Loading...
HomeMy WebLinkAbout065-190-058I a Y 65-19-58 065-19-0-058 ~" • ..00-1448 -+ Dorothy Dignan AKERS, LAWTON`& HELEN r 160 Greenwood Dr., lot 447, Fir Haver J r -14568 HOLMWOOD, MAG �TA= �G/7/� CONTR: OWNER � ; Sub, Magalia 9iAAt Permit #56 ; 78P,E(uti1MH) :`'GAS LINE'&PROP TANK( ELEC. GAS ,C el- SUPPORT 9TRUCTURE REQ. COMPACTION TEST REQ. A— { thQ.Q, G 7 78 65-19-58 l� Contr: Oakmont MH Center ' •- Per mit, #,2,6,0,6,-,7,8MH , > •W , ':Issued��� ; 65-19-58 f NEW OWNER ALBERT & DOROTHY LEWIS 160 Greenwood, Paradise PErmit ##3377-79E (ele ser ch )MH r% 65-19-58 t ; �L LEVI 17� 160, Greenwood., ,Magalia,:lot..447 r Contr: Clemons Davis MH, Chico Permit##3975-79MHI (existing site)' `+ Issued - 65-19-�8 A L. L. AKERS 14568Holmwood, Magalia�� .Contr:-B. Roberts Const,, Chico `Permit#2804-83B(n'ew private garage) r • 65-19-58 --3146..=89B,P,E ' AKERS, '-Lawton- &• Helen, ' (new cabana/MH). r 065-190-058 `•*'',PERMIT 790 AKERS, L.L. i 14568 Holmwoodi - Maga a + - `_Relocate Sub.Pane Misc Ele/MH ,e - ' .065-19-0-058 ' i, 00-1448 AKERS I AWTON &HELEN ` ` .14568 HOLMWOOD, MA'GALIA. 'CONTR: \OWNER GAS LINE & PROPANE TANK WL • I • i f ` E COPY ;.. �arF:, OFFICE {.Address" GAS Meter By .,.,ELECT. ' Met ate,-,- COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (00) 5TB-754 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT -�4_ r 9 0�. ASSESSORPARCEL NUMBER obs- 9-0-0 ZONING BUILDING PERMIT OWNER TELEPHONE SO, Fr. OCC. BUILDING VALUATION OWNE��SAM -1"1NG,�ESJ391 , MAGALIA, CA 95954 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 14568 HQUIk ti MAGALIA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 13. Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ZE]Buildin Describe Work: GAS LINE POR PROPAXE TAW Gas piping system t - 5 outlets 15.00 sewer 15.00 Mobile Home I S I GI W 1 920.00 PERMIT FEE _ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole c • ensation, will do the work, and the structure is not intended or offered for )� I, as owner of the property, am exclusively contracting with licen ontractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section • 3700 of tl�e-�aol-bC-o�g r the performance of work for which this permit is issued. My­*Ff "-eenapo, mns eLcgCrier and policy number are: Carrier ���``� Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less:h � I certify that in the per�manc of the work�'ctrwWch this permit is issued, I shall not employ any person\in any manner so -as become subject to workers' compensation laws of Califa�ni t,'hg6`ggreiat ' should become subject to the" workers' compensation provisions of section 3 of the Labor Code, I shall forthwith comply with those provisions. \ X� V Delte ( _ `-Signature of Appkid �ca O AgentAn OSHA permit is requiredand demolition or constructionof structures over 3 stories Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. so 3.5¢FT. "ZIC.0Ip. ' MULTI- OUTLET 97,50 APPARATUS 8 SINGLE OUTLET CIR. EX, OCCU OUTLET OR FIXTURES BAL ® 1.30 0 Ex. Occup. OUTLEEDrs R6 O.)MEn 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling f ood i -6.50 PVentilation _ -ERMIT`FEt S ' Mobile Home Installation Fee $ Energy Inspection Fee $ OCC - CONST. TYPE -Y TOTAL FEE $ 35.0 i' HAZ. p, FE IMP FLOOD CDF PARCEL PD HD ISSUE This ermit is hereby issued under Of u t�ode and/or i IC `for which fees have PERMIT EXPIRES I� 1 the applicable provisions Resolutions to do work been paid. Date o �� 3 1086) Receipt No. vt WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ILI COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION Ap 7 Count 'Cent& Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT NO.. (Rev.12/96)• APPLICATION AND PERMIT - �- ASSESSOR PARCEL NUMBER 065-19-0-058 ZONING BUILDING PERMIT OWNER LAWTON. & HELEN TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNS-"b"NG "1391, MAGALIA, CA 95954 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MaUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCEN SE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 14568 HOLMWOOD MAGALIA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome (X Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other J] Describe Work: GAS LINE FOR PROPANE TANK Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 14 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 37DO of the Labor Code, I shall forthwith comply with those provisions. o(,2t,Z,L Date :�, 2 Ignature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" eep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADDNS. ( d ACC. BUDS. 3.5¢FT. r,Gµq°ESIDT MULTI -OUTLET @7,50 S POWER SINGLE APPARATUS OUTLET CIR. OUTLET 20 °'•00 Ex. Occup.BAL o .50 Ex. Occup. pUTLEEpfg R=p,°E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.0 FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES IfpgNQ the applicable provisions Resolutions to do work been paid. Date (!J Receipt No. C WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,,..COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION IV 7 County O'entee0rive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96j APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER [)c0 �._ ! o^ mNNG BUILDING PERMIT oWNER�� �/ I�� TEuIPNONe SO, Fr, OCC. BUILDING VALUATION CONTRACTOR'S NAME CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MNUNO ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEER'S MAILING ADDRESS BUiLOINGADDRESS l.•.l .+•� 1 LOT NO. I SUSDNISION'SHAME PARCEL MAP USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome K Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ %%Utilities ❑ Installation ❑ Other Describe Work: I-., _ Fireplace Total Valuation b Filing Fee $ Permit Fee S Plan Checking Fee $ Energy Plan Checking Fee $ Misc. Wiring a PERMIT FEE S PLUMBING PERMIT Each Trap Solar or heat um water heater Water piping Each as water heater or vent Gas piping stem t - 5 outlets Buildingsewer Mobile Home S G W PERMIT FEE S ELECTRICAL PERMIT Main Service Lw OV OR LESS 200A OR LESS Main Service 200A TO IOOOA 20.00 Filing Fee 1 20.00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 ng Fee 20.00 23.00 46.00 3.5¢FT. @7.50 Ex. Occup. OUTLET OR FDMRES wO W 1'00 SAL @ .30 E%. OCCU FIXED APP LNs. OR OUTLETS ESLD. EJL 5.00 Temporary Service Home Facilities E23.Mobile Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 1 20.00 6.50 PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC COIGT. TYPE TOTAL FEE $ � IISSU-E . D. FEES IMP FL000 COF PARCEL PD H This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON .� <•. .., .. q �,.-w•-c r.'�/-:.•.R.a..:<vs^�t: cri► , zs.F.iv'.2Cj. %'4'11 - w.-.s^�"'. - l s (q'+r :rh =�' r•r.,..��•_"'<.n '-•c AV" '^ -r t_ ,•!�.,'tS',r:.�„•,,.%,,• '�`*�.i ��+-.r-j',.'°1 X065-190=058 _ PERMIT07'07 ;-AKERS - L.L. •� t i„ �*s'ri'a 14568 Holmwood ,y�Maga1 s` Relocate Sub Panel'&,Misc Ele/MH �j f ( J -v .F a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DJ,VISIO[4� 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 , HERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT" ASSESSOR PARCEL NUMBER 065-19-05$ ZONING BUIL ING PERMIT OWNER L.1, AAEiZS TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS P 0 BOX 1391 IJAGALIA CONTRACTOR'S NAME WgElP. TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 14568 I101�i"i(100n i 1 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome.t] Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK X New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 1'10V S AI , MISC 14TRING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W1 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service ( zoon oa Less 23.00 • LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POW License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ff I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason Main Service TO 46. 00 WEE200A rCU000A NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLOB. SO so 3.50F. NEW CONST. MULTI.OUTLET NON-RESID. Ary @7.50 ER APPARATUCIR.S d SINGLOUTLT E E Ex. Occup. OUTLET OR FIXTURES BAL @ 1.50 Ex. Occup. ouxTLEEDTs AENS .oEEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 3.00 PERMIT FEE S O WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) M% I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 4;i X ___ Date Av 1 4 17 _ Signature of pplicant - Owner ❑Contractor ❑Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE w FEES IMP I FLOOD I CDF PARCEL PD HO ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date ` / 7. Date Receipt No. 218$85- WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIO i County Center Drive - Oroville, California x'5965 - Telephone (916) 538-754 �j Q P RM yp. (Rev. 12/96) APPLICATION AND PERMIT / (f ASSESSOR PARCEL NUMBER 065-19-058 ZONING BUIL INGPERMIT OWNER L. L. AKERS TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS P 0 BOX 13 1 MAGALIA CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. S USDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome X3 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK X New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MOVE SMOPANEL MISC WIRING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoo. OOH UEss 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors License Law for the following reason: 1>� I, as owner of the property, or my employees with wages as their sole compensation, Will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A 46.00NEW CONST. DWEWNG OCCUP. OR ADDNS. ( d ACC. BLDS. SO 3•5¢FT. NEW CONST. MULTI -OUTLET NON-RESID. ANC CIRCUITS 97.50 POWER APPARATUS 8 SINGLE. r. CIR. Ex. Occu OUTLET OR FlxruREs gql @ 1.50 Ex. Occup. DFIx�s aE�s o oR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE t • 00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed it the permit is for work of a valuation of one hundred dollars ($100) or less.) 21% 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ Date vv L1 Signature of pplicant - 9LOwner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PD HD Issu This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have B PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. %.,, Date [�f' —(c7 — Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 peimit. No building permit will be issued until -this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES[ NO[ ]. ' .2.: I HAVE[�,J - HAVE NOT[ ] signed an application for a building permit for the proposed work . 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S 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: NADH:: ADDRESS: CITY: PHONE: . CONTRACTOR'S LICENSE NO. S. I will provide some of the work but I have contracted (hired) the following persons to provide•the work indicated: _ NANCE ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: �• SOCLkL SECURITY NUMBER: -, DATE: 6 ��3iW 1 7 l NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER FA Dear Property Owner. An application for a building permit has been submitted in your name hsung yourself as the builder of property improvements specMed- the responsible parry of record For your protection, you should be aware that as "owner -builder" you are rmits are not required to be signed by property owners unless they are personally on such a permit Building pe performing their own work. If your work is being performed by someone other than yourself. you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are. required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your o work, wi the exception of various trades that you plan to subcontract. you should be aware of the followin information fo our benefit and protection: I _ 0 If you employ or oth engage any per, as other than your immediate family, and the work (including materials and other co ) is 5300 or m9 for the entire project, and such persons are not licensed. as contractors or subcontra ors, th n ou an employer. 0 If you are an employer, yo must register 'th the State and Federal Governments as an employer and you are a and federal income tax withholding, federal social security taxes, subject to several obligatio includin workers compensation in_suran ility insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's. compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed. contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed "persons professing to be contractors is to secure an "ownerbuilder" building permit. erroneously implying that the property owner is providing his or her. own'labor and material. personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Con trac:ors State License Board in your community or at 1020 N Street, Sacramento, CA. 95314. please complete the "towner Builder Verification" .on the reverse side of this form to that we can confirm that you are aware of these matters. The building permit will not be issued until the -verification is returned. Sin rely, ' Ntichail C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This O%N-ner-Builder Information is required by Section 19830 of the California Health and Safetv Code. OVER (Rev. 12/96) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 -Telephone (916) 538-7541 APPLICATIM- 4 AND PERMIT PERMIT NO. ASSESSOR PARCELMUMM& /`S- _ D — 65 zowNo BUILDING PERMIT OWNER ` TELEPHONE So. FT. OCC. BUILDING VALUATION aWNER7 AOORJSSS / l & # aq I : COI R4=Rro NAME O ^ , ,� TELEPKONE COMMACTOR•S MAJUNG ADDRESS . GOtOTRJ)CitpN•�NDER , Fireplace IEMOER'S MAIUNG ADDRESS Total Valuation $ ' ARCKMCTOR ENGINEER UCENSE NO. Flino Fee $ 20.00 Permit Fee $ ARCNTECT OR ENOWEER'S WAJNG ADDRESS Plan Checking Fee $ / O BUILDING ADDRESS / /• � / ,n WO ` (fi / l'/ IlV Energy Plan Checking Fee a PERMIT FEE _ CM NO. SUSONMONSNAMEPARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF O Duplex O Mobilehome O Other SPEC"~ Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition O Remodel ❑ Utilities O Installation O- Other C3 Describe Work: /Vr 0 y 5V le --,F s-117749�G- . l u 19,Z N t✓ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS1G I W I @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fe6— 20.00 Main Service sow OR LESS 23:00 — LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700C) of Oivisz= 3 C1 'he Business and Professions Code, and my license is in full force and effect License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for. the following reason: O 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1,, as owner of the property, am exclusively contracting with licensed contractors to construct the project. O 1 am exempt under Sec. Business and Professions Code for this reason - - WORKERS' COMPENSATION DE ARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Q 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) O 1 certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions.. X Date _ Signature of Applicant - O Owner ❑ Contractor O Agent An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. Main Service sow TO 1000A 46.00 NEW ccNs:. OWEiLnao oeeuP.a .' OR ADONS. ( a ACC. SLOS. 3.505sc-�/ NEW RE°SID. MULTI OUTLET =7 50 POWER APPARATUS a swcLE ouTLEr CIA. .00 Ex. Occup. Ovnxt OR FDRUREs B20 @ 1.50 FIxEOAPPUs OR Ex. Occup. OunErs RESIO. EA 5.00 Temporary Service 23.00,—, Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE S . s - MECHANICAL PERMIT Filing ee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee s Energy Inspection Fee $ Occ CONST. TYPE �• TOTAL FEE $ Z. 1 O. FEES IMP I FlooO COF PARCEL PO NO ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON /oral Receipt No. - WHITE-O.D.S.-". . CANARY-ASSE OR PINK -INSPECTOR GOLDENROD -APPLICANT t Lk 8 3 6-89B,P,E Lawton & F Helen olmwood, Magalia bana/MH) Pi PES - -- - c OWNER CONTR. { sr j ASSESSOR PARCEL LOCATION 4 ) X' :u Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) /�� Signature = OK 0 = Not OK ' = Not ReadyMOBILE HOMES .: a MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date D KS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements ing Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch ' Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Gir04rs and/or J ' ts-Decking-Bracing-Stairs-Rails 4. Water; Location -Test -Easement Needed (Sketch) Wood Awn.; Posts- Beam s-Rftrs.-Con nec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete . 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance Rtlec. §,eFrmg; Sills-Anchors-Studs-Rftrs-Trusses X. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date. W. Roof; Shthg-Roofing. Card -B1 Date Card -61 Date )0.1. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s NTLzD ( .kG+4r *-y *41 r- ®2 d qA-W of &tr-, Etri, 1. Zoning Requirements -Setbacks -Easements Card-B1(0 Date )",U, Card -B1 Date — 6- 2. Footings; Size -Spacing -Marriage Line Card -B1 � Datelp, ,Ac, Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date 9. Health Department Approval 10..Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date 1 = Not RESIDENTIAL (Single and Duplex) = Not Applicable = Not Ready r Date �RERFL•OOR (Plans) OK except #'s Date FRAMING (Continued) Toning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 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 Protection 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-Su pprt-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 -Wal Is-Wndws Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 66. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -81 Date Card -81 Date 67. Stairs & Rails Card -B1 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. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. 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 Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 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; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 9i. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -131 Date 92. Roofing Certificate Card -61 Date Card -B1 Date Card -61 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -B1 Date Card -131 Date 39. Sills, Proper Material & Anchors Card -B1 Date Card -B1 Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings-Stairs=Chases-Tub 44. Header & Beam -Size & Bearing COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive- Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR EL NUMB z G BUILDING PERMIT OWNER/ ©�r ELEPHO� SQ. FT, OCC. BUILDING A N O OWN 'S ILI D ESS a CONTIRA TO 'S ME TELEPHONE CON C M A I LT NG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ — ARCHITECT OR ENGINYrR LICENSE NO. Plan Checking Fee $ = Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 2 �, eA Solar or heat pump water heater 20.00 NO. SUBDIVISION NAME ARCEL MAP __FLOT Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTU E// SO E] Mobilehome� Other a[�l�l Q SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e ,TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilit'es ❑ Installation❑ 0th Describe work: Permit Fee $ 22— Contractor ELECTRICAL PERMIT Filing Fee 10.00 101 OR L Main service 100 AMP ORSLESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main Service EA. ADD•L 100 AMP 2.50 NEW CONST. DWELLING OCCu . OR ADDNS. ( ACC. BLDGS. 21/2 Osq ft NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CIRC I S 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 9A 50 300 EX. Occup. OUTLETS P(RESOD.)FIXED APLNS.REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 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 PERM Filing Fee 10.00 Heating Cooling g Hood Z, 3,00 Ventilatio permit ee I $ ConActor 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 againstAl all liabilities, judgments, costs, and expenses which may in any way accrue against said County in c nsequence of the granting of this perm . X g ` Date Signature of Applicant — Owner El Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. M9 ile Home Installation Fee $ Energy Inspection Fee IFD�— occ CONST TYPE TO A F E HA cu PARK SCHL F PD ,R HD ISSUE This permit is hereby issued under Bions of the Butte County. Code and/or work indicated above for ich T OF UBLIC BY PERMIT EX IBES Date the applicable provi- resolutions to do fees have been paid. WORKS Dat Receipt No. ' © Q i s WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLD E D -APPLICANT 4-. 1 ,. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. I have contracted with the following per.son.(firm).to provide.the proposed construction: Name Address City Phone Contractors License No. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address- City Phone Contractors License No. 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: 4_ZdILd Property Owner r,( >0 Social Sec}r Date C3 / I S 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. TO Buildina Department FROM: Env.ironmental`Health. SUBJECT: Sanitation Clearance 010. ,' Owne.r Location AP# Plan Approved for: Sewage Disposal ._� Water Supply Hold.final for: Water Supply Final.clearance O.K. for: Water Supply Clearance' for _ bedroom mobile home . Other o �On .v.o Ojpi . „-f.._ NOTE * * * Sanitarian Date COUNTY OF BUTTE s -DEPARTMENT OF,PVBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CIPLIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER A. P..No. Proposed Building Use ,Qldd ,.. Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: -- DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 11 3. Complete plans in duplicate/triplicate, signed by preparer of plans .d: \ 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 includin'g-manufacturer's installation instructions............................. ........................... 0. Fees of $ r 11. Chico Urban Area fees paid ....................................... 12.' Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from t`nel r .R Health Department ot ' 15. City of Chico plumbing permit ..................................... 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 Ins ranee .................. \ 3. Owner -Builder Verification (Given to owner Mail to owner ❑) ..... Recorded copy of Agricultural Acknowledg ent Statement ......... 25. Letter of signature authorization ..................... ............. 26. 27. When you issue the permit,roces as follows: M Ito owner. Mail to contractor. Telephone .5 _ and hold for pickup a �'r office. Deliver w/inspector. Other i Applicant ��a Date Copy of plans sent Health Dept., Fire Dept.,. _ Other Date The following data must be submitted prior to permit issuance: (Circle a item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_—nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mai l—counter by date Plans checked Copy—DPW Plans approved by Sets of plans on hold in . File cabinet AP folder c NON-RESIDENTIAL BUILDINGS ENERGY CONSERVATION STANDARDS Statement of Intent for Non -Heated and/or Non -Air Conditioned Buildings ��5 , owner of the building to be constructed as.a .170 (please print') 1 za,lgD,5-cr 06 t)0 --2£D PO Gh under at (bldg.permit no.) (location) 4� , hereby certify. that I do not intend -to heat or cool this building in such a manner as to be subject to .other than the mandatory sections of the State Energy Requirements. I understand that if I do heat or cool this building in the future, that I .will be subject -to the energy requirements in effect at that time I understand that if I change the use or occupancy of this building in the future, that I will be subject to the energy requirements in effect at that time for that specific occupancy. I also understand.that if I become'subject to the energy requirements in the future, it may be-necessary'to redesign and/or alter (1) the.building*envelope, (2) the insulation.requirements of the heating, ventilating, and air conditioning systems, (3) the heating,.ventilating, and air conditioning equipment, (4) the service water heating, and (5) the lighting of the building to comply with the regulations. I'unders'tand that any of the above changes will require me to obtain the necessary permits, inspections, and approvals from the Butte County Building Department. Signature of Building Owner � / i Mailing Addre s ,�_��, X � /%f%.�I- 9��/ A Telephone No. 92 3 7 3 5—Y '''^'• VPERMIT NO. 2804-83B PERMIT EXPIRES��V OWNER L.L. AKERS CONTR. •B. Roberts Const ASSESSOR PARCEL 65-1.9-58 . • LOCATION '14568 Holmwood, Magalia t i. a r p; Temp. Power Pole � r. Called PG&E Temp. Elec. Service t Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date)'00e Signature i J = OK• 0 = Not OK - = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails T 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing_ _ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ P'Nat. or/ /"L "ft./ /"LPG 6. Carports; Windows -Doors _ 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1, Zoning Requirements -Setbacks -Easements Date _ POOLS (Plans) OK except N's 1. Setbacks -Easements c 2. Footings; Size -Spacing -Marriage Line 2. Soils;'Compaction-Structure Stability _ 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining___ 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date P J = OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL-(Sirtele and Duplex) � _ Date UNDERF OOR Plans OK except #'s Date FR4MIDw (Continued) oning requirements -Setbacks -Easements 48 row y Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49 xt. Doors -One 3' -Check Garage -3rd story, 2 exits g., Garage; Soils -Steel- / " Ftg. Depth idth-Headroom=Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5d on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52 iding-Nailing-Veneer mwalls, Garege-5ieeI-Blockouts-Wrapped-Slab 53 Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access _ 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Nzing Area -Glass Protection -Skylights -Plastic, She Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test _ 11. 12. Electric; Underground Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date 7-,V- and -BI Date Card -B Date Card -BI Date Card -BI Date Card -BI Date Card -BI <%2 Date Card -BI Date Date FINAL (Plans) OK except N's Card -BI Date Card -BI Date Date _ PLUMBING (Permit) OK except N's __14. Water t.; 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. Water P e; T i &Anchors -Nail Protection 16. D.W.V.;est Fttngs & Anchors -Nail Protection 59. Bedroom Exiting _ 17. Shower P est, First Floor -Tub Access 60. G.F.I. &Bath Fixtures &Tub Access 18. Test Tub JiMhower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Dat Card -BI Date 65. it. Fixt. & Appliance; Grid. -Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Ele eceptacles at Kit. Counter Date ELECTRICAL Permit OK except H's 67. Garage Fire Door Swing -Landing -Closer 68. A.C. Duct in G a e -Dam er 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Ve s -Clearance -Comb. Air-Connector-P.R.V.- In Garage bove Floor-Mech. Protection -- 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Ib., c. &Mech. ip. Lisle r Lo anon 22. Size Bo es & No. of Conductors -Stapled 71. les n Garage; F.I.)- mti Protec. 23. Romex I stalled Close to Edge of Studs & C.J. - -- 24. Equip. G ound ade up w/Mech. Fasteners -Bond Gas & Water 72, Insulation- -Looked inAttic es 73. Guard Rails ons tion -P t Caps 25. 2 Applia e C uits in Kitchen & Conductor Size -- _26. W Subfeed re ze / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Ho Door- inage & Wood -Earth Clearance Looked under Flo ❑ ,_ _ 27. _Insulated 28. Range Cir / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, r- N u al .'Yes �No Service-Ris Conductors & Ground -Main Disconnect 75. Following i st rive Yes No; Walks g � ❑ El Yes ❑ No; Planters No 76. Stucco; Br -Fi sh - 29. Equip. Clear nces; Panels-Motors-Mech. Equip. 77, A.C. Unit; Di o -Brkr. & Cond. Size -115V Outlet - 30. Clothes CI et Light -Shower Light 78, 79. 80. Vents Above R Ibg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground - --- Card B-1 Card B -I -- ------ - --- ------ - _Date ___ _-___ Card -BI Date _ Date Card -BI Date 81. 82. 83. Ventilation throughout House Glass Protection _ Corrections from Previous Inspections Date MECHANICAL (Permit) OK except p's 84. Gas Test -Meters Tagged; Gas -Electric - Card -BI Card -BI 31. 32. 33. 34. 35. A_C. D rjts Insulation & Support - Vent F xhaust above Insulation __. _- - _Condensa rain_& Overilow; Size & Grade Furnace e_ Access-Comb._Air-Return Air Vent -115V outlet Attic A cess & Platform if Furnace in Attic Date - Card -BI Date Date Card -BI Date 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date F A tans) OK except N's Comments at Final: _ 3 . 37. 38. 3 40. S' s; Proper Material & Anchors_ Walls; Studs -Nailing, Spacing & Bracing -_Plates -Sound_ Bear' Walls over Girders &_Floor Nailing-- -_ -_- -(rat proof) F' Stops; Furred Ceilings -Stairs -Chases -Tub __- s 41. 42. 4 46. Header & Beam -Size & Bearing ngers-Post Caps -Anchors -Connectors Joist Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Ties or Type A Flue -Fireplace Throat tic Acces : Size & Romex FS-rotection-Draft Stop -Ins. Baffles _ Bdrm. W _ s or_Exiling Doors-_Sill_Hg_t. &_Dimensio_ns___ _ rage Fire Protection Framing - - - (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE - DEPI�RTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 J APPLICATWIN-AND PERMIT PER IT NO. nn ASSESSOR ,QAR E UMBERZONING BUILDING PERMIT OWNER amm TELEPHONE SQ. FT. OCC. BUILDING VALUATI N �— OWNER'S AILING ADDRESS CO RAC R'S NAME 1 , lS=oF� E EPHONE C TRACTOR'S MAILrNG ADDRESS ^ (/ . Fireplace COINSTFfUCTION LEKDER I UNKNOWN Total Valuation Is ' Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 30 Penalty $ ARCHITECT OR ENGINEER'S MAILINA ADDRESS Permit fee $ BUILDING ADDRESS .d PLUMBING PERMIT Filing Fee 10.00 7 --3W ` W Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIV SIGN NA E PARCEL MAP Each qas wale ter qr, v t 5,00 Gas piping sy t 5 tlets 5.00 USEVTRUCTURE SF ❑ ❑ DuplexMobilehome Other SPECIFY Building sew r 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New❑ Addition Remodel❑ Utilities [:1 Installation❑ Other Describework: ' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10OV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (/ DWELLING OCCUP.& OR ADDNS. l ACC. BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Ln�4f 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code a d my license is in full force and of ect. License No. J i Classification C ❑ 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 NON -REBID R. BRANCH C.IRCT TS. 2.50 ea NEW CONSTR ER APPARATUS &') NON-RESID, LJE OUTLET CIR. Ex. Occu o o F T Es BAL®30 BAL@30 Ex. Occu : CAMS RESID.)REA.) 2.00 Temporary fr c 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self-Insure.shall not employ any person in any manner so as to become subject Kio 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 shal I 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 abo mentioned property for inspection purposes. gree to save, inde ni a keep h rmless the County of Butte against all iabilities, judgments, c ts, a d exp uses which may in any way accrue ai t said County ', on quen oft ting of this permit. Date �,$� Signature of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ O ocGUP GR uP M_�— of co 5T. JP71_1 PD HD SSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI TOR PUBLIC By. �' PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS D e �� �� Receipt No. Of�s S WHITE-D.P.W., YELLOW-ASSQSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT NO. 3975-79MHI ,existing site PERMIT EXPIRES OWNER AL LEWIS CONTR. Clemons Davis MH, Chico .rt LOCATION (A.P. 653-19-58 ) 160 Greenwood,lot 447, Magalia 10. 1 \ Temp. Power Pole Called PG&E irk -Temp. Elea. Serv. -- —7 Call.ed�PG&E t TempAGas Serv. Called PG&E e `INALED ( / 'Cly (Date) (Signature) ;A y. 9,trical service large enough to provide adef'uate'amperage-to mobileaome (must equal rating of 6mobilehome with a minimumof 100.amp) and.other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes2 No_ B. Is there proper clearances around panels? Yes Le_"`No C. Is power supply cord or feeder assembly properly fused? Yes_ No_ D. .Is continuity test satisfactory as per the following procedure? Yes-L,;'�No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral' conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above.procedure,'the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactorycompletion of the electrical tests, the lot or site, service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign -off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle R�/�ll�Mfl/lI , ��i4fl Ho" 15 YS 7E 5 Length Width Vehicle Serial No. K9 CA 5610 91z6sa K& CA S A ql;2&,_2. 44 DL_ L���' State Identification No. C�%'L /SS%�7 �5 7 649 Additional Information or Comments: P I3 �9 MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located witji required separation from lot lines and buildings 'and generally conform to plot plan? Yes_tZ No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yesv✓ No 3. Are footings and supports properly sized, spaced, and braced as _per approved plans? (Note possible variation .at spring shackles.) (Se 5082 & 5083) Yes V No 4. Is the mobilehome level? Sec. 5088 Yes7No -5. If more an a single unit, are crossover connections properly installed? (Sec. 5088) Yes 0 6. gWater 'A. Is :fle ble connector of adequate size and properly installed (1/2" ID mi:n.)? (Sec. 5566) Yes o B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes -LZ No C. Backflow - If co�}c}� not State of California approved, does station have backflow device And pressure -re f ave? Yes No 7. Wastes and Drains\ A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Ye.P/ No B. Does it have minimum k" per foot slope and is it properly supported? YesV- No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No 11;� D. If coach is Aot' ate of California approved, does station have required trap and vent? Yes No 'v I 8. Gas Piping and Gas Vents A. Conne r - Is mobilehome connected to tXgasly with an approved 3/4" minimum mobilehom connector not more than 6 ft.e: All piping is to be at least as large as the obilehome gas line inlet wctions other than the mobilehome connector. Yes No B. Test OK as per follows. procedure? es_ No 1. Open all appliance.co ector v ves. P 2. Shut off appliance burner pilot valves. 3. Air test with manomete to 10"-1 " water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) alibrated in t th pound increments. Test for 10 min, without drop. 4. Connect gas me r to mobilehome with connect o turn on gas, test connections with soapy water. C. Are all applje�ance vents properly installed? Yes_ No. - - COUNTY OP BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the Calif ornia,,Administrative Code, Title 25, Chapter 5, under permit number��%J��� for the following location: Owner - Owner's Address Mobilehome Mfg.'-', Model Year Insignia No ��_ r� Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White- Owner, Yellow- Installer, Pink - D.P.W. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS t BUILDING. INSPECTION RECORD ' BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor, Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab -Roof Sheathing Water Piping Piers -Roofing L% -- Sewer Garage Fdn. Vents Fixtures ' Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters - Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio - FIREPLACE Final, Footings Footing ELECTRICAL - Masonry Walls Throat Rough # Reinf. Steel Final Fixtures . Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Brown Finish 'i Interior Lath Door Closer MOBILEHOME UTI I Water Piping MOBILEHOME INS Water Piping p DATE Cooling Ducts Ventilation Final ------------- Elec. Service Sewer D -Support Drainage REMARKS OR CORRECTIONS Service Temp. Pole Underground Permanent Final MOM Elec. Pedestal Gas Piping Elec. Continuity 7 �' Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY'OF BUTTE . DEPARTMENT OF PUBLIC WORKS ` 7 -County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Wer & OR 0opTIty .CEw( S SO. FT. OCC. BUILDING V LUATION Mailing Address (o U 6IQCE j WO D O 04 _ MA Telephone No. 0 Contractor CZECMON S -012019 P10 QILE O Mailing Address ,2 133 25 YPI-4W90,r 4VE C 10b Fireplace Total Valuation Telephone No. 3—IQ Permit Fee Building Address k' CEr4 (o O G W too 0 L Plan Checking Fee&/or Penalty Permit Fee o PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. 0 Zoning & Planning Water piping 1.50 Q() Each gas water heater or vent 1.50 s iv-p-dn Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EOA Parking plans Parcelon Declarati Parcel Map 60' R/W Improvements Each additional outlet 30 wilding sewer 5.96, Q g. Plans Recd I Parcel A vol Plans A al Lawn sprinkler system 2 00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER � ,permit Fee $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 "f.0® S( le Family ❑ Dup ex ❑ Mobil Home [2'o� Others ❑ Main service 100 AMP OROR SLESS 5.00 `, 00 Main service EA. ADD'L 100 AMP 2.50 3'Q Main service OVER 600V 25.00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 OR ADDNS. ( ACCLBLDGS,NEW CONST. DWELING CCUP. Y\ 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: CL&A0NS — 6901.5 I0A(Lio oME Sig NEW RESID,CONSTBRANCHMULTI-OCIR T NON.R ESID (BRANCH CIRCUITS)2.50ea NEW CONSTR (POWER APPARATUS 6 NON .RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIiRES 5 L25 FIX Ex. Occup.ED APPLNS. OR (0 'TLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.0 /f UQ 53 6 License No. o z Classification G— Misc. Wiring 6.J5 ❑ I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances nd State Laws relating to building construction, and hereby uthorize representatives of the County of Butte to enter upon the bove-mentioned property for inspection purposes. X t- U Date .7-2-749 . Signatu — Signature of Permitee or Agent IV Receipt No. ,A� 77.1 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Permit Fee $- MECHANICAL No. @ PERMIT FILING FEE Heating Cooling Ventilation Hood I J 2.00 Permit Fee $ $`301 c7 Land Development Fee TOTAL PERMIT FEE This permit is hereby issued under the applicable provisions of the But ounty Code and/or resolutions to do work indicated0 abov or hich fees ve been paid. 3, ,� D F PU LIC WORKS K •J BOW(Z 941-3 Date G Building permit expires Date This set of plans and specifications MUST be kept on fl,e icb at all fimes and if is unlawful to NOTE:—qualify Materials & Workmanship Shall Be in make any chanry.�, or al';erafions on same wifhoui• Accordance with Recognized Good Practices and wrifrFen permission from fhe Department of Pub- of a prescribed for the Specified use in the lic Works, County .of Butte, Uniform Building, Plumbing &Mechanical Codes and • the National Electrivcd Qade. BUTT COUNTY it P ,• a f Bldg: Sbitbacic steal! BUI�LDIN °DEPARTMENT side {P•o�e�, y .lie be '5. f#. from: t - ;;♦centerline of fhe road d 5r7� ft; fcom they ' 't1_i-' P O V E D t;.,. r ,f+ . . mum.P f'a'2 & ( permuting, a•m Ti .� eave over Y axi= ' + • t u o all edse jQ han9,butenty :v'••k'. { K MentB� 4y ; • ; I re� 5 • 4 .. ! • j ; �• .� i Y r� F r i ` •_ F �F % r(' •3. of J � ~ '•` - }�Isi..rl t 1 a .._4� • /•`.� `� 1, � a n�•T .,nT'r - � . - •' tt( �TM''y' r -t •*n' .. r� P .BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS. 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1, Owner's name: 2. Installer's name: C'� /YloillS= ��V/S /P,Q/L1:' / o � ��1// 3. Is the site currently under permit? Yes / G/' No ` titrt (If yes, furnish permit number ) OR Is the site an existing site? Yes No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / Y/ No (If no, clarify ) 5. What is the mobilehome electrical rating? -----------------------4 Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? -------- 'Amp s 8. Is there any other electric load -to be served by the mobilehome site service? --------------------------------------------------- Yes / / No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- -------- � �. (in.) 10. What is the type of gas service? ----------------------------- Natural./ 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? -------------------------{----; .(BTU) (This information not required if pipe length less.than 6 ft. on natural gas or less than 50 ft, on LPG.), ,'ll MOBILEHOME SUPPOkT DATA If other than single wide, Mobilehome Mfr, furnish Setup Model No. ±S6-1/08 Year 079 WidthXL1 (ft.) Box Length .510 (ft.) Tagalong or Expando Size ft. x A (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). e All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single Tri. Wood either pressure treated o - foundation grade. (ft.)(in:) (in.) (in.) 2. Other (specify) Center support Center support locations* footing sizes Supports (check one) (in.) Fjl-l: Concrete block. Ft 7 El 2. Other ( specify) (ft.)(in.) (in.) (in.) 4 ----Tagalong or, Expando, show support details. (ft.)(in.) (in.) (in.) �.� x_3 (03 -- Typical Support (in.) (in.) Footing Size (ft.)(in.) (in.) (in.) rH51 6 6 -- Max. Pier Spacing (ft.)(in.) Max. Overhang (ft.)I (in.) (in.) (in.) (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED - *If piers iers are other than drawn above,. ... draw in --locations, spacing, and dimensions. COUNTY OF BUTTE Department of Public Works 7 County Center Drive " Oroville ----- 534-4541 ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES Owners 62 OBS d i f/ 5/ ,C l.cil S Location I(DO #/9U,'ec]/y /v14 64A/i9 Mobilehome Installation Permit No. �� -7 FILL IN INFORMATION FOR ITEMS 1 THRU 10, Watts 1. Width x Box Length NL_T x 3 2.. 2 Kitchen Appliance Circuits ................ = 3,000 3. .1 Laundry Circuit = 1,500 4. Ovens .... PLO.. �W...... �•S . k: � ...... .. _ 'FCC 5.' Cook Stove Top ,.g:Z.....5:7........ ..... _ 6. Hot Water Heater _ 'q 5® O (' .S (J.0 .�7. -Dishwasher & Disposal ......... = /A'- D 8. Clothes Dryer ....... . = 9. Other (specify, i.e., motors,'exhaust fans, etc.) fap. Ac'c MaT-np, 5,0 AMP -1 AMP = ©as4iwasKEg maTop, G.o AMP Sub -total - Watts ..... First 10,000 watts @ 100% ................................. = 10,000 Remaining 8v- l II ?—Vatts @ 40% 10'. Air .Conditioner watts @:100%.. A K w Largest Demand Central treat System watts @ 65%.. _ ) TOTAL DEMAND WATTS REQUIRED ............. "Demand Watts Required" - 230 .............. ............ = u dO AMPS De -rate Mobilehome to......� .. AMPS 6UTTE COUNTY OUILDING DEPARTMENT APPROVE® 7-3-7J i�1ec . Sir, �,h•���c � 1 � /3.•�y ��LG i�'�Oto�£s�2/ ro�/�d oma./ 4 . 49 ZW A /4 -Zoo dal Cyo.4LJ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel eph( e: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W.C. Sanitation Fire Dept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER El Permit Fee $ ELECTRICAL NO -1 @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 100100 AMPe00v OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWE OR ADDNS. ACCLBLDGS.LING CCUP. �1\ �Sq ft I CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR MULTI.OUTL T NON.RESID. BRANCH CIRCUITS 2.50ea NEW CONSTR/POWER APPARATUS 6 NON.RESID. (SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIiRES BAL@@1 Ex. Occup. (FIXED APLNS OUT LETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 5.00 Misc. Wiring 6.25 License No. Classification ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee -s $ MECHANICAL No @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ©I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE$ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date JCOUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 ,2� APPLICATION AND PERMIT ^ / authorize representatives of the County of Butte to enter upon the above-mentioned property for inspe tion purposes. r X Date ., , Signature of ermitee or Agent Receipt No. /ff7 -2-- White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOLF3,O.E PUBLIC WORKS By Date Pd/Zllding permit expires Date �� �� BUILDING Owner ¢ SQ. FT. OCC. BUILDING VAL ATION Mailing Address A Telephone No. 3- 0Fr/ Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 n/� 4 --el D Repair drainage or vent piping 1.50 A. P. No.Zoning %( & Planning Water piping 1.50 Each gas water heater or vent 1.50 F,Ws I V t_ I Saa"a4en Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER FE Permit Fee $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 5-00 100 AMP OR ESS 5.00 Main service 600V OR LESS S O L Single Family ❑ Duplex ❑ Mobil Home NC Others ❑ Main service EA. ADD'L 100 AMP 2.50 J-0 I Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST 1, ACCLBLDGS.LING OCCUP. Y� 20sgft ONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR MOLT I.OUTL T NON-RESID BRANCH CIRCUITS/ 12.50ea T�a� NEWCONSTR. POWER APPARATUS 6 NON -RESID, (SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES B L@; Ex. OCCUp.(OUTTS P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against Liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. FEE @ PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE '� $ ' authorize representatives of the County of Butte to enter upon the above-mentioned property for inspe tion purposes. r X Date ., , Signature of ermitee or Agent Receipt No. /ff7 -2-- White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOLF3,O.E PUBLIC WORKS By Date Pd/Zllding permit expires Date �� �� r FSLRMAT NO. 567-78P,E i PERMIT EXPIRES OWNER Dorothy Dignan. CONTR. owner 65-19.-58 LOCATION (A.P. ) 1-60 Greenwood Dr., lot 447,Fir Haven Sub, Martga lia i ° 3 • ,Y 1V i YY. V Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E �-d Temp. Gas Serv. ~ Called PG&E JOB FINALED (Date) (Signature o • 9, electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on- lot, i.e., water -pumps, garage,.cabana, .etc.? Yes__L No B. Is there proper clearances around panels? Yes No //�► /� C. Is power supply cord.or feeder assembly properly fused? Ye's_/l/No_ D. Is continuity test satisfactory as per the following procedure?. Yesti No 1. De -energize electrical wiring system of the mobilehome at the pedestal 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument.to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, - ,water line), including fixtures and appliances, shall be tested°for continuity from_ such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA �% p Manufacturer and/or Namestyle Length 4, 0 Width Vehicle Serial No._�, State Identification No. a Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes ✓No 2. Does the mobilehome have,required clearances above ground? (Sec.5085) Yes No_ 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes `�No 4.- Is the mobilehome level? (Sec. 5088) Ye No_ 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes, -No_ 6. Water _ . I A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes ✓ No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes. ✓No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No_ 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum" per foot slope and is it properly supported? Yee—_1No C. Are any leaks detected in drainage system after running.3 gallons of water through each fixture including washing machine standpipe? Yes No D. If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilome gas line inlet without reductions other than the mobilehome connector. Yes_✓✓ No_ /No B. Test OK as per following procedure? Yes. 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes INO. Mesh MECHANICAL N Grd. F It Prot. Scra h I Heatlp6 Servirl Brq6n I Coo ng TAO. Pole FJhIsh I Dufts Vinderground In rlor Lath ntilation Permanent oar Closer anal anal MOBILEHOME UTILITIES ------: ------- Elec. Service `7 Elec. Pedestal S— p P g Z 7j Sewer ��– Gas Piping ;40' 3 c � —3 `7b Water Piing MOSILEHOME INSTALLATION - - - - - - • - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) A. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIOWRECORD BUILDING BUILDING (Cont'd) PLUMBING Sel Vck aII S I Piping For [Fltew ar ets 7 t Floor Bldg- r oMai estm Finish 2n Floor Fo ins lndow 3rd koor Stem all Siding To out Slab Roof Shea Ina Water. PI i Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physical) handica ed Conformance of ex. v structure Appliances Gas Piping &Test Temp. as Slab A Final A Sanitation Patio F E AkA CE Final Footings Footing EI&CTRICXL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam IRE qPRINICLFFk Motors Framing Test Water Htr. Mesh MECHANICAL N Grd. F It Prot. Scra h I Heatlp6 Servirl Brq6n I Coo ng TAO. Pole FJhIsh I Dufts Vinderground In rlor Lath ntilation Permanent oar Closer anal anal MOBILEHOME UTILITIES ------: ------- Elec. Service `7 Elec. Pedestal S— p P g Z 7j Sewer ��– Gas Piping ;40' 3 c � —3 `7b Water Piing MOSILEHOME INSTALLATION - - - - - - • - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) r COUNTY OF BUTTE I` DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location: Owner Owner's Address Mobilehome Mfg. Model Year_d�r Insignia No. ��� �� `� �! ?t Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date a By THIS CERTIFICATE IS VOID WHEN�MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF'BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - nOroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT -'• •— •..r•......'••...••..., •�� v-. y ui uu lV OIIICI UJJVll IIIC above-mentioned proper for in ection purposes. X to Signature of Permite oor / Agent Receipt No. J ��O �d Z White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR O'F\PUBLIC WORKS BY Date _Z' B ilding permit expires Date Z-vY>- �� BUILDING Owner Z2f SQ. FT. OCC. BUILDING VALUATION Mailing Address i Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address i)� O vv PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 (� Water piping Och gas water heater or vent 1.50 A. P. o. � — -� a='rl� Z Gas piping system 1 - 5 outlets -4-50 Q Q Each additional outlet .30 Wes I UVGI S 'tion FireDept. FireZone Use Permit Building sewer Planrkins Declaration Parcel Map 60' R/W Improve ents Lawn sprinkler system 2.00 �fEQA� / 1�dg.SPlan�'d Parcel Approval Plans Approval Permit Fee $ r,70 $ J-7 NEWADDITION ❑ ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR 100 AMP ORLESS5.00 - Main service EA. ADD•L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V loo AMP OR 25.00 Main service EA. ADD•L too0 AMP 1.00 )�7a7,p m�n�� ��ir7ltlrIMUM � t�r�rtvr�t� �L'NEW NEW CONST. / DWELLING OCCUP. & OR ADDNS. (ACC. BLOGS. ) 20sgft CONSTMULTI-OULET NON-RESID R ( BRANCH CIRCUITS) 2.50ea R MOBILES NEW CONSTF;L /POWER APPARATUS & NON-RESID. \SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@�Q BAL@1 Ex. Occup.(FIXED OUTLETS P(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 6—,5D WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. %1 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ I FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby CY E fi vr� TOTAL PERI T FEE $ L -'• •— •..r•......'••...••..., •�� v-. y ui uu lV OIIICI UJJVll IIIC above-mentioned proper for in ection purposes. X to Signature of Permite oor / Agent Receipt No. J ��O �d Z White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR O'F\PUBLIC WORKS BY Date _Z' B ilding permit expires Date Z-vY>- �� 4-10 v r -q q. 7, A,'l x� Se! 11 t All c - 4, C� C tv\ V LtilitY locate connections -shall be NOTE:r'—All -Materials Workmanship Shall I le-. in - third Within 4 ft. ou outside the rear AccorAn,,e-.e w*4 RPn0!ri7e4 Gni� . Pr�-rtic)s $e Srer*,f;ed --i and thdi on 1h21 the mobile 1, -ft (road) side- of the +,,. use . r - Of a quelli. Uniform. BuMina. & Machanicall-Coe ! i an 4 home. mo NItional Electrical. Code. 5,3_ fhis set of plans( and sp' ecifications Mem- be cept on the job at 1511 times and it i' s unk yl it. !hake any changes Q!r alterations on same vi bout 4, written p6rmisson ftiorn the Department of P ibfic INorksj County of Butte. The-M'Setback shall be 5 ft. from th J Ci 'A permit will be required for the installation from th side property line and 50 ft. f, ilie road, Viing a MOM of the mobildhome. centerline of pormi it entireti. -,-,Uii of a. 2 ft. eov'e overhang bi e. (� , f --- out of all easements. sr CS Sept; -c system and location to be as per Butte' County Health Dept. Re- 1. V quire'ments. wr^4 BUTT -6 COUNTY ! , s $ 8UILDING DEPARTMEN" AP P ROV P DJ v r -q q. 7, A,'l x� .IF, COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS �.Vunty Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X X /1..�ittire.�X�Cv C� Date Signature of Permitee or Agent Receipt No. -'7Z, W16 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have b aid. DIRECTOS,oOF PUBLIC WORKS ev Date L 7 B ding permit expires Date L�—, W Am BUILDING Owner �� �` �t/Gsi/ SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address eEsl� Fireplace Total Valuation Telephone No. J= Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee �P. GUO p PLUMBING No.1 @ FEE M01 on I� PERMIT FILING FEE $3.00 Each Trap 1.50 -Repair drainage or vent piping 1.50 �� A. P. O. / �3 Zoning $ Planning Water piping 1.50 Each gas water heater or vent 1.50 es ft ite M Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach Declaration I Parcel Map 60' R/W I Improveme is additional outlet .30 Building sewer 5.00 Bldg. lana Recd Parcel rovol Plans PprovaI Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 800V OR LESS 100 AMP OR LESS 5•�0 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVERe00v 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 OR ADDNS. ACCLBLDGS.CCUP. Y\ 20 sq ft / CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, -Div. 3, of the State of California Business & Professions Code under the name $t le of: y NEW CONSTR. MULTI -OUTLET NON -REBID ( BRANCH CIRCUITS 2.50ea NEW C ON ST R ( POWER APPARATUS 8 NON -RES,D. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTURES 5 L� Ex. Occu FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 f V/Y�f►'I 0,�� �JJ0 �3i6/T ��OM�" �f"'.f%Tei� Mobile Home Facilities 15.00 License No. / �n2 SZ 0--61—A61Misc. Classification Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby L $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X X /1..�ittire.�X�Cv C� Date Signature of Permitee or Agent Receipt No. -'7Z, W16 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have b aid. DIRECTOS,oOF PUBLIC WORKS ev Date L 7 B ding permit expires Date L�—, W Am .> MOBILEHOME SUPPORT DATA Mobilehome Mfr. CAA^ 1 /a g Og / Setup Model No. i&1 Year Width 12- (ft.) Length, :l 6 (ft.) Expando Size 7/�'ft.x ///oft. ,(Draw 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) , Sin le–�/Footings- (check. one) /1/J 1. Wood. either — � pressure.treated or Center Center Support fdn-. grade. Support FVtin!e,4 Locations 2. Concrete pad. / / 3.. Other,: specify Supports (check one) ✓/�1. Concrete block 2. Concrete piers -T 7-1; (in. in.) 77 3. Steel piers 4.. Other, specify rg Typical Support ( in. �n x •M )Footing `Size x (in;) (i .) A Max. Pier �- v Spacing I f�. ln•) in. ' X (in•)(in.) Max. – / • - Overhang *If centerP iers are other than drawn above draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DEPARTMEW APPROVED z BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE:.534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: a� o ryy / , /� / A/,q- Al 2. Installer's name: O.4e/V lyJoAS/ Li= 3. Is the site currently under permit? Yes 77Z/ / No ( If yes, furnish permit number OR Is the site an existing site? Yes / / No 8. Is there any other electric load to be served by the mobilehome , site (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 /ii/ No What is the mobilehome site gas pipe size? ---------------------- y (in.) ( If no, clarify - ) Natural./ / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? % �. (ft.) 12. What is the mobilehome gas demand? --------------=--------------- ..(BTU) 5. What is the mobilehome electrical rating? ----------------------- /® U Amps 6. What is the mobilehome site service rating? --------------------- Z 00 Amps 7. What is the mobilehome site circuit breaker rating? ------------- / Q Q Amps e 8. Is there any other electric load to be served by the mobilehome , 7� site service? -------------------------------------------=------- Yes / / No (•If yes, identify the load and size: (Load) (Amps) 3` 9. What is the mobilehome site gas pipe size? ---------------------- y (in.) 10. What is the type of gas service? ----------------------------- Natural./ / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? % �. (ft.) 12. What is the mobilehome gas demand? --------------=--------------- ..(BTU) (This information not required if pipe length less than 6.ft. on natural gas or less than"50 ft. on LPG.) 7� 1 L � . .�1�``�OG�v ; � � � , `y . :,1 1 '_ x�L LCw+..0 i� ! �i � � � ... � � �„1,,,"'�'`•"..,w�► I ;1 l 'Iry N�{t, frarn � .0/ p, , tback ° ;s snd setback 1 !-� Ptop tY li the road N of 50ft.. r \hall be clear Of pm �� enterli ant exc� ©' struct . e vim, for 6 2 A. . yf� s _ Via'. C!AL ROOF COVERdNG REQUIRED, — {`rw LE it y 1 I^ACH4./D�VHE(4+T. ZONE Zk" 17 ID Ll I AIGEll Poo /Z L IPA NE i i Y i L i Q ca - t ir ti I I i I f i fc - — F L MET] ILI 15- -------------- "I Ilk Jr --- D8 PLO - I I �- . -3,), " J�5 kuo D� c1 1 , i • �1 �_.,.,. � , -._ .�..r .. _.. ;i"'.=,.+ r ,v.,,..:,.. -_....v... .. ._-..s..- .. �;• L.M1Z:""'_ - ., �..: ,a--,j.�._s,.;,�'�.�w.•. `.ea.....f4.- - ,may,:,. ,._. _ .� �. .. .. _.,. ....::.,...�-.... .. _�.. ". .,. - _. ."--- .11'... .�.'i.�"✓`p_.*' �u , 'Y.rnwiC+s"k,- ,n."a.'+G?.'_ LF:" rtfi.71 .r. -;R �i `�1 1 :..s-�-..•-.._� -..: _.- --., w.�.F.s ._ ...._:_..,•y,+.,r,+.r.;...-r:•.,.- - _. '3S'..._. +C:.. �'. >.. ,�••,�. - ..sti..-...x.�.."�^ ,.,waw: N ~...e.-.n'S�'C°..�ry'�'n" =.w`y� �W�_ � •�2r i fir....._ _ ,- « � .... ._. . . �.i +- _.. ,.. :s« ..� ...r» -,. _- :- 'YA'� '+►.e�C.::+C� 'lTi:,:LYaM.�Z':F - r1,.. _ 1 r� • moi. i _ . -.. - .-= moi.. ,,lr_.�•.�: ��., r. -_ -., : ,.:,.:_ . , ..r3. °�3a-, �.-.., - - .t.:� �3p .��_.. <c-• - .�.:.,....._- ...�.'�,..ti w5�r%wgs _-. -• ._. 1� ': _ .�. r,.,(..- F,;r, ..-.. ,,.�.-....y _Y ::. ..-.•.7-. _ i3��1;C..y ..u`.. .: _.. � .l.- - -�a •:: �.F - 7 •:yM%1i�1�M1�•s�a.�. �:.��CS+�::y�_ C.y;.,.�.. - '. _...-.- � _._. ,. �--;-ice..-..�._--�.; !!+.. �z:+..r,..,.. .. w.: -'=., __.�. <�> ,• .._ ._•._ __.:,nw,c a5:'r�._,. .:�' .,�� _ - _ � - � ..- 7 .: _.. -, _.. <_ .:-�-aK ... .. ...:sem..-r.t.-.- ...,+..� , � _._.. s- _ - - � ._ .� :_. : %:- .. ,.-,.:.-:w.. .;-s+—•�• t'-• ;,��..a,,:�... - ..s:v.:..,ri . - - .. -- - .. .-•- a .. _. _ ..,c,i'; � '<. .��.__:%:RK..-.t.i�w� e-ee s=� .... - - tt .w r r _ vv - ��s•T ��.-_� - ,fir t f � _