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064-220-048
64-22-48 _ Jack Disisto v Z( / 315 LaFayett Cir., lot 68, PP#14, Mag _�' - contra Tri- V Q�nst., Magalia � • Perm*A9-78P,E(util., ) rt ELEC GAS SUPPCTURE REQ. COMPACTION TEST EQ. ` . q'Q 64-22-48 ,® Cgntr:•SOS MH Sales, Par t: rmit 035-035 • Issued v /�IS -- 64-22-48%r Jack Disisto :„_, 315 LaFayette , lot 68, PP#14, z Magalia Jl:"a � Permit #823-79B(new open deck/MH) ., .. .+ • 64-22- �.. _ r r w_ , .. _ , , ,l•. F' -JOHN MILANO 14711 lafayette-c3 le, Magalia/ / PErmit#3075-87B,E ew garage) ;64-22-4S Per 3338=87P(plbg/garage) 'r_'764-22748'= 1550-91B % MILANO--.Joh n , - < • , . 44711 'Lafayette Cir cle;,.Magalia p 9.L• i (cony gar'age.cto workshop) Si-" r f M . 1 4 r f ,,n '� .• ` _ a -1 .-` 6 / n? :)UN T.=Y OF BUTTE - DEPARTMENT OF , �y �+ ( FRMIT NO. • unty Cventer Dri4e - Oroville,.California 95965 TpUB!elep _jClNp \ j APPOCATIONANDtPERMIT ASSESSOR PARCEL NUMBERf • _ X22_48 �, _ � ZONING T—1 BUILDING PERMIT OWN R �., •� John J. Milano TELEPHONE 81 3-2437 SC:.,FT. OCC. BUILDING ' VALUATION OWNER'S MAILING ADDRESS . ;i.t 14711 Lafayette Circle. M1� ralila 5954 CONTRACTOR'S N AME . Owner TELEPHONE J ' CONTRACTOR'S MAILING ADDRESS ` Fireplace ++A" 1.500 CONSTRUCTION LENDER NoneFiling UNKNOWN Total Valuation $ 2 g Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 32.50 ARCHITECT OR ENGINEER None LICENSE NO. 1. . Plan Checking -Fee $ Ener Plan Checking Fee $ Energy g ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14711 Lafayette Circl® Ma alis Permit fee $ 4? 517 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ' • • ` Solar or heat pump water heater 20.00 LOT NO. X68_4 SU BDI`VISION NAME Y- T I" PPM Unit #14 PARCEL�MAP _ ( Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCT RE 93 opjgarage SFE:] Duplex❑ Mobilehome❑• Other SPECIFY Gaslpiping,system 1 - 5•outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00 ea TYPE OF WORK I New ❑ Addition ❑ Re ode! nJ Utilities ❑ Installation❑ -Other ❑ Describe work: wall i'rt garage ear door/woodlstove Pennit Fee - $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 i• Main service 800V 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): ❑ 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, I, as the owner, or my employees with wages as their sole;compen- f sation, will do the work,and the structure is not intended or. offered for sale. (Sec. 7044) t ❑ 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.&) OR ADDNS. I/zQsgft NEW CONSTR.A ULTI OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCup�OUTLETS OR FIXTURES 20050C eALeao FIXED APPLNS. 11 Ex. DCCUp. R OUTLETS ((RESID IEA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I I shall not employ any person in any manner so as to become subject to the W. C. laws,of California. •'I I Notice to Applicant: If after making this statement, should you become subject to the W. C. provisionsof the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee . S Contractor ! I certify that I have,read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judg�m�ents, costs, and expenses which may in any way accrue against fd Coun�n q�l ce of �e granting of this permit. (y KJ - f '� 9` / X ^..t Date `t` / Sign$ture of ApZant — Owner Contractor ❑ Agent ❑ An I, SHA permirequired for excavations over 5'0" deep and demolition or construct- on of structur er 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE _ TOTAL FEE $ 42.50 HAZ. CUA I PARK I SCHL I FLD I CDF PAR PD I HD. I IV. This permit is hereby issued under the applicable provi- sions of the Butte County -Code and/or resolutions to do work indiFated above for which fees have been paid. DIRE TOR OF PU'BL C WORKS BZ I A Date 090 PERMIT EXPIRES Date -� �� Receipt No. WHITE-D.P.W.. YELLOW-ASSESSOK, PINK -INSPECTOR. GOLDENROD -APPLICANT e,w V1 ,, . — COUN TY'OF- BU T TE .- DEPARTMENT OF PUBLIC WORKS t 196 Memorial Way, Chico — Phone: 891,-2751 7 County Center Drive, Oroville — Phone: 538-7541 �1" =7477E]li6tt Road, Paradise — Phone: 872-6307 CO RR ECT10 N-111rOTI C E / Ado Q.., OWNER PERMIT NO. A tontine 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 watter, or need additional explanation, please contact this office immediately. Q / 1(-,q p.J p !ZOh r e .40 n. W'o o d Sro UP 12 ke ' O � P / t S ®ate qh 0/ �`— Inspector C � lq,,� . /� COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT 1.rr P IT NO. , _ jAn ASSESSOR PARCEL NUMBER 64-22-4 ZONING Y BUILDING PERMIT OWNER John J. Milano TELEPHONE —2 SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS 14711 Lafa ette Circle, Ma lia 95954 CONTRACTOR'S N AME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace "A" 1,500 CONSTRUCTION LENDER Nonp UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 32.50 ARCHITECT OR ENGINEERE None LICENSNO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14711 Tnfayette Circle- Ma2alia Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 68 SUBDIVISION NAME PPCC Unit #14 PARCEL MAP Water piping - 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other shop/garage SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W0=00 TYPE OF WORK New ❑ Addition ❑ Remodel P Utilities ❑ Installation ❑ Other ❑ Describe work: wall in garage car door/woodstove Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. I, as the owner, or my employees with wages as their sole COmpen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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.61 DR ACDNS. (ACC. BLDGS. ,/zQsgft NEW CONSTRESID.MULTI-OUTLET,RC. NO N•R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 200506 eALO90 FIXED . R EX. Occup. OUTLETS TS (RES(RESI.) ODEA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. VVirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ' ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notce 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 penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabi iti. s, judg ` nts, costs, and expenses which may in ank way accrue against Count n onseq ce of the granting of this permit. �j' X Date b �� r / ,ign ure of ; ppli ant — Owner Contractor ❑ Agent ❑ �n SHA permit Is required for exc vations over 5'0" deep and demolition or construct- 1, Q F structure over stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE E TOTAL FEE $ 42. 5 0 .5 AZ. CUA- PARK SCHL FLD PAR PD 1 Issu This permit is hereby issued unoer the applicable provi- sions of the Butte County.Code and/or resolutions to do work i ' ated above for which fees have been paid. DIR. T OF P L WORKS By Date PE MIT EXPIRES Date Receipt No. 1�93) 7(. WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT _ "'4r"' ��i I ilfC.'�►i'T�' ".�' +eYt ;'y:WR�T/r �fi4'� riSY+ _-. .:�r ...-.�—. f.. COUNTY OF BUTTE - DEPARTMENT, OF PU6LIC WORKS,- BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIL' ALIFORNIA 9 965!- TELEPHONE: 916/538-7541 PERMIT APP-LICAT40N DATA SHEET 4 -Permit No. J y►,� Z' J OWNER V fl�l� /� 1B -,y 0 A. P. No. Proposed Building Use QLIl 0 e SiYOgg W',40419- ►.building Inspector CS Date At ti a 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. 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 .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot.plan• and business license approval from City of `y (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 1 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .................. ............. . 26. 27. When you issue the permit, process as follows: V Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w. /inspector. Other A 4 A Applicant G!•!? -t% Date Copy of Haz-Mat form sent Health Dept. I4re Dept.V Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. 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 ofabove,-required data by—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date `�� Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW 93, .-ter. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroyllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARC—TUTB - � 4 2Z OWNER ZONING R i- BUILDING PERMIT J /�, L/J^j-0 TELEPHONE 97S SO, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ///7// LSF sG' o CONTRACTOR'S N_A/M`EA TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ '©p LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 10.00— Permit Fee $ S Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS Energy Plan Checking Fee $ Penalty $ Permit fee $ Lt PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME / ' A C'C'\ �^� `� � � `l PARCEL MAP Water piping 5,00 Each qas water heater or ve 5,00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ the � HCaZ*g/11-a_'-? PE I Gas piping system 1 - 5 tlets 5.00 Building sewer Z 5.00 Mobile HomeS I G I W 0,00 ea TYP F WORK New❑ Addition[:]RemodelUtilities❑ InstaPation.❑ Other ❑ Describe work: C;C:it/p,�p�� • r • " Permit Fe . $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP Ov OR RSLESS / 10.00 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. 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) El 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 EA. ADD'L too P 2.50 NEW CONST. DWELLING o CUP.EI , OR ADDNS.' ACC. BLDG . 2h¢sgit NEW CONSTR. -UL TI -O LET NON-RESID BRANC CIRC TS 1,2.50 ea POWER PPARATUS e �SINGL OUTLET CIR. / Ex. OCCu p OUTL TS OR FIXTURES 2o®aoe3ALO 30 FIX D APPLNS. OR , Ex. Occup. o LETS (RESID.) EA., 2.00 Temporary s vice 10.00 Mobile Hoa Facilities 15.00 Misc. Wi ng 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to.Appllcant: 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 Hood 3,00 Ventilation - Permit F $ Contractor I certify that I have read this application and state that the above information is correct: I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabili 'e , judgmJnts, costs, and expenses which may in any way accrue against ouniyjm consequ ce of the granting of this permit. XDate ' b -17 e of Ap li ant — Owner Contractor ❑ Agent ❑ SigVV. AnA permiIs reQuired for exovations over 5'0" deep and demolition or construct- over 3iistories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE f TOTAL FEE $ HAL CUA PARK SCHL I FLo I CDF PAR PD I HD• ISSUE: Thls permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work Indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKSionructures . By Date PERMIT EXPIRES Date Receipt No. __ �J I �Cj WHITE-D.P.W., YELLOW-ASe ESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r MM." OE: BUTTE , Department of -Public "Woxks 7 K,y,.Cen ter Drive, Orov li,e�, CA ^-9596" Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Xftenti;on Property Owner: An `owner -builder" building permit has-been applied for in your name and bearing yodf- signature. Please complete and return this information at your earliest opportunity to avoid unpetessary delay in processing and issuing your building permit. No building Permit_ will be issued until this verification is received. '1. f personally plan to provide the major labor and. aterials for constructi®n•of the proposed property improvement (yes or no) 2: I (have/have not) fqg. signed an application for a building perthi't for the proposed work° 3. I have contracted with the following person (firm) to provide the propositi construction: - Name Address City Phone Contractors License No. _=r- 4. I plan to provide portions of this work, but I have hired the following persA 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 S ig nted Property Owner av,4,9 'Social Security N mbe Date �s 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 lbeforc 49 are per mitted to issue the permit. `! ' = OK 0 = Not OK ='Not Applicable yable MOBILE HOMES' MISCELLANEOUS bate " ' MOBILE'HOME UTILITIES (Plans) OK except #'s -Date DECK VERS,CARPORTS,G GES, *P}erts�exce t #'s 1. Zoning Requirements -Setbacks -Easements Plogiag Requirements- ks-fraseTff FnTs 2. Soils;- Special MH Support -Sketch ootings; - - - 3. Sewer; Location -Test -Fall -C/O -Concrete - s _j 4.,Water; Location -Test -Easement Needed (Sketch) - S 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /%"ft./ /"LPG s 7. Utility Clearance c. . rmg; Sills-Anchors-Studs-Rftrs-Trusses L-gKiding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card B1 Date of; Shthg-Roofing ; Steps-Doors-Landin Card -B1 Date Card -131 . Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s j7LfIZA I/ A4 1. Zoning Requirements -Setbacks -Easements 'CardJ81 Dat (�tCard-B1 Date 2. Footings; Size -Spacing -Marriage Line - Card -B1 Date l /aMard-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 - Dead Men -Lining 8. Gas and Electricity Tagged.. 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date /l) �4 1 = OK o = NotOK RESIDENTIAL (Single and Duplex) -t Npt Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. De 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. De', 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service -Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fasteners -Bond Gas & Water 27. 2 Appliance Circuits in Kitchen & Conductor Size 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 38. Sills, Proper Material & Anchors 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing DateFRAMING (Continued) 44. Hangers -Post Caps -Anchors -Connectors 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 46. Fireplace Ties or Type A Flue -Fireplace Throat 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 49. Garage Fire Protection Framing 50. Property Line Firewall & Openings 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 54. Siding -Nailing Veneer 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 56. Glazing Area -Glass Protection -Skylights -Plastic 57. Shear Walls; Nailing -Bolts 58. Insulation -Wal Is-Clg. 59. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FINAL (Plans) OK except #'s 60. Ext. Steps -Door & Sidelight Protection -Landings 61. Smoke Detector 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels 66. Stairs & Rails 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 70. Elec. Outlets & Receptacles at Kit. Counter 71. Garage Fire Door; Swing -Landing -Closer 72. A.C. Duct in Garage -Damper 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Mach. Protection 74. Plb., Elec. & Mech. Equip. Listed for Location 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 79. Following instid.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish 81. A.C. Unit; Disconnect, Electrical, Plumbing 82. Vents Above Roof; Plbg.-Appliance-Firept.-Clearance to Openings. 83. Water Well; Disconnect, Electrical, Plumbing 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 85. Ventilation throughout House 86. Glass Protection 87. Corrections from Previous Inpections 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751• , 7 County Center Drive, OroviIle— Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date s., 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 r CORRECTION NOTICE ERMIT NL. 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. f Inspector Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT _ PERMIT NO. / ASSESSOR PA�C NUMBER— CYC/oLC OyIL Z N BUILDING PERMIT OWNER T EPH NE SQ. F%%T. OCC. BUILDING VALUATION .V LIOWN vv WS MAIL G ADDR S X CONTRACTOR'S ME ELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Zo Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ s(p ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / _ Permit fee $ ' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PAvR�CEEL� MAP .J p Water piping 5.00 Each qas water heater or vent 5.00 USE OF ST UCTURE SF ❑ Duplex[] MobilehomeOther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New," Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other] Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR Main service 1000 AMP ORSLESS 10.00 /11 OD Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW of perjury I declare under penalty p i y (check.one): u , I am licensed under provisions Of Chapt. 9, Div. 3 of the Business Er and Professions Code and my license is .in full forcnd effect. �� �% License No. 1 z -Classification ❑ I, as the owner, or my employees with wages as th it 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.& OR ADDNS. C ACC. BLDGS. 1 2/zcsgft NEW CONSTR.U TI.OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS 6\ SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES z0 0 50t .200030 ALO30 FIXED PR Ex. Occup. OUTLETS (RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ a 0 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 f 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 FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liab i ' s, Jud ments, costs, and expenses which may in any way accrue again t� I Co in cons nce of the granting of this permit. X-"" Date ^ �7 r--� Si azure of icant — Owner ontractor A ent g P L � g ❑ A OSHA pe t 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 o e P. co E I I vLo 17. P This per it is hereby issued under sion the Butte County. Code and/or wor in icated ab ve for which RE TOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. P WORKS p Date S/r�PO4 Receipt NO. n�� WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT •7-'.. ., t" .� f .7 -%]; LritZit \ .a COUNTY. OF BUTTE - DEPARTMENT OF''PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,,CAL• ORNIA'95965 - TELEPHONE: 916/534-4541 PERMIT APPLICAVON DATA•SHEET -- Permit No. OWNER/n- �� A. P. No. Proposed wilding Use �S�/�� Building Inspector Date L 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. CUSD "Fees Paid'' Stamp on Floor Plan . . .... . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . ... . . 9. Letter of signature authoriz n. . Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) . 14. Owner -Builder Verification (Given to owner, Mail to ownerE]), _15. Improvements may be required. . . . . ... . . . . . 16. Mobi lehome Installation Data. . . . . . . . . . 17. Pre-Inspec.request to Pre -Inspection for Required. Building Inspector X(Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the perp pro `e/ss s follows: —Mail to wner, —Mail to contractor. Telephone ( � 1 and hold for pickup atALaof'fice, Deliver w/inspector. Other ©ate Applicant 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. t' 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_mail—counter by Contractor,, designer, owner, was advised of above required data by—phone _mall—counter k Plan.- rharkPr1 Sets of plans on hold in Copy—DPW AP folder date date — I -lours,:" 10:00 a.m. - 3:00 p.m. TO Buildinq Department FROM: Environmental Health SU�JKCT: Sanitation Clearance 4 2 1 Owner Location. Plan Approved for: Sewage Disposa,2e"�� Hold final for: Final clearance O.K. for: Clearance for bedroom mobile home. NOTE arian Other -7 ap ,o �,-,z2-- zj"01, AP# Water supply Water Supply Water Supply Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: OWNER -BUILDER VERIFICATION 916-538=7541 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) IH zc 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 ` I%i[zot Social Security N mber ( — Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health.and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR P RC L NU BERn/ ol�� 1 GAJ ZO G BUILDING PERMIT OWNER T LEPFt0NE 3 SQ. FT. OCC. BUILDING VALUATION OWN MA`L7 DR 5 CONTRACTOR'S NA EIr ELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN 1 Total Is $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ` Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 �17. vv Each qas water heater or vent 5.00 USE OF STRUCTURE SF❑ Duplex❑ Mobilehome❑ Other SPE49IFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: + Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 600V OR LESS Main service 10.00 100 AMP OR LESS 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 ProfessionnspCoode and my license is inwfull force^and effect. License No.17 a a 71 Classification L3/� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.a/ OR ADDNS. ACC. BLDGS. � yzQsgft NEW CON5TR ULT' -OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) /POWER APPARATUS 6\ ,SINGLE OUTLET CIR. I Ex. Occup( OUTLETS OR FIXTURES eL0300@502AL@ FIXED PR Ex. Occup. OUTLETS (RESID,IEA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 udg ents, costs, and expenses which may in any way accrue alAn agu i con ence of the granting of this permit. X25�i Date �U G Siicant — Owner Contractor Agent ❑ Ais required for excavations over 5'0" deep and demolition or construct- iover 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ I FLOOD PARCEL PO HD 149UE This permit is hereby issued under the applicable provi- sions of the Butte County.Code and/or resolutions to do work indicated above f which fees have been paid. DIRECTO O PUBLIC WORKS /,/J�, BY�/'T mate PERMIT EXPIRES Date Receipt No. ��%:'�l� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPLI CANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 9167538=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 t ials 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: 'Property Owner Social Securit tMumbe Date /0 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. 4990-78P,E PERMIT NO. PERMIT EXPIRES OWNER Jack Disisto Tri-V.Const., Magalia CONTR. LOCATION (A.P. 64-22-48 315 LaFayetteCir., lot 68, PP#14, Magalia V, Temp. Power Pole Called PG&E Temp. Elbc. Serv. OZ&O -A7-7 Cal.led PG&E -7 Temp -Gas Serv. Called PG&E. JOB FINALED/10 .-A 7 7,,� (Date (Signature) COUNTY, OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECOPD BUILDING BUILDING (Cont'd) 71 PLUMBING r-vrm 1 sILF I oor 'Parakets Main Idg. Rest r m Finish 2nd loor Foo 'n s Window 3rd F or StemAelI Siding To out Slab Roof SheAJng Water PI I Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Insulation Heaters Slab Carport Footings V Prov. for ph sical handica edy Conformance of ex. structure y Appliances Gas PI In &Test Temp. Gas Slab Final Sanitation Patio JIREkACE Final Footin s Footing ECTRIC J- ' Masonr Walls Throat X Rou h Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLE Motors Framing Test Water Htr. Stucco Final Subpanelf Mesh MECHANICAL Gird. F It Prot. tsrjFwn It le', Ing T mp. Pole nish cts nder round I erlor Lath tilation Permanent oor Closer al tinal MMMMEM MOBILEHOME UTI ITIES Elec- ServiceElec. Pedestal V.07277 iping Sewer Gas Piping MOSILEH2NE INLL TION Support Ole a_;LG -yg Elec. Continuity Water Pi ,;:a Z -5- 73 ci Drainage e4e /b -24 -? Gas Piping -- DATE REMARKS OR CORRECTIONS b t(, CA& t -?1 oZ % o 1,3 ___ • Q C /,0--26/--7.g/..0 ,LE C ed -42 Ca, tuAr 2 72.bI4,dr 4 G6P,cE�� - -.,,e 2 G-tv %roP.[/1Ga Biea,eC�u rscw /�•�t P c°i�Pu. it Ae eYeW AZ �T P6✓�'�/�6 �i GcTAIG �C<i� %o ic6% Oe - 3 vitt (NOTE: An entry must be made on this form each time you visit the job site.) r MOBILEHOME INSTALLATIQN INSPECTION CHECK LIST �} 4Is the mobilehome located with required separation from'lot lines and Buildings and generally conform toYes plan? lot , No P P �, 0 -Does the mobilehome have required'clearances'above ground? (Sec.m5085) Yes No U.KAre footings and supports properly sized, spaced,'and braced'as er approved plans? (Note possible variation at spring shackles.). (Sec. 5082 &.5083) Yes7_ No ®�Is the mobilehome level? (Sec. 5088) Yes.4a_^o_ 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No �X-Water A. LIs flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes )( No B. Nest - Does water piping.withstand working pressure or 50 lbs. air test? Yes No C. Backflow - If coa of California approved, does station have backflow device and pressure -r i a#.--State Yes No O-ewastes and Drains A. ( -Ifs connection made with Schedule 40 DWV and have flex connectors at each end? Yes No. B.;/Does it have minimum" per foot slope and is it properly supported? Yes No C.t,,Are any,leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe?.Yes No:D D. If 7coach-i not tate Californiaapproved, does.station have required trap and vent? YesN 8. Gas P"ping and.Gas Vents A. Con ctor - Is mobilehome connected to the gas supply with an approv 3/4" minimum mobile me connector not more than 6 ft, long? Note: All piping "s to be at least as large as t mobilehome gas line inlet without reductions other an the mobilehome connector. Y No B. Test OK as per follo '" g procedure? Yes_ No 0 1. Open all appliance c ector valves: 2. Shut off appliance burner an ilot valves. 3. Air test with manometer to 10"-14" ter column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated tent ound increments. Test for 10 min. without drop. 4.- Connect gas meter to mo lehome with connector, rn on gas., test connections with soapy water. C. Are all appliance vents properly installed? Yes No P 09. r"Electrical 4� o A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating iqf mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes* No T B. Is there proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused?. Yes No Is continuity test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome at the pedestal.. 2:"� Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3.' -Switch all breakers and switches in the mobilehome to the "on" position. 4. ,Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5.C, -All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA/ n WA&i Manufacturer and/or Namestyle �o f'I 1,4IUP Length Width Vehicle Serial No. State Identification No .G�O/. //2 0� 1 / 112 Additional Information or Comments: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the Calif ornia—Adriiinistrative Code, Title 25, Chapter 5, under permit number. �f+ax for the following location: T 7 C�i ,i2c� i 7,y� r: l Owner /I;,- /e /.7/ � i , 7-6 � Owner's Address Mobilehome Mfg. Model r?.. r Y moi- Year 7L Insignia No.r� 1/2 ��. �� /1� ��'�Serial'No. It is hereby certified for occupancy at the above described location and may be occupied. Director. of Public Works • Date • " - 7 - 7a THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White- Owner, Yellow- Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WoDzKS N 7 County Center Drive — Oroville, California 95965 /j/ ✓� // T2lephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WoDzKS N 7 County Center Drive — Oroville, California 95965 /j/ ✓� // T2lephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Datl® n L VermT_tee.r_A"g,.nt Receipt o. 12 0 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 f which fees have been paid. D E P OF BLIC WORKS BV4Date ires Date Building permit expQ BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address ' Telephone No. Contractor Mailing Address 113 L L Fireplace Total Valuation Telephone o. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee J ' - G PLUMBING NoT @ FEE !N' PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Z Z _ yip A. P. No. Ya Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F W .gawi•ta ien FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking PI s I Parcel Declaration Parcel Ma p 60' R/W' Improvements p Each additional outlet .30 -Building sewer 5.00 Bldg. ns Rec'd Parcel ApEroval Plans royal Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER �K Permit Fee $ $ Z Ary Sib 19 90 --) r/ ELECTRICAL No. @ FEE f4 PERMIT FILING FEE $3.00 Main service j00 AMP OR0V OR LESS5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADONST % ACCLBLDGS.LING OCCUP. 4') 20sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Profe sions Cod under the name style of:: �' vl NEW .RE SICO D. ( BRANCH CIRCUITS) NON-RESID ` BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES 5 L� FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 , License No.-^�/f�9 %��Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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 orkmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 1 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ 70OC TOTAL PERMIT FEE $ fJ e authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Datl® n L VermT_tee.r_A"g,.nt Receipt o. 12 0 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 f which fees have been paid. D E P OF BLIC WORKS BV4Date ires Date Building permit expQ MOB ILEHO!t 'SUPPORT DATA If other than single wide, Mobil ehome Mfr. furnish .Setup Model No. ,Y,6o> . ,,; Year _ Width -1 V (ft.) Box Length /-p)!2 (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) 1 On all mobilehomes manufactured after Octol,)e.-�-.7,. 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). t All center, supports measured from front ofQ,�°,�ir�. 1. mobilehome unless otherwise specified. % ti. �,�/Footings (check one) �i S ' ""J ©-T." Wood either pressure treated c foundation grade, (ft.)(i (in.) (in.) 2. Other (specify) Center su locatiQ port s^ Center -support footing sizes_ (in.) (in.) (in.) (in.) (in.) (in.) (in.) Supports (check one) F� . Concrete.block. 2: Other (specify) ragalong or Expando, show support details. Typical Support (in.) (in.) Footing Size �J -- Max. Pier Spacing (ft.)(in.) �r -- Max. Overhang - (f t.) (in.) verhang (ft.)(in.) BUTTE coultr� IJILDiNG DEPARTMEN1 APPROVED *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET U .. 1. Owner's name: TA G 4�,�2. I""' 2. Installer's name: ?f z> 3. Is the site currently under permit? Yes No (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify ) ( ) 5. What is the mobilehome electrical rating? ----------------------- o2d Amps 6. What is the mobilehome site service rating? --------------------- 62cSI!r> Amps 7. What is the mobilehome site circuit breaker rating? ------------- 44,25 S;,,- Amps 8. Is there,any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- (If yes, identify the load and size: (Load) 9. What is the mobilehome site gas pipe size? ---------------------- Yes / / No / 10. What is the type of gas service? ----------------------------- Natural / / 11. What is the gas pipe length from meter"or tank to the mobilehome? 12. :What is the mobilehome gas demand? ------------------------------ (Amps) (in.) LPG / / (This information not required,if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) (ft.) (BTU) iyrJ 5 COUNTY OFi:BUTT€ — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive —r Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT y990 M11i_ , BUILDING r 113; Owner G SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total'Valuation Tel phone No. 7'Permit Fee Building AddressS Plan Checking Fee &/orPenalty Permit Fee PLUMBING No.1 @ FEE %. PERMIT FILING FEE $3.0047a O Each 1.50 �� Q,�pihQ V 1fice4ion Only Repairr drainage drainage or vent piping 1.50 A. P. y— Z ?�� �� SRT—! Zoning $. lanning Water piping .ic58 Each gas water heater or vent 1.50 es •aW-9- Sa Ion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Parcel sans Declaration Parcel P 60' R/W Im r p ovements Each additional outlet .30 Building sewer -5r.90 Q dg. Plans Recd Parce A royal I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ permit Fee $ Q $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00 0V OR L Main service 1000 AMP ORSLess 5.00 Si0l7 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L too AMP 2.50 v rM SQ. FT. FAINIMU biVV J��✓�r,� fOVtel�tCc , MOBILES Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100. AMP 1.00 NEW OR ADDNST ( ADWECCLBLOGS.LING CCUP, Y� 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: /Z/ L„5,v 5fO NEW RESID. BRANCH CIR T NON.CONST (BRANCH CIRCUITS 2.50ea NEWCONSTR. POWER APPARATUS 8 NON .RESID, (SINGLE OUTLET CIR. Ex. Occuo{OUTLETS OR FIXTIIRES 1 5 L250 Ex. Occup.(FIXED APPLNS. OR OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 p License No. 3e].9&/ Classification . Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ Z A$ S� 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. ElI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 1�I certify that in the performance of the work for which this 1 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. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No.1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ Land Development Fee $ $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent i4eceipt No. /✓te-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. DIRECT F PUBLIC WORKS By Date %” Z y 7 i w 9 -i Z lding permit expires Date ' 1 PERMIT NO. AU 823-79B PERMIT EXPIRES ' OWNER Jack DisiSto CONTR. owner LOCATION (A.P. 64-22-48. Y 315 LaFayette Cir., lot 68, PP#14, Magalia .t I i ti t 4 Temp. Power Pole Called PG&E k Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB n O, FI NA LED !�f (Date) (Signature) Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Wall; Relnf. St Bond Be m I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING. (Cont'd) D" Z Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding. To out Roof SheathingWater Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for physically Appllances IREP SPRWKLERS Framl i Test Stucco Final Mesh ME HANICAL Scratch Heating Brown Cool in g Finish A Ducts Interior Lath Ventilation Door Closer - Final MOBILEHOME UTILITIES Elec_ Service Water Piping Sewer BI E OME INSTALLA NON --------- ----- Support Water Piping Drainage DATE REMARKS QR CORRECTIQ�S_ . LftrCJ �2& Gas Piping & Test Temp. Gas Sanitation Final E Rough Fixtures Grd. Fault Pr Service Temp. Po e Undergrolind Pennan t Final Elec. Pe stat Gas Piping Elec. Continuity Gas Piping MB G "A'7io a_co� (NOTE: An entry must be made on this form each time you visit the job site.) L COUNTY OF BUTTE - DEPARTMENT OF�IJBLIC WORKS 7 County Center Drive - , Osovi Ile, California 95965 Telephone:'534-4541 ' ' APPLICATION AND PERMIT 4us --,;, 9 An authorize representatives -of the Countvy of Butte to enter upon the above-mentioned property for inspection purposes. � p Date Sig ture o elrmitee or Agent Receipt No. 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. DIRECT F PUBLIC WORKS By '� _ _ Dater] —/ - 7 ilding permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Oa r�iv Cf� GQ0.ao Mailing Address Telephone No. Contractor [Fireplace Mai I i ng Address Total Valuation Telephone No. Permit Fee Q8 Building Address v? G6� Plan Checking Fee &/or Penalty Permit Fee C� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 o f,' �� r A. No./ Cv 7 rZ lning & Planning Water piping 1.50 Each gas water heater or vent 1.50 'P.. FJS 4..1 . Sa on I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Pa cel Plans Declaration Parcel Map 60' R/W Improveme Each additional outlet .30 Building sewer 5.00 Bldg. ns Recd Parcel A val PIXT Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ 6�,1, c3G ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 800V OR LESS 5 0� Main service 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 OVER Main service OVER e0ovPOR LESS 25.00 AM Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. N 2P Sq ft OR ADDNS. ACC, BLDGS, / 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.OUTL T NON.RESID (BRANCH CIRCUITS) 12.50ea NEW CONST R. POWER APPARATUS & NON RES— ESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRESBAL@1 BAL�1 FIXED ALNS Ex. Occup. ( OUT ETS P(RESID )KEA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 License No. Classification I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ MECHANICAL No. @ I 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. El1 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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and Statp I aws relating to huildina construction. and hereby Land Development Fee $ TOTAL PERMIT FEE$ O authorize representatives -of the Countvy of Butte to enter upon the above-mentioned property for inspection purposes. � p Date Sig ture o elrmitee or Agent Receipt No. 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. DIRECT F PUBLIC WORKS By '� _ _ Dater] —/ - 7 ilding permit expires Date Velliquette It e a I E s t a l c 6779 Skyway 1',uadisL, Ca. 95969 • 916-877.8800 James F. Glandur Chief. Building ].nspectur -County of BuLLe 7 County Center. 1l1:ive Oroville, CA 95965 Lear Mr. Glander, '.Clue undersigned owner of r.ca.l 1)r.oper. L -y, loc:1Led at �r __� - +t'• _ oZ - l?ri�; r#lu(-!GI.Qd OUr i nvesL•.igrlt.i.on, as to the status oP Lho.i r. .i.mprovemenLs concerning building permits ,incl/or cc)mt)] ct. i on crirt.i r icate s. P.1case note your comments below here and return in the enclosed enve lope. n;,t.urc cif 11u.i ldi.ng Date J nsp. or Rely. Than you, Howard Ve.l1iquetL-e Realtor Serl i s approval _— Da Le '. i OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: John Milano ADDRESS: 14711 Lafayette Circle h CITY & STATE: Magalia, CA 95954 IMPORTANT: DATE OF CLAIM: November 4, 1987 SEE INSTRUCTIONSON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT i Owner has decided not to do work. (Bldg Permit Appin. #3438-87B,E, Receipt #00049, dated 10/14/87, A.P. #64-22-48). Building permit fees paid ------------------------ i Retain filing fee -----------------$10.00 Retai c ---------- Amount retained-------------------------- $41.25 Refund due------------------------------------------------ $62.50 j �.. Electrical permit fees paid----------------------- $22.00 I Retain filing fee= --------------------------------$10.00 Refund due-------------------------------------------==--- $12.00 1 I REFUND DUE ------------------------------------------------ $74.50 $74.50 1 I TOTAL $74.50 1, the undersigned, declare under penalty of perjury that the services or articles claimed have k Perform or deovere and that this claim is true and correct as stated. LL� Dated this �/ .................. day of ,,,�Q L/........ , 193 at ', Calif ;` /!2• t/�........................... Sinet re of Claimant I, the undersigned• hereby certify that, to the best of my knowledge, the services or der cies specs ' d above hav een performed or de- livered and that there{. is a Budget Appropriation ❑ or Specific Board Approval 1D (Chet ne) for the some. Dated this ............ 4th .:.............. day of ...KQ.Y..eMbjer... 19 ... 8.7at ....Qromiller.... . Calif. .......... ... ... ... .......:..................... e men t Heed or Authorize uty Code 440-002 Exp' 4210500 Const ermits ........................................... Code ................................................PAYABLE FROM ............................................................................... "I FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB: OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. y� 6,1!-22-48 d floor/gar) l DEPARTMENT OF PUBLIC WORKS Permit#3438-87B,E(add secon. .ille, California 95965- Telephone: 916/538-7541 - APPLICATION AND PERMIT gnro 0 EL NUMBER ZO G L BUILDING PERMIT. OWNER Akeao TELEPHONE .SQ. FT. OCC. BUILDING VALUATION OWNER'S ILl G ADD`RE�S CONTRACT R' N M TELEPHONE " CONTRACTOR'S MAILING ACFDRESS 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 $ Energy Plan Checking Fee $ . ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 11 A azyz.� Permit fee $ PLUMBING PERMIT Filing Fee 10.00 -�pr 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 W 0.00 ea TYPE OF W' RK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: _ G Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service aODV OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declareiunder penalty of perjury (check one): rl�J� 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.457V'Z-`� Classification d`1 P 1>EX, ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW ADDNST DWELLIN GOCCUP &S. '/Z0sgft NEW CONSTR. ULTI.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS IN (SINGLE OUTLET CIR. i QCCUp�O TS OR FIXTURES 20 G 50t eAL930 L030 FIXED Ex. Occup. OUTLETS P(RESID,)REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Q,I'shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation / permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabili 'e ,judgments, costs, and expenses which may in any way accrue against ounty ' co sequenc of the granting of this permit. — X Date t - Owner El Contractor ❑ Agent ❑ Sig at re of Appyi-l" An HA permitrequired for excavations over 5'0" deep and demolition or construct- ion o structures 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP, cONST.TTPc I IFL0001PARCEL.1 PD I ND I ISSUE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt NO. � 1�5�-�/ WHITE-D.P.W., YELLOW-ASSE330R, PIN •INSPECTOR, GOLDENROD -APPLICANT r .�-�-- �� l�� �� s �� F Flo AIT �v�t 3:3S' dump +4 �1¢•.." XrN rm� M-__�ea� �.�+Sit;L Ye�xy,_ ���e��{�`�' �`'ttie� ? t._ �c,�?'i. :,s .vv N ROOF TI THE COMPL ROOF S.VfWQT G (91 a .. - .lsrv.a--r _ .+'-y: .sv ;:.►.0 ....Y ]cM ta..!..a !rc..-ice ...,.... _ .�..-•Ze-...n.:.J.,r,.s .�+r.�:....rv+ha'Rt.�i- COUNTY OF BUTTE - DEPARTMENT OF RUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL`E, CAUP 1. RNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET OWNER Proposed BGilding Use Permit No. Atl Building Inspector / Date /&- ^/ II v At time permit application, I was advised the following data must be submitted prior to permit processing and./or issuance: DATE RECEIVED APPROVED r/ 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. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . .. . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) . 14. Owner -Builder Verification (Given -to owner❑, Mail to owner ❑ ), _15. Improvements may be required. . . . . . . . . . . r 16. Mobi lehome Installation Data. . . . . . . . . . Pre-Inspec.request to (Date) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 13 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. 7�Z ssue the per l rocess as fol lows: Mai l to owner, Mai l to contractor. phone / y� and hold for pickup at��ffice, Deliver w/inspector. Other Applicant t *-date I Copy of plans sent Health Dept., Fire De t., 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, o ne as advised of above required data by one_ mail_counter by date-_ f0 107 Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date y Plans checked by Date Plans approved by Date -2-,Sets of plans on hold in File cabinet AP folder: - Hours: 10:00 a.mS ;„3:00 p.m. Copy—DPW .. i y�JL 7-c 06 fi-DD17-io1k11-9L ► cis/ 6116-7> zo(