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HomeMy WebLinkAbout069-200-04069 D -QO Robert Green i N74 * Lodgeview r. , lot 102, KR#3, Oro Permit ##435-8 • , E (ut i1.:MH) ELEC. — S GAS — .0 PG- 2/[G` I SUPPORT STRUCTURE R Q. /UO TEST RE COMPACTION Q . Permit##21�.5.=8(l�Hylr, IssuedO. 1 -46 Permit #2467-80B(new deck/MH)��gQ i i -69-20-40 JOHN HABGOOD 547 Lodgeview Dr, Orovllle, ^•�= — Permit#2888-83B(new car.port)MH ;.. . . _. , c� m Q o �� a�53 �a t 1435-80P,E 4a PERMIT NO. PERMIT EXPIRES. OWNER Robert Green owner CONTR. LOCATION (A.P. 34-72-40 . i 411 Lodgeview Dr., lot 102, KR#3, Oroville :i } 1f �R l r' I y Temp. Power Pole Called PG&E Temp. Elec. Serv. .5:— 2 ^ Called PG&E s ber Called PG&E �� N JOB FINALED a (Date Signature) F Bond rramenq COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS - BUILDING INSPECTION RECORD Water Htr. BUILDING BUILDING (Cont'd) PLUMBING Set ck 11firewall S 'I Piping For ra ets kt Floor MaI Bidg. t Re troom Finish 2n Floor Fo tins Win ws 3rd loor Ste all SidincX To out Slab Roof Sh'qathing Water Pi 'n Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Ventlk Insulation x Water Htr. Heaters Slab p Footin s Prov. for physic Ily Carport handica ed Conformance of ex structure Appliances Gas Piping & Tes Temp. Gas Slab Final X. Sanitation Patio I VI R LACE Final Footings Footing E ECTR AL F Bond rramenq x Test Water Htr. Stucco Final Sub anel 'Mesh MECHANICAL Grd. Faidt Prot. Scralch HeatIFA Servi BrAwn Cool/ng T p. Pole Finish Du is der round In Arlor Lath V ntilation errnanent or Closer anal foal MOBILEHOME UTILITIES Elec. Service 0- Elec. Pedestal -=7777� 1777 Water Piping — lam— >7Gi Sewer vau ® Gas Piping ���—p (A.y-, BI E OME INSTALLATION - • - - - - - - - - - - - Support Elec. Continuity Water Piping S� 2 — ® Drainage Gas Piping ' DATE« REMARKS OR CORRECTIO pF- f >,go �.;k/ G. f�G No -SLIP. Cec1,CP YX-S (NOTE: An entry must be made on this form each time you visit the job site.) MOBILEHOME" INSTALLATION INSPECTION CHECK LIST k 1. . Is the mobilehome located with equired separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes ✓ No 3. Ate footings and supports properly sized, spaced, and braced as p approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083.) Yes� No_ 4. Is the mobilehome level? (Sec. 5088) Yes �o_ 5. If mor than a single unit, are crossover connections properly installed? (Sec. 5088) Y e so� 6. Water A. Is flex' le connector of adequate size fnd properly installed (1/2" ID min.)? (Sec. 5566) Yes_ f B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes_ No C. Backflow - If coach is not Stat of California approved, does station have backflow device and pressure -relief valve? Yes o_ ' 7. Wastes and Drains A. Is connection made with Schedule 40 DWV'and have flex connectors at eachend? Y s No j_ B. Does it have minimum" per foot slope and is it properly supported? Yes No_ C. Are any leaks detected in drainage system after running3- allons of water through each fixture including washing machine standpipe? Yes_, No D. If co h is not State of California approved, does station have required trap and vent? Yes 8. Gas Piping and Gas Vents ^� A. Connector - Is mobilehome connected to the gas.supply with an approved 3/4" minimum mobilehome connector not more than 6 ft;;long? Note: All piping is'to be at least as large as the,mobil me gas line irilet,w thout reductions other than the mobilehome connector, Y'os No B. Test OK as per following procedure? Yes` No 1, Open all appliance connector valves. 2. Shut off applianco.burner and pilot valves. 3. Air test with manometer to 10"--14" water column, or test with slope gauge (minimum 6oz,-maximum 8 oz,) calibrated in tenth pound increments. Test for 10 min, without drop, 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water, .L .. C. Are all appliance vents properly installed? Yes_ No_ 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome'(must equal rating of mobilehome with a minimum of 0 amp) and other facilities on lot, i.e., water ,purp_--j garage, cabana, etc.? Yes_ No B. Is there proper clearances around panels? Yes _No_ C. Is power supply cord or feeder assembly properly fused? Yes No_ D. Is continuity test satisfactory as per the following procedure? Yes_ NO 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the 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 lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. S. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the --power supply cord or feeder assembly conductors shall be connected to the site service,e.quipment. A furthe.,r,.continuity test shall then be made between the grounding-1ele.r�,tr6de and the chassis of the mobilehome. Upon satisfactorycompletion of the &ect ical tests, the lot or site service equipment may be approved for energizing.' 0 Is job card signed by Health Department forlwater and sanitation. 11. If everything okay, 'sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle LengtWidth_ 2- 4 •Y h_ .y Vehicle Serial No. State Identification No.` -t Additional Information or Comments: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 -Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 RRkCTIO N !NOTICE 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 need additional explanation, please contact this office immediately. 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 r'f the California Administrative Code, Title 25, Chapter 5, under permit number -2 I 6!T-`'40 for the following location: ll J1/! Owner Owner's Address Mobilehome Mfg. %�+„i Model Year Insignia No. l q"/ 9?! r +��` Serial No. 12 A A 36415f It is hereby certified for occupancy at the above described location and may be occupied. Director of//Pdblic Works- Date�'."' f 'ro ByTHIS 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 /1 Telephone: 534-4541 ` APPLICATION AND PERMIT AA BUILDING Owner SQ. FT. OCC. BUILDING VALUATI N Mai Iing Address F 150f2 A JAIA on Contract --_ Mailing AddressFireplace Total Valuation Tele hone No. a 3 Permit Fee Building Address l �� ��� Plan Checking Fee&/or Penalty $ Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 ,©a Each TraD 1.50 2M ie3!L. p"r O &Qt✓ -r Ji2M Repair drainage or vent piping 1.50 A.P.No. 'al—) /� Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees 4e- Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 Qb EQA Parking Pians Parcel Declaration Parc Map 60' R/W Improvemen Each additional outlet .30 Building sewer 5.00 ,/D Bldg.ans Rec'd I Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ permit Fee $ "?GS ELECTRICAL No.1 @ I FEE PERMIT FILING FEE J$3.00 Main service V OR LE 1000 AMP ORSLESS 5.00 dp Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADO'L 100 AMP 2.50 .}6 Main service OVER 25,00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNS.r ( DWELING ACCLBL GS.CCUP. S) 22 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name style of• NEW CONSTR MULTI H CI T NON-RESID, ( BRANCH CI 12.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID, SINGLE OUTLET CIR, Ex. Occup (OUTLETS OR FIXTIIRES) Is 1� 00 FIXED ALNS. Ex. Occup.(OUTL TSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of F-1 'Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Perm' a or Agent S/' Receipt No. lD 7 Receipt White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ Land Development Fee $ $ j v0 TOTAL PERMIT FEE $ b 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 P BLIC WORKS ate BY Date— BUildl permit expires Date COUNTY OF BUTTE — DLPARTMENT OF PUBLIC WORKS 7 ounty,Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. N X Date Signa ure of Peermitee or Agent Receipt No. v `> White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the B to County Code and/or resolutions to do work indicated abo f r which fees have been paid. R OF PUBLIC WORKS Date `�C D Building permit expires Date" BUILDING OwnerW4 SQ. FT. OCC. BUILDING VALUATION Mailing Address ell Telephone No. Contractor G ; Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address AV-lXe Plan Checking Fee &/or Penalty Permit Fee PLUMBING No. @ FEE 101, PERMIT FILING FEE $3.00 Each Trap 1.50 �> !� r/®2 /� IL 3 Repair drainage or vent piping 1.50 A. P. No. s— r G DD �- Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s W Se� Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking PI I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Of<s Rec'd Parcel ivirroval Plan Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0--' Permit Fee $ $ ,// A#& � jZ L . C,�/I/, /Y J��FiI� ELECTRICAL No. @ FEE PERMIT.FILING FEE $3.00 V OR L Main service 1000 AMP ORSLEsS 5.00 Single Family Duplex ❑ Mobil Home;EL Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e00v 25.00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 OR ADDNSNEW T C ADWECCLBLDGS.CCUP. 4') 2¢sgft 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 St le of: Y /VG/ r /1 �&y /v/OS' �. i�lm . NEW CONSTR BRANCH CIR T NON.CRESID.ONST � BRANCH CIRCUITS f2.50ea NEW CONST/POWER APPARATUS a NON.RESI D. (SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES) BA�� Ex. QCCU FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 1 Mobile Home Facilities 15.00 License No. Classification 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. �l-have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation #2.00 Hood 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 $ �•� TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. N X Date Signa ure of Peermitee or Agent Receipt No. v `> White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the B to County Code and/or resolutions to do work indicated abo f r which fees have been paid. R OF PUBLIC WORKS Date `�C D Building permit expires Date" MOBILEHOME SUPPORT DATA If other than single wide Mobilehome Mfr.`s p�]'(;�i n n Ol - furnish Setup Model 'No. S�� Year Width 21-1 (ft.) Box Length (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 mobilehome unless otherwise spec" ied. r Footings (check one) Single 1. Wood either pressure treated oz L (ft -)(in:) Centrr support locations* El- 6 A// (ft.)(in.) (in.) (in.) Center support footing sizes (in.) a) �w � ¢-11, x (in.) (in.) (in.) (in.) (in.) (in.) -��- i 1 .. 34 (in.)I (in.) foundation grade. 0 2. Other (specify) Supports (check one) : Concrete block. 2. Other (specify) Tagalong or Expando,' show.support details. 1Z x -'-- Typical Support (in.) (in.) Footing Size Max. Pier Spacing (ft.)(in.) > o ii -- Max. Overhang (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMEN APPROVED. x1i cent:r piers are other than drawn above, ::_a r in locations, spacing, and dimensions. 1. Owner's name: 2. Installer's na BUTTE COUNTY DEPARTMENT OF PUBLIC.WORKS, 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOB ILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Ye S No (If yes, furnish permit number S J1710 ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No./ / (If no, clarify ) 5. 6. 7.. 8. 9. 10. 11. 12. What is the mobilehome electrical rating? ---------------=------- CJ © Amps What is the mobilehome site service rating? ------ ------=----� /o d Amps What is the mobilehome site circuit breaker 'rating? ------------- - y Amos Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes No /`--i (If yes, identify the load and size: (Load) (Amps) What is the mobilehome site gas pipe size? ---------------------- !M� (in.) r� What is the type of gas service? ----------------------------- Natural / / LPG What is the gas pipe length from meter or tank to the mobilehome? (ft.) What is the mobilehome gas demand?" ---40,1- Aj _ �_ � (BTU) (This information not required if pipe length less than 6 ft.v on natural gas or less than 50 ft. on LPG.) 3� VO �- �-------- 7� _ +E x s i; S AlOT J 1D } NOTE: _ ~ eials & V�/or o nip Shall Be in r -o `D x l r Accordance with ecognized GcJd. Practices and ,;" a A setba of. from , he . s propert lines and assetback.-' ofra quality rescrib for the ;specified use in the o- >` > UOorm Build ng Plumb' g & tlechanical Codes and of 50ft. from the road the National Ele trical Ccenterli a shallbe Clea of r " = o structu s or equipmerr except ,- -3 a for a 2 • t. eave overhang. r E a IIA :phis Set of laps 'and specifications MUST be n l ke5ton the j b at all 'mes and it is unlawful tc ma�Tce any cha .ge! or aerations on same withou, wri`ffen permi for from, the Department of Pui Nc Works, Co u ntv of J 3uffe. + 'f Utility co nections shall be within .� 4 ft. of tl e mobilehome, either �____._ Pe directly Behind or within the rear (v U.� P� half oft e roadside (left) of the Jr rriobileh ripe. r. a� )BUTT) UNTY _r r' e4 `� , 3UIL Ill DEPARTME 31 v_ 4PROVED r l-or /O2, w Y "'-'01 �410 C 13 O K ASSOCIATES ENGINEERING CONSULTANTS 2060 PARK AVENUE OROVILLE. CALIFORNIA 95965 PHONE (916) 533.6457 CAL.. 4-C RNIA P. F. NEVADA P. E, OREGON P. E. • ` r 11 James Glander Department of Public Works 7 County Center Drive Oroville, California 95965 Re: 80561 Dear Jim: April 28, 1980 We are pleased to submit the enclosed Report of Density Tests for: Green KRE Unit 3 Lot 102 If you have any questions, please do not hesitate to contact us. Very truly yours, COOK ASSOCIATES Lew Hiatt Civil Engineer No. 22264 LH/cab Enclosures cc: Keoppel Construction DR. LLOYD M. COOK E',). D. JOE E. COOK M. E. DAN J. COOK C. E. rya 0�6` o % 'jn 1, { - COOK ASSOCIATES ENGINEERING CONSULTANTS 2060 PARK AVENUE OROVILLE. CALIFORNIA 95965 PHONE (8I6) 533-6457 .r '1`-.?. _ �.. „i,•t°<J:1 N{+ r.._. IEVAC:. April 28, 1980 REPORT OF DENSITY TESTS PROJECT: Kelly Ridge Estates Unit 3 Lot 102 Green Re: 80561 GENERAL Two in place density tests were taken on the surface of an existing fill. The fill was placed to provide support for a mobile home. The maximum depth of fill is about 2 feet. TESTING In place density tests were performed of the finished surface of the existing fill. A representative sample of soil was taken to the laboratory for compaction test and visual classification. The compaction tests were performed in accordance with the. laboratory standard A.S.T.M. 1557, Method A. The location of density tests are shown on the attached drawing.' The results of the tests are shown on the table "Summary of Tests".. COOK ASSOCIATES Lew Hiatt Civil Engineer No. 22264 i'.Z. I. l_6 YC7 : C: `: 4D F. ="", D. - I: ;.F C .... E: °.)_:: F. DAN.1. CGC)K C. 5, SUMMARY OF TESTS PROJECT: Kelly Ridge Estates Unit 3 Lot 102, Green Re: 80561 FIELD DENSITY TESTS: Field Test Density Percent Maximum Degree of No. Date. Elev. pcf Moisture ;Density Compaction Remarks' 1 4-25-80 2'Fill 114 14 127 90' •2 4-25-80 2'Fill 115 14 127 91 COMPACTION TEST: Maximum dry density, pcf: 126 Maximum size tested: #4 Optimum moisture, percent: 11 VISUAL CLASSIFICATION: Soil type: Clayey Sand N64883 . LEGEND . ' e Z LOC1�T10�1 o F I7t;pv Or- rtLl. FILL SLOPE . 5CAI-E ►��= 20' ,2 SUBJECT: -LOCATION OF.. 'DEN'S-ITY .-TESTS KEOPPEL_ COUS-TPUcTIDt,1 S:=, 1 CLIENTS NAMEJOB NO. K R E LOT l oZ U Q rr 3 COO SSOCIATES JOB DESCRIPTION zo pEERPARK ONSAVENUE DATE OAOVI\LE , CALIFORNIA 85985 SHEET OF SHEETS W Telephone 533.2000 North Burbank Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965 29-80 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: MR. & MRS. ROBERT GREEN Applicant Address: 512 BANNA, COVINA, CA. 91722. Applicant Phone No.: (213) 339-87-42 Property Location(s). 411 LODGEVIEW' DRIVE, KELLY RIDGE ESTATES LOT 102, UNIT 3 A. P. No. (s): 034-72-0-040-0 Fees Paid: N.B.PiJ.D. CONNECTION FEE & SC -8R FACILITY CHARGE PAID IN ADVANCE' `BY SOUTHERN CALIFORNIA FINANCIAL CORP. Application for service approved:/ >W- f North Burbank MARCH 24, 1980 Public Utility District Inspection(s).made and successful test(s�)/observed: Location: By: ��"• 1 Date: North Burbank Public Utility District release to toe Date: 'U` By: 1.7.6''O PERMIT NO. 2467-80B i" PERMIT EXPIRES��� OWNER Robert Green owner CONTR. LOCATION (A.P. 34-72-40 411 Lodgeview Dr., lot 102, KRYP3, Oroville Temp. Power Pol Called PG&E Temp. Elec. Sery Called PG&E Temp. Gas Serv. Called PG&E JOB _ FINALED 7 (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback —/ Firewall Soil Piping Forms Parapets I 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Sidina To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsica y handica ed Conformance of ex. structure Appliances Gas Pi in & est Temp. Slab Final Sanitation Patio FIREPLACE Final Footings — l— Footing ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPFeINKLERS Motors Framing �/ ' �' �� Test Water Htr. Stucco Final , Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Po Finish Ducts Under r and Interior Lath Ventilation Penna ent Door Closer Final Final MOBILEHOM E UTILITIES Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping M 1 EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (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, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ESS:QQ((R ARCCELL NUM ER J � ./ �r �O ZONING P-7—/ASS BUILDING PERMI owN O���T C ���� TELE 7N�/- ,5 /`, LTJ SO. FT. OCC. BUILDING VALUATION O- O V o • 00 OWN R'S MAILING' ADDRESS l/ L.OI�Cy EV iCG�i z)e. , 020 S9�s CONTRACTOR'S NAME 1144 TELEl HO14F CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER ° UNKNOWN 'Fl rept ace Total Valuation $ /090-00 LENDER'S MAILING ADDRESS Permit Fee $ • /, Q 0 ARCHITECT OR ENGINEER LICENSE NO. - Plan Checking Fee $ /Q, Oa Penalty $ ARCHITECT OR ENGINE R'S MAILING ADDRESS Permit fee $ 2-1,00 BUILDING%KESS L11 `��) R / Yr PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. /02- SUB9DIVISIONNAME 145u y P_I C) 67 —a PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Instal lation ❑ Other 12— Describe work: UCLA- Permit Fee $ ntractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OR00V OR LESS5.00 ' Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.&\ OR ADONS. (DWELLING I 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 Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the. structure is not intended or offered for sale. (Sec. 7044) - ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea NON-RESID R (SOWER OUTLETTUS &CIR1 Ex. Occup(ouTLETS OR FIXTURES 50@250 BAL010t FIXED APP ENS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 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. XI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree ,to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue aVint i ounty ' oon quence of the granting of this per t. %� Date ` fA_>02 Signature of Applicant— Owner Contractor [:JAgent 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 $ Land Development Fee $ TOTAL PERMIT FEE $ Z/, 00 OccuP. GROOP I TYPE OF CONST. PARCE� This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 3r0lo WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Z COUNTY OF BUTTE — DEPARTMENT OF, PUBLIC WORKS — BUILDING DIVISION s: 7.,C•0unty Center Drive — 0roville, Caiifori ja 95965 — Telephone 534-4541 PERMIT APPLICATION DATA SHEET ' Permit No. _ OWNER 11; Q665e 5r CA) A.P. No. :34- 72- - y Proposed Building Use L���. Permit fee based upon: / I , Complete Contract Price —,-'DPW Valuation Building Inspector '-7-7--' At time of permit application, I was issuance: 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. �Z-1.3. 14 15. 16. p Date rised the following data must be submitted prior to permit processing and/or DATE RECEIVED APPROVED All items have been submitted................................................................... Plot plans in duplicate/triplicate............................................................... Complete plans in duplicate/triplicate................................................... Complete engineered plans and calcs..................................................... Plans with Energy Design Compliance Statement ............................ State Energy Forms No. .................... Statement of Intent for Non -Heated & AC Buildings ................... Feesof $.................................................. Letter of signature authorization............................................................. Sanitation approval from Health Dept.... Planning approval for ............. Certificate of�V�V • rkme 's Compensation Insurance G9eWc- L•' nse n ormation (no., name style, classification) ............................... Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. Pre -inspection for required. Pre.inspec. request to bldg.inspector (date) Other ��Tou issue telephone n Other Applicant Mail to owner Mail to contractor. pickup at Al?) office. Deliver w/inspection. Date 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 rians cneCKea i Plans approved OTHER: Copy/DPW Telephone Mail Other Date )ate Date �— f • 8p COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or.no) 2. I (have/have not) signed an applic tion for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address- 6 City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name /lil Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated:, Name Address Phone Type of Work Signed: Property er G Social Se rit u ber Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. S E; �b'._tt�cLb'� �6bAY'r trek.+ PERMIT NO. 2888-83B PERMIT EXPIRES OWNER JOHN HARGOOD CONTR. ' owner ASSESSOR PARCEL __ 69-20-40 LOCATION 547 Lodgevi_ew Dry Orov lle _ R i a Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service r Cal led PG&E JOB FINALEI Signature V = OK 0 = Not OK — = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easementsoning Date DECKS,_gRS, CARPORTS, ETC. fPl K except q's Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch ootings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch)ood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing_ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alun.; Columns—Connections—Splice—Decal—Enclosures ^ arports; Windows—Doors 6. Gas; LocatiorrTest—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date C I ate Card -BI Date Card -BI Date Card -BI Date C _ a Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date POOLS (Plans) OK except N's 1. Setbacks—Easements - 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 7. Water and Sewer Connected—C/O to Grade—HD Approval 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghig. 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 B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK = Not Applicable * Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except N's Date FRAMING (Continued) 1. 2. 3. Zoning requirements -Setbacks -Easements Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth Ftg., Garage; Soils -Steel- / /" Ftg. Depth 48. 49.-, 50. Property Line Firewail & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 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. 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 Card -BI Date Card -BI Date Date Card -BL Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q'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. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 15, 16. Water Pipe; Test & Anchors -Nail Protection 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. 19_. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 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 N's 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. 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 F] Yes - - 25. 2 Appliance Circuits in Kitchen &Conductor Size 73. Guard Rails & Deck Construction -Post Caps _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes --_ - -- 27. 28. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes El No Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances; Panels-Motors-Mech. Equip. 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes EJ No 76. Stucco; Brown -Finish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet -- -• --- Card B -I 30. ------•---- -_ Clothes Closet Light -Shower Light _ ---- ----.- Date - Card -BI Date 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. 82. Ventilation throughout House Glass Protection - _- Card B-1 Date Card -BI Date Date `- MECHANICAL (Permit) OK except q's 31. A.C­. Ducts: Insulation & Support 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; above Insulation -_ 86. Energy Compliance Certificate -Other Certificates _33. Condensate Drain _& Overilow; Size & Grade 34._Furnace-Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI- Card -BI ----- - • - - - -. - 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. _ -Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailin_g__ Draft Stop in Walls (rat proof) _40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing_ Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-shthnp.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiling Doors -Sill Hgl. & Dimensions Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit jobsite) I W :r COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS " 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICAtI0N AND PERMIT PERMIT NO. t'f ' (� /Y) ASSESSOR PARCEL NUMBER Z®-- ZONING BUILDING PERMIT OWNERTELEPHONE�j� 3d1 -f -2 80 SQ. FT. OCC. BUILDING VALUA I 4,20'Z, OWNER'S MAILING�, ADDRESS s JIJ�s� CONTRACTOR'S NAIAETELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN �) Total Valuation $ (%V� Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ t5���y ARC ITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ �) 00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 1240, BUILDING ADDRESS„ � Ul�Gv S VV PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 159RO411 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome� Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Instal lation❑ Other ❑ Describe work: �dQ�F1- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6011 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. 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 Bus Iness f and Professions Code and my license Is In full force and effect. License No. Classification t, 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 NON.RESID BRANCH CIRC ITS. NEWCON ST R. POWER APPARATUS &' NON -R I- SID. SINGLE OUTLET CIR. EX. OCcup(OUTLETS OR FIXTURES 9A 03 0 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. E] 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. toI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal l 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conseque a of the granting of this permit. X Date 1kAr of Applicant — Owner Contractor ❑ Agent ❑ Si n t�HA An permit is required for excavations over 5'0" deep and demolition or construct- ion o uctures over 33 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ ^j0ieO occUP. GROUP I TYPE OF CONST. PARCEL PDNDISS This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT F PUBLIC By PER)o EXPIRES Date��b— the applicable provi- resolutions to do fees have been paid. WORKS Date /1 Receipt No. 66Y �(� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT = r .. i..�.:�.,.n ..t .-. ti,. , w �v. , ..� t i. -a .tk •,Si ^ ^:;:,.ir :tf.�r�..�`{F�.'y .�..,.-...i-.i M �-�'.ti .._..J!--,rr�.......•.. ,.. COUNTY OF BUTTE - DEPARTMENT _0 PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILI`_'E.CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET t Permit No. OWNER ) /moi /' T =' A. P. No. XW`7 D- 40 Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building Inspect Date -_�Z At time of permit applicat on, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . ... . . . . . 2. Plot plans in duplicate./triplicate. . . . . . . . . . . 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 64e6 b Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to ownerEl 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . .. •Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector 18. Other Dote) When you issue the permit, process as follows: Mail to -owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date '�A Copy of plans sent Health Dept., Fire Dept., ,,_T 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 Plans Plans Other: .Telephone Mail Date Other Copy—DPW COUNTY OF BUTTE - Department of.Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and ma erials for construction of the proposed property improvement (yes or no) . 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address. City. Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security nuktr - Date IRI - -L- NOTE: 2 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. .This verification must be completed and returned to our office before we are permitted to issue the permit. 2G /i A setback of_541. from the property lines and a setback /_'; of 50ft. from the..road �{Ii°G' •. = �,= centerline shall be clear of structures or equipment except j for a 2 ft. eave overhana.��,�� /� j eL"r- of �"%a �. Q "r, f i , f J..� ,yi `��j X � �% �t"� �4GLEASF fEitlT� par NOTE:—All Materials & Workmanship Shall Be in Accordnnce with Recognized Good Practices and of a guo!ity 'nrescribed for the Specified use in the Uniferm Building, Plumbing & Machariical Codes and the National Electrical Code. This set of plans and specifications MUST be kept on the job at all times and it is unlawful to ma! -e any changes or alterations on same without written permission from the Department of Public Works, County of Butte. d' 4%� k-441 AV 4 "s Y/ XCo -1'E (� 3�` (7� 2"X Z; A400MS� 1 __ W •Z � 3 `i � Olt 1 /� --k �., - b1n4 h/eTl/ s. Cih I l'/8 /IU 0TS W A S RC"1— I� J � POSTS Sp •� � � ' L r=f�6/ilr--' . ' � , �'� y �' �, �?' �-, �,+'%� �, z � �� : eta f.� r� -�- �- � ✓us � �� i// i r� 9 1y" z��7-Sa BUTTE COUNTY BUILDING DEPARTMEW APPROVED tN Sp •� � � ' L r=f�6/ilr--' . ' � , �'� y �' �, �?' �-, �,+'%� �, z � �� : eta f.� r� -�- �- � ✓us � �� i// i r� 9 1y" z��7-Sa BUTTE COUNTY BUILDING DEPARTMEW APPROVED r i 0 f • 1 � t r 0 f - t1 '► r s.. L r C t� i