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069-120-024
Martin M. Haz 6q-/Z'-� eltine 495 Silverleaf Dr., lot 161, KR#1, Oro. L Permit #1545-79P,E(util. MH) !y - ELEC . S"-, - GAS AO SUPPORT STRUCTURE REQ, i COMPACTION TEST REQ. Contr.:� Acro Lume, Oroville �o } Permit#2496-79 I �� Issued --7 % �9-12-2.0 contr: Holmes Mobile Ho a Serv., Oro. Permit #3671-79B(new. gar e, deck, &__ _ « awning/MH) - -- 6 9- 12 -2434 -911/ I I I ? -7q + Contr: Holmes MH, 0 oville Permit #4987-79 ,E(plbg-&-e-le/3671-79)- --- 12 -34 k - R=g�R�eraFc ,moi' 4 495 Silverleaf Dr, Oro v-i1-1e�s/�3�,7 ' •,_ _ _1 Permit#97-87B,E(new open de-k)MH TAMES'.. 069=120-024L 'r PERMIW-T�03-1564 Robert L..495 Silverleaf Dr., OrovPropane Tank/MH069-120_-024AMES,LINDA 495 SILVERLEAF, OROVILLCONT: BILLINGSLEY, HAR RE -ROOF GARAGE t C. v q j « i� I t ep 069-120-0247'" ; `a; V63-1564,. AMES, LINDA i;J" f. ''495 SILVERLEAF; OR&ILLEt ,.CONT: BILLINGSLEY, HAROLD ` RE -ROOF GARAGE COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUIL ING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (53 538-7541 PERMIT No. (Rev. 12/96) APPLICATION AND PERMIT Al ESSuvORPGU-UER 4 ZONING BUILDINGPERMIT OWNER AL'IEs LILWA TELEPHONE SO. FT. OCC. BUILDING VALUATION 5b 420.00 4rJ SILVER LEAFDDRIVE OROVILLE CA 96966-3938 CONTRACTOR'S NAME HAROLD BILLINGSLEY TELEPHONE 534-5823 CONTRACTORS MAILING ADDRESS 1b6U WILLIAMS AVE, PAME1,109 CAA95968 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ • U ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ +-0 ZiLER LEAF DRIVE OROVILLEr CA 95966-3938 Energy Plan Checking Fee $ $ PERMIT FEE S 3 U LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Udli6es ❑ Installation ❑ Other Describe Work: RE ROOF GARAGE Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoo. oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Q - L 3 j " Lic. No. yS( .'ref r OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 W:U200A CCU000A NEW CONST. DWEWNG OCCUP. OR ADDNS. ( a ACC. S. SO 3.5¢FT. NON•R6ID. MuLTI.0.- 97,50 POWER APPARATUS a SINGLE OUTLET CIR. EX. Occup. OUTLET OR FDITURES 2I BAL 9 .SO Ex. Occup. DuTE' .'.,6°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations:, ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. IHood ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) i 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X ��_t! Date d _ Signature of Applicant - ❑ Ownerr 81 Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 HAz. D PEES IMP I FLOOD I CDF PARCEL PD HD SSUE 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. ��'� ,, J v.�. ye� CVC Date PERMIT EXPIRES ON '5/3 Defe Receipt No. -3 / + / ):/0 _3 .5-. WHITE-D.D.S.-B.D. CANARY -AS ES OR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 0 --�"/�� ASSESSOR PARCEL NUMBER 069-120-024 ZONING BUILDING PERMIT OWNER AMES LINDA TELEPHONE SO. Fr, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 495 SILVER LEAF DRIVE 0 7 SQUARES 420.00 CONTRACTORS NAME HAROLD BILLINGSLEY1534-5823 TELEPHONE CONTRACTORS MAILINGADDRESS 2660 CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation $ 420.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ � VLI GAQSILER LEAF DRIVE OROVILLE UA 95966-3938 Energy Plan Checking Fee $ $ PERMIT FEE $ • LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: RE ROOF GARAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE t ELECTRICAL PERMIT Fling Fee 20.00 Main ServiceOOOV OR LESS 200A OR IESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class - . Lic. No. L:SL S -dr OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) T�1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply wig those provisions. X � i�' O �� �e s'�� Date _ Signature of Applicant - ❑ Owner," Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main .Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADONS. ( & ACC. BLDS. 3.5¢FT, NOµHEO41U P.MULTI-OUTLET 97.50 OWER APPARATUs 8 SINGLE OUTIET CIR. 20 Ex. Occup. OUTLET OR FDRURES BAL @ �:w FIXED ALNS Ex. Occup. ouT AES'Ei.DEE. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PD I HD SSUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work in indicated above for which fees have been paid. (X ' Date PERMIT EXPIRES ON _'4 / 3!�y Receipt No. WHITE-D.D.S.-B.D. CANARY -AS S R PINK -INSPECTOR GOLDENROD -APPLICANT 1 '0697120-024 PERMIT#96-2442 AMES, Robert L. 495 Silverleaf Dr., Oroville Propane Tank/MH ©/y/ -D c 4 J OFFICE COPY ' 'Address " GAS -�' Meter By Dat •'• ELECTRIC )";Meter By Date r � nA � + �s o r � nA � + �s COUNTY OF BUTTE- DEPARTMENT OFPEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, Califo?hia 95965 - Telephone (916) 538-7 �1 PERMIT NO. APPLICATION AND PERMIT � �i� ',24Q`Q AS SESS6 PAR NUMB. . _ U 2-4.ZONING <. BUI ING PERMIT OWNER, /� Me, ig A 1 L,/�\ TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION ENDERUNKNOWN t ---Filing Total Valuation $ Fee $ 20.00 LENDERS MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER ki O U C LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS A It_11 L.L A I DR, PERMITFEE $ PLUMBINGP,ERMIT Fling Fee 20.00 J I L L,L Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar Or heat pump water heater 43.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome X OtherGas sPECIFv Each gas water heater or vent 15.00 piping system 1 - 5 outlets 15.00 00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ -�Utilibes:K Installation ❑ Other ❑ Describe Work: PlZ1_0P if3t: 1 AAJ14, — Mobile Home S I G W 920.00 PERMITFEE $ 3 �00 Contractor ELECTRICAL PERMIT Filing Fee 20.'00 Main ServiceODOY OR ESS ( 200A OR ESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. XI, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ( 8 ACC. BLDS. ) SO. 3.5{t FT.• CNS. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 WER (aFs NG E OUTLETT CIR. ) EX. Occup. ( OUTLET OR FDCTURES) 20 Q 1.00 BAL 0 .50 Ex. Occup. (oUTLEEDTs (RES D.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) Ea; I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X�_� Date _ �' �$ -- Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent ' An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ ; 00 I I HA2. I D. FEES I IMP I FLOOD CDF PARCEL PD HO ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By DatiT PERMITEXPIRESON u�q 7Receipt (Date) No.v%[ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIV ON 7 County Center Drive - Oroville, —4 ifol;tia 95965 - Telephone (916) 538-7 41 PERMIT NO. APPLICATION AND PERMIT ASSESS PAR NUMBER �(o — 12.0 a Q 2—q- ZONING BUI ING PERMIT OWNE i)13 -cg -r �, �'Y1�S r1/� TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS i495* -SI L_VC-PLC-A'E D�. OtzoVc A_`�s�g6 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIQ40WN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER ®U ucENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS_ (L�vLL' A(_ PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 C> \1 k L- L E7 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome X Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 IS -.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities X Installation ❑ Other ❑ Describe Work: _? L '!A AJ 0, Mobile Home I S I G1 W 1 020.00 PERMITFEE $ -3.T.1100 Contractor ELECTRICAL PERMIT Filino Fee 20:00 Main Service OOOV OR LESS ( zooA OR LESS ) 23.00 Main Service ( 200A To I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. XI, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ( 8 ACC. BLDS. ) SO. 3.50 FT. CNS. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) BAL 0 150 Ex. Occup. (OFIXED APPLNS. UTLETS (RES D.) R 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date _ / O //$ _ Sign of Applicant - ❑ Owner ❑ Contractor ❑ Agent ur PP w An OSHA permit is required for excavations over 50" deep and demolition or construction of structures 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ —457,00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have BY W PERMITEXPIRESON the applicable provisions Resolutions to do work been paid. Dated 0 f `! (Date) gover ReceiptNo.p<o�,�%1l WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT O.B.- I 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[] 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: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but J have hired the following person' to coordinate, supervise,' and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S 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: 0/21 NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. May 1995 This verification must be completed and returned to our office before we are permitted to issue the permit. 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect. yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks ' for you if you do not carry out these obligations, and -these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 VE -L COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Roa&'-Gic'o, CA - (916) 891-2751 7 County Center Drive, OroWle, CA - (916) 538-7541 747 Elliott Road, Paradise, CA (916) 872-6307 CORRECTION NOTICE. ti OWNER PERMIT A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work RY is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. W A2 Date lnspector, REV 19/92 JOK O = Not OK — = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'a Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except ft's 1. Zoning Requirements—Setbacks-Easements 2. Soils; Special MH Support—Sketch Zoning Requirements—Setbacks—Easements _ . F tings; Si —D —Sp g—Con ors 3. Sewer; Location—Test—Fall-C/0—Concrete 4. Water; Location—Test—Easement Needed (Sketch) - Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4, Wood Awn.; Posts—Beams—Rftrs.—Connect—Shthg.—Rig.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete _ 5. Alum. Awn.; Columns—Connections-Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—boors 7. Utility Clearance _ 7. Elec. Card -BI Date Card -BI Date Card -BI Date -3i —I5 ^% Card -BI Date ' Card -BI Date Card -BI Date Card-BIate Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date POOLS (Plans) OK except #'s '1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elect; Enclosures; Conduit Entries-Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating'Equipment—Heater 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip.w/5'—Circulating'Equip.—Pool Lghtg. Boxes-Enclosures—Panel boards—Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK - Not Ready Not Applicable RESIDENTIAL (Single and Duplex) = Date UNDERFLOOR Plans OK exce tit'sDate FRAMING (Continued) Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Fig., Main; Soils-Sfeel-Elec. Grnd.- / /" Fig. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Fig., Garage; Soils -Steel= / /" Fig. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig., Porches & Decks; Soils -Steel- / /" Fig..Depth 51. _ Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -B lockouts=Wrapped-S lab 52. _ Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access _ 7. 8. Piers- Fireplace Ftg.-Steel D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test Gas Pipe: Size -Anchors 54. _ Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts _ 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date _ -rd Card -BI Date Card -BI Date Card -BI _Date _ Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Card -BI Date Card -BI Card -BI PLUMBING 14. 15. 16. 17. 18. 19. Date Card -BI Date (Permit) OK except q's Water Ht.: Vent -Access -Combustion Air Water Pipe: Test & Anchors -Nail Protection D.W.V.: Test -Flings & Anchors -Nail Protection Shower Pan: Test, First Floor -Tub Access Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe: Size & Anchors Date _ Card -BI Date Date Card -BI Date 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. 64. Fireplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit .OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper Card B -I Card B -I 20. 21. 22. 23• 24. 25. 26. 27. 28. 29. 30. _ Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size / / ga. Cu_or AI-A.C. Wire Size / / ga. Cu or At Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral Yes _-,No _ __- _-_ Service -Riser Conductors & Ground -Mai n_Disconnect _ _- Equip. Clearances: Panels--Motors-Mech. Equip. _ Clothes Closet Light -Shower Light _ ---.--..---- -- ------ - Date Card -BI __ Date --_ - Date Card -BI Date 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic E] Yes 73. Guard Rails &Deck Construction -Post Caps 74. Fdn. Vents & Crawl !dole Door -Drainage & Wood -Earth Clearance Looked under Floor El Yes 75. Following instld.: Drive ❑ Yes ❑ No: Walks [j Yes ❑ No; Planters Dyes ❑No 76. Stucco; Brown -Finish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date Card -BI Card -Bl MECHANICAL (Pern•it) OK except N's 31. A.C. Ducts. Insulation &Support 32. Vent Fan: Exhaust above Insulation - 33. Condensate Drain & Overflow: Size _& Grade _ 34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet 35• Attic Access & Platform if Furnace in Attic Date Card -BI Date - Date Card -BI Date 83. 84. Corrections from Previous Inspections - Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates - - - Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date FRAMING(Plans) OK except N's Com: tents at Final: 36. 37. 38. 39. 40. 41 42. 43. 44. 45. 46. 46. 47. Sills: Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops: Furred Ceilings-Stairs_-C_ha_se_s-Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Root Brac.-Truss-Shthnp.-RfnQ. Fireplace Ties or Type AFlue-Fireplace Throat - --- Anic Access: Size &Romex Protection -Draft Slop -Ins. Batfl-_es- - Bail -les - Bdrm. Windows or Exiting Doors -Sill Hgl. & Dimensions Garage Fire Protection Framing - _ --- - - - - -- - --- (NOTE Anentrymust be made each time youvisit jobsite) . COUNTY OF BUTTE - DEPAFA' MENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 9 ,_.� APPLICATION AND'PERMIT ASSESSOR PARCgL�UMBE - / oma- —� ZON G f� BUILDING PERMIT OWN TEL HON /! SQ. FT. OCC. BUILDING VALUATION �O WNE M ILING ARE S / t� CON-r`RACTOR*S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 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 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 111?S Each Trap 2.00 (/� Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL M Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome[L Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New* Addition ❑ Remodel ❑ Utilities ❑ Installation[- Other Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ® 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.hi , AUC ) h¢sgft New CONSTR( TBI.OUTLET NON•R ESID BRANCH CIRC I 2.50 ea ,$ POWER APPARATUS e (SINGLE OUTLET CIR. fl Ex. Occup(OUTLETS OR FIXTURES 2ALO 30 9L® IXED E%. OCCUp. OUTLETS PRESID )LNS REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. NZ 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 in is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sa9fl County //ii/n consequence of the granting of this permit. // X n�0._C_, �� Date r iv d(� ,� Signature of Applicant — Owner 56 Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPE FLOOD,IPA RCE PD 1 ND — 1 ISIUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF PUBLIC By _ P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 7-.0 Receipt No. a� WHITE-D.P.W.. YELLOW-ASSFSS R. PINK -INSPECTOR, GOLDENROD -APPLICANT rpA { H . COUNTY OF BUTTE - DEPARTMENT.0I=PUBr=1C WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,"C L.IFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER . No. Proposed Building Use Building Inspector Date U r At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. All items have been -s bmitted. Plot plans in du.)l_ica;,;Xiplicate, signed bb p rater of glans. Complete plans in :u licat triplicate, signed b a s �r.,�,tr,-.S� _,..,,�...._.y..f�JI'�f�Ce.G.Of R.L., n,..�.. 4. Complete engineered plans and talcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . ".```" 6. CUSD ''Fees Paid" Stamp on Floor Plan . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 0l8\ 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 ownerEh —15. Improvements may be required. . . . . . . . . , 16. Mobi lehome Installation Data. . . . . . . . . . P.re-Inspec. request to (Dote) 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. 22. When you issue the er It, rote as follows: Mail to wner, Mail to contractor. Telephone and hold for pickup atfice, Deliver w/inspector.. Other 7 Applicant e`- 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 ot,above required data by_phone—mall—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 —_/ Sets of plans on hold in File cabinet AP folder —.Hours: 10:00 a.m. - 3:00 p.m. Copy—DPW W COUNTY OF BUTTE - Department.of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for' in your name and bearing your signature. Please complete and return this information 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) eS 2. I (have/have not)�qlho_ 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 /1/Di1 Address City Phone* Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supe vise, 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 '4104 Signed: ro 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. ' LOT 1.61 s my3 � i�s^r�'4 —UNIT' ' rti p� ,3.i' 1; a �. � ti :� .•'r .; . W. QWMI o�..,br,r..: !io /- 0 t i 6 6.43' \ �6 • 6- g3 . SEN/Ei2 CONN, 77E/Z'' COivN. . EL EC., T, E,- 7 -,E -z -. ,- TEL. C O A setback of 5 ft. from the property lines and a setback Of 50ft. from the road centerline shall be clear of structures or -equipment except for a 2 ft. eave overhang.. r g• �G 'VE'r `' .�¢. A -DD DICK 4 spa size Arr*"e+D la rAi L N.) 0 c ' /VoT• PUN rmb /A,sir- BACK ��U /�t/TY LOC.9 T/ONS 192E ,. • TO A#46S LarL S wm LFA 0: Do, 4 7 7 3 C? e/- �41-18 ®.A. 9 ,L {. a 00. h �F 7 tom' n�.� l 03T�o 'o 0 N'n moW [14.ACK. i, i5 N 3 Q 3a v N / � 3 s U 9 N CL (� / �0tt o � MCtN0 o(DQ .. -46 in l 0 t i 6 6.43' \ �6 • 6- g3 . SEN/Ei2 CONN, 77E/Z'' COivN. . EL EC., T, E,- 7 -,E -z -. ,- TEL. C O A setback of 5 ft. from the property lines and a setback Of 50ft. from the road centerline shall be clear of structures or -equipment except for a 2 ft. eave overhang.. r g• �G 'VE'r `' .�¢. A -DD DICK 4 spa size Arr*"e+D la rAi L N.) 0 c ' /VoT• PUN rmb /A,sir- BACK ��U /�t/TY LOC.9 T/ONS 192E ,. • TO A#46S LarL S wm LFA 0: Do, 4 7 7 3 C? e/- �41-18 ®.A. 9 ,L all Ell . f 1 1 1 iu� '��� R , J _ 1 - r r n : f r' r.l " . _ , 1 ^.--�+r•� 9� .. r � — _ �3 +t_ - {.. '•.� }�Ir'�s kr � tsse r : - ' y '� S i � e • �' l r ,+� `� ! � ) � � ! ` f � gam,. �vLe:; � �r �- -, -•�. -ii�^`*,•„`' �.. I_ . _-{I � r � ; .� _!.• .. ' �' 1.t LRR ir' _ � i:'I�i �S'"�1 LT�3 � �' •� �.� F !., t ^S ii. 1 , I � � ! � r III '. f�.ar +- x,+ •'.S, 1 F ..4 _'tiya s � 3 �.k ! 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I � '� ' � I ' 1 - - •: o,i..17 s }4, •5C , z. �• n 1 t I jjl F ; W 71 OL es w � I ••� � I -j ( � i n I. i. �n.�t'�r� t r �--• F j :.� 1(..,...� --,.-i_j i t; v � i � '`..I 1 � I __� ..�... -I , t l� r �6�=r-•-r� r ( � i � 1 ! 4 n ^+ t/f 1 � I j` � t i r sT':r •a�•.r. ..1 T�. _ ._. '... _..I _ � j r_ . � .17_.... ._. - -� — :1 = i � i - , , I '� , 1 I ��"� 1' ( i ISI •''C '� � , i I --:Y . ��: �. _.gip._— �m _�,�-_ � •-�.--;—)._...an :.j ��._�. �. ,.� . I � j , 7 ! - � _._ ... j .._i ` 40. i � • ' � •: rn Yit ' z int d• — i C , z t yt-' �' •�- ,� Y r' �" �� I �. i^b -m, _ Z .. _I dy- '[ 4� i i i - i ��+ �.'4 � tt Vir • ; . �,.J�ivq '....1 � �„ -�-_'fig }'Rfi �.. 1C i ' "."F��r.�1:/..:rt. .. ... ..t. � , r 1 i .1\•` 1 � : , .� �� .1:;+ I { , I + i I 1 j , r i .. • L .. of •'.6•A S:. r .<•...: t. ,.. . �,. _„ �..,� :.,� f �• ..,..- :, .. .,.� { �� :>- a- _"fit-'FilS , �! E ;}•a ,;'ii.'� � ,.x., lz Y, Y..- 4'`« ��� �Sh„..� :c ii�- �'.y.{ �#r::t• •t �.�„i'•. i. ..� _ .r -{. r r } . t z: ` tt i'.i f .z i„ _ } p,i_ '`a E t>i•.. ;j. - 1.. tg, :. ;7777; A .ta d Me — a rt t n 1 - - - •-- ------”—'- •- -•- ---•---- _ — ...:i' "�'i-:3/�tkY1''SSIJ'•'�bcti__b+°avi�.':'...1- t PPEON _ A t R_ ' rpp --4411 z ; c- +r ; k ' ' 1 { ', � t. .j- .rj- y .� ' t1 � t •t Z-X4' (ZgD1✓O(9���1J1` t t• i !. ! t } iyy _ _. ' _..._._ .. - -- F _ � 1 :ffi 1 ( -- i i •r i { ,'' L- .; i • s ! i - ,'y •,� �..� t t � ' r , t t ;3 Yf• �� 4}�X4'TlZtSSUlzC- SQA , M 1N. .__-_ - - -�1r_ t,. t i ce'[.-j - .. '-Ir - �" -"`_•. ?-------- -- . i __...-. . .- .. �4i.l.UAIA=•__��J►'i_oti�.10►s� ._._. .. �. _ ._ `�,�r. 6,- � t� _._ Dl- APPR �. •7 NOTE—All aterie�l�_ � V!!ockrnanshi M'R• � MR �O5E'tZT S hal - { Accordance' with �o i Ac r ; i r 1 Qn e aalr � Re: Good Practices_-..��•1 `l � S1 L!VCR lrE'�i K _ 77 q P� } ; ty escriiaed` ror I-ie 'Specifi��u __._�n�forn7 �uiid�rt-PS.�rshiez± _�'::_� _ _ - T q : he niC2 I-E ods-the T �. iON t L LE , g A- S ciG�_._... - - Fhe Notion al Elect -- —_ , _ 1 ri cal; d®. 5$_9 -4 7 , ;— — ° — i y —_ — t ? i s ' ! , �i I. — c�A �L y Fr. PERMIT NO. 3671-79B PERMIT EXPIRES /000, � Martin Hazeltine .:OWNER -CONTR. Holmes Mobile Home Serv.—Oroville 'LOCATION 34-63-24 (A.P. x 495 Silveileaf Dr lot 161, KR#l, Oroville 1 1 f f 4 T S' ti ,r7 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E A Temp. Gas Serv. Called PG&E" JOB 2 FINALED (Date) zvx�4 aUl, (Signature) stucco Final / Subpanels MeshfIANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final -f MOBILEHOMEUTILI IE ---------•-------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OB16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec: Continuity Water Piping Drainage Gas Piping DATE_ 94? --7/ REMARKS OR CORRECTIONS 0 i 2 4J /4 L YT) %2p -a --F �6 B o L'T'�S d ..! � - ins• 7 y o� �i.clv��. (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS' BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor `-L� a •� Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwal I Siding i ? To out Slab Roof SheathingWater Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaII Garage Vents y Insulation Water Htr. Heaters Slab Carport Footingsy Prov. for phsically handicapped Conformance of ex. structure Appliances Gas PI in & Test Temp. Gas Slab Final — Sanitation Patio FIREPLACE Final _ Footings Footinq ELECTRICAL Masonry Walls Throat Rough Reinf. SteelFinal Fixtures Bond Beam \ FIRF CPRINKI F C UM. - stucco Final / Subpanels MeshfIANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final -f MOBILEHOMEUTILI IE ---------•-------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OB16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec: Continuity Water Piping Drainage Gas Piping DATE_ 94? --7/ REMARKS OR CORRECTIONS 0 i 2 4J /4 L YT) %2p -a --F �6 B o L'T'�S d ..! � - ins• 7 y o� �i.clv��. (NOTE: An entry must be made on this form each time you visit the job site.) GZ)UNTY, OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPL' ICATI'0N AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Alh /71 $i nature of Permitee or Agent Receipt No.T 9� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 PUBLIC WORKS By Date BTiding permit expires Date la -2-1-ea BUILDING Owner 1 C SQ. FT. OCC. I BUILDING V UATION D Dv Mailing Address ,V zoq a. -u Telephone No. Contractor L, _ L1 _ Mailing Address C Fireplace Total Valuation �V 5 T lep one No. _ Permit Fee Z Building AddressPlan L E Checking Fee&/or Penalty Permit Fee g+.+ PLUMBING No.1 @ I FEE L -LL' CA PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. 3 — Q- Z(ning & Plbnning" Water piping 1.50 Each -gas water heater or vent 1.50 an tation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 Parking EQA Plans ParcelEach Declaration Parcel Map 60' R/W Improve nts additional outlet .30 Building sewer 5.00 1314. Plans Rec'd Parcel A royal Pla pproval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 B00V OR LESS Main service 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home, Others ❑ Main service EA. ADD'L 100 AMP 2.50 CK 10 % /_ i7 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. / DWELLING OCCUP. X1'1 •24,S ft OR ADDNS. % ACC. BLDGS, l q CONTRACTORS LICENSE LAW I am Licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under. the name style f NEW RES,.,Cc BRANCH CIRCUITS) NON -REBID ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTURES g L FIXED APLINIS Ex. Occup.(OUTLETSPRESID.)REA) 2.00 Temporary service 10.00 CE License No. Classification 01-40 1 Mobile Home Facilities 15.00 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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. have placed on file with the County of Butte a certificate of Lam -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. 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 Land Development Fee $ TOTAL PERMIT FEE $ r' authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Alh /71 $i nature of Permitee or Agent Receipt No.T 9� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 PUBLIC WORKS By Date BTiding permit expires Date la -2-1-ea COUNTY OF BUTTE – 'DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 n Telephone: 534-4541 �4P % — 7 APPLICATION AND PERMIT -*-"%/ Owner (Vl IF141-N-) Vy 1��� V-7 I Mailing Address CA G3 / Telephone No. Contractor lko`tw,,-Z�S Mailing Address SL\ 0(10ukuu�c- 1, C A - Building Address L 9 (; - ,St `U w)' Oe-oukut-F, i LaL. l\."e Lko(� V e A. P. No. 3Lk-(0—�>-2_L1 oning& Planning F40SI VA<YaXn61tati3o>n Fire Dept. Fire Zone Use Permit EQA I Parking I Parcel Parcel Ma 60' R/W I Improvements Plans Declaration P p ovements Bldg. Plans Recd I Parcel Approval I Plans Approval NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ -2� (D (Avv`EP G Arc I'z Wi_y w t� t2 fi p Q_1(4-\yN� To 64'4Q* GQ :- Single Family ❑ Duplex ❑ Mobil Home Others ❑ 16/ 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: ke-AW\:N--_S 11kWo tl£ IAOVVOE�_ S�2Ulc,� License No.�Z\^��� Classification C I am exempt from the Contractors License Laws of the State of California. 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. rVI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for ins(pe tion purposes. X 1, —� ��z--� J �/ Date Signature of Per eeor Agent 2 Receipt No. O[ G White-D.P.W. — Yellow -Assessor — Pink -Inspector - Goldenrod -Applicant _ BUILDING / / SQ. FT. I OCC. I BUILDING AUJWTION Fireplace $ Total Valuation ELECTRICAL No. @ Permit Fee PERMIT FILING FEE $3.00 Plan Checking Fee &/or Penalty Main service 100 AMP OR00V OR SLE'S Permit Fee Main service PLUMBING No. @ FEE PERMIT FILING FEE $3.00 C9U Each Trap 1.50 EA. ADD'L 100 AMP Repair drainage or vent piping 1.50 NEW CONST. ( ADDNS. NEW CONSTR .nN_ Water piping 1.50 , �O Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ QD ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR SLE'S 5.00 Main service EA. ADD'L too AMP 2.50 Main service OVER 100 AMPP OR LESS O 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( ADDNS. NEW CONSTR .nN_ ACCL SL uP. y) DWEOR UL 1. UTL T BRANCH CIRCUITS)l 20sq ft 12.50eal Ex. OCCUp(OUTLETS OR FIXTURES bu A= BAL O IC FIXED APLNS EX. Occup.( OUT ETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirina 6.25 Permit Fee $ MECHANICAL M$3.00 PERMIT FILING FEE Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or -resolutions to do work indicated above w .„7 . which fees have been paid. VFEC,7T068/JbF PUBLIC WORKS • B Date `� Building permit expires Date 6--a-I--, PERMIT NO., 1545-79P,E PERMIT EXPIRES OWNER Martin Hazeltine CONTR. owner LOCATION (A.P. 34-63-24 495 S'ilverleaf Dr., Lot 161, KR#1 ,0roville t e Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E t . OB �FINALED (Date C (Signature) Mai Bldg. Fo in s Stem II Slab Piers _Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Wall; Relnf. Stee Bond Beam COUNTY OF BUTTE -r DEPARTMENT• OF PUBLIC WORKS. "BUILDING INPPECTI-Ok-A FORD BUILDING " .iUILDfNG"(Cont'd) PLUMBING ewall Al Piping Pakpets Vt Floor Rest om Finish 21V6Floor Windo 3r Floor Sidin To ou Roof Shea In _ Water ApIng Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for ph sicall handica ed Conformance of ex. structure Appliances Gas Piping &.Te ll Temp. Gas Final x Sanitation FIREPL CE Final Footing s Na ELECT AL 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 MOSILEHOME UTILITIES ------------------ Elec. Service ,r Elec. Pedestal _J00 Water Piping L/ �`� ' SewerG -/ -� S'i Gas Piping M0016EMOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity `.. Water Piping V �L`Y "'� Drainage Gas Piping® DATE �- l - > ( 7'o d020 REMARKS OR CORRECTIONS .3aa.4 .,/I�b GAS ." A/0 /0 A(b r r (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number-!/ J' %i` Li% for the following location: - c, Owner Owner's Address Mobilehome Mfg.ModeL' `i Year Insignia No. � ������� s �.% Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By ' THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owrer,'Yellew - Installer, Pink - D.P.W. MOBILEHOME_INSTALLATION .INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot.lines and buildings and generally conform to plot plan? Yes_ No 2. Does the mobilehome have required clearances above `ground? (Sec.5085) Yes 1L1BPe' 3. Are footings and supports properly sized, spaced, and braced as pew approved plans? (Note possible variation at spring shackles.)- (Sec. 50 2-& 5083) Yes, 'No 4. Is the mobilehome level. (Sec. 5088) Yes No 5. If more han a single unit, are crossover connections properly installed?.(Sec. 5088) Yes No 6. Water A. 'Is flex le connector of'adequate size.and properly installed:(1/2" ID min.)? (Sec. 5566) Yes No - B. Test.-. Does water piping withstand working pressure or 50 lbs. air test? Yes o .,. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes No -� 7. Wastes and Drains A. Is connection made with Schedule :40 DWV and have flex connectors,at each end? Yes--'Ro B. Does it have minimum" per foot slope and is it properly supported? Yes-L!TTo C. Are any leaks detected in drainage system after.running-3-gallons of water through each fixture including washing machine standpipe?,.Yes No L� In coach is not State of California approved; does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is obilehome connected/'heaosy-with an approved 3/4" minimum mobilehome tonne for not more than,6 : All piping is to be at least as. large as the mobi, home gas line intions other than the mobilehome connector. Yes oB. Test OK��as <per�'followin rocedure?-1. Open all appliance con ctor va 2. Shut off appliance burner a ilot valves. 3. Air test with manometer 10"-14 at column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) ca rated in to pound increments. Test for 10 min. without drop. 4. Connect gas meter o mobilehomewith connecto turn on gas, test connections with soapy water. C. Are all appliance ents properly installed? -Yes No 9. Electrical - y A. Is service large enough to provide adequate,,amperage-to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and .other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes 1__.�o B. Is there proper clearances around panels? Yes �-0 C. Is power supply cord or feeder assembly properly fused? Yes D. I,�continuity test satisfactory as per the following procedure? Yes��e� �. De -energize electrical wiring system of the mobilehome at,the pedestal. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. Switch all breakers and switches in the mobilehome to the "on" position. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5,1 All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. ..O./Upon completion of the above procedure, the'power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity LL test shall then be made between the grounding electrode and the chassis of the. mobilehome. Upon satisfactory completion of.theelectrical tests, the lot or site service equipment may be approved for energizing. s job card signed by Health Department for water and sanitation? 11/ If everything okay, sign�off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle 60440e"� - > Length L/4 Width �'� tcJ� `�a i` a c6 VW, Vehicle Serial No. S q/9-? State Identification No. CA JO3,Yq-1—14-aTV�4(��SC� Additional Information or Comments: COUNTY OF BUTTE -~ DEPARTMENT OF PUBLIC WORKS , M 7 County Center Drive - Oroyille, California 95965 s� . Tel ephohe: 534-4541 APPLICATION AND PERMIT authorize represent ves// f the Countyof Butte to enter upon the above-mgtio pert or inspection purposes. X--Dat-'(- i tee Dat itee or gent J Receipt No. 3 ,5 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above fQLwhich fees have been paid. /') eDIRECTORAF PUBLIC WORKS BUILDING SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Gndo Al /C Mailing Address -7 � AeV0-1C V C t Fireplace Total Valuation Telephone No. Permit Fee Building Address � J� Plan Checking Fee &/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. r % i ftoning & Planning Water piping 1.50 Each gas water heater or. vent 1.50 Fees �arlitatbii Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel .eclaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 _.E IW neec d Parcel p,ZA proal Lawn sprinkler system 2.00 NEW gg' ADDITION ❑ UTILITIES ❑ OTHER '&g Permit Fee $ Jul — ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 601V OR LESS 100 AMP OR LESS 5•�� - Single Family ❑ Duplex Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50 _ e�.—• a a•( Main service OVER e00V 25,00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST DWELIN. OR ADDNS. ACCLBLDGS.CCUP. Y� 22 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: 4 A4 C_ NEW CONSTR. MULTI.OUTL T NON.RESID BRANCH CIRCUITs� 2.50ea NEW CONSTR. (POWER APPARATUS & NON RES,D. (SINGLE OUTLET CIR. Ex. OCCUP(OUTLETS OR FIXTIIRES B �• Ex. Occup. (OFUTLETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.27f(W Classification 6 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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 �Workls Compensation. laced on file with the County of Butte a certificate of on's Compensation Insurance. r -1I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee X4 14 1 $ $ �0 O( 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 relatiRa to buildina construction. and herebv Land Development Fee $ TOTAL PERMIT FEE $ 35> 10C authorize represent ves// f the Countyof Butte to enter upon the above-mgtio pert or inspection purposes. X--Dat-'(- i tee Dat itee or gent J Receipt No. 3 ,5 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above fQLwhich fees have been paid. /') eDIRECTORAF PUBLIC WORKS ti BUTTE COUNTY .DEPARTMENT .OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET .1. Owner.'s name:. /�.� z£c 7 •• Al C.. 2. Installer's name: ffC.00 0( ci A4 e—. 3.. Is the. site currently under permit? Yes No (If yes, furnish permit number ) ' OR Is the site an existing site? Yes / ✓/ No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be'located at least 5 ft. away from septic tank and leach fields and " clear of all setbacks and easements? Yes No (If no, clarify ) 5. -What is'the mobilehome electrical rating? ------------------ Amps 6. What is the mobilehome site service rating? --=------------------ v� 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.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe Ilength from meter or tank to the mobilehome? (ft.) 12. :What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length.less, than 6_ft.,on natural gas -or less than 50 ft. on LPG.) _ r y — ro (ft -)(in.) (ft.)(in.) M Y, � (ft.)•I (in.� o !r --Tagalong or Expando, show support details. (in.) (in.) x 3 •. -- .Typical Support lav -17x30 (in.) (in.) Footing Size Ic' (in.) (in.) --Mjx. Pier Spacin *If center piers are other than drawn above, draw in locations, spacing, and dimensions. (ft.)(in.) �& -- Ma Uverhang (ft.)(in.) v BU COUNf�r BUILD DEPARTMEN K- A VED W Footings, (check, one) MOBILEHOME SUPPORT DATA ' If other than single wide Mobilehome Mfr. nr l -Cr /G57 furnish Setup Model No. (!I/ T Year Width-g-�_(ft.) Box Length V9 il (ft.) Tagalong or IExpando Size 2 y ft. x UG ft. (SHOW SUPPORT DETAILS BELOW) 2. Other (specify) Center support Center support 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). (in.) All center supports measured from front of 1: Concrete block. V. mobilehome unless otherwise specified. 2. Other (specify) (ft.)(in.) (in.) (in.) y — ro (ft -)(in.) (ft.)(in.) M Y, � (ft.)•I (in.� o !r --Tagalong or Expando, show support details. (in.) (in.) x 3 •. -- .Typical Support lav -17x30 (in.) (in.) Footing Size Ic' (in.) (in.) --Mjx. Pier Spacin *If center piers are other than drawn above, draw in locations, spacing, and dimensions. (ft.)(in.) �& -- Ma Uverhang (ft.)(in.) v BU COUNf�r BUILD DEPARTMEN K- A VED W Footings, (check, one) Single F� 1. Wood either A A pressure treated or x foundation grade. (ft.)(in:) (in.) (in.) 2. Other (specify) Center support Center support locations* footing sizes Supports (check one) (in.) E] 1: Concrete block. V. 2. Other (specify) (ft.)(in.) (in.) (in.) y — ro (ft -)(in.) (ft.)(in.) M Y, � (ft.)•I (in.� o !r --Tagalong or Expando, show support details. (in.) (in.) x 3 •. -- .Typical Support lav -17x30 (in.) (in.) Footing Size Ic' (in.) (in.) --Mjx. Pier Spacin *If center piers are other than drawn above, draw in locations, spacing, and dimensions. (ft.)(in.) �& -- Ma Uverhang (ft.)(in.) v BU COUNf�r BUILD DEPARTMEN K- A VED W I . ` COUNTY OF BUTTE DEPARTMENT OF PUBLIC WOR A 7 County Center�D`ikve N= Oroville, California 95965 Telephone: 534-4541 / APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X / e_ i6rhl / ate 3 / Signature of Permitee or gent Receipt No. ,Z" White-D.P.W. — Yellow -Assessor — ink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date 3- y 7 - 7 B ilding permit expires Date 7- BUILDING OwnerMartin M. Hazeltine SQ. FT. OCC. BUILDING VALUATION Mailing Address 31 Haven Drive Daly City, CA 94014 1415-992-5495 Telephone No. Contractor OWNER Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address 495 Silverleaf Drive Planng Fee&/or Penalty Permit ee Permit Fee Oroville, CA 95965 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 00 Each Trao 1.50 Lot 161, Unit 1 — Kelly Ridge Estates Repair drainage or vent piping 1.50 A. P. No. 3463 — 24-) P�% i o Ing & anning Water piping 1.50 0.00 Each gas water heater or vent 1.50 W S ation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel M 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Q,00 Bldg. PI eed Parcel royal ans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES® OTHER ❑ ' Permit Fee $ , 60 Is Ui7 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ' 00 Main service 600v OR LESSpp 100 AMP OR LESS 5.00 S- 00 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % ACC`BLDGS.LING Ccup, Y) 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business 8 Professions Code under the name style of: T NEW CONSTR. BRANCH CIRCUIT NON-RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. /POWER APPARATUS B NON.RESID. (SINGLE OUTLET CR. Ex. Occup (ourLETs OR FIXTURES B @L 1@ FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) - 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 S.p0 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ,.:U $ MECHANICAL No. @ 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. ❑1 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 461 permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ Land Development Fee $ $ 05 TOTAL PERMIT FEE $ 7 3 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X / e_ i6rhl / ate 3 / Signature of Permitee or gent Receipt No. ,Z" White-D.P.W. — Yellow -Assessor — ink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date 3- y 7 - 7 B ilding permit expires Date 7- .� LOT 161 NOTE -.—All Materials & Workmanship Shull Be in e in the UNIT Accordance with Recognized Good Practices and of a quality prescribed for the Secficd us es and f ZEL_;7_-'%V,E Uniform Building, Plumbing & the National Electrical Cade. This set of plans and speci0r�.ations- ►Vi UST ht: d '►.t s - kept on the job at all times f— r a4t _r ' ns on dame make a=ty chances o. ripen pc rmi 3iotl from -the 1epartment of lic Works, Colxnty of Bu; �- The BWg. Setback shall be E ' side property line and 50 centerline of the^road, peri -i, mum of a 2 ft. eave overhang out of all easements. C�- 0' All utility conne,ctic'gi located within 4 ft. outl"c third section of the�PIc on the left (road) siA� of home. % l7:T%L:%TY "LOGIT/:O�/.S i2 O X: - n/O T " TO S C /-I Q 7Eh/__�- _A Z'-:._C.0A /_?e required f tor CD he mobilehorne a N BUTTE COUNTY BUILDING DEPARTMENT APPROVED COUNTY 0I' BUTTE Department of Public Works 7 County Center Drive Oroville-----534-4541 `n ELECC1TRICAL INFORMATION FOR DE -RATING MOBILEHOMES Owner Location ��(5 ��A V Q0ou)- �l 5 (0 S Mobilehome.Installation Permit No. Sub -total - Watts .. �'�Z (ti 32- First 10,000 watts @ 100% ................................ = 10,000 Remaining 3Z , (o3z watts @ 40% ....................... = 13 O SZ 10. Air Conditioner V\. C> wG watts @100%.. = ) Largest Demand = 4 3 SZ Central Heat System ZZ•08c�>. watts @ 65%.. = M, 3 SZ ) TOTAL DEMAND WATTS REQUIRED 3__.90q "Demand Watts Required`- 230 gUT.i.E De -rate Mobilehome to 80LDING DERARTIMW' ' • • • ' APPROVED l b Z AMPS l _�_C) AMPS FILL IN INFORMATION FOR ITEMS 1 THRU 10 24 Y Ltd _ ?_OI (D Watts -,I-`I0 1. Width x Box Length x 3 = (Q O L�G 2.. 2 Kitchen Appliance Circuits ................. = 3,000 3. 1 Laundry Circuit ............................ = 1,500 4. p,. 7:�.o Ovens :.'�:�1.. ......................... = 5.' Cook Stove Top 6 S : ..... q. .c w .......... . = i3 `k D-0 6. Hot Water Heater ............................. _ 4 5 0 d _ R awLP ,� L e v e _�,5.- 7. Dishwasher & Disposal ................... 8. Clothes Dryer, ....... ........ .... _ 9, Other (specify, i.e., motors, exhaust fans, etc.) Sub -total - Watts .. �'�Z (ti 32- First 10,000 watts @ 100% ................................ = 10,000 Remaining 3Z , (o3z watts @ 40% ....................... = 13 O SZ 10. Air Conditioner V\. C> wG watts @100%.. = ) Largest Demand = 4 3 SZ Central Heat System ZZ•08c�>. watts @ 65%.. = M, 3 SZ ) TOTAL DEMAND WATTS REQUIRED 3__.90q "Demand Watts Required`- 230 gUT.i.E De -rate Mobilehome to 80LDING DERARTIMW' ' • • • ' APPROVED l b Z AMPS l _�_C) AMPS