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Home My WebLink About065-380-004` 65-38-04 HOW URBIN SUPPORT S R RE 01-IPACTION TEST 'RE 65-38-04 FPermit#2783-87B(deck cover/MH) 5-38-04 w -porch. cover,/,KH), j P r VNP O m \ ' � ^ � / l � | | f ^ ^ / � � ^ ^ / ^ ` 65-38-04 HOW URBIN SUPPORT S R RE 01-IPACTION TEST 'RE 65-38-04 FPermit#2783-87B(deck cover/MH) 5-38-04 w -porch. cover,/,KH), j P r VNP O m 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 ,23 ,�e67i� PERMIT 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. A routine ' spection indicates that the following violations of County Ordinance exist at he above address and should be corrected. Please notify this office when rrection of work is completed. If you have any question pertaining to this mat r, or need additional explanation, please contact this office immediately. exist/at I .SG ,tl ��_£/ G ��ryryy� 4111—Al G 2" 6V E5 7 Si CAF 4 7- JW 1"UG-% ezf / ,S, " G+',t/��vr louCGr Date_ / ,zZ lQ ? COUNTY OF BUTTE r, DEPARTMENT OF PUBLIC WORKS ..s 196 Memorial Way, Chico — Phone: 891-2761 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE D,j1- ,� - �y,�3 i�s�G�d 2-7 e-16 OWNER PERMIT NO. A routine ' spection indicates that the following violations of County Ordinance exist at he above address and should be corrected. Please notify this office when rrection of work is completed. If you have any question pertaining to this mat r, or need additional explanation, please contact this office immediately. exist/at I .SG ,tl ��_£/ G ��ryryy� 4111—Al G 2" 6V E5 7 Si CAF 4 7- JW 1"UG-% ezf / ,S, " G+',t/��vr louCGr Date_ / ,zZ lQ ? 2783--87 PERMIT NO. IM99 97B PERMIT EXPIRES OWNER HOWARD DRUBIN CONTR. ASSESSOR PARCEL 65-38-04 LOCATION 6433 Rosewood, Magalia Temp. Power Pole, Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) q Signature = OK ,. 0 = Not OK '1�. " t = Not Read�yable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DE S,COVERS,CARPORTS,GARAGES, (Plans)OK erce t #'s 1. Zoning Requirements -Setbacks -Easements . Zing .Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Fo ngs; Soils -Size -Depth -Spacing -Connector feel 3. Sewer; Location -Test -Fall -C/O -Concrete j eqs; girders and/or Joists -D ckin -B n Stain -Rails 4. Water; Location -Test -Easement Needed (Sketch) . f— ' 71 ,S Pdsts--fditrs=Ognne S�thg'=cif .-Br 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG - s 7. Utility Clearance /VU;,,/ -i"/ -- cs.,c/ � F ds-Rftrs-Yrusses er-Stucco-Mesh Card -81 Date Card -131 Date n9 Card -81 Date Card -B1 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements :Card-El Date Card -61 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date`/ J. A--ff 7Card-131 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.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit Card -B1 Date. Card -B1 Date Card -81 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -81 Date Card -81 Date Card -131 Date = OK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = 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-Root 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. Stemwalis, Garage; Steel- Bloc kouts-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 -Sup prt-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 -Wal Is-Wndws Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date Card -B1 Date Card -Bt Date Card -B1 Date Card -131 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 -Labels Card -81 Date Card -B1 Date 66. Stairs & Rails Card -131 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/Mach. Fasteners -Bond Gas &Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Mach. 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 AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic 0 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 O Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instid.; Drive 0 Yes 0 No; Walks O Yes 0 No; Planters 0 Yes 0 No 80. Stucco; Brown -Finish Card -61 Date Card -B1 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -61 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 -B1 Date Card -81 Date Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Date FRAMING (Plans) OK except #'s Card -81 Date Card -B1 Date 38. Sills, Proper Material & Anchors Card -131 Date Card -131 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 ANb PERMIT PERMI O. ASSESSOR PA EL NUMBE _- I BUILDING PERMIT OWNER-kzwjA D�� SO. FT. OCC. BUILDING VA' ATION OWNER' MAILING ADDREESSS �C 4,2d 4&241.1 911<9 CONTRACTOR'S NAME TELEPHON CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ D ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Ey 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 rr--�� USE OF STRUCTURE SF Duplex❑ MobilehomeA Other L_I SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea " TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other 5QPermit Describe work: &44 Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service soov 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 am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER 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) ' 0 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.m) 1/z2sgft OR ADDNS. ACC. BLDGS. NEW CONSTR TI.OUTLET 2.50 ea NON-RESID BRANCH CIRC TS APPARATUS e (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 52 (OUTLETS30 FIXED APPLES. OR EX. Occup. OUTLETS (RESID.) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,.should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot� Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County consequence of the granting of this permit. X A�/� iA %� a� Date / Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -E ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occ0P, CONST.T77 SCHOOL FLOOD PARCEL I PD ND Issue This permit is hereby issued under sions of the Butte County Code and/or wor icated abo a for which OkOF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date tI SLP // Receipt No. — WNITE-D.P.W., TELLOW-ASSESSOR. PINK -INSPECTOR. GOLDENROD-AP►LI CANT I ^w^° Y _ '1.+' 7 .•' .r��.,'h.-r• ."�� z,..lt��''�Stii ., r j..�..y.'i /': '. qYr�C.,� � `j-� i• ,'".. 7'r0 ^ wr•s-7`"..r-' 'itdfiT(!': COUNTY OF BUTTE-- DEPARTMENT OF.PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,, �LI�OR„„NIA 95965 - TELEPHONE: 916/538-7541 �t f f PERMIT APPLICATION DATA SHEET Permit No. OWNER A. . No. (62 Proposed Building Use/��`��%/l°� i 'Building Inspector Date v At time of permit application, I was advised the following data must be submitted prior to permit processing and/or ' 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. School District ''Fees Paid'' Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of, $ . . . . . . . . 9. Letter of signature authoriza .ion. :W10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) Improvements may be required. . . . . . . . . . . . _16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for__. _ _ .._ _. _Required. Pre-Inspec. request to (Date)Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. — — 22. 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 Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone—nail_cou er by date Contractor, designer, owner, was advised c? above required data by—phone _mail-4!%co er by date Plans checked Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date 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)�j. ,2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4., I plan to provide portions of this,work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work"but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Vi� /Iowo(� Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. — ,iulii me property lines and a setback This set of plans and specifications MUST be of 50ft. from the road t kept on the job at all tirnes and it is unlawful to centerline shall be clear of make any changes or altarc+tians on same without written permission from the Department of Public structures or equipment except Works, County of Butte. fora 2 ft. eave overhang. I44/0CLEAR or-Eq�y��S X Alatback-of 5 ft-. from the / v pRiparty lines and a setback` r j -- -- - "b 2exrt -except --•� i � �74/Y'�E • . i-O�c y��." ,Fr/ / p Rw ° H�si� ov> h, - y. � �3 � ��' `�. ooh •'�� '� ��' 2 • f�QPSQ.TTMtNIAUAH - o O �-1 Utili connections shall be within - FOR MOBILES r 'mobilehome either � 4 ft. f the "4� ot� direc y behind or within the rear half f the ii �mobil home,k T F'K 'I, 9 2 _ cum cwl"t NOTE.—All Materials & Workmanship ShaR 71 KLDING QFPARTI`A!--r Accordance with Recognized Good Practices 3 and BUT, r'OUNTY APPROVED of a quality prescribed for the Specified use in the UN -t -Y Uniform Building, Plumbing & Machanica - �' the National Electrical Code. BUILDING �'� -ART �F-PARTMENT. APP vEr Materials F Workm ,co Evith R P Shall Be in elf , coanshi gnized Good Practicbs and f or the $ use in the ing Mechani aa, cal Codes and c.?y ' 6 aciriCtsde. �e I his o set of plans an the lob at d specificatic5n flake anY cha;. times s and itf15� as written permisson oes sll n or alterations 's unlawful to Works, County of m the Depa on tme ame' Without Butte. nt of Public 3 v S. Ov- 1 \s 1 f✓ .. %d BUTTE COUNTf . BUILDING DEPARTMENT APPROVED I z n-1 X m z --A A' � O COUNTY OF BUTTE w �DEPARTMENT, OPPUBLIC WORKS ' e 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 �2 7 Y3 VNER ,,� PERMIT NO. A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. I ` I i i Inspector //2 Date / ol��-�j PERMIT NO. PERMIT EXPIRES OWNER HOWARD DURBIN 3 CONTR. Atiagr t ASSESSOR PARCEL 65-38-04 t. LOCATION t3�i � )?esetJee� Ui�, . Nagana OFFICE COPY E Address e I GAS Meter By Date II ELECTRIC Meter By Date Temp. Power Pole. Called PG&E I Temp: Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature = OK 0 = Not OK Not dyMOBILE HOMES MISCELLANEOUS r - Date MOBIJAKHOME UTILITIES P .OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s '0-,'fonjpg Requirements -S t cks-Eas ants oils. up 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel ewer; L ion- - - oncret 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails ater; L on- t- ) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing ect,icity; L on -C ances- d.- 06Amp-(ate s; Lo`ca$on-T - r�--Jla4. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors tility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Dat ' . rd -131 Date 10. Roof; Shthg-Roofing Card -1211 Ak Dat jy1j7Card-61 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date 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-GF1 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.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -81 Date Card -B1 Date Card -131 Date 9. Health Department Approval 7 9 Wyly GCJJ c,- 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Sf Coact v� v�� / z Z" AV C /f, S = OK = Not OK - =Not Applicable RESIDENTIAL (Single and Duplex) • = Not Reac it 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- Bloc kouts-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-Underflr. 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 -131 Date Card -131 Date Card -B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuits in Kitchen & Conductor Size 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnace in Attic Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 38. Sills, Proper Material & Anchors 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Date FINAL (Plans) OK except #'s 60. Ext. Steps -Door & Sidelight Protection -Landings 61. Smoke Detector 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels 66. Stairs & Rails 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 70. Elec. Outlets & Receptacles at Kit. Counter 71. Garage Fire Door; Swing -Landing -Closer 72. A.C. Duct in Garage -Damper 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 74. Plb., Elec. & Mech. Equip. Listed for Location 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish 81. A.C. Unit; Disconnect, Electrical, Plumbing 82. Vents Above Roof; PIbg.-Appliance-Firep I. -Clearance to Openings. 83. Water Well; Disconnect, Electrical, Plumbing 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 85. Ventilation throughout House 86. Glass Protection 87. Corrections from Previous Inpections 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 Address or location of mobilehome Owner's name ' Owner's address Insignia or hud number Manufacturer's name Serial number of V.I.N. (Official Approving Installation PERMIT N0. '' Year of manufacture IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. d TO. Building Department • i FROM: Envi ronjnen to 1 Health SUBJECT: SANITATION CLEARANCE OWNER Plans approved for: Hold final for: LOCATION AP # Sewage Disposal. Water Supply Water Supply Final Clearance O.K. for: tK6 D Water Supply Clearance for 2n-- bedroom mobile home. Other Clearance for addition of No teff, 7' 2—o -r7 AN r DATE TO: Building,,.De.pastment FROM: Encroachment Permit Section RE: Driveway Clearance oc�avGfy �' b, h owner location AP # Driveway permit / - has been issued for the above property. f sign ure date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO./ 7 County Center Drive - Oroville, C,alifornia.95965 - Telephone: 916/538-7 APPLICATIONAND PERMIT ASSES R,�RCEL NUMBER S — _ QG ZONING JeM F}- BUILDING PERMIT OWN / ! TELE HONE SO. FT. OCC. BUILDING VALUATION OW E 'S MAILING AADD/DRESS A zy CON/T�RACTOR'S NAME 4(Ilam`` TE EPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER c UNKNOWN Total Valuation Is Filing Fee $ 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 FIIingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. �,3 SUBDIVISION NAME �. � % � ✓ ^7 PA EL MA .y7 �s'� / ,Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF ElDuplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 0.00 ea' O 00 TYPE OF WORK / New ❑ Addition ❑ Remodel ❑ Utilities If�Y/Installation❑ Other ❑ Describe work: _ Permit Fee $ b �V Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS100 AMP OR LESS 10.00 r) Main service EA. AOD'L too AMP 2.50 �p CONTRACTORS LICENSE LAW I declare under penalty of perjury (check.one): El am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is In full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole COmpen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING OCCUP.& , OR AODNS. ( ACC. BLDGS. h2Sgft NEW CONSTR.ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 5AL0 OQ ALO 30 FIXED . OR EX. Occup. OUTLETS IRESTS IRESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ,5,� Misc. Wiring 15.00 Permit Fee $ 0 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject Y� 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue. against said County in c ence of thefgranting of this permit. X Date g Sin Lure of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuress over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ ocCOP. CONST.TYPEJ I FLOOD PARC P; ND ISSUE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECTO"F PUBLIC BY PERM9 EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ��' Receipt No. O 3 �7 WHITE-O.P.W.. FELLOW-ASe ISSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF -BUTTE - DEPARTME(NT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE ORd�IL1E,,1CALIFORNIA 95965 - TELEPHONE: 916/534-4541 t PERMIT APPLICATION DATA SHEET L./ / Permit No. OWNER o d � �[/ A. P. No. �r��"' Uy Proposed Building Use �,�1� U/i� Building Inspecto Date 7� At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. . 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . , , , , Letter of signature authorizat;ell 10. Sanitation approval from lt, Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name sttai classif.) ,4. Owner -Builder Verification (Given to ownerl to owner[:] _15. Improvements may be required. . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Date) Pre -Inspection for Required. Building Inspector Recorded copy of Agricultural Acknowledgment Statement. '%/�� n 10. Driveway Permit. 20. Plot plan approval from city of 21. 22. When ou issue the permit, process as follows: Mail to wner, Mail to contractor. Telephone%Z��o /% and hold for pickup at�.ffice, Deliver w/inspector. Other ` Applicant � �• ��'f''- � � � �Date �; — ! � 1 Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior top issua (C' I new item not checked above). 1. Index permit for above items No. 2. Additional items required: - rt 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 _mail—counter by date�J Plans checked by Date Plans approved by ��te Sets of plans on hold in File cabinet AP folder — Flours: 10:00 a.m. - 3:00 p.m. 461;,S"' 55* d£ Oa✓.0 tvr 1//•v ox;/ Si!£e7 Copy—DPW COUNTY OF BUTTE - Department of Public Works ' 7 County Center Drive, Oroville, CA 95965 Phone: 916-538=7541 i 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) TJ�L 2. I (have/have not) •�� A ¢ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work.but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: G�/�/� . Property Owner Social Security Number Date_j 1�'1 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. Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENt?LCORDED BUTTE COUNTY FOR. RESIDENTIAL' DEVELOPMENT OFFICIAL RECORDS By Section 26-8.1 of the Butte County Code requires this acknowledgement PART-( SHcw t be recorded prior to issuance of a building permit. 87-2-61T? . 681 JUL 20 PM 2 13 The property described herein is adjacent to land or included `NtiuACE J.GRUBBS within an area zoned for agricultural purposes, and residents of this""v; property may be subject to inconveniences or discomfort arising fro�LERK-RECORDER FEE the use of agricultural chemicals, including, but not limited to herbicides, pesticides, 11 `.•mf and fertilizers; and from the pursuit of agricultural operations including, but not limiteda9f to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: O / 2 Lot 231, as shown on that certain Map entitled, "Sierra Del Oro Estates Unite No. 3", which map was recorded in the office of the Recorder of the County,of Butte, State of California on June 3, 1968 in Book 35 of Maps, at pages 27, 28 and 29. Date: �) = �� l hip% PROPERTY OWNERS : < -~ 1 State of On this the Z.0 day of , 19�n, before SS. me, the undersigned Notary Public, sonally appeared County of ) Personally known to me. /U Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) C"',, subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. } i Not Public Present A.P. No . �J`✓i �� D • ^r, OFFICIAL SEAL STACEY MORRIS Notary Public -California BUTTE COUNTY �' My Comm. Exp. Oct. 2, 1990 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California -95965 - Telephone: 916/536-7541 APPLICATION AND- PERMIT ASSESSOR PARCEL NUMBER _ ZO ING BUILDING PERMI OWNE Cc/L /Z J^ TELEPPHH/-ONE oZ� ,SQ, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS -77 / led H CONTRACTOR'SNAME g/ TELEPHONE C NTRACTOR'5 MAILING ADDRESS Fireplace CONST, UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Dv✓�' LICENSE NO. Plan Checking Fee $ v Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty BUILDING ADDRESS Permit fee `$ $ L PLUMBING PERMIT Filing Fee 10.0 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PA CEL MAP" Water piping 5.00 Each qas water heater or vent 5.00 USEOF RUCTURE SF ❑ Duplex[]Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is 110.00 ea TYPE OF WORK �, New❑ Addit�OjRemo�ddel❑ tiliti Installation L�_( O er ❑ Describe work'-//GL/iy Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 tl Main service sOOv OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check.one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.tl2 , New CONSTR.� A ) h¢sgft ULTII.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 20 a sot AL®30License FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00• Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Count in consequence of the granting of this permit. _This Xfj��6�C�tJ'I/fY✓K Date Signature of Applicant — Owner Z Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $L�j0 TOTAL PERMIT FEE $ C.) occu P. CONST.TTPE PLOoo ARCEL PD N ISSUE permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECTO F PUBLIC PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS at — Jp�p Receipt No.'("]? -AY \WHITE-O.P.W.• TELLLO-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT i t OWNER COUNTY OF BUTTE -'DEPARTMENT, 0F'PUBtLIC WORKS - BUILDING DI )ISION 7 COUNTY CENZER DRIVE - OROV1LLE-cALrF0RN;lA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET (j I Proposed Building Use Permit No, �V/ A. P. No. 1;,5-- 7,Y— O y Building Inspect o Date��/� At time of permit application, I was advised the following data must be submitted p for to permit processing and:/or issuance: DATE RECEIVED APPROVED 1, All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. , 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , . , , , , , , 9. Letter of signature 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., namestyl ,-classif.) �C': •- 14. Owner -Builder Verification (Given to owner[, Mail to owner ❑ ), 7—/�/—Q7� Improvements may be required. . . . . . . . . , , , 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to 17. Pre -Inspection for Required. (Dote) p q Building In 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 2 Plot plan approval fromty of 22. When /you -issue the permit, process as follows: Mail to caner, Mail to contractor. � yTeIephone 7Z��G%/ and hold for pickup at�i.office, Deliver w/inspector. Other t Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle. new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone—mal I counter by date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date — Flours: 10:00 a.m. - 3:00 p.m. 1 S COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: OWNER -BUILDER VERIFICATION Attention Property Owner: 916-538=754]. 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) Coll - 2. 2. I (have/have not), signed an application for a building permit for the proposed doik. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work.but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: `J Property Owner �1 Social Security umber Date ;NOTE: This Owner: -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. This set of plans and specifications MUST be kept on the. job at all times and it is unlowfkil to make any changes or alterations on same without written permission from the Department of Public Works, County of Butte, 00 rA q v . � � Z00 SQ. FT. MINI" CZ� a2y X /_ o' -A 0 amxfo F41 10 f D 9.0 Utility connections shall be with 4 ft. of the mobilehome, eii-jier directly behind or within tFe reg kalf c f tha Jobilehome. I FOR !GOBI A pers;lii• viii be required for the 'nsfo'110tion of the mobilehome. 14�T Asea A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhancjt %. IN AND GEAR -OF E45MENT��S�y...�/// NOTE—All Materials & Workmanship Shall * * Accordance with Recognized Good Practices and FIN of a quality prescribed for the Specified use in the APPROVEW Uniform Building, Plumbing & Machanical Ca and Z346_817 MALL +he National Electrical Code. 295'7-k7_M4_ Q r 7 2L b' 1 sum MOM WILDING DEPARTMEN. NOTE—All Materials & Workmanship Shall * * Accordance with Recognized Good Practices and FIN of a quality prescribed for the Specified use in the APPROVEW Uniform Building, Plumbing & Machanical Ca and Z346_817 MALL +he National Electrical Code. 295'7-k7_M4_ BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name 0 E-/4 �'� l `6'/ 2. Installer's Name: Z�1/ 3. Is the site currently under permit? Yes No F] (If.yes, furnish permit number ) OR Is the site an existing site? Yes No y (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 -ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify .f 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? --------------- 0 0 Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- EJ yes No (If yes, identify the load and•s:ize•: (Load) (Amps) L 9. What is the mobilehome site gas pipe size? ------------- - (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?--------------------------------------------- / * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. .natural gas or less than 50 ft. on LPG.) 7 " gUILDING APPRO�'� MOBILEHOME SUPPORT DATA ' If-,other.than single wide, Mobilehome Mfr./V %'�5� fur•nibh Setup Model No. Year �� Width (ft.) Box Length 4� 0 (ft.) Tagalong or Expando Size —eft, x -----f t. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's 'installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)IRI . Wood -pressure treated or foundation grade. a 2. Other (specify) SUPPORTS (check one)Ea1. Concrete block. 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE t.l Line 1 •1'�€-�--�.— Main Beams .in • — — — — — — — — — — — — — .,F i.in .ins — — — — Line 2 -- Main ------- Beams --- — ,� lin Oft—Line 1 --- — — ------ Line — Tag Tag or Triple —. — — — — — — — — — Line G Line 1 Piers: Size -Min. --- ------ u Spacing -Max. -'-=----- From Ends -Max. ------- Line 2 Piers: Size -Min .------------ Spacing -Max.--------- From Ends -Max .-----=- Line 3 Roof Loads: 2V) Size -Min ------------.- Location (From Front) Size-Min.------------ Spacing-Max.--------- , From Ends -Max .------- Line 5 Roof Loads: Size -Min. ------------ Location (From Front) i Line 1 Openings' Size -Min. ------------------ „x „ Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) - Size -Min ------------------- „x n Spacing -Max________________ From Ends -Max .------------- Site -Min .------------------ „� n Spacing -Max.--------------- ,_ u From Ends -Max.------------- i AP # OWNER lk(,LJ PERMIT MH UTIL.c DATE 7, INSPECTOR I LM ELECTRIC GAS Support Struc. Compadtion Test. eq. 3ervice- Other Pipe Y-ES7 NO YES NO Size Load Type Size Length 4 C VA _ 2,713-47 PERMIT NO. 2783-87B PERMIT EXPIRES OWNER 14nWARD D11RRTN CONTR. OWnar ASSESSORPARCEL 69-38-04 LOCATION 6433 Rosewood Dr, Magalia T Temp. Pow �t Called Temp. Elec 1 Called Temp. Gas Called JOB FINAL Signak = OK 0 = NotNot = Not Ready MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DE S,COVERS,CARPORTS,GARAGES, (Plans)Cf%, except #'s 1. Zoning Requirements -Setbacks -Easements VZgrfing Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch o tings; Soils -Size -Depth -Spacing -Co ors- eel 3. Sewer; Location -Test -Fall -C/O -Concrete a Br tsim&siJe• 4. Water; Location -Test -Easement Needed (Sketch) G�LO / o o d Awn.; Ppsts B s-RAFs.-Coa ec.- hth - - -- /_ - 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ . /"LPG 5• - turnrns=Eorrn ce= eca - elewes. 6.-Qarpor46;_Windows-9oors° 7. Utility Clearance 7--Efec— - s- rs- russes __ng: Na4ilwj Card -B1 Date Card -B1 Date *.-R Card -B1 Date Card -B1 Date 1+ `�'-�.�`�r;�^oo•s L �� Date MOSILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line . Card -B1 Dat - and -61 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.;Grounding; 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 -61 Date = OK 0 = Not - =Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date IONDERFLOOR (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 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-Underflr. 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 -131 Date Card -131 Date Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Card -131 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 -Labels Card -B1 Date Card -81 Date 66. Stairs & Rails Card -131 Date Card -131 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/Mach. Fasteners -Bond Gas &Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Mach. 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 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 13 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 -131 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 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 -81 Date Card -61 Date Card -81 Date Card -B1 Date Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -131 Date Card -B1 Date 38. Sills, Proper Material & Anchors Card -B1 Date Card -131 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rht 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 AND' PERMIT r PERMIT NO. ASSESSOR PARCEL iBER ((��ljj ZONING BUILDING PERMI OWNER �o r TELEPHONE -.� SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS �A✓(L� _/_,,�Q na CONTRACTOR'S AME/��j-• TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ =T 0, '50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,b' oz.s. a s 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 [IDuplex[]Mobilehome� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utili ies ❑ Installation[] Other] Describe work: Permit 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 I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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.& I/z¢sgft New CONSTR.(A MULTI -OUTLET ODUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. I Ex. OCcup(OUTLETS OR FIXTURES 2ALO eLe30 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. GK I shall not employ any person in any manner so as to become subject r� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County i onsequen a of he granting of this permit. �l�lp! X Date Signature o Applicant — Owner M Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ J6-. 7) occuP. CONST.TYPE Lo OO ARCEL PD I ND 1>011E This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECTO OF PUBLIC By PEWT EXPIRES Date the applicable provi- resolutions to do, fees have been paid, WORKS Date,P- Zi 17 Receipt No. WNITE-O.P.W., YELLOW -ASSESSOR, PINK-INSECTOR. GOLDENROD -APPLICANT 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. 3. I have contracted with the following person (firm) to provide the proposed-, construction: Name Address City Phone Contractors License No. 4., I plan to provide portions of this. work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work'but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner SociaecuritY lCmbir Date ✓'a !2 -7 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT''OF PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE ,C l!1If:T'RNIA 95965 - TELEPHONE: 916/538-7541 i PERMIT APPLICATION DATA SHEETf ,-,,LI Permit No.— CI) 0 W N E R J � C /2oCJ�� / A. P. No. Proposed Building Use(L� ��%�% Building Inspector � Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: I 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. y 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature author izat-i-on. . . . . . . . 10 Sanitation approval from �1� Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) _.____15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection forPre-Inspec. request to (Date) __ _.- _ ...- _. _ Required. Building Inspector 18. 19. 20. 21. 22. Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. Plot plan approval from city of_ W en you issue the permit, process as follows: Mai to o -caner; Mail to contractor. Telephone and hold for picku46_41 ' 61_flfice, Deliver w/inspector. Other _ Applica ate Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: _ —_—_— Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised ct above required data by—phone —mai l—counter by date Plans checked by Copy—DPW Date Plans approved Sets of plans on hold in File cabinet AP folder TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner 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 NOTE Sa arian Date This set of plans and specifications MUST be 1 kept on the job at all times and it is unlowful to make any chamges.or alterr+tinns on same without written permission from the Department of Public Works, County of Butte. 1 Tif'Nif � . /OG L 1 Utiliconnections shall be within 4 ftf the'mobilehome, either Lam' direc y behind or within the rear half f the 1 mobil home. lSpi ' J I I- I IU111 Tne property lines and a setback sof SOf_t =from-the-roarl---1 Centerline shall be clear of structures or equipment excepi for,-a=2-ft;eaveLLove'rhanq �A�D CL`E�R—OF-Eq�yE �C� Iku MI 1 FOR, MOBILES ` r•� � a � 1 n Ulm LI j 17' 9 z ;r 4 Iku MI 1 FOR, MOBILES ` r•� � a � 1 n Ulm LI j 17' 9 z sum C NATE:—JAIL Materials &Workmanship Shah DING DPPAMME-° � � a 79,3-�% Accordance with Recognized Good Practices and � � ®� ®� of a quality prescribed for the Specified use in the BUTS CTS e OUNi Uniform Building, Plumbing & Machanical COCIft and the National Electrical Code.BUIiDiNv DEPARTANNOW APPROVEA1009 J-1001 ;r sum C NATE:—JAIL Materials &Workmanship Shah DING DPPAMME-° � � a 79,3-�% Accordance with Recognized Good Practices and � � ®� ®� of a quality prescribed for the Specified use in the BUTS CTS e OUNi Uniform Building, Plumbing & Machanical COCIft and the National Electrical Code.BUIiDiNv DEPARTANNOW APPROVEA1009 J-1001 ••! . %. ; i .. r. cr _ Y .± ,Y 5`.. � to . �' - a t a ,,,,? 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Q Ly 0 z OL -9 CL LU O Cy > Q Ly 0 z OL -9 CL COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 19,6 Memorial Way, Chico — Phone: 891-2751 _ +y 7 County Center Drive, Oroville — Phone: 53A-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE .275-57 -2 6/- 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 expiation, please contact this office Immediately. �V/ lii FA Inspector Date