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065-310-009
1 65=31=09 RIC GOODY 14855 No ood Dr, Magalia -Contr: Execu Homes Permit#2366-87P,E 'l, MH) ELEC r ice. - GAS t.PG Iy SUPPORT STR RE �yLp OIMPACTIONTEST-RE .• \�65-31-09 Contr: Ch* 1 Service Permit 60_87MH Iss65 3 Y.-09 Contr: Don Darb ���1� PErmit#3298-87B(covered deck"& a nin .MH) gs 646y89B,E GOODEY- Richards'& •Patricia _y 14825-Northwood;AMagalia Safi. Conti: Frederick'Const. ' (new- garage):` FINALED 065-31-0-009 LEWIS, W.W. 98-1740 P -14825 Northwoo (LPG q Magalia gas eliance Propane'- '� I - c J T r ' 06;-31-0-009 98-1740 P COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -19UILDI,NG DI�-FSION 7 County Center Drive - Oroville,•;California 95965 - Telephone (916) 538 7 14 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT X ASSESSOR PARCEL NUMBER (�% /+ 5 ^ 3 IDJ ZONING B ILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'74 NG DD Ear+ CONTRALTO S NAMETELEPHONE U'W C • 8�'�--��99 CONTRACTOR'S te, ADyu�4v CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING DijEEs' _ /DRZAAWO40 , , ,/ WU Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFS•TRUCTURE SF K Duplex ❑ Mobilehome ❑ Other SPECIFY 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 M`,❑ Installation ❑ Other Describe Work: /11 rio✓ J L Gas piping system 1 - 5 outlets 15.00 .r 45' Buildingsewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A 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 fu l force and effect.POWER ��t/_/X License Class LIC. NO. :7_;V OWNER -BUILDER DECLARATION 1 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. ❑ 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: I 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 insurQnce carrier and policy number are: Carrier 5i,�'r, e(,i U Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 6 ACC. B.S. 3.50FT. NEW NON -RESIST =OUTLET 97,50 APPARATUS 8 SINGLE OUfLEr LIR. Ex. Occup. OUTLET OR FIXTURES 20 Q 1.00 BAL 9 .50 Ex. Occup. oUTELETS RES D.OEA, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 3s r 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.) ❑ 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. f/� .-��/� X L _s+•i��Date S y � Signature of Applicant - ❑ Owner ❑ Contractor EI Agent An OSHA permit is required for excavations over 60" deep and demolition or constructionG� of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 710 --- ----. HAZ. D. FEES IMP --- FLOOD ----4 CDF PARCEL PD HD ISSIJ4E 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 f > Date ' �g P RMIT EXPIRES ON Da Receipt No ! � WHITE-D.D.S.-B.D. ' CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DI ION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538 4725 _PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT >- ASSESSOR PARCEL NUMBER •- /) /;� /V VS ,f IV/ ZONING ILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAI NG ADDRESS zs o��aoe ' CONTRACT NAME / IS TELEPHONE �f ' `V CONTRACTOR'S MAILING ADO ESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Z� Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ 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 oo❑!!''Installation ❑ Other Describe Work: 10 Hry��� ��J{ Gas piping system 1 - 5 outlets 15.00 �s Buildingsewer 15.00 Mobile Home IS I GI W 920.00 PERMIT FEE S -50 ELECTRICAL PERMIT Filing Fee 20.00 LE Main Service z..AO.LEEss 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, ( g ) and my license is in 19JI force and effect. vv�� License Class Lic. No. A5y!X1 OWNER -BUILDER DECLARATION 1 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. ❑ 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: I 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 insur Ce carrier and policy number are: Carrier � Policy Number --V 642! (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 pr visions of section 3700 of the Labor Code, I shall forthwit comply wit th provisions. X Date _�Z6&0. __ Sig lure of Applicant - ❑ Owner ❑ Contractor W Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. DWELLOCCUR CCUR SO OR ADDNS. ( a ACC. BQFr; NEW CONST. MULTI.OUTLET NON-RESID. ANC CI CU @7.50 Pow ER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FWTURES BAL @''50 Ex. Occup. oui ETS REs o.) OR, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ .JS— Mobile Home installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 40 FEES IMP FLOOD CDF PARCEL PD HD 6 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 PE4IT EXPIRES ON I Dets Receipt No. 1yy TlIff - WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0 65-31-09 646-89B4�� GOODEY, Richard & Patricia 14825 Northwood, Magalia Contr: Frederick Cpnst. (new garage)* PEI FINALED: PERMIT EXPIRES 7 OWNER CONTR. ASSESSOR PARCEL LOCATION I j Temp. Power Palo Called PG&E Temp.flec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature d .4v 0 = Not OK yd'.wilggA mW ='Not Rea.hroFi toO Ready MOBILE HOMES MISCELLANEOUS := Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DEC S,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements QI&ning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete - cing-Stairs-Rails 4. Water; Location -Test -Easement Needed (Sketch) 4 - - ec.- 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete Shtha-R—�r-aa4K 6. Gas; Location -Test -Wrap: / P L" ft. tions 6pfim Bees EffGkmwes / P'Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Card -B1 Date Card -B1 Date Card -61 Date Card -B1 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Card -131 CG Date",<Sq Card -B1 Date/10 Card -B1 (-.(d,, Dateq Card -B1 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed T Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating EgNp.-Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Main 1n Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -81 - Date = VK 0 = NotOK RESIDENTIAL (Sitlyle and Duplex) - =Not Applicable = Not Ready Date UNDERFLOOR (Plant) OKnexcept ti's '2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Del 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Liqht Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -131 Date Card -131 Date Card -81 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date FRAMING (Continued) _- 45. 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration -Wal Is-Wndws Card -B1 Date Card -61 Date Card -81 Date Card -B1 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protect' n 64. Bedroom Exiting / 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 8i. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 ' 7 County Center Drive, Orovi Ile — Phone: 538-7541 747. Elliott Road, Paradise— Phone: 872.-6307 CORRECTION NOTICE � OW �R PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when co ection of work is completed. If you have any question pertaining to this matt , or need additional explanation, please contact this office immediately. Z -q -1b Inspectoro.T / Date /� C� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Cerifer Drive, Oroville — Phone: 538-7541 'J 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. / /%/e c A-,5 All' L /at 'wr ✓/ sr Doc' r� lel`' ,, . /w&Vt " Gl G ,v 9 1 it e> •U4- U,c s 7 UAJ A11-2 57 5=z- s� f�4EG Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 s 747 Elliott Road, Paradise— Phone: 872-6307 >Y CORRECTION NOTICE OWNE PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector /J2 Date -5-e 8q y COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541- 74 7 38-7541747 Elliott Road, Paradise — Phone: 872.-6307 ^! CORRECTION NOTICE v OWNEA- PEFTMITNU. a A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please -notify this office ?' when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. x:J PP2n � CYr�GIN� ��?(A¢4AA(t `Y 1wN xrr(1 Vl�8:r r7 IIA r n1 at1T��cp ,� �� Pn. p�f�r�� '•___ } Inspector, ; L—A Date 4T95 ., �t .�i -k T fir! } Inspector, ; L—A Date 4T95 ., COUNTY OF BUTTE -. DEPARTMENT OF PUBLIC WORKS O 7 County Center Drive - royiJ,),e,,C+,!ifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT i RMT NO ASSESSOR PARCEL NUMBER /^ O ZONING�4 .. f, BUILDING PE IT WNER r.WNER/s%mAiL.rNV(r9S TELEPHONE SQ. FT. OCC. BUILDING VALUATION n nut ek CONTRACTOR'S NAME I E E'PGH(� E CONTRACTOR'S MA;.I jJQ ; ESS CJ-�//V7jOy /��(/ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee. $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS `�S vd � 't Of Permit tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water he*,Ir' 20.00 LOT NO. SUBDIVISION NAME PARC L MAP J` —4,e Water piping 5.00 Each gas water heator vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other. -SPVtI FY Gas piping syste 1 - 5 outlets 5.00 Building sew 5.00 Mobile Homd S I G I W 0.00 ea TYPE OF WO Newff Addition ❑ Remodel [J Utilities ❑ Installation❑ Other E]Permit Describe work: (--b xa V Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): _I-71 Jj1`(�I 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess' ns CM and my license is in fuI force and effect. License No. Ooc Classification ❑ 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.61 OR ACDNS. ACC. SLOGS. I/z 0sg It NEW CONSTR TI.OUTLET NON.RESID .BRANCH CIRCUITS) 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) . 200501 DALO 30 Ex. OCcup(OUTLETS OR FIXTURESFIXED Ex. OCCup. OUT ETS P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. lyirin 15.00 9 Permit Fee $ 0 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue aga' t said�ountycse uence,of the granting of this permit. X Date —��ZS I Signature of Ap icant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is1 required for excavations over 5'0" Sep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TY E SCHOOL T-� FLOOD �L PARCEL PD D This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WOR �9-0 Date Receipt No. DSZ� I WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR LDENROD-APPLICANT 4 r , ...=� -. lA _, � ' ` _/ � 30' � •, r___ - _ -- ., ._ ._ .___ .- __.___ _._. �,.._ ._.� i � p � � � • �,,, �- � ._- . .y•� ,�_ 3 is' .� - -. TO Building DepSrtment FROM: Environmental Health SUBJECT: Sanitation Clearance FOA �'� k Omer Location AP# Plan Approved for: Sewage Disposal Water Supply y Hold final for: Water Supply Final clearance O.R. for: Water.Supply Clearance 'or _ bedroom mobile home. Other NOTE sifiltirian Date COUNTY OF BUTTE - DEPARrMEENT SOF PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE; C*LdFORNdA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLI;CATIO DATA SHEET OWNER L, Proposed Building Use I t 6 Permit No. A. P. No.� Building Inspector X .> Date �T�� 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 duplicateAriplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. ' 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. 12. Park fees paid .................................................. Sc of District fees paid ............. 13. 12 r ri A2 Sanitation approval from I& i Health Departments . 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) .J 16. Planning approval for (A) Use: (B) Parking: 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. I -z 20. Pre -Inspection for required . • • , Pre-Inspec. request to p q Building Inspector (Date) Contractor's license information (No., Name Style, Classification) ....... 21. I Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner 0, Mail to owner 0) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Ma' to owner. Telephone r ®� r and hold for pickup at ' f h .-`bffice. Other Applicant Mail to contractor. _Deliver w/inspector. Copy of plans sent Health Dept., Fire Dept„ Other Date The following data must be submitted prior to permit i 1. Index permit for above items No. 2. Additional items required: ate _&_4s,79, irclg new item,not checked above). 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 —ma II—counter by date — Plans checked by Date Plans approved Date, —/--Sets of plans on hold in"i,F�l'e cabinet, AP folder , rT . Copy—DPW A } PERMIT NO. — Y PERMIT EXPIRES OWNER RICHARD GOODEY CONTR. -ban Darby .ASSESSOR PARCEL 6=5-31-9Q LOCATION Dom` Ayr ao o d J Temp. Power Pole z Called PG&E Temp. Elec. Service Called PG&E it Temp. Gas Service Called PG&E 66 JOB FINALED (Datej Signature /G _l s = OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DEC , VERS,CARPTS,GAR S, (Plans except #'s 1. Zoning Requirements -Setbacks -Easements G . ' g Requ' . ents-Se s -Ea s 2. Soils; Special MH Support -Sketch . Foo ' s;s- -D -S ng onne -6teeF 3. Sewer; Location -Test -Fall -C/O -Concrete Z. ec irders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch)/�/ i_ 4Wood Awn.; Posts- Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L" ft. / /"Nat. or/ /"L"ft./ /"LPG - - res s 7. Utility Clearance ?_Uec. Card -131 Date Gard -81 Date Card -81 Date Card -131 Date / Z- 1 t.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Da -� -E(7 Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Date /Zig f2ard-81 Date 3. Gas; MH Test -Demand -Valve -Connector -Card-BIC 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 Card -131 Date Card -131 Date 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -131 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -Bt Date Card -61 Date Card -81 Date Card -131 Date 1'4 4 7 ,4/L Y Go 416n1" j.' i = OK = NotOK Applicable = Not Applicable RESIDENTIAL4Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance -Material -Su pprt- Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. 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 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes Card -B1 Date Card -81 Date -Labels 66. Stairs & Rails Card -B1 Date Card -B1 Date 67. Fireplace Stove; Clearances or -Hearth Date ELECTRICAL (Permit) OK except #'s 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuits in Kitchen &Conductor Size 74. Plb., Elec. &Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or Al -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. 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 79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish Card -B1 Date Card -B1 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -B1 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -61 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -81 Date Card -B1 Date 38. Sills, Proper Material & Anchors Card -B1 Date Card -B1 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION ANS. PERMIT ERMIT NO. ASSESSO PARCEL NUMBER ZO BUILDING PERMIT OWNER TELMPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S M ILI ,C�a , D E55 / `'r/ CONTRACTOR'S= TELE ONE Q3 CONTRACTOR'S �hpAILTI�(G ADDRESS � �� P1'JVj ((J� V^`j Fireplace CONSTRUCTION A-ENDEA UNKNO Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[]MobilehomeK Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer5.00 Mobile Home IS G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ RemodeI ❑ Utilities ❑ Installation[] Other Describe work: ��(� `"� �iX3n /�,u.�di _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declar nder penalty of perjury (check.one): I am elicensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and Professions Code and my license is in full f rce and effect. /Ex, %Z License No. 3 1 7 9 U Classification El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.ad\ '/zltsgft OR ADONS. ACC. SLOGS. NEW CONSTR.U TI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS APPARATUS e (SINGLE OUTLET CIR. Occup(OUTLETS OR FIXTURES ew 0 0 Ex. Occup. OUTLETS FIXED PIRESlO ILNS KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The ermit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of"Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑` I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrueJ against said Count o sequenc of the anting of this permit. ` X v Date Jd- � —� 7 Signature of Applican - Owner or ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ AC>"- OCCuP. CONST.TYPE 7L;;T__J_ARCEL PD HD 3 uE This permit is hereby issued under sions the Butte County. Code and/or ve for which wor i ca rc-TOR R OF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 0 8 /) Q�� Receipt No. v WHITE-O.P.W.. YELLOW-ASSE33OR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENTOF ;PUBLIC WORKS - BUILDING D'IVI ION 7 COUNTY CENTER DRIVE - OROVILLE,O.UIF&NIA 95965 - TELEPHONE: 916%53)-4541 PERMIT APPLICATMI(DATA SHEET Permit No. OWNER �l/�%k��-�1 /'iL'�G A. P. No. Proposed Building UseBuilding Inspector Date At time of IX application, I was advised the following data must be submitted prior to permit processing and:/Or i Suance: DATE RECEIVED APPROVED 1, All items have been submitted. 2. Plot plans in duplicate. /triplicate, signed by preparer of plans. , 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings, 8. Fees of $ , , , , , , , , 9.� Letter of signature authoriza/I n. , . . . . . . . 1� Sanitation approval from // �7/id_Z-LP—�Health Dept, 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . ' 13. Contractor's License Information (no., name style, classif,) 14. Owner -Builder Verification (Given to owner, Mail to ownerE] _15. Improvements may be required. . . . . . . , , , , , 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Pre-Inspec. request to (Date)y[ Required, Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan.approval from city of 21. 22. n When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone and hold for pickup at office, Deliver w/inspector. Other Applicant Copy of plans sent Health Dept., Fire Dept., Other Da e The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--nall—counter by date Contractor, designer, owner, was advised of -above required data by—phone —ma ll—counter �rbby— % date Plans checked by Date Plans approved by ✓� �` Date 119 Sets of plans on hold in File cabinet AP folder — Flours: 10:00 a.m. - 3:00 p.m. Copy—DPW T0; Building Department FROM: Environmental Health SUBJECT: SANITATION CLEARANCE Plans approved for: Hold final for: Final Clearance O.K. for: LOCATION AP # Sewage Disposal Water Supply Clearance for bedroom mobile home. Other Clearance for addition of IeYo - az. Notet-,', A SANITARIAN Water Supply Water Supply Z ,j::7 7 DATE PERMIT NO. 91AA—R7P F(MH) PERMIT EXPIRES OWNER. CONTR. E-gmriji-jue hc)mac ASSESSOR PARCEL 65-31-09 LOCATION igrAr45 Nai:thwood, lgapl J a OFFICE Copy Address GAS Meter ELECT Metbr Temp. Power Palo Called PG&E Temp. Elec. Service Called PG&E '00000� Temp. Gas Service Called PG&E .00� 0*100"27 JOB FINALED (Date) Signature. • �."` . _�; tot � . -,.-• .; r, `" ' .,MOBILEHOME 'INSTALLAT,ION ACCEPTANCE . _ COUNTY OF BUTTE ARTMENT OF PUBLIC,WORKS -;`7 COUNTY CiJ ENTER DRIVE: 2y i �OROVILLE CALIFORNIA `534-45411> PERMIT. NO:. Address or location of mobilehome ��• u ,4 10s name `1. OWfl er rS address s/� •� (rJ.:� vJ la./ •� �!/C���%j( % t,G r }x�t 7 finsignia or hud number 0 © t# ti. ; Manufacturer's name- ', ' �'G�iaJ r /�if�rl Or•- �� �• Lei' � •• .� a Serial number of V I.N, Year of manufacture Y3 j (Official APcvin'-Installation) (Date) "El v+ * 4 IF THE MOBILEHOME L' IS MOVED OR RELOCATED, . THE MOBILEHOME.INSTALATION (ACCEPTANCE SHALL BECOME INVALID. THIS FORM''SHALL NOT. BE USED WHEN THE MpOpBILEHOME IS. INSTALLED ON A FOUNDATION SYSTEM.. 1513B .White - Owner, Yellow - Installer, Pink - D.P.W. s. A COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 « 7 County Center Drive, Oroville — Prone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date = OK o = Notp RESIDENTIAL (Single and Duplex) - = j�lot.Ap licable ' = Not Rea%y Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel- Bloc kouts-Wrappad 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -Bi Date Card Date Date PLUMBING (Permit) OK except #'s -131 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test &Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. 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 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -B1 Date 66. Stairs & Rails Card -B1 Date Card -B1 Date 67. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuits in Kitchen &Conductor Size 74. Pib., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. 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 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. 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 79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish Card -81 Date Card -B1 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -61 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric. 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -131 Date Card -61 Date Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Date FRAMING (Plans) OK except #'s Card -B1 Date Card -B1 Date 38. Sills, Proper Material & Anchors Card -61 Date Card -131 Date Comments at Final: 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) = OK 0=Not OK = Not Re dyable MOBILE HO Date MOBILE HOME UTILITIES P s C g rements-Se cks-E oil - wer,L Lo ion- st- -C 4tAe • L ion- t-Easm,sat.h ectricity; Lo :Clawdncas-( fred's; Loedfion- - 4, 0.E or//9/"L"ft./'�./ LPG llity Clearance #'s Card -B1 Date!-1J�X70ard-131 Date I Card -131 Date Card -B1 Date Date MOSUaEHOME INSTALLATION (Plans) OK except #'s H Test tri ' y; MH n; MH Tes, nd Electricity 1 Insp.-SksW�i- of OCCUDancv Card-B1j2oh Da*/Tr22 Card -B1 Date Card -B1 Date Card -B1 Date i� ���� Z4 � c Sim roc �K C -e Aff -13 417 Pa-/ 31'gG 1 -19 7 l�F �'���d A* C( �� a MISCELLANEOUS Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils =Size-bepth-Spacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -B1 Date Card -B1 Date Card -B1 Date Card -B/ Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enc+osures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enc losures-Pan elboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water SUDDIv Test ICard -B1 Date Card -131 Date Card -B1 Date Card -B1 Date COUNTY OF -BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATfO`N AND�PERMIT ASSESSOR PARCELU BER - ZONI _%/ BUILDINA PERMIT W ER ��) TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADtI.RES / U1,_ _Z ® ' (J CO ACTOR.'S NAME ( 1.TELEPHONE C NTRACTOR'S MAILING ADDRESS 1 9 "__ Fireplace CONSTR CTION LEADER DER UNKNOWNS''` /�"" Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee n $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT Nf5) � I ' `C/'[J SUBDIVIrN Y j,L•ka Fy PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S 10.00 ea J TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities, Installation[] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 u Main service EA. ADD'L 100 AMP 2.50 01 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 _�� y7 TFIXED I, as the o ployees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ACDNS. ACC. BLOGS. , /2dsq ft ' NEW CONSTR.MULTI-OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS /POWER APPARATUS h ISINGLE OUTLET CIR. ) ( EX, OCCUp\OUTLETS OR FIXTURES 2AL@30 eALeao Ex. Occup. OUTLETS P(RESIO.)REA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 (') � Misc. �Virin 15.00 g Permit Fee $ e7 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and kee rmless the County of Butte against all liabilit'.s, Jud men s, sts, a ses which may in any way accrue agains i the granting of this permit. ���— Date —/�— k? • nature ofZp1o.t — Owner ❑ Contractor ❑ Agent ❑ An OSHA pequired for excavations over 5'0" deep and demolition or construct- ion of struct(3 stories in hei ht. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ , ocCUP.J CONST.TYPEJ vLOOD PARCE PD P ND ssuE This permit is hereby issued under sions he Butte County Code and/or work ind to abo for which OR OAF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. l J I WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r COUNTY OF BUTTE - DEPARTMENTi3OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, GSL+LFOR,NIA 95965 - TELEPHONE: 916/53.4541 , PERMIT APPLICATION DATA SHEET Permit No. \ ra� OWNER ( 3 A. P. No. _ . Proposed Building Use 6suilding Inspector Date .1 At time of permit application,lI was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. ... . . . . . . . Plot plans in duplicate. /triplicate, signed by preparer of planCPs. 3. Complete plans in duplicate/triplicate, signed by preparer of 4. Complete engineered plans and talcs, with wet signature on plans. _ 5. Plans with Energy Design Compliance Statement. . . . 6. CUSD "Fee's Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , , , , , e4 11 9. Letter of signature authorization. . . . . . . . . . . Sanitation approval from Health Dept. 1. Planning approval for (A) �1se: (B) Parking: Certificate of Workmen's Compensation Insurance.. . . . . . Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ), -15. Improvements may be required. . . . . . . . , . , 16. Mobilehome Installation Data. . . . . . . . Pre-Inspec.request to 17. Pre -Inspection for Required. Building Inspector (Date) Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. aAt g, 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone 9/- V?L and hold for pickup at ffice, Deliver w/inspector. Other Copy of plans sent Health Dept., _Fire Dept., Other Date The following data must be submitted 1. Index permit for above items No. - 2. o._2. Additional items required: t�rmsuance: (Circle new item not checked above;. - -- - --- I'• Co ra or, designer, owner, was advised of above required data by—phone ail c n r b ate1- � Contractor, designer, owns advised of above required data by—phone mall er by date �✓� Plans checked b:� Date, % Plans approved by Date LL— Sets of plans on hold in File cabinet AP folder - FloUrs: 10:00 a.m. - 3:00 P.M. i Copy—DPW TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance woa� /%r . � 7 3l y owner location AP # Driveway permit -7 as / L has been issued for the above property. sig :ature date Return to DPW ,; AGRICULTURAL. STA'T'EMENT O- A(.:KNOWLEI)CLMENT = • FOR RESIDENTI AT, DEVET,OPMENIT Section 26-8.1 of the Butte County Code requires this acknowledgement b d d PE -CORDED SUTTHOUNTY 0FRIAi_ RECORDS RY c recor a prior to issuance of a building permit. 87-26361�,-, The property described herein is adjacent to land or included within an area zoned fora agricultural !9$F J111 i2 AN 8: 03 g purposes, and residents of. this property may be subject to inconveniences or discomfort arising from CARDAC J.'RUBBS the use of agricultural chemicals, including, but not limited to herbici and ��. nd fertilizers; and from the pursuit of agricultural. operar_ions including, liut no to cultivation, plowing, spraying, pruning, and harvest-inf; which occasionally generate dust, smoke, noise, and odor. Butte County has established agr.icult0fal zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: LOT 9, AS SHOWN ON THAT CERTAIN MAP ENTITLED, vPARADISE PINES MOBILE HOME ESTATES UNIT NO. 1v, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 10, 1970 IN BOOK 35 OF MAPS, AT PAGES 65, 66, 67 AND 68. EXCEPTING ALL MINERALS, AS EXCEPTED OF RECORD. Date: C45' 1-9-47 PROPERTY OWN NOT COMPARED WITH ORIGINAL DOCUMENT State o 4/,- ) On this the _z/-_t�day of SS. me, the undersigned Notary Public, County of ) 9 . Present A.P. No i 9off 71 before sonally appeared l / Personally known to mr. / Proved to me on the basis satisfactory evidence. to be the person(s) whose s name /S name(s) subscribed to the within instrument and acknowledged'that ��� executed the same for the purposes therein contained. IN WITNESS WIIEREOF, I Hereunto set my hand and Official—seal. 1_� 41 -" -. �/ / Notary uba.ic - g//� OFFICIAL SK L JANICE G WOLFE ��4+' . • ^ NOTARY PUBLIC - CALIFORNIA 0 -� uBUTTE•COUNTY Aly comm. expires JUL 15, 1988 64110f API S- 1 _GAq ' OWNER r / -& bb u ?ERMIT (4 M UT IL. CLEA CE DATE:—' 7 INSPECTO ELECTRIC, GAS-"A Support Struc; Compaction Test Req. iervice Ot'aer Pipe YES ES NO 'izeLoad Type Lenth g 11 7 _q 64110f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califorrfia,95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. v O O ASSESSOR PARCEL NUMBER - D p ZON G BUILDING PERMIT OWNER _ ;0 G 0 TELEPHONE SO. FT. OCC. BUILDING VA ATION OWN!R'S,Flrj, AD ESS fct ✓' 'o CONTRA,CTOR' NAME P LEPHONE 1772 2TRACTOR'MAILING ADD ESS S L l Z c 0 Fireplace ONSTRUC°TION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ . ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty_ $ BUILDING ADDRESS �f ^ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 _., Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF RUCTURE SF ❑ Duplex❑ Mobilehome2r Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I GW ll 0.00 ea TYPE OF WORK New ❑ Addition ❑ Re o el ❑ Utili i s Int Ilatio Other ❑ Describe work: �' I i Permit Fee $ Contractor ELECTRICAL PERMIT ing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare un penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions LCCode and my license is in ful force effect. License No. Y 2 If9 Classification ` ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.61 , OR ADONS. ( ACC. SLOGS. 2�20sgft [520050t NEW CONSTR LTI.OUTLI-T 2.50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. I / \OUTLETS OR FIXTURES ALO 30 Ex. OccupFIXED APLNS Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The ermit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subjectPerrnit to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against all liabil' ies, jU'dgments, costs, and expenses which may in any way accrue �a ainst I County ' consequence of the granting of this pe mit. —,3(J. Signp/Lure of Appl'cant — Owner ❑ Contractor Q�Agent ❑ AnllSHA permi is required For excavations over 5'0" deep and demolition or construct- ion r f structure over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. CONST.TrPE IFLOO91PARCEL.1 PD No 159 This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECTO OF PUBLIC By P E IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �� / Receipt NO. A WHITE-O.P.W.. YELLOW-ASSE330R, INK -INSPECTOR, COLD ENROD-PPLICANT J ✓'COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISJON 7 COUNTY CENTER DRIVE OROVILLE, 9596 CALLIA A 5 - TELEPHONE: 916/538-7541 J�- ,�1 w.. w `�. PERMIT APPLICATION DATA SHEET Permit No. t OWNER L (301J,11 Ij / A. P. No. Proposed Building Use /i/% C Building Inspector Date At time of permitfapplication, I was advised the following data must be submitted prior to permit processing and/or iss, ance-) DATE RECEIVED APPROVED 1. All items have been submitted, . , . . . . . . . 2. Plot plans in duplicate/triplicate,. signed by preparer of plans. _ 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . ... . . . . 9. Leiter of signature authorization. . . . . . . . . . . 10. Sanitation approval from _ Health Dept. ' 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to ownerE]) _._._15. Improvements may be required. . . . , , . . . . , , 16. Mobilehome Installation Data. . . . . . . . . . . Pre•Inspec.request to (Dote) 17. Pre -Inspection for_._..-.-_ _.. _. _ Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. _ _ 20. Plot plan approval from city 21 r — — 22.-- W er, you issue the peeirmit, pr cess as follows: —Mail owner; _Mail to contractor - Telephone / and hold for pickup�rt,office, Deliver w/inspector. Other A Date 'Z�_ Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to pe 1. Index permit for above items No. 2. Additional items required: 4 _ t issuance: (Circle new item not checked above). J2 Contractor, designer, owner, was advised of above required data by—phone. Contractor, designer, owner,, was advised c? above required data by—phone Plans checked by CKerDated —Plans approved Sets of plans on hold in File cabinet AP folder Copy—DPW V by date by date] Date 5OW 8 2 Building Department F1' 0M• Environmental Health SUBJECT: SANITATION CLEARANCE OWNER r 1. 64 el LOCATION AP # Plans approved for: Sewage Disposal Water Supply Mold final for:Water Supply Final Clearance O.K.' for: �'G^�! ��G�Water Supply Clearance for ?ibe.droom mobile home. Other Clearance for addition of�� TARIAN DATE ,c . 77 _-'�.' � "'M4H•;Y;'"v...•._'+-;:,_._ ....�_...-�..tiu:'u2Y'i.�-W'J:.,i�`{;,:utA. W BUTTE COUNTY DEPARTMENT OF PUBLIC WORI:S 7 County_ Center. Drive' Oro ill( CA PRUNE: 534-4541 MOBILEHOME INSTALI.XrJON SHEET 1. Owner's Name: _ 2. Installer's Name: 3. Is t:�e site'currenLly under permit? Yes No 1:1 (If yes, furnish permit number -_ _ - OR Is 'tile site an existing sit? . e . S,i: s No (If yes, furnish tWO plot plans.) 4. Will the mobilehome be located ar_ least 5 ft, away from septic ta and leach fields and clear of a7.1 setbacics and easem_�nts?. ye,, No r (If no, cluirify l _ 5. Wheat is the mobilehome electrical rating? ----------------- — Aigps 6. What is the mobilehome site service rat:itig------- ------- Amps 7. What .is the mobilehome site circuit breaker rating? - \-- •--- —� Amps 8. Is there any other electric load to be served by the Zimobilehome site. service? ------------------- -----------.---------- Yes �I No �. (If yes, identify the load and size: '---_(Load) T (Amps) 9. What is the mobilehome site gels pipe size? -------------- (in,) 1.0. What is the type of gas service? --------------- ---- Natural LPG ❑ 11. What fs the gas pipe length from meter or tank to the mobilehome? ---------------------------------------------- (ft.) 12. Wha' t is the mobilehome gas demand? ------__.._ ------------- (BTU) *(This information not required if pipe length less than -6 -ft._ -on natural gas or. less Chan _;0 ft, on VVI 11, DoX DEPA� �'`�' 0V 0 _ ' ��- ' - flMobilehone Mir, � Width-- (ft.) Box Lenrtfl c+/ ��On all mobilehomes manufactu .ed after manual and structural setu sheets (if 1� q(_11(`.0 tllall a�ll}:;le (J l.t.i(•/' furri'iall, Set. tip rit,de1 rr(,. Tagalong or .L.xp. ado Sire ft, x _ f: t October !, 1973, furni.;,h manufactl.lrer`'s installation not un file with the COLlrlty of Butt )_. FOOTINGS (check one) SUPPORTS (check one) Siao-Min,-----____-_- 1. food-pre.soure 1. Concrete block.( tr6atccl (.)L' f(�undclti.on grade. 2, 1?, Other (Specify) Ocher. (specie --\--- --. .._ - -- — ----`- Pier Touting Sizes alid jpc,.ltiUtls s1Nr!I—ww1UF tf„P_L� — riuii'1-(.rine 1111=-1-o—. .-- •--- ____— - -_iAne. 1 Line 1 Piers; , S'ice-Nin------------- ' x Spacing -Max: •--__--_- From Enda-1'iax-------- Line Z Plera • Siao-Min,-----____-_- 11fle `2 -- - _. ..— .__ � _.__ --\--- --. .._ - -- — t•I,r In tfuan�, From Ends -Max.-----. _' --- —• — -- •�-Line-- Caf: ur Triple Line 1 Piers; , S'ice-Nin------------- ' x Spacing -Max: •--__--_- From Enda-1'iax-------- Line Z Plera • Siao-Min,-----____-_- Spacing-Man---------- ----_--From From Ends -Max.-----. Lima ] :rnu[ lnyda:--•- a Llac _2 . __ Line 1 Sir.n-Min ----- __. — F.,nch S1de of With Width Cvnr--------- — e (r _i—FIC-3 Vlera: (Under Deering Wall Only) :;ltu-tfin, Fror) E:ndn-Max-------------- r ' � �(�j•x3�„moo,- _� '„3d„ �.:,�0'; --- �,- „„_... Location (Prom Front) /�L_ D , -- -- -_.. _ Flee 4 P1cr=:---- Liar 5 1'Inrn: (Und^r gear' Site -Min.---•---.-.._ Size-Min.----- Spacing-Max----.-... _ Spur ley,- nx, --• From Ends -max -------- -- From endc-A' Lime S Root -!Dada 81to-Min---- } ----- ------------....... "r Location (From Front) _-- -- - - -- --- --- =- BUTTE COUNTY BUILDING DEPARTMEi� t DOU 31Z WIDE PIERING 1VFYSHE i7r t: PSF RGOF LOAD �—On0 s _0.. PLANT #--�-L-� FA S Nam: 5F� pi 044, i �W r..=' +' .'� �C! ,1w r` I f x i . , . I' � � ^ { 1 LLL •�..�.-.� �. �r s."Y'(" . I I�' I LL.... � � 7: ,,,I, r .., t.,, I wy ,�„ p � � } ` "t,.. r- IT r[Bu `E"`"BCT �r .. `r �I I i ',p I u I r �"�n � r'� "1: a � '« � �i Ili e �� I r ,�;•,'. 4 w' r S t - �4 rM y c.ea f'' � u SII `1",..1ljy w, t�„ LL i,l ' I r `,/ "" Aj �_. �}- r'Ci j S(js n' a �;rqq ,. 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