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069-190-011
S. Spencer Morse 444 Lodgeview Dr., lot 122, KR#3, Oro Permi 4814-76P,E(ut t. ELEC . GAS �► SUPPO T STRUCREQ, COMPACTION TEST - /6-7,6 contr:Carneros Mobile sp t,Napa Permit #5129-76=�i Issued I? - /_ /y contr: Holmes MH Service, Bangor Permit #6296=76B(new carport & covered decks/MH)A °./J e -ea -PV 069-190-011 PERMIT#96-2 Ol 5 MORSE, Spencer 570 Lodgeview Dr, Oroville Cont: Artic Aire Gas Line/MH 069-190-011 06-1324 HORN, DIETRICH 570 LODGEVIEW, OROVILLE Cont: SIEGL CONST REPAIR(DECK) tt ww I I cm r■ cm, 069-190-011 06-1324 NOTES HORN, DIETRICH -570 LODGEVIEW, OROVILLE. a, Cont: SIEGL CONST REPAIR(DECK) L APN: Permit No. Owner. Site Address: Contractor. Type of Permit: t t' •t P �9 /341� cL�-y �► C� SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED 1 FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: _ SIGNATURE:�Cm—eW- f^� iN' +=OK 0 - Not AK MANUFACTURED HOMES MISCELLANEOUS - DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FaIUC/0-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clmcs-0md 'Am -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat or LP[:] Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH TestDemand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade' 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/insignia Numbers Serial Numbers ---DATE D E C KS -C O V E R S•C A R P O R T S •GARAGE S 1 OingSetbacks-Easements YFt�o—llsSz-OpthSpactng-CnnctmSteel C r� ($decks, Girders/Jolsts-0cking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Pos_ ts-Beams-Rftrs-CnnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Fang; Sills-AnchrsStuds-Rftm-Trusses _ 9 Siding; Nailing-VeneerStucco-Lath 10 Roof; Shthg-Rooflng 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls "7 ,� er e` DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GF1 6 Elec.Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr 8 Elec Grndng; Eqp w/5'.Crcitng Eqp-Pool Ightg Boxes-Enclsrs-061boards4nsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide e`er o'er m`� c �41 �, Pool Drawing 0 NatOK RESIDENTIAL (Single & Qmplex) DATE JUNDERFLOOR DATE IPLUMBING i Zoning-,,jewacxs-Easements-moodslope 2 Ftg Main; Soils-Elec Grnd Fig DRih 3 Ftg Garage; Sol!iSteel-Elec Grnd Ftg Dpth 4 Ftg Porches/Decks; Soils -Steel Ftg Opth 5 Stemwalls Main; Steel-Blockouts Wrapped 6 Stemwalls Garage; Steel-Biockouts Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12. Elec Undrgrnd 13 Plenums & Ducts; Cirnc-MaterialSupportansultn 14 GirdersSills-Anchr Salts-Joists-Vnts-Cripples 15 Acc & Vntitn 16 Insulation 00 90 DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders ,& fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops; Furred CeilingsStairs-Chasers-Tubs 22 Headers B BeamsSi &'Bearing' 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist4 tr Ties-Purlin-Roof Brac TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 26 Attic Acc; Sz &Binz Orton -Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctri Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath Weep Screed-Fndtn Vnts-Undrfir Acc 35 Glazing Area -Glass PrtctnSkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insultn-W a lls-Ceilings 39 Infiltration Walls-Wndws 40 0 DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ga ❑CU or 0 A AC Wire Sz ga Q CU or QAL 48 Range Circ. 0C or Q AL Oven Circ ga Q CU or El AL Insulated Neutral QYes 0 N 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrnes pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector 53 Wtr Htr; VentAcc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anehr-Nail Prtctn 55 DWV; Test Fittings & Anchr. Nail Prtctn 56 Shwr Pan; Test, First fir -Tub Acc 57 Test Tub & Shwr, 2nd fir - Tub Acc 58 Gas Pipe; Sz & Anchrs ' 59 Fire Sprinkler; Test 60 Yard Gas Piping ,0 0 • • -4� 61 AC Ducts Insulin & Support " 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pitfrm if Furnace in attic 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clmc-Comb, Air-Cnnctr In Garage; abv-fir-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Cimc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Clrnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure 79 AC Duct in Garage -Damper. 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3' drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Clrnc Dmge Planters Q Yes Q No 87 Stucco Brown-Flnlsh 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntitn thru House 93 Glass Prtctn 94 Corrections from previous Irispctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 638-7636 (OROVILLE) (630) 891-2834 (CHICO) OFFICE #: (530) 638-7541 LICENSED CONTRACTORS 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 :1 License Number: Date: " S""Contractor: l Ale �_.y 6 L OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractor's Stale License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Stale License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I 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 the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation Insurance carrier and policy number are: Carrier: Policy #: 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 the 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, 1 shall forthwith comply with those provisions. Date: Applicant:'' WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. PERMIT NO. BP061324 Issued Date: 06/05/2006 APN: 069-190-011-000 Site Address: 570 LODGEVIEW ORO Map Index: Description: REPAIR OF EX COVERED DECK Owner: HORN, DIETRICH & HILDE 574 LODGEVIEW DR OROVILLE, CA 95966 (530) 589-1877 Applicant: SIEGL SERVICES CONSTRUCTION P O BOX 969 BERRY CREEK, CA 95916 (530) 990-0990 . Contractor: SIEGL SERVICES CONSTRUCTION P O BOX 969 BERRY CREEK, CA 95916 (530) 990-0990 License #: 784370 Architect: Engineer: otal Square Ft: 0 S. F. Valuation: $0.00 Census Code: 00 r �S G I -OCA CONSTRUCTION LENDING AGENCY This permit Is hereby issued under the applicable provisions of the Built! County Code and/or I hereby affirm that there Is a construction lending agency for the Resol ti s to'do work Indic ted above for which fees have been paid. performance of the work for which this permit Is issued (Sec 3097 Clv.) F'-' Name: BY Date: C r9 PERMIT EXPIRES ON: Address: I r ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code. which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and. state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize represse��7 htatives of Butte County to enter upon gnalure:n the above mentioned properly for Inspection purposes. Print Name: r/) J6- 6- _ Si �� rY_> / f f Date: F' `- U ❑ Owner 'V Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS 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 : License Number: _ /I Date: ( S-� Contractor: A/� 4y' _F/6- G C OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I 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. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy #: XJ 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 the 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. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. PERMIT NO. BP061324 Issued Date: 06/05/2006 APN: 069-190-011-000 Site Address: 570.LODGEVIEW ORO Map Index: Description: REPAIR OF EX COVERED DECK Owner: HORN, DIETRICH & HILDE 574 LODGEVIEW DR OROVILLE, CA 95966 (530) 589-1877 Applicant: SIEGL SERVICES CONSTRUCTION P O BOX 969 BERRY CREEK, CA 95916 (530) 990-0990 Contractor: SIEGL SERVICES CONSTRUCTION P O BOX 969 BERRY CREEK, CA 95916 (530) 990-0990 License #: 784370 Architect: Engineer: 3tal Square Ft: Valuation: Census Code: `$10q .q� *�SSCQI� Co -5-0& 0 S. F. $0.00 CONSTRUCTION LENDING AGENCY This permit is hereby Issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resol ti s to do work Indicaled above for which fees have been paid. (Lb -OGD ' h �^ performance of the work for which this permit is issued (Sec 3097 Civ.) By:_T !n ho JI' \ Date: C(0 � b - v w Name: t�tttfomm ffl PERMIT 11 EXPIRES ON: U A-ro-0 Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and.state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize repr2sehtalives of Butte County to enter up//on the above mentioned property for inspection purposes. If 6 Print Name: , /)L y 116 � Signature: - Date: 6"—r— U ❑ Owner ,V Contractor ❑ Agent for Owner ❑ Agent for Contractor ts. r;. uunomg vermu u1-1b-ua pg i " BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONC OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name ,�2 A / irst Name Address Z0,0 66 City 4Uv f State Zip gS-yCC- Phone S Fax E -mail - CONTRACTOR Name Address to, o, 6x .76' City 6C 22YCPy,-- C'%t State C-4 Zip 9216- ,16.Phone PhoneqO 990 JJ Fax E-mail Li . # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name - Address Zip City Fax State Zip Phone Page Fax E-mail Date Approved: State License Number APPLICANT INFORMATION Name Gfi`'42 L/ tf J Address A City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address S D LoOGr(" Flood Zone SRA I Yes I No Occ. Type Const. Subdivision"Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\B1dgApp1SubRgmts.doc PERMIT NO. BP03132 BIN # PROJECT LOCATION AP# o/N_ j act . 01 Property Address S D LoOGr(" City 0,e b v/C L E Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 nn Description or Scope of Work: ✓✓F C G 2 Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: K'6. Amount: 1 nq . " Bldg SRA Receipt #: 510 �� Sheriff SMIP Date: &C — JQ G 1 //�\(/may Q ��[� Other f11 I�1 1 /\ REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS. The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION K TORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVI N 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 J PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER zDN� BUI NG PERMIT OWNER� TELEP ONE S -� SQ. FT. OC BUILDING VALUATION OWNER'S MAILING ADDRESS 7 D -VM / _ D&C-DS 6 tza �/ s CONTRACTOR'S M C CONTRACT R5 MAI ADD S 14 WV C9 -le -n -Fireplace CONSTRUCTION LENDER UNIWOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Slep / O 0&c- ©e PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 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 Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK / New ❑ Addition ❑ Remodel ❑ UBlrties ❑ Installation ❑ Other Dl Describe Work: �i J_/C�.��-� L Mobile Home S I G I W 111920.00 PERMIT FEEg , Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service a00V OR LESS ( 200A OR LESS ) 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 In full force and effect. License Class QZ.A() Lic. No. 3c/q/:3FIXED 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 NEW CONST. DWELLING OCCUP. OR AOON ( a ACC. BUDS. ) so. 3.5¢ Fr. NEW CONST.MULTI.OUTLET S NON-RESID. ( BRANCH CIRCUITS ) @7.50 PO ER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES ) BAL Q 1.50 ITLE APPLN . ORA) 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 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number / 07a (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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. Q X Date _ / _A _ _ Signature of Applicant - ❑ Owner 05aContractor ❑ 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 Is Energy Inspection Fee is occ CONST. TYPE TOTAL FEE $ S .� HA2. D. FEES IMP FLOOD CDF PARCEL po HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for w c fees have B- PERMITEXPIRESON 1-7— applicable provisions Resolutions to do work been paid. Date (p -7`WHReceipt (Date) No. �% WHITE-D.D.S.-B.D. ITE-D.D.S.-B.D CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 069-190--011 � PERMIT#96-2105 r MORSE, Spencer 570 Lodgeview Dr`, Oroville Cont: "Artic Aire t•, Gas Line/MH i f t i 1 c 8 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT Z g 0 210'::� ASSESSOR PARCEL NUMBER ` ,fd / , CU / t-'✓ ZCN ..r� / BUIL, NG PERMIT OWNER TE7o"E 5� - I SO. FT. OCC"/ BUILDING VALUATION OWNER'S MAWNG ADDRESS /� � y 5 7 E� U l�Cs� e) r'2 "` CONTRACTOR'S M TELEPHONE C/ CONTRACT R5 MAI G ADDRESS 1- k' 2— Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS SID A D&C- &-�e OA a PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 3-10ther SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other l �� _ Describe Work: 6—i+S /l /A/L -/+� Mobile Home S G W @20.00 PERMITFEE S i0 C Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Servicea00V OR LESS ( 200A OR LESS ) 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 ' 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. ❑ 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 NEW CONST. DWELLING OCCUR SO. OR AOON ( a ACC. BUDS. ) 3.5¢ FT. NEW CONST.MULTI-OUTLET S NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 aAL 9 .50 Ex. Occup. FIXED APPLNS. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION I 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 ' --,L le"16 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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. --, �y s' X�t_�—'rlfit=' ----- Date —4„� — Signature'of Applicant - ❑ Owner McContractor ❑ 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 is Energy Inspection Fee is occ CONST. TYPE TOTAL FEE $ 3 JS .Q d HAZ. 1 D. FEES I IMP I FLOOD I CDF PARCEL I PD I HD 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 aid. � P Date PERMITEXPIRE SON z � 3 (Date) � = Receipt No. r ) . WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (b 16) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 j CORRECTION NOTICE PERMIT NO. 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 is completed. If you have y questions pertaining to this matter, or need additional explanation, please contact this ice immediately. 4S Date Inspector REV 10/' 2 /V,-:, ea of'd- �' q 7,00 A PERMIT NO. 4814-76P,E PERMIT -MIT EXPIRES OWNER S. Spencer Morse CONTR. owner LOCATION (A.P.- 34-71-11 444 Lodgeview Dr., lot 122, KRIB, Oraville Temp.Power ole Called P J'x mp—Ele S ery .— —7e, Call PG&E Temp. as Serv. C lied PG&E NALEDL) AA t4 (Date) (SignatureY COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ,BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Yf '/�, Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidina To out Slab Roof Sheathing Water Pi in ' 7 Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground /C) • '7� Interior Lath Ventilation Permanent Door Closer Final Final DATE Cc�!•C�cO t ~e,- <LC o s -G REMARKS OR CORRECTIONS / F % 67�. -c b 1 H 5'P �eiY q p Tt/j (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 51 under permit ' number for the following location: f Owner Owner's Address Mobilehome Mfg. '�9 '`���� Model Year Insignia No. ""'" ad �� �` Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date-� F` ByA, v" THIS CERTIFICATE IS VOID WHEN MOBILEHOME S RELOCATED 9. Electrical A. Is service large. enoiigl� to provide r:idequat.e amperage to mobilehome (must equal rating; of Mobi.lehome with a :niriu-:um of 100 amp) and other facilities on lot, i.e. , water pumps, garage, cabnnil, otc. .Y.es - No 1;. Is ther-a proper clearances around panels? Yes 11 C. Is power supply cord or feeder assembly properly fused? Yes_ D. Is continuity test satisfactory as per the following procedure? Yes 1. De -energize electrical wiring, systc;a of the mobilehome at the pedestal. 2. Make sure that tie power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one 1�7-ad of a test instrument to, the mobilehome grounding conductor and �.e ih iiSigy CCtUi, 11cuYt— di. applciixailt;I- 5. All nor.-ci.irrent, 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. 6. 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 te:;t shall then be made between the grounding electrode and the chassis of the mobilehome. UDOIr sa i_sfactory completion of the electrical tests, the lot or site service equipment- may be approved for energizing. ;_i Is ;ob card signed by health Department for, water and sanitation? 1.1.. If' evc_rything ol:ay, sign off card and tea;; services. MOBILL;lO-"!E DATA Manufacturer and/or Namestyle Length&LO. Widtl-ZO__ Vehicle Serial No. State Identif icat:i..on No. 1f ..dc itional Information or Comments: f 'NOBTiX110t•Il INSTALLA'1 ETH INSPECTION CHECK L.IS'r 1. Is the mobileh.om,:� located wi,:J squired separation from lot lines and buildings and generally conform to plot plan? Yer3 No 2. Does the mobil.chome have requirrcl clearances above ground? (Sec.5085) Yes cNo 3. Are footin,s and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) YesZ--;�No 4. Is the mobilehome level.? (Sec. 5088) YcsX11' No� 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes_C._No 5. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes t.. No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes 'd- No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No P N 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes i No B. Does it have minimum per foot slope and is it properly supported? Yes e --No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No 4 D. I:f coach is not State of California approved, does station have required trap and vent? Yes No P N L) 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas siip with an approved 3/4" minimum mobilehome connector not more than 6 ftlong? te: All piping is to be at least as large as the mobilehome gas line inlet wit hou reductions other than the mobilehome connector.NYes No B. Test OK as per lowing procedure? s_ No 1. Open all appli ce connector v .ves. 2. Shut off appliance rner d pilot valves. 3. Air test with manomete o 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) Glib ted in tenth pound increments. Test for 10 min. without drop. 4. Connect: gas mer to mobilehome tll connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly i_nstal'led?Yes No COUNTY OF BUTTE '' DEPARTMENT OF PUBLIC WORKS 7 County C;.nter Dri=te Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT x� _ oaf, i Signature of Per Itee or Agent" / Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS By Date — , ilding permit expires Date BUILDING Owner., -SO. G FT. OCC. BUILDING VALUATION U Mailing Address�� �. /ho'47ne No. Fireplace Contracto Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 3.0 p / �1 w .-d C Each Trap 1.50 S Repair drainage or vent piping 1.50 o >< jAn•g Y riycafion Only, Water pipingp Each gas water heater or vent 1.50 •O A. P. No.�j�— �%�— j `O"i � Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Awil WWton Fire Dept. Fire Zone Use Permit Building sewer -Fr;98 EOAParking Plans Parcel Declaration a el Ma 60' R/W Im r p ovements Lawn sprinkler system 2.00 fkBg'J<PIans Rec'd al Plans Approval Permit Fee $ Z .00 $ ®L NEWADDITION ❑ ❑ UTILITIES ✓❑� OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 3,00 Main service 1 OR LE 100 AMP ORSLESS 5.00 23,00 Main service e'Or- ADO'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main sefvice R 600V 100EAMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 500&FT• MtMUM NEW CONST. DWELLING OCCUP. & OR ADDNS. ( ACC. SLOGS. 22sgft _) NON.RESID R. ( BRANCH CIRCUITS) 2.50ea p FC3R IVtOBtt.ES NONNEW-RESID R (POWER SINGLE OUTLETTCIR.&� CONTRACTORS LICENSE LAW I 8m licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL2 Ex. Occup. ( FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities • 15.00 ,QO License No. - Classification Misc. Wiring 6.25 911'am exempt from the�Contractors License Laws of the State of California. •e Permit Fee $ zs o ZS : WORKMEN'S COMPENSATION INSURANCE ' I am•aware. of°the provisions of Section3700 of the California Labor Cod; Oh,icH. requires every employer to be insured against liability ;for lorkmen�s�Compensation. ❑ f have -placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. I certify that in the performance of the work for which this permit'.is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify, that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State' Laws relating to building construction, and hereby authorize representatives of -the. County of Butte to enter upon the above -m Pntinn PO nrnnprty fnr i—r—tinn n�,rnn�o� TOTAL PERMIT FEE �r C $ S This permit is hereby issued under the applicable provisions of x� _ oaf, i Signature of Per Itee or Agent" / Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS By Date — , ilding permit expires Date 30 COUNTY OF BUTTE" - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive = '4trovrlle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 51-c29-76 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspe ' purposes. Date C %� Si natu a of Permit or Age t Receipt No. 4si09 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 Of -**PUBLIC WORKS By Date Bu ding permit expires Date—�J ?% BUILDING 122 Owner S. Spencer Morse Lot M Unit 3 SO. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor Carneros Mobile Transport Total Valuation Mailing Address 1290 El Capitan Permit Fee Plan Checking Fee&/or Penalty Napa, California 94558 Telephone No.TOT 252-2411 Permit Fee $ Building Address 444 Lod eview Drive PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Oroville California 95965 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 34-71-11 Zoning& Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 !'r W.C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma P 60' R/W me Im rovents P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel dproval I Plan,(pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 (} ,! �'`_ D���.CrV-��� Installation F;UI PA -f V CCC 600V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD -L. 100 AMP 1.00 NEW OR ADDNST ( ACCLBLDGS.LING CCUP. &) 20sgft NEWCONSTR. MULTI -OUTLET NON •RESI D, BRANCH CIRCUITS) [2.50ea NEW C ON ST R. ( POWER APPARATUS & NON•RESI D. SINGLE OUTLET CIR, 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: Carneros Mobile Transport Ex. Occup(OUTLETS OR FIXTURES) BA@L@@251& FIXED APPLNT. Ex. Occup. ( OUT ETS (RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 259158 Classification C-61 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 0 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ 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 Mobile Home Installation 30.00 TOTAL PERMIT FEE $ -- 0 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspe ' purposes. Date C %� Si natu a of Permit or Age t Receipt No. 4si09 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 Of -**PUBLIC WORKS By Date Bu ding permit expires Date—�J ?% MOBILEIJOIE, SUPPORT DATA Mobilehome Mfr. Mountain Valley Homes Setup Model No.'24x64 2BR IK Year 76 24 60 "Size Width (ft.) Length (f t.')- --EXp ft.x ft. (Draw support details below) On all mobilehome-e-'manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if-.noton -file with. the County of Butte). S _AFootings--(check.one, A I A. Wood :either pressure treated or GaWkefCenter Support -fdn.'-grade. Surt Footing Sizes Loctions(in.) Lo , 2. -Concrete pad. ....... E24 x 30 3.:Other,--specify 1 1�1n.) in. in. Supports (check one: IX 1. Concrete block -49 0, 24 x 30 2. Concrete piers ) ft Zn 3. Steel piers . ........ ....... . ................. 4. Other, specify ... ................ ... ......... .. Typical Support I/ . . ......... Footing Size- .(in.)(in.) ........................ A Max. Pier.* 'Spacing ... ... 2'4' In. In.) A // ( 1 - 0 MKxe�hang 11 of ly_eoiN ,If center piers are other than drawn above, draw in locations, spacing, and dimensions. 'BUTTt COUNTY BUILDING DEPAPjr[M,%,ff I APPROVED.* 1 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: S. Spencer Morse 2. Installer's name: Carneros--Mobile Service 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 /x / No (If* no, clarify ) 5. What is the mobilehome electrical rating? ----------------- 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? ---------------------- -0- (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? -0- (ft.) 12. What is the mobilehome gas demand? ------------------------------ -0- (BTU) (This information not required if pipe length less than 6'ft. on natural gas or less than 50 ft, on LPG.). N Y PERMIT NO. 6246-.76B PERMIT EXPIRES OWNER Spencer Morse CONTR. Holnes Mobile Home Serv., Bangor LOCATION (A.P. 34-71-11 z - 444 Lodgeview Df,, lot 122, KA#3, Oroville v of .. Temp. Power Pole Called PG&E Temp. Elec. Serv. t Called PG&E Temp Gas Serv. Called PG&E JOB FINALED (Date) gg �i b� (Signature) c i COUNTY OF BUTTE — DEPARTMENT -OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback /p! Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers 141 Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa l l Insulation % Heaters Slab Carport Footings zstructure Prov. for physically handica e Conformance of ex. ✓ Appliances Gas Piping & Tes Temp. Gas Slab Final % Sanitation --Pena• FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Steel Final rRoughReinf. es Bond Beam FIRE SPRINKLERS Framin 1� %,f4��, Test Htr. Stucco Final Subpanels i Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown V Cooling Temp. Pole Finish Ducts Under ro d Interior Lath Ventilation Permanelft ~ Door Closer Final Final DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this foam each time you visit the job site.) COUNTY OF BUTTE — DEPAATMENT OF PUBLIC WORKS 7 County Center Drive - Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authoriz representatives of the County of Butte to enter upon the above- a tion d property f i spection purposes. X Date 1 N 711' `Sigr4ture /of Peerr/ tee or Agent Receipt No. 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. DIRECTORAIA PUBLIC WORKS BY Dat�l' ,p-' 2 `o iI Ina permit expires Date /7 —d '�? BUILDING s' ,paC, V S OwnerMr- SQ. FT. OCC. BUILDING VALUATION , �Z .Z o -D Mailing Address Telephone No. Fireplace Contractor S C .Q Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty � Q)/' e I hN one � �/ Permit Fee .$ P 3 06 Building Address 2WPLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Oro IAE Each Trap 1.50 R-1 +� Repair drainage or vent piping 1.50 Water piping 1.50 2 Each gas water heater or vent 1.50 A. P. No.{�` Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes W . �/ rl atQd� I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking I Plans Parcel Declaration parcel M P 60' R/W Im r p ove nts Lawn sprinkler system 2.00 Bldg. Plans Rec'd I JZPorcel pproval Plans pproval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home � Others ❑ Main service OVER e00V 25.00 100 AMP OR LESS Main service E A. ADD'L loo AMP 1.00 cwtNEW V C. Cou �Q �� CONS. OR ADDNST (ACCLBLDGLING S. OCCUR. &) 20 sq ft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 12.50ea NEW CONST. (POWER APPARATUS & R NON-RES,D. SINGLE OUTLET CIR. 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: � _^ / {,'�,f/n //J i L C" Jyl 6_75 Ex. Occup(OUTLETS OR FIXTURES)50 @250 104 Ex. Occup. ( FIXED APP LNS. OR OUTLETS (RESID.) EA) 0 Temporary service 100..000 Mobile Home Facilities 15.00 License No -3.2/3 Classification C-61 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 1:1 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. IUA I certify that in the performance of the work for which this !�-permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ �( authoriz representatives of the County of Butte to enter upon the above- a tion d property f i spection purposes. X Date 1 N 711' `Sigr4ture /of Peerr/ tee or Agent Receipt No. 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. DIRECTORAIA PUBLIC WORKS BY Dat�l' ,p-' 2 `o iI Ina permit expires Date /7 —d '�? This set of 'plans and Vo-cifiie-flons'MUST 4w kept on the !o6 of all fl -nes and it is unlawful to malce any changes or Aerrifions on some without written permission from the Department of Public w...Ls n,.4, of 5.44-. NOM—All Materials & Wor Accordance with Recognized of a quality pre -scribed for the Uniform Building, Plumbing & t4 - the National Electrical Code. LOT 122 UNIT 3, _Zv7 C) a<:s:-- vlE W, D'Ze nshig Sha 'etn )d Practices an mified use in the bMal Codes and�eIdg. Setback shall be 5 ft. from the ide probt-ity line and 50 ft. from the centerline of the �r ermiffing a mcW- r ' 1--s-e mum of a'2 ft. eave e g but entirely out of all easemen4. V :! AFA GIA -V SCAZ-4- �s / BUTTE COUNTY -JW14QJNG - DEPARTMENT APPROVED See 'Mosler plail on file Tor' *16-- tural details. A-Z%C7,--Z;P 7-0-5--7a eF MoYS(::- TL Permit g � 8-tra%� Test Rego No. It ISP No. i corse . Q-:5 alga io