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HomeMy WebLinkAbout069-130-01769-13-17 i OTTO & LEONA DEZMAN 53�i I. Silverleaf Dr, lot 175 KR��1, Orovill Contr. Oro Ridge Properties, Inc ermit#21A4-83P,E(u*til, MH) ELEC &-/7- GAS /2-GAS6-/;?- ....... COMPACTION ZEST R� ✓E S o�� SUPPORT STRUCTURE R 69-13-17 VIVO Contr: Oro -Rid a Properties------ : --_ Permit#2743-83p(gas piping/MH) Contr• Oro69-13-17 Ridge properties Inc. Peri�-'t#2757-83MHI I�-ued ontr : Acro Lume 69-13-17 Permit#3217-83B(new & carport )MH pywn�La /inJs, declz 4 I 1 CW i i4') F , APERMIT NO. _ 3217-83B C� PERMIT EXPIRES / 2, Q OWNER OTTO DEZMAN CONTR. Acro Taime ASSESSOR PARCEL 69-13-17 LOCATION 523 Silverleaf Dr, Oroville _ Temp. Power Pole r Called PG&E 1 Temp. Elec. S Called PG Temp. Gas Sei 0 Called PG JOB FINALE[ Signature o F , APERMIT NO. _ 3217-83B C� PERMIT EXPIRES / 2, Q OWNER OTTO DEZMAN CONTR. Acro Taime ASSESSOR PARCEL 69-13-17 LOCATION 523 Silverleaf Dr, Oroville _ Temp. Power Pole r Called PG&E 1 Temp. Elec. S Called PG Temp. Gas Sei 0 Called PG JOB FINALE[ Signature J OK 0 = Not OK — - Not Applicable Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 44'-_ZoniD@ Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch ootin s; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete _ ecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) ood A Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing_ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete _ 5 m. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; LocatiorrTest—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG , ' ows—Doors 7. Utility Clearance Card -BI Date Card -BI Date C r ate Card -BI Date Card -BI Date Card -BI Date C r I _ Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date _ POOLS (Plans) OK exc pt N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Elec..; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer. Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'7Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card B -I Date Card -BI Date Card B -I Date Card -BI Date V = OK 0 = Not OK - = Not Applicable * = Not Ready i RESIDENTIAL �(Sing le and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg.'Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth - 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test - 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear.Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting _ 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access �18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels -` 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth - 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Perrr.it OK except q's 66. Elec. Outlets &Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper --- 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection __- 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location _ 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. - 23. 24. Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails &Deck Construction -Post Caps - 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes 0 N 75. Following insild.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No ` 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet ` ---- 30. Clothes Closet Light -Shower Light - - 78. Vents Above Roo(; Plbg.-Appliance-Firepl.-Clearance to Opngs. --- --------------- 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Card B,l _--_Date _- _ Card -BI -- Date Date Card -BI Date 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. 84. 85. _ Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval - 31_ A.C­. Ducts: Insulation & Support _ 32. Vent Fan_Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ _33. 34. Condensate Drain & Overilow; Size & Grade Furnace-Vent;_Access-Comb._Air-Return Air Vent -115V outlet Card -BI Card -BI 35. ---- -- Attic Access & Platform if Furnace in Attic - ----- -- - Date Card -BI -Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except N's _36. Sills; Proper Material & Anchors_ _ 37. 38. 39. _ Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor_ Nailing___ Draft Stop in Walls (rat proof) _ 40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing_ Hangers -Post Caps -Anchors -Connectors -` -Roof ac._-Trus_s-Shlhng.-Rfng--- Cing. Joist-Ritr. Ties-Purlin Br Fireplace Ties or Type A Flue -Fireplace Throat - - 45 Attic Access: Size &_ Romex Protection -Draft Stop -Ins. Baffles - 46. 47. 47. Bdrm._Windows or Exiting Doors -Sill Hgt. & Dimensions______-, imensions_-- Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit jobsite) COUNTY OF BUTTE - DEPAF° ;MEN' OF PUBLIC WORKS 7 County Center Drive - Oroville,�alifoWa 95965 - Telephone 916/534-4541 APPLICATIDN ANBD PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER _)B_ I ZONING' BUILDING PERMIT OWNER i"?o ' �.Z"19 Jo TELEPHONE -F SO. FT. OCC. BUILDING VA ION ?_q(IOWNER'S MAIL( ADDRESS S'23 6 L vC f= . '- P-0 L) ALL.<_. 2 0 COARACTO 'S N& u ' -7 -1 CONTRACTOR'S MAILING ADDRESSeo NZ7f9—Z VLv Fir CONSTRUCTION ENDER UNKNOWN Total Valuation $ !� Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ -75-,6a ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $�r Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ f� C BUILDING ADDRESS i � v � t � It � f-- (�2es v 1c. L K PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LO NO / SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE O STRUCTURE SF ❑ Duplex❑ Mobilehom Other SPECIFY Building sewer Lawn sprinkler system 4:�_00 TYPE OF WORK Ne Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe workRe't7114-TY11-16. (i)?my 4tuk 4Aj. here --r III) �l '1 .cko 02 131X $ 1Z 1 3y$ 0_o0 29-0 )0 auCA,(1)'� X 3-2 1A� /00_0 `L Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 BOOV OR LESS Main service 100 AMP OR LESS 5.00 F4-0)6 ®,ee �1ly C� ���d�Gb(y(l�� dDn JL C C 7L 13 y� Main service EA. AD 100 AMP 2.50 IN NEW CONST. DWELLING OCCUP.si' OR WA!? ACC. BLDGS. NON -RESIT R. BRANCH C'IRCTITS 20sgft 2.50 ea CONTRACTORS LICENSE LAW CAe'D0e � _,C,4 r I declare under penalty of perjury (check one): ' ®�L$%tib ❑ 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. ��I Classification C-- . El1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. / POWER APPARATUS IN NON•RESID. (SINGLE OUTLET CIR. Ex. OCCUR(OUTLETS OR FIXTURES 50@25 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 •eep�tarmiess the County of Butte against all liabilities, j dg ts, cos ,and exp nses which may in any way accrue again i n In quence of the granting of this pe mit. X Date `1 ' SignatU o App nt — Owner ❑ Contractor Agent An OSHA Permi is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occuP. GROUP �_ I TYPE OF C ST. �i PAR L PD 1 7 ND ss This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI TOR PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS D tITE-D.P.W.. :Receipt No. 6-7 YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS r' bb 196 Memorial Way, Chico — Phone: 891-2751 1 7 County Center Drive, Orovi Ile — Phone: 534-4541 Sky1✓va'f d Elliott Road, Paradise — Phone: 872-2961, Ext. 57 � ,CORRECTION NOTICE 'I�C7 At14�� BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or n-�eed�additional explanation, please contact this office immediately. I a 0 J Inspector Date 4 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER 'PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. -JqB FINALE[ Signature ,:_,,.�, • 2464-83P,E(MH) PERMIT NO. PERMIT EXPIRES OWNER OTTO DEZMAN CONTR. Oro Ridge Puperties t ASSESSOR PARCEL 69-13-17 LOCATION 536 Silverleaf Dr, lot 175,KR#1,Oro a x n Y I, Temp. Power Pole j Called PG&E i Temp. Elec. Service Called PG&E Ito 1F . Q q/ Temp. Gas Service r F�, J Called PG&E od LD -JqB FINALE[ Signature J = OK 0 = Not OK — = Not Applicable MOBILEHO/y1ES MISCELLANEOUS = Not Ready Date MOBII�•ROME UTILITIES •(PI OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's Zoning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3 e ; Location—Test—Fall-C/0—Concrete _ 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails to , Location—Test—Easement Needed (Sketc 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing_ 5 lectricity; Location—Clearances—Grnd.— Amp—Concrete _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures oca ion— —W /"L"ft. /'Vet -or/ /"L"fl./ /' L 6. Carports; Windows—Doors tility Clearance 7. Elec. Ca I ate i1>7 • and -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILFHOME INSTALLATION (Plans) OK except N's Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N's ? oning Requirements—Setbacks—Easements 1. Setbacks—Easements 2 ootings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability Gas; MHT —Demand—Val—Conn2dfor 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining lectricity; MH Test—Crossovers—Bre kers—Clearances _ 4• Elec.; Receptacles and Lighting; Distances—GFI 5. Drain Test—Fall—Flex Co for 5. Elec.; Pool Lighting; 15 volts—GFI 6t,,Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7{ Wa and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit s; Insp.—Sketch Ce . of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card Date Card -BI Date ` t Card -BI Date Card -BI Date d B- Date -/ Card -BI Date' Card -BI Date Card -BI Date YS j � 1 V = OK 0 = Not OK - = Not Applicable RESIDENTIAL -(Single and Duplex) * = Not Ready Date UNDERFLOOR Plans OK except#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /'• Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic _ 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. 11. Water Pipe; Test -Anchors -Regulator -Service Test Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector Card -BI Date PLUMBING 14. Date Card -BI Date (Permit) OK except #'s Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails _ 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper - _ 20. 21. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights &Switches at Doors 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 - 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. - 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes 73. Guard Rails &Deck Construction -Post Caps - 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - - 26. Subfeed Wire Size i / ga. Cu or AI-A.C. Wire Size / / ga: Cu or All 27. _Insulated Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Neutral ❑Yes [I No 75• Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes 1_J No - 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish _ - 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - 30. Clothes Closet Light -Shower Light - 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. --- --------- --- 79. Water Well; Disconnect, Electrical, Plumbing -----.- 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B-1 Date_ Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except #'s 83. _ _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric _- 31. A.G. Ducts; Insulation & Support 85. Water & Sewer Connected -C/0 to Grade -HD Approval _ 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain _& Overilow; Size & Grade 86, Energy Compliance Certificate -Other Certificates --_34._Furnace-Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI-- .Card -BI --- -.-- ------ -- ---- D_ate---� Card -BI - Date -Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date FRAMING(Plans) OK except #'s Comments at Final: 36. Sills; Proper Material & Anchors _ 37. 38. 39. _ _Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor_ Nailing___ Draft Stop in Walls (rat proof) _ 40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header _&_Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp _ Fireplace Ties or Type A Flue -Fireplace Throat _ - 45. 46. 4'i. 47. Attic Access_; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing 11 (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY;40F,_PWTTE DEPARTMENT OF PUBLIC WORKS f 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 51 under permit number for the following location: Owner fi77' 11-� iZi /l AT% Owner's Address tfs'1�fa Mobilehome Mfg. Model Year Insignia No4fil - 4/9 Serial No. ✓`-� It is hereby certified for occupancy at the above described location and may be occupied. Director-of Public Works Date _ � � $ Z20, poyk f-1 - THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICA71ON AND PERMIT ASSESSOR PARCEL NUMBER 69 — 13 '— 17 ZONING BUILDING PERMIT OWNER Otto W. Dezman & Leona A. TELEPHONE SQ. FT. OCC. BUILDING VAL OWNER'S MAILING ADDRESS 1379 Pam 122 CONTRACTOR'S NAME TELEPHONE n-rn EJ i589-0152 CONTRACTOR' MAILIN ADDRESS 5263 Royal Oaks Drive Oroville, CA. 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ f15,&0 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 2S BU4L I G ADDRESS J gilverleaf Drive PLUMBING PERMIT Filing Fee 10.00 Oravillp, CA, 95965 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. 175/1 SUBDIVISION NAME Kelly Ridge Estates PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 -5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehom1P Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installations Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.& t OR ADONS. \ ACC. BLDGS. 220sq ft 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. 9256.6-6 Classification B—Gen. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2.50 ea NO D. BRANCH CIRCUITS) NEW CONSTR. /POWER APPARATUS &) NON-RESID. %SINGLE OUTLET CIR• EX. OCcup(OUTLETS OR FIXTURES g.0L@ 30 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. EX I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against F•abilities judgments, costs, and expenses which may in any way accrue a st Id o ty in consequence of the granting of this permit. t Cj /a1 _S 3 X Datey oC Signature of Applicant Owner Contractor j7(J Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 7fir OCCUP. GROUP I TYPE OF CONST. F PARCEL PD FD 5911 This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT PUBLIC WORKS By Date PERI! EXPIRES Date !� Receipt No. lye 77"��?fit' -• WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: Otto W. Dezman 2.' Installer's name: Oro Ridge Properties, Inc. 3. Is the site currently under permit? Yes / X/ No (If yes, furnish permit number 246483 (MH) ) OR Is the site an existing site? Yes / / No / X/ Lot 175, Unit 1 (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 / X/ No (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) (If no, clarify ) ( ) 5. What is the mobilehome electrical rating? ----------------------- 200 Amps 6. What is the mobilehome site service rating? --------------------- 200 = Amps 7. What is the mobilehome site circuit breaker rating? ------------- 200 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) -0- (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 3/4 (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 34 (ft.) 12. :What is the.mobilehome gas demand? -----=------------------------ 134,000 (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA F If other than single wide, 19. Mobilehome Mfr. Lancer furnish. Setup Model No. Year Width 24 (ft.) Box Length 60 (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of 12 x 30 mobilehome unless otherwise specified. 3Z1 Footings (check one) Single ® 1. Wood either AA pressure treated o foundation grade. 1'-0" 12 x 30 show support details. ® (ft.)(in:) (in.) (in.) Fj 2. Other (specify) Center support Center support (ft.)(in.) locations* footing sizes Supports (check one) (in.) 1: Concrete block. 12 x30 E] 2: Other (specify) 21'-6" 12 x 30 3Z1 ¢---Tagalong or Expando,' show support details. ® 24 30 (ft.)(in.) (in.) (in.) 12 x30 -- Typical Support (in.) (in.) Footing Size 45'-6" q 124 x 30 jj (ft.)(in.) (in.) (in.) 5'x6" -- Max. Pier Spacing (ft.)(in.) 1 x0 12 x 30 -- Max. Overhang (ft.) (in.) (in,) (in.) 1`x0" (ft.)(in., . 27 �-g3 BUTTE COUNTY BUILDING DEPARTi EN! If center piers are other than drawn above, A,� � " 0 V`P. D .raw in --locations, spacing, and dimensions. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT AZ OWNER Otto W. Dezman and Leona A. TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1379 Sunbeam Circle San Jose CA. 95122 CONTRACTOR'S NAME Oro Ride Properties, Inc. TELEPHONE CONTRACTOR'S MAILING ADDRESS 5263 Royal Oaks Drive, Oroville, CA.95965 Fireplace CONSTRUCTION LENDER NJA UNKNOWN Total Valuation $ Filing Fee $ 10.00 LE'N ER'S MAILING ADDRESS lV A Permit Fee $ ARCHITECT OR ENGINEER N/A LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS N/A Permit fee $ BUILDING ADDRESS 536 Silverleaf Drive PLUMBING PERMIT Filing Fee 10.00 Oroville CA. 95965 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. 175/1 SUBDIVISION NAME Kelly Ridge Estates PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF El Duplex❑ Mobilehome�ther SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e �eQ� TYPE OF WORK New❑ Addition Remodel❑ Utilities Install tion❑] Other El Describe work: JJVic a VW -23 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 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. I 2/20sgft 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 Code and my license is in full force and effect. License No. 295666 Classification B—Gen. ❑ 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 Cade for this reason NEW CONSTRULT'-OUTLET 2.50 ea NO BRANCH CIRC ITS NEW CONSTR (POWER APPARATUS &I NON-RESID. SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES ;A 5 o¢ Professions FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. EX I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countybt 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, ments, costs, and expenses which may in any way accrue ag t said ount in consecNence of the granting of this permit. X Date Signature of Applican — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -T ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND 1550E This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. R OF PUBLIC WORKS By. Date E PERMIT EXPIRES D e O r Receipt No. �SE / -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT WNITE-D.P.W., YELLOW -ASSESSOR, II 8-10-8'3 G.T�/q. ra ser��� Pray G064 7/9N . J RIM I fully understand that pursuant to et seq of the Business and Professi or finance the area on'or adjacent the applicable laws and -ordinances, therefore, subject to the aforesaid Further, this statement shall be pr of the County of Butte. I' erg ENGINEERING -. ARCHITECTURE SURVEYING PLANNING 463 ORO DAM BLVD., SUITE M August 9, 1983 Mr. Jim Glander Assistant Director of Public Works County of Butte 7 County Center Drive Oroville, CA 95965 RE: COMPACTION TEST, KELLY RIDGE ESTATES UNIT #1, LOT #175 Dear Jim, OROVILLE, CA. 95965 (916) 53.3-2068 Enclosed please find two (2) copies of compaction test results taken for Mr. Doyle Carter, Kelly Ridge Estates. Results indicate that the fill has been constructed in excess of 90% relative density. Also attached is a location map of the site. Please call if you have any questions. Sincerely, G.D.A. ENGINEERING, SURVEYING & PLAN ING /— Kenneth C. Lenhardt, P.E. KCL/ j m Enclosures CC: Doyle Carter 115-83 WILLIAM W. GEDDIS - DAVID R. DRISCOLL - JOHN D. CHRISTOFFERSON - KENNETH C. LENHARDT /Vo LOT. 175 UNtT 1 Z d,3 4. CAI -- t: V\s o'I ENGINEERING I*- 463 ORO DAM BLVD. I i UCL EA R SURVEYING : SUITE M PLANNING , D OROVILLE. CA. 9S965 r T Y T r 51 ES (916) 533-4068 • •D -EJ " " " MODE ASTM D-2922 ASTM O-/557 � EST /J�4TE / REL REti' /EATER/AL / 1101ST WET DRrMAxnRY % - DEPTH CONT P. DENS P.C.f DENSA101ST P.C.F DENS OPT. TIV DENS TEST LOCATION .F R.C.f MO1ST. I 8%2/83 STD/8" P1.9 125.4 13.2 124.8 100.4 N.W. cor pad - lst lift Q 8/2/83 STD/8" 18.31142.6 124.3 14.7 124.8 99. S.W. cor pad - 1st lift 3 18/2/82 STD/8" 18.4'129.61111.2 16.5 124.8 89.1 N.W. cor - 2nd lift 4 8/2/82 STD/8" 18.2 139.5 121.3 15.0 124.8 97.1 S.W. cor - 2nd lift 5 8%3/$3 STD/8" 18.6 137.4 118.8 15.6 124..8 95.1 Middle - 1st lift 6 8/3/83 STD/8" 18.9 133.0 114.1 16.6 124.8 91-A N.W. cor - 3rd lift 7 8/3/83 STD./8" 18.6 134.2 115.6 16.1 124.8 92.6 S.W. cor - 3rd lift 8 8/5/83 STD/8" 18.9 125.0 106.1 17.8 124.8 85.0 N.W. cor - 4th lift 9 8/5/83 STD/8" 18.7 131.2 112.5 16.6 124.8 90.1 S.W. cor - 4th lift i� 8/5/83 STD/8" 18.8 127.6 108.8 17.3 124.8 87.1 Middle - 2nd lift 8/5/83 STD/8" 17.8 139.4 121.6 14.7 124.8 97.3 N.E. cor - 1st lift d2 8/5/83 STD/8" 16.8 131.8 115.0 14.6 124.8 92.1 S.E. cor - 1st lift �4 F5 COt1T1E#r CL /Ex T Doyle Carter PRO✓ECT Desmond lot 175 Siverleaf ✓OB Xo. 115-83 REf- OPERA TDR Ken Lenhardt GM ,,_IO -.JT-RANSMITT AL ENGINEERING cHR�S,oA 463 ORO DAM BLVD. • y a DATE. August 10, 1983 JOB NO.: 115-83 SURVEYING o (7 m SUITE M PLANNING u DA z OROVILLE, CA. 95965 SUBJECT Compaction Test for Doyle Carter (916) 533-2068 �QV A10' Kelly Ridge Estates Unit 1 Lot 175 T0: Butte County Public Works ATTENTION: Jim Glander FOR F—I Other Remarks 0 Your Approval Q Checking Q Your Files 0 Signature Q Follow Up 0 Per Your Request. Copy To: _ By JM IF .THE ENCLOSURES ARE NOT AS NOTED, KINDLY NOTIFY US AT ONCE. (—) Revision F-1 Your Information Q Recording ENCLOSED FIND THE FOLLOWING: [� HEREWITH [] UNDER SEPARATE -COVER VIA ................................................................................ Q Tentative Q Record of Survey 0 Parcel Map 0 Test Results ' Q Applications [] Check No. ....................................... Survey Plat 0 Construction Drawing Q Title Report GDA.......... Client ....................... [] Description Q Reproducibles 0 Environmental Review Q Prints , [] Deeds Change Order No ....................... F-] Title Docs. F--� Computations Specifications Site Survey 0 Original .................................... n Other...............................................................................................................................:.............................................................. ............................................................................................................................................................. :........................................................................................... FOR F—I Other Remarks 0 Your Approval Q Checking Q Your Files 0 Signature Q Follow Up 0 Per Your Request. Copy To: _ By JM IF .THE ENCLOSURES ARE NOT AS NOTED, KINDLY NOTIFY US AT ONCE. (—) Revision F-1 Your Information Q Recording .-NO Tc - -'UT/L/TY L�C,g7/ONS�iiZ� r�n.� OX.-/v0T TO V'cfiL� . T..arA Cir . .. ., COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Califer_nia 95965 - Telephone 916/534-4541 1f/f�% APPLICATION AND PERMIT GY ASSESSOR PARCEL NUMBE _ _ ,- ZO BUILDING PERMIT OWNER Otto W. Dezman & Leona A. Dezman TELEPHONE SQ. FT. OCC. BUILDING VALUA ION OWNER'S MAILING ADDRESS 1379 Sunbeam Circle San Jose CA. 95122 CONTRACTOR'S NAME Oro Ride Properties, Inc. TELEPHONE 589-0152 CONTRACTOR'S MAILING ADDRESS 5263 Royal Oaks Drive, Oroville, CA. 95965 Fireplace CONSTRUCTION LENDER N/A UNKNOWN Total Valuation $ Filing Fee $ 410m LENDER'S MAILING ADDRESS N/A Permit Fee $ ARCHITECT OR ENGINEER N/A LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS N/A Permit fee $ BUILDING ADDRESS 536 Silverleaf Drive PLUMBING PERMIT9 Filin Fee 10.00 Oroville CA. 95965 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. 175/1 SUBDIVISION NAME Kelly Ridge Estates PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeOther SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e Da TYPE OF WORK New❑ Addition ❑ Remodel❑ Utilities,. Installation[] Other❑ Describe work: Permit Fee $ 0,00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS10.00 100 AMP OR LESS 00 Main service EA. ADD'L 100 AMP 2.50 ID NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2Atsq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): FX 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. 295666 Classification B Gen' ❑ 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) 1 ❑ 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 CONSTFt ULTI-OUTLET 2,50 ea ....RES,.BRANCH CIRCUITS)— NEW CONSTR POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES 20@50t A ®g3 Q FIXED APPLN5. OR EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 L -)o Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 liabiliti s, jud ents, costs, and expenses which may in any way accrue against s Cou in Cqysequence of the granting of this permit. o (�� Date `� X14 ��� Sign Se ilani =St. Wec�'Etner rracror ElAgent❑ An OSHA permit is reqq'orVfor excavations over 5'0" deep and demolition or construct- ion of structures over 3 ries in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ SID OCcUP. GROUP I TYPE OF CONST.PARCEL PD SSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC By p T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS _ Date7,�� F-3 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT 6F PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,V&ALi:F'CIRNIA 95965 = TELEPHONE: 916/534541 PERMIT APPLICATION DATA SHEET Permit No. OWNER A. P. No. U r - Proposed Building Use �/� --k- 4., Permit Fee Based Upon: •Complete Contract Price DPW Valuation Explain) Building InspectorG:,f�::1-0 Date 7 -,2 1 R At time of permit application, I was advVsed the following data must be submitted prior to permit processing and/or j.ssuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from - Health Dept. . 11. Planning approval for (A) Use: (B) Parking: 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 17. Pre -Inspection for Required. Building Inspector (Date) 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone S8rl-01 and hold for pickup at f°u office. Deliver w/inspector. Other Applicant JL -,se Date '7 i Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. ' (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by. Plans approved by Other Copy—DPW Date Date—z5—� Telephone 533-2000 North Burbank Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965 118-83 DISTRICT APPROVAL AND 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: OTTO W. DEZMAN (Doyle Carter) Applicant Address: 1379 Sunbeam Circle, San Jose, CA 95122 Applicant Phone No.: 589-0152 Property Location(s): 536 Silverle Kelly Ridge Estates - Lot 175 - Uni0 1 A. P. No. (s): 69-13-17 Fees Paid: CONNECTION FEE PAID. SC -OR FACILITY CHARGE WAIVED IF CONNECTED BY 11/10/83. 4 t Application for service approved:4L July 19, 1983 North Burbank Public Utility District Inspection(s) made and successful test(s) observed: Location: M Date: North Burbank Public Utility District release to close permit: Date: By: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT OFF,6CIAi. fti'E,r'-! RDS FOR RESIDENTIAL DEVELOPMENT GOTF GOUNTY­GbJ.1 Section 26-8.1of the Butte County Code requires this acknowledgementJUN' 21 PH 1983 be recorded prior to issuance of a building permit. E�.9hNOR �,; The property described herein is adjacent to land or included C E,R=REV, 0K0;v within an area zoned for agricultural purposes, and residents of '33 this property may be subject to inconveniences or discomfort arising `33-24 228 from the :use of agricultural chemicals, including, but not limited to herbicides,, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows.: Lot 175, as shown on that certain map entitled, "KELLY RIDGE ESTATES UNIT NO.1", which map was filed in the office of the Recorder of the County of Butte, State of California on October 30, 1970 in Book 38 of Maps, at pages 5, 6, 7, 8, 9 and 10. Subject to all -easements, rights of way and restrictions of record. Date: July 7, 1983 Otto W. Dez State of California County of Butte PROPE/RTyY OWNERS • _ Leona A. Dezman On this the 7th day of July 119 83, SS. .before me, the undersigned Notary Public, personally appeared ion mi irn Ex.,ire: h+, ..: 1, i?i:5 ***Otto W. Dezman and Leona A. Dezman***************** proved to me on the basis of satisfactory evidence xxxxDe to be the person(s) whose name(s) are subscribed to the within instrument and acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. 5263 Royal 08/(5 Dr!ve' orcv',I!e CA. 35. Notary iC Present A.P. NO.344 ,�? -19 A A setback of 5 ft. from th property lines and a setE k of 50ft. from the road c"),, centerline shall be clear of structures or equipment ex ept fora 2 ft. eave overhang. oiq SO. FT. MINIM NA MOBILES 0 will 6e requires Yor the n of the mobile orae. LOT 175 UNIT 1 Z131.4 /7 72'"L EC, _T. !/. -.4� tility connections shall bei either 4 ft. of the mobileho d rectly behind or within, the rear h If of the roadside (left) of the bilehome- .57 -.7---H ia I I O I I I I I I � ` I I f 7 y '"_4— - �/-,d _ ..__. O�o�� � .= -- �1� E COUNTY BUILDING DEPARTMENT A APPR®VE: _iii--POX, -NOT_%O .�CfiG ..__ This set of plans and specifications MUST ,& kept on the job at aH times and it is -unlawful to NOTE:—All Materials & Workmanship ShaH Be in melee any changes or alterations on same without Accordance with Recognized Good Practices and written permission from the Department of Pub- of a qualilty prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes lic Works, County. of Btat#� the National Electrical Code.