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HomeMy WebLinkAbout066-220-04066222-40 e Neil B. Hilbe • '13�� 6 /r�C� O 20-ZuckermPt Pp��4, Maga. .� contra Hes Backhoe Serv., .aradise r Permit' 31=78P;E(ut ;MH) ELEC. GAS ��`l�'r J� ' a 1 i•t, {r • F, ... i + 1 }� •. POR STRUCTUREQ • � OMPACTION TEST REQ. - -17110 66-22-40 R O H PEARSON ,nal r I qo 20 Zu kerman Ct, PPCC#4, of 126 Magalia Contr: P radise Modula Concepts Permit 1 1 + x # 79MHI(for 6631-78) = IssuedA p/ zi 66-22- 0 t_ contr:� Sierr�Mobi e> v., ParaHise Permi''LX/ -79 �(new_Hing/NCH i 7 , _ t ' - 66-22-40 `w M Contr: Fred Coit, Paradise 1 Permit#298-81B n w p ' + ( � private detached � s garage) 3/,S00, r /,,���/�2-22-40 �f t ontr. Cooper Electric, Magalia. ' Permit#583-81E(ele/298-81)garage 6-22-40 +. ; 3127-90B " ,PEARSON, Addlph + a, _ _'6334 Zuckerman, Magalia `st,'Contr: North State Aluminum. + ', (awning/MH)' 066.220-040 ~° 94-0656B ' PEARSON,-MARIE 6334,ZUCKERMAN CT., MAGALIA s REPLACE ALUMINUM W/WOOD PORCH/MH f f F v a " FIRE DAMAGE REPORT OWNER: LOCATION: G n CONTRACTOR: DATE TO INSPECTOR: Building Description: Electric: Gas: Commercial/Usage: Residential/# of Units: Currently Occupied AbandonedNacant PERMIT HISTORY:( ) NONE NO DATE))� A.P. #0t4P 'r�gv ZONING: /11 FOLLOWS: ! U i� �C�C, BUILDING INSPECTOR'S REPORT Yes No Electric currently On Off Condition of Electric Natural Propane None, Obvious Problems: Sanitation: Currently On Off Plumbing Working Well Working Potable Water Obvious SewageProblems Description of Damaged Estimate Valuation of Damaged Area: Condition of Foundation: Mobile Home: Condition of Utilities: zv� Inspector. , Date 2 Sketch building on reverse and indicate area of damage. CDF/BUTTE COUNTY FIRE INCIDENT LOG DATE 12126120001 INCIDENT NUMBER 14209 t LOGGED BY MAA • REPORT TIME 09 :681 LOCAL FIRE NUMBER 38•i pit i mei F�� RO ABE . STATE FIRE NUMBER 638 iaarkr�ractro BI CASE NUMBER MEDICS r _� LOCATION 6334 ZUCKERMAN CT. PRA V2 ECC ❑ RP MARIE I PHONE NUMBER 873-2843 REPORT METHOD 911 WILDLAND FIRES ❑ ESTIMATED ACRESo� . FIRE INFORMATION STRUCTURE FIRE RESIDENTIAL FIRE INFO SENT HOWEMAIL BY MAA TO OTHER FIRE 7-DAY LOGGED © INITIALS MAA MEDICAL AIDS I INCIDENT NAME ZUCKERMAN I `~ " PSA/OTHERSTART DATE 12126/20001 START TIME 09:30 HAZ MAT I - DIAMOND # 2.0 , COMMENTS CAUSE DEBRIS BURNING yLAND USE DOMESTIC ACRES 0TYPE OF ACRES _ DIAMONDS ONLY $ DAMAGE TYPE DOLLAR DAMAGE 4500.00) SAVE 100.00 INJURIES/FATALITIES ❑ # CIVILIAN INJURIES =0 # CIVILIAN FATALITIES _0, f EMD ❑ OES ❑ # FF INJURIES 1 # FF FATALITIES r 01 " ♦ ♦ I New Incident J FC-40 INFORMATION FC-40 ❑ DATE OF FC-40 INC AGENCY INC # INC P# FC-40 COMP DATE I FC-40 COMP BY �—❑—�" y ` County Notifications EARS Hard Copy Recieved .0 EARS Checked Agenst EARS Computer ti 1 A _a . a 64-r22-40 _ --- - Neil B. Hillier, y�/ 20 Zuckerman/Ct. , �16tal26, PP#4, Maga. contra He Backhoe Serv., MH) aradise Permit 31-78P,E(u,110ELEC . f CI�79 -M r) t' SYPPORT STRUCTURE REQ. �p OMPACTION TEST REQ. 66-22-40 OT R ! PE RSON 20 Zu kerman Ct, PPCC#4, 10t 126 Magali Contr: radise Modul Concepts Permit #11 79MHI(for 631-78) Issued 66-22-000` contra Sierr Mo v If ise Perm' , , 3 new ning V 66-22-40 Contr: Fred Co -A, Paradise Permit#298-81B(ngw private detach d garage) � � 3/„f/�j�2-22-40 ontr: Cooper Elect44ic, Magalia Permit#583-81E(ele/298-81)garage 66-22-40 3127-90B PEARSON, Adolph 6334 Zuckerman, Magalia Contr: North State Aluminum p (awning/MH) I a S l 066-220-040 94-0656B PEARSON, MARIE I 6334 ZUCKERMAN CT., MAGALIA REPLACE ALUMINUM W/WOOD PORCH/MH '`.+5`t'r ���N r i,j� h 3�.x � � S . Y-sV�tia+'� �3� • i tri CLAIMANT: ADDRESS: CITY & STATE: b 'IMPORTANT: SEE INSTRUCTIONS DATE OF CLAIM: / Ss /49�/ ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES eounf* of Ada OROVILLE, CALIFORNIA GENERAL CLAIM DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT OWNER DECIDED TO CANCEL PROJECT (B.P.#94-0656, A.P.#066-22-0-040 RECEIPT #156538, DATED 9/13/93, OWNER:MARIE PEARSON) TOTAL AMOUNT PAID.. .$74.00 ................................ RETAIN•REFUND PROCESSING FEE.....................$25.00 RETAIN B.P. FILING FEE... .................._ ..$20.00 TOTAL AMOUNT TO BE RETAINED ......................$45.00 TOTAL AMOUNT TO BE REFUNDED .........................$29.00 TOTAL $29. 00 I. the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. �'y� f//Jjj x (meq') Dated this ...........� .tT!I'......... day -o[ ..L: ......... 19 �%f; at,(l./.Geirzz......... Calif. .... I/h.� .... I.J�:.4r.... � ��.... Uo--------- Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles e a ove bee Performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval ED (Check one) r e me Dated this 6TH day of .....JULY 19..94at OROVILLE Calif. . .... ..... ... ...... .. ..... .................... ................ ........ ...... �w-,.............. ' De etment H ed or Authorized Deputy coag ...,440,-002 Exp. 4210500 PAYABLE FROM CONSTRUCTION PERMITS FUND ............................................................................................................................................................... DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. i i ' I C)v\ C, C`1 9- , 1gg4 �, \� Co L%.�� � o � �✓ la�� � •� •��11� � Cl, `� � J l� 1 r � J c�a�nSecQ.` o�c mY) c bout -�\ote C"C- cu\ac plans , 50 �� . Sub m,\kk e& rtw (3, n'-") oY\ Tc�ne 19qq , ec�ep�. I(�rTd23 , CY-\& �& X330 (�Ue Lo C> 0v. owe U.s 0� -T7ka ,, K Yo (A J JxCl1VlCz6AA V �n� 30 � 9� gym' nenu�«A� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT O. APPLICATION AND PERMIT q- ASSESSOR PARCEL NUMBER 066-22-0-040 RT 1 ZONING BUILDING PERMIT OWNER MARIE PEARSON TELEPHONE 873-2843 SQ. FT. OCC. BUILDING VALUATION C 180 2 OWNER'S MAILING ADDRESS 6334 ZUCKERMAN CRT MAGALIA 95954 CONTRACTOR'S NAME OWNERTEL O//N��E CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee SUU ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6334 7TICKERMAN CRT MAGALIA 9599 PERMIT FEE $ 74.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome X7 Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK �7 New ❑ Addition ❑ Remodel O Utilities El Installation 4 Other ❑ Describe Work: REPLACE ALUMINUM W/WOOD PORCH PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service910V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. ) $ 3.50 FTO- . CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 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 compensation, 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 contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) SAL. @ 1.000 Ex. Occup.FIXED APPINS. OR (OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation :d 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 Butte County Ordinances and California 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 in consequence ofthe granting of this permit. X +%�,�¢! J� , �� Date 9/13/93 Signature of Applicant - 0 Owner q Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 74.00 HAZ- I D. FEES I IMP 7 I FLOOD 1 COF I PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date I PERMIT EXPIRES ON (Date) 2 Receipt No. .J WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT IL ~ ^ COUNTY 0 BUTTE,- DEPARTM Tt OF (DEVELOPMENT SER CES - BUIL 4 DING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone 1916) 538-7541 PERMIT No. APPLICATION AND• PERMIT ASSESSOR PARCEL NUMBERZONRdG, -^ 066-22-0-040 _ , R' 'I " .R; '1 BUILDING PERMIT OWNER MARIE PEARSON 6 TELEPHONE, I 873-28143 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6334 ZUCKERMAN CRT MAGALIA 95954 •, 180 C 3 . CONTRACTOR'S NAME 1L /1t.T.TYJ17 J� (/ TEL PHONE' C CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN' Total Valuation Is LENDER'S MAILING ADDRESS _111 Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER "' LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6334 T T Tr1 T RT r4 A T A PERMIT FEE $ 74.00 4- a PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00. L - . Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME to T, T TT ti It PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE iRSFO Duplex O Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK =V --,New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation GF Other ❑ Describework: REPLACE ALUMINUM W/WOOD PORCH PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( "'ORLESS ) 23.00 200A OR LESS • Main Service ( 200a TO 1000A ) 46.00 NEW CONST. DWELLING OCC P. OR ADDNS. ( &ACC. BLDS. ) 3.511S0, FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P 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 compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON•RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 AL..SO Ex. Occu FIXED APPWS. OR p• ( OUTLETS (RESID.) EA. 5.00 ) Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION-INSURANCEPERMIT-FEE. I declare undei penalty of` perjury"(check one)+: 3 ' ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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 in consequence of the granting of this permit. � Date 9/13/93 X�Y1 n pli i1 ,r !_. Contractor Signature of Applicant - ❑ Owner Cil Contractor ❑Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee ! �$ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 74•00 HA2. I D. FEES I IMPFLOOD CDF PARCEL PD --.00 HD ISSUE This permit is hereby issued under theapplicable provisions of the Butte Count Code and/or Resoutions to do work y indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES ON (Da re) 52 Receipt No. J WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I- 4T COUNTY OF BUTTE/ DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION w 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER w-066-22-0-040 ZONING RT I BUILDING PERMIT OWNER IMIZIE HARSON to TELEPHONE 873-2843 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6334 LL'CKERMAN CRT MCPLIA 95954 280 C 2340.00 CONTRACTOR'S NAME 07`T1TT+R �)�f` �- _ 1 TELEPHONE CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER '� UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 54.0ci ARCHITECT OR ENGINEER ucENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS �Zl, 7T �, t,T a' `�`. (: A 959 4 PERMIT FEE $ 74.00 .RT I r M PLUMBING PERMIT Filing Fee 20.00 Each Tr -It .a....• L ., .r ,a 7.00 ' Solar or heat pump water heater 23.00 LOT NO. i?ti SUBDIVISION'S NAME DAVA VP17 !{NTT G. PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex O Mobilehome e1 Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @ 20'00 TYPE OF WORK v New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation OOther ❑ Describe Work: REPLACE ALi7.'1111 1 WOOD PORCH PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 260 OV OR LESS ) 20OA OR LESS 23.00 Main Service ( 200A To 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. I & ACC. OLDS. ) 3.5CSO, FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter ter 9, Division 3 of the Business and p 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 compensation, will To the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET 'NON-RESID. ( BRANCH CIRCUITS ) @7.50 f ( POWERAPPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL. Q .50 Ex. Occup' I OFIXED APPLNS. OR UTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 ' i WORKER'S COMPENSATION, INSURANCE I declare under penalty of perjury(check one/: ?`' (� C ❑ This permit is for $100.00 (valuation) or less. ❑ 1 -have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. . ❑ Ishall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE, $ Contractor.f MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date 9/13/93 Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE S74.00 HA2. I D. FEES I IMP FLOOD I CDF PARCEL I __01" PD7 HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES ON /Dere! I / 6_3 Receipt No. / ,5/j WHITE-D.D.S.-B.D. CANAR ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r COUNTY -OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Cent r Drive ! Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT Y. ' S - ASSESSOR PARCEL NUMBER �{� - 060-22-0-040 ZONING ' ' FT 2 BUILDING PERMIT OWNER N �? r tF.� :A �I� �.il�$C�,: TELEPHONE �F73-2,3143 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 633 P UC'DTf'I' :A!l CRT `1ACAIJA 95954 Ul�rl�i � it1 iso 0. 1 CONTRACTOR'S NAME (/�, n*T - ,Y {Jr...J+1� f' r r 7 s� f �.V ! ,f TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER * UNKNOWN Total Valuation $ Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ 54.06 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS a/, Tt"' •. ��'Tt: M "ArAT IA 95954 PERMIT FEE $ 74.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap t 7°.00 I Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. 7F SUBDIVISION'S NAME PA"A PTYT, IWTT 4 PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome 0 Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W 20.00 TYPE OF WORK V New ❑ Addition ❑ Remodel ❑ Utilities Cl Installation Cl' Other ❑ Describe Work: REPLACE, ALIP `Irt W111MI?) PORCIT PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 600V OR LESS ) 23.00 200A OR LESS Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. SO, OR AODNS. ( & ACC. BLDS. ) 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 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 compensation, 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 contractors. (Sec 7044) El am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.SO ( POWER APPARATUS ) 6 SINGLE OUTLET CIR. 00 Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.60 p Ex. Occup.FIXED APPWS. OR ( OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 " WORKER'S COMPENSATION INSURANCE r, 1 declare under penalty of,, perjury (check one)`. ,• ` ❑ This permit is for $100.00 (valuation) or less. I ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. —PERMIT FEE, $ Contractor", MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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 in consequence of the granting of this permit. ?/13/93 X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ GCC CONST. TYPE TOTAL FEE $ 74.00 HAZ. I D. FEES I IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES ON !Da tel / '1 - �/ Receipt No. t^ . WHITE-D.D.S.-B.D. CANARV ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT AGLES FORMS AND MORE (916) 7436523 COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER /rf � �ri �/4S�/y . NZ! -C 0, 7 o Proposed Building Use Building Inspecto Date /' At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). Mobilehome data and manufacturer's installation instructions, 2 sets. 10. Fees of $ 11. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fee: 13. Flood elevation letter (100 year flood) by California Engineer. 14. Sanitation and plot plan approval Health Department. 15. City of Chico plumbing permit. , 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -inspection for • required. 21. Contractor's license information. (No., Name Style, Classification). 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner �. 24. Recorded copy of Agricultural Acknowledgement Statement. 25. Letter of signature authorization. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. 27. Letter of intent on building use. 28. Mobilehome utility clearance. 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permits. 32. Plan check list. 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Applicant Date EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from the date of fee payment on permits not issued, and one year from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant >. .+fi, r^.tr^`'`rr^"►�:-l�y-.st 'k.: S'ATi.r'f ryj''^ .,_r'',-,i+'-�:+.`7w7:r., y-•, .r LCOUNTY.OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 Proposed Building Use PERMIT APPLICATION DATASHEET - D y6) At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ( DATE RECENED BY All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans. .......................... 3: Complete plans, 3/4 sets, signed by preparer of plans . ..................... . .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. .......... 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ......................................... . Impact fees as shown on attached schedule. ............ . 12. California Department of Forestry plan approval/fee................. . 13. Flood elevation letter (100 year flood) by California Engineer. . ��14. Sanitation and plot plan approval - Health Department . ............ 15. City of Chico plumbing permit ............... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: _ _ (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ...F;i�4Aspectlon reg6est 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. f 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner . ..........#�t 24. Recorded copy of Agricultural Acknowledgement Statement . .................. }" 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . .....................:................. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list. -� 33.EtiO�Qii`-. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. 'Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant ., Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent 5:` -Health Dept. Fire Dept. Other Date By The following data must be subm`tff 1. Index permit for above items No. 2. Additional items required: to permit issuance:.(Circle,�iew item not checked above). Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by 5 Date 'c:9 Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 1 �6,Ce/ Cr/l�-�L /fir/�J r� ' .�-ate -�-�i i a-(�'� G�/dnl�` ��.��-� is %�� ° `� C ,-�u ��. S /vim - /� UZI N � c 0 b �L ��F aZp . ID4=CIS aZp . ID4=CIS ex, c,a� bA1E: 5__��_. �o PLOT KLAN r -OR IT MPLIt;ATlOM TIIhOU�It �'°UVTY of .33v..n..� NORTHSTATE ALUMINUM, INC. ;t 3029A Esplanade + Chico; California 95926 Telephone: (916) 343-7956 (In Paradise: 872-4013) LOCATiOII ADORESS: 633e/ 7_0CKDVDy'1+7V MA6Az_1'A PARCEL # 066-12()_00 10-cou OI-INFR : AWL_Pel -i SCJIy COST OF JOB: MAII_Illr, ADDRESS- 4-SA/AE WORK 'tO RE PERFORMED: /N, TA t & to Pit -770 M&7:)? This set of plans and specifications MUST be kept on the job at all timgs and it, is rpnlawful to mare any hanges or!alteratipns *on 6arre mjith.: W wriftor permission frgm the beprtn ieM of 61 Pub of butte. llc yVo • ,• bounty I �1 NOTE:--Aff, ivlaterialk & Wprkma i�ipI SkaD h ' *cco+nce with Recognized- Goo4 Poar ices ana ` of i Qyalify prescribed -for fihe $ e A14. us® In t6 / Building, )'lurhbing &. Mqc icdl C®d gad:` `po If10 mumancd Electrical Code. I l Y� / A setback of 5 ft. from the i I ! �+ _ ; Property lines and a setback of + I iL� 5o ft. from the road centerline shall be cie& of j f i I structures or equipment except I I / for a 2 ft, nave everheng, 4/a } 4�01S eal7 7AW j SUTTt COUNTY j I i SUILDINObEPARTMENT APPS VED Adolph & Marie Pearson P. O. Box 597 Magalia, CA 95954 2 -1 �7 ;� � q -!�—�> f .fol COUNTY OF BUTTE - Deoartment of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION: Attention Property Owner: Phone: 916-538-7541 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) for the proposed work. signed an -application for a building permit. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. !+. I plan -to provide' portions of this work, .but ' I have hired' the ' following person to coordinate, supervise, and provide the major work: Name ' Address City Phone Contractors'Lidense No. 5. I will provide some of the work -but I have contracted (hired) the following persons to provide .the work indicated: Name. Address Phone Type of Work Signed: Property Owner Social Security 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. 00 1"//If' I �I 71 es sip ve 6A/ IC, 6.ql Eel ao 'IV•R 3 /7 e, 0,7 J3 VI gill .0-,/ of 6po 'r., L , I V. 90 .5z • 51f 9.1ri V 00, b� of tj cr) \3 . I ,000E/�aV 1 £Z00I IW/ 00 51?/ Q 96 1 1 X ki , :Wb I Q°° COP cz, 14) t\i -, . , Aw. 657 r-;,. 00 /V 2,0o/V rPf"O)g ai-1 n "\\s �11 N ZZ Y-6'2, oa /V 9F 10 0110 as SN /00 � Is , /')0 0. OL?/ zo/ O RESIDENTIAL 3127-90B P AR_ S.,0N Adolph 6334 Z uckerman, Magalia ' Contr: North State Aluminum (awning/MH), • - r 4 i JOB FINALED (Date) _ Signature �� J=Ok O = Not OK Not = Not Ready, MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG MISCELLANEOUS Date DEC , COVERS, CARPORTS, GARAGES, Plans OK except #'s Zoni g Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood A�wri.; Posts-Beams-Rftrs.-Coonectors Sht .-Rfg.-Bracing lum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Datee,- Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 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 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DEC , COVERS, CARPORTS, GARAGES, Plans OK except #'s Zoni g Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood A�wri.; Posts-Beams-Rftrs.-Coonectors Sht .-Rfg.-Bracing lum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Datee,- Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 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 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK No Applic Not Readyable RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 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 O No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearinq 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors-Qne 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Ye$ 80. Following instld.; Drive 0 Yes 0 No; Walks ❑ Yes 0 No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPAUIENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Cali i� iN95965 - Telephone: 916/538-7541 APPLICAT D PERMIT ASSE. OR PARCEL NUMBER 65-22-40 ZONIkr 1 I BUILDING PERMIT OWNER Adnl TELEPHONE 873-2841 SO. FT. OCC. BUILDING VA N 180 10 OWNER'S AILING ADDRESS 6334 Zuckerman Ma alis 95954 CONTRACTOR'S NAME 'nqm Chico 95 96 TELEPHONE 4 I CON R OR' M I ING DDRESS 3029—A The Esplanade Fireplace CONSTRUCTION LENDER N/A UNKNOWN Total Valuation $ 1pnn Filin Fee g $ 10.00 LENDER'S MAILING ADDRESS N/A Permit Fee $ 29.50 ARCHITECT OR ENGINEER Gordon Klippel LICENSE NO. 654 Plan Checking Fee $ 14-75 Ener Plan Checking Energy g Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 1525 U Street Sacramento Penalty $ BUILDING ADDRESS samis Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[R Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation[] Other® Describe work: Reinstall 101x181 aluminum awning to repair storm damage. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 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. 424499 Classification B-11 C-61/ C-43 ❑ 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.& OR ADDNS. (ACC. SLOGS. , /z¢sgft NEW CONSTR ULTI.OUT LET NO -R BRANCH CIRC ITS 2.50 ea (EPOWER APPARATUS &1 SINGLOUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES .20@50 AL9 30q D APLNS. Ex. Occup. OUTLETS P(RESID.)REA.) 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. © 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not,employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 in consequence of he granting of this permit.IV X Date 8-10-90 Signa a of Ap P61.nt — Owner Controctor ❑ Agent X❑ An 0 HA permit is required for excavations over 5'0" deep and demolition or construct- height. ion of structures over 3 storie/s� Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE FEE $ 4. '5 ITOTAL HAz cu4;��q F P H I s This permit is hereby issued under .is of the Butte County Code and/or work indicated above for which fees DIAE OR OF UB C BY (to PERMIT EXPIRE ate the applicable provi- resolutions to do have been paid. WORKS Da -in Receipt No. 23&6_:1 �91 54, Z.0 WHITE-D.P.W.. YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT \\,�, ~COUNTY-,__& BUTTE - DEPARTMENT_f ..PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE'. A' yOnFNIA 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET 4 Permit No. ; OWNER A. P..N0. Geo ZZ Proposed Building Use GLGt/ luidding Inspector Date 976-26 At. time of permit application; I was advised the following data must be submitted prior Ito 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. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions......................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ............................................... 13. School District fees paid ........:.... . 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW --• 19. Driveway permit (construction approval required prior to occupancy) 20 Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) ..21. Contractor's license information (No., Name Style, Classification) ... 22: Certificate of Workmans Compensation. Insurance .................. 23. Owner -Builder Verification (Given'to owner ❑, Mail to owner ❑) ..... 24. Recorded copy'of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ........................... ..... . 26. 27: ' When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone - y and hold for pickup at office. Deliver w. /inspector. o/ Other ' Applicant Date t` Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. _Fire Dept. Other Date By The following data must be submitted prior to permit i ircle new item not checked above). 1. Index permit for above items No. 2. Additional items required: .F Contractor, designer, owner, was advised of above required data by—phone —ma il__coun r by ..date Contractor, designer, owner; was advised of above r qui ed data by_phone_mall_, ou ter by date ns checked by �� Date Q Pla dapproved'by' t, Date Sets of plans on hold in File cabinet AP. folder ` .. Copy—DPW v e TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance CAZ-k, V, Owner Location AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply s, Clearance for bedroom mobile home. Other - i NOTE "* �- Date Sanitarian NORTH STATE BUILDERS 04) - ��;;`�/. F94 (div. of North State Aluminum, BUILDERS (div. 3029A The Esplanade, Chico, CA 95926 (916) 343-7956 or (800) 824-3993 TO .......... . . ... . ...... ....... . SUBJECT PRODUCT 149-2 • Inc.. Gmton, Mm. 01471. To Order PHONE TOLL FREE 1-900.225-M ay. 1 MM; OXA0 It W�' A' PLEASE REPLY NO REPLY NECESSARY SIGNED PRODUCT 149-2 • Inc.. Gmton, Mm. 01471. To Order PHONE TOLL FREE 1-900.225-M PERMIT NO. 298-81B PERMIT EXPIRES---rt OWNER OWNER ADOLPH PEARSON CONTR. Fred Cox, Paradise ASSESSOR PARCEL 66-22=40 LOCATION 20 Zuckerman Ct lot 126,PP#4,Maga1ia �4 Temp. Power Pole Called PG&E { Temp. Elec. Service Called PG&E Temp. G/SeeCal //rr I JOB FINALED (Date) Signature J =OK O = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; 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 Date Card -BI Data MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except a'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 8. 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 -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK O = Not OK = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exce f#'s Date FRAMING (Continued) oning requirements -Setbacks -Easements . Property Line Firewall & Openings 2. ain; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 4 . Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3 g., Garage; Soils -Steel- " Ftg. Depth 51. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection -4--Fitff -,Porches & Decks; Soils -Steel- / /" Ftg. Depth 5 Plywood on Roof Overhang -Attic Vents -Rafter Outriggers -4--St5mwalls, Main; Steel-Blockouts-Wrapped-Slab Siding -Nailing -Veneer jl 3Temwalls, Garage; Steel-Blockouts-Wrapped-Slab 3. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 4. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 5. 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 Dat r(� Card -BI Date Card -BI Date Card -BI Date 014 Card -BI Date Card -BI Date Card -B Date Card -BI Date Date FINAL (Plans) OK except #'s 6. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 7. Smoke Detector 14. Water Ht.; Vent- Access Combustion Air 8.` Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipq; Test & A hors -Nail Protection 16. D.W.V.; Te t-Fttgefs & Anchors -Nail Protection 9. Bedroom Exiting 17. Shower Pan; %egt, First Floor -Tub Access kO. G.F.I. & Bath Fixtures & Tub Access 18. Test TubAlfh er, 2nd Floor -Tub Access 1. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pi ; Size Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 6Ar-'�lec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 165. Kit. Fixt. & Appliance_; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 6. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 7. Garage Fire Door; Swing -Landing -Closer 8. A.C. Duct in Garage -Damper 20. F,,Lylture & Transformer Clearance -Ins. ProtectionWtr. T.7 Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection EI eceptacles Spacing -Lights &Switches at Doors Plb., Elec. &Mech. Equip. Listed for Location e Boxes & No. of Conductors -Stapled 7 lec. Receptacles in Garage; (G.F.I.)-Romex Protec. 2V R x Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech. Fasteners -Bond Gas & Water 7 Foam -Looked in Attic ❑ Yes ppliance Ci cuits in Kitchen & Conductor Size 7 Guard Rails ls &Deck Construction -Post Caps 26. Subfeed Wire Size It / ga.CCAr AI-A.C. Wire Size / / ga. Cu or At 7 Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ange Circ. / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 7t. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes El No 28 ce- i onductors & Ground -Main Disconnect Stucco; Brown -Finish 29. CI ces; Panels-Motors-Mech. Equip. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. CI es Closet Light -Shower Light 8. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 9. Water Well; Disconnect, Electrical, Plumbing ` 0. _ Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I e'4 Date Card BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except #'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 Card -BI Card -BI Date Card -BI Date Date Card -BI Date Dat Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans OK except #'s Co encs at Final: 6. Sills; Proper Materianchors / Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 3 Bearing Walls over Girders & Floor Nailing 3 Draft Stop in Walls (rat proof) 41. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 4 Hangers -Post Caps -Anchors -Connectors 4Cing. 44 Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 Countyenter Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICAT140N AND PERMIT ' ASSE O PARCEL NUMBEjEL — — TqING T BUILDING PERMIT OW ER TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OW E 1 ING DDR SS CONT ACTO•SN E TELEPHONE C NTRACTOR'S ILIN ADORE Q E a R��- fS Fireplace CONSTRUCTION LENDER UNKNOWN C Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ia Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ r BUIL ING ADDRESS _ ^� V7 Ck 10"r `jv� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PA EL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUC URE SF ❑ Duplex❑ Mobilehome❑ Other - SPECIFY Cr Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New kl Addition ❑ Remodel ❑ Utilities ❑ Instal lation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main Service EA. ADD•L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.y) OR ADDNS. l ACC, BLDGS. 22 sgft 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 fgrce and effect. License No.�7�6 T i 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 -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR POWER APPARATUS S NON.RESID. SINGLE OUTLET CIR. Ex. QCCUp OUTLETS OR FIXTURES 150 AL2j (.FIXED APPLNS, OR EX. OCCup.UTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S 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, indemnify and keep harmless the County of Butte against all liabilities, ' dgm ,9costs, and expenses which may in any way accrue against aid C Zn nsequence of the granting of this permit. X Date Wel Signature of Applica — Owner❑ Contractor ® A An OSHA permit is required for excavations over 5'0" -deep and demolition or construct- ion of structures over 3 stories Mobile Home Installation Fee $ TOTAL PERMIT FEE $ U O ` OCCUP GROUP v,/�` I TYPE OF CONST. IPARCELI t.PD HDJ ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OF PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS p Date iin�heeight. Receipt No. '-/� % 3 0 -/ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT • T' v �v rt . r y n .-.. - �. •. r .-.`.. .. ..r-`-• .. ��..., ...I. . -r � � .. .. .+_: .�- •.. �Y � ..may .. ... COUNTY OF BUTTE =DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION - .? 7 COUNTY CENT;,,,R , OROVILLE, CALI FORN,IA,959617) - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET »y Permit No./ OWNER A. P. No. (o "I Proposed Building Use Permit Fee Based Upon Building Inspector Complete Contract Price ;Oifde.QF_xpIain) DPW Valuation Date/ —,a 7 – At time of permit application, I was adviked the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 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 autho iz ion. . . . . . . . . . Sanitation approval from rd•>i— 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 owner0, Mail to owner ❑.) 15. Improvements may be required. . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . •. . 17. Pre -Inspection for Pre-Inspec. request to Required. Building Inspector (D 18. Other ate) 1, When you issue the permit, process as follows: Mail to owner. _/Mail toycontractor. Telephone and hold for pickup at office....) Deliver w/inspector. Other # x Applicant Copy of plans sent Health Dept., Fire Dept., Other IDate 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: j (Contractor, Designer, Owner) was advised of above required data by L By Plans checked by Plans approved bl. Other Copy—DPW Telephone Mail Other Date Date Date To: Building Department From: Environmental Health Subject: Sanitation Clearance -- Owner Plans approved for: Hold final for : 22 - Location AP Sewage Disposal _ .Water Supply_ Water Supply Final Clearance O.K. for: -"rr Clearance for bedroom mobile home. Other r � Clearance for addition of Note" San tarian 7i% Dat COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534.&4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �� )2 �'/�lCJ•c� Date Signature of Permitee or Argent Receipt No.��v White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIR TOR OF PUBLIC WORKS By D to Buildin permit expires Date L BUILDING Owner �� -� ' SO. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. ,0gj Permit Fee Building Addr s Plan Checking Fee&/or Penalty Permit Fee L rn�, PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 A. P. No. (a rp 1 9 0 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F W. S FireDept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 13ns ec Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ .$ ELECTRICAL No. @ FEE PERMIT FILING FEE $3:96 to " Main service 600V OR LESS _ - 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L 100 AMP 2.50 Main service OVER soov 25.00 100 AMP OR LESS Main service/ EA. AOD'L 100 AMP 1.00 NEW CONSTOR ADDNS. C ACCLBLDGSC DWELING � 124: sq ft ' CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: i�L.c.rc� NEW CONSTR MULTI.OUTL NON-RESID ` BRANCH CIRCUITS)2.50ea NEW CONSTR. (POWER APPARATUS a NON-RESID, SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES g @L @_j) Ex. OCCUp ( FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 1`4 / C ll.— Classification G - / 6 Misc. Wiring 6.25 ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I hav aced on file with the County of Butte a certificate of W men's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee is TOTAL PERMIT FEE $ 8a authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �� )2 �'/�lCJ•c� Date Signature of Permitee or Argent Receipt No.��v White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIR TOR OF PUBLIC WORKS By D to Buildin permit expires Date L `1 a PERMIT NO. 6631-78P,E j PERMIT EXPIRES r OWNER Neil b. Hillier CONTR. Hess Backhoe Serv., Paradise 66-22=40 LOCATION (A.P. ) 20 Zuckerman Ct., lot 126, PP#4., Magal,,ia V.. DI r' z 1 ) r . Z Temp. Power Pole Called PG&E Temp. Elec. Serv. �t Called PG&E �- Tem p Gas Serv. j ailed PG&E JOB FINALED (Date) b .. " (Signature) Stucco Inal MECHANICAL suo aneis Grd. Fauff Prot. Service Te . Pole U er round ermanent Poor Closer anal '11 inal MOBILEHOME UTILITIES - - - -OV E,9 f/zr4 - - Elec. Service 1, C' lec. Pedestal /�- 7, 7 Water Piping • er -- 9 Gas Piping Al --d E OME INSTALLATION - - - - - - - - - - - - - - SupportElec. Continuity Water Piping Drainizt Gas Piping IT DATE REMARKS OR CORRECTIONS 1�" 4/1CI Z �— 9-7 �- (NOTE: An entry must be made on this form each time you visit the job site.) ,A COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD s BUILDING r BUILDING-,(Cont'd) PLUMBING tback FI wall SoN Piping F ms Para ets A Floor in Bldg. Restro m Finish 2nd loor ootin s Windowk. 3rd OQor S wall Sidina To out SIal, Roof Sheatkng Water Pi in Pier Roofing Sewer Garage NFdn. Vents Fixtures Footingh Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Car rt Po Footings Prov. for ph sicall handicap;ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio F EP CE Final Footin s Footing ELACTRICAk Masonry Walls Throat Rou h Reinf. Steel Final FlYturpa Stucco Inal MECHANICAL suo aneis Grd. Fauff Prot. Service Te . Pole U er round ermanent Poor Closer anal '11 inal MOBILEHOME UTILITIES - - - -OV E,9 f/zr4 - - Elec. Service 1, C' lec. Pedestal /�- 7, 7 Water Piping • er -- 9 Gas Piping Al --d E OME INSTALLATION - - - - - - - - - - - - - - SupportElec. Continuity Water Piping Drainizt Gas Piping IT DATE REMARKS OR CORRECTIONS 1�" 4/1CI Z �— 9-7 �- (NOTE: An entry must be made on this form each time you visit the job site.) ,A MOBILEHOME INSTALLATION INSPECTION CHECK LIST �C Is the mobilehomelocated with required separation from lot lines and buildings and generally conform to plot plan? Yes No Does the mobilehome have required clearances above ground? (Sec.5085) Yes No �11iAre footings and supports properly sized, spaced, and braced as per approved plans? (Note' possible variation at spring shackles.) (Sec. 5082 & 5083) Yes v^ No Is the mobilehome level? (Sec. 5088) Ye NoUM �. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes)-(', No r ®� Water A. 'Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes• No C. Backflow - If co -sl t State of California approved, does station have backflow device and pressure -r of v e? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yex< No B. Does it have minimum k" per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after running 3 -gallons of water,through each fixture including washing machine standpipe?,.Yes No�` f• D. If coach 's o to of California approved, does station have required trap and vent? Yes_ 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with ark approved 3/4" minimum mobilehome connector not more than 6 ft, long? Note: f,A11:--p iping is to be at least. as large as the mobilehome gas line inlet without r duetions other than the mobilehome connkctor. Yes_ No B. Test OK as er following procedure? Yes,f-' No 1. Open all a fiance connector valves 2. Shut off appliance`buxner andpilot valves. 3. Air test with'manom�k6r to IN,, 4" water column, or test with slope gauge (minimum 6oz, maximum 8 o?✓-) calibrated in • nth pound increments. Test for 10 min. without drop. ./ 4. Connect gas meter to mobilehome.with connector, urn on gas, test connections with o4py water. \\ C. Are all appliance vents properly installed? Yes No. Electrical a A. Is service large enough to provide adequate. amperage -to mobilehome (must equal rating of mobilehome with a minimum of.100 amp) and other facilities on lot, i.e., water pumps, garage., cabana; etc.? Yes_),(_No B. Is there proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes,,/._No D. Is continuity test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4.' Connect one lead of a test instrument'to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? ll..If everything okay, sign -off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle 90,_ z-Pt.J 01C� d� Length �e' b Width 2 Vehicle Serial`No. State Identification No�fA Additional Information or Comments: ;n_ -�� �- .- rl,-4 /D7_ CiZA COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative .Code, Title' 25, Chapter 51 under permit number /� - -4 for the'f'ollowing location: � .� 'L i✓ Jam/ Owner L'I ,/�./,J� Owner's Address Mobilehome Mfg. ' '- 7'`=�-S7— Model Year Insignia No. � Serial No. �s It is hereby certified for occupancy at the above described location and may be occupied. Director ofPublic Works Date—./— By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY—QF_ B,.UTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 - Telephone: 534-4541 APPLICATION AND PERMIT r Owner Mailing Address Telephone No. Contractor / Mailing Address r hone No. Building Address / A. P. No�.� � Zoning& Planning I� 41V.C. ftr+ t+en FireDept. Fire Zone Use Permit EQA I Parking I Declaration P Parcel Plans Parcel Ma 60' R/W I lmgxvements Bldg. Pfd I Parcel &e ayal I dans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Single Family ❑ Duplex ❑ Mobil Home Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style 01P52 License No. 3 ff If 71 Classification ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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. X 4:Ll" a _ 6,16CA;;=X Date Signature of Permitee or Agent Receipt No. % 8-377 7e9 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant _ BUILDING SQ. FT. I OCC. I BUILDING VALUATION Fireplace $ Total Valuation No.1 @ FEE Permit Fee $3.00 Ian Checking Fee &/or Penalty 5.00 Permit Fee 2.50 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 00V OR LE Main service 1000 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. / DWELLING OCCUP. 4\ .)A,.,, r. Ex. OCCUD(OUTLETS OR FIXTIIRES 1 1AL@51' EX. OCCU FIXED APPLNS. OR P•�OUTLETS (RESID.) EA) 2.00 rr*emporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ MECHANICAL F$3@00 PERMIT FILING FEE Heating Coo I i Ventilation Hood 1 1 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ 3016-7 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO BLIC WORKS BY Date uilding permit expires Date BUTTE COUNTY DEPARTMENT OF -PUBLIC WORKS .7 County Center Drive, 0 oville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name:• 2. Installer's name: 3. Is the site currently under permit? Yes / / No .(If yes, furnish permit number / ) OR Is the site an existing site? Yes /cif' 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 /li/' No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- f Q Amps 6. What is the mobilehome site service rating? ---------------=----- Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes / / No (If,yes, identify the load and size:'(Load) (Amps) 9. What is the mobilehome site gas pipe"size?------------------------ (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the.gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ----------------------------- (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft, on LPG.) 4 MOBILEHOME SUPPORT DATA ther than single wide; Mobilehome Mfr. ��-� rc� -,P furnish Setup Model No. S�`���`-3Year %-R Width�_(ft.) Box Length (.0 D (ft.) .Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). - All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single D --,-.'Wood either A A pressure treated or foundation grade. b,p x3 (ft.)(in.) (in.) (in.) 2. Other (specify) Center support Center support locations* footing sizes Supports (check one) (in.) Concrete block. �Rxa ❑ 2. Other (specify) (in.) (in.) 4 -Tagalong or.Expando, show support details. (in.) (in.) Typical Support (in.) (in.) Footing Size (ft.)(in.) (in.) (in.) ��-� -- Max. Pier Spacing xMax. Overhang (ft.)I (in.) (in.) (in.) (ft.)(in.) BUTTE COUNT( BUILDING DEPARTMENT APPROVED *If center piers are other than drawn above, / 8 draw in locations, spacing, and dimensions. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Ica authorize rep.resentat(ves of the c;ounty of t3utte to enter upon the above-med property for inspection purposes. X-' Datez— t, I Signature of Per(miitee or Agent Receipt No. Z + � 7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO P BLIC WORKS By Date Bing permit expires Date //—z BUILDING Owner lVii d. SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor r'` 0� �- Mailing Address G. '2 0 l? Fireplace Total Valuation S%S c Telephon N x'71 -� � � Permit Fee Building Address Plan Checking Fee &/or Penalty -- Permit Fee CC3ea PLUMBING No. @ FEE h PERMIT FILING FEE $3.00 .00 Each Trap 1.50 P1i� — C- 14 Repair drainage or vent piping 1.50 / A. P. NO. D �S - —©- O O . (' Q T` Zonin $ onning Water piping )0,00 Each gas water heater or vent 1.50 F W San on f Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans I Parcel on Declaration Parcel Map R/W Improv nits Each additional outlet .30 Building sewer x:68 � � Bldg. s Recd len Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ ,Qo$-S a ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 3,60 Main service 600V OR LESS 100 AMP OR LESS 5.00 6"'1 Single Family ❑ Duplex Mobil Home Others ❑ Main service EA. ADD•L loo AMP 2.50 p Main service OVER 600v 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR A.D.S. ACCLBLDGSLING CCUP. 01) 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: y �` / �S.i 7�iG� I � V �/r tJ A c t; NEW CONSTR LET MULT I -OUT NON•RESI D, BRANCH CIRCUITS) 2.50ea NEW CONSTR POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. EX. OCcuo(OUTLETS OR FIXTIiRES gAL� Ex. OCCU FIXED APPLNS. OR Occup. (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Js; ot> .2 License No.p(;s 2r7 Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ A6, 67)$ 2S16-4 WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. � I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL INo@ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Feea� , 0(i $ TOTAL PERMIT F EE $ -1 eL authorize rep.resentat(ves of the c;ounty of t3utte to enter upon the above-med property for inspection purposes. X-' Datez— t, I Signature of Per(miitee or Agent Receipt No. Z + � 7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO P BLIC WORKS By Date Bing permit expires Date //—z Workmanship Shall Be in This set of .plans and specificctions MUSTY NOT Materials & kept be Good Practices and p on the lob. at all times and it is unlawful to Accci°dance w�fh Recognized made any changg or Alterations on same without b` G duality prescribed for the Specified use s the .written permission from, of Public. Plumbing & Mechanical Codes and P Unifor►n Building,_ Works, County of Butte. the National Electrical Code. ! t" 6T p.tat f Septic sysfem: And location cam►. a to: 6e as per -O �Bt�W Coun p ty Health .pt. Re- _ f quirements.� A permit�vill be-'r•equired fo the - • � �_ t� j Nation' of 4e mob.ileho e.. '� ; v, � • �;—' t � � ; -title+ __ �q ;� � �� .:j\� Setbac� " 61 5 ft. from i"� i0e propert,, ine and 50 ft. from the ntedine off he road, permitting a maxi- r_ .: o, ! - mjm of a 2 ft. eave overhang but entirelyN. of all easements.- 3t--- 00. asements. Intl utility connections shy located within- f . �rside the rear f , pec ion of the mobile home ' on: the left (road) side of the mobile• - . BUTTE :COUNTY BUILDING DEP:'1RTMENT °t APPROVED C �A ..eount* 4 DUtbe_ OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Sierra Mobile Service & Supply 8965 Skyway ADDRESS: Paradise, CA. 95969 CITY & STATE: IMPORTANT: November 1, 1979 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT. Owner (Adolph Pearson) decided not to have the work done. (Permit Appin. #5367-79B - P26 20-""'--=. Building permit fee ----- $5.00 Retain 113 of fee ------- 1.67 Amount of refund due ---------------------------------------------- $3.3 TOTAL $3.3 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Datedthis .................................. day of ............................. 19....... at................................. Calif..................................................................................... Signature of Claimant ' I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and th t t ere is a Budget Appro etion ❑ or Sp fic B rd Ap al ❑ (Check one) for the same. iso �fiov. �irovffie Datedthis .................................... day of ............................. 19....... at .............................. , Calif..................................................................................... Department Head or Authorized Deputy Dept. Exp. Code............................................ Code ................................................PAYABLE FROM ........................................................ ..........................:........ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PRO J• SUB. OBJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. 1, f INSTRUCTIONS to CLAIMANTS All claims against the county must be itemized,- giving dates and character of service rendered "or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure.. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. L4 -T U 5. Cost Effectiveness a. Are there other public you.are aware that are to satisfy this need? If yes, state what ages attempts made to avoid to insure coordination b. Describe the area to bi and numbers of persons c. Describe the impact th current and future fun i . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. 95965 PHONE: 916-534-4541 �ev' e, �6d, v S�vcr.c DATE / — S —� 7 co With reference to the above subject: Attached is: Application for permit Building Plans Engr. Calcs Labor Code Information OTHER / / We need the following information: A.P. # — Z Z --- . _V�D Mobilehome Utilities Installation Sheet Mobilehome Installation .Information Sheet Typical Plan Sheet List of Codes Enforced Permit application signed and completed where indicated with all copies returned. Fees of-$ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractors License Law information or check exemption.statement. Letter authorizing signature of Complete plans in including plot plans.. Plot plans in Structural details in . Complete plans in prepared by registered civil engineer or architect. Engr. calcs: sets of plans 'in.accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 695 Oleander Ave., Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, 'Oroville, for Copy of recorded parcel declaration. .Recorded copy of deed showing OTHER +.� / �'� s d ✓ �, 0 Should you have any questions concerning the above, please contact this office. Yours very truly, Clay Castleberry' Director of Publi Works Glancrer JFG:dd Chief Building Inspector COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT&C3 (� autnonze represeniat)ves or the county or tluiie to enter upon the above-mentioned roperty for inspection purposes. ✓� Datdpl J, I ure of Permitee or Agent Rec ' No. This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By WhitlrD.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I Building permit expires Date Date BUILDING �• Owner S o SQ. FT. OCC. BUILD NG VALUATION ,3 3 Mailing Address Telephone No. Contractor Mailing Address s s Fireplace Total Valuation a 5, Telephone No. F ;r,;P, - ,6-7,0 Permit Fee Building AddressPlan e� Checking Fee&/or Penalty Permit Fee p� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No.Q6� =Z _Q — O —O T I Zoning & Planning Water piping1IT Each gas water heater or vent 1.50 F es V4 Sa n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 ou s 1.50 EQA Parking Plans Parc Declaration Parcel Map 60el ' R/W I Improvements Each additional outl .30 Building sewe 5.00 Idgg FlI s Recd Parcel A royal Plans Approval Lawn sp ' ler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00V OR L Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 X=2100 Main service OVER e00V 25 AMP OR LESS Main service EA. ADD -IL 100 AMP 1.00 NEW CONST. I DWELLING OCCUP. Y 2�ft OR ADDNS. ACC. BLDGS. S q CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California BUSIneSS &Professions Code under the name style of: / NEW CONSTR ULTI.OUR T NON.RESID ( BRANCH CIITS 2.50ea NEW CONSTR. (POWER APPARATUS B NON.RESID. SINGLE OUTLET CIR. EX. DccuD OUTLET OR FIXTURES BAL@¢ BAL @ 1 FFy�DD Ex. QCCUp.(OUiPLETS P(RESID )NS.ORE A) 2.00 Temporary ery ice 10.00 Mobile H me Facilities 15.00 G, �� License No. -?f /0' -7 Id Classification Mi sc. 'Wi ri ng 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for W rkmen's Compensation. II have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. r -1I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.i @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ autnonze represeniat)ves or the county or tluiie to enter upon the above-mentioned roperty for inspection purposes. ✓� Datdpl J, I ure of Permitee or Agent Rec ' No. This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By WhitlrD.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I Building permit expires Date Date 1r` pw AIW .41 -I swe seeso-ta — ---AW foor IsAutmess f4 /tor i -f A Al . PLAN 3• • Caat-Kbwassr iA 04-ow.we Aap.A—low— me oow—.q A",Uo - Ecce "-is~ *Mgt& pw,-r. ,4wwfAFSWrrm -- NO OPER00mr, 6; , 84096c% &we* cle I&OCamd dmwyj I - SSC7,A, Fiat G•,./fs'Aw3Jr ca/1I -16/C,4 Ca/ , at /2 l foodds~ 0-od C440021swi FAsuw Spin to r..+u -AV— iW7 O -L C&.Zdff CAP f 6463-rs w fti-amM, pr AOMddF ass . mavMN Ci p 2 CCt,,,J;AO' AMPr G'D&rA' Joao-VAO Sacs -OWN AMM r, 1.0, tar W 7;, 4 -awl zi:". A T——ALCr,rr.= v; Z. PLAN 40 TIP, ass SEDT 57 COLIMN "Iffy, Ovid Aro66W62-16 AAIWL 4w -I*Apov�WW L— - �-Aowa— u boom yipif-gy; -ACE--. 7 PILAV atIU— I�Awmuw -cam woe 'rA-.0- T. ,IjwmftmLmmw-,q &Ars EARM Aaew*w BRAL..OrA-r 'tom ilk r Wq ! � � .�. 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