
PLUMBING PERMIT
Filing Fee 15.00
—Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each pas water heater or vent
7.00
USE OF STRUCTURE
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
SF ❑ Duplex[] MobilehomeA Other
Mobile Home S G W
@ 15.00
SPECIFY
TYPE OF WORK
New ❑ Additior. n i lei litiPs n !rstallation,[A� Other ❑
Permit Fee
$
Memo/dal
Describe work: _%r/ f _ ^-
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
18.50
Main service 20CATO1000AI
CONTRACTORS LICENSE LAW
NEW CONST, / DWELLING OCCUP.&\
.37.50
3.60 sq.ft.
I declare under penalty of perjury
p y p J y (check one):
OR ADDNS. l ACC. BLDGS. /
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
NEW CONST R. • ULTI.OUT LET
NON -R ESIO BRANCH CIRC ITS
OU
@ 5.00
and Professions Code and my license is in full force and effect.
(POWER APP
SINGLE OUTLET CIR.
License No. Classification
Ex. OCCUp(OUTLETS OR FIXTURES
20 76d
RAL
I, as the owner, or my employees with wages as their sole compen-
Ex. OCCUp. OUTLETS FIXED P(RESID )REA.)
3.001
sation, will do the work,and the structure is not intended or offered
Temporary service
15.00
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with Licensed contract -
Mobile Home Facilities
15.00
ors. (Sec. 7044)
Misc. Wiring
15.00
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
Contractor
I declare under penalty of perjury (check one):
MECHANICAL PERMIT
Filing Fee 15.00
❑ The permit is for $100.00 (valuation) or less.
Heating
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
Cooling
I� I shall not employ any person in any manner so as to become subject
Hood
6.50
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
Ventilation
to the W. C. provisions of the Labor Code, you must forthwith comply with such
Permit Fee
$
provisions or this permit shall be deemed revoked.
Contractor
I certify that I have read this application and state that the above information
Mobile Home Installation Fee
$
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Energy Inspection Fee
S0, 00
Butte to enter upon the above-mentioned property for inspection purposes.
occ CONST TYPE
I also agree to save, indemnify and keep harmless the County of Butte against
TOTAL FEE
$ /OS,d 0
all liabilities, judgments, costs, and expenses which may in anway ccrue
against said County in consequence of the granting of this permit
HAz DFEES I IMP I FLOOD I CDF
PARCEL I PD I FID I ISSUE
G
X Date 076
This permit is hereby issued under the applicable provi
Signature of Applicant — Owner ❑ Contractor ❑ Agent
sions of the Butte County Code and/or
resolutions to do
An OSHA p ermit is required for excavations over 5'0" deep and demolition or construct-
work indicated above for which fees have been paid.
ion of structures over 3 stories in height.
DIRECTOR OF PUBLIC WORKS
Receipt No. 13 5-/7 /
BY
Date
PERMIT EXPIRES Date
'NNITS-a-Ot
. r. W.. YELLOW- ASSE350 R. PINK -INSPECTOR, COLO EN ADD -APPLICANT
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)
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.
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 OwnerCAa J 016171 Wl_�1141ACl
Social Security Numbed
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health -and Safety Code.
This verification must be'completed and returned to our office before we are per-
mitted to issue the permit.
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA
PHONE: 538-7541.
MOBILEHOME INSTALLATION SHEET
1. Owner's Name: �OQh N/3v�
2. Installer's Name:
3. Is the site currently under permit? Yes a No
(If yes, furnish permit number � 00 ) OR
Is the site an existing site? Yes No F-1
(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 Z No 1-1
(If no, clarify
P
5. What is the mobilehome electrical rating? ---------------- �a S Amps
6. What is the mobilehome site service rating? ------------- �� Amps
7. What is the mobilehome site circuit breaker rating? ----- ` °?� Amps
8. Is there any other electric load to be served by the
mobilehome site service? -------------------------------- Yes FO� No
(If yes, identify the load and size: BW (Load) (Amps)
9. What is the mobilehome site gas pipe, size? -------------- 3/y (in.)
YP g ? ----------------
10. What is the t e of as service. --- Natural LPG
11. What is the gas pipe length from meter or tank to the
mobilehome?--------------------------------------------- ® (ft.)
* 12. What is the mobilehome gas demand? ----------------------
(BTU)
*(This information not required if pipe length less than 6 ft. on
natural gas or less than 50 ft. on LPG.)
BUTTE COUNTY"
BUILDING DEPARTNMENT
AFPR0VED
MOBILEHOME SUPPORT DATA
If other than single wide, tx,1 id.
Mobilehome Mfr. Ssf:t/��D/%I�� furnish Setup Model No. �s,�«�,,,.�IR yy«,Year
3yy7-3 _
Width LZ— (ft.) Box Length(ft.) Tagalong or Expando Size ei,w►rft.>,x� a eft.
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)91. Wood -pressure treated or foundation grade. 2. Other (specify)
SUPPORTS (check one) Concrete block.
112. Other (specify)
Pier Footing Sizes and Locations
SINGLE -WIDE MULTI -WIDE
Line 1 Line 1
Main_ Beams_ _
Line 2
Main Beams
Tag or Triple
Line 1 Piers: Line 1 ODeninRs:
Size -Min. ------------ ,k „ Size -Min. ------------------
Spacing -Max. --------- Each Side of Openings
From Ends -Max. ------- With Width Over ---------
Line 2 Piers:
Size-Min.------------
Spacing-Max -
-----------Spacing-Max.---------
From Ends -Max .-------
Line 3 Roof Loads:
Size -Min. ----------
Location (From Front)
Line 3 Piers: (Under Bearing Wall Only)
Size -Min -------------------
Spacing-Max -
------------------Spacing-Max. ---------------
From Ends -Max .------------- �-
Line 4 Piers:
Size -Min.------------ ,k
Spacing -Max. ----
-----
From Ends -Max -------- �_
e 5 Piers: (Under Bearing Walls Only
Size -Min .------------------
„x „
Spacing -Max.--------------- ,_ n
From Ends -Max .------------- -
Line 5 Roof Loads:
Size-Min.------------
nx „ ox „ „x „ nx „ „x „ ,x „ „x n „x u
Location (From Front)
wk , -. ,' O V� 6^ . -+` ), "t-'etd*w.+rt^.x�ii rs... � -•r .. �n �Y •,' 7. . r . .�
f
BUTTE COUNTY SCHOOLS IN PACT FEE CERTIFICATION FORM CCU
(One Form Per Building) gu�GDep-r
11. MAR 1 p 1992
.School District 62 C) Glw A , Building Department No.
A. P. Number O&-�3-d-�OSa Jurisdiction, City �-county
Property Owner F'r, 6 r.-7—/ _ DGe ty A
Property Location/Address ] % /,v 1 1�z / c Z--/,/ CG�./,',
Subdivison Lot No.
Residential Development
�� \_ C0" Sq. Footage
No. of Living MHl f Addition, (Group R)
Units \f Leo
Cp
Commercial/Industrial t, C�`0 �. 7 0 Sq. Footage
Addition (Including Exterior
f� Roofed Areas)
210
::�=B ilding epartm t Representative Date
(Floor Plans reviewed by School District Personnel)
'District Identification No. 930669
OuiIa;1 tri School District certifies that 64,QM �:0 +ice l� b
(Applicant)
3 3
(Street Address) (Phone Number)
.n.
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. by payment of'$ "7• Q 0.
representing -7 (Q ` sq fare feet. r ;
)n4k"4",tJ li?�B - /0 -
School
Paid by Check Number Pemarks:
Bank Number 9D --'7�
Paid by Cash
,.,Date
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental duality Act (CECA), this project may be subject to
additional school fees to fully mitigate itsadditional school fees to fully mitigate its impact on tVe school district's schoolson tVe school district's schools.
f
a ¢, White (applicant), Yellow (building department), Pink (school district) feeform.wkt (4/92)
r
7
' I ER
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS — BUIUING DIVISION
7 COUNTY CEITER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE (916)5387541
A.P. NO. 062-236-05d
ROPOSED BUILDING USE DATE
b/ /
Fees 0 & aw4
S oal Dist_r; _c F
(paid at District Office)
2. She,•-iff Fees
(paid. at Building Department)
Residential ......... Z 4
unit amt.
Commercial(per sq.ft.) X 4
sq.ft. amt.
3. Urban Area Fees
(paid at Building Department
Residential (per unit) 1 =
I# units - amt.
Commerical(per sq.ft.) X =
sq.ft. amt.
4. Ret~ eation Dist: mac- Fees
(paid at District Office) ..........................
5. Drainage Distr_ct Fees
(Contact Land Development)
6. Other
REC.
DATE_ REC
/G 9
. ///*125
7. Other
.t time of permit application, I was advised the above fees are required to be paid pr__
:o issuance of the permit.
"'PLICANT DATE
COUNTY OF BUTTE - DEPARTIJEMt OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541
DATE February 2, 1993
Peggy Lockhart RE: Building Permits 93-200 & 93-201
P.O. Box 111
Berry Creek, CA 95916 A.P. # 062-230-050
With reference to the above subject:
/ / Attached is:
Application for permit Mobilehome Utilities Installation Sheet -
Building Plans Mobilehome Installation -Information Sheet
Engr. Calcs Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced
RAO
LaL We need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor'*s License Law information or check exemption statement.
Complete plans in including plot plans..
Plot plans in
Structural details in
Complete.plans and calcs in. by.registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section (DPW).
sets of plans in -accordance- with the -changes -marked in -red..
Sanitation approval from Butte County Health Department at:
1469 Humboldt Road, Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd-., Paradise
Planning approval from Butte County Planning Department, 7 County Center Drive,
Oroville, for
Completed Owner -Builder Verification form.
Recorded copy of deed showing
xxx Recorded copy.of agricultural. acknowledgement.statement_
jJX)L/ OTHER 1. Submit mobilehome set up plans.
2. Pay impact fees.
Should you have any questions concerning the above, please contact Tom May
of this.office, between 3:00 and 5:00 pm weekdays.
Yours very truly,
JFG/aj
William Cheff
Director of Public Works
�/;J.F. Glander
7W / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
/ 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541
�e'�D
O D;ye94 DATE
A. P. # O(o,Z=Z3G-
With reference to the above subject:
Attached is:
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced
OTHER
/[ We need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check exemption statement.
Complete plans in including plot plans.
Plot plans in
Structural details in
Complete plans and calcs.in by registered engineer or architect._...
Energy design including
Street and drainage improvement plan approval from Land Development Section (DPW).
sets -of plans in accordance with the changes=marked .in red..
Sanitation approval from Butte County Health Department at:
1469 Humboldt Road, Chico
7 County Center Dr., Oroville
Skyway& Elliott Rd Paradise
Planning approval from Butte County Planning Department, 7 County Center Drive,
_Oroville., for
Completed Owner -Builder Verification form.
Recorded copy of deed showing
Recorded copy of agricultural acknowledgement statement.. _
f
O'THER__fp
Should you have any questions concerning the above, please contact
of this office. p� _
Yours very truly,
William Chaff
Director of Public Works
F. Glander
JFG/aj
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA 95965 — TELEPHONE; (916) 538-7541
PERMIT N0.
Address or location of mobilehome 3-3 fKn K L4 - r
Owner's name
Owner's addre
Insignia or hud number AfLI-1!� 4 —35:
�, i
Manufacturer's name ti!i q�-' >`,2car
Serial number of V.I.N.AYear of manufacture
roving Installation) I (?rat
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 FOU14DATION SYSTEM.
i
COUNTY OF BUTTE - DEf ARTMtNT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
et,)PERMIT
NO.
-q - ��® .
ASSESSOR PARCEL NUMBER
062-230-050
ZONING r
Li
BUILDING PERMIT
OWNER
Pe Q Lockhart
TELEPHONE
589-2069
.SO. FT. OCC. BUILDING VALUATION
OWNER' ILING ADDRESS
P.O. Box 111 Berry Creek 95916
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
Nnnp
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.(]0
Permit Fee
$
ARCHITECT OR ENGINEER
Nonp
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
�3 Creek
PLUMBING PERMIT
Each Trap
W7.00
Solar or heat pump water heater
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome[3 Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G W
3 @ 15.00 45.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities EM Installation❑ Other ❑
Describe work: 2 BEdroom MHU
Permit Fee
450,00
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
P y p I y (Check One):
❑NON•CONS
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I. as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract -
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200A TO IOOOA)
37.50
NEW CONST. DWELLING OCCUP.N\
OR ADDNS. ACC. BLOGS. //
-BRANCH
3.6Qsq.ft.
NEW CONSTR U TI.OUTLET
CIRCUITS)
@ 5 00
POWER APPARATUS e
SINGLE OUTLET C.R.
EX. OCCUp(OUTLETS OR FIXTURES
20 @ 76
FIXED APPLNS. OR
EX. OCCUp. OUTLETS IRESID.) EA.�
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
L-�L5-001 15.00
_
. 001 20.00
Permit Fee
69.5-0
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.
ftf I shall not employ any person in any manner so as to become subject
Jam' to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
Cooling
Hood
6.50
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
costs, a expenses which may in any way accrue
all liabilities, judgTs;
against s Countynsequen o th ranting of this permit.
X Date �=93
Signorureof Aowner Conrrootor ❑ Agenr ❑
An OSHA permit is r fired for excovorions over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 12 .50
HAz DFEES
IMP FLOOD
CDF
PARC
PD
H ISSUE
—
This permi i herKed'e
sio o Littr
w rk indi to
BYDa
EXPIRE/p
applicable provi-
resolutions to do
have been aid.
ORKS��/ 2Receipt
e� �✓PERMI
No. 135171
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
, ' t . . • . � a . 1 � .. tif{ /-'Y.t 1 ^�y�"�1" �,}J 7 '•�� �'` . 'h. Ii�irl.c .fMr..
E COUNTY F BUTTE —DEPARTMENT OF DEV .LOPMENTSERVICES - BUIL GDIVISION
7 COUNTY CENTER DRIVE - OROVILLE, 6�1111F 1X95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER G--(�G A9- . No.
Proposed. Building Use W kit Building Inspector Date
At time of permit application, I was advised tf a following data must be submitted prior to permit processing and/or issuance:
1.
DATE RECEIVED BY
All items have been submitted. .......... .) .........................
2.
Plot plans, 3/4 sets, signed by preparer of plans...........................
3_
Complete plans, 3/4 sets, signed by preparer of plans. ......................
A.
Engineered plans and calcs, 3/4 sets, with wet signature on plans. .............
5.
Hazardous Material Form. ...i..........................................
6.
Energy Design Compliance 2nd supporting documentation . ..................
7.
Statement of Intent for Non-Heated and A/C Buildings. ......................
8.
Engineered truss details and layout in duplicate (required prior to plan check). .... F.
-,
-9.
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10.
Fees of $ ..........................................
' i { 11.
Impact fees as shown on attached schedule. -
12.
California Department of Forestry plan approval/fees. ....................... .
' 3.
Flood elevation letter (100 year flood) ,y alifornia Engineer. ......... .
Sanitation and approval Health Department - -�
.
plot plan _Q�'E� . ............ �y�
15.
City of Chico plumbing permi:...........................................
16.
Plot'plan and business license approval from City of Biggs/Gridley. .............
17:
Planning approval for (A) Use: `(B) Parking:
18
Contact Land Development about (A) Improvements (B) Drainage. .......... .
19.
Driveway permit (construction approval required prior to occupancy). ..
20.
Pre-inspection for required. o Build �9 �sp8� /(Date)
c )
21.
Contractor's license information. (No., Name Style, Classification). ..............
22.
Certificate of Workmaris Corrpensation Insurance. ..........................
.
24.
Owner-Builder Verification (Given to owner ,Mail to owner ............
Recorded copy of Agricultura Acknowledgement Statement. ..................
25.
Letter of signature authorizaton......................................... .
26.
Copy of recorded deed of panel creation and 60 right of way to a public road. .....
27.
Letter of intent on building use:..........................................
28.
Mobilehome utility clearance...........................................
29.
Documentation of legal access . .....................-:................. .
30.
Documentation of 50% subdi-ision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements. ...............
31.
Existing violations/expired permits. ..��
32.
Plan check list . . ....................................................
33.
.34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone Sga0 and hold for pickup at _� office. Deliver with inspector.
Other
Parcel,Creation 11-2- 93
Acreage, Applicant Date
Copy of Haz-Mat fc
Copy of plans sent
_..ution Date
Health Dept. Fire Dept. Other Date By
The following data must be submitted p
1. Index permit for above items No.
2. Additional items required:
it issuance: (Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by _ Date
Plans checked by Date - Plans approved by Date
Sets of plans on hold in File cabinet AP folder
- Copy - Department of Public Works
I
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Hot f Iuu Alin hcd-�
Flour Phm Aluiciwd��
Scut t„ II.D.
Owner / Location
Ilan Approved ✓ ) for: Sc���i�� Disposal Water Su ► : Public
►)I y
Clearance for pL bedroom mobile lIolne.. Othcr
rd final for:
lclear
NOT
Environmental Health Speci),k
8/92
CO -2–,-2-3 —,-5t
AP// J
Private Well v/
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541
APPLICATION AND PERMIT
ASSESS0 PARCEL NUMBER
ZONING '
BUILDING PERMIT
owN
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OW ER'S AI LING.ADDRESS
(7 itf2q Ce?fe `sgll
CO R/�CTOf:'$ E
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
_
CONSTRUCTION ENDER
„/D�+�
UNKNOWN
Total Valuation s
LENDER'S MAILING ADDRESS _
Filing Fee
$ 155.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARECT OR ENGINEER'S MAILING ADDRESS
T
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit tee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
1 7.00
Each qas water heater or vent
7.00
US OF STRUCTURE
SF ❑ Duplex[] Mobilet Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home
@ 15.00 '
TYPE OF WORK
New❑ Addition ❑ Reem�o.,de11:1 (Utilities Ins.allation❑ Other ❑
Describe work: �7�lJKyv� �4 _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
18.50 sz
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.SINGLE
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with Licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 2ocATO IOOOA,
37.50
NEW CONST. t DWELLING OCCUP.E\
OR ADDNS. ACC. BLDGS. lI
3.60 sq.ft.
NEW CONST R. • ULT" -OUTLET
NONR
.ESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS 6
OUTLET C"R.
EX. OCCUp(OUTLETS OR FIXTURES
76d
AOFIXED
APLNS.
EX. Occup. OUTLETS PIRESID IREA.)
( 3.001
Temporary service
1 15.00
Mobile Home Facilities
15.00
Misc. Wiring
j 15.00 O
1 4 20.00
Permit Fee
$ r
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
rHod
6.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permi .
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent
An OSHA p ermit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ i
CONST TYPE
TOTAL FEE $,�
HAz
OFEES
IMP
FL000
CDF
PARCEL PO HD
SSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
BY
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. i�Lj�
'NMIT!•O. /. W., •CLCD W-Aye[yyO R, PINx•IN9PECTOR, GOLD EN PO D -APPLICANT
App ,OvED
Butts Count a1tH
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This set of pians and specifications MUST be
kept on the job at ail times and it is-unlawfui to
make any changes or alterations on same without
written permission from the Department of Public
Works, County of Butte. .. i
NOTE:—All Materials & Workmanship Shall Be in
Accordance with Recognized Good Practices and
of a quality prescribed for the Specified use in the
th ®la` Electrical Code.
TQ <
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3 60' Location of structum &
r) 0 equipment shall be as shown
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& clear of all easements. i.
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INSTRUCTIONS FOR RECORDI AGRICULTURAL SIA4._.NT OF ACKNOWLEDGZMENT
1. Insert the lezal description of the property in the space provided
on the attached form. The legal description is the narrative
description of the property — whish will be on your deed. If you don't
have access to the deed the Recorder's Office can provide this
information. (The desc_iption may be handwritten or typed in the space
provided or attached on a separate sheet if more space is required.)
2. Property owners must sign the form in the presence of a Notary Public
�..i Lave the form notarized.
�. Make a copv of the form and then take the or_si and copy to the
Recorder's Office at 25 County Center Drive, Croville (the
Administration Center building).- The Reorder will record both the
original and copy. They will keep the -original and return the copy
to you. Just bring the copy back to the Building Department at 7 County
Center Drive. (If you don't have access to a copier the Recorder's
Office can make the copy for an additional charge.)
RECORDER'S F---Z-S: $5.00 - 1st Page
$3.00 - Each Additional Page
$1.00 - To Make a Copy
COBUN p OFpBUTTE
STATE OF CALIFORNIA ss.
County of --- IU�---------- --
On Af Mym�'Y_- �lei�F_c3 --- /0_ ,befme, �-iv.�QN /Ne�Z--Name of Notary/Iitle)
ersonall a eared e e - /Pr ---
p y pp y!9�J___ _ I_ - _ - --_ _ _ _ _ ,personally known to me (or proved to me on
the basis of satisfactory evidence) to be the personXwhose nameVis/ar-e subscribed to the within instrument and sc-
ow a ged to me that he/she/they executed the same m hWher/t#eir authorized capacityand that by.hiAer/their
signature(gon the instrument the person(o', or the entity upon behalf of which the person(,$)'acted, executed the
instrument.
WITNESS my hand and official seal.
••':.°:
'• AANNN
SM
DOMN SESEENM
N�°�yt_ary M� �IbmlO
. �fBtmE
. ^lO•M1, I.
94
/(§ign
030-04242 (Rev. 6/91)
',return to DPW AGRICULTURAL STATEMENT OF AC11M0WLEDGE1`0TT
FOR RESIDENTIAL 'DEVELOPMEINT
.Section 26-8.1 of the Butte County Code
requires this acknowledgement be recorded
prior to issuance of a building permit.
The property described herein is adjacent
to land or included within an area zoned
for agricultural purposes, and residents
of this property may be subject to incon-
veniences or discomfort arising from the
use of agricultural chemicals, including,
but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit
of agricultural operations including,
but not limited to cultivation, plowing,
Spraying, pruning, and 'harvesting which
occasionally generate dust, smoke, noise, and odor.
tural zones which have as a priority use for productive
within said zones and on adjacent Droperty should be
or discomfort from normal, necessary farm operations.
Butte County has established agricul-
agricultural purposes, and residents
prepared to accept such inconvenience
A11 that real property situate in the County of Butte, State of California, described as
follows:
MAR 10 199*4
Date: C C)—O_— 9�
PROPERTY OWNTERS:
M
State of ) On this the day of , 19 before me, the
SS. undersigned Notary Public, personally appeared
County of )
.' Present A.P. No.
�] Personally known to me. 0 Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose name(s)
subscribed to the within instrument and acknowledged
executed the same for the purposes therein contained.
WHEREOF, I hereunto set my hand and official seal.
Notary Public
that
IN WITNESS
p i
Joseph F. & Sharon C. Marne
414 Newolf Road
Brandon, FL 33511
RE: Building Code Violation
31-33 Menzie Lane, Perry Creek
Dear Mr. & Mrs. Mann:
.October 9, 1992
A.P. x#062-23--0-050
We sent you a warning letter dated July 9, 199' notifying you that you are
in violation of the Butte County Code, at the above referenced location.
As of this data, the following violations still exist.
Failure to obtain the required permits, inspections and approvals from
this office for utilities for mrobilehome and installation of a mobile --
home in violation of the Mobilehome Parks Act of Title 25, California
Code of Regulations, adopted by Section 28A-1 of the Butte County Code
as follows:
(a) 1018 -Permits Required for any Plumbing or Electric
(b) 1048 -Inspections Required for any Plumbing or Electric
(c) 1324 --Permits Required for Mobilehome Installation
(d) 1326 -Inspections Required for Mobilehome Instnllation
The above violation(s) :shall be corrected or abated by you by submitting
three (3) complete nets of plans, applying for the required permits, and
paying the appropriate fees, including penalties, within thirty (30) days
of the date of this letter. After permit issuance and field authorization
to proceed, the work must be completed and approved by this office 'Within
the permit specified time.
Unless the violation(s) is (are) so corrected or abated, a citation shall
be issued to you to appear in court for said violation(s) and for .falling
to comply with this notice. Upon conviction of said violation(s) or for
failing to comply with this notice, penalties shall be imposed and a Notice
of Violation recorded im accordance. with Section 41-7 of the Butte County
Code.
Should you have any questions concerning this matter, please contact Rod
Taylor or David Purvis of this office at (916)538-7541.
RT:dms
cc: Building inspector. Oroville
Yours very truly,
David Purvis
Supervisor, Building Inspection
pRCOF OF SZRVIG BY M.4I'L
I am over the age of 12 and not a party cc this causP..
i am. a resident of and emplo7ed . in the tau=t? where the mailim—,
Building Division -
oc= xsred. `4y business address is DWaT=ent f Deve]Dopment Services
ffr ou=t7 anter rive
Calif or:u.a . Orovill e ; - CA -95965
I served the foregoing 30 -Day Violation Letter'
b7 enclosing a true cop7
i.: a sealed envelope and deposit; said envelore is the Unitas
SLatns mail with postage f*�7 prepaid on qt -h of ns�e�e
g 92 , and addressed as fall ows :
Joseph F. & Sharon C. Mann
414 Newolf Road
Brandon, FL 33511
L declare under ;enalt7 of ;ar ur;r under the Laws of
the State of Cali=arra that the zarzgTing is t= se =d carract
and that this dec_arat=on was executed an 10/9/92
at Cal_=ar;.ia.
t
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July 9,1991
Josph F. & Sharon C. Mani
414 Newolf Road
Brandon, FL 33511
RE: Building Code Violation A.P. #: 62-23-50
31-33 Menzie Lane, 3erry Creek
Dear Mr. & Mrs. Mann:
This is a warning lettBr to notify you that you are in violation of the
Butte County Code at the above referenced location as follows:
Failure to obtain permits, inspections and approvals for mobilehome
utilities and installation of a mobilehome.
Since permits and inspections are required for the above work, please contact
this office within ten days of the date of this letter, submit two complete
sets of plans, apply for the required permits, and pay the appropriate fees.
All work must stop until these permits are issued and you are authorized
by our field inspector to proceed. This field authorization cannot be made
until the existing work is inspected and approved.
Please be aware that Butte County has entered into a Code Enforcement Program
that seeks voluntary compliance with the Butte County Code but provides
an effective means of enforcement if such compliance is not obtained. If
voluntary compliance is not obtained, enforcement will be pursued through
the issuance of citations, fines, and the recording of a Notice of Violation.
Your cooperation in resolving this matter would be appreciated. Should
you have any questions concerning this matter, please contact Rod Taylor
7—/q-crl or Jim Glander of this office.
iours very truly,
w, p�T �t,v�,:��t Vit S 70/1AO41liam Chef
Director of Public Works
Pi
J. anti Gland
JFG:dms C -44-61-6D /3i4G4G w J.F. Glander
vt�uu 'I Manager, Building Inspection
cc: Assessor
Building Inspector
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Assessor 's J cp lVc -6 Z3
L.- of - R::,`%
•+' COUNTY OF BUTTE s
DEPARTMENT OF PUBLIC WORKS
196 Memorial War, Chico — Phone: 891-2751
7 County Center Dr.ve, Orovi Ile — Phon2'538-75`41
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION
NOTICE
(/0 2 -Z 36 -
f'1 P�E—PCNO. "r
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 explanat.on, please contact this office immediately.
ii -/? _ — '.A
Date �U `7 Inspector e7"'
:1
RESIDENTIAL
62 23-50 -^�
2826-91P,E
$. r
MANN, Joseph
3133 Menzie Ln, Berry Creek
(mh util)
,JOB FINALED (Date)
Signature
'a
v
J=OK
0,= Not OK
= Ndt Applicable \
= Not Ready MOBILE HOMES _
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils: Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /•'L" ft.
/ /-Nat. or/ /•'L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
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, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card 6-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (;
=
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
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 -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except ti's
16. - Water Htr.: Vent -Access -Combustion Air -Baffle
--------------------- -----------------------------
17. Water Pipe: Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
-------------------- ----------------
19. Shower Pan: Test, First -Floor-Tub Access
---------------- ---------------------------
20. Test Tub & Shower. Second Floor -Tub Access
- ------------------------------------------------
--- 21. Gas Pipe: & Anchors - -
Date Card B-1 Date Card B-1
----------------------- ------------- ------------
----------------------
Date Card B-1 Date 'Card B-1
Date ELECTRICAL (Permit) OK except ti's
22. Fixture & Transformer Clearance -Ins. Protection
-------------------------------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
--------- ------------------------------------------------------------
24. Size Boxes & No. of Conductors -Stapled
------------ --------------------------------------------------------------
25. Romex Installed Close to Edge of Studs & C.J.
--------------------------- ------------------------------------------------
26. Equip Ground made 'up w!Mech. Fastners-Bond Gas & Water
--------------
27. 2 Appliance Circuts in Kitchen & Conductor SizerGFl
--------------------- ---------------------------------'-------------------------
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ! ! ga'
Cu or Al
-------------------------------------- -------------------------------
29. Range Circ ! r ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
----- - ----------- --------------------------------------
30. Service -Riser Conductors & Ground -Main Disconnect
---------- - --------------------------------------
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
---------- ------- -- ------ --- I ---------------
-
------------- --- - - ---
------------ - -- - - - --
33. Smoke Detector
---------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
-
-------------------------------------------------------------------------------..
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except ti's
34. A.C. Ducts Insulation & Support
----------------- -- ---- ------------------------------•-------------------------
35. Vent Fan: Exhaust above insulation
---------------------------------------
..---
36. _Condensate Drain & Overflow: Size & Grade
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
-
--------- - --------------------------------------------
3& Attic Access & Platform if Furnance in Attic
----------------------------------------------------
-------------------------------------------------------------- - --- --- -
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except ti's
39. Sils. Proper Material & Anchors
------ --------------------------------------------------------------
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
----- - --------------------------------------------------------
41 Bearing Walls over Girders & Floor Nailing
---- -- -- - ----------------- ------ --- --
--------- ----------
42. Draft Stop in Walls (rat proof)
-------------------------------------- ------------------ ----------------------
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
----------------------------- -----------------------
44. Headers & Beam -Size & Bearing
iingle & Duplex)
.Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
---------------------
_ _ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
---------- ---------- -
_ SS. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
----------------
58. Shear Walls: Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
---------------------------
Date _ _Card _B-1 Date Card B-1
---------------
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except It's
-------------- 61. Ext. Steps -Door & Sidelight Protection -Landings
----------
____________ 62. Smoke Detector
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor-Ducts-Mech. Protection
---------------------------------
64. Bedroom Exiting
--------------------------- ----
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
----------------
67. Stags & Rails
--------------------p ---------------- --
68. Fire lace or Stove: Clearances -Hearth
69. Elec. Outlets at Wood Panel: Int. & Ext.
------------------------------
70.
-----------------------------70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72._Gara e Fire Door; Swing -Landing -Closer
-------------- 73.-A.C. Duct in Garage -Damper
------------------------- -----
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage. Above Floor-Mech. Protection
75. Plb. Elec. & Mech._Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
"---------------
-------------------------------------------
7-,.-Insulation-Foam-Looked in Attic ❑ Yes
------------------------- ---
78. Guard Rails & Deck Construction -Post Caps
-- ------------------------------------
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes- ❑ No
81. Stucco: Brown -Finish
82. A.C.Unit: Disconnect. Electrical. Plumbing
---------------------------------
83.
-------------------------------83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well: Disconnect, Electrical, Plumbing
--------------- ----------------------------- ---
85. Exterior Elec. Trim: G.F.I. Receptacle -Underground
------...-------------------------- - ---
86. Ventilation Throughout House
*87. Glass Protection
- ------------------------------------------
88. Corrections from Previous Inspections
---------------- ---.--------------------------------------------
89. Gas Test -Meters Tagged; Gas -Electric
- - - - - - - - - - --------
90 .
Water & Sewer Connected -C/O to Grade -HD Approval
----------------------
91. Energy Compliance Certificate -Other Certificates
Date Card B-1
------•-- --- - -------------
Date Card B-1
Date Card B-1
Comments at Final:
Date _____Card B-1
Date Card B-1
Date Card B-1
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive . Oroville, California 95965 - Telephone: 916/538-7541
• APPLICATION AND PERMIT
_ZM�lv-
1 //
ASSESSOR PARCEL NUMBER
62-230-090
Z WING
TT
BUILDING PERMIT
OWNER
TES.EPHO E
SQ. FT. OCC. BUILDING VAL ION
OWNER'S MAILING ADDRESS
414 DEWOLE
CONTRACTOR'S NAME
UNKNOWN
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE ND.
Plan Checking Fee
$ 15.00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAMEPARCEL MAP
Water piping, -
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehomen Other
XX SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S
O.00ea 30.00
TYPE OF WORK
New ❑ Addition El Remodel ❑ Utilities [3 Installation[- Other ❑
Describe work: MMI
Permit Fee
$ 40.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 10.00
Main service EA. ADD'L 100 AMP
2.50 2.50
CONTRACTORS LICENSE LAW
declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification.
EJas 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.yd
AUC )
New
,
/2 OsqI t
CONSTFL TI OUTLET
NON ESID BRANCH CIRC ITS
2.50 ea
.50e
POWER APPARATUS e\
SINGLE OUTLET CIR. /
Ex. OCcup(OUTLETS OR FIXTURES
20030Q
eAL03o
FIXED ALNS. 11
EX. DCCUp. OUTLETSP(RESID )REAJ
2.00
Temporary service
10.00
Mobile Home Facilities
15.00-
Misc. Wiring
9
15.00
Permit Fee
$ 37. 50
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
againsts County 'n consequeen�cre of the granting of this permit.
X �PG'y'LL��/GG� Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
AZ.
1 CUA PARK SCHL
L
CD
P; P
I HDA
ISIPO
This permit is hereby issued unser the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
ninE R ELIC WORKS
By Date
PER IT EXPIR S ate 7 /
Receipt No. 971h3 Q2 50
WHIT[-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BJTTE - DEPAR1'MEfbi%:G PUBLIC WORKS -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-TEL'EPHONE: 916/538-7541
PERMIT ,APPLICATION DATA SHEET
,s. M., Permit No.
OWNER J 05e2,4-( /1/It�IVN QA. P. No.
Proposed Building Use Building Inspector-1Date lZ
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 cuplicate/triplicate, signed :)y preparer of plans ..
4. Complete engineerEd plans and calcs, with wet signature on plans ..
5. Hazardous Material Form..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non-Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions................................. .....................
10. Fees of $
11. Chico Urban Area fees paid.......................................
12. Park fees paid....................................................
'-13. School District fEes paid ..............
J� 14. Sanitation approval -rom UrW e, Health Department _ 2— ZZ q
15. City of Chico plumb ng permit.....................................
16. Plot plan and business license approval from City of A :•,
(see City for other requirements)
-,17. Planning approval fcr (A) Use: (B) Paring: ......
18. Improvements may be required. Contact Land Development Section DPW
_,1.9^'Driveway permit (construction approval required prior to occupancy)
20. Pre-Inspection for required Pre-lnspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner-Builder Verifi,-ation (Given to owner ❑, Mail to owner+❑) .....
:024. Recorded copy of Ac ricultural Acknowledgment Statement .........
25. Letter of signature authorization ............................. - -ci /
—Sit 26.
27.
When you issue the permit, proces as follows: Mail to-owner. Mail to contractor.
_I Telephone S"- and hold for pickup at office. Deliver w/inspector.
Other
� sdb d Q lZ
Appl icart Date f>
Copy of Hdz-Mat form sent Health Dept. Fire Dept. air P011util Date
Copy of plans sent Health Dept. Fire De )t. Other Date By
The following data must bE submitted prior to permit. issuance: (Circle new item A checked above).
1. Index permit for above .tems No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone_—mail counter y .date
Contractor, designer, owner, was advised of above required data by—phone—mall 149ount r by date
Plans checked by Date Plans approved by Date�1
Sets of plans on hold in File cabinet AF folder
Copy—DPW
TO Buildina Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
c�
Owner � o at* AP#
Plan Approved for: Sewage Disposal _ � Water Supply
Hold final for:
Final clearance O.K. for:
Clearance for _0 bedroom mobile home. Other
NOTE **
Sani arian
Water Supply
Water Supply
Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovil le, California 95965 - Telephone: 916.538-7541
APPLIC-ATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
U
BUILDING PERMIT
OWNERTELEPHONE
J_UsP h
SO- 1/16
S0. FT. OCC. BUILDING VALUATION
OWNER'S AILIN ADDRESS
��! d r 9,4Na1,1A1L 35 )
CONTRACTOR ;S N.e.M,E„�a�� TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
C ONSTR UG TION /-ENp Eii
VNKNO WN
Total Valuation $
Fee
$ 10.00
LENDER'S MAILINGADDRESSFiling
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ !S• 0
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS ` /(/
_7
Permit tee
$ 15, C) 0
PLUMBING PERMIT
Filing Fee 10.00
)Sel r� C�
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
U�F STRUCTURE
[ISF Duplex[]Mobilehome Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home
0.00 ea Q.
TYPE OF WORK
New❑ Addition /Remodel❑ Utilitiesu Installation❑ Other ❑
Describe work: �1 _ U
Permit Fee
b ()(]
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 �, Q
Main service EA. ADD'L 100 AMP
2.50 fry
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 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.
17I, 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 contra
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
NEW CONST.( DWELLING OCCUP.&I
OR ADDNS. ACC. BLDGS. �
, h2SQft
NON•R SID R BRANCH CIRCUITS
12.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR. )
E
Ex. OCCUp(OUTLETS OR FIXTURES
209301
eAL99oe
FIXED APPLNS.
Ex. OCCUp. OUTLETS IIRESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00ct-
Misc. Wiring
9
15.00
Permit Fee
$ U
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
9
Hood
3,00
Ventilation
Permit Fee
$
LContractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
XThis
Signature of Applicant — Owner El Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct.
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ p�/
F{qZ CUA I PARK
$CHL
FLD i I, .l
I coF PAR Po Holssu-<
i
permit is hereby issued unser
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
-/
Receipt No. 7/Y 3— /Zf
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
8-01-91
This document is to notify anyone concerned, that my
brother " Charles Mann " has my permission to obtain permits
and contract services on my property " PTN SEC 35-21-5E "
located at Berry Creek California. This is to resolve any
utility descrepancy or inspection required.
Joseph Mann
414 Dewoli Road
Brandon, F1. 33511
Yd ea,17��
i v
J:
-tee Ack1e,�,
«ry pL .lic
;`ay Cor, nlis�.,: rl
MP ....•
q setback of 5 it. from the
property lines and a setback of'
50 ft. from the road
centerline shall beclear of
structures or equipment except
forte dF AL eCASM�o� ,
This set of plans and specifications MUST be
-kept on the job at all times and it is unlawful tc
make any changes or alterations on same with.-
out
ith-out written permission from the Department of
Public Works, County of Butte.
NOTE:--AII Materials .& Workmanship Shall Be in
Accordance with Recognized Good Practices and
of a quality prescribed for the Specified use in the
Uniform Building, Plumbing & Mechanical Codes and'
the National Electrical Code.
BUM- COUNTY
BUILDING DEPARTMENT
AppED
Ar a . . •'
r • . o
A setback of 5 ft. from the
property lines and a setback of
50 ft. from the road
centerline shall be clear of
structures or equipment except
for a 2 ft: eave overhang. Ajo
C46;4,--151PA: 4 ,
3 perm;f .
hog of tie re
'�abl d for the
s
fi
a
This set of plans and specifications MUST be
-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
Oublic Works. Countv of Butte.
NOTE. --All Materials & .Workmanship Shall Be in
Accordance with Recognized Good Practices and
of a quality prescribed for the Specified use in the
Uniform Building, Plumbing & Mechanical Codes and
the National Electrical Code,
�Z E� COUNN
v'�� TrAEN�
BUIlD1NC' HEPAR .
v�D
p`�gzr�ai
.. .........
Lane,
NJ
La r) e,
[:
COMPLAINANT
ADDRESS:
PHONE NUMBER:
OTHER COMMENTS:
h"I
COUNTY OF BUTTE — DEP4RTMEN T OV PUBLkIC WORKS
7 County Center Drive_ — Oroville, California 95965
Telephone. 34-4541
APPLICATIO AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
Signature of Permitee or Agent `
I
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I
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.
By
DIRECTOR OF PUBLIC WORKS
Date
BUILDING
Owner
Mailing Address
SQ. FT. OCC. BUILDING VALUATION
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
$
$
Building Address
PLUMBING
No.
@ FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.Gas
zoning &Planning
piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fees
W. C.
Sanitation
Fire Dept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
Bldg. Plans Recd I
Parcel Approval
Plans Approval
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL
No.1
@ FEE
PERMIT FILING FEE 1 $3.00
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures 20 10
Receps., switches & fix outlets Z0�23
hM el In
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:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disp.or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
WORKMEN'S COMPENSATION INSURANCE
1 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
1:1 Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
Signature of Permitee or Agent `
I
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I
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.
By
DIRECTOR OF PUBLIC WORKS
Date
to
COUNTY iOF BUVTE - DENT OF PUOLIC
7 County Center Drivelle, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
WORKS
el"
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
M ' n Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee•&/or Penalty
Telephone No.
Permit Fee
$
$
Building Address 0*
PLUMBING
No.1
@
FEE
PERMIT FILING FEE $2.00
d�
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
„S'b
Each gas water heater or vent 1.50
A. P. No. �p �� —S'�
Z &
Gas piping system 1 - 5 outlets
—
1.50
,Jti
Each additional outlet .30
vcj2e
S n
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
I Parking
Plans
ParcelParcel
Declaration
Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
PIQ11�s Recdreel
A roT/
PP
Plans A- al
pP
Permit Fee
$
(�
$
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each
1.00
Single Family ❑ Duplex ❑ Mobil Home91 Others ❑
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixturesbal a?o
Receps.,
switches & fix outlets b.
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:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. di sp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home aciliti s 5.00
5"y
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
Is I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$
auuiunce rupresentanves of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X
Signature of Permitee or Agent
Receipt No. /1
White-D.P.W. _"ellssor — Pink -Inspector — Goldenrod- Applicant— Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF UBLIC WORKS
By Date03-
Building permit expires Date_?�..,
ti
• •r
-ell
All utility connections shall e
located within 4 ft. outside the r ar
�., third section of the mobile ho e
` C7 --on the left (road) side of the mob le
home.
Septic system and location of build-
ing drain stub -out to be as per
Butte County Health Dept. Re-
guirements. -
0
phis set of plans and specifications MUST be
kept on the job at all times and it is unlawful to
make any changes or alterations on same without
written permisson from the Department of Public
Works, County of Butte.
BUTTE COUNTY
BUILDING DEPARTMENT-
APPROVED
EPARTMENTAPPROVED