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Home My WebLink About064-220-057., , _......-. ... __.. 64-22-5.7.., . r OT�SELIZABETH PLUSH 6085 Dana, Circle, Magalia Contr McDonald Const A Permit#2093-84P-E,(util,, MH) EKEC — GAS SUPPORT STRUCTURE REQ yl COr1PACTION-TEST -REQ 64-22-57 Contr: Richard Van Stavern,•Paradise j Permi627-85MH Is. 'ued�p— 7-5� 64-22""=57--- `:3508-90B , PLUSH, Elizabeth - 6085 Dana Circle, Magalia +�) I (open-deck/MH)-,' X064 22-0�057,t4" ""' v .„ -'-2780'`:,.. ... .,� �. 92 y B;��,, PLUSH, `-Elizabeth� ,�. �' 6085 Dan a Cr ;q Magalia," •"` w.4"!' 'deck'/mh ' .3 !y i I? v -RESIDENTIAL 064-22-0-057 91-2780 B PLUSH, Elizabeth 6085 Dana Cr, Magalia deck/mh JOB FINALED (Date) _ Signature J=OK O=Not OK -N� Ready *MOBILE •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 DECK$COVERS, CARPORTS, GARAGES, (Plans)OK except #'s on' equirements-Setbacks-Easements Zj. ootings s -Size -Depth -Spacing -Connectors -Steel ecks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- 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 -Panel boards -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 O = Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except tt'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 ft'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 ft'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/Meeh. Fasiners-Bond Gas & Water --------- ------------------------- - 2 Appliance Circuts in Kitchen & Conductor Size/GFI ------------------------------------------------------- 28. Subfeed Wire Size ! ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or At --------------- -------------------------------------- ------------------------------ 29. --------------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 -------------------------------------------------------- 33. Smoke Detector ---------------------------------------------------------------------------- -- Date Card B-1 Date Card B-1 -------------- ------------------------------------------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except n's 34. A.C. Ducts Insulation & Support ------------------------------------------------7-------------------------------- 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 Card B-1 Date Card B-1 ------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft'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.-Rfng. 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 ft's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector -------------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. 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; Clbarances-Hearth 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 73.-A.C.-Duct in -Garage -Damper --------------------------------------- 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection - ---------- ----------- 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. 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. 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. ---------- --------------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 Date Card B-1 _ Date Card B-1 Date Card B-1 - Comments at Final: C" 122 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlller California 95965 - Telephone: 916,`538.7541 APPLICATION AND PERMIT PERMIT NO. 92-2780 A33ES3OR PARCEL NUM13ER 064-220-057 ZONING RT 1 � r BUILDING PER IT OWNER ELIZABETH PLUSH TELEPHONE 873-3893 SQ. FT. OCC. BUILDING VALUATION 120 OPEN 840 OWNER'S MAILING ADDRESS 6085 DANA CIRCLE MAGALIA 95954 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 840 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 21.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6085 DANA CIRCLE 95954 MAGALIA Permit fee $ 56.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 148 SUBDIVISION NAME PARADISE PINES UNIT 14 PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome[j Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 1 1 @ 15.00 TYPE OF WORK New ❑ Addition[E Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work:_ OPEN DECK FRONT _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service V OR LE 200AORLESS 18.50 Main service 200A TO IOOOAI 37.50 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. DWELLINGoCCUP .&\ OR ACDNS. ACC. BLDGS. / 3.64 sq.ft. NEW CONSTR. M ULTI.OUTLET NON•RESI BRANCH CIRC ITS @ 5.00 /POWER APPARATUS e (SINGLE OUTLET CIR. p OUTLETS OR FIXTURES Ex. Occup( o 20 76 Ex. Occup. OUTLETS P(RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 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 g 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 all liabilities, judgments, costs, and expenses which may in any way accrueHAz against said County in conseque� of the granting of this permit. X I � /y -- Date &�f -`45- ��- Signature pplicant — Owner, Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 56.00 DFEES IMP FLf�bD ►/ COF -� PAR PD H ISSUE This permit is hereby issued under the applicable provi sions of the Butte County Code and/or resolutions to do work Indicab v or which fees have been paid. IR OF PUBLIC WORKS By ,.. Date 8�.27-YZ PERMIT EXPIRES Date ,Z ,- "") q14 Receipt No. / WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, 0roville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property. Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest.opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1'. I personally plan to provide the major labor and materials.for construction of. the proposed property improvement (yes or no) 2. I (have/have not) �j /� �— 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 Co'ntractor's --License-. No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work 'indica'ted: Name _ Address Phone- Type of Work Signed: Property Owner t2� Social Security Numb@�V 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. /41. �e - 0(0 —�� —0 —OS% l�Dus�j COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET /+ OWNER �L �Z..ACAW-1 /'tVfy �No. Proposed Building UseAAI-S„ e -,J C/t 2'�'� Building Inspector C1 Date Z At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ' DATE RECEIVED 3Y 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 . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. .......... . 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ........................ 13. Flood elevation letter (100 year flood Cali rnia Engineer . .............. . Sanitation and plot plan approval v=Health Department. .....:..... . � 15. City of Chico plumbing permit . ......................................... 2 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). .. ... ction req ... . Pre-Inspeu� 20. Pre -inspection for required. .. to Building Inspector. (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............. . 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. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... 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 . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation _ Acreage Applicant Gc�-2 Date �z- 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 prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. .2 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phon _ mail Counter y a e Contractor, designer, owner, was advised of above required data by _ pho _ mail Counter by _ Date Plans checked by Date Plans approved by Date i Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works t TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance Location AP# Owner Plan Approved for: Sewage Disposal Water SupplY Hold final for: Water Supply Final clearance O.K. for: Cie NOTE * * * mobile home. -- Water Supply -z ow Dacte Sanitarian -COUNTY OF BUTT.E_=_D_EPARTM.EN_:O.F PUBLIC WORKS - ' /'� PERMIT NO. 7�County Center Drive = Orovllle;•Celllornie 9591 - Tolophone: 916.'538..7541 APPLICATION AND`POMIT ASSESS C Z `_ r f .�. x.,- r . - ei—,r , .1 - BUILDING PERMIT OWNER - -- - - PLUSr� TELEPHONE S0. FT. OCC. BUILDING VALUATION eQ73'3Qf3 .--i^1"L�6/�r o y� I OWNER:0 �sG ADDRESS �!� �I� /O //%�• l..�l. / J�� CC___/ ' CONTRACTOR'S NAME -F. T TELEPHONE CONTRACTOR'S MAILING ADDRESS I `�"1 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ - r Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 1, G ARCHITECT OR ENGINEER •• LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS , _ Permit fee $ , (J oL% PERMIT Filing Fee 15.00• •PLUMBING r� GA e— 6 0 �� D ,�� . Each Trap- 5.00 _ Solar or heat pump water h ea 20.00 I LOT NO g101,-,--s SUBDIVISION NAME / � U -j,, PARCEL MAP`+ Water piping 7.00 Each•gas water he3eer or vent 7.00 USE OTRUCTURE FOther Gas piping syst 1 - 5 outlets 5.00 SF [:1Duplex❑ Mobilehome Building sew 15.00 SPECIFY Mobile Ho S G W @ 15.00 TYPE OF WORK New%_; Addition Remodel❑ Utilities❑ Installation❑ Other❑ Permit Fee $ Describe work: ODP,J do, c k F<o,-/ V-,- _ Contractor ELECTRICAL PERMIT. Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW t U NEW CONST.(DWELLING ocC.e) 3.64sq.ft. p jy (Check one): I declare under penaltyof perjury ) OR ADDNS. ACC. BLDGS. NEW CONSTR ULTI-OUTL@ 5 00 ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON-RESI BRANCH CIR ITS POWER APP ATUS e ) and Professions Code and my license IS In full force and effect. (SINGLE OUT ET CIR. License .Jo. Classification Ex. Occup(OUT,LETs FIXTURES A20 76 I, as the owner, or my employees with wages as their sole compen- FIXED AL Ex. Occup. OUTLET IRESID IREA.) I 3.00, sation, will do the work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) Mobile Home Fa lilies 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and'Professions Code for this reason Permit Fee! $ — Contractor WORKMEN'S COMPENSATION INSURANCE 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 shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Ventilation 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 permit Fe $ _ 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 Energy Inspection Fee S to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. ' .,OCC - CONST TYPE TOTAL FEE $ 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 HAz DFEES IMP FLOOD CDF PARCEL PO HD ISSUE against said County in consequence of the granting of this permit. I I I X 0 Date �'� y This permit is hereby issued under the applicable provi- Signature Applicant - Ownerl!T Contractor ❑ Agent ❑ Bions of the Butte County Code"and/or resolutions to do' work. indicated above for which fees have been paid. An OSHA over S'0" deep and demolition or construct- ion of Structures toverr3gstoriesoin height. DIRECTOR DIRECTOR OF PUBLIC WORKS By Date Receipt No. PERMIT EXPIRES Date WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY 6F BUTTF BUILDING DEPT COUNTY OF BUTTE.- Department of Public Works ,] n i�� 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 z A_5 5 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit._ No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of . the proposed property improvement.(yes or no) 2. I (have/have not) for the proposed work. signed an application for a building permit 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 14A Signed: Gz�� Property Owner Social Security Num _ - Date le ---C? -.3 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of-the_Califo.rn•ia .Health and Safety Cod -e. This verification must be completed and returned to our office before we are per- mitted to issue the permit. C( AN 5 200' 180' 160' 1:40' 120' M 40' 20' Yhis set.of plans and' NOTE:—All FVlatarials & Workmanship Shall. Beni, , , P ficatigns MjUST: be Accordance with Recognized Good Practices a kept on the job at all times and it is unl 'F�,+ftll tc . make any changes.or altera icn6 oh.'s' a wft'out of a quality prascribddiforthe Specified use in they .. ; ;written permission frofr?tl� l7epa meat o fi t' i 1�m Uniform Building,, plumbing &. Mechanical Codes and: `Works, County of Butte. �' , 'utllic the National Electri(* :Codg. Location of structures & r equiprnent shall be as shown ' — & clear of all easernariti.' A� LZ AP)RpVhQ Bu}t Count En '>hental He4ith, :ENVIRONMENTAL hIEAITH; i . • alb' Set kc'° k , ��e�� AUG -6 1992 h� ::, ipARAOISi , CA6.IFORNIA It • ; s--7 . . ' � �� -• UNr�7�:/� � /df �/�f8': j�l� �/r�i � �'s�.sy . `' � ;_ T i 071 .�a BQTTTE 00uNTY eld UILDING OEPAMTMENT P,:R;! P. •20' ? I .40' 60' i 80' ! 100' 120' ; ; c i 140' , i i 160° ;. I =m soI o'0 m u2D 0 0 �.. -� F m, 0Z a0 vel c; z .0 c rzc . /HAMXZAIL MEI&HT M P\ -X? 6" Obi , D x� ` iL . ---I L .-9 a "a - 3 -P L wl ' - v 0 VAR/ES 56" MIN-: . CD��0 N Ep 1p [P.--iKA rt 48" >•., MAX. . a n �v m M _ I_ X` - • r TYP. LN G` ,, R LLN... 2n 3"(o "MIN. S TA A-0` rn . � - W i DT±+41. �CP Lu -a r, 0 3 mA Ac,. .. N rn �. azo x =m soI o'0 m u2D 0 0 �.. -� F m, 0Z a0 vel c; z .0 c rzc . /HAMXZAIL MEI&HT M P\ -X? 6" Obi , D x� ` iL . ---I L .-9 a "a - 3 -P L wl ' - v 0 CD��0 =m soI o'0 m u2D 0 0 �.. -� F m, 0Z a0 vel c; z .0 c rzc . /HAMXZAIL MEI&HT M P\ -X? 6" Obi , D x� ` iL I") L L N Ep 1p [P.--iKA rt 48" >•., MAX. . n �v _ I_ X` - r LN 2n 3"(o "MIN. S TA rn . � - W i DT±+41. PERMIT NO: 2'093-84P'E(MH) PERMIT EXPIRES j OWNER OTIS &.ELIZABETH PLUSH CONTR.. McDonald Const, Mag ASSESSOR PARCEL 64-22-57 LOCATION 6085 Dana Circle, Magalia F COPY Datei E pate t. 4, • Temp. Power Pole Called PG&E _ Temp. Elec. Service // Called PG&E Temp. Gas Service Cal led PG&E' JOB FINALED (Date) A y' Signature �/ t J = OK 0 = Not OK = Not Applicable MOBILEHOMES = Not Ready t MISCELLANEOUS Date MOBILE OME UTILITIES (Plans) OK except H's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's oni g Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—.Easements "its; Special M upport—Sketch 2. Footings; Size—Depth—Spacing—Connectors Swer; Lo on—TAst—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails .- Wter; Location—T asement Needed (Sketch) 2/ 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing Electricity; Location—Clearances—Gpfid�/ L% Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures Kli 6:' Gas; Location—Test—Wrap:/ /"L"ft./ P'Nat. rl_"ft./3 LPG 6. Carports; Windows—Doors 7. Utility Clearance j 7. Elec. 1 Card -BI I Date —f__Card-BI Date Card -BI Date Card -BI ' Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILE ME INSTALLATION (Plans) OK except N's Date POOLS (Plans) OK except b's 1. lzthoT Requirements—Setbacks—Easements S 1. Setbacks—Easements 2 oot' gs; Size—Spacing—Marriage Line j 2. Soils; Compaction—Structure Stability " 3. H Test—Demand—Val —Connector i 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4 lec city; MH Test4br sovers—Breakers—Clearances ! 4. Elec.; Receptacles and Lighting; Distances—GFI 5. rain; Test—Fall ex Connector 5. Elec.; Pool Lighting; 15 volts—GFI �t—Regul or onnector 6, Elec.; Enclosures; Conduit Entries—Terminals—Listed 7 and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater rC��illand Electricity Tagged B. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghig. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit xi nsp.—Sketch 1 ert. of Occupancy 9. Health Department Approval I 10. Plumb; Cir. Test—Water Supply Test Card B -I hrDate Card -BI Date (Card -BI Date Card -BI Date Card B -I Date (9Card-BI Date Card -BI Date Card -BI Date I X10 r� no " X (0-D J = OK ' 0 ='Ndt OK Not Applicable Not Ready RESIDENTIAL (Single'and Duplex) � Date UNDERFLOOR Plans OK exce t#'s _Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. 3. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth Ftg., Garage; Soils -Steel- / /" Ftg. Depth 49. 50. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except k's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. 16. Water Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. 19. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Card -BI Date Card -BI Date Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except N's 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. 23. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E) Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails &Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage &Wood -Earth Clearance Looked under Floor ❑ Yes 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes ❑No Service -Riser Conductors & Ground -Main Disconnect 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes C] No; Planters Dyes ❑No 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32, 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86, Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Date Card -BI Date FRAMING Plans OK except q's Card -BI Date Card -BI Date Comments at Final: 36. 37. Sills; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Sh_thng_.-Rfn_p_.__ Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 t 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE. K NNER 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. /I Inspector �[ Date 1. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE & 1WNFR r OEM; 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� E Inspector*��'r% Date �12 G MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS —`7 COUNTY CENTER'DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. jr Address or location of mobilehome��J '�L!/'��%�l ��/t{ a' Owner's name /lig rj-f— / / .•+ // /% Owner's address T Insignia or hud number 4 Manufacturer's name Serial number of V.I.N._f�-�l? /`�+ / Year of manufacture (Official Approving Installation) (Dote) '. r. a > ,l IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED -WHEN THE MOBIS EHOME IS'INSTALLED ON A FOUNDATION SYSTEM. 1 5138 ` White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLIGATI-ONIND PERMIT PERMITNO.a o ASSESSOR PARCEL NUMBER mom._ ZONING 2 BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION WNE/R'S MAILIN ADDRESS p / CONTRACTORTEPHONE C1 CONTRACT R'S MAILING ADPRESS d � Fireplace C TRUCTION LENDER- UNKNOWN Total Valuation $ Filing Fee $ LENDE 'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT N,` SUBDIVISION NAE }� / PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF [:1 Duplex[] MobilehomeOther '//////"'''"""""" SPECIFY Building sewer 5.00 Mobile Home (G W II 10.00e t,Q t9e TYPE OF WO New Add ition❑ Remodel❑ Ut'lities Installation❑ Other❑ Describe work: — Permit Fee $ (e6E) Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service GooV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 S NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21/20sgIt 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 Professio s e .an y license is in full farce and effect. License No. Classification �t ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET 2.SOea N.N.RESID BRANCH CIRCUITS) NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. 20050c Ex. Occup(o OR FIXTURES 6AL®ao FIXED A FIXED APPLNS, OR EX. Occup. OUTLETS (RESID.) EA, 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code; you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 liabii' s, judgments, pests, and expenses which may in any way accrue agains d Cou ty in co s 'quence.of t granting of this permit. %� Date �'� Signature of Applicant — Owner ❑ ontractor g? ---Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ ��— OCCUP. GROUP TYPE OF CONST. PARCEd ✓/ PD ND ISS This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR,QF P LIC / BY ;ZMDate PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS �- �� Receipt No. 1,0 -9? WHITE-D.P.W., YELLOW-ASSe5SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 8'i�2f��JE'i FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. �'. .. 0� N�- �4I d herein is adjacent to land or: included The property describe acen j within an area zoned- for agricultural purposes, and residents of this.: F,,,, , �; property may be subject to inconveniences or discomfort arising from ;�Fiq.. rEt,t;l;;1i►�" the use of agricultural chemicals, including, but not limited to herbicides, pestici and fertilizers; and from the pursuit of agricultural operations including, but not 1 -ted to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: - S 7 \ , !�/mo i' �` S C jam' nuc < 4"V'- -T— Z0 7- i)� Date : July 18, 1984, PCT 0 ER State of CALIFORNIA ) ) SS. County of SAN MATEO ) On this me, the the 18th day of Ju 1 Y 19844 _, before undersigned Notary Public, personally appeared OTIS L. PLUSH and ELIZABETH M. PLUSH Personally known to me. f)V Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) are - subscribed to the within instrument,and acknowledged.that they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. OFFICIAL SEA., ALBERT RUITER oy� NOTARY DU8LIC - CALIFORNIA T ' SAN MATEO COUNTY My comm, expires AN 25, 1985 Notary Public Present A.P. No. .VLA -2.Z -S `l COUNTY OF BUTTE - DEPARTMENT OFI PUBLIC WORKS ffRMIT NO. 7 County Center Drive - Orovilie, California 95965 - Telephone 916/534-4541 APPLICATION- AND PERMIT / o ASSESSO PAR EL N MBER -s ZONI G r BUILDING PERMIT OWN q- P_ Z f TELEPHONE SO. FT. OCC. BUILDING VALUATI OWNER'S MAI INC /,(y��p DRESS CONM�ACTOR'S AME �ar ELEPHONE CONTRACTOR'S M 1iILING ADD SS �40 r`aeC- Fireplace CONS ICA et ION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.0 LENDER'S MAILING ADDRESS Permit Fee $ IS: 00 ARCHIT T OR ENGINEER K� LICENSE NO. Plan Checking Fee $ Penalty y $ ARC ITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 06" go BUILDING ADDRESS 0 Do /i (OC./V �i�f Q l Il (; PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LO / `O 0 `C SUBDIVISIONNA1 _W / tl PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeOther SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Rem I ❑ Uti I'ties ❑ Instaliation)d Other ❑ Describe work: 6, r VV VV Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 00V OR LE i00 AMP OR SLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ACDNS. ACC. BLDGS. 2/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): �.RESI 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. S 7 / q-_� Classification (O f ❑ 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 offeredMobile for sale. (Sec. 7044) 1 ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. U TI -OUTLET 2.50 ea NO N.RE'ID BRANCH CIRC ITS NEW NONCONSTD. SINGLE OUTLET CIR.R. POWER APPARATUS & ExOccu zo@soa . p�OUTLETS OR FIXTURES 13AL®30 EX. OCCU FIXED APPLNS. OR p• OUTLETS (RESID.) EA,) 2.00 Temporary service 10.00 Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree. to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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)I ..in conse uence of the granting of this permit. X V��'�, `"�„ — —�Q-' Date i Signature of Applicant — Owner ❑ Contractor � Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over�/3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE ��•�Q 0CCUP, GROUP I TYPE OF CONST. IPARCELI I PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT F Pt� By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS e -� , Receipt No. aol WHITE-D.P.W.. YELLOW -ASSES R, PINK -INSPECTOR, GOLDENROD -APPLICANT MOB 1LMIUME SUPYUK'1 Ueln -,;-, 'If other than single wide, Mobilehome Mfr. furnish Setup Model No.0 G — 00q- Year 19 jdidth 24- (ft.) Box Length(ft.) Tagalong or Expando Size — ft. x `4-- ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and.structural setup sheets (if not on file with the County of Butte). All center supports measured from t of mobilehome unless otherwise specified. 1 y Footings (check one) Single y LJ Wood either pressure treated or foundation grade. ..s F,(in.) (in.) ® 2. Other: (specify) Center supportCenter locations* support footing .sizes Supporta,(check one) (in.) 13-111"1 Concrete block.' x ��(—iinn.) E] •2. Other. (specify) (ft.)(in.) (in.) �.. E---4agalong or Expands; show support details. . (ft.)(in.) (in.) (in.) (Z- X30 -- Typical Support (in.) (in.) Footing Size (ft.)(in.) (in.) (in.) Max. Pier Spacing (ft.)(in.) i Max. Overhang (in.) (in.) (ft.)(in..) *If center piers are -other than drawn above, draw in -locations, spacing, and dimensions. • • wY/Q BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,,CA. - PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 0.cc_� 2. Installer's name: V0_111 f+ 3. Is the site currently under permit? Yeti / / No _l (If yes, .furnish permit number Z a S 3'- `F ) OR t 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 _1 ' ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- 100 Amps 6. What is the mobilehome site service rating? --------------------- 2�0 o Amps 7.. What is the mobilehome site circuit breaker rating? ------------- 1 ( Amps: S. Is there any other electric load to be'served by the mobilehome siteservice? -----------------------------------------------------Yes No (If yes, identify the load and size: (Load) "i (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- G 10. What is the type of gas service? --------------------- N Lural / LPG / 11. What is the gas pipe length f eter or tank to the mobilehome? / J off.) 12. What is the mobileh gas demand? ------------------------------ (BTU). (This inf ation not required if pipe length less than 6 ft. on natural gas or le than 50 ft. on LPG.) � /6a7�8� 4.oh re(ruiv'�� BUTTE COUNTY 9 -so le 0- BUILDING DEPARTMENT (3) 4) it30 " gt ago' (4) P.zo (3) 121 - 2 4 283 2. (2) to 3 256 2&6: (al H r � 2 s1 T L- 20 266 Ze.6 rL.= r FA -4 r A 4 OrE-4 A-4 C- 4 r -K-3 rZ, -4,,, P_.3 2 _Al Paz at 19) .4 4,'L (D mos =5 Q 4 =7 4 4 F.0—.0. r4 -:4 F7, F7Fqs 2, =-STQ CAr"CORAL 3 3 9-3— 11-8 1'!-210-7 5,0 6440(r4a. 4. sahtv flL - c x wulr-o 3 3r xx I 234 apt. buffet IV 3sal recept rot roo!j .1 %•66-016 CN -a cub. Pt. W2. Is, 3 BONUS L ROOM .14 3 % % % % @3 A Of R PAM. ss s 21 8�� Ids Sf. 140 21 3 3 %D 23 TA 7' 2 ItAL0. 2 A UU676^ go-go 24 �L2� z 4 S I R3T I - y I A--, Nova recept .6 0-t s O 7 U- B/R I toot jere. FR, 3, ZZO sf 24 VVR-3 N I( ;, '. - , \1 1 1 L/R 34 NO Q % is z. J24 240 sl 3 1 •t8i'1 11-10 p _j T, 11 Qb24 ll ! 024 24&e---SsI \-� 11 it'", 1 3 r, Y Y24 21-2- -13. lo. . am cAxvrjxtAL 4 Sm CArlIrLopm. NOTE:—Ail Mafe chis set ofplansand specifications MUS'1 t), a. I_�.r ` tma'ke.,any-�ci aAge -b -'a ti s _.t_ t o 1 �, t t ..., ,•• u�irt,:% ��rCs..r, ,f } .. .1r .i-. , I � J ; r ! � t - --F F --•- �?r , } 1 oP 71 ttt' J t�, lay e art. $% '._} } J a ; a wntten per ' tssgn ! - ' p' = , 1ftot1 s 1�5- t J oa5nd� T :WQ' [acs, � duntyi of�uttq. i�-_.i� (_.�_I_–' �_! +( , _. ;. t I 1 i I i 1 I i. I� 1 i �j i- _ _ �j �( f I T_ '�-, 1 Lr- j; 1 1 L -1 t t 11 i't T i TT jt- _ i ! i ' t , ; I it r - – ` - T r T 1 I I 11 1 T I_ 1' I_ T- .Tri i t' i I I I 11'' _ _ r i _ I 1I j_ i J..I _ r I Til'`' I ! LI J- I _r r -4-i_t— L I-71 ' ;- ' -- -F-- - - - r--+ 'HEY 4'' I t _-Irrl i ! I I I1111 t i l t eTT ti -+--1-- •i--;----�---� I I I • __i ._.i.�..-i.. —I 1 i 1 1 ' i `.j_.-� -i •�-1- - �--• � , moi-' {— _ 1 Z- I_Lr Ilaf %f f-;AtZa ' tif51a1 the' - ro ert _ �`- ,P P Y Irtes;ar> � s tb of_50ft:fhe_roael - centertin )( bo c -Tear -a - S1�bCtUT I P UNC 1 __.._.__-____—h ' T^ I r t I ,' l i ' � i I I r r i r 1 �� 1� ,�r 1 �`_ ! •-� , I „ '20' _ �L(rD�TX �, � _tom, -3; _ -- - - .-SU DING DEPA APPROV ,20 _...� -'_. _ _-_'� -_�0._ I _. ' r1_ _ 180 — _ _ _ 100 -_ _ -. - i 1 120 J40 i i 1 i AP # OWNER O....... ?IUs PERMrr IP MH UTIL. CLEARANCE DATE INSPECTOR ELECTRIC AS Support Struc. Compaction Test eq. iervice iizeLoad Other Type Pipe Size Len th YES NO YES N0 `l RES I0ENilaL J% 64-22-57 3508-90B $ _ PLUSH, Elizabeth `-6085 Dana Circle, Magalia p i (open deck/MH) /v9® JOB FINAI Signatur J=dK O=Not OK Not = Npt Readyable 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: / P L" ft. / /"Nat. or/ P L" ft./ /"LPG 7. 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,OVERS, CARPORTS, GARAGES, Plans OK except #'s 14""Zonjng Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel cks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmq; Sits-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof Shthg-Roofing t.; Steps -Doors -Landings Date and 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 -Panel boards -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 O = Not OK - = Not Applicable ' =Not Ready RESIDENTIAL (Single; n & Duplex) , Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor BOIts-Joists-Vents-Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B71 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic O Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes O No; Planters 0 Yes ❑ No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card 3-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card 8-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE - DEPARTMENT OF PUBLICW PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916(9)/ APPOtATIDN AND PERMIT n y . ASSESSOR PARCEL NUMBER 64-29-97 ZONING RT1BUILDING PER OWNER S TELEPHONE SQ. FT. OCC. BUILDING VALUATION 180 Opp 1 7(�00 OWNER'S DOR SS ADO§AS NW CONTRA TELEPHONE CONTRA MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is (� 700 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 16.00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING 085 Dana Cir. Magalia Permit fee $ 41.00 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 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other open deck SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S G W 10.00e TYPE OF WORK New X❑( Addition❑ Remodel❑ Utilities ❑ Installation❑ Other ❑ Describe work: open deck _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR L Main service 10000 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 - CONTRACTORS LICENSE LAW I declare under penalty ur check one): P Y of perjury I Y l ) ❑ 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.& OR ACDNS. ACG, BLDGS. , /z ¢sq ft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH I CRC ITS 2.50 ea ARTUS & /POWER APPA (SINGLE OUTLET CIR. ) EO Ex. ccu po UTLETS OR FIXTURES zo®soa BAL030 Ex. Occup. OUTLETS P(RESID IRE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 A_ 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 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 r 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 against sai County in consequence of the granting of this permit. X Date %// �r� - y� Signature Applicant — Owner X 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 $ 1 . HAZ CUA PARK SCHL I FL P R P [HJ IV& This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIREC R OF PUBLIC 44 By 6�& &I PERMIT EXPIRES ate �' �% the applicable provi- resolutions to do have been paid. WORKS D to 40 Receipt No. ::7-3 65702e— WHITE-D.P.W.. YELLOW-ASSCSSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT {�Sft ttyfr'b'+7•'aL 94 rfr". ti" +o'�.� R4`�y'k•`v Rt* a..f' }rtw!, Z. ' COUNTY OF BUTTE. - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION ` 7 COUNTY CENTER DRIVE - 0130-VallQ ALIFORNIA 95965 - TELEPHONE: 916/538-7541 - �- PERMIT APPLICATION DATA SHEET o rr Permit No. ` OWNERy' 2- -Z Proposed Building. Use G)ge-j ,00C`= Building Inspector Cs "� Date At time of p mit application, I was advised the following data must be submitted prior`t0 permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ..................................... 2. Plot plains 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 ..................................... 0 _—� 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW 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: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w./inspector` Other 111 Applicant Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date The.following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: By (Circle new item not checked above), Contractor, designer, owner, was advised of above required data by_phone--naiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —Mai l—counter by date Plans checked by Date la ns approved byDate Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance ale G. Rods N a C-,rtC(�. 2-2 - S7 Owner Location AP# T, 9 Plan Approved for: Sewage Disposal Water Supply yS Hold final for: Final clearance O.K. for: Clearance for bedroom mobile home. NOTE * * * Water Supply Water Supply Other ��' X to' .-A cetL. Sani an Date COUNTY OF BUTTE - Department of Public Works 7 County Center'brive, Oroville, CA 95965 Phone: .916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. /1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) S 2. I (have/have not) -_!,a g e v 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 Phone Contractors License No. City 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 persona. to provide the work indicated: Name Address . Phone Type of Work S ig-ned : Prope 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. OWNER'S MAIL 4,09 OONTq CTOR O ONTRACTOR ONSTRUCTIO ENDER'S MAI 7 County Center Drive - Orovllie. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT 22 —,S- 7 j�g-:?L NE3- 3% ' Ess ri/a Com_��.� 5s spy f EI.EPHONE KNOWN AIICIIITECT Orf aN71Nttan LICENSE No.— "'A A Eiil TEE T_ O."'AAEiilT€cr 65'ili5iiieen;i1iAiL4i6-;56 tE73 -niiii:uir7o Aonnii� GoSs A914"q C,Ac-i& LOT NO. SUBDIVISION NAME PARCEL MAP USE OF STRUCTURE SF ❑ Duplex❑ Mobllehome❑ Other 2 V42 sFEc1 FT TYPE OF WORK NewER'/'�Addltlon❑ Remodel❑ UllTitles❑ Installation❑ Other 11 Describe work: O.oa J Of C_ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of tire Business and Professions Code and my license Is In lull 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) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 em exempt under Sec. Business and Professions Code for this reason . WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit Is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 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: It alter 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. 1 certify that I have read this application and state that the above Information Is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for Inspection purposes. I also agree to save, Indemnity and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County In consequen -ot7I granting of this permit. X ate Signature of plicont — Owner Contractor D Agent An 0SI1A permit is ryulred for excavations ever 5'0" deep and demolition or construct - Ion bl structures over 3 stories in height. Receipt No. ?DT03 WNITE-O.P.W.. TELLOW•ASe ESsee, PINK-IWIPECTOn. COLOENn00•APPI. I CANT rc11141I IW. BU1LDIfIG PERMIT SO. FT. I OCC.1 BUILDING VALUATION I R n I 90,.-j— Q Fireplace Total Valuation $ Filing Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee _ Penalty Permit lee PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home S I G I W T I$ a $ S Filing Fee 2.00 _ 20.00 5.00 _ 5.00 5.00 5.00 10.00 "r o ./ 10.00 Permit Fee $ Contractor ELECTRICAL PERMIT FIIIngFee 10.00 Main service J$o nMv o lSLESS 10.00 Main service EA, ADO -L. too AMP 2.50 2.00 NEW LCOtJST• ( ACC. BLOGSCCUP,NI OR ADONSI 2/itsgfl NEw CONST—R—Ut_TI.VUrLET MON.RESIO. BRANCH CIRCtIITs) 2.50 ea Mobile Horne Facilities /POWFR APPARATUS e SINGLE OUTLET CIR. Ex. OCCU OUTLETS OR FIXTUn Es P 5AL03)t ALA o FIXFO APP HS. On Ex. Occup. OUTLETS IRESID.1 EA.) 2.00 Temporary service 10.00 Mobile Horne Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FllingFee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee OCC I coNSTTTPE $ TOTAL FEE $ �0 .AZ CUA PArIK SCHL I FLO I PAR I PO I HO I SSUE This permit Is nereby Issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work Indicated above for which lees have been paid. DIRECTOR OF PUBLIC WORKS By - - PETIMIT EXPIRES Date Date '200, 180' 160' 140, 120' 100, 80, 60' 40' 20' j-1 i j.., ... j.!, . X& U i NOW RNR CA , 36 .20'0. . .40 6 80' 100' 120- 140- 160' 4 Set4,dpk pf $ ft. t.rorn the set 4 plah-s bn8 s:pec'IfIcAdhs WP bt. property lin,es and a setback 01 0 W ft'. frprn lkroad kept on the job at all times and it is unlawful t cetiterline shall I be clear of make any ch . anges or alterations on .same with• structures or eq . uipment except out writtenRermission-from the Department for a 2 ft. eave-.overhtkng. Avo P-tiblir. Works, ot Butte. County 0r—AIL- BUTTE COUNTY HM: --All Materials & Workmanship Shop Be 1r, SUILRING-DEPARTMEN1 Accordance with. Recognized Good Practices' and of a quality prescribed for!the Specified-usein the Uniform Building.; Plumbing ;& Mechanical "Codes ajiA APPROVED ti;o,,.NationaLEte�te-ical.Cod'o. Pul A116 qd I 34.E J,' HAML)RRIL ME16HT 7q UO L }moi W II X so N o 70 Z r-9 C� T J. \ t' m 71 7:, 34.E J,' HAML)RRIL ME16HT 7q UO L W II so N o _ c Z C> ml73 II II �o�•MIN. �TA(R n r . w I DT4 v 7q 4P �O - o 'n ! y X r CD m m � G CD was ra �,. .. .;� n z i 0 ( -n C' a C �� Z j co r , � n 34.E J,' HAML)RRIL ME16HT 7q UO W II so N C> ml73 II II �o�•MIN. �TA(R n r . w I DT4 v 7q 4P c y X � � �� ate► ,;✓ y° �� . Af. l/ 7 II{!faS' C1pncry� r,��a.� Goy �a Gonu�dfVXO u1 i �� 46 G qq pbS�s