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069-040-001
Joe Price 38 Royal Oaks••Dr. , 'Or i1le -(`LOT 1) ', R-Perniit 1795=74 (ut'il : -for MH) =no gas A. P . -3.4---mss {� JOSEPH C. PRICE Ac?._6 38_Roy4l_Oaks Dr.-, Lot K.R. CONTR: Acro-Lume Oro. _ "`Permit `I800=74B 1( ec �& 2 ' y R awnings -for MH) .69-04-01---------- fpcermit#1954-89P,E(util, ARRY MILLER ti 119 Royal Oaks Dr, Orov'lle ontR: Mobilehome Center MH) relocate ELEC. p GAS SUPPORT STRUCTURE REQ. ^OMPACTION TEST REQ.-. 69-04-01 Co ritR:'--Mob e'Home -Cente Permit#2017-89MHI 3 IssueD 69-0 0 Permit#2649-89B(new porc veck/MH •, I ContR: - Acro -Lume 69-04-01 Permit#3509-89B(awning/MH) 2 Permit#1664-.90B 69-04-01 (cover o:v�Xisti'ng eck%MH), � . 6'9-04- P# B2377- 0 T RENEWAL 2649-89) )� t 4 1 19l /0 ✓ 0- ,. r \ . J=OK O = Not OK - = Not Applicable MES MOBILE HO ' =Not Ready _ Date MOBILE HOME UTILITIES (Plans) OK except N'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"R./ /'LPG 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 k'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 8. 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 8-1 Date Card B-1 MISCELLANEOUS Date DECKSIMOVERACCARPORTS, GARAGES Plans OK except #'s Okf-gonlrg Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3.Wks; Griders and/or Jpists-Dec -Bracing-Stairs-Rails Wood Awn.; Posta ams- r& Co ctors Shttfg--Rfg-STQMg 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nall Ing -Veneer -Stucco -Mesh 10. Ro"thg-Roofing Ext.; Steps -Doors -Landings Date , AE 1 / Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except fro 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability, 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI S. Elec.; Pool Lighting; 15 volts-GFI 8. Elec..;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip :Heater •8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 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 r V OK O = Not OK - = Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 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 JI 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 O Yes 13 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 & Bearing *40 > I tingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthog._Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -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. Pib., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive 0 Yes 0 No; Walks ❑ Yes ❑ No; Planters 0 Yes 0 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 - DEPARTMENT OF PUBLIC WORKS iW t*ouMV Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICA.TIN AND PERMIT PERMIT NO. 1664-90 X ASSESSOR PARCEL NUMBER .. ZONING RT1 BUILDING PERMIT OWNER - Harold E-.—MIT'ler l TELEPHONE 589-1940 SO.FT. OCC. BUILDING VALUATION 726 7,260 OWNER'S MAILING ADDRESS 5119 Ro al Oaks Dr,Oroville 95966 CONTRAC OR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS - - Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 68.50 ARCHITECT OR ENGINEER25 LICENSE NO. . Plan Checking Fee $ 4. Energy Plan Checking Fee $ , ARCHITECT OR ENGINEER'S MAILING -ADDRESS - Penalty $ BUILDING ADDRESS 5119 Royal Oaks Dr- Permit }@@ PLUMBING PERMIT Filing Fee 10.00' - Each Trap 2.00 Ornyillp Solar or heat pump water heater 20.00 4OT NO. SUBDIVISION NAME JPARCEL Water piping 5.00. Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomeffk Other _ SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S J G I W 10.00e TYPE OF WORK New F-1 Addition Remodel EJ Utilities❑ Installation❑ Other ❑ Describe work: cover over existing deck _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.001. Main service sOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER and Professions Code and my license is. in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages .as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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 ADONS. A ACC. BLOGS. � �2QSgft NEW CONSTR. ULTI-OUTLET NON•RESID • BRANCH CIRC ITS 2,50 ea APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETs OR FIXTURES 20®50Q 9AL030 FIXED APLNS. Ex. Occup. OUTLETS P(RESIO.)REA.Y 2.00 Temporary service 10.00 me Facilities Mobile Home 15.00 Misc. H g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a CertificateCoolin 2/of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California.Ventilation 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 g ' Hood 3.00 permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyof Butte to enter upon the above-mentioned property for inspection purposes. 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 conseque of.the granting of thiscpermit. X �T' �� DateC��� Signature of Applicant — Owner ❑ Contractor ElAgent I]work An OSHA permit is required for excavations over 5'0•• deep and demolition or construct= ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $102.75 CUA PARK SCHL FLD P PD HD Is — This permit -is hereby issued under sions of the Butte County Code and/or indicated Ove r which fees T O BLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Receipt No. 66301 WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .�,.Kit;•S),"Y�+'��Ir..n--"''�i..✓`1T�.�y^:+w.R.t�`+•.S7n�,..X�" -r' V .,.��,i'''i� 'y "� ``y F��'^ ' rS%'r.r'-rtiliY� � "mI� J .r�, f v . JCOUNTY., OF BUTTE - DEPAR61IENT,-OF PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE ♦ O0d;.kL�"(ALtFORNIA 95965 -,TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No.— OWN ER o.OWNER ��26L1) ei IMILL�E A. P. No. Proposed Building Use 1XL16 k02jX Building Inspector', Date 5�Z2I96 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, 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 .......................................... pm 6LEnergy 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 Z13. School District fees paid .............. t 14. San itation{appro�✓all from Health Department I LLWLZ 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, Classifications ... 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: —L -l" Mail to owner. I Mail to contractor. Telephone and hold for pickup at _office. Deliver w/inspector. Other i Applicanty A"t",<Z .Date Copy of Hdz-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 issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by 'phone_mail_counte Contractor, designer, owner, was advised of above required data by '�phone—mall—cou� 0 Plans checked by Date Plans approved by- - y — , Sets of plans on hold in Copy—DPW File cabinet AP folder V _..date _ date Date �i?d01 LIE COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS of 1 6 S2 7 County Center Drive - Oroville, California 95965 - Tele?none: 916 c '533-7��t PERMIT NO APPLICATION ASSESSOR AND PERMIT PAq CEL NVMBEq 009-010- 60) QNIN�i OWNER_ 1 9 T, I HRI20LID Cr MIULIZL_P!pNE BUILDING PERMIT O wN ER'3 .V UL;NG OOq ESS 1589— 19 17 SO. FT. I CCC. i buIL01NG VALUATION V- el 5119. 120 o��s r�rz i '� j j 2 CCN rq AC , Gs % N�.�MjE �/ CO f-:'. `a t�,S CON Ta AC-Oq•3 .�. IUNp >OORESS I j I j I C0N3TR UC-IONLENO ER Fireplace J UN KNQ WN MAIL LEVO EA•S ING AOpRp3S Total Valuation j S Filing Fee AgC7-ITEC7 OR ENGINEER Permit Fee S 10. C40 LICE.V ac r10, ?Ian Getting F�� ti I s � .1V >RCNITEC' OR=NC;NE_R'S MA,L:NV ♦ COgESS C Coy gal;•: j S C> 9 Permit fee PLUMBING PERtitIT f=ilingFee j 10.00 Eacn Trao LOT NO. SU 9O1 vISIpN ,.TAME - ?A%ICEL Solar or real: te Ourno war heater I 2.00 I (20.00 MAP va[er plolna -I S.co l USE OF STRUCTURE Each cas water =eater or vent I f5.00 ' SF LI Ouplex;`�� Mobilehom%Zy Other Gas oiotng system t • 5 outlets I I 5.00 Building sewer TYPE OF WORK - Mooi le Home I S G I W I I 5.001 I 110.00 _! New r I Addition 1 Remodel( ,Utilitieso Installation[ Other r".1 Describe work: -. Permit Fee S Contractor ELECTRICAL PERMIT � Fii.ngFee t0.00 j Main service 12c'',� ,ass 110.00 CONTRACTORS LICENSE LAW I declare under penalty of Main service EA, Aoo•L loo AMP �Ew coNsr. ^WEL_:Nc I j 2.50 perjury (check one): COR l I am licensed pcc,a.s AOONS. ( AG=. 3LCC3.-_ ) I i2'/,=5aft1 - under provisions of Chaot. 9, Div. 3 of the Business and Processions Code �w Co�sra "��- vcr-- oN.�<<3=ANc'- c:=c:':Ts) I 12.SOea1 and my license is in full torte and zffec;. License Na. onWER >�o>q>T`;S 1) SING Lc �UTL-2 I I CClassification 1 I, as the owner, a with wages or my mna Ex, O.-s OR F'�'uR=; I jzor"•, [ties as their sole comoen- sa[ion, will do the work, and the structure is not intenaed for sale. 7044) "','-_; - OCCUp. 3.`�?_,•) I 2.00 I (Sec. or offered I, as the Tx emoorary servjce I 110.00 owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Mobile Home Facilities I i 15.00 CI am exempt under Sec. ' ----_. Business and Professions Mist. '.firing '•5.0o I for this reason Code I Permit Fee WORKMEN'S COMPENSATION INSURANCE I declare under penalty p! ^_ Contractor S per jury (check one): The cermet is for S;C0.00 (valuation) Less. MECHANICAL PER,'•.;IT � F: iirg, I' or (-I have clacec on tele =e t0. G0 wlrn me C;,unty of ?;;;;� a Certlfica[e of Workmen's Compensanen Insurance a Cecar,rr.ent : or of Consent t0 Self-Insure. Certificate f I I snalI not empl0 an Y Y person in any manner so as to become to the W. C. laws of California, subject Cooling Hood Notice to Applicant: It atter Makin pp g [his statement, should you become subject t0 the W. C. provisions of the Laoor Code, Ventilation I 13.00 I you must forthwith ccmoiy with suet provisions or this permit shall be deemed revoked. Permit Fee S I certify that I have read this Contractor application ana state tnat the atsove Information is correct. I agree t0 compl to all y to building construc[]on, and hereoy0authorOe State Lws relatin Moolle Home Installation Fee S I i rearesen arainanczs uves of ^eg Butte to enter upon the above-mentioned County or Ener gY Inscec:ion Fee 5 prooerty for inspection purposes, I also agree to save, indemnity and keep harmless occ CONST YPE the County of Suite against all Ilablhities, judgments, costs, and expenses winch may in an wayFAZ against said County in TOTAL FEE S`(j2;`J consequence of the granting of this permit.y dCCRIe . I I CUA PARK K>tiL pip PAR Po No Si -- "_ _ I I I I I Date Stanetur. of APP1 coni _ r A^ 0"^�'L-I-• ConrracroaG Aq.ntd Th;s permit Is Hereby issuea urger the ao tt a sions p cable prove- provi- or the Butte Ccunty Code and/or OSHA ctu'.11 r.ouired for .:eo.arlon• o..r S'p•• '. f ion of .fru ctu r.s ov.r ] storl.s In h.l ..o and d.moll len o can3 work indicated above for WniCII fees ha�IUI10ns to do e been paid_ qi+r- _ u t e Receipt No.li7�' I R RECTO OF PUBLIC WORKS " . W.IT�.o:►:rt.c Tn�oW Aa• Cs se IIM• M�I[CT Olt, QOlO [41OD•AI.-• By Date :A-T PERMITEXPIRES Data "' L � COUNTY OF BUTTE; - Depaiiment.of Public Works 7 County Center Drive, Orovil,le, CA 95965 Phone: 916-53877541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has.been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will:be issued until this verification is received. 1, I personally plan to provide the major labor and materials for construction of the proposed property improvement '(yes or no) 2. I .(have/have not) signed an. app ication 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 ' t Signed. _ Property Owner a.?7,7 Social.Security N tuber Date NOTE: This Owner -Builder Verification is sent to 'you as required by Sections'19831.and 19832 of the California Health and.iSafety Code. This verification must be completed and.returned to our office before we are per* mitted to issue the permit. AO �rn R� �I Wb� 11 PTA c N V Q 11 PTA c N V Q a Q cr I zoID�C�m N 0 o' 5 �7 g`� = • � ix Mop o� O 0,- & c g.M Q i �S�z WDOIL h � IL � r � >UD f z I -U ®W i ! �2q 0-00 <Mz a m m a Q cr I 0 5 �7 g.M Q i �S�z IL r � a c� f P6 5 7-7— cis. P L R ROOF' Oph:-,R"Ar 's DF > LU 0 Z X11 ®no mo 0 > C: < ROOF' Oph:-,R"Ar 's DF D i ti -� c 1000 <z � o � t 4 =-OK 0 = Not OK - = Not Applicable MOBILE HOME'S MISCELLANEOUS = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements Z . Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support-Sketcho�ngs; Soils -Size -Depth -Spacing -Connectors -Steel _� r 3. Sewer; Location -Test -Fall -C/O -Concrete -T-Decks; Girde;&ir :r/or Jo�cking-Bra - taus -Ra s 4. Water; location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap: / P'L"ft. / /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10.•Roof; Shthg-Roofing Card -61 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Card -131 Date Card -131. Date Date MOBILEHOME INSTALLATION (Plans) OK except -#'s 1. Zoning Requirements -Setbacks -Easements Card -131 Card -131 Dat [ Q r Card -B1 Date Date Card -81 Date 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - 8. Gas and Electricity Tagged Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 9. Exits; Insp.-Sketch 5. Elec.; Pool Lighting; 15 volts-GFI 10. Cert. of Occupancy 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. Card -B1 Date Card -B1 Date Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -131 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -131 Date Card -131 Date = VK 0 = NotOK - = Not Applicable RESIDENTIAL (Single ,and Duplex) ' = Not Ready �. 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-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" 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- Bloc kouts-Wrapped 49, Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -B1 Date Card -81 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -Bi Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -131 Date 67. Stairs &Rails Card -B1 Date Card -B1 Date 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen &Conductor Size/G.F.I. 75. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 80. Following instld.; Drive •❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 33. Smoke Detector Si. Stucco; Brown -Finish Card -Bi Date Card -131 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -B1 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 9i. Energy Compliance Certificate -Other Certificates Card -61 Date Card -131 Date 92. Roofing Certificate Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -131 Date Card -81 Date 39. Sills, Proper Material & Anchors Comments at Final: 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit iob site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIONIAND PERMIT PERMIT NO. 3 2 �a ASSESSOR PARCEL NUMBER 69-04-01 ZONING RTI BUILDING PERMIT OWNER Harold E. Miller TELEPHONE 589-1940 SQ. FT. OCC. BUILDING VALUATION 448 OWNER'S MAILING ADDRESS 5119 Royal Oaks Drive, Oroville 95966 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 'LENDER'S MAILING ADDRESS Permit Fee Renewal $19.25 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee E$. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 0&5 V G r Permit fee $29.25 PLUMBING PEMRFiling Fee 10.00 Each Trap 2.00 Solar or heat pump wat20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater 5.00 USE OF STRUCTURE Mobilehome❑ Other SPECIFY Gas piping system 1 - 5.SFXDuplex❑ Building sewer5.00 Mobile Home S10-00 ea TYPE OF WORK New ❑ Additoop Remodel [:1Utilities [:1Installation[]Other ® s Describe work: 19Venewal of Permi t #2649-89 fuer _ constructing porch & deck Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- will do the work,and the structure is not intended or offered sation,D 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.ai\ OR ADDNS. 1 ACC. BLDGS. / /zQsgft NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS a (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2AL@ BL@30 APLNS. Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building. Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes.29. 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 l %0 Signature off Applicant Owner Pf� contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 25 HAz I CUA PARK I SCHL I FLD I PAR PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work 'cated above for which es have been paid. DI OF P C WORKS ,4 4111 ir y Date _ 9T- P MIT EXPIRES Date Receipt No. %0058 WHITE-D.P.W.. YELLOW-ASStSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - OrciviIIe, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER t'9q_ 6-11 _p ZONING nT BUILDING PERMIT l t OWNER a� ) Id �'< Vr►`t1Lev TELEPHONE SQ. FT. QCiC. BUILDING VALUATION i OWNER'S 51(MAI LIN y ESSQJ.&O p `40 -75-"N& CONTR AC�T�O�RS�N�AM TELEPHONE `r W�LC/1 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee tCQ $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE Building sewer 5.00 SF XDuplex❑ Mobilehome❑ Other SPECIFY Mobile Home S G W 10.00 ed TYPE OF WORK of New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other19 Permit Fee $ 2&23Lia" /y►�� ' ZG�4� �9 Contractor Describe work: ELECTRICAL PERMIT Filing Fee 10.00 10//) (Oli(/It/1Cl A.ul IQ'SPCi1 Main service BOoo AMP ORSL1 OR ESS 10.00 Main service EA. AOO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. / DWELLING OCCUPM yz¢sgft OR ADDNS. \ ACC. SLOGS. 1 I declare under penalty of perjury (Check One): NEW CONSTR ULTI.OUTLET2.SOea NON-RESID BRANCH CIRCUITS) ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business POWER APPARATUSe (SINGLE OUTLET CIR. and Professions Code and my license is in full force and effect. zoe5ot Ex. Occup(OUTLETS OR FIXTURES SAL@ 30 License No. Classification FI%ED APPLNS. OR Ex. Occup. OUTLETS IRESID.1 EA. 2.00 ❑ I, as the owner, Or my employees with wages as their sole compen- 10.00 sation, will do the work,and the structure Is not intended or offered Temporary service for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT Filing Fee 10.00 I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with.the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Cooling of Consent to Self -Insure. 3.00 ❑ I shall not employ any person in any manner so as to become subject Hood to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you become subject permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ OCC I CONSTTYPE to building construction, and hereby authorize representatives of the Countyot for Butte to enter upon the above-mentioned property inspection purposes. TOTAL FEE $ , 2 1 also agree to save, indemnify and keep harmless the County of Butte against HAZ CUA PARK SCHL FLD PAR PD HD ISSUE all liabilities, judgments, costs, and expenses which may in any way accrue I I I I I against said County in consequence of the granting of this permit. This permit is nereby issued under the applicable provi- X Date sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner El Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- :DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. By Date Receipt No.�n��� PERMIT EXPIRES Date WMITE-D.P.W.. YELLOW-ASSE550R• P14K•INSPECTOR, GOLDENROD -APPLICANT COUNUY OV 3UTTE `- Do artnxent of Public Works 7 County Center Drive, Oroville, CA 95965 'OWNER -BUILDER VERIFICATION Phone: 916-538-7541. Aiien'tion Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this i.nformation'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) _ _ (IT 2.• I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person(f'ir.m) 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 Cohtractors.ticense 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 /may 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. COUNTY OF BUTTE -DEPARTMENT OF PUBLI, W KS P RMIT NO. 7 County Center Drive - Oroville, C-aliforni:s 95965 - Telephon 1 38-7541. 2 41a APPLICATION AND PERMIT ASSESSOR PARCEL, NUMBER ZONING ILDING PERMIT OWNER V_ /M TELEPHONE SO. FT. � 0� BUILDING VALUATION DRE OWNER'S MAILING D� CONTRACT -S N AME TELEPHONE / CONTRACTOR'S MA LING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN C Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ d ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ _PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome 2-11" Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home is G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ RemodelFJ Uti li ies ❑ Installation ❑ Other ❑ Describe work: Al• ,�4& Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): . � ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslneSS and Professions Code and my license is in full force and effect. `` License No. Classification J' � i�--�����i 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) ❑ 1 am exempt under Sec. ; Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.BI , OR ACDNS. ACC. SLOGS. h¢sgft NEW CONST R. MULTI -OUTLET NON.RESID .BRANCH CIRCUITS 2.50ea (POWER APPARATUS e\ SINGLE OUTLET CIR. / Ex. OCcu SA ®Doe Occup(OUTLETS OR FIXTURES 200030 FIXED PR 11 Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 6yirin 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate / of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W -C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Count in consequence of the granting of this permit. X C( fe �71� Date �g- /a f( �j �,/ Signature of Applicant — Owner ❑ Contractor ❑ Agent EV An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE occu P.CONST.TTPc SCHOOL FLOODI -- PARCEL I PD L_ Ho ISSUE This permit is hereby issued under sions of the Butte County Code and/or work' indicated above for which DIRECTO OF PUBLIC B F PE T EXPIRES Date t ovi- the resolutions resolutions to do fees have been paid. WORKS Date f /�� ?-/N�ti Receipt No. 17KheYj O WHITE-D.P.W.. YELLOW-ASSE570R. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE = Department.of.Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER -VERIFICATION Attention :Property Owner: An "owner -builder" building:.permit has.'.been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid. unnecessary delay in processing.and*issuing your building permit. No'building'permit will be issued until this verification .is received. 1.. I personally plan to provide the major labor and materials for construction of. the proposed property improvement (yes or no) 2. I (have/have not)' 'signed ,an application. for a building permit for the proposed work. 3. I'have contracted with the following person (firm) to provide the proposed. construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of.this work, but I have hired the following person to coordinate, supervise, and provide the major work:. Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER i A. P. No. Proposed Building Use Building Inspector" j 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, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. AA'53. Sanitation approval from,-_-,&Ut W , Health Department ... 14. City of Chico plumbing_ permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... Pre-Inspec. request to 19. Pre -Inspection for required ...... Building inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: c Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other r r Applicant-�. Q�,zf ��' ��� f Date /A Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_-nail counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date G J/ Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW /,-o77- Hz, -o1 Hz, -40 r4:4.� � soy �. C/A4 moms.--A� `' (�I�L'i } �5 Gn W cr'L?i,C Whiz Shah Be in .,eau 6�rci c avid. Aoecarr,+:>e is 5 �. ,�. �,..� '��: Mein the Ql' (^ C•�.�'�:�i a _r•: • ., Cr ��.,� Vv�aaw and Yi1ii•wi•i:l �"� c J Cf�! �.��++1P� 4he p c ulona9 � �4t► . fie. :00 got Al �Ao olnw 01, (alpcC SfoH'7'S�iS' 1part5 A4ri�ti n Cof ' L 407- v t'V T i n / i A o A Kms AA, M 0of and s s®tbeck ICoeco t m th G,B� 61 ov ix. sale vt U^' U d�"AR� iy ____........... _.......... ._._._ CCS) R Po R T' E N 7"/?,q N c 45 S Tis p V Q J ` 0 L t� .%2649`89 - 3509-89B PERMiT.NO. PERMIT EXPIRES _ OWNER CONTR. Acr-n lump '.ASSESSOR 69 04 O1 PARCEL to^sTION`"5119 Royal Oaks Dr,° ORoville ' Temp. power Pole , • Called PG&E _ t Temp.• Elec. Service • - Called PG&E } t `t • a ' Temp."Gas Service Called PG&E Y - ' JOB FIN ALED (Date) / f Signature . =^OK 0=Not OK �tt� . ' = Not Readiyable MOBILE H0 WES � c M9,SCEL.L.ANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DEC OVERS,CARPORTS,GARAGES,.(Plans)OK except €' 1. Zoning Requirements -Setbacks -Easements oning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 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.- 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete She.Rfg.-Bracing 6. Gas; Location -Test -Wrap: / P'U'ft. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosure. / /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -81 Date Card -81 Date 10. Roof; Shthg-Roofing Card -81 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1:"Zoning Requirements -Setbacks -Easements Card -B1 DateZ2/!5Vard'B1 Date 2. Footings; Size -Spacing -Marriage Line Card -BT- Date Card -131 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector . 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - 8. Gas and Electricity Tagged Dead Men -Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Card -61 Date Card -81 Date 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -81 Date = VK o = NotOK RESIDENTIAL: (Singh. ind Duplex) - =Not Applicable = Not.Ready uate UNUERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope _ 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. CIng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.. 3. Fig., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Fig. Depth 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffle: 5. Stemwalls, Main: Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls: Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -81 Date Card -B1 Date Card -81 Date Card -B1 Date Card -81 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -81 Card -B! Date Card -B1 Date Date Card -81 Date 67. Stairs &Rails 68. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 69. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture 8, Transformer Clearance -ins. Protection _ 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 71. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 72. garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. A. . ucn Garage -Damper Duct i C D G D 73, .� 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. ;% 75. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI. Insulated Neutral Yes No 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No Planters ❑ Yes ❑ No 33. Smoke Detector 81. Stucco; Brown -Finish Card -B1 Date Card -61 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -81 Date Card -B1 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric _ 90. Water & Sewer Connected -C/O to Grade -HD Approval 9f. Energy Compliance Certificate -Other Certificates Card -81 Date Card -B1 Date - 92. Roofing Certificate Card B? Date Card 81 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date. Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors Card -B1 Date Card -81 Date Comments at Final: 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) _ 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing 1 V COUNTY OF BUTTE .,DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND -PERMIT PE MIT NO,, / ASSESSOR PARCEL NUMBER p _ y _ p ZONI BUILDING PERMI OWNER MSL. 9. ��� TELE NON 5_6 O SD. FT. OCC. BUIL ING V UATION OWNER'S MAILING ADDRESS ill I % Ak CONTRALTO 'S NAM , r- TELEPHONE - CONTRACTCOR'S MAILING ADDRESS I1 7 /A 3 _ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ ✓ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. I Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS OA Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 rVSolar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAM /— PARCEL AP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeV� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 T0-00 Mobile Home S G W ea TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: PQ f C .\ v,2 --Asa Au)4l ' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �p, YJ 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. 21�I gyp Classification L—b t EJas 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.pi , OR ADDNS. ACC. BLDGS. ��¢sgft NEW CONSTR U TI.OUT LET NON.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS eI (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20050Q eAL@ 30 FIXED APLNS Ex. DCCUp. OUT LETS P(RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): 17 The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Countyy in consequence of the granting of this permit. X /+ ��� 16 02 Date Signature of Applicant — , weerContractor Agent g ent ❑ " An OSHA permit is required for excavations over 5'0" deep and demolition or construct -DIRECT ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $�o occu P, coN ST.TYPc scllooL -JV, FLoIPARCELI t/ PD i NO E This permit is hereby issued under sions of the Butte County Code and/or •work indicated above for which R OF PUBLIC PE IT EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date.4___2y_& a Receipt No. � 24 _1;11r4�_1;11r4By WNITE-D.P.W.. YELL0W-ASeE3soItPINK-INSPECTOR. GOLDENROD -APPLICANT i t:.Wtr....,:....-•R+:vc�—"/Ct'a�'-"..�,�"`^-;^>d. �f-.,...-.-r..r4-r.ti uT�%�"•-".vr' +'" ^'t_44rc -00., 3:X :.is. 'Cr'`-'y`,,w- .S++'"r�-` Y` VVV COUNTY OF BUTTE - DEPARTOE '-I-" OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA.95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET ,,� // At /V . Permit No. C OWNER /�/LZ-- - A. P..No.�—�O --0� Proposed Building Use Building Inspector Date�O�/� At time f 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, 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 ............ . a .`......... ................. . 10. ;'Fees of... ` ............ . 11:'Chico'Urban(Area.fees paid .... ...:....� .. ........... 12. Park fees. paid ........................... ?.L ............... 13. School District.fe`es paid ............... 14. Sanitation, approval from Health Department 15. City of Chico plumbing permit.. ................................ lk 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, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner .o, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. I• , 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and and hold for pickup at office. Deliver w/inspector. Other Applicant_ �� Date /n Copy of plans sent Health Dept., Fire Dept., Other Date, The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1,. Index permit for above items No. 2, Additional items required: F� Contractor, designer, owner, was advised of above required data by_phone;�'"aII—counter by date Contractor, designer, owner, was advised of above required data by—phone mail—counter by 'rdate Plans checked Copy—DPW Date Plans approved by CZ22�Z Date—Z-L. Sets of plans on hold in . File cabinet AP folder ROOM q dw whip - S hall 8 9 In NOTE: —am sized C -7100d Practices aid Accoroncc wl"ARrDc Dfor tSpor cuse .n the ofaqu&4ygH-, rnb1mg8M..hc-ilcd Codes *Of Uniforn, Bujjl c"o. Wo NAtioncil Ei;�.tewal WS4l I 4alSCM5 't C, d it is un�fu1 to sept On +n . ame on), the epQ*nz* wmen perm lss* El 'torn the 5 jck 01 setback an road a S ;ty lines 't. th e clear eal r C. Tnent or e 01401 F- 'tuiP ore ve 2eaaAl ,2cl * 00 , 40k .- Sz m Iq 0q,���� R I PERMIT NO. P E M MH uTIL. 1795-74 -.P E (no gas) PERMIT NO. k r PERMIT EXPIRES x3_73 WNER Joe Price CONTR. owner h OCATION (A.P, 34-67-1 i 38 Royal Oaks Dr., Oroville (LOT 1) j Temp. Power Pole Called PG&E Temp. Elec. Serv.' Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED , (Date) 41. (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Forms Parapets Main Bldg. Restroom Finish , Footings Windows StemwaI l Siding Slab Roof Sheathing Piers Roofing Garage Fdn. Vents Footings Garage Vents Stemwall Slab Prov. for physically handicapped Carport Footings Conformance of ex. structure Slab Final Patio FIREPLACE Footings Footing Masonry Walls Throat Reinf. Steel Final Bond Beam FIRE SPRINKLERS Framing Test Soil Piping 1st Floor 2nd Floor 3rd Floor To out.. Water Piping 424,.6�o2% Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final ELECTRICAL Fixtures Motors Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground —% Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS --'�; COUNTY OF BUTTE DEPARTMENT OF PUBLIC WOR 7 County Centec-;Dfive."= - Oroville, California 95965 • Telephone: 5344541 / APPLICATION AND PERMIT - Signature bf P,�rmitee or Agent By R eceipt No. A21j�— Building permit ex fires S�Z _ '55� i e D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant p ddt8 ....... ....... ... BUILDING Owner . - �f� �,e SQ. FT. OCC. BUILDING VALUATION Mailing Address �v �� �f,�,r?-,� P/J xj,P, e.. /� i 4u71 Telephone No. 411 's ` Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No. @ FEE 'PERMIT FILING FEE $2.00 Z •b0 KP 40 6Wzt�' S oo. -Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 5/_ (07 — ter— �Zoning� I n Gas piping system 1 - 5 outlets 1.50 / Each additional outlet 30 F s C. Sa Fire Dept. Fire Zone Use Permit Building sewer 5.00 ,007 EQA. I Parking Plans _ Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 , Bldg. PI ns Recd Parce proval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES S OTHER EJ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3.00 Main service incl. 1 meter YL® Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Range, Cook -top or Oven 1.00 s"O S Water Heater or Space Heater 1.00 Light fixtures bal_ _ a10 ElholZo7(@ Receps., switches & fix outlets 1 0 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: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 x.06 Temp. Power Pole 5.00 License No. Classification Misc. wiring 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 Workmen's Compensation. - ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 $ $ 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 ding construction, and hereby representatives o the Co my of Butte to enter upon the above-mentioned property for insp tion purposes. *v X Date � �IJ7 TOTAL PERMIT FEE $ / .3 -,authorize 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. M , ^ DIRECTOR OF PWLIC WORKS Signature bf P,�rmitee or Agent By R eceipt No. A21j�— Building permit ex fires S�Z _ '55� i e D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant p ddt8 ....... ....... ... ORDER NUMBER IE R.U. INCIDENT NO. YE/ :h OUTSIDE O <2 < ORO FIRE STARTED Enter 1ST. CD Dispatch T INSIDE 4 02 1 OR 8 FIRE DISCOVERED TIME y GO TO7-1 7 7 'I 1 (lr Wnl 1T. fit 1 IT ... 91Jrl I....L.. �A - - FIRST REPORTNAMy T:.. FIRST ATTACK BY CDFW FIRE CONTAINED ` CREW OVERHEAD RECORD 12 -...• . - . .. • i.r _ SECOND REPORT SITE '. �LWCDF STATE 8 LOCAL GOVT. CONTRACT CREW NAME ORGAN- IZATION NAME: /_'1 ,ORIGINAL REPORT ADDRr1Vr.n RV. 14 SIGNAT / / FIRST ATTACK BY CDFW FIRE CONTAINED ` CREW OVERHEAD RECORD 12 I Z5/ ; . ) �LWCDF STATE 8 LOCAL GOVT. CONTRACT CREW NAME ORGAN- IZATION PERSON HOURS AIRCRAFT FLT. HRS. CDF STATE & LOCAL GOVT. CONTRACT CREW NAME ORGAN- IZATION PERSON HOURS AIRCRAFT FLT. HRS. 1ST. ATK CDF CREW C-1 ' C (Z Vr LIE � Zvi jC- PIA. At CDF OVERHEAD TOTAL ON FIRES ENTER 1 2 8 TOTALS BELOW • - - U.S.F.S. (Incl. Overhead) TOTAL, OTHER FEDERAL (Incl. Overhead) TOTAL FIRE DIST. & OTHER LOCAL TOTAL " i:•,; i. PAID HOURLY (E.F.F.) TOTAL "''`" '`•'" " VOLUNTEERS (Unpaid) TOTAL ❑ FC -188 (Additional crew activity) ATTACHED 13A MAP 136 COMMENTS MAP IS: ONE SECTION ❑ FOUR SECTIONS;', $ T ❑ MAP ATTACHED /_'1 ,ORIGINAL REPORT ADDRr1Vr.n RV. 14 SIGNAT / / TITLE DATE I IN16 DATE I -4210 v G -44-rw 1yF�oOP, OPe(/ 1 �9�s gas ORDER NUMBER ! 22 R . J INCID iT jb. / / rA ITT 0. DYE �` "�` FIRE NUMBER FIR OJEPORT ♦ :. t.U.JNO., thry ! FC -18(1/80) ",¢ T•c R� f r1 ORIGIN LOCATION SIC. TON�HIP N RAN NATIONAL r� /�W E `� ❑ S W E6t I COUTY — SAME: vyA� Dtn s 71 = „4 •• - MILES DIRECTION j� QQ�lyj 1 (Liv 1'! IN. NATIONAL r� /�W E `� F EST, FIR DIST ITY STREET �: MLNCIDINT TYPE Y z '� - ACRES OF VEGETATION BURNED :'❑FALSE ALARM—GO TO j r 8A BLOCK 10 _ ;;.::..... ._ DIRER ��G'�[y+�.�...?.'•'i':��..����'`:[:`[:iSi: RESPONSIBILITY •` - s • 4A OSTATE t 46 ZONE'-''. 14;:--r WILDLAND BURNED OR THREATENED MIS N '- C. AND OTHER 9 ASSIST I 0 SS ST C TY CONTRACT STATUTORY_• RESPONSIBILITY. Q �cDF LOCAL GOVT. , 8D MI H CO L OTHER , CONTRACT . *� (O AT�ORIGIN)'_ STATUT.:::::: 0� 0❑ UNPROTECTED - ��. ❑ ASSIST OTHER AGENCYS(Not City) +Lo ❑STATE . •s Via' ,� _ U.S F S t ❑ 1. LOCAL ZONE'' -r rr' 5 ❑' LIGHTNING ❑ DEBRIS PLAY W/FIRE ❑ C 10-99 © ❑ CDF LOCAL GOVT. CONTRACT ' ❑ B.I.A. ❑ CAMPFIRE -s. ❑ ARSONNNOTHER/MISC. 0 ❑ ASSIST OTHER AGENCY (Not City) ACRES ❑ OTHER FEDERAL ©8 0 FEDERAL ZONE Cl ASSIST FED. AGENCY (Not Mil.) ❑ OTHER , t- ' ❑ CDF LOCAL GOVT. CONTRACT MIS N '- C. AND OTHER 9 ASSIST I 0 SS ST C TY CONTRACT t A 25 _ ACR R LE CEO SS 8D MI H CO L OTHER , , STATUT.:::::: CAUSE (STARTS IN 1 2 5 OR 8 ONLY) O O O O + ':': ❑ B .26 -9 ACRES <<3 RESPON. OF Oj ACRES BURNED 5 ❑' LIGHTNING ❑ DEBRIS PLAY W/FIRE ❑ C 10-99 ACRES '" STATE ❑ CAMPFIRE -s. ❑ ARSONNNOTHER/MISC. #% ❑ 0 100-299 ACRES U.S.F.S. SMOKING ❑ EQUIPMENT OS a - LAND USE (STARTS IN 1 2 5 OR 8 ONLY) ❑ E 300-999 ❑ F 1000-4999 ACRES y ACRES' B.I M. B.I.A. =act ' I %DOrAESTIC t ❑ FOREST INDUSTRY •'.- �. ❑ G 5000 ACRES OR MORE c <# B.O.R. :?: ` ❑ RANCH -FARM ' ❑ RECREATION OTHER DUMP U P TH N O ERI DUSTRY- MR CO Cl. FED. ROAD O IL W GLAND OTHER A UTILITY,R RAILROAD N N -W D D O ILDLAND UT ELECTRIC - El UTILITY, OTHER t TOTAL•' C � 4 DAMAGE (t 2 OR 8 ONLY) .............. •F 7 S DAMAGE Number off ro Noo-d SI ON 51 �- ARRIVAL (O VEGETATION FIRES ONLY) 1 2 &/o,!& g - 9 TIMBER 8/OR SIZE DISTANCE (Origin to hear!) YOUNG GROWTH WILDLAND VEGETATION%.��{ Other than T 8 Y G ' `'" Y ACRES FEET.' AGRICULTURAL PROD WEATHER ESTIMATE AT SCENE) (Other than T 8 Y G)WIND SPEED (M.P.H.) DIRECTION (FROM) TEMPERATURE (°F) DWELLINGS 8/OR CONTENTS OTHER STRUCTURES 8/OR CONTENTS VEHICLES 8 CONTENTS �? - OTHER ><r<:»::. OVER PLEASE TOTAL CDF 7540-130-0118 N:w 0103.938 PBS 1 DOM 05? COU, ONryo O tic� e CT 14 QqIrs r98 S J 1800-74B PERMIT NO. �j P r E . M ..'MH UTIL. t; PERMIT NO. w 72 r PERMIT EXPIRES ._-S��-o ' Joseph C.. `Price -.,-OWNER ;CONTR. Acro-LUmq, Oro. 'LOCATION (A.P. - 34-67-1 ) 38 Royal Oaks' Dr., Lot 1, K.R. i Temp. Power Pole ' Called PG&E Temp. Elec. Serv. <, Called PG&E Tempa Gas Serv. Called PG&E JOB rFINALED ' (Date) l '(Signature) . t COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD DATE REMARKS OR CORRECTIONS BUILDING BUILDING (Cont'd) •, PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidinq To out Slab. Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. , Stemwall Slab Prov. for physically 't handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final9,—/O- Sanitation Patio FIREPLACE Final Footings -- Footing ELECTRICAL Masonry Walls Throat _ Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing —"; 0 Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final . DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR 7 County Center Drivel -• O'roviIIe, California 95965 Telephone: 534-4541 / APPLICATION AND PERMIT BUILDING Owner o —nf� �. �i�l L L• SQ. FT. OCC. BUILDING VALUATION SI 1 v Mailing Address s e) YA L 0 AKS D 11641 Telephone No. Fireplace Contractor .0 ILO r-- r Total Valuation O Mailing Address q (j 3 @ rJ z V 0 Permit Fee Plan Checking Fee &/or Penalty • .53-3_ Telephone No. � Permit Fee $ a 3. c'U Building Address 7f, ) b L 4x 5 PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 4-1 LL Repair drainage or vent piping 1.50 Water piping 1.50 AA %J ) 1 1 — /'t Each gas water heater or vent 1.50 ' A. P. No. 3q—A7-1 Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F S on FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. PI ec'd Para Approval Pla pproval Permit Fee $ NEW ® ADDITION ❑ UTILITIES [J OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ®1 Others Range, Cook -top or Oven 1.00 i i / y® Water Heater or Space Heater 1.00 Light fixtures d10 / / O k,.,,'y f2 PRZOA-Cr/ 9 0V,0 Receps., switches & fix outlets ;20 6''6 `' X �O RAOR 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: e% ^ �u � k Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 � License No._� 44 �Z% Classification —6 Misc. wiring ❑ I 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 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 No. @ FEE PERMIT 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection rpose ate X ' % ignature of PerA tee or Agent Receipt No./—� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Qv TOTAL PERMIT FEE $ a -3 1eu 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. DIRECTORAF PUBLIC WORKS r --7-P— 7 / BY Date ruild'ing permit expires Date ....................... .......7 1.... 1 = OK 0 = NoVOK Not = Not Ready, dMOBILE HOMES Date MOBjtt HOME UTILITIES (Plans) OK except #'s ing Requirements -Setbacks -Easements 45:6oils; Special MH Support -Sketch 3. ewer; Location -Test -Fall -C/O -Concrete 4. ter; Location -Test -Easement Ne '(Sketcl Electricity; Location -Clearances .-/ n 6. Gas; Location -Test -Wrap: / PV ft. J, -"/"Nat. or/ /"L"ft./ /"LPG Utility Clearance Card -B1 Dat rd -131 Date Card -131 Date Card -131 Date Date M �ICEHOME IN TALLATION (Plans) OK except #'s . Z ing Requirements -Setbacks -Easements Footings; Size -Spacing -Marriage Line MH Test -Demand -Valve -Connector I ctricity; MH Test -Crossovers -Breakers -Clearances r ' ; MH Test -Fall -Flex Connector ater; MH Test -Regulator -Connector ater and Sewer Connected -C/O to Grade -HD Appri h rt. of Card -B1 / Dats � U Card -B1 Date Card -131 - Date Card -B1 Date MISCELLANEOUS _ Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s _ 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- r Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures _ 6. Carports; Windows -Doors 7. Elec. r 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -81 Date Card -131 Date Card -131 Date Card -61 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability ! 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining - 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI . 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -1211 Date Card -B1 Date Card -131 Date Card -81 Date = uK o = NotOK RESIDENTIAL (,Single and Duplex) - =Not Applicable = Not Ready 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-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" 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 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 50. Garage -Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer I 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance- Material -Su pprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -81 Date Card -B1 Date Card -81 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Card -B1 Date Card -61 Date Card -B1 Date Card -61 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -131 Date Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting fib. 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 Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Date Card -61 Date Card -B1 Date Card -B1 Date Card -131 Date Card -61 Date Comments at Final: ^:�i.*`iws�^�+�s�.`�..�...�yr.n+y�.a.sxeY. arw+•�^r..:'r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. l Inspector. // Date COUNTY OF BUTTE i DEPARTMENT OF PUBLIC WORKS' - 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 11L OWNER PERMIT NO. A routine inspection indicates that the following violations'of County Ordinance exist at the above address and should be corrected. Please notify this'office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. k Inspector, 1/j/ Date_ •�� MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE ? DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. l % eel Address or location of mobilehome Owner's name a6 �, Owner's address Insignia or hud number W�C- �l C r Manufacturer's name Serial number V.I. Year of manufacture tial Approving Installation (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 959E5 - Telephone: 916/538-7541. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBERQ © 3 ZO N L- F i BUILDING PERMIT OWNER T TELEPHONE y�I� O NER'$ MAILINA''DORESS/` AA SO. FT. OCC. BUILDING VALUATION ONTRAC O 'S ME TELEPH N jii AJC v3 CONTRACTOR'S MAILING ADD ESS , 1-7140 CtJ �' Fireplace CONSTRUCTION LENDER UNKNOWN LENDER'S MAILING ADDRESS Total Valuation $ Filing Fee Permit Fee $ $ ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee Energy Plan Checking Fee Penalty $ $ $ BUILDING ADDRESS 0�� I Permit fee $42 f PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 _ Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NN/AMEMAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeg3'*�"Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 10.00 ea TYPE OF WORK New ❑ Addition ❑ Reemodel ❑ Utilities Winstallationg^her ❑ �� Describe work: vcj61,oC U Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR L Main service 100 AMP ORSLESS 10.00 'v 01/ Main service EA. ADD'L 100 AMP 2.50 ST— CONTRACTORS CONTRACTORS LICENSE LAW I declare der penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and�ly license is in full f ce a /dyeffect. License License No. �, J �QS Classification �/ F] 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I,a the owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.6I , OR ADDNS. ( ACC, BLOGS. /20sq ft NEW CONSTR TI.OUTLET 2,50 ea NON-RESID BRA CH CIRC ITS (POWER APPARATUS e) SINGLE OUTLET CIR. J 0@50t Ex. OCCUp(OUTLETS OR FIXTURES eAL930 Ex. OCCUp. OUTLETS P(RESID IFIXED APLNS RE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 % v Misc. Wiring 15.00 Permit Fee $ 3 E WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. j� 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. 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 Countyot d property for inspection purposes. Butte to enter upoWs I also a o ep harmless the County of Butte against all ilities, dexpenses which may in any way accrue— aInst Sai ou the granti-nzjof this permit. -If—.v /� Date 1 Signature of pplicant — Owner ❑ Contractors' Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion Of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 5 BCCUP, CONST.TYPC eCNOOL PLoo PARCEL PD ND S9U This permit is hereby issued under cions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC IBY PER EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date 6'2z�(d1�� Receipt No. l��3 WNITE-O.P.W., YELLOW-ASe(090R, PINK -INSPECTOR. GOLDENROD -APPLICANT 01. s .q 56 COUNTY OF BUTTE - DEPARTMENT ,PF.PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE.OALIFORNJA 95965 - TELEPHONE: 916/538-7541 PERMIT AWtIMION DATA SHEET /),, Permit No. OWNER /140Z,AtZe-6� A. P. No. Proposed Building Use ,Oda Building Inspector Date r 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, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. 'Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... ]/20. Pre -Inspection for required ..... Buiding Inspectort to (DateContractor's license information (No., Name Style, Classification) ....... Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. TelephoneSs ;cand hold for pickup at ,office. Deliver w/inspector. Other /V , / Applica Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by date— Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date— Plans checked by Date Plans approved bye Date Sets of plans on hold in File cabinet AP folder Copy—DPW _17 a ..PERMIT NO: 36-89 Lake roville AreaPublicUtilityDistrict 0 IiW, Erin %"t ; OROVILLE, CALIFORNIA 95966 ' 533=2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be.subrnitted to the.Butte County.Department of Public. Works Building Department prior to issuance of a building. or occupancy permit, whichever is applicable.. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County.- Date: ounty:Date: June -19, 1989 Applicant: Harry Miller Mobile Home Center 'Applicant Address: 401 Lodgeview Dr., Or6ville, CA 95966 Applicant Phone No. 533-4403 Property Location (s): ; 51,19 Royal Oaks' Drive Kelly Ridge Estates - Unit lA Lot 1. A.P. N0.(s): 69-04-01 Fees due: No fees due.' ` Line reloc?ation. Application for service approved: LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspectidn(s) made and successful -tests) observed: Location: Date: Lake Oroville AreaPublic Utility District -release to close permit: Date: By: ` Return to DPW AGRICULTURAL STATEMENT OFA` ACKNOWLEDGEMENT FOR RESIDENTIAL ,DSWELOPMENT NOT WITH O�GINAL NAL DOCCUU DMENT Section 26-8.1 of the Butte County Code requires,this acknowledgement be recorded prior to issuance of a building permit. ill N_ 9 The property described herein is*adjacent to land or igcluded j %f�9 within an area zoned for agricultural purposes, and residents of this_0243 property may be subject to inconveniences or discomfort arising 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 occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: LOT 1, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT 1—A", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 24, 1973, IN BOOK 43 OF MAPS, AT PAGE(S) 23 AND 24. STATE OF CALIFORNIA BUTTE COUNTY OF On JUNE 19, 1989 PROPERTY OWNERS: s�' ' Iss. '� before � , sared' before me, the undersigned, a Notary Public in and for said State, personally appeared PAULW. FAlRRI S personally known to md(q(�rg4jd/t W./b /IA44/o/t/e%ytp qr __ lobe the person whose name is subscribed to the within instrument, as awitness thereto, who being by me duly sworn, deposed and said: That he/phi resides in 0Rii= LECA that he/s6/ was present and saw HAROLD E. MILLER AND MARY L. MILLER personally :he basis :vidence. )scribed to Iled . known to him/ r o be the same person(s) described in and who 2ici81 seal. executed the within instrument, as a party(ies) thereto, sign, seal ■ and deliver the same and that said party(ies) duly acknowledged ■ SANDY A. STACK • in the presence of said affiant, that he/she/they executed the ■ same, and that said affiant, thereupon at the party's(ies') request, f ■4bMY NOTARY PUBLIC-CALIFORNIA County unty ORNIA ■ ■ u • subscribed his/her name as a witness thereto. ■ Commission Expires Nov. 3,1989 r ■ s WITNESS myhan and official seal., ) �••■•••■••■■•••••s■•■••••� Signature_ ._ - C� -L/ (This area for official notarial seal) - COUNTY OF BUTTE - JcPA9i'MENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND" PERMIT PERMIT NO. ASSESSOR ,RCEL NUM _R/ Z00. tJ�. r BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VAVOATION OWN AILIN ADDR S MT R ACT R'S NAM f �ZE O(T fyE� r /y//o TEL &S" CO CO TRACTOR'S MAILING ADDR S Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS S/ � r 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 UCTURE SF [I Duplex❑ Mobilehom Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ In Other ❑ Describe work: Mkt Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP OR1 OR LESS10.00 CONTRACTORS LICENSE LAW I declare der 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 rce and effect. License No. �'n� `�� Classification F-1as 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 con ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason Main service EA. AOD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.EI , /2 Osq It Acc. B OUTLET ) New CONSTR. .50 ea NON-RESID BRANCH CIRC TS 2.50 ea POWER APPARATUS 61 SINGLE OUTLET CIR. / Ex. OCCUp(OUTLETS OR FIXTURES eAL930 FIXED APLNS. Ex. QCCUp. OUTLETS IPRESID )REA.7 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 otract- Misc . H g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ Th rmit is for $100.00 (valuation) or less. ET -,have placed on file with the County of Butte Building Department -r 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 penult 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 ab tioned property for inspection purposes. I aToree save, i emnify nd keep harmless the County of Butte against all jud nts, co s, and expenses which may in any way accrueIV/gou y i co quence of the granting of this permit. �Z 'G d Signature of Applicant Owner ❑ Contractor r Agent ❑ An OSHA permit is equired for excavations over deep and demolition or construct- ion of structures over storie in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TTPC JS71_1 FLOO p[PARCEL-1 This permit is hereby issued under sions sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC / BY ^! P RMIT EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORK D Date �T :� // Receipt No. `� WHITE-D.P.W.. YELLOW-ASOC390R. PINK -INSPECTOR. GOLDENROD -APPLICANT V P►J �sef� COUNTY OF BUTTE - DEPARTMENTIOF PUBLIC WORKS - BUILDING DIVISION WAa y 7 COUNTY CENTER DRIVE - UK v— ClCft IFORtJe 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER / % A. P. No. �1-d Proposed Building Uses/—ql ZZ Building Inspector Date ncl. 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, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. Q School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use -.—(B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required ...... Pre-Inspec. request to Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance ............. :...... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25.' 26. hen you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone S'1-4° and hold for pickup at _ oc Deliver w/inspector. Other Applicant__ �' _ Dates'��� •`" Copy of plans sent Health Dept., Fire Dept„ Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items NO.(�w 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_mail_counter by date �l�G ria Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder 7 7, Copy—DPW 7= %_ =v,.��i��k�„"'"_,w,ti3'9bi'v�trrw:..:.^+w""x'w'�owd >cfid?'"vi�dti"�+=rwcicS=:Zor'�;,''^^t�a�: «i�����i'p','•�, r.,, ��w`rstir..yn;.��rs,.-.n.,.tvv^---ysc.'.. .....—.-,.s:_,,. r' BUTTE COUNTYSCHOOLSDEVELOPXENT`FEE CERTIFICATION FORM t (_One Form per' `Bi"ilding ) A.P. Number 6q — © `0 1, .Building Department No. School Distr'ictY�.�a. City D �f County ;Jurisdiction Property Owner�gRR�/G{,K"/c' yf Project Location /Address S/I� QOyAL.�AIGS l6c' Subdivision /�'FLCy R�r „S�,a?;` Lot Number Residential Development,iF rn ,S� iiq,. Footage #.'of Livng MHI Addition(.Group R) Units i� F7 1.of Commercial/Industrial: O Sq.`Footage ~{ New." Addition (Includisng Exterior Roofedf.Areas) ' Da (Floor Plans reviewed by School District Personnel) District Id No. 1%�4 School District certifies that #App�t Name) (Phone Number) 6-119 (Street Address) (City) (State) (Zip Code) has complied with the requirements of Resolution No. by the payment of $ /j representing /i square feet. School rict Representative Date PAID BY CHECK NO. 0„ w BANK NO PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) I his sot at plans and spech4CO OM MIJ%t be (or+ an the i -I+ of C"I ",imos and it Is U111" hI 4 'flC.j,a any channos or c,;rrc irns on samo W10101 ,Nrl+tOn porniission from fhe aepar Mont Of PVWjf w6whik Couniv Of Buffe. `Cea §00�0•— ob�gb " I INN X1&0 NeC.e J � qp Mat rials be Workmanship Shall Be i► NOTE:= - Accordance with Recognized Good ira,""'ces and of a gual..y pros, j� blrgr& Mechanicai lodes and Uniform Bui,ding she National Ele �;od%- o� Oe 5 {NkjseNback acv- 0 and a p, set e��y \\Oes X\ -\e Boa eaC ok Gep+ P�oSp�Ct ��os a\\be Gent eX� LA {erNe�O� Ces o� eq�o e,�hatrg \ SN�JG� 2 {� ease s40�C1111( I PRoPc�s,FD�R 4//V Mo/N7MUM 110,o� 40AIrAW�'e' &A,17ZX, W 1E /I Sul 40,00 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1 Owner's Name: 50 2'. Installer's Name: 3. Is the site currently under permit?Yes No (If yes, furnish permit number /q,�y'�� ) OR I's the site an existing site? Yes No FT (If yes, furnish two plot plan's.) 4. Will the mobilehome be located at least 5 ft, away from septic k and leach fields and clear of all setbacks and easements? Yes No ❑ (If no, clarify 5. What is the mobilehome electrical rating. - (:96-0 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 site service? --------------------------------- Yes No . (If yes, identify the .load and size: (Load)(Amps) 9. What is the mobilehome site_gas pipe'^size?•.----------- - (in.) type g ------- ---- Fj 10. What is the t e of as service? ------ Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?------------------------------------ - ---- " 12. What is the.mobilehome gas demand? ---------.-- -------- --- (ft.) *(This information not required if pipe length less than 6 ft, on natural gas or less than 50 ft. on LPG.) Slav ®IE? A Otto MOBILEHOME SUPPORT DATA r If other than single wide, Mobilehome Mfr. ���/P�S� furnish Setup Model No. ��/ Year ty Width(ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufac red after October 7, 1973, furnish manufacturer's installation manual and structural seppusheets (if not on file with the County of Butte). FOOTINGS (check one)Ell Wood-pressure treated or foundation grade . 2. Other (specify) SUPPORTS (check one) 1. Concrete block.n 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line I Line 2 �- Main Beams T—Ine T— Line 3 — -- — — — — — — — -- — .e Line 2. Main Beams -- — — .— — — — — s .ins Tag or Triple Line 4 - .o Line 1 Line 1 Piers: Size -Min. ------------ S pac i ng -Max. -----------Spacing-Max. -•------- „ From Ends -Max. ------- F line 2 Piers: Size-Min.------------ Spacing-Max ---------- From -----------Spacing-Max.--------- From Ends -Max. ------J Line 3 Roof Load$: Size -Mia.------------ 174 Location (From Front) }F& 0 /7,_ 4 „ I Zq-_X „ Line 4 riers: Size -Min.------- ,k Spacing -Max .--------- , o From Ends -Max.------- Line S Roof Loads: Size -Min. ------------ Line 1 OpeninRe: Size -Min. ---------------- " nx n Each Side of Openings With Width Over Line 3 Piers: (Under Bearing Wall Only) Size -Min.------------------ , u Spacing -Max---------------- From Ends -Max .------------- Size-Min-------------------- Spacing-Max ---------------- From Ends -Max .------------- n Location (From Front)I PLI�ERCREST in. -Inc. Pae B��,�� @Qt'i'I SUPpart. Plei S MODEL LINE: AD p .:.. Date: 3• - 7..- 8� Stamp .. 2- 3 .3-7"w LOD M14 1.4-1987 Federal ,cL.._ pone Ccrsl:_::iaa y ��d Safely 5ierdc:d3 ----- "!joint )etw. PLAN <(Deod Load 8 P.S.F) LOCATE SUPPORT PIER FRO :nits - N 2 3 4 M REAR OF FLOOR . 5 6 8 9 LOCATION lol0 II 12 - l\� ---� C i%'-6" , 19 =6"-� 2.9�-J'' vZ_o., • r'll.� - I 1 - x � � I j Load G 20 PS.F (a. . ? 52 14�Z 836 455 3721 - Load p30 P.S.F. 196 1°bg 1l34- Load ,� 60 P.S.F _ �f7� So44 "—{ Indicates iengitudinal bearing wall between t � red under These walls. hese supports. PIERS are re- Set-up sUpp!emeni N° 7 1Plon- I NE I-I/A- I c 0 I m m ELECTRIC GAS Support Struc. Compaction Test Re . Service Other_ Pipe YES NO YES Size Load Type Size Length • c�3 6y • i0 I f 1r ws,S ty, d .q ➢ d 1 ➢ L nmm-,o p ➢ y � _0 i J w\Eo. G d! (� j' A ^ 0 y^r t n (Or/Lm" m ,nD➢'i ,Pm Jyi(d+09 1 W yi� ea% o .goo' .0 a .J+• q q s t)dmoon p00 iZ "b. 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P/L I MOBILE HOME P/L' I P/L STREET: LOT No.: Name of Park: Street Address, Name of Tenant: Brand Name: State Approval #: State Model # Installer: Address: Telephone: Describe Work to be Done: Cost: $ We, the undersigned, hereby approve the installation of the above .structure and agree that the information furnished herein is correct and in accordance with all • applicable provisions of the Health and Safety Code and Related Rules of the State of California. Tenant: Park Manager Signature Signature