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065-110-059
JOYC AMILLER ILLER Rd9PMagalia.`814941� Permit 281 ,E(util, MH)ELEC-O N;4 GAS / WHITLOW, J.B. 5811B � > y - SUPPORT STRUCTURE REQ. -/ --- 681-66P 4.438P_ ✓ 5 COMPACTION TEST REQ._ i off sr5 Steiffor Rd. app. 1 moi. east of I� Per 81 : 65-11-59 Magda s /, �/�y �4 /� (new single farty) U -_ I' I 1 ^ i JOYC AMILLER ILLER Rd9PMagalia.`814941� Permit 281 ,E(util, MH)ELEC-O N;4 GAS / WHITLOW, J.B. 5811B � > y - SUPPORT STRUCTURE REQ. -/ --- 681-66P 4.438P_ ✓ 5 COMPACTION TEST REQ._ i off sr5 Steiffor Rd. app. 1 moi. east of I� Per 81 : 65-11-59 Magda s /, �/�y �4 /� (new single farty) U -_ I' I 1 JOYC AMILLER ILLER Rd9PMagalia.`814941� Permit 281 ,E(util, MH)ELEC-O N;4 GAS / WHITLOW, J.B. 5811B � > y - SUPPORT STRUCTURE REQ. -/ --- 681-66P 4.438P_ ✓ 5 COMPACTION TEST REQ._ i off sr5 Steiffor Rd. app. 1 moi. east of I� Per 81 : 65-11-59 Magda s /, �/�y �4 /� (new single farty) U -_ I' I i 65-11-59 2814 PEF 97 i MILLER, Joyce PEF 14941 Cory Rd, Magalia (util, MH) Ow Col. ASSESSOR PARCEL LOCAT N r S / rFle-2 /nil?92/AC Msr 01I�G4ot-iA o -i LifFr- i. r P. f I Temp. Power Pole _ Called PG&E_ Temp. Elec. Service Called PG&E Temp. Gas Se -'-- Called PC JOB FINALE[ Signature =-OK ' 0 = Not OK = Not Readyiable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s mooning Requirements -Setbacks -Easements ils; Special MH Support -Sketch . S_ewer; Location -Test -Fall -C/O -Concrete er; Location -Test -Easement Needed (Sketch) _ ecttle1fy; Locat(a-Cleara ces-Gnzel V?,00/ Amp one Gas ocation-Test-Wrap: / /"L"ft. / /"Nat. or/lj,,TP" L" ft./� P'LPG . Utility Clearance Card -131M O Date 9:181Prd-131 Date Card -61 Date Card -131 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1!Zoning Requirements -Setbacks -Easements 2/Footings; Size -Spacing -Marriage Line Gas; MH Test -Demand -Valve -Connector lectricity; MH Test -Crossovers -Breakers -Clearances in; MH Test -Fall -Flex Connector ater; MH Test -Regulator -Connector . Water and Sewer Connected -C/O to Grade -HD Appri ,8. 92s and Electricity Tagged ".its; Insp.-Sketch 10 ert. of Occupancy Card -B1 Date Card -61 Date Card -61 Date Card -B1 Date I r MISCELLANEOUS Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Con nectors=Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing - 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures } 6. Carports; Windows -Doors { 7. Elec. r 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -Bi Date Card -131 Date Card -131 Date Card -61 Date ) Date POOLS (Plans) OK except #'s 1. Setbacks -Easements r 2. Soils; Compaction -Structure Stability 1 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI j 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-Enclosu res- Panel boards -I ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date . Card -131 Date Card -61 Date 0=Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready I , Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 50. Garage Fire,P.rotection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Card -61 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -131 Date 67. Stairs &Rails Card -131 Date Card -131 Date 68. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 69. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 71. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 72. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 73. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuts in Kitchen &Conductor Size/G.F.I. 75. Plb., Elec. &Mech. Equip. Listed for Location 28. Su Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. or Cu or AlA 78. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 99. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth 31. Equip. Clearances Panels-Motors-Mech. Equip. Clearance Looked under Floor ❑ Yes 32. Clothes Closet Light -Shower Light -Spa Light 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 33. Smoke Detector 8i. Stucco; Brown -Finish Card -B1 Date Card -131 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -131 Date 83. Vents Above Roof; PIbg.-Appliance-Firep I. -Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -131 Date Card -B1 Date 92. Roofing Certificate Card -131 Date Card -B1 Date Card -B1 Date Card -131 Date Card -61 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors Card -131 Date Card -B1 Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) 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 C0RRECTj1- N, ,,N0T10E OWNER ` PERMIT NO. V "A n Cl 1 A routine inspectiornoicates that�th�e ,following viola3Pbns of County Or'd�nance exist at the above address and shouldibe 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 r />,-.%'qr-),_Oot C C /,..004,.,,no S' Inspector, �� //%%� Date MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF.PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. Address or location of mobilehome J Owner's name Owner's address { s C4 t Insignia or hud number i Manufacturer's name— Serial ame Serial number of V.I.N. / Year of manufacture (Official Approving Installation) (Date) BIF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DE�PART:MENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO� ASSESSOR PA CEL NUMBER ZONING BUILDING PERMIT" OWNER` Ile TELEPHONE C Ue17 SQ. FT. DCC. BUILDING VALUATION OWNER'S MA INGADDRESS �a15 7Sq CONTRAC OR'S AME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$u Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / i � C& r 124PLUMBING Permit fee $ /• pJ 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❑ Mobilehom� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e 2_;9 e TYPE OF WORK Neo Addition ❑ Remodel ❑ Utilities Installatio Other ❑ Describe work: _ Permit Fee $ a,. O Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 VAMP ORLESS10.00 0.l� Main service EA. ADD'L 100 AMP 2.50 �s(j CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ) ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS 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) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP.& OR ACDNS. \ACC. BLDGS. , /zQsgft NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e (POWER OUTLET CIR. ) Ex. OCCUp�OUTLETS OR FIXTURES 20®90QSAL030 FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ,s. Up Misc. Wiring g 15.00 Permit Fee $ O WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation. Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws.relating to building construction, and hereby authorize representatives of the 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, judgments, costs, and expenses which may in any way accrue against said Count in conpequence of the granting of this permit. X �_� Date / Sign re Applicant — Ownero Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 33 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 92 ) HAz cuA �- PARK scHL _ F D AR D HO I This permit is hereby issued under of the Butte County. Code and/or work indicated above for which fees D) TOR PUBLIC 4e BY PERMIT EXPIRES Date the applicable provi- sions resolutions to do have been paid. WORKS Date - /— Receipt No.�</ WHITE-D.P.W.. YELLOW-ASS[SSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILCt, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No.- OWNER- o.OWNER l�_� f //�'e� A. P. No. _/' /I Proposed Building Use Building Inspector 40eA Date 1 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 duplicat replicate signed by preparer of plans........ 3. Complete plans in dup nplicate, signed by preparer of plans 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) ' 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ....................... :................... 11. Park fees paid ...................................................... 1 School District fees paid ..........::"E:�... . 13. Sanitation approval from ���/t�4� Health Department 1 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements:) 16. Planning approval for (A) Use: (B) Parking: e 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required ...... Pre-Inspec. request to Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... ZA�2. Owner -Builder Verification (Given to owner 11, Mail to owner ❑) .. z 3. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows:ail to owner. Mail to contractor. _ Telephone r72���i1i4 and hold for pick p at office. Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire De t., Other Date The following data must be submitted prior to permit issuance:Ircle new item not checked above). 1. Index permit for above items No. /A 2. Additional items required: 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 _maII—counter by date Plans checked by Date Plans approved by�� Date Sets of plans on hold in File cabinet AP folder � .s Copy—DPW r TO; Building Department FROM: Environmental Health SUBJECT: SANITATION CLEARANCE OWNER Plans approved for: Hold final for: . L CATION AP A Sewage Disposal Water Supply Final ClearanceO.K. for: Clearance for ? % bedroom mobile home. Other Clearance for addition of N o t. AN -07,416- A -i Water Supply Water Supply —b DAT E Rk.urn to DPW AGRICULTURAL STATEMENT. OF •ACKNOWLEDGEM);NT FOR RESIDENTIAL DEVELOPMENT Sec .ti.on 26-8.1 of. the Butte County. Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned ' .for agricultural purposes, and residents 99-032049 I Ree Fee 5.00 of this pr. operty may be subject to incon- Check 5.00' veniences or discomfort arising from the Recorded ; use of agricultural chemicals, including, Official Records but not limited to herbicides, pesticides, County of PAMYSHOWN and fertilizers; and from the pursuit Butte ; of agricultural _ operations including, Candace J. Grubbs I but not limited to cultivation, plowing, Recorder ; spraying, pruning, and harvesting which 2:22Pm 24 -Aug -89 RB 1 occasionally generate dust, smoke, noise, tura.l zones which have and odor. butte County has establ i shed ay;r i c(I I as a priority use. for productive agricultural within said zones and on adjacent property should be purposes, qnd rcsidcn�:: prepared to accept or disconfor.m from normal, necessary farm operations. such i nconvr•n i c.n(-r• All that real property situate in the County of Butte, State of f 01. lows: California, descrihcrl :is Date: <J �Z- .State SS. County of ) PROPERTY OWNERS: On this thec�day of 19�, before• mc•, the undersigned Notary Public, pe nally appeared Personally known to me. Proved to me on the basis OFFiC1�1L SEAL of satisfactory evidence. o be the person(s) whose name(s) �� PATSY I CARTER ubscribed to the within instrument and acknowledged tl�;rl. m NOTARY f 18L:C • CALIFORNIA g --- BUTTE COUNTY xecuted the same for the purposes therein contained. LN WI'I'Nl;ti . My comm. expires MAy 13, 199? HEREOF, I hereunto set my hand and off.ici.al. seal. 1680 i.toc , OM&4, pA OWN Present A.P. No. < - / _ .S otary Public- �� �._ a /- � 9 COUNTY OF BUTTE - Department.of Public Works 7 County Center Drive, Oroville., CA 95965 Phone: 916-538-7541 OWNER-BUILDER.VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued.until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) >!e 2. I (have/have not) h ,9-J e- signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. J plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security N r Date a 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 - DOART&NT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT '11_?PEE A��MI T j 10.. Z O/L} — r111* ASSESSOR PARC/EL NUMB5R ZONING BUILDING PERMIT t OWNER 1 6 JJCe Il TELEPHONE t?SQ. FT. OCC. L BUILDING VAATION O ER'S MAIL G ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACT'OR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER OUi� UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' VV Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS , Permit fee $ , 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❑ Mobilehomee�, Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home G W S 10.00ea. TYPE OF WORK New ❑ Addition ❑ Remodel Uti 'tie Inst Ilatiork Other ❑ Describe work: -44 DI— -"� _ 1:7 K. I " P 1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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,S+ OR ADONS. � ACC. BLDGS. , /zOsgIt NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr SINGLE OUTLET CIR. I EX. OCCU OUTLETS OR FIXTURES P e0@50 CI 2ALO 30 FIXED APLINIS, Ex. Occup. OUTLETS PIRESID IKEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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 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 said County in consequence of the granting of this permit. X�.ac/_ Date Si atu a of Applicant — Ownerk Contractor ❑ Agent ❑ n OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures overp3 stories in height. Mobile Home Installation Fee $ - 0� Energy Inspection Fee $ occ CONST TYPE �7 ,�.11 TOTAL F E $ / V 0 HAz CUA —' PARK .__ Sc F PAR PO 1. HD Is This permit is hereby issued under -ions of the Butte County Code and/or work indicated above for which fees R TO OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date ��� Receipt No. 7 1 / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENTtOF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLk CALIFCYRNIA 95965 - TELEPHONE: 916/538-7541 / PERMIT APPLICATION DATA SHEET Permit No. .� OWNER A. P. No. <_-/� �� Proposed Building Use Building Building Inspector Date < c At time of permit application, I was advised the following data mus_ t be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 46. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 0. Chico Urban Area fees paid ........................................ 1. Par fees paid................................p.................... 12. a ��' School District fees aid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing permit ..................................... . 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use* ►L (B Parking: �� I �S 17. Improvements may be required. Map CIO 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Ins ection for re Ulred .... Pre-Inspec. request to p q • • Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows:N lVIdI1 ner. Mail to contractor. —XX TP.Lep alan ckup a42.,a_0_office. Deliver w/inspector. Other Appl ican Date 9 - a 5/- S- /c' Copy of plans sent Health Dept., Fire Db'pt., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. 2. Contractor, aeslgner, owner, was advised of above reg4lred data by_phone_-jnail—counter by date Contractor, designer, owner, was advised of above rreequ�i ed data by—phone —mal l—counter by date Plans checked by Date Plans approved by 77�2 <5- Date __ 't Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - Department of Public.Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. . 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) e S . 2. I (have/have not) �� Ve 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 L14azp Social Security Nugn er - Date 2 _a 5//-� 8 7 NOTE: This Owner-Builder.Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. J i �Crfii pis NJUST bs i Sam ker.on fins j at alt f"nes and it is c�nlavfi#ul +c , no ark ce ,noonpQr++�+ssion fro the Depavt wA td iII qd§d6S NOTS:--.Rtl N►s�teric�?s & �d`� er'::a�:-n�1=�� �i�a?? �e i� Of 0 �i116�©Cfii ��i�1 tCj��Cli<3t�d Cj; l�ts� riaf:¢�Cii codesGi�iCi Plat'ron� �'e�,ir►c�l �ode� ----------- 7--, ` c.l ( 4/s o 9 ` 9 Of 3 j NF w X06 d �S 1 tea' 40 ls'Z"PE ,26 ` a51- �_Dvvi�t �vo� ;,r-: a.5Q,/' 10 from the m p� seof V ft• setback lineS and a ,Roperty . of 50i -t. from clear �{ centerline. be ® uipm®nt exCeP� structures or q anA• eave 0Verh IN i r v 1` t- S-0 - --------------- Qt 8X t W N OVER h4CA OWNER / PERMIT lk !% 4/ MH UT IL . CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test -Req. Service Size Other Load Type Pipe .Size Length YES NO YES NO /0 p 0,� ', o� s / X 2� A e L&f,ra ( .,41 :S C) BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: a)( C 'C_ 11,15e 2. Installer's Name 3. Is the site currently under permit? Yes [ No (If yes, furnish permit number . ��1'J) OR�Q.� Is the site an existing site? . Yes F] No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear'of all setbacks and easements? Yes �No F-1 (If no, clarify 5. What is the mobilehome Amps electrical rating?---------------� C d V. 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- v _ Amps 8. Is there any other electric -load to be served by the No mobilehome site service? --------.-------------- ---------- Yea (If yes, identify the load and size: (Load) of ('Amps) 9. What is the mobilehome site gas pipe size? -------------- 10. What is the type of gas service? ------------------- Natural. a — (in.) LPG . [�]_ 11. What is the gas pipe length from meter or tank to the / ---- -- t mobilehome? --------------------------------------- ��(f .) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This .information not required if pipe length less than 6 ft. o- natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA ,{- If other than single wide,/ CZq Mobilehome Mfr. ® km fL��'�furniah Setup Model No. Years. I Width (ft.) Box Length S�7 (ft.) Tagalong or Expando Size ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) wood -pressure treated or foundation grade. a2. Other (specify) SUPPORTS (check one)[A. Concrete block. a 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Main Beams------,,,,, Main Beams Tag or Triple Line 1 Piers: Size -Min- ------------ k Spac Ing -Max ---------- From -•--"'--From Ends -Max. ------- Line 2 Piers: Size -kin. ------------ Spacing -Max.--------- b rr From Ends -Max .------ I.i ne _I Roof Loads : Size -Min. ------------ Location (From Front) Line 4 Piers: size -Min .------------ Spacing -Max---------- From Ends -Mex. ------- ]toe I Oyeoin&*: Size -Min. ----------•------- rrx rr Each Side of Openings With Width over --------- Line 3 Piers: (Under Bearing weir vnay/ Size-Min------------------- Spacing-Max - ------------------Spacing-Max----------------'From Endo -Max ------------- Size-Min ----------- ----- --- Size-Min.---------- Spacing-Max---------------- From --- ------From Ends -Max -------------- Size-Min ------------- -- -- Sise-Nin.----'------- rr rrx rr rrx a '�x n rk n ax a rrx n ux u Location (From front) Q .r � Livl�a P.L.F. • 2GS 8' 2b3 -p Kulti-vide mobile hoses. require addit_ 1, supports at bearing points along the cen r7 line. The supports (jac:s) gust have a = city that will support the ridge beam 1pild . The chart indicates the ridge beaa load,, 4% pounds. and the locations for footings 4-111 supports at bearing points along the ceime;gs line. The size of footings are shown la q �, inches for various soil cocditions. A support pier should be selected for Smah location indicated for your model. The capa- city of the support pier sball be equal to or greater than the pounds required in the ridge bean loads column on the chart. For additional footing requirements refer to the home installation annual. � � Q G I H KAUFKAN AND BROAD HOME SYSTEMS, INC. SPAnl e14Axi7- 4 FEDERAL MM JFAMRED 'MUCTION A B Piers 0 .& Footings D .Require "ts E F load - lb, 280'0 (0312 7718 8410 1{208 soil 2000 .404 q09 I I I Z l Zit (oOCo . capacity iSOG 270 (OC.Yo 7A 1 gp$ 404 footing 2000 202 455 55(0 SCG 30'x. sq. in. : 2500 1 3b4 4 15 1485 !Z45 � � Q G I H KAUFKAN AND BROAD HOME SYSTEMS, INC. SPAnl e14Axi7- 4 FEDERAL MM JFAMRED 'MUCTION Q U HOUSING C' b SAFETY STANDARDS j JAN 04.10 � I . CL � � Q G I H KAUFKAN AND BROAD HOME SYSTEMS, INC. SPAnl e14Axi7- 4 le BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number S_ (( _ ,S� Building Department No. School District �o-� �;.5-P-- City = County Jurisdiction Property Owner % toyc- i ��h Project Location/Address - �/���( y c . Subdivision Lot Number Residential Development: ICj3 El Sq. Footage FF # of Living MH Addition (Group R) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) 4k\ O ilding Departmen presentative t, Date 1 (Floor Plans reviewed by School District Personnel) District Id 1 has complied with the requirements' of Resolution No. by the aym n of $ p2� v� /� © representing square feet. h da. School District Representative at PAID BY CHECK NO REMARKS: > / _ �• BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88)