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HomeMy WebLinkAbout066-440-011i � . -- • LAS.• ._ _. � _ _ _ r _ �-.. .... .. - - .. -. - - - .. .. � Y 66-44-11 John Bergthold 13583 Wa_sho Ct,Magalia— permit # 2372-82P,E(utV /�1H / f contr: Presidential Howes, Pavadise Electric -3/7--- Gas) Gas) F-3/ �Z_ Zp.. /I Lp47 y ` Support structure-.re rr - comp.ac-at_ion_test req) John Bergthold 1358 how;; Magalia Pei i6i.t �� , 2484.8"2B. E ( r i gar/MH) mss, de-3tiat'1 ,HbMes , Paradise , VA, ' r �• 66-44-11 Permit 4. 2686-82MHI' `:contr.:' Maj6r Miaorrl Paradise , -i'. .� Issued 11l-1 Z 1' ' vPEA/ f M. 66=44-11 t } Permit#3068-8 2B _pen ,deck /MH 's P 66-44-11 % LContr:. Peter FoxMagalia F#Nq I %v�%//mit#2805-83B(replace siding/ex gar) i _ r -�--�- j Cfll Cfll , � �� O B.I.N..3 Sg REOU ST FOR INSPECTION Permit No. Location: Pn�- K3 _..�. Owner: ,4Auld Con or or Tenant:j(. ��rY Complaint: r BLDG. ✓GOP ECTRIC MM SPECIAL SPECIAL Form u rout h �(`Yrrl Job S tus Frame c Final Permit Renewal Stuccory s iping Ser 'ce Verify Utilities Fireplace Temp. Gas Un rrg o d ER Spe sp. Bond Bean}4 Sewer Qipjng �-{ Corrections Final Date: TimQ---Note borrections READY V Final R INSP. ON �L - % m �— Ll .... r,,r � ,. � y . f.+ .. i.� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS r 7,Co-unty Center Drive - Oroville, CAlifornia 95965 - Telephone 916/534-4541' APPLICATION.Ab PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER — TELEPHONE 1 � SQ. FT., OCC, BUILDING VALUATION �' +• �^ - OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILIN-G ADDRESS Permit Fee $ ps ARCHITECT OR E.dGINEER LICENSE NO. Plan Checking Fee .$' Penalty $ - ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ _- BUILDING ADDRESS - PLUMBING PERMIT Filing Fee 10.00 ' * Each Trap 2.00 Solar Water Heater 20.00 1 Water piping 5.00 LOT NO. SUBDIVISION NAME I PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other - = SPECIFY Building sewer 5.00 Mobile Home S I G I W10 OOea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ I � Describe work: = — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR main service 100 AMP ORSLESS 10.00 1 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 1 2/20sgff r CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am I censed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. / // t ' % 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 sala.(Sec. 7044) ❑ I, as -he owner, am exclusively contracting with licensed contract- ors. (Src. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULT' -OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea NEW CONSTR POWER APPARATUS & NON-RESID. ( SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES - e2 e° oQ FIXED APPLNS. OR Ex. OCCUp- OUTLETS (RESID,) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 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 Cerificate of Workmen's Compensation Insurance or a Certificate of Corsent 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 tgis permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. %� Date Contractor ' Agent ❑ Signature of Applicant — Owner El An OSHA permi- is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ J_ OCCUP, GROUP I TYPE OF CONST. I PARCEL PD I ND I ISSUE' t / This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have beenaid. p WORKS Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT I, COUNTY OF BUTTEWF PUBLIC WORKS 7 County Center Drive - Orovil-Telephone 916/534-4541 APPLICAMIT PERMIT N ASSESSOR PARCEL NUMBER 44 ZONING BUILDING PERMIT OWN R r� O D TELEPHONE Z Zd Q T OCC. BUILDING VALUATI Lo 1W NELA OWNER'S MAILING ADDRESS ' s�iG' 7` ,4iA CO ACTOR'S NAME �aZi TELEPHONE a CO TRACTO 'S MAILING ADDRESS 2—elLj N F C/ /14 Fireplace CONSTRUCTION LENDERA� /✓ UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS ------ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS �-- Permit fee $ am BUILDING ADDRESS WAS 6 PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Solar Water Heater 20.00 04 Water piping 5.00 LOT NO. SUBDIVISION NAME, _PARCEL MAP Each qas water. heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 (JSE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other RA'J SP CI FY Building sewer 5.00 Mobile Home I S I G JW I ea __10.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utiliti s ❑ Installation❑ Other ❑ Describe work: L Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. t 2/20sq ft CONTRACTORS LICENSE LAW I declare pder penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession Code and my license is in full force and effect. /-"� License No. 2 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 U TI.OUTLET 2.SOea NO N.RESID BRANCH CIRCUITS) NEW CONSTR POWER APPARATUS .&') NON -R ESID. (SINGLE OUTLET CIR. i0®s0C Ex. Occup(ouTLETs OR FIXTURES BAL®30 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FilingFee 10.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. rFi,-I—fiave 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree. to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again ai . Co t in c e c f the granting of this permit. X D,.e�� j ,,�, j Sign ure of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE of CONST. PARCEMPD ND 95U This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC BY / PER EXPIRES Date the applicable to do resolutions to do fees have been paid. WORKS Date��ry�= v Receipt No. WHITE-D.P.W-. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE - DEPARTMENT 0,� PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILtE rlis+�Ll RMA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET r / �, , — / Permit No. A. P. No. C1� V / __ Proposed Building Us`e Permit Fee Based Upon: ,�/ Complete Contract Price . DPW Valuation Other -(Explain) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 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 authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: zftg_:;_T��ertificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. •Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector 18. Other Dote) s; When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone By Plans checked by Date Plans approved by Date Other: Copy—DPW Mail Other Date ' PERMIT.NO. 3068-82B PERMIT EXPIRES OWNER JOHN BERGTHOLD x: owner ' CONTR. ASSESSOR PARCEL 66-4411 LOCATION 13583 Washo Ct,lot 73, IM0 ,Magalia o. Y Temp. Power Pole a Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service r Called PG&E R �Z_ JOB FINALED (Date) Si9 nature i' \� OK O = Not OK = Not Applicable MOBILEHOMES l MISCELLANEOUS A. = Not Ready/ ... Date MOBILEHOME UTILITIES (Plans) OK except N's DateD COV RS, CARPORTS, ETC. (Plans) OK except It's 1. Zoning Regtiirernents-Setbacks-Easements . Z ng`Requir ents-Setbacks-Easements 2. Soils; Special MH Support -Sketch Footi ize-Depth-Spacing-Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. cks; 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 Ail ate Date Card -BI Date Card -BI Date Card-BIate I Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1, Zoning Requirements -Setbacks -Easements Date _ POOLS (Plans) 09 except k'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-GF1 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 B. Elec.; Grounding; Equip. w/5' -.Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Card B-1 Date Card -BI Date "' Date Card -BI Date Card -B) Card -BI Date Card -BI Date Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 19. Gas Pipe; Size & Anchors 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer __ 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72, Insulation -Foam -Looked in Attic ❑Yes73. 25. 2 Appliance Circuits in Kitchen & Conductor Size Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes [-]No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. 79. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N'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. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Card -BI Date Card -BI Date Card -BI -.----Dale Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors _ 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42, 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp. 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 (NOT E: An an try must be made each time you visit job site) + - COUNTY OF BUTTE - DEPP' 'AAF .FI. OF PUBLIC WORKS PERMIT O. -.� 7 County Center Drive - Oroville, California,95965 - Telephone 916/534-4541 v old IT APPLICATION.AND PERMIT A4 Z ASSE OR PARCEL NUMBER ZONING BUILDING PERMIT O WNE D iV ERCP G TELEPHONE SQ. FT. OCC. BUILDING VALUATION D 2 0 OWNEI.'S MAILING ADDRESS P9'gl S O C li O A ! Z CO TRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRE S Fireplace CONSTRUCTION LE DER UNKNOWN Total Valuation 1 $ 7 40, Qa Filing Fee $ 10.00 LENDER'S MAILING A RESS Permit Fee $ -Z$-,-00 ARCHITECT OR ENGI EER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO SUBDIVISION NAME I,Y(`��� PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex ❑ MobilehomeW Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other f?U Describe work: OP�sV n�CiGS`r ! 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.pl1 OR ADDNS. ACC. BLDGS. / 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1NON.RESID. I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification XI, 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 NO CONSTR. BRANCH CIRCTITS 2.50 ea NEw CONSTR. ( POWER APPARATUS e) SINGLE OUTLET CIR. so a z5C Ex. Occup OUTLETS OR FIXTURES BA LINIS .0 Ex. OCCup.�O UTLETS P(RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig 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. 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. a also I abilit es jud menuree to save, s c sys nandeep en eiess the s which may in any of utte way against cc accrue a st s ' Co c ce of he granting of this permit. X Date /D��3 " gn tura of Applicant — Owner Contractor ❑ Agent ❑ OSHA permit is required for exc vations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP M _ TYPEOFCONST.F -iL PARCEL i� H-5_71ISSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT R OF PUBLIC BY P T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date/a—(7 P Receipt No. 5:y WHITE-D.P.W., YELLOW -ASSESSOR, PINK-INSCTOR, GOLDENROD -APPLICANT ti,,,`.,,.,. "..�.• A,'v't.-.•.''�_`�.:'F.�r..S,.�-nr�rvh--1aS�_r""'r"'...;/+.^"'w1..rF'...p-.1--- ��+•�.•,,;,,-� _„�:� y�.-�1`-'...`.`a--Y-..,.-�t�;.:.�:.�.r'^'..Y�.,�'r r1-..., r _ COUNTY OF BUTTE - DEPARTMENT Ofy-_P IC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,,,CA.LIFCGRNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET r'^ Permit No. r !' \ OWNER A. P. No. Proposed Buildd.ng Use Permit Fee Based Upon: Complete Contract Price_ DPW Valuation Other ( xplaln) Building Inspector. `�Date ' /O % ) _Slain) time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 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 authoriza ' x�. /j �. . . . . . . . �10. Sanitation approval from i 1 Health Dept. . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) f 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (pore) 18. Other •x When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant ate . y ti Copy of plans sent Health Dept., Fire Dept., �—/ Other Date During the plan checking process, the following data must be submitted prior to permit issuance: K (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, De(by er, Owner was advised of above required data by Telephone Mail Other By Date Plans checked Date Plans approved Date Other: Copy—DPW To: Building Department From: Environmental Health Subject: Sanitation Clearance Owner Plans approved for: Hold final for: Final Clearance O.K. for: Location AP# Sewage Disposal ✓ Water Supply_ Water Supply Water Supply_ Clearance for bedroom mobile home. Other n Clearance for addition of z Note" Sanitarian Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. -95965 Phone: 9167534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name 'and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. ' 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and.provide_ the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: //,� Property Owner Social Securit" umber Date Ag 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 permitted to issue the permit. n tom; 2484-82B,E C ` , PERMIT NO. y PERMIT EXPIRES �y �z �`Y J -v 1 ti •-F.� _ . x.31 t `� r} ti k a �WNER John Bergthold >^ cONTR. Presidential Homes, Paradise ASSESSOR PARCEL 66-44-11 LOCATION 13583 Washo ft, Magalia P r • "y Temp. Power Pole Called PG&E 5' Temp. Elec. Service Called PG&E Temp. Gas Service I q Called PG&E 4ZQJOB FINALED (Date)__, ?� Signature t4 i r ti n tom; 2484-82B,E C ` , PERMIT NO. y PERMIT EXPIRES �y �z �`Y J -v 1 ti •-F.� _ . x.31 t `� r} ti k a �WNER John Bergthold >^ cONTR. Presidential Homes, Paradise ASSESSOR PARCEL 66-44-11 LOCATION 13583 Washo ft, Magalia P r • "y Temp. Power Pole Called PG&E 5' Temp. Elec. Service Called PG&E Temp. Gas Service I q Called PG&E 4ZQJOB FINALED (Date)__, ?� Signature t4 J OK 0 Not OK - = Not Applicable = Not Ready MOBILEHOMES ° MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2.` Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) y Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2.` Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rffr's.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns-Connections_Splice-Decal-Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ P'Nat. or/ /"L" ft. /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1, Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI ' 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI , 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater B. Gas and Electricity Tagged 8., Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date ' I I bO = Not OK Not Applicable Not Ready RESIDENTIAL (Single and Duplex) Date UND R OR Plans OK except #'s Date FRAMING Continued 1. Ooning requirements -Setbacks -Easements roperty Line Firewall & Openings 2. Ftg., Main; Soils -Steel- ec. Grnd.- / /" Ftg. Depth 4 xt. Doors -One 3' -Check Garage -3rd story, 2 exits 3 g., Garage; Soils -St el- /j 4171" Ftg. Depth -Headroom-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. JFlywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer emwalls, Garage; St -Blockouts-Wrapped- 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Card -BI Date q -BI Date Date Card -BI Date Card -BI ate- I Date Date FINA tans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 56. xt. Steps -Door & Sidelight Protection -Landings 5 o e Detector 14. ANC Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - in ge; ove Floor-Ducts-Mech. Protection _ 15. Water e; Test & Anchors- it Protection 16. D.W.V.; t-Fttngs nchors-Nail Protection 59._Uedwow,Exiting 17. Shower Pan; st, first Floor -Tub Access Bath rixtures & Tub Access 18. Test Tub & Sh 2nd Floor -Tub Access 61 lec. Trim & Subpanel; Breaker Sizes -Labels _ 19. Gas Pipe; 'ze & An ors Rails ace or Stove; Clearances -Hearth 64., lec. Outlets 21_Wboel, Panel; Int. & Ext. Card -BI Date Card -BI Date ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. 67___.Ga Ele eptacles at Kit. Counter ire oor wing -Landing -Closer Date ELECTRICAL Permit OK except q's 68 uct in Gara a -Dam er 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr., arance-Comb. Air- Connector-P.R.V.-a; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 70 Ib lec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. , ec. Rece to r ge; (G. F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 72. Insulation -Foam -Looked in Attic ❑Yes 24. 25. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size ec Construction -Post Caps 74 Fdn. VPnrc R Crawl Hole Doo�Drainage &Wood Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral FE -Yes ❑NoPlanters 75. Following instld.: Drive ❑ Yes No; Walks ❑ Yes o; ❑Yes C04- 28. Service -Riser Conductors & Ground -Main Disconnect 76. ticco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A . Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. V is Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Ex4erior Elec. Trim; G.F.I. Receptacle -Underground Card B-1 Date Card -BI Date 81. Ve tilation throughout House Card B-1 Date Card -BI Date 82. Gla s Protection Date MECHANICAL (Pertr,it) OK except N's 31. A.C. Ducts; Insulation & Support 83. _ Cor ections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Wate & Sewer Connected -C/O to Grade -HD Approval 32. Vent ; Exhaust abov sulation 86. Energ Compliance Certificate -Other Certificates _ _33. Condensa Drai nje,verflow; Size & Grade 34. Furnace-Ve ccess-Comb. Air -Return Air Vent -115V outlet 35. Attic Acce & Iatform if Furnace in Attic Card -BI Date rd -BI Date Card -BI_ _DateCard-BI Date Card -BI Date Card -BI Date Card-BI Date Card -BI Date Card -BI Date Card -BI Date Date FG Plans) OK except q's Comments at Final 3 s; Proper Material & Anchors 3f' ._ Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound ng Walls over Girders & Floor Nailing _ 3,q, nratts -in Walls (rat proof) o s; Furred Ceilings -Stairs -Chases -Tub _ 41 _ eader & Beam -Size & Bearing a rs-Post Caps -Anchors -Connectors 43 Ing. Jo -Rftr. Ties-Purlin - Roof Brac.-Truss-Shthnq.-Rfng. ireplace Ties or Type A Flue -Fireplace Throat _ f ,16rA+timL t cess; Size & Romex Protection -Draft Stop -Ins. Baffles _ m. endows or Exiting Doors -Sill Hgt. & Dimensions _ _ Garage Fire Protection Framing i (NOTE: Anentrymust be made each time youvisit jobsite) 1�` F COUNTY OF BUTTE f. DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTIC ' -35;� -3 //A.,z BUILDING OR PROPERTY ADDRESS A routine inspection, indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correctio of work is completed. If you have any question pertaining to this matter r n d additional explanation, please contact this office immediately. Inspector Date /e=/ z 0! i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT i/NO.. 7' County -Center Drive - Oroville, California 95965 - Telephone 916/534- 541 O Ll F c.� ^ APPLICATIOWAND PERMIT ASSESSOR PARCL NUMBER ZONING "+..,, V� BUI NG PERMIT IIN3PP 1.-. 4AfOWNER'S TELEPHONE SQ. F%T%. -GC . BUILDING VALUATION ✓ MAILING ADDRESS CONTRACOR'S NAME TELEPHONE o i2-3 CONTRA OR'S MAILING AD ESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 20-� Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 60 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 7 S v Penalty $ ARCHITECT OR ENGINEER'S MA ING ADDRESS Permit fee $ �. BUILOIN A DRESS 1-3 S PLUMBING PERMIT Filin Fee 10.00 9 M14 a Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. % SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex ❑ MobilehomePI Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New F1Addition ❑ Remodel ElUtilities El installation[] Other%7A Describe work:__ Z2')C �O %rrr 62J"i C Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR0V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.5 NEW CONST. DWELLING OC ,B OR ADDNS. ( ACC. BLDGS. / 24F ft 9 y 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:3[�N-C20 Classification 3 ❑ 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 2.50 ea NO N•RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS 6 NON-RESID. (SINGLE OUTLET CIR. / Ex. OcCUp OUTLETS OR FIXTURES BAL211 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Z6, 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 $ 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. o gree to save, indemnify nd keep harmless the County of Butte against Iia lilies, judgments, cost and expenses which may in any way accrue in t aid County in s nce of the granting of this permit. ate (F'!�s- S'Z atur o pp Ic.nr er Contractor Agent ❑ 6An 05H permit is required for ex a .tions over 5'0" deep and demolition or construct- ion of structures over 3/storiiee�s in t. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. PARC PD H 99U This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC By PEFOWT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date,?.Z-7� —B '— �h^7 Receipt No. 6 IS (0/ WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT s To.: Building Department From: . Environmental Health Subject:. Sanitation Clearance I �L Owner Plans approved for: Hold final for: Final C1'earance' O.K. for: A .7 3 3s 3 �s a C - Location KCJ����� -4 AP Sewage Disposal Water Supply Clearance for bedroom mobile.home. Other r :: Clearance for addition of Note" Sanitarian t Water Supply. Water Supply Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING, DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA495965 - TELEPHONE: 9f1f6/534-4541 w of 3 h PERMIT APPLICATION DATA SHEET. Permit No. OWNER /� o �,o^�l�l B A. P�No. Proposed Buildigg'Use - Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain Building Inspector. Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . .. 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 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 authorizati . . . . . �0. Sanitation approval from • 1 Health Dept. �1. Planning approval for (A) Use: (B) Parking: Q12. Certificate of Workmen's Compensation Insurance. . Aar.Z- 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . . . 17. Pre -inspection for Required- BuildingPre-Insp request to (Dote) p q Building Inspector 18. Other When you issue the permit, process as follows: - Mail t owner. Mail to contractor. _Telephone and hold for pickup at ni r office. Deliver w/inspector. Other Appl ica Date /1 - Copy of plans sent Health Dept., Fire Dept., Other (�� Date_ti During the plan checking process, the following data must beubmitted prior to permit issuance: (For required items not checked above t ti lication, circle item.) 1. Index permit for above Items No. 2. Additional items required: rac r, Desi ner, Ow er) was advised of above required data by Telephone Mail ✓Other .%� By N_ DateB'�9.8� A Plans checked} Plans approved b Other Copy—DPW Date Date -S Z PERMIT NO. 2372-82P,E PERMIT EXPIRES OWNER John Bergth'old CONTR. Presidential Homes, Paradise ASSESSOR PARCEL 66,-44-11 LOCATION 13583 Washoyift, Magalia Temp. Power Pole Called PG&E Elec. Service -9-17 -a-Z- Called PG&E 7 -,f �1;1 Tem(3,,F�lc- !7- t CalledPG&E - JOB FINAL) /Date) Signature J = OK 0' = Not OK Not Applicable _-M'OBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except H's honing Requirements—Setbacks—Easements Soils; Special MH Support—Sketch i ( i Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 2. Footings; Size—Depth—Spacing—Connectors ewer; L66ation—Test—Fall-C/0—Concrete i 3. Decks; Girders and/or Joists=Decking—Bracing—Stairs—Rails Nat r; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.-Connec.—Shthg.—Rfg.—Bracing I city; Location—Clearances rnd / / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures as; Location—Test—Wrap:/ /"L"ft./ Nat. oLAD L"ft./r LPG 6. Carports; Windows—Doors tility Clearance 7. Elec. r Card -BI Date and -BI Date Card -BI Date Card -BI Date Card -BI Date and -BI Date Card -BI _ Date Card -BI Date Date WBILEHOME INSTALLATION (Plans) OK except tt's i Date _ POOLS (Plans) OK except N's 1. ping Requirements—Setbacks—Easements 1. Setbacks—Easements 2. outings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. as; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. 4E1 ctricity; MH Test—Crossovers—Breakers—Clearancesah 4. Elec.; Receptacles and Lighting; Distances—GFI 5. rain; MH Test—Fall—Flex Connector I 5. Elec.; Pool Lighting; 15 volts—GFI 6,0-Yra—ter; MH Test—Regulator—Connector € 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7 ater and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater as nd Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. xits; Insp.—Sketch 1 ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I ate BI Date Card -BI Date Card -BI Date Card B-1 Date'/'Card-BI Date Card -BI Date Card -BI Date ,t } , J = OK O = Not OK * = Not Ready Applicable RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requiremen ts-Seibacks-Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access _17. 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels _ 19. Gas Pipe; Size & Anchors 62. Stairs & Rails i 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Card -BI Date Card -BI Date Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. &Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic [3 Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ElYes El No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. 79. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N'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. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ _33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - - ----- Card -BI Date Card -BI . Date Card -BI _ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING Plans OK except q's 36. _Sills; Proper Material & Anchors _ _ 37. 38. 39. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. Header _& Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlir -Roof Brac.-Truss-Shthng.-Rfnp. 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 7 COUNTY}CEMTER°DRIVE OROVILLE, CALIF. - '534-4541. CERTIFICATE OF OCCUPANCY - This mobilehome,has been installed in accordance with the requirements of the California Administrative Code, 'Title '25, Chapter. 5, -under .permit number r -the following location: Owner Owner's Address Mobilehome Mfg. 1Model 7"Yy Year a e- -� Insignia No.W.417 / Serial No. -z It is hereby certified for occupancy at the above described location :and may be occupied. Director/of P._ubliic'WWo"ks Date ��` Z�. B z Y THIS CERTIFICATE IS VOID WHEN MOBILEHOME.IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. CUUNYY OF 8UTTF DEPARTMENT OF PUBLIC WORKS ' 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — P+rme-877=3435 r a7�®®•z9�/-XS-7 Fill N CE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. .,&,01 / O►� C� o /7-5 4z—e,, �IctGc-. 0 Inspector_ Date :.. . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-7/b r-1? 7 - APPLICATION -AND APPLICATION•AND PERMIT IJ ASSESSOARC Mg 4::,• ; — B 4;t/ ZN%4G G WILDING PERMIT 0 W3 R ^ TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CQNTR ACOTOR'S NAM l®� �• TE ONE CONTRACTOR'S64NG ADDRESS 6 r. ^w Fireplace CONSTRUCTION LENDE UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING'ADDRESS Permit Fee $ ARCHITECT OR ENGINE LICENSE NO. Plan Checking Fee $ O li S` Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADD E s /3 S' Gi/�S !-0 CT PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomer-lLam'/ther SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other [I Describe work: 4— M7C%AV1 FiP 7 L P Z3 %2 � Z Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service soov oR LESS 100 AMP OR LESS 5.00 Z JY/ 11CC vv Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.y) OR ADONIS. ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I dere under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Cod and my license is in full orc and effect. (_8 J" ���/ License No.900J_881" � Classificatioh _ ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW NON•RESID CONSTR. BRA CH CIRCTITS 2.50 ea NEW CONSTR.POWER APPARATUS .&) NON-RESID. %SINGLE OUTLET CIR. so @ 25¢ EX. OCCUp OUTLETS OR FIXTURES 100 APPLES, OR Ex. OCCUp.�OUT LETS (RESID) EAJ 2.00 OUTLETS Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith Comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling 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 a to save, indemnify and keep harmless the County of Butte against all Iia it es, judgments, co ts, an penses which may in any way accrue again s d County ' on c he granting of this permit. �,_L Date_6 �{ Signature of Applicant — Owner Contractor} Agent ❑ An OSHA permit is required for excavations over 5�0"" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ _400 TOTAL PERMIT FEE $ 70,00 OCCUP. GROUP TYPE OF CONST. PARCEL PO No ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT R F PUBLIC BY P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS q Date /"�^► �2--- Receipt No. V�Z---- WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT j COUNTY OF BUTTE - DEPARTMENT 6F PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE` - OROV�LLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT A� IICATION DATA SHEET /' / Permit No. OWNER _V01& 367RZ7hk�L-D F A. P: // No. `� l/ Proposed Building Use Permit Fee Based U Building Inspector omplete Contract Price D,PW Valuation her (Explain) Q Date U At timepermit application, I was advised the following data must be submitted prior to permit processing and/o,/Issuance: DATE RECEIVED APPROVED 1. 2. 3. 4. 5. 6. 7 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. All items have been submitted. . . . . . . . . . ` . . Plot plans in duplicate/triplicate. . . . . . . . . . . Complete plans in duplicate/triplicate. . . . . . . . . Complete engineered plans and calcs. . . . . . . . . . Plans with Energy Design Compliance Statement. . . . . . State Energy Forms No. Statement of Intent for Non -Heated and AC Buildings. Fees of $ . . . . . . . , Letter of signature authorization. . . . . . . . . . . Sanitation approval from Health Dept. . . Planning approval for (A) Use: (B) Parking: . Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) Improvements may be required. . . . . . . . . . . . Mobilehome Installation Data.. . . . . . . . . Pre-Inspec. request to ' Pre -inspection for Required. Building Inspector 18. Other (Dote) When you issue the permit, process as follows: -Mai l to owner. Mail to contractor. Telephone and�d for pickup atoffice. Deliver w/inspector. Other 'en Date�� Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer,, Owner) was advised of above required data by Telephone Mail Plans checked byte Plans approved by_ Other: Copy—DPW By Date Date Date Other MOBILEHOME SUPPORT DATA If other than single wide,��.` m� Mobilehome Mfr. furnish Setup Model No. Year Width(ft.) Box Length L5 i� (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) r Single , • >, ' i y'i-� 1. Wood either • pressure treated or Jim Afoundation grade. u�C> ? 2. Other: (specify) (ft.)(in;) QQ (iri.) (in.) ❑ V UZ Center support Center support locations* 's footing -sizes Supporta.(check one) o (in.) 11: Concrete block. w x ❑ .2 : Other.: ( specify) (ft.)(in.) (in.) (in.) *If center piers are other than drawn above, draw in -locations, spacing,. and dimensions. I4 --=Tagalong or Expando,' show support details. x� -- Typical Support (in.) (in.) Footing Size �— -- Max. Pier Spacing (ft.)(in.) 14 -- Max. Overhang _41(ft.)(in.) - -2ta8( 4 BUTTE COUNTY BUILDING DEPARTMEN APPROVED J i (ft.)(in.) ('in.) (in.) HH Q! x "�- (ft.)(in.) (in.) (in.) Vi W (ft.) (in.) Q (in.) (in.) *If center piers are other than drawn above, draw in -locations, spacing,. and dimensions. I4 --=Tagalong or Expando,' show support details. x� -- Typical Support (in.) (in.) Footing Size �— -- Max. Pier Spacing (ft.)(in.) 14 -- Max. Overhang _41(ft.)(in.) - -2ta8( 4 BUTTE COUNTY BUILDING DEPARTMEN APPROVED BUTTE COUNTY. DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA.. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: 3. Is the site currently under permit? Yes No (If yes, furnish permit number ) OR. Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach f ields and siteservice? clear of.all Yes setbacks.and easements? Yes / / No (If yes, identify the load and size: (Load) (Amps) ( If no, clarify (in.) 10. What ) Natural / / ( 11. What is the gas pipe length from meter or tank to the mobilehome? ��� (ft.). ) �SZ� 5. .What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- Amps 7.. What is the mobilehome site circuit breaker rating? ------------- L 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.) 3. PERMIT I_ 2( MH UT IL . CLEARA E DAZE, .INSPECTOR ELECTRIC GAS Support Compaction Struc. ITest.Req. Service Size Other Load Type Pipe Size Len th YES NO YES NO �u / / i, `7 —7 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California .95965 - Telephone 916/534-45431 O ._ ,I Z. APPLICATION AND PERMIT ASSESSOR P R L 11fiMBIER ZONING_,/' ILDING PERMIT ��J owNE�1 EIR O� TELEPHONE S0, FT. C. BUILDING VALUATION OWNER'S MAILING ADDRESS TRACTOR'S NAME' TELEPHONE 7 CONTRACTOR'S M ING ADDRESS s 0 Fireplace CONSTRUCTION L NDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping 41111 O LOT NO.SUBDI VISION NAME 3 17M PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ MobilehometR*�'Other SPECIFY Building sewer s Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities VCI Installation ❑ Other F-1 Describe work: / ' Permit Fee $ contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS /a /,g .,a, Main service EA. ADD'L 100 AMP 2.50 Z+ S NEW CONST.( DWELLING OCCUP.y) OR ADDNS. ACC. BLOGS, 20 sq It - CONTRACTORS LICENSE LAW I declar 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. -3/ 4-,91C- �� Classification S ❑ 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. Ou LET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. / POWER APPARATUS &) NON-RESID. \SINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES B ®@t oo FIXED APPLNS. OR Ex. Occup.(ouTLETS (RESID) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 A9 Misc. Wiring 7.50 Permit Fee $j',s 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. 2 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. Heating Cooling Hood 3.00 Ventilation , Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I all o agree to save, indemnify and keep harmless the County of Butte against a fi bilities, judgments, c sts, and expenses which may in any way accrue gai s said County pin o que ce of the granting of this permit. X J ate CJr !� —�� 5' not re of Applicant — 0Vn�l Controcror Agentwork An OS A permit is required fo-ions over 5'0" deep and demolition or construct- ion of structuresover 3 sstoriesght. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ �— OCCUP. GROUP TYPE OF CONST. PARC 'PD ND IS9uE� �/ This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRECTOR OF P LIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ,p D R.,Teceipt No. (17 a l0 E-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE'- DEPARTMEI9T.OF.PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, OAL'IFOF NIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. —"--"A. P. No. Proposed Building Use Permit Fee Based Upon: Complete Contract Price _DPW Valuation Othr (E ain) Building Inspector i Date —/zq At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate. . . . . . . . . . . 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 authorizatio .. . . . . . . . . O. Sanitation approval from ­s�.ealth Dept. �y 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. Owrier-Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . 1ec ' n for Required. . . Pre-Insp c. request 7. Pre -Ins P q Buil ing Ins ect (Date) 8. Others o / t When you issue the permit, process as follows: —Mail/t�° owner,. Mail to contractor. , i Telephone �� 333 and hold for pickup at 4G6f-fice. Deliver w/inspect Other F, Applicant0 4 Date_L - Sz ..-. - , Copy of plans sent Health Dept., Fire Dept.,- Other t/ Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above a* of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Cour, Designer Plans checked by. Plans approved by Other Copy—DPW ner) w s advised of above required data by T—Telephone Mail Other jabi By Date "1 `Z"21 Date Date To.. Building Department From: Environmental Health Subject: Sanitation Clearance RpraA01d Owner Wask,o U /N d i o�u a �w,�S *'3- to Location AP Plans approved for: Sewage Disposal Hold final for: -Final Clearance O.K. for: Clearance for Z bedroom mobile home. Clearance for addition of, Nota*`* Sanitarian Other Water Supply- Water upplyWater Supply Water Supply . Date Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT 1y�TTP= gQLIts Section 26-8.1 of the Butte -County Code requires this acknowledgeme 7°C^'` -a"^ � � be recorded prior to issuance of a building permit. AUG F �� 4,2 p}i 1,R.. The property described herein is adjacent to land or included within an,area zoned for agricultural purposes, and residents of gg this property may be subject to inconveniences or discomfort arising -23553_e from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacentlproperty should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate*,in the County of Butte, State of California, described as follows: Lot .7r3, as= shown on that certain Map entitled; "INDIAN MEADOV9S_ SUBDIVISION UNIT NO. 3", which Map was recorded in the office of the RecoRCie of the County of Butte, State of Ca] ifornia, on August 1T9 197/2 in Map Book 38, at pages 99 and 100'. EXCEPTING THEREFROM an undivided 33 1/3fo interest in all minerals as re— served in Deed recorded in Book 743, page 68, Official Records of Butte: County, State of California. Said reservation did not include right of entry for mining purposes. EXCEPTING THIEREFROM an undivided 66)'2/3% interest in all minerals below a depth of 200 feet, as reserved in Deed recorded August 20, 197-3 in Book 1857 of Official Records, at page 141. Right of surface -entry is specifically waived.. Date: PROPERTY OWNERS: State of California ) On this the 30th day of July - , 1982 ; ) SS. before me, the undersigned Notary Public,"personally County of Butte ) appeared John H. Bergthold and Marian F. Bergthold-------------------------- proved to me on the basis of satisfactory evidence .- ki6iWw�&e4ie-to be the person(s) whose name(s) are VIVIAN H. CLEVELAND subscribed"to the within instrument and acknowledged NOTARY PUBLIC that t_h py executed the same for the purposes ; Butte County thereinained. StateCalifornia IN WITNESS WHEREOF, I hereunto set my hand and official My Commission Expire s Mar. 22, 1985 seal. v a � ` Notary Public Present A.P. NO. 066-.44-0-011 -0 €ND"OF DOCUMENT CP „,-...,.:•-Tian C"+.:b.�.:..IXma:a:ww,..v.�:-is.•;'wi.�s,•�r•r.,rr<3.ao.r•,-: va r.-. �"`;a.:�m�!:e+�••7, �••,r,..�,�•,.v_._a--,•r->Krae.w�m ��b..,r"at, �•.++nrrY.�•:,..,rn;,..+w•[-w^vr•...rrr,yra,'wa.-ix.:-a�-.�,s.-xl:+nsoGaca _ .. .d;n.�nwws�.•..-�n•�,.s- 1 1 j i 1 NOTE:-All Materials &' Workmanship' Shall Be in AID I+ i Accordance with Recognized Good Practices and of.a quality prescribed for the Specified use in, the --- /'a O.-as *i 1. ; APPR il 01 i Uniform Building, Plumbing & M�ianical Codes }_.:,� j. - �• yj'iGi��+ � • 1• '� ' { and the National Electrical Code. i This set of plans and specifications-MUST be -� ' -- ---- -- -- -•_ kept on the job at all times and it is unlawful tc P� .3G MIN 414. ARE4S i 1 O rb Q* $-I- I I { make any _TAW l 5 DIS,..,. out writt n permission from th Department of X yr /> t u1�Nr- ' _ Public rks, County of Butte. :'4X6 pidooi ' i ; 4,N�o 5 D ) N4r0 H �a Ii P; SIt ' op 49 48 TYPok �` `. �..'• OCt�/� ' SES. �- • ' -< '-» .. , r•-,r �• rr•,• R 'tot+lt { � • � � �( � ”, ' � : ', _ ' ' .. - A setba k of, 5.ft. from the :I'�i�t I c �� y ..-j�F�' 7 y � � � �� ,C �•f,rt°� t IT Y. t , propert lines and a setback } t ` - of 50ft. from the road , .. 1 + P d.l t centerli shall be clear of ':� t,-A �� ` ",,2 • -, structuresor equipment excel.` fora eave overhang. l VI✓ g��Q. iitec pwnJ a k ?Fo2 cA1�1TILEV tj 1 ' F'�r� j'. ' � (.t• � Yri 7E'A ylnt•r% ! ! ! - I 1 IS (415M LT RD tZ, '{ ,�� �ri� P � X11 ���. ♦� Ir � ��lf������ u., .�.. _.. .._..- ... � i XL 7 Vj­ j .. ���#i�% ��•�„ • .i: � P.Ol�S7TZd/ll� gi7k . 'PE2J ...�� - ��'x`� '� 4 �' � ," I - ' Shu'. 3305`; • g •L• j ' �. J. I 18' MAX. ELISE; , +, ! • }� al i MIN R.U/�l t t �� UP fvtD'E' �ATIUIV�`-7 C� 3' Y -S, 7 . r 1 ,. . E • r t- A (�C /�� r �f �}� ' �{ i r f'}•,_('F�a r M(((,,,}}}4:..QV �w{r/ } '•i' {�. L 4 ' / . I /K' 0 1 M��O Y T•' t�Vi O l� T V��� own? + { !'$ S8 3 ; t�t1 /#?Q6do 4 ' r SC 4 A. f'two?". I' I It 69. i J• r , 't� I - t - _ E vUNI 1 BUILDING DEPARTM f ! + +' r .. 1 f i U, t ,,,, • \ Yam t .1 • .- 1 � � }' � 1 i -� � 1 a '�s- .1 d .n,a cr-. r -•.'j I._-_ •�. ya � This set of plans and specifications MUST be kept on the job at all times and it is unlawful t1 make any changes or alterations on same with- out written permission from.the Dep—aWnwtof Public Works, County of Butte. C -,Rs A setback of 5 ft. from the !SCALE : 1 "_ z o,_�„ V property lines and a setback W AS�4 o ez-. m SL-, a, ('A. - of 50ft. from the road .* centerline,shall be clear f_ structures or -equipment,- xcl 1 t' n. fora 2 ft. eave overha'. . ` N o j� h C) J Utility connections shall be wi hi \1V 4 ft. of the mobilehome, eith r directly behind or within the i ear 00 SQ FT• MINI half of the roadside (left) of t ' FOR M06I1' mobilehome. M 14r,g5klo - y 1 I- (equ'red or tte oP o the mo �7_ a 1 J �_ J JI A 14$ (' ` M PE�•til IT 4 X h � gyp 4 n 4n cl ,t! buTTE COUN] Y Ro I�IL•DING DOARTRENI I ���`Cr �/C►r�i a�JS: O z o© A171 f0 E L_C715�_,l G 5 6 '-R i%l C,c_ O /00-D L97,+e_ L E AU -t L / AJES . O 3114 A LV .��� Guy ►— ,L 1,-J c� w 17,4 ¢ /40S 5 0— S HSis5. o 'Pam r o � Z 4 ' X � �' rvt � �3«E l-�c �� � � � � t3 O T-) 21 IIECo tq LD .r /-i/F3 3A6 z5 ►20 G:4_ O r M PRc ED . o L► LEP iq L� i 2 -ESS k. � 7u- M PS /1VL-4e55 e4e o i DwinE , APMOVAL: 1 1 lie, x` ef If, 11107 / -stere %%I e-. f M iZS . 3_014d 13 e( ! h4 6 Lb - !SCALE : 1 "_ z o,_�„ /� p #" ZG _ 4y - lI Tr4bIA&I M9-4*0 0!S UNIr3 co► P�,-m: 8-:7-62. W AS�4 o ez-. m SL-, a, ('A. /054-8 LISA- L_XJ- Aq2A4 1-j1Sc , 04, 15`S(el This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same with- out written permission from the Department of .Public Works, County of Butte. ick of 5 ft. from fhe . wroperty,lines and a tt%iBck bf 50ft. from the road 'Centerline shalle c ear nT tW&Ur6s iBr 1p e'q for a 2 it. eave vehang. tv? ,079 J Ib M l ` k) V --77b N NOTE.—All Materials & Workmanship Shall Be in Accordance. with Recognized Good Practices 5Jr!'' of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Code4 and the National Electrical Code.. 0 Y� . W Q - .?7/S'P!U �a CV. 07?)Qz WU 1 / k l4, Z Q0 Q� O V7 BUTTE UN7Y JILDI EPARTMEN A OVE,p 1/4 C_ i V_ J fi IJ m� ��.�' V) A NOTE.—All Materials & Workmanship Shall Be in Accordance. with Recognized Good Practices 5Jr!'' of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Code4 and the National Electrical Code.. 0 Y� . W Q - .?7/S'P!U �a CV. 07?)Qz WU 1 / k l4, Z Q0 Q� O V7 BUTTE UN7Y JILDI EPARTMEN A OVE,p 1/4