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Home My WebLink About066-070-004-07-04 t CHARL H. MANN 6481 Sha. Circle,lot 84,PPCC#I, Magalia Contr: Gene Schmitt, Vina + Permitk2532785P,E(uti1MH), ... . 4:. ELEC ' GAS_ L PlG /D �� SUPPORT STRUCTURE REQ��O R= x COMPACTION TEST RE ► �`` {; .— Contr Gene Schmitt 66-07-'04 Permit��2593-85P(gas piping/2532-85)� Contr: Ge •9chmitt -04. f Per��43-85MHI mi 2 • � :t , , eded x Permit#208-86B(riewcgarage)8,` :4 _ _ ry 4 s, o Pm //;� `66-07-04 a �� 185 86B(neoa covered. deck/MH) 66-07-4 /5rMt 8' �j �7 Hrmit#2258-87B(lst renewal/208-86)gar / / y J i t { .�.- • ' .. ' iV °� iso i Nt , ji PERMIT NO. RE -)9"9&B -/C PERMIT EXPIRES OWNER CHARLES MANN CONTR. owner ASSESSOR PARCEL 66-07-04 LOCATION s_ 6481 Shaw Circle, Magalia , ji J = OK ' O' = ' Not OK Not Applicable MOBIL•EHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's Z! Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ --2.-Foo ' ; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4--Wuu -&wn=Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance - — 7. Elec. -- - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date - Card -BI Date 712,f1c,& Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK.except N's. 1. Zoning Requirements -Setbacks -Easements Date POOLS (Pla s) OK except k's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability t 3. Gas; MH Test -Demand -Valve -Connector -- 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date t FM J y VK 0 = Not OK Not Applicable = Not Ready r � RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (PlaparOK except N's Date FRAMING (Continued) L.-Zert'rg requirements -Se a nts Depth 4*,. ' -Ext. Doors -One 3'-Chec arage-3c4-&Hwr,-P-exits tg., Garage; S /" Ftg. - oom-Rise-Run-Lan g -Fire Protection ilc F<esL �" y Deptht woo oof Overhang -Attic s -R riggers b 5 Si n - at in eed- ess . temwalls, 7w- Pie S-Fil.p g.- eel 5 Protection -Skylights -Plastic - t t - I est -2 way C/O -Sewer Test Nailing -Bolts rs hors -Regulator -Service Test 1'1 Electric; Underground &m-Materi al -Support -Ins. -Anchor Bolts -Joists -Vents -Cripples Card -BI 4V Date - -y Card -BI Date Card -BI Dat Card -BI Date Card -BI Date Card -BI Date Card -BW Date ,7jg? Card -BI Date Date FNA s K except q's Card -B Dat&,L-,? Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; V - ccess-Combustion Air i4 L5 xt ps- oor & Sideli otection-teftiSMgs— 5 5&--F"mwze-ttnTM-Clearance-Comb. or Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; nchors-Nail Protection D.W.V.; Test-FttngsA Anchors Nail Protection 5 -�; _ _16. 17. Shower Pan; Te&VPirst Floor -Tub Access 'xtures & Tub Access 18. Test Tub & ower, 2nd Floor -Tub Accesspanel; Breaker Sizes -Labels 19. Pipe; ize & Anchors 6Q--stai*sec. & Re41s Card -BI _Gas Date Card -BI Date 6 ; Clearances -Hearth 6,4 ❑t 0 "-'- -- Wood Panel; Int. & Ext. ante; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date eceptacles at Kit. Counter Date ELECTRICAL Perrrdt 0 ce t N's Swing -Landing -Closer ge-Damper 20. Fixture &Trans er Clearance -Ins. Protection69,learance-Comb. Air-Connector-P.R.V.- Protection _ 21. 21. Elec. Rec�cles acing -Lights & Switches at DoorsAQ Size BoxeConductors-Stapled7q�a P!6.'Z346e-&JAeeh. Listed for Location 23. Romex Ine to Edge of Studs & C.J. (G.F.I.)-Romex Protec. 24. Equip. Ground made u w/Mech. Fasteners -Bond Gas & Water Attic E:) Yes _ - Card B -I Card B -I 25. 2 Appliance Circ in Kitchen &Conductor Size 26. Subfeed_Wire S' / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Cir K7 / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulat Neutral _.,Yes 13 No 28. Servi -Riser Conductors & Ground -Main Disconnect — 29. Equip. Clearanc s: Panels-Motors-Mech. Equip, 30. Clothes Clos Light -Shower Light _418.MT --- -- -- - Date _ Card -BI _- Date — Date Card -BI Date 7 ction-Post Caps 6,,n. -Drainage & Woa3Wa clearance L 7,61 7 -Following instld.: Drive es ❑ No; Walks ❑ Yes LZ:We- Planters ❑Yes LAO -- ish connect-Clrnces-Brkr. & Cond. Size -115V Outlet g.-Appliance-Firepl.-Clearance to Opngs. Electrical, Plumbing 8 F.I. Receptacle -Underground out House Date LZ MECHANICAL ( errr,it) OK except q's ous Inspections 8� g5--Wat.�.g rat lest -Meters Tagged; Gas -Electric er Connected -C/O to Grade -HD Approval Card -BI Card -BI 31. A.C. Ducts: I anon &Support 32. Vent Fan; Exhaust ove Insulation _ - 33. _Condensate Drain_ Overflow; Size & Grade _ 34. Furnace -Vent: _cess -Comb. Air -Return Air Vent -_115V outlet 35. Attic Access Platform if Furnace in Attic Date Card -BI Date —. Date Card -BI Date 7-ftmpliance Certificate -Other Certificates - - Card -BI � Date . a _ Card -BI Date Card -BI Card -BI Bate ,Card -81 Date _ date Card -BI Date Date FRA Plans OK except N's Com mants at Final: S>Hs;Prope_r Material & Anchors - — Walls_Studs-Nailing, Spacing & Bracing -Plates -Sound I's -ver Girders &_F_loor Nailing ails (rat proof)_ 4 _ red Ceilings -Stairs -Chases -Tub eader & Beam -Size & Bearing 42_14aa�cs-fit Capses-P WiaConnectors ��`_- � In oist-Rft es -Pucka. -R es-TrdSs-Sh d - eplace Throat 4 Ions 4? r'arana Firc prntartinn Framin — _ (NOTE: Anentrymust be made each time youvisit jobsite) j•` COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS rl. 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 OWNER 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 /m�atte�r, ,'or need additional explanation, please contact this office immediately. Inspector Da q� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE mit/ - - .G -1f-I _f/�',.0 a & y- J (�' ER 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 eed additional explanation, please contact this office immediately. M"A Inspector UC�"% Date' �� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Qalifoka 95965 - Telephone 916/534-4541 APPLICATI-ON ANb PERMIT Z71NO- ASSES71RA=CE NMBEF� /v) ZON' BUILDING PERMIT OWNED TE EPjo/E (o SO. FT. OCC. BUILDING VALUATION OWN 's MAI LI ADDRES in < � LS- ONTRACTOR'S NAME F,C:ONQRAC`TJAqdAILING TELEPHO E ADDRESS Fireplace CONS;VICTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH T CT 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 Q t Solar or heat pump water heater 20.00 LOT NO. 94 SU V}y�ION�NIAM�/E 1 ` a_9 RCEL MAP y_.- "J�% Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCT RE SF ❑ Duplex❑ Mobilehome❑ Other lea SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea. TYPE OF WORK New X Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NO I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my -employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ orsa the owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. 21 OR ACDNS. (ACC. BLDGS. a �z¢sgft NEW CONSTR.LTI.OU7LET 2,50 ea N.R ESID BRANCWEIRC ITS Pow APPARATUS &) (� E OUTLET CIR. 20050 Ex. Occup( TLETS OR FIXTURES 8AL SOS FIXED APPLNS. OR Ex. OC . OUTLETS (RESID.) EA.) 1 2.00 Te ovary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. KI 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 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, 'udgments, costs, and expenses which may in any way accrue against said nt in onsequence of the granting of this permit. Date v L Date Signature of Applicant — Own vig, 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 $ Occup. CONST.TYPC FL000 ARC PD HD Issu This permit is hereby issued sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 7– rY�. Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT / COUNTY OF BUTTE - DEPARTMENT "OF �PUBLIC WORKS'- BUILDING DIVISION V. 7 COUNTY CENTER DRIVE - OROVILLE,��AL IFOFMM 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER A. P. No. 11111- Proposed Building Use ('�� V ,, o Permit Fee Based Upon: Complete Contract Price DPW Valuation —Other (E ther(Ex Iain) . Building Inspector / �1 �.. //{.ter il//�f' Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED. APPROVED 1. All items have been submitted. . . . . . . . . I -RIIPlot plans in dup-l`ica e.% iplicate. Complete plansmate:/t i pl icate y._ _.._� L 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . ... . . 9. Letter of signature authorization. . . . . . . . . . . w. 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 owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . •Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector ., 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Other DRIVEWAY PIMMIT fl(CONSTRUCTION APPROVAL REQUIRED PRIOR TO OCCUPAi:CY When. you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone �<N - J4 and hold for pickup at office. Deliver w/inspector. Other v p1t ✓Ye Appl icant /lva-ItZ�JO—sn.n-Date Z Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: 9 r (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by _7A Date ` Other: Copy—DPW TO- Building Department FROM: Environmental Health SUBJECT: SANITATION CLEARANCE 0 %ER Plans approved for: Hold final for: Ai r 5 ,,,, ��e 1 ( � - .. LOCATION AP # Sewage Disposal Water Supply Water Supply Final Clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other Clearance for addition of �� 17 V,7,0 r Not TARIAN I b DATE J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PER N L r / ASS S PARCEL NUMBER ZO I BUILDING PERMIT OWNER r TELEPHONE .7 r SQ. FT. OCC. BUILDING VALUATION OWNERM Il G ADDRESS X 00t CONTRACTOR -5 NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee rW IV7, $ 22, ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee E$. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ! - G Permit fee $ J PLUMBING PERMIT Fl ling 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 STRUCTUPA /^ SF ❑ Duplex❑ Mobilehome❑ Other�� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New ❑ AdditionF1 model ❑ Utt* lities ❑ Irl llation❑ Other Describe work: �� / U/= �D �-- �� 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.8!OR ADONS. , AMULTI-OUTLET NEW CONSTR. .50 ea NON.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS y\ SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20050C SAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.I EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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 -Ensure. Ishal I 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. 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 s my in consequence of the granting of this permit. Date fliff \ Signature of Applicant Owner Contractor ❑ Ag t 10work 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 $ oZs' OCCUP. CONST.T;PEJ I FLOOD PARCEL P13 17737 This permit he Butte Cou ty. Code and/oissued under s ons -oft ( indicated above for which DIR CTOR OF PUBLIC B� PERMIT E) ate - r resolutions applicable to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW -ASSES OR, PINK -INSPECTOR, GOLDENROD -APPLICANT �� I COUNTY OF BUTTE - Department of Public Works f- 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) �4 5 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 - Q Signed: Property Owne - 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. PERMIT NO. PERMIT EXPIRES OWNER CHARLES H. MANN CONTR. 'Gene Schmitt, Vina \. ASSESSOR PARCEL , 66-07-04 LOCATION 6481 Shaw Circle, lot84, PPCC#I$ Mag: ,t i pY V+ a i o. r • Temp. Power Pol OFFICE COPY Called PG&E , Address Temp. Elec. ServI Called PG&E GAS Meter By Dat i ELECTRIC By Datey� Temp. Gas Servi Meter l t Called PG& JOB FINALED, (Date) Signature i V OK 0 = Not OK — = Not Applicable MOBILEHO°MES MISCELLANEOUS * = Not Ready , Date MOBILEHOME UTILITIES (Plans) OK except p's 1. 'Zoning Requirements—Setbacks—Easements 2. Soi , Special MH Support—Sketch 'Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except p's 1. Zoning Requirements—Setbacks—.Easements 2. Footings; Size—Depth—Spacing—Connectors e r; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. ter; cation—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing le icily; Location—Clearances—Grnd.—/ / Amp—Concret%f 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. s; Loca Test—Wrap:/ /"L"ft./ /"Nat. or/ L"ft./ 7'TPG 6. Carports; Windows—Doors . Utility Clearance 7. Elec. Card -B Pate 2s C BI' Date Card -BI Date Card -BI Date Card -BI to and -BI Date Card -BI Date Card -BI Date Date I MO EHOM STA L ON (Plans) OK except N's Date POOLS (Plans) OK except N's ,oning Requirements—Setbacks—Easements 1. Setbacks—Easements Fo Ings; Size—Spacing—Marriage Line Gas; MH Test—Demand—Valve—Connector E tricity; MH Test—Crossovers—Breakers—Clearances 2. Soils; Compaction—Structure Stability 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Elec.; Receptacles and Lighting; Distances—GFI bf"Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI W er; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed . W ter and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater has and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit E ' s; Insp.—Sketch 1 Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card -BI Date Card -BI Date Card B -I Date ,D - Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date rf3 V C/`e G' �3 -2 �, g V to = OK = Not OK = Not Applicable RESIDENTIAL (Single and Duplex) = N* R6ady Date UNDERFLOOR Plans OK exce t#'s Date FRAMING Continued 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. 3. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth Ftg., Garage; Soils -Steel- / /" Ftg. Depth 49. 50. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -B lockouts -Wrapped -S lab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts 10. Water Pipe; Test-Anchors-Regulator-Seryice Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. 15. Water Ht.; Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes73. 25. 26. 2 Appliance Circuits in Kitchen &Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Guard Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive C] Yes E) No; Walks ❑ Yes [3 No; Planters Oyes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. 79. Water Well; Disconnect, Electrical, Plumbing Card B -I Date Card -BI Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except k's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86, Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Comments at Final: Card -BI Date Card -BI Date Date FRAMING Plans OK except q's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-_Roof Brac.-Truss-Sh_thnq.-Rfn_g_.__ Fireplace Ties or Type A Flue -Fireplace Throat 45. 46. 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. Address or location of mobilehome a �` Owner's name Owner's address �' a Insignia or hud number Manufacturer's name Serial number of V.I.N. (Official Approving Installation) Year of manufacture ` (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE ti MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. • COUNTY OF BUTTE k DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 w0 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. �. r Inspector Date / � gas COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE > 31 k� 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. 1l, J 1 11 Inspector_ Date I COUNTY OF BUTTE - DEPARTMENTtOF PUBLIC WORKS- PERMIT /O. V 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCL �UMBER _7-- ZONING BUILDING PERMIT OWNER ; I.� ,//,J/(�/ TELEPHONE SQ, FT. OCC. - BUILDING VALUATION OWNER'S MF�ILI D RESS CONTRACTOR AME .4 T-ELEPHONE IQJI X11 CONTRAC R'S 4AILING ADDRESS ` r-12 4kK�s Q , a—. Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRES Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ , ARCHITECT OR ENGINEER'S MAIL NG ADDRESS Permit fee $ BUILDING ADDRESS � PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. /, {/'/L/� SUB IP;ON NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USEOF �YRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer 5,00 Mobile Home I S W '10-00e ZO- TYPE OF WORK New Addition❑ Remodel❑ Utilities [:1 Installation[:] Other Describe work: — \ , /�� d" Permit Fee $ Z.-_ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2I/20sq ft CONTRACTORS LICENSE LAW I declar nder penalty of perjury (Check one): EF 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. J C �� 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 CONSTR ULTI-OUTLET NON.RES'D BRANCH CRC., T S 2.50 ea NEW CONSTFL /POWER APPARATUS &\ NON.RESID. \SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES S20 0 50C AL@30 eAL®ao EX. OCCUp. OUTLETS ((RESID )FIXED APPLNS. 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): n 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 Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indem and keep harmless the County of Butte against all liabilit' s, judgments, co ts, d expenses which may in any way accrue against sai County in con e e of granting of this permit. X9 -- Signature of Applicant — Owner ❑ Contractor Q/ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 tories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ �-- OCCUP. GROUP I TYPE OF CONST, PARCEL PD I HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicate above for hi EC R P BY PERMIT E PIR16S'Date the applicable provi- resolutions to do fees have been paid. IC WORKS Q� Date 9_& —101 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovil.je, Caluornia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N0. 5'3e7— ASSESSOR PARCEl,. NUMB R 1(�_ r ZO NG _ BUILDING PERMIT OWNER TEL P ON SQ. FT. OCC. BUILDING VALUAf ION OWNER'S MAI NG ADD p.�S S C►rel CON ACTOR'S NAf w7 T E C TRACTOR MAILING ADDRESS t iq Fireplace CONSTRUCTION LENDER ONKNowr• Total Valuation $ Filing Fee $ ta.Q _ 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 r_ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. p SUBDIVISION NAME cc � f PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[j?'*�Dther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer Z 5.00 Mobile Home 1 V1 G 10.00ea TYPE OF WORK �—/ New ❑ Addition ❑ Remodel ❑ Utilities ✓ Installation❑ Other ❑ Describe work:_____ �'✓� Permit Fee $ 100 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR 000 AMP ORLESS10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): � � M(J/' 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. 3 12 N3 I Classification % EJ 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.e , OR ACDNS. ACC. BLDGs. ) h¢sgft NEW CONSTR. MULTI -OUTLET NO N.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS a) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2000 30 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. IVirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �i have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnif and keep harmless the County of Butte against all liabilities, judgments, cos s, and en es which may in any way accrue against 'd County in consequ ce o e nting of this permit. %� Date R"30 -R� Signature Applicant — Owner ❑ Contk for 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 $ ocCUP.J CONST.TYPe FLoo PARC P ND s9UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC BY PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date e Receipt No. L�']f� WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT Return to - DPW RZCORDED N OWICIAL RECORDS c AGRICULTURAL STATQ�NT OF ACKNOWLEDGEMEftBUTTE COUNTY. CALIFORNIA I FOR RESIDENTIAL DEVELOPMENT ATTHERE OtLESTOF Section 26-8.1 of the Butte County Code requires this acknowledgemenII be recorded prior to issuance of a building permit. 1985 IUG'30 AM la 22 pa, The property described herein is adjacent to land or inclb 'AOR M.BECKER within an area zoned for agricultural purposes, and residentsGERK-RECORDER FEE ,.this.property may be subject to inconveniences or discomfort arising from the use of agricultdral chemicals, including, but not' limited, to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but notlimlted to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive"agricultutal purposes, and residents within said zones and on adjacent property should be prepared to accept such ,,inconvenience -or discomfort from normal, necessary farm operations. All that real' property situate in the County of Butte, State of California, described 'as fol•1ows: ' 'as '.:shown .on that certain map entitled, "PARADISE' PINES COUNTRY CLUB ESTATES -UNI',NO;';1",. recorded in the office of the Recorder of the County of Butte, State <. of.CIifornia,:on September 14, 1971 in Book 38 of Maps, at pages 57, 58, 59 and. 60. 4. Date: .C/ State'of California ) County of Butte ) 7 On this the IOth clay or July • 1 19 155 before me, the undersigned Notary Public, personally appeared Charles H. Mann and Maryon Patricia Mann PROPERTY OWNERS: proved to me on the basis of satisfactory evidence RV14"1961rAi to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that they exen<<ted tine same for the purposes therein contained. �. IN WITNESS WHEREOP, I horeunto set:my hand and official OFFICIAL SEAL seal. L M CORSOt1 NOTARY PUBLIC - CALIFORNIA BUTTE COUNTY My Comm. expires JAR 27, 1989 Pre3er.t A.P. :,;O. Not Pub Iic. , >. s ASS, a a 1" ., � JP f ],fir �, . . •.. er+ _� • ry f ud for ? pet will bee require obilehomee rmi yam, nstallation of the gyXSG y Ii I 1tility.connections sha'�ibe'wifihin -xt' eit er+. ' :'ft. of the rnobilaorthe rear --- irectly behincl.or witFiro!^ 1 •'z Calf of the roadside (I'M of the o{ {t' {C e b ck `ta ,.Ines aha a°s .ayi r iter the ,ta 50t 'rot"blea' line shalt �. erte c eP enteor structurftease • Overh ng f {or a 2 ,:. T < 1T ILDwG PPROV wd ,fir nl .�,•� hrf•Y. � . 1 t k \ &LtE XfACN r: 1,EiL 1 -his set of pians .and specifications M ST b6' <ept on the job at all times and iis�u►nlav�fu�l 30 A C �C ' make any changes or alterations on same waaiftFFiioTut written permisson from the Department of Publi Works, County 'of Butte. '• 4 '.. ---- ,SPAW- C/PC4 E .t Q iW 14, W 3 t _ a ' - t k \ &LtE XfACN r: 1,EiL 1 -his set of pians .and specifications M ST b6' <ept on the job at all times and iis�u►nlav�fu�l 30 A C �C ' make any changes or alterations on same waaiftFFiioTut written permisson from the Department of Publi Works, County 'of Butte. '• 4 '.. ---- ,SPAW- C/PC4 E .t Q iW 14, W 3 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT O. 7 County Center Drive - Oroville, California 9U65 - Telephone 916/534-4541 APPLICATION ANC PERMIT ASSES OK PARC L NU R _ Z .G.- - BUILDING PERMIT OWN Y` TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWN S(mxy�A�LING /;,D RE55 /j- Al CO RAC TO R'S E VTEL HQ_NE C RAC OR MAI A DRESS 14 e4CONSTRUCTI Fireplace ENDER UN NOWN 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 V Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT N I SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome[� Other (A SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W O.00ea TYPE OF WORK New ❑ Addition ❑ Rem el Utilities �❑ Installation Other ❑ . r - Describe work: - _ f� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): Mf *'l 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 e -el ❑ 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.e` , OR ADDNS. ( ACC. BLDGS. / /20sq ft NEW CONSTR U TI.OUTLET 2,50 ea EW BRANCH CIRC ITS .ON - POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES20050e e AL030 FIXED PR EX. Occup. OUTLETS IRESID )EAJ 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. E;/' 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 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. I also agree to save, indemni and keep harmless the County of Butte against all liabilities, judgments, ts, a d e penses which may in any way accrue against sai County in cons uen of granting of this permit. X Date �- Zo , T S— Signature of Applicant — Owner ❑ Contractor []� Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OccUP, CO.ST.TYPC FLOOD PARCEL PD HD ssOE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WNITE-D.P.W., TEL LOW -A38 E950 R, PINx-IN9P EC TOR, GOLDENROD -APPLICANT BUTTE COUNTY. DEPARTMENT- OF PUBLIC WORKS •7 County Center Drive, Orovihle:, CA. PHONE: 534-4541 -MOBILEHOME INSTALLATION SHEET . 1. Owner's name: 2. Installer's name.: 3. Is the site currently under permit? Yee / / No (If yes, .furnish permit number ) OR, Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks.and easements? Yes No ( If no; clarify ) 5. What is the mobilehome electrical rating? ----------------------- /D6 Amps 6. What is the mobilehome site service rating? --------------------- Q49115 Amps 7.. What is the mobilehome site circuit breaker rating? ------------- /o d' Amps 8. Is there any other electric load to be'served by the mobilehome -------------------------------- site service? ------------------=77 Yes No L7 (If yes, identify the load and size: (Load) (Amps). 9. What is the mobilehome site gas pipe size? -------- --------------- (•): 10. What is the type of gas service? ----------------------------- Natural %.7 LPG 11. What is the gas pipe length from meter or tank to the'tnobilehome? 12. What is the mobilehome gas demand? ------------------------------ / O�,a m,!�7 (BTU) (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on, LPG.) _ Z 7 SUITE COUNTY BUILDING DEPARTMENT APPROVED MOB ILEHOME SUPPORT DATA If'ot�e-e than single wide, Mobilehome Mfr. WIfs furnish Setup Model Nd.,1 to No ;_� o Year 9S ylidth yr (ft.) Box Length�(ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 197:3; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single [D,"1. Wood either pressure treated or .— foundation grade. (ft.)(in:) (in.) (in.) 0 2. Other: (spec ify) Center support locations* Center support footing sizes Supporte.(check one) (in.) Ly"; Concrete block. 8 36 x 30 .2: Other.. (specify) (in.) (in.) EL—Pagalong or Expando,' show support details. (in.) (in.) X Y -- Typical Support., (in. (in.) Footing Size (ft.)(in.) (in.) (in.) y -- Max. Pier Spacing c f Max. Overhang (ft.) (in.) *If center piers/are other than drawn above, draw .in -locations, spacing, and dimensions. AP # 07-0 OWNER PERMIT .. # ZS.37i� �S MH UT IL . CLEARAN TE INSPECTOR ELECTRIC GAS. Support Struc. Compaction Test Req. Service .Size Other. Load Type Pipe Size Length YES 'NO YES NO in Y" ,4 PERMIT NO. PERMIT EXPIRES OWNER CHUCK MANN CONTR. owner ASSESSOR PARCEL 66-07-04 LOCATION 6481 Shaw Circle, Megalia t Temp. Power Pole Called PG&E Temp. Elec. S Called P( Temp. Gas Sei Cal led PC JOB FINALE[ Signature k 0MM V' J = OK 0 = Not OK — = Not,Applicable MON EHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's Date DECKS VERS, CARPORTS, ETC. (Pl ns) OK except #'s 1. Zoning Requirements—Setbacks—Easements on' g Requirements—S cks—Eeeememg— Gl" 1 4 � 2. Soils; Special MH Support—Sketch 3. Sewer; Location—Test—Fall-C/0—Concrete 4. Water; Location—Test—Easement Needed (Sketch) 73XDecks; X, -Footings; Size—D§Vtt1'S g Girders and/or Joists—Decking—Bracing—Stairs—Rails 4.)CNood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 6. Gas; LocatiorrTest—Wrap:/ /"L"ft./ /"Nat.ot/ /"L"ft./ /"LPG mns—Connections—Splice—Decal—Enclosures 6 nTows—Doors 7. Utility Clearance 71.�.— Card -BI Date Card -BI Date Card -BI Date L Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1, Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 9. Exits; Insp.—Sketch B. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins: to Main in Conduit 10, Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI _ Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date i 1 4 � a J = OK . 1 0 = Not OK Not Applicable Not Ready RESIDENTIAL (Single and Duplex) w � = Date UNDERFLOOR Plans OKexcept #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width-Headroom=Rise-Run-landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground - 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. 15. Water Ht.: Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting _ 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18 Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels _ 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. 22. Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Ramex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size 73. 74. Guard Rails &Deck Construction -Post Caps Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 26. 27. _ _28. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated_ Neutral _;Yes :1 No Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances; Panels-Motors-Mech. Equip. 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Card B -I Card B -I 30. Clothes Closet Light -Shower Light - - - Date _ Card -Bl- - Date _ _ Date Card -BI Date 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric _ Card -BI Card -BI 31. 32. 33. 34_ 35. A.C. Ducts_ Insulation & Support Vent Fan: Exhaust above Insulation _ _ _ Condensate Drain & Overflow; Size & Grade Furnace -Vent Access -Comb. Air -Return Air Vent -_115V outlet Attic Access & Platform if Furnace in Attic - _ Date Card -BI _ Date Date Card -BI Date 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates - Card -BI Date Card -BI Date Card -BI fate Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. Sills; Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing-PI_ates-Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shlhng.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hg_ t. & Dimensions Garage Fire Protection Framing _ _ (NOTE: Anentrymust be made each time you visit jobsite) QO'JNTv; 9F BUTTE DEPARTMENT -OF PUBLIC WORKS NOTICE I Post Job card In a safe, conspicuous place. Do not remove until all required Inspections are made and building Is approved for occupancy. Plans must be available on Job. A. P. No. 66-07-04 Owner CHUCK MANN Contractor owner ! Permit No. 1185-86B Expires-;�/N PERMITTEE MUST CALL FOR INSPECTIONS r INSPECTION DATE INSPECTOR Footings Piers Underground Conduit I Do Not Pour Concrete Until Above Signed { Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Do Not Install Floor or Slab Until Above Signed Rough Plumbing . Rough Electrical Rough Mechanical Framing Insulation I Do Not Cover Until Above Signed j Fireplace Footing Fireplace Throat Do Not Continue Fireplace Until Above Signed Stucco Lath Scratch and Brown Do Not Cover Until Above Signed Sewer Service Water Service f Plumbing Final Electrical Final I Mechanical Final Building or MH Final 7 21 DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILEHOME IS APPROVED FOR OCCUPANCY CHICO - 196. Memorial Way - 891-2751 0 VILLE - 7 Countv Center Dr. - 534-4541 PARAD - 747 Elliott Roada=t Y72-630 �✓ ``�� -li COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PE MI H'. 7 County Center Drive - Oroville, CMifornia 35965 - Telephone 916/534-4541 �� — APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 0 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION CrY. OWN A LING DRESS CONTRACTOR'S NA E TELEPHONE CONTRACTOR'S MAILING DRESS Fireplace CONSTRUCTION LEN ER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING AD RESS Permit Fee $ Z5_ ARCHITECT OR ENGIN ER LICENSE NO. Plan Checking Fee $' Energy Plan Checking Fee $ ARCHITECT OR ENGIN ER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS G Permit fee $ 1010 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 STRUCTT"E SF ❑ Duplex❑ Mobilehome❑ Other 67r J9,Ge r SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00 ea TYPE OF WORK New 2_<dition ❑ Remodel ❑ Utilities ❑ Installation[] Other Q Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V 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): F1 am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. Icense No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a , OR ADDNS. ( ACC. BLOGS. /20sgft NEW CONSTR ULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS a (.SINGLE OUTLET CIR. ) Ex. Occu 200501 Occup(OUTLETS OR FIXTURES 5AL030 FIXED ALNS Ex. OCCup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. bYirin 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. 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 penult Fee $ Contractor ['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 Co Ry in consequence of the granting of this permit. %� Date ��¢ �� tuf Applicant — Owne Contractor ❑ Agent ❑ Signare o 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 $ vo TOTAL PERMIT FEE OCCUP. CONST.TYPEJ I FLOOD PARCEL PO ND seu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR TOR OF BLIC By. By4 PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS at ` Receipt No.��%�l�f WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF.PUBUC WORKS - BUILDING DIVISION rl"..-, 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/53: J64`1 OWNER Proposed Building Use PERMIT APPLICATION„DA I A SHEET Permit No. r J A. P. No. Permit Fee Based Upon: Complete Contract',Price _DPW Valuation �Othe(Ex in) Building Inspector //11CC,D� Date At time of permit application, I was advised the following data must be submitted prior to permit processing and(/ Kissuance: DATE RECEIVED APPROVED 1. All items. have been submitted. . . . . . . . . . . . 2.. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 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., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . . . . 17. Pre -Inspection for dPre-Inspec. request to Require . Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. _ 19. Other DRIVEWAY PERMIT (CONSTRUCTION APPROVAL REQUIRED PRIOR TO OCCUPANCY) When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold fo pickup at office. Deliver w/inspector. Other . t 4 -V Appi can Z Date r i—X J P% Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other Plans checked by_ Plan,, annrnvari by Other By Date Copy—DPW 4 TO: Building- -irt.we Deq I . —1-31, From: -.Mvironmentc-,d Ile,,ih.h Subject: Sanitation CI.cn7aa-,:!c 0! xrn e r row Plan Approved for: 'Hold final for: Final clearance O.K. -L*(lr: IIi 11�Z-1-4- A 0*/ 4�� Location Clearance for bearoow, w.obile home:. Ot'rl.--r D, 0 7 T! � t ari vj"Aer ,-.ur)z)l.y . ,-al'.or :�.upply v;'I-Iter supply �—�g 2g/ D".Itc I COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-534-4541 An "owner -builder" building permit has been applied for in your name and bearing your signature: ' Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. .No building permit will be issued until this verification is received. 1. I'personally plan to provide the major labor and my erials for construction of the proposed property improvement (yes or no) s 2. I (have/have not) 1-IAVt7 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 �d' Social, Security number :� Date- J - St- Sly NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the-CaliforniaHealth-and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit.. • _ 'l` jvf 'x ac 0� vj GA►` I YS' _ —�- ----- -- eka ry � / �li� •.,l 1, .l 0 i I 41 f` l A of 3 ft. fram Otb 06p'erty lines and a se i4e 6f 50ft. from the ro _ 1 Eenterllne shall be cta� 6f fr ructures or equipment' eiib� 1' 1V��(A 1� f�ir e 2 ft, save overhan i �; J n(D� ��,, /w i 3�3 5 I� �� TWls set of plans and specifications MUST 196+R� BUTTE COUNTI kept on the job at all times and it is unlul +o^;. ;�A Al.,V BUILDING DEPAR'TMENI make any changes or alterations on scEmewJigdt�G' written permission from the Departmentf P�ikfPic O .y Works. County of Butte. APPROVED .•- :,I V,/ C,Jpc4c �� y SAPseN 40uJA $ T►C i s - pCL`FRONT �16125, dF R e Min. Run, 11124 �} Run. measured toe to toe. / 3/e" max. tolerance betW " E 31 een largest & smallest rise/rug. $}ILDI�tG s� OMP65iTIOL F1�9 K LW55 $NlNG1F 5 � - y D 1�RTA 1 ' $G8 R6&FI9& pRPE1t'. _ . yzN i'CX'DTS �Y�eo sl£�l+b'• , . ' AP ROV E 44' I. *RM t l , & o aG .. �,. . j dierials & Workmanship _ Si�a#1 8� P r4Q�'Ir:--AII lv6 Good.•.P. tices �+ .z,t��T itiz Reco nizad rac r 1' ecar cncn w ,5 >-y RgcdG the .$ s =�f: earality-prescr16ed, for ecifi�d use. iit"the q di _ om Uniform � N ng. plumb'ng , 1�lachanical co"a Elec • € tri �k� Nati u, oval, �d , r CO ,2FD Gk d lMpscy' ?544:• fi-r PN,CHbR. j� } ,� s,Mt / ecT�141 m pfd FOR _ GNv�K'f'1H N �' �`° ,2 k } on #lae. o of all times and' is a p wq,I M'or'e WIOOu wf � e s @ i' 24„ 6166 an c�+nges alteratiaras or sad ,ylol6�c►.�• , C�.. Y fission f orn the De e} 46 A of P;uhlie bo wr*ew perm L DSAW N by l r 3 tE4c. �!i Gv e woks, Count, ;of 86"e. } 6 1 cl 'Q i Ilk-� h � C 3 14 Q may 6'lt 410� �4" 004"i" od 4 "': J6� It It 't r ..... . h 't" ItI ,ii 'Ll. Of �jj ;�;i' 1 14, t'I lq It W. f, ............ Nl , vl�i i� I 'ID ............. ( 1�Y�r T1. 441 IMP IWO 63 Ji . . . . . . . . . .