The URL can be used to link to this page

Home My WebLink About069-090-01261 69-09-12 ^ ~ .RAYMOND HILL - 'PErmit#3242-87B(new garage) RAYMOND & ILDA HILL 69-09-12 Permit#1854-88P,E(util' MH) GAS,SUPPORT STRUCTURE REQ. .COMPACTION TEST -REQ. 69-09-12 Permit# 005- � 69-09-12 Per ''#2237-88B(new open deck/MH) 69-09 'Contr: . Superior MH /ISsued- ~C)q ~- 0 1z ^ —^~. � � . . � � ` ' ' � � ^ � � , —^~. cri) A!' j, 0 PERMIT NO. PERMIT EXPIRESC OWNER RAYMOND IEE & IIM HILL CONTR. Gardner Const 69-09-12 .ASSESSOR PARCEL LOCATION 2 Trail Ct, ORoville KR2A, lot 57 t s i 1 Temp. Power Pi Called PG& t i Temp. Elec. Ser } Called PG& OFFICE COPY Address GAS Meter ByDate ELECT RI/lam Meter By Date Temp. Gas Service _ Called PG&E — JOB FINALED (Date) 4 1, Signature = OK 0-= Not, OK - = Not Applicable = Not Ready Date MOBif i MOBILE HOMES ! MISCELLANEOUS E UTILITIES (Plans) OK except #'s u i rements-Setbacks-Easements . $oi Special MH Support -Sketch r; Location -Test -Fall -C/O -Concrete ater; Locetidn-Test-Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete ( 6. Gas; Location -Test -Wrap: / P'l- ft. P'Nat. or/ PV ft./ /"LPG 7. Utility Clearance Card -B Date — d -B1 - Date Card -B1 Date — and -B1 Date Date MO EHOME INSTALLATION (Plans) OK except #'s z,p4ng Requirements -Setbacks -Easements F ings; Size -Spacing -Marriage Line MH Test -Demand -Valve -Connector ctricity; MH Test -Crossovers -Breakers -Clearances in; MH Test -Fall -Flex Connector LYVXter; MH Test -Regulator -Connector W er and Sewer Connected -C/O to Grade -HD Approval s Ed Electricity Tagged . E ' s; Insp.-Sketch Cert. of Occupancy Card-BDate � S-- and -B1 Date Ca dr B T' Card -B1 Date 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.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors T Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 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-Panel board s -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date = OK = NotRESIDENTIAL (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 -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 -Sup prt-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 -Wal Is-Wndws Card -B1 Date Card -B1 Date Card -81 _ Date Card -131 Date Card -B1 Date Card -61 Date Card -B1 Date Card -131 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 -131 Date Card -131 Date 67. Stairs &Rails Card -131 Date Card -81 Date 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 22. Fixture & Transformer Clearance -Ins. Protection 71. Elec. Outlets & Receptacles at Kit. Counter 23. Elec. Receptacles Spacing -Lights & Switches at Doors 72. Garage Fire Door; Swing -Landing -Closer 24. Size Boxes & No. of Conductors -Stapled 73. A.C. Duct in Garage -Damper 25. Romex Installed Close to Edge of Studs & C.J. 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. 77. Insulation -Foam -Looked in Attic ❑ Yes 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 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. 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters 11 Yes ❑ No 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 81. Stucco; Brown -Finish Card -81 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 -B1 Date Card -61 Date 92. Roofing Certificate Card -131 Date Card -131 Date Card -61 Date Card -131 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -131 Date Card -B1 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 job site) Telephone 533.2000 North Burbank Public -Utility District 1960 EI& Street OROVILLE, CALIFORNIA 95965 DISTRICT APPROVAL.AND 57-88 VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted 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 aBuilding or an Occupancy Permit, a copy of this verification form, signed off by North Burbank Public Utility District, must be submitted to Butte County. Applicant: Applicant Address: ,s Applicant Phone No.: RAYMOND L. HILL (Gardner Construction) P.O. Box .1775 , Oroville 534 -6767 - Property Location (s): .#2 Trail Court, Oroville CA 95966 I{elly Ridge Estates, Unit 2A, Lot.57 A. P. No. (s): 69-09-12 Fees Paid: AM, FFVS PA TT) Application for service -approved: J Ur North Burbank June 24, 1988 Public Utility District . 4 Inspection(s) ma a an successful test(s) observed: %. Location: Date: ��.M North Burbank/Public Utility District releasee to close permit: , Date: c By: . .t 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 L,:::24& - 2,23�-1 OWNrHR 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. Inspector Date MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE 'K OROVILLE, CALIFORNIA — 534-4541 PERMIT NO.,2,12 +� ;1 Address or location of mobilehome X �✓ �� ' Owner's name Owner's addre r _ / Insignia or hud number _-7 Manufacturer's name Serial number of V.I.N. J 1� / !� %�%l Year of manufacture(' _.,(Offict61 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. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS I, 7 County Center Drive - Oroville, Californ95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERyIT NO ASSESSOR PARCEL NUMBER 0469— —O— 0/.2 — O ZON' BUILDING PERMI OWNE TEL PHON /A n 0A4 4e.9 Zl-M 14iL.L og-z62-3z S0. FT. OCC. BUILDIN AL TION 00, OWNER'S tAAILING ADDRESS 783 Rt'veu M it- P%rAs CA CONTRACTOR'S NAME TELEPHONE 2DA/F 7 e oNsf2u _7 0AJ S3 -G767 CONTRACTOR'S MAILING ADDRESS PO 30X 1775 D2oV%LLI_ e4 95ny6r Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ _ IJOAJ� Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 14ONE ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 0 X/ ZZ: Penalty $ BUILDING ADDRESS 2 TieAiL C'ov2 T OI UiLLE Cq �/S�i�� 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 r01WE 551T•¢T,Z:S CJNII o2A (j — O — Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex[] Mobilehome� Other Building sewer 5.00 SPECIFY Mobile Home 4 S G W 0.00 ea 36 B-0 TYPE OF WORK New ❑ Addition ❑ Remodde�el ❑ Utilities L✓J Installation❑ Other ❑ j Permit Fee $ � Describe work: �_C2C , Contractor 4 ELECTRICAL PERMIT Filing Fee 10.00, Main service 6001 OR LESS100 AMP OR LESS 10.00 10.0-0 Main service EA. ADD•L 100 AMP 2.50 �, f, CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.eI)/zQsgft I declare under penaltyof perjury (/ one): : per I Y l ) OR ADDNS, ACC. BLDGS. NEW CONSTR. TLOUTLET 2.50 ea `I am licensed under provisions of Chapt. 9, Div. 3 Of the Business NON.RESID .BRANCH CIRC ITS POWER APPARATUS 6 and Professions Code and my license is in full f rce and effect. (SINGLE OUTLET CIR. j License No. , 26 ■ r Classification EX. Occup OUTLETS OR FIXTURES 2oo6oe eALO 30 ❑ I, as the owner, or my employees with wages as their sole compen- IXED ALS Ex. OCCUp- OUT LETS P(RESID )REA.) 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. �yirin 15.00 ors. (Sec. 7044) g ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ rj Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ 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 of Consent to Self -Insure. Cooling g ❑ I shall not employ any person in any manner so as to become subject Hood 3.00 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 penult Fee $ 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 $ to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ I also agree to save, indemnif nd keep harmless the County of Butte against all liabilities, judgments, cot and expenses which may in any way accrue OCCUP,J CONST.TYPC SCHOOL FIAD Rc =D ND 39 -pp-1 against said County in cons ence of th granting of this permit. This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do Signature of Applicant Owner❑ Contractor Agent work indicated above for which fees have been paid. An OSHA permit is r quired for excavations over 5'0" deep and demolition or construct- DIRECTO - F PUB C WORKS ion of structures over 3 stories in height. Ajam Receipt No. ' � BY -1Igd4 aa/t--e WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT EXPIRES ate V— �'�/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDIN'G DIVISION Y v 7 COUNTY CENTER DRIVE - OROVIt;LE{ L ALLFORNIA 95965 -TELEPHONE: 916/538-7541 a..6 . PERMIT APPLICATION -DATA SHEET Permit No. OWNER !40 0A10 �/� P. No. dike /�r�/ `% Building Insector Date Proposed Building 9 P 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. Plans with Energy Design Compliance Statement. . . . . . 6. School District ''Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature author ization�,/I' _ZW0. Sanitation approval from�� Health Dept. 1 . Planning approval for (A) Use: (B) Parking: 12, Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner[], Mail to owner ❑) — _.___.15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . 7. Pre -Ins ection for _-.-.__. _ Re uired. Pre-Inspen pector, request to (Date, p — — Q Building Ins 18. Recorded copy of Agricultural Acknowledgment Statement. �8 19. Driveway Permit. — 20. Plot plan approval from city of - 21. f_21. _ — 22. When, you issue the etrit, rocess as follows: Mail to owner, Mail to contractor. Telephon Cc�I "ro67 and h Id for pickup a. f() office, Deliver w/inspectoTelephon(r. Other s Ner- bAv6 — --- i Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to veMit i ance: (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—counter by date Contractor, designer, owner, was advised c? above required data by—phone —ma il—counter by date Plans checked by Date Plans approved by e Date Sets of plans on hold in File cabinet AP folder Copy—DPW Telephone 533.2000 North Burbank Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965 DISTRICT APPROVAL AND 57-88 VERIFICATION OF INSPECTION BUILDING SEWERS . This verification form must be submitted 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 North Burbank Public Utility District, must be submitted to Butte County. Applicant: Applicant Address: Applicant Phone No.: RAYMOND L. HILL (Gardner Construction) P.O. Box 1775, Oroville 534-6767 Property Location(s): #2 Trail Court, Oroville , CA 95966 Kelly Ridge Estates, Unit 2A,.Lot 57 A. P. No. (s): Fees Paid: 69-09-12 Application for service approved: June 24, 1988 North Burbank Public Utility District Inspection(s) made and successful test(s) observed: Location: Date: By: North Burbank Public Utility District release to close permit: Date: By: Return to -DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Sect.fon 26-8.1 of. the Butte County Code requires this acknowledgement be recorded pri.or to issuance of a building permit. All that. real property situate in the County of Butte, State of California, described a� follows : RC1 Ai6S7,p p�t� �J2.c� L �Dl.d ,e1 R -g eµ-v�• -n . Z �� /,v•�^• u✓a-� ./C� c ace. e� 43 Date: C� ' `%� t7 C/ N PRO TY OWNERS: , JZ)Al 1) L State of. W147 On this the day of U U�E-- 19 before nu•, ),SS. the undersigned Notary Public/ ersonall.y appeared County of �L E] Personally known to me. 0/proved to me on the hrl� i ti of satisfactory ev:idcnce. SAf OY A. STACK tb be the person)) whose name(K NOTAAYPU9ambscribed to the within instrument and acknowledged Lh;1t Butte County ` ountyIFORNIA e same 4ecuted the for the purposes therein contained. IN WI'I'NI?tib My Commission Expi,esNov. 3,19139 IUEREOF, I hereunto set my hand and off.ic:i.al seal. i�i�•eli®®iiia®D®®0®®B�OafB®® Present A.P. No(/74�? -0 otary Public The property described -herein is adjacent E38-020271 I Rec Fee 5.00 to land or :included within an area zoned 1 Cash 5.00 for agricultural purposes, and residents Recorded 1 of this property may be subject to incon- Official Records 1 veniences or discomfort arising from the County of 1 Q use of agricultural chemicals, including, Butte but not limited to herbicides, pesticides, Candace J. Grubbs 1 and fertilizers; and from the pursuit Recorder 1 of agricultural operations including, 1:OOpm 23 -Jun -88 1 BG 1 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has esLabLi shed ;,y;r i cu l Lural zones which have as a priority use for productive agricultural purposes, and resideni :; within sa i.d zones and on adjacent property should be prepared to accept such i nc „nvc n i c nc or disconform from normal, necessary farm operations. All that. real property situate in the County of Butte, State of California, described a� follows : RC1 Ai6S7,p p�t� �J2.c� L �Dl.d ,e1 R -g eµ-v�• -n . Z �� /,v•�^• u✓a-� ./C� c ace. e� 43 Date: C� ' `%� t7 C/ N PRO TY OWNERS: , JZ)Al 1) L State of. W147 On this the day of U U�E-- 19 before nu•, ),SS. the undersigned Notary Public/ ersonall.y appeared County of �L E] Personally known to me. 0/proved to me on the hrl� i ti of satisfactory ev:idcnce. SAf OY A. STACK tb be the person)) whose name(K NOTAAYPU9ambscribed to the within instrument and acknowledged Lh;1t Butte County ` ountyIFORNIA e same 4ecuted the for the purposes therein contained. IN WI'I'NI?tib My Commission Expi,esNov. 3,19139 IUEREOF, I hereunto set my hand and off.ic:i.al seal. i�i�•eli®®iiia®D®®0®®B�OafB®® Present A.P. No(/74�? -0 otary Public APS OWNER PERMIT MH UT IL .CLEARANCE DATE — 7 INSPECTOR ELECTRIC GAS Support Struc. Compactior ITest.Req. Service Other I Pipe YES N01 YES NO Size Load Tvpe Size Length COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT N 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION pND PERMIT 000 0 ASSR PARCF(/t// UMBE ZON' 7S.. BUILDING PERMIT OWN TELEPHO E 4- SQ. FT. OCC. BUILDING VALUATION Radmon.d I Ov16ILI ,ADDRESS\� I 5 ' CO 7j ACTOR'S NAME r T EP ONE C NTR CTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 C 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 Gas piping system 1 - 5 outlets 5.00 SF❑ Duplex❑ Mobilehome� Other Building sewer 5.00 sPECI FY Mobile Home Is G W 0.00 ea TYPE OF WORK New ❑ Addition Remo 1 ❑ Utili Xis, 9aIInssta la t' Other ❑ Permit Fee $ Describe work: 10 % / bs7 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 NEW CONST. DWELLING OCCUP.61 , /22sq ft under penalty of perjury (check One): I deWand OR ADDNS. ACC. BLDGS. NEW CONSTR.MULTI-OUTLET 2,50 ea am licensed under provisions of Chapt. 9, Div. 3 of the Business NON•R ESID .BRA CH CIRC TS POWER APPARATUS e (SINGLE Professio Code and my license is in full force and effect. Q License No. ?6 Classification OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES • ..i0o9e50 aot �!"7i- FIXED AP Ex. Occup. P(RESIO 2.00 ❑ I, as the owner, or my employees with wages as their sole compen- OUTLETS )KEA.) sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities '15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Misc. Wiring 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ 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 of Consent to Self -Insure. Cooling ❑ I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement,should you becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such permit Fee = 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 $ to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ 0 I als ree to save, indemnify and keep harmless the County of Butte against OCCuP.J CONST.TYPEJ ecNoo FIA 00 RCEL Pn ND ISSUE all iabl ities, judgments, costs, and expenses which may in any w y acc e a inst aid County in nse u ce of the granting of this perm' . %� O This permit is hereby issued under the applicable provi- Date sions of the Butte County Code and/or resolutions to do Sig ure of A4/icant — OwneV 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 2''� Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPL I CANT PERO EXPIRES Date 1�� ...-.... .. � �,• . , , . ... ..-reg.. . .- -'..e.... •.rte-;•-.•..3.,�a^�.,.......i ,.. .s,..,.....- .r- .. �. �t r"►.+,�:'"r .. � � ' COUNTY OF BUTTE -EPARTMENT OF PUBLIC WORKS - BUILDING DIVISION / ,?V a m jb 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ~ PERMIT APPLICATION DATA SHEET Permit No. OWNER a©� �/ / A. P No. 1 Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or *§nuance: DATE RECEIVED APPROVED 12 1. All items.have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. . 3. Complete plans in duplicate./.triplicate, signed by preparer of plans, 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec.request to (Date) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses in duplicate (required prior to plan check). 22. Wheyou issue the per it/,r ces as follows: Mail to owner, Mail to contractor. Telephone ( 174 and hold for pickup at�ffice, Deliver w/inspector. Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit iis�suarice: (Circle new item not checked above). 1. Index permit for above items No. %%l+f✓��'(X%1/ 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 Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copv—DPW - scoie:"_ 20' Workmanship All Materials &naed Good P' �OiE: With ReCOg $ ecifie Accord0nCe reser bed for the p of a quali,y p & McChani� Uniform Building, P rr,hing tl a Nutional �e`t "a _I Fouad /'/L L RZ-SlDZ,41(f Z' ORGY/LCE LA a s the Phis set of plans and specifications MUST h* - a em cept on the jab at all times and it is unlawful iv Godes and •rake any changes or alterations on same without written permission from the Department of Public 0 Works, County of Butte. FT FOR MINIMUM Co�a9e i 500 SQ. MOBILES Z4 , r '` � 1 S' 1I 77-11 .1 v. r j �� ani a setback r< �� f the'ro-act 1 fit, ro►r e clear of r►h�rlt or aeQipment except § erhanQ.+ oka/` !ta4gL0CM4 �i CUP 3 _ TR14 /L. fOU/7rJ' Qt N i .. I �• •1 be Within �f � sections sh either atilt of the m°b'.1eh° ne,ithin the rea� � it, ctly beh'nd °r °f the dire "0 v 70 i n AQ I ��` ✓ , xP X34- . a �� 1. Owner's Name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 2. Installer's Name: ' 3. Is the site currently and r permit? Yes' No (If yes, furnish permit r)umber ��ST'a o ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft, away from septic tank and leach fields and clear of all setbacks and easements? Yes No D (If no, clarify 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- -E-CD O 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.) F] LPG [] 10. What is the type of gas service? --------=---------- Natural 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less ,�t�a,n'L6Q,ton� natural gas or less than 50 ft. on LPG.) 1.DSP AOXIVA9 0101111 9 . V �� MOBILEHOME SUPPORT DATA6�5-Q� . � If other ^than single wid Mobilehome Mfrs& ni�r l' L�furnish Setup Model No. / Year 4 Width ;2 (ft.) Box LengthZ, 0 (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)91. SUPPORTS (check one) ®1. Wood -pressure treated or foundation grade.a 2. Concrete block. 112. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE � -L.� Line 1 lin2 y _ _ — _ — Line 2 Main Beams Line Line 2 ------------- Llne sLine 3 — — — � Main Beams Line 1 Piers: Size -Min. ------------ Spacing -Max. --------- Fri n finds -Max. ------- Line 2 L'iers: Size -Mill. ------------xi iVs l., ' Spacing -Max. --------- 5 �� From lands -Max. ------- D " Llne 3 Woof loads: Slze.-Min.------------ location (From FronL) Line 4 Y erss: Size• -Min ------------- Spat Jog -Max ---------- Front ------------Spaclnh-Max.--------- From Ends -Max.------' Tag or Triple f in r Line 1 Line 1 Openings: Other (specify) Size -Min. ------------------ ��x a Each Side of Openings With Width Over --------- " Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- x Spacing -Max ---------------- From Ends -Max.------------- 1 zj0 v i Line 5 Piers: (Under Bearing Walls Only) Size -Min ------------------- Spacing-Max ---------------- From ------------------ Spacing-Max.--------------- From Ends -Max .------------- Line S hoof loads: Size-Mfo,------------- x "x_ "x "x "x "x "x 1. "x 1. lA+cation (From Front) r-0-, 1 zj0 v i Line 5 Piers: (Under Bearing Walls Only) Size -Min ------------------- Spacing-Max ---------------- From ------------------ Spacing-Max.--------------- From Ends -Max .------------- Line S hoof loads: Size-Mfo,------------- x "x_ "x "x "x "x "x 1. "x 1. lA+cation (From Front) V LIA 0 1111vp 1-71a7" -A SUPPORT PIER V(D 1-1 2000# 1 TIx 2411 1 w 4000# 24"x 2 4" 6000# 361lx24" FOR FIELD SUPPORT DETAILS, SEE OWGIS. S-1 and S-3 cy, ll�d K. L 45 —d **-a cl Q ri Z-. C4) rj.z. % I kpkm 111. tj4- LIA 0 1111vp 1-71a7" -A SUPPORT PIER V(D 1-1 2000# 1 TIx 2411 1 w 4000# 24"x 2 4" 6000# 361lx24" FOR FIELD SUPPORT DETAILS, SEE OWGIS. S-1 and S-3 cy, L 45 —d **-a 't g -FT ": , , GO L0901 WEST -140mis "" "oftsclowto t. CITY FOOTING SIZE DRAW# JITLII CARPET LAY6UTZ BEAMIF IELD-SUPROLl WQ�CL 04.: -rt SK"816ft CA -$WI 10 481lx2;!= )00 601lx2 OXA" 4V' Vy 4STALLATION MANUAL. Rav8sto ov *w- s� i ry_ern a �y r� Y it ; * >•(1t `wV • =" �' ''!' «moi' -.'.i'"N''r , :s� i� � r �+7 BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number 009-'f O%_6_ 0/a Building Department No. . AA School DistrictY Qo ity Q County ® Jurisdiction Property Owner Project Location/Address � 11911� Subdivision Lot Number Residential Development: X q• Footage ,, S e o # of. Living MHI Addition (Group R) Units Commercial/Industrial: a Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date District Id No . O O/ % o (Applicant Name 11 . 1A_IA /'P1... School District certifies that (Phone Number Street Address) (City) (St Vie) (Zip Code) has complied with the requirements of Resolution No. oa by the p yment of $ o�/lp representing square feet. School D;j ict Representative Date t PAID BY CHECK NO. BANK NO PAID BY CASH REMARKS:* white -applicant, yellow -building department, pink -school district SCHOOL . FEE (5/88) El 1854-88 ,2005-88 PERMIT NO. 2237-88B PERMIT EXPIRES OWNER RA OND HILL CONTR. Gardner Const r ASSESSOR PARCEL 69-09-12 . LOCATION 2 Trail Ct, ORoville • e }}r i a ' Temp. Power Pole 1 Called PG&E_ Temp. Elec. Se Called PG! Temp. Gas Ser, Called PGb JOB FINALED 1 Signature = OK 0=Not OK =NotReayable dMOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DEC ,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements Ing Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete cks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Bea ms-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -131 Date 10. Roof; Shthg-Roofing Card -131 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -131 . Dat C d -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -131 Dat and -131 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 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. Boxes -Enc losures-Panel boards- Ins. to Main in Conduit Card -B1 Date Card -B1 Date Card -131 Date Card -61 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -131 Date Card -81 Date = OK o = Not - =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-Ccnnectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. 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- D•aft 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 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 -Wal Is-Wndws Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Card -81 Date Card -131 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 -Meth. 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 -131 Date Card -131 Date 67. Stairs &Rails Card -B1 Date Card -131 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 24. Size Boxes & No. of Conductors -Stapled 72. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 73. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Meeh. 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 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 81. Stucco; Brown -Finish Card -131 Date Card -81 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -B1 Date 83. Vents Above Roof; PIbg.-Appliance-Firep I. -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/0 to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -131 Date Card -131 Date 92. Roofing Certificate Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors Card -131 Date Card -131 Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 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 job site) - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSERMIT 0,+ 7 County Center Drive - Oroville, Califgrnia 95965 - Telephone: 916/538-754 APPLICATION AND PERMIT ASSES R PARCEL NUMBER ZOAPI NS BUILDING PERMIT o. , R -((��^ 11 e / 1 TELEPHONE S0. FT. OCC. BUILDING VALUATION 7 «_ . r,� ice, tas CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ L PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 �Vl 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 Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex❑ MobilehomeA Other Building sewer 5.00 SPECIFY Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other % Permit Fee $ Describe work: Contractor ELECTRICAL PERMIT Filing Fee 10.00- 0.00Main Mainservice 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD•L 100 AMP 1 2.50 CONTRACTORS LICENSE LAW LIN NEW CONST. DWELLING OCCUP.sl\ // ,�ZQSgft I declare under penalty of perjury (Check One): OR ADDNS. ACC. GS. NEW CONSTR. U TI.OUTLET 2.50ea 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business NON.RESID .BRA C CIRC ITS POWER APPARATUS e (SINGLE and Professions Code and my license is in full force and effect. OUTLET CIR. 1 License No. Classification EX. OCCUp(OUTLETS OR FIXTURES 20050* 5AL@ eALO 30 30 El 1, as the owner, or my employees with wages as their sole compen- FIXED AP Ex. OCCUp. OUTLETS PLNS (RESID )BEA.) 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 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 I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 10.00 ❑ 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 of Consent to Self -Insure. Cooling I shall not employ any person in any manner so as to become subject Hood 3.00 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 $ to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ ' 1 also agree to save, indemnify and keep harmless the County of Butte against occu P. CONST.TYP! SCHOOL BLOOD RCEL PO ND 3SUq all liabilities, judgments, costs, and expenses which may in any way accrue against sa oun i c nsequence of the granting of this permit. X¢/��/ This permit is hereby issued under the applicable provi- Date sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner ❑ 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. Receipt No. BY WHITE-D.P.W.. 1lLLOW-A3el33O11, PINK-IN9PlCTOR, GOLDENROD -APPLICANT PE EXPIRES a _ COUNTY OF BUTTE - DEPARTMENT O.f= PUBLIC WORKS - BUILDING DIVISION _ _. 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET _-----..__-..a..,. Permit No. / Q OWNER_oa� T� ► . No. 6 (—D9 — Proposed Building Use {'+"L Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED �1. All items.have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate. /triplicate, signed by preparer of plans. . 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on_plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) _15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . . . 17. Pre-Inspec.request to Pre -Inspection for Required, Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses in duplicate (required prior to plan check). 22. When ou issue the permit, /process as follows: Mail to owner, Mail to contractor. �33q-626 Telephone and hold for pickup aoffice, Deliver w/inspector. Other—( < Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitied prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: J Contractor, designer, owner, was advised of above required data by_phone---jnail—counter by '� date Contractor, designer, owner, was advised of above required data by_phone_mall_counter°by date Plans checked by Date Plans approved by f e A42 _Date Sets of plans on hold in File cabinet AP folder Copy—DPW FN T 24 NCE a 1 Top rail to be 36 In. high with Intermediate rails to be nOt w j V E r-,4 i L` 13B Noris a �. D,5c le Fl-ooe �FD�I;tlood f � C�4P,�r� 2cQ wooer 3 PR, r2s Qok 4y xp ZR F��T E j V E r-,4 i L` 13B Noris a �. D,5c le Fl-ooe �FD�I;tlood f � C�4P,�r� 2cQ wooer 3 PR, r2s Qok stole. /"_ 20 ._///L L OiPO!//LLE CA ';,. G✓ KiOTE:--loll Materials F Workmanship Shall Be 11t r; cw Accordance with Recognized Goad Prac" As anal prescriLe:: for the Specified i ir. the Untfort:) BuLding! Plum6:ng & Mecha C,.t4w 601-a9e Z�f " (30 .I Q �+ ser back of 5 tt. � Pro tr ry of 50f lines tb th ase a k �ehterliner�hall road o �, structures a clear of or o) Fir a 2 ft, ease oUIIIP►nent ex epi Verhan4. ,� ' • is , � Cti/�H TR14 Iz- /Cificaflor acid sp�ans a ' t all tim�l ges or �s and it is 011 tip IC'k on chanal= , t�Who any f� P mission from t"re Depa IY1 °& Butt i t j 8 2, 4111, ' COUr?i n ro J PERMIT NO. 2005-88B + PERMIT EXPIRES OWNER RAYMONR TnA HILL CONTR. Gardner Const ASSESSOR PARCEL 699_12 LOCATION 2 Trail sVille i t Temp. Power P Called PGE T � Temp. Elec. Se Called PGE Temp. Gas Ser Called PGE JOB FINALED Signature =-OK - 0 = Not OKI ' = Not Readyable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECY6,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 11ol2oping Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch ootings; 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.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / PV ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -131 Date 10. Roof; Shthg-Roofing Card -61 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -61 Date and -61 Date7_1: 2. Footings; Size -Spacing -Marriage Line Card-B1�� Date-�0 and -B1 Date_, /02 ' 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -131 Date Card -131 Date Card -131 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -61 Date Card -Bi Date = OK 0 = 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- 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 -B1 Date Card -131 Date Card -131 Date Card -131 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 -B1 Date Card -131 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance 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 Liqht-Shower Liqht-Spa Liqht Card -61 Date Card -131 Date Card -131 Date Card -81 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 -131 Date Card -81 Date Card -81 Date Card -131 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 -131 Date Card -131 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-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex 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; Pibg.-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 -81 Date Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) • COUNTY OF BUTTE - DEPARTMENT'OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NI 6 _ b NEW CONST. ( DWELLING OCCUP.a) • I declare under penalty of perjury (check one): BUILDING PERMIT NEW CONSTR. MULTI -OUTLET OR;R r— I A 17d, TELEPHONE 4o8 ;? DAq SO. FT. OCC. BUILDING VALUATION Q M a- O NE MAI LI G ADDRESS SINGLE OUTLET CIR. I G'D O - ❑ I, as the owner, or my employees with wages as their sole compen- 7 rd- -1 sation, will do the work,and the structure is not intended or offered Temporary service for sale. (Sec. 7044) Mobile Home Facilities CANT / t,' ir T AME ^D�:5irycT ITELEPHONE 53if. 76-7 (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code V_ r- 1 0 Ae for this reason Penult Fee Contractor V/ NTRACTOR'S MAILIN/lG ADDR S Cp— C%s945 Fireplace MECHANICAL PERMIT j� T�,e permit is for $100.00 (valuation) or less. © e Y, 715 i .Q ,jam„ II have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate CONSTRUCTION LENDER UNKNOWN Total Valuation $ Hood to the W. C. laws of California. LENDER'S MAILING ADDRESS Notice to Applicant: If after making this statement,should you become subject Filing Fee $ 10,00 provisions or this permit shall be deemed revoked. Contractor Permit Fee $ , ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ , I also agree to save, indemnify and keep harmless the County of Butte against oceuP, coNST.rrPc scNooL Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS against said County in co equence f the granting of this permit. Penalty $ BUILDING ADDRESS Permit fee $ • —75 PLUMBING PERMIT Filing Fee 10.00 re,' Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIV ION AME PARCEL MAP Water piping 5.00 % 2 el&4 0. ` ✓ZAt,9-6q-1'L- Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex❑ Mobilehome0'Other r -e - A 1 WA,11 Building sewer -T- J 1 5.00 SPEV4FY Mobile Home I S G Tw IO.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: _12Y, S ?"t Le )�Q i xAI- w., 11 Permit Fee S Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoOV OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. ( DWELLING OCCUP.a) • I declare under penalty of perjury (check one): OR ADDNS. \ ACC. BLOGS. NEW CONSTR. MULTI -OUTLET ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON-RESID .BRA CH CIRC UITS) (POWER APPARATUS a1 and Professions Code and my license is in full force and effect. SINGLE OUTLET CIR. I License No. �70 �� Classification Ex. OCcup(OUTLETS OR FIXTURES - ❑ I, as the owner, or my employees with wages as their sole compen- FIXED Ex. OCCUp. OUTLETS P(RESID )REJ sation, will do the work,and the structure is not intended or offered Temporary service for sale. (Sec. 7044) Mobile Home Facilities ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiringors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Penult Fee Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT j� T�,e permit is for $100.00 (valuation) or less. Heating ,jam„ II 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. Cooling ❑ 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 penult Fee to the W. C. provisions of the Labor Code, you must forthwith comply with such I 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 to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE I also agree to save, indemnify and keep harmless the County of Butte against oceuP, coNST.rrPc scNooL PLogo all liabilities, judgments, osts, and expenses which may in any way accrue against said County in co equence f the granting of this permit. 2.00 10.00 15.00 15.00 S Fi lina Fee 1 10.00 3.00 a $ g�?S ICELI PD i HD,ISSU This permit is hereby issued under the applicable provi- Date sions of the Butte County Code and/or resolutions to do Signature of Applica — , Owner ❑ 'Contr ctor ❑ 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- DIRECTO OF PUBLIC WORKS ion of structures over 3 stories in height. Receipt No. '7 - 1 L( By ✓ Date WHITE -O. P. W., •lLLOW-ASetyS 5011, PINK-INSP lCTOR. GOLDlN ROD -APPLICANT PE IT EXPIRES, .,-Date ��' mr A`1*W,0W,0s .rN�^c n, ys,•. xar, +.Y: "+Y. �,!».�r. •g k�i� Mflr «4f3T ` e•i r.r itq�rt { �°�i#�4a*-�. er w I M COUNTY OF BUTTE - DEPARTME4NjT,, Ft4;PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLI+,'CA'UIFOJANIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET .-> r t' Permit Nn- OWNER Proposed Building b Al rte T A i N e %� wol A. P. No. 61�— 0 Q — Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing andlor issuance: DATE RECEIVED APPROVED 1, All items.have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. . 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. - School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.)` 14. Owner -Builder Verification (Given to owner0, Mail to ownerE]) _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Pre-Inspec. request to (Date) Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses in duplicate (required prior to plan check). 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor. �elephone 5-3q-6 -76 apd hold'for pickup ate office, Deliver w/inspector. Other Ger �e]' Applica - c Copy of plans sent Health Dept., Fire Dept., Othe, 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---nall—counter by date Contractor, designer,o ner, was advised of above required data by—phone _mall—counter by date �I( Plans checked by ateJV[ Plans approved by ADate O'll Sets of plans on A in File cabinet AP folder Copy -DPW i 20 W6%.,—All Oa+artlds 'A WoA�mansWip Shag rt - Accordance w'Nh s and of a qjual*-ry the Uniform Building, c-- c h a n iC', I odes and, the National Electri Ial Code. .-11711Z Z- RZS/DZNCZ 011eo vle-1, 4-1 mCamape � �✓ � � / "t� ��C. fid,VOO/ 11 R) IN Sw�c, )yv- ),AI171,1 Ai) This set of p "I, r and specification s UST SL kept on the lo Iall times and if is unlawful t make any cha or 'alterations on spnie withou written perrnissft t), i ors the partme t of Pubil , I De Worick County' utte. QQ N,5- 2 C Lip 8 TR14 IZ- 20;19H GDA ENGINEERING-SURV=YING-VLANNING 220 GRAND AVE. OROVILLE. CA 95965 ----------------------------•----------------------------------- DATE: 6-22-88 ?OB NUMBER: - 500-88 JOB D=SC R I DT I ON : RE TWAT -L FOR Ray Hill K RE "RA I I CR"-. ----------------------------------------------------------------- if , K E T A i IV I N G W A L L :i .c. 5 I G ti A .STEM DESIGN OF POURED CONCRETE; FC'.. 2.000 -aS DESIGN STEEL STRESS... ............... 20.000 a I EQUIVALENT FLUID PRESSURE............ 30 00 SURCHARGE ........................... 0.00 r=-. S T E M M O M E N T S A N D S H E A R S DISTANCE FROM SHEARS MOMENTS TOP OF WALL(FT) POUNDS FOOT -LBS. 1 15 5 1.50 34 17 DISTANCE FROM DESIGN AREA OF COM- SHEAR TOP OF WALL(FT) DEDTH(IN) STEEL(SI) STRESS STRESS 1 5.75 0.00 1 0. 1.50 0.17.E0 0.00 0 0.01 M ►N ST�c �4. TO: Building Department FROM: Encroachment Permit Section RE: -'Driveway Clearance 6,Q&DN-cn 'Lo NST cif...., oZ T2gc�— Qr owner location AP Driveway permit, �% has been issued for the above property. . n b s ign re date � I. R�, T9�T� C97. ' IMIPOSED �XIAL LO�D................... 0 PLF DESIGN LEMMGTH..,.................. 0.10 PT, DESIGN LENG7H..'................. 1.00 FT. DESIGN �:--FEC-IVE DEPTH'............... 8.66 IN. TOE STEU ._....................'....... 0.000 SQ. IN. y FT. HEEL ST:::. -L........................... 0.0692 SQ. IN. / PT. DESIGN ']E oRES SURE .....,.....'.'.'.. 824 P S F DESIGN �RESSURE............'.... 'D PSF NO KEY .'-3 mEEDED. 6VERTUR',-I:\lG -z:)A;:ETY FACTOR............. 2.� / ' BASE DESIGN S��L :7v'.....'........''........ ALLOW��6 � BEPRING PPESSURE�........... 1,500 P�,7 LATERC4 9EAqImG PRESSUgE...,......... 150 PSp/FT. [OEFF N1 OF FRICTlOw........'..''' @.30 FC:" �F - - -O�C9E��................. 2,AW0 7SI "OTA SLAB OVE9 �PE TOE. SLO� rjACKFT�L (RlSE/qUN).......... 0.00 IMIPOSED �XIAL LO�D................... 0 PLF DESIGN LEMMGTH..,.................. 0.10 PT, DESIGN LENG7H..'................. 1.00 FT. DESIGN �:--FEC-IVE DEPTH'............... 8.66 IN. TOE STEU ._....................'....... 0.000 SQ. IN. y FT. HEEL ST:::. -L........................... 0.0692 SQ. IN. / PT. DESIGN ']E oRES SURE .....,.....'.'.'.. 824 P S F DESIGN �RESSURE............'.... 'D PSF NO KEY .'-3 mEEDED. 6VERTUR',-I:\lG -z:)A;:ETY FACTOR............. 2.� / ' . . . . 20;19H GDA ENGINEERING -SURVEYING -PLANNING 220 GRAND AVE, OROVILLE, CA 95965 _______________________________________________________________ DATE: 6-22-88 JOB NUMBER: 500-88 JOB DESCRIPTION: Retwall for Ray 1--1111KRE Trail Crt. _______________________________________________________________ R E T A N I m G 'W A L L DE S I G N +» STEM DESIGN OF POURED CONCRETE; FC'.. 2,000 PSI DESIGN STEEL STRESS..............'... 20,'000 PSI EQUIVALENT FLUID PRESSURE............ 30 PCF SURCHARGE...' .. . . . . . . . ~. . . . . . ' . . . . . . 01. 00 FT STEM MOMENTS AND S H E A RS DISTANCE FROM SHEARS MOMENTS TOP OF WALL (FT) POUNDS FOOT -LBS. 1 15 5 2 60 40 DISTANCE FROM DESIGN AREA OF Coiyll�7' SHEAR TOP OF WALL(FT) DEPTH(IN) STEEL(SI) STRESS STRESS 1 5.75 fz".00 1 0.2 2 5'75 0.00 8 0 tA \ tA + e^� ^ - u�� . �r�yL| . 6}(lz-4 J no / Q�� . , ' -_ _ jOB NUMBER: 500-88 .SOB DESCRIPTION: Retwal I for ;day Hill KRE Trail Crt. B A S E D E S I G N SGML DENSITY ......................... 100 PCF ALLOWABLE BEARING PRESSURE .......... 7 1.500 PSP LATERAL ERAL � EARiNU % RESSURE. . . . . . . . . . . . . 1.J0 PS /i- 1 . COEFFICIENT OF FRICTION .............. 0.30 �_ C' OF DPSE CONCRETE . . . . . . . . . . . . . . . . . 2,000 PSI THERE IS NOT A SLAB OVER THE TOL`. SLOPE OF LMAC KF= I LL (RISE/RUN) .......... 0.00 IMPOSED AXIAL LOAD ................... 0 PLF DESIGN! TOE LENGTH ..................... 0.33 ;=T. DESIGN LASE LENGTH .................... 1.25 FT. DESIGN EFFECTIVE DEPTH ................ 8.66 1N. TOE STEEL ............................ 0.003 90. IN. / FT. HEEL ST^.. EL. / _.�.;1.00 SG?. IN. DESIGN TOE PRESSURE .................. 757 PSF _ DESIGN HEEL PRESSURE ................. PSt ` ��Ir�.SI�:�' •. a NO KEY 1S NEEDED. OVERTURNING SAFETY =ACTOR ............. 2.1 it t: �0;19H GDA ENGINLcRiNG-SURVE.YING-='LANKING 22=0 GRAND AVE. OROV I LLE. CA 95965 --------------------------------------------------------------- DATE : JOB NUMBER: S�t1a—till JOB DF-SCRIP,TI0r,4: kezwal : Tr_,r REAv H:i:::; i,RZ Trail Cr.v. --------------------------------------------------------------- R E T A I K I h G W A L L D: 5 I G N' C STEM DESIGN OF P'OUR'ED CONCRETE; FC'.. 2. OL711ZI i=,SI DESIGN STEEL STR_SS.................. 4'l00 "SI EGU i VALEN T F LJ I D P,RLS56RE............ SURCHARGE ........................... 0.012.1 7-F STEM fyi 0 ryi E N, S AND SH E A R S DISTANCE RUM �i 1c. `a R5 civ 'a TOP' OF WALL -(FT) P'OUNDS FOOT -LBS. GO 40 3 .. 3 5 I DISTANCE FROM DESIGN - AREA OF COMP SF':EAR TOP' OF WALL(FT) D -PTH (IN) STS) 0 S) E 7 (> ST RESS STRESS 0 1 J• 75 . Q 1 Vl. 5.75 1Z.02Z: 27 2. Kl o c% ---''e- rt- ✓��7 ; K 3�x O•oo� = 000- .l C> fro Pit - 10 �s l� 4 GOB MODER: 500-8b .SOB D M- ION: ,jZ%Wa'..l for Ray Hill KR_ 7rail Lrt. B A S E D E S I G N SOIL i.)EWITY.......................... 100 QCF ALLOWAL-_E DEAR I NG ORESSURE"........... 1,500 PSS= LATERAL BEARING PRESSURE . . . . . . . . . . . . . 150 FT COEFFICIENT OF FRICTION .............. 0.::17.1 FC' OF •MASE CONCRETE .. .... .. ... . . .... 2,000 PSI THERE 13 NOT A SLAB OVE7 7HE 70E. MOVE 1:.- BAI:K ILL • i R I SE/ RUN) .......... 0, 00 NfPOSED AXIAL LOAD ................... 0 PLF DESIGN _Q? ._E.iNGTH..................... O. So PT. DESIGN ..APSE LENGTH. .................... 1.50 FT. DESIGN LFPEC71 VE DEPTH ... . ..... . ..... . 8.66 IN. TOE STEEL ............................ 0.010 SQ. IN. / FT. HEEL STEEL ........ .. ..... . ....... . . .. o.005 So. IN. / FT. DESIGN TOE PRESSURE .................. 1,176 PSF DESIGN oEEL PRESSURE........... ..,. 0 PSF NO KEY ?:S NEEDED. OVERTbiviNG SAFETY FACTOR ............. 1.6 v A B G ll� r1 i hs ENGINEERING330 GRAND AVENUE 1 SURV EVING ORDVILLE, CA. 95965 - PLANNING (91615113068 rtir. f --- AL4 Bt v a x sari - YMK "5,0 -qui tx -- (� #L�a� � 24►,p.0 . 1 a C ' x 9 y /2g� l � s '114e, /2„ 19 ES FES cum o ..,,\ NG DEPARIMENI i E 3 3 ' k OF GAUJ - j -02,51 t PERMIT NO. 3242-87B •'PERMIT EXPIRES 0A OWNER RAYMOND HILL CONTR. JAmes Clanton ASSESSOR PARCEL . 69-09-12 LOCATION 83 Greenbriar ORoville Temp. Pow Called Temp. Elea Called Temp. Gas Called r , JOB FINAL i SiSnatu = OK 0 =Not OK Not ' = Not Ready MOBILE MOBILE HOMES ` MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DEPKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements . Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch . ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete A-Peeke-Gk4 rs and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. W-1 Awn Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5:_ mns-Con nections-Splice- Decal- Enclosures . 6.j0a;peA&-V1tir Tows -Doors 7. Utility Clearance %-) kkj. r�og; S' -Anc rs-St s-RfTfis!€a�s� -$' iq�ng; Nailing -Veneer -Stucco -Mesh o , Shthg-Roofing Card -131 Date Card -81 Date Card -131 Date Card -131 Date r1 xt.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -131 Dat O-Y/7Card-B1 Date 2. Footings; Size -Spacing -Marriage Line Card-81(!� —T}� Date Date b_ J{$ and -131 Date VOOLS (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer.Connected-C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -61 Date Card -B1 Date Card -131 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -61 Date Card -131 Date Card -131 Date = OK 0 = NotRESIDENTIALgSingle and Duplex) - =Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth I ' 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Fig. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel - Bloc kouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration -Wal Is-Wndws Card -81 Date Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Card -81 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -131 Date 66. Stairs & Rails Card -B1 Date Card -B1 Date 67. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72• A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- ir-Connector-P.R.V:In Garage; Above Floor-Mech. Protection In 27. 2 Appliance Circuits in Kitchen & Conductor Size 74. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral • Yes No 76. Insulation -Foam -Looked in Attic O Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instld.; Drive 0 Yes 0 No; Walks O Yes O No; Planters o Yes O No 80. Stucco; Brown -Finish Card -B1 Date Card -131 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -131 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -131 Date Card -131 Date , Card -61 Date Card -B1 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s Card -B1 Date Card -131 Date 38. Sills, Proper Material & Anchors Card -B1 Date Card -B1 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (r`at proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMITO. • 7 County Center Drive - Oroville, Gdliforni*95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL MB Oq Z62OWNER ZING BUILDING PER TELEPHONE 7/�J� ,SQ, FT. OCC. BUILEAG VAL ION OWNER'S MnING A3 S — n - 3 � (/ Dii/�f CONTRA C OR'S NAME TE EPHONE CONTRTO 'S MAI ING OGRESS /�, a Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is O Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 40 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS- U Permit fee $ S PLUMBING PERMIT Filing Fee 10.00 (96-D Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO UBDIVISION NAM pn�P�A./gCEL MAP IsZ 1 T (�- Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G I W 0.00ea TYPE OF WORK New Addition [:1R/emodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 1p_ X Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. �id�S SG 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.61 OR ADDNS. % ACC. BLDGS. ,h¢sQft NEW CONSTR.MULTI-OUTLET NO N.RESID BRANCH CIRCUITS) 2,50 ea /POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES .2.,0530 FIXED AP Ex. OCCup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 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 Consent to Self -Insure. �f' LId 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 FiIirig Fee 10.00 Heating Cooling 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 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 ounty in co eque a acting of this permit. X Date 0 F Signatu of Applicant - Owner E:1 Contractor � Agent ❑ An 0 HA 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 $ /� o c co SCHOOL `� P o PA c PD HD Is This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By P MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date f -WHITE-D.P.W.. / m. - Receipt NO. 6 C 20 YELLOW -Ase E3S0A. PINK-INOPECTOR. GOLDENROD -APPLICANT T°�"g ,�.,ti6:.:.u��Ft"Rv .► �j j 3�. y1, 'fr ""c.'. ^,}�, ]. yy{,`,iy' t �' � .�'t_ .,; .;��"i �-"`�r.� :t ��i 1"r i�� v�'- .r ,i N� " 'i'1•� r I �. � ` \ • �� !Y �M'r'�i'"� 4Y {! � -�:� F ♦ .{ : COUNTY OF BUTTE - DEPARTMENT OF,`PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLI=. CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION -DATA SHEET Permit No. OWNERGG�G� ,,� A. P. No. LPA Proposed Building Use Building Inspector >;�1/ 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 talcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. Health Dept. ` 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) _-_-._._15. Improvements may be requi'red f 1 . . . . . . . . ;16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Date) 17. Pre -Inspection for—_ .__ _.. __ _ Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. — _ 20. Plot Ian approval ffrom city of --- t Wher. you issue the permit, process as follows: Mail to owner, 1?ail to contractor_ �Telephone:S-1 .5iy and hold for pickup at6),^(P office, -Deliver w/inspector. Other Z� %� Applicant ate of plans sent Health Dept.; Fire D pt 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. c p- 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by date Contractor, designer, owner, was advised c? above required data by—phone—mail—counter b6�Date date Plans checked by Date Plans approved by ®�� Sets of plans on hold in File cabinet AP folder Copy -DPW Ij,