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069-220-007
69-22-7 RED W. & ANGELINA M. LAURIE ,lot 274, KR#3, Oroville �'„►ti6 Cont' : Oro Ridge Properties Permit#254x5-83P,E�(util, MH) ELEC 8-23-k &94 GAS .5-Z37913 SUPPORT STRUCTURE ARE w 254 6 83) COMPACTION TEST REQ -- 69-2 .7 Contr: Oro Ridge Pr per'ties, Inc Permit�k2546-83B(,new support structure/MH 69-22-7 Contr: Oro Ridge Properties Permi;t7�z734-83m sed 69-22-7 Permit#204-84Brjew op n' deck) 69-22-7 Contr: Sierra?, obile Ser & Supply ^- Permit#328-84B3'(n-ew. car>ort depos/MH) / y/o 069-22-0-007 00-0653 . RAY, Mary Ann M 36 Apache Circle, Oro Cntr: Royal Flush Plumbing Install Gas Line �J It 9 I� ti� ��� f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATM- AW PERMIT PERMIT NO. .r, ASSESSOR PARCEL NUMBER 69 — 22 — 7 ZONING BUILDING PERMIT OWNER lfred W. Laurie and Angelina M. Laurie TELEPHONE SO. FT. OCC. BUILDING VALUA ON OWNER'S MAILING ADDRESS Temporary address' 0 5293 Royal Oaks Drive Oroville CA. 95965 CONTRACTOR'S NAME ro Ridge Properties, Inc. TELEPHONE 589-0152 CONTRACTOR'S MAILING ADDRESS 263 Royal Oaks Drive Oroville, CA. 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is - Flling Fee $ 10.00 LENDER'S MAILING ADDRESS A Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ J Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS A Permit fee $ r� BUILDING ADDRESS -4 Skipper Court PLUMBING PERMIT Filing Fee 10.00 Oroville California 95965 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. 274/3 SUBDIVISION NAME Kelly Ridge Estates 7Gas PARCEL MAP Each qas water heater or vent 5.00 piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome V Other SPECIFY Building sewer 5.00 Mobile Home S G W 110.00 e TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): [R I am licensed under provisions of Chapt. 9, Div. 3 of the Businessz0@s0c and Professions Code and m license is in full force and effect. Y License No. 295666 Classification B—Gen. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered, for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS &) NON-RESID, SINGLE OUTLET CIR. Ex. Occup(o XTs OR FIXTURES BAL030t IEDPR Ex. Occup. OUTLETS (RESID )EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less., I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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 liabilitie judg grits, costs, and expenses which may in any way accrue against s oun I cons uence of the granting of this permit. ' e� Date '- Si at e o p I at — S nereU eonrrl�'aoror ❑ Agent [� An OSHA permit is requir or excavations over 5'0" deep and demolition or construct- ion of structures over in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $9a_-- OCCUP, GROUP I TYPE of CONST. PARc�L �/ PD. HDi Y/ IS; This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT R OF PUBLIC BY PERV EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ��l� �r3 - L��EY ff3//st'� a�le//s Receipt No. © / ` 6 7" WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .46 V aC-OUNTY OF BUTTE - DEPARTMENT OFaPUBLIC WORKS - BUILDING DIVISION " TCOUNTY CENTER DRIVE - OROVILLE, _AL'JORNIA 95965 - TELEPHONE: 916/534-4541 • / ' PERMIT APPLICATION DATA SHEET OWNER Permit No. . i A. P. No. (or, -a"2.�1 v Proposed Building Use Permit Fee Based Upon: C p ete Contract Price `� DPW Valuation O her (Explain) Building Inspector a Date / -7 2 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . 3. Complete plans in duplicate. /trip ' te. . . . ik?4. omplete engineered plans an cs. G Plans with Energy Design Compliance Statement. . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. 10. Sanitation approval from Health Dept. 11. 'Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . .. 17. Pre -Inspection for •Pre-Inspec. request to Required- Building Inspector (Date) 18. Other Whq you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 9 R -01 75 �, and hold for pickup at DJA-ID office. Deliver w/inspector. Other ApplicantDate i -12 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 tib of application, circle item-) 1. Index permit for above Items No. 2. Additional items required: (C rac D signe Owner) was advised of above required data Telephone Mail Other . A- By Date Plans checked by 0Date Plans approved by Date Other: Copy—DPW 'c COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-534-4541 Oro Ridge Properties 5263 Royal Oaks•Drive Oroville, CA 95965 With reference -to the above subject: Attached is: Application for permit Building Plans Engr. Calcs Owner -Builder Verification Form OTHER DATE Augunr R, 79R3 RE: Building Permit Application 02546-53 for Alfred Laurie (Support'Structure) A.P. # 69-22-7 Mobilehome Utilities -Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced We need the following information: Permit application signed and completed where.indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. - Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in X Structural details in duplicate _X- Complete *&gAcalcs in duplicate by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of'deed showing Recorded copy of agricultural acknowledgement statement. /X OTHER Show bolting location (line and spacing),. Design retaining walls to resist lateral loa ing co from tae unit or provide wine walls to resist loading @ ends`. Design retaining wall for surcharge from mobilehome frame support footings (A -Unit "I" beam)'. Provide calculations for tae "i" -beam 4 x 12 where cantilevered @ side walls of tand(not @ centerline of taxa 20560 concentrated plus 375#/ln•. ft. uniform loads•. f Should you have any questions concerning the above, please contact this office. cc: Ken Lenhardt 463 Oro Dam Blvd. Oroville, CA 95965 ' JFG/aj Yours very truly, Clay Castleberry Director of Public Works Glander Chief Building Inspector .P sFROOF L.L. RIDGc7 SUPPORT LOCATION 81 CAPACITY MANUFACTURER;_ MonEL•. 4is2 ch) X >s .LOCATION FROM FRONT OF UNIT G%L_3%rL. Y CONCENTRATED LOAD 0 I\!- Ab -C) Gb-o 21 �, • 0 1 (e -4 -7.-4 . R� ,,Crr 3 10-Z 5510 1181 t /,n ca•:' of . �, na; ?(, r� :!_l'nG:, J::! at all tip es. ove p. i1S still D� dv' IJbld at C:CIt IJCC Cf fl_ 1U1 ' oro a o arorn� CoryInlul 11V ekc(rpmrjrl Division cl j,ude and St r r f ' l eP b TRANSMITTAL ENGINEERING cHq s,o� 463 ORO DAM BLVD. • SURVEYING o°y ' % SUITE M DATE: _ �.-g JOB NO.: PLANNING o DA OROVILLE, CA. 95965 SUBJECT Ld(J(�(E '��nn�►�' (916) 533-2066 //� H `` T K' P C [EN HARM LOT 2 ( 4 um / � 7 P -E T 0 : 73L> T?'e G rx) MTI ATTENTION: ENCLOSED FIND THE FOLLOWING: ;;�MffREWITH [] UNDER SEPARATE COVER VIA ................................................................................ 0 Tentative Q Record of Survey F --j Parcel Map 0 Test Results Q Applications [] Check No.............................r......... 0 Survey Plat 0 Construction Drawing Q Title Report GDA.......... Client........._.._...._.... [] Description 0 Reproducibles Environmental Review F--� Prints [] Deeds Change Order No ....................... [] Title Docs. Computations F-1 Specifications Site Survey aOriginal ............................................................................. Other .................................................. ...............•......................................................................................... :.............................................................................................................. •.................................... .............................. _................................................................ • FOR F --j Other Remarks 12- ur Approval ED Checking 0 Your Files Signature Q Follow Up Q Per Your Request Copy To: By IF THE ENCLOSURES ARE NOT AS NOTED, KINDLY NOTIFY US AT ONCE. ' Revision Your Information Recording TO: G V�e �Ccr7�P� ATTENTION: RANSMITTAI DATE: 8�V-83 JOB NO.: - SUBJECT 40T 27ZI LIN/T 3 ENCLOSED FIND THE FOLLOWING: 4 • n UNDER SEPARATE COVER VIA ................................................................................ Q Tentative F --j Record of Survey ENGINEERING Hq�slo 463 ORO DAM BLVD. a �m [] Check No. ....................................... SURVEYING o° ('� • PLANNING ° `] DA z SUITE M OROVILLE, CA. 95965 Q Title Report (916) 533-2068 TO: G V�e �Ccr7�P� ATTENTION: RANSMITTAI DATE: 8�V-83 JOB NO.: - SUBJECT 40T 27ZI LIN/T 3 ENCLOSED FIND THE FOLLOWING: XHEREWITH n UNDER SEPARATE COVER VIA ................................................................................ Q Tentative F --j Record of Survey Q Parcel Map [D Test Results Q Applications [] Check No. ....................................... 0 Survey Plat Q Construction Drawing Q Title Report GDA.......... Client ....................... []Description Q Reproducibles Q Environmental Review F-� Prints [] Deeds E] Change Order No ....................... Title Docs. F --j Computations Specifications L—] Site Survey QOriginal ................................................................................................................................................................................................................."-"---""---......"-"--...................................................... D Other................................."------.--.--.---............................................................................................................................................ COPIES DATED DESCRIPTION EEZVIAZ WALL S I FOR F-1 Other Remarks Your Approval Q Checking 0 Your Files [] Signature Follow Up E3-per✓Your Request Adlk Copy To: By IF THE ENCLOSURES ARE NOT AS NOTED, KINDLY NOTIFY US AT ONCE. [—� Revision n Your Information Recording FNWNF [RING tel ORO DAM fIlVO. (rte i SURYFNNG G •� D 1 SUITE M .l1MNNG O.CTWILI. C• VSVel • I (vlel e»aoeR l /-a7 2 7� K 2E �n � SL{PpLEM,bI�rT��i' C�'�CS �o/� "cog 5ui2 cp142GC o�b- 2E: SUBMrTTf�L DAT,¢" Su2GflA,eS.E ca�D =27P /�S�` 7'-7," 2 eRof ESsE 1129 9'S- C. C29 7 3575 Z 9, (,,9 a S6- „a, C., = D -33B 1a'"�f7 1L 109-3 lNGmilmo Be] ONO 0, PA BLVD. SONV!]INO Gn S.I. A, BIAMMiNG illi 1NOMLI. CA. 95945 - (914) 5]54044 fll� G9 -ZZ-% Sappe), o.:74 -C S X02 p,gnl _: �UaK. G1-{�C� WALL ,moo e- S u/2 c p p cP. 2C. SIJ8MIT7'f*L pATM -- .SD! L ;:74W1.0 :.D - EFlo = 25 CF 147-= 11"-2," ✓= 2 - 2 QROf ESSin 9 Ns- C• co C2933 ' = 6t _ 1,13� YTS 3575 Z �• i2 x9,bgx0, - A.S /-/3�9Nb9 o-33►��'�S-T - encu1euiwc .ee ono o.M "'0, - .I.NNNG - FO-.. C.. VSPoS (9101 533.20 0 �aT 27� I�NiT 3 CC2� Rn Z5, Sappfe;' %,2001-cs l=ow � CTR /i✓ ��/�q � L � /LE�77,� 2�'D Q 7" FCgz Sail eNAe&cc LogD. 2t: su8Mr7-7-*l- Dara SUI L ;:r4a l.l� r.D 1-760[2C� S t,I !L G f1i926 E L aq D = 2 7P EFl� = 25 CF N t ! � L T 171—?,1' 119 25)19,5 - 2 o Q =VESE�;�, 1129 9'�_ �`` �tH C. 1 3 Y No. C29 37 cj 1,13 9 9 �,t5E d S ./� d c, 0,336 Itil-A7 o►L 109-8-3 _ L .. ,A t (IgpHNIDM `A�.O0O DAM 51VD., .. S vppoR swIl At Il""No otom 1. CL 95%5 . • , -_ .: J� >r�.--^' .. _ (9N1 555.7061 ' 0 (� e � 83 L n S vppoR ' L a u R. �� a .•rte -r ,�x4'� � � - .,. . _ . 799 `00 s 3.33 IF` :.._.1� -EUCr-:. �221 7992 -s77S .Z - 221% 7S (799z)(333)(8.Q)9 T-d- = l228. 1S iz (o O /-S x 51 -Z. A . e � 83 d. • .. - 2M�•11$11N0'- �e2 ORO CAM elvo. • . _ 1uMao, D 01OWU . U. 9596$ • .a.. .... (91e) $33.2061 C -1o LLJ 'cutoo. C 1/243 y2y312 128 t 55/o(S/Z�. 3.S Qyz y3 (l ��i. -+ ,5.5-10612 2) 21=8 . y _.. M _ . 142 ig x y . L x'17► S, �-T -� . �t Sx _ /77��_x rZ �,� •/32.7 �N� �:`- � , ova. es ILSs: 2' /1Ce`AwtS &Lwvo .4, "DO L.ig-. %G&4Tf�kt- ESS C -1o LLJ 'cutoo. C __ NgrfE�IMO W oao Out Nro. 14t- tutrl»q Gp wm r."{ i _,•7 i. a y`..Y..,_e.-ykwm..tfai�, - '4 = n�rr.o oiovau w�lN7 . PD. y. ; - ... •'�£ . _ s +fMl f».taNS... -5,t,t=��E ;.'� f t,... k yf - . -. � • .• 3 ryt ` .� . { •,y ."%' :'t `•k" rte•;, �, r . ���, a 3 t s = . r.. -OT 2.7 rlN�y_T .3' K,R-; r [ L R tak- FibME M - . � :^'N 1 A f C ,... ! y �, rte.. .lar ' . ✓'t � .. "4�r . ai„ . 2 y oovIN- • __ rrd Y�r �'PR011111�t -�:'��L s'MPPaR,T' QE�9N�S tf�R�T' GfgN 8E t,ISED 'Q�,aciC M _ 5x !8- � • x�-�x,6 . C 4Aif11:Q4''���w'�i!:_ Q..� .F /ax 12. 13r. xas ZV1�cm3 �►4 ,w�'L: E T3 GT s re E L B��r1.. �. ►� 'Qo1 W FNS 1«ET OtLbw OIL I% IL rr\ %T n� x'7.72-' K -FT E jig . Calc S 11716 X'I_?- - USC 5,4 m e' t45 /�►� $ '$ B ICK COUNTY OF BUTTE - DEP,ARIMENT OF PUBLIC WORKS �IIt l7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICA`'i ION AND PERMIT PERMIT NO. �1 ASSESSOR PARCEL NUMBER 69 — 22 — 7 ZONING BUILDING PERMIT OWNER Alfred W. Laurie TELEPHONE 5891439 . I N SOFT. OCC. BUILDING VAT OWNER'S MAILING ADDRESS c/o 5293 Royal Oaks Drive, Oroville, CA. 95965 CONTRACTOR'S NAME ORO RIDGE PROPERTIES, INC. TELEPHONE 589-0152 CONTRACTOR'S MAILING ADDRESS = 5263 Royal Oaks Drive Oroville, CA. 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ITECT OR ENGINEER N/A LICENSE NO. Plan Checking Fee $ S.©d Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS NIA Permit fee $ ' BUILDING ADDRESS 36 A ache Circle PLUMBING PERMIT Filing Fee 10.00 Oroville, CA. 95965 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. 274/3 SUBDIVISION NAMEPARCEL Kelly Ridge Estates MAP 1 Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeV Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK �/ New El Addition Ea Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: ���J���1 S-" �� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.( DWELLING OCCUP.�) OR ADDNS. ACC. BLDGS. _ 20 sq 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. 295666 Classification B—Gen. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR.I.OU LET 2,50 ea NON.R ESID BRA CH CIRC ITS NEW CONSTR. ( POWER APPARATUS SI NON-RESID. SINGLE OUTLET CIR. EX. OCCUp OUTLETS OR FIXTURES @1 BAL IxED APPLNS. OR Ex. Occup. (o UTLETS (RESID,) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ® I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that 1 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 liabilitie judg ents, -costs, and expenses which may in any way accrue against sq' Coun von quen a of the granting of this permit. Date SI,g., t$ I Oni�st. guMtractor ❑ Agent ❑ An OSHA permit is ryuir r excavations over 5'0" deep and demolition or construct- ion of structures over 3 st sin height. Mobile Home Installation Fee $ ,� TOTAL PERMIT FEE $ occu P. GROUP TYPE of CONST. F - PARCEL PD HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF UBLIC 1::P By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Q Date v� Receipt No. 4�� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT V . OWNER i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILlyE,=CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No.(10J,-d L,,/tt f� A. P. No. Proposed Building Use, Permit Fee Based Upon Building Inspector Complete Contract Price DPW Valuation O,thgr (Explain) Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , . . , . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner, Mail to owner ❑,) 15. Improvements may be required, . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (D 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. !/ Telephone_'�R!?4)/:{'2 and hold for pickup at office. Deliver w/inspector. Other Applicant Date jg//-9g7 Copy of plans sent Healtli 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 app Icati in, r le ite .) 1. Index permit for above Iteo.il 2. Additional items required - (Contractor, Desi Owner) was advised of above required data by Telephone Mail Other By Date ad Plans checked b Date Plans approved by Date Other: Copy—DPW MOBILEHOME -SUPPORT DATA If other than single wide, Mobilehome Mfr. 24x64 furnish Setup Model No, 34x64 GR (B) 3BR year 1983 Width 24 (ft.) Box Length 64 (ft,) Tagalong or Expando Size 10 ft. x 29 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 specified. J Footings (check one) Single-� �� © 1. Wood either A�.,. pressure treated o- foundation grade. C� 12 x 3 0 _ (ft.)(in:) (in.) (in.) El 2. Other _(specify) Center support Center support locations* footing sizes -,9 Supports (check one) (in.) 11 �tl 2) ) 1: Concrete block. ' 24 x 30q 2: Other (specify) (ft.)(in.) X Q . 1 (2)-lupEa tails show sport . 0 ct (ft.) (in.) ,) - 12 x 3 -- Typical Support (in.) (in.) Footing Size (2 47'x10' 24x 30 (ft.)(in.) •) 91S-6 -- Max Pie 34" Pier S acing (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMEN1 Max. Overhang (ft.)Y (in.) (in.) (in.) APPROVED (ft.)(in.) � Qtj W ow GO W) SQL.. 'SCP "- 71� f center piers are other than drawn above, raw in -locations, spacing, and dimensions. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 Lot 274, Unit 3 MOBILEHOME INSTALLATION SHEET 1. Owner's name: Alfred W. Laurie and Angelina M. Laurie 2. Installer's name: Or Q. Ridge Properties, Inc. 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) �-plp"� p'lans�.) 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. e ectricaf� rating? ----------------------- What is the mobilehomdl 200 Amps 6. What is the mobilehome Ate serva a r4t rr$g?--------------------- 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 siteservice? --------------------------------------------------- (If yes, identify the load and size: (Load) 9. What is the mobilehome site gas pipe size? ---------------------- Yes / / No / / -0- (Amps) -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.) .. . ENGINEERING ARCHITECTURE SURVEYING PLANNING 463 ORO DAM BLVD., SUITE M August 17,1983 Mr. Jim Glander Assistant Director of Public Works County of Butte 7 County Center Drive Oroville, CA 95965 RE: COMPACTION TEST, KELLY RIDGE UNIT #3, LOT #274 Dear Jim, OROVILLE, CA. 95965 (916) 533-2068 Enclosed please find two (2) copies of compaction test results taken for Mr. Doyle Carter, Kelly Ridge Estates. Results indicate that the fill has been constructed in excess of 90% relative density. Also attached is a location map of the site. Please call if you have any questions. Sincerely. G.D.A. ENGINEERING, SURVEYI-NG--.- PLANNING Kenneth C. Lenhardt, P.E. KCL/jm enclosures CC: Mr. Doyle Carter 100-83 WILLIAM W. GEDDIS - DAVID R. DRISCOLL - JOHN D. CHRISTOFFERSON - KENNETH C. LENHARDT EtSGINEERING 463 ORO DAM BLVD: IVUUL L A /f SURVEYING GD ,� SUITE M MANNING A OROVILIE. CA. 95965 S/ T Y 7 E (916) 533-2066 • . ✓1 MODE ASTM D-2922 ASTM n-/557 % EST nArE / RELY- rivEs PJATERIAL / :01ST wIr DRrry, �rexnRr q � DEPTH coNr PCF nlN P_C.F DENs P.C.F �1D�ST DENS P.C.F oPr MO/Sr- DINS TEST LOCATION / �g ST ya I 83 r i 12y. S ST Z-,,,7- 1)39.1, 120.1, 1) A1.9 b - 3 ✓J6, 1 3 1197. I I , S 12,5 ) e / s T\4r 7- 4 4 Po, 7 7.9 192.L <, s - t 6 1 116,-1- I a, 3 All 96, . 7 2 -3 L.► .i d-- All Ij , Z7 12 4. 7 4 LoPf S. e•/ ✓ 11719 51 //8./ 115.0 v S1,b Ll i-� L t ��7�3 13 '' All 5 s ELk f 14 '� � '�' 4147 j/ "� I 15 2 I " !O, 9 1 93illN 4 LiO' CDAME/NT % �5 T/-1i�/� iQCTi/��1 CL /ERT Q --A i2Ti2• L Ay 21 C vt/aLL - - t,/,rs rr ryE D l,2 T PROJECT Ln?'. �'74Z JOB NO. OPERA TOR 1� GD! obit ENGINEERING V•I Irl UG;L A lj 463 ORO DAM BIVD. L SURVEYING Gn J Su17F M PLANNING � LA OROVIIIE, CA. 9596S n��-S� T y TEST (916) $33-2068 . '/ . MODE ASTM n-2922 ASTM n-/557 % EST n.4 TE / REt/" T1 VE �fATER/AL / ;;D/SrDRr w£rNS % MAX-ORr % /DEPTH CONT. P. F PE P.C.F DENS P.C.F HO/ST DENS P.C.f O IS MO/ST. DENS TEST LOCATION jz 2. 14. 9%Zy,o �. s1 t 'srL r 6•b sr L >�t - 3 ✓ ✓ 1n I ,S n,.5 *Il. 510e /ST Lllr.T 0, 1 1ag SSi N0 QjCf 5 1A11 -q 1290 .3 ' lo3.3 I SiDE 2tioLlFt 6 -I � L t 9 v ✓ � .6 9, 7 9 9100 E d LOPf ✓ 5.9 118,1 i5, C v ,� S I -L Li !2 19-2- 112161, 4 .9 8 i,, o G Lj+-� L J,3o.9 , 7 s S -� r5' N 4 1 f CONNENIr CL/ERT d-AQTiS-I2� f GAvRIti- PROJECT LnT 37q U1JI7' JOB No. 1,00-,97B.' REf- OPERA TOR >� Gill ot,(l P-1 L14 LOT 274 UNIT. 3 0 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location: Owner Owner's Address Mobilehome Mfg. Model Year Insignia No. Serial No. It is hereby ceitifiei for occupancy at the above described location and may be occupied. Director of Public Works Date By %r Z THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION 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. C buJ Mti if /Vc - pa eG-E o r a C)14 � / InspectorA /�r DateIL �. PERMIT NO. _ 2545-83P,E(MH) t PERMIT EXPIRES ! ALFRED & ANGELINA LAURIE OWNER CONTR. Oro Ridge Properties ASSESSOR PARCEL 69-22-7 LOCATION #4 Skipper Ct, lot 274, KR#3, Oro r r. I 1. C i l I I 1 1 a Temp. Power Pole j Called PG&E { Temp. Elec. Service Called PG&E Temp. Gas Service _. Cal led PG&E JOB FINALED (Date) i Signature L OK Not OK = Not Applicable MOBILEHOMES Not Ready MISCELLANEOUS Date MOBI OME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except p's Zoni Requirements—Setbacks—Easements oils; Special MH Support—Sketch O 1. Zoning Requirements—Setbacks—Easements 2. Footings; Size—Depth—Spacing—Connectors 3. Se, Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails ater; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing_ 5. Electricity; Location—Clearances—Grnd. Amp—Concrete _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6.6ae�-6eaatfort—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows—Doors — 7. Elec. — Card -BI Date Card -BI Date Date Card -BI Date BI Dat .S3' Card -BI Date Card -BI _ Date Card -BI Date Date MOB HOME INSTALL TION (Plans) OK except #'s Date POOLS (Plans) OK except #'s tng Requirements—Setb ks—Ease s 1. Setbacks—Easements . Footings; Size—Sp—Marria ine 2. Soils; Compaction—Structure Stability 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining lec icity; MH Test—Crossovers—Breakers—Clearances _ 4. Elec.; Receptacles and Lighting; Distances—GFI ra' ; H Test—Fall—Flex Conne r 5. Elec.; Pool Lighting; 15 volts—GFI 6. at ; Test—Regulator onnector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed r and Sewer C ted—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8th d Electr' ' y Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit ,a!€asp.—Sketch 1 Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test C d B -I Date and -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready v RESID NTIAI (Single and Duplex) Date UNDE OR Plans OK exce t#'s Date FRAMING (Continued) on" equiremenIs-Setbacks-Easements 48. Property Line Firewall & Openings tg., Main; Soils-SteAI-Elec. - /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits eel- / /" Fte. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. ck ; Soi -S el /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers e 'al ain; ockouts- rapped -Slab 52. Siding -Nailing -Veneer ar e; Steel 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access )C7. Pi r irep a Ft .-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic _9_4)jWU.7 Fall -Fittings -Test -Tway C/O -Sewer Test 55. Shear Walls; Nailing -Bolts _ ipe; Size -Anchors 1 Pipe; Test -Anchors -Regulator -Service Test 1ric; Underground 12. enums & Ducts; Clearance -Material -Support -Ins. 1 s -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date -B I Date -/ - Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except N's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection _ 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. 61. G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except 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. Receptacles in Garage; (G. F.I.)-Romex Protec. ---- 23. Romex Installed Close to Edge of Studs & C.J. 72. Insulation -Foam -Looked Insulation -Foam -Looked in Attic E] Yes -_ 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At - 27. _Insulated 28. Range Circ. / / ga Cu or AI -Oven Circ. / / ga. Cu or Al, Neutral `Yes ❑No Service -Riser Conductors & Ground -Main Disconnect 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters []Yes EJ No 76. Stucco; Brown -Finish __- 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet _ 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Card B -I Card B -I _ _Date_ _ Card -BI Date _- Dale Card -BI Date 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except #'s 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31_ A.C-.-Ducts: Insulation & Support _ 85. Water & Sewer Connected -C/0 to Grade -HD Approval 32. Vent Fan_Exhaust 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 CaW-BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Sills; Proper Material & Anchors__ Comments at Final: _____36. _ 37. 38. 39. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor _Nailing-- -_ Draft Stop in Walls (rat proof) _ _ 40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or_Exiting Doors -Sill Hgt. & Dimensions__ Garage Fire Protection Framing _ (NOTE: An entry must be made each time you visit job site) -A PERMIT NO. 2546-83B PERMIT EXPIRES OWNER ALFRED & ANGELINA LAURIE CONTR. Oro Ridge Properties ASSESSOR PARCEL 69-22-7 LOCATION #4 Skipper Ct,lot 274, KR#3, Oro Temp. Power Poli Called PG&E Temp. Elec. Servi Called PG&E Temp. Gas Servic Called PG&E OFFICE COPY Address 4/ GAS Met r• B Dae r- ELECTRI Meter By Date JOB FINALED (Date) Signature = OK e, ' = Not OK =Not Applicable MOBILEHOMES r = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1, Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; 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) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors - 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's Card -BI Card -BI Date Date Card -131 Date _ Date Card -BI Date POOLS (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries-Terminals-Lisied 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enc losures- Pane lboards-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-1 Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK 4 = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready DateN OOR Plans OK except N's Date FRAMING (Continued) 1. zo equirements-Setbacks-Easements 48LProoerty Line Firewall & Openings tg., Main; Soils-Steel-Elec..Grnd.- / /" Ftg. Depth 49. Ext. QRom--Oa 3' -Check Garage -3rd story, 2 exits 9-'-FTT.-,Garage; Soils -Steel- &. /" Ftg. Depth s & Decks; Soils -Steel- / /" Ftg. Depth 50. 51. �3iarrs','Wtil Headroom -Rise -Run -Landing -Fire Protection Plywf Overhang -Attic Vents -Rafter Outriggers _ ain; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. S 'esh- rip Screed-Fdn. Vents-Underflr. Access - Piers -Fireplace Fig. -Steel 54. -G4ezing-AT92--Glass Protection -Skylights -Plastic II -Fittings -Test -2 way C/O -Sewer Test 55.SI93r-WsifS WaiIing-Bolts a -Ga- +iPe; Size -Anchors 10. -Water -Ripe; Test -Anchors -Regulator -Service Test tl�.F EIaT Underground .. enums- Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples C&441 ate and -BI Date Card -BI Date Card -BI Date r,! _ ^Card Card -BI Date Card -BI Date Q3wt to -BI Date Date FINAL (Plans) OK except H's I - Card -BI Date Date PLUMBING (Permit) OK except p's 56. 57. Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting _ 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access ____ 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except H's- 67. Garage Fire Door; Swing -Landing -Closer 68. 69, _ A.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection -- 20. Fixture & Transformer Clearance -Ins. 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. 72. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic ❑ Yes - - 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water -- 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 AI 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes -- - 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, _Insulated Neutral '`'Yes DNo 28. Service -Riser Conductors & Ground -Main Disconnect 75. Following instld.: Drive Yes No; Walks 9 ❑ ❑ ❑Yes [:]No; Planters Dyes ❑No 76. Stucco; Brown -Finish ----29. Equip. Clearances; Pane Is_Motors-Mech. Equip. - 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet ------ 30. Clothes Closet Light -Shower Light - 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. - - Card B -I Card B-1 -------------------- ------.-- _ _Date- Card BI - ----D-ate Date Card -BI Date 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except q's 83. 84. _ Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric - 31. A.C. Ducts; Insulation & Support - 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. Vent Fan_Exhaust above Insulation -- 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 86, Energy Compliance Certificate -Other Certificates 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 Date FRAMING(Plans) OK except q's Comments at Final: ae--TFHs-PTtter Material & Anchors _34-.--W tfss3Tuds-Nailing, Spacing & Bracing -Plates -Sound 30-kWaring Walls over Girders & Floor Nailing- _- 39. Draft St o in_W_alls (rat proof) 4- Furred Ceilings -Stairs -Chases -Tub eade Beam -Size & Bearing ngers-Post C s -Anchors -Connectors - ng. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. 44.7rep ace ies or Type A Flue -Fireplace Throat 45 A� tt,c access-•Frize & Romex Protection -Draft Stop -Ins. Baffles 4 . n ows or Exiling Doors -Sill Hgt. & Dimensions -- epon Framing _ (NOTE: An entry must be made each time youvisit jobsile) J COUNTY OF BUTTE - DEPAR'TMFNT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. r ASSESSOR PARCEL NUMBER 69 — 22 — 7 ZOaulA 1-1BUILDING PERMIT OWNER Alfred W. Laurie and Angelina M, Laurie TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Temporary Address - c/o 5293 Ro al Oaks Drive Orov>lle� CA. 95965 CONTRACTOR'S NA E Oro- -Ride Properties, Inc. TELEPHONE 589-0152 CONTRACTOR'S MAILING ADDRESS 5263 Royal Oaks Drive Oroville, CA. 95965 Fireplace CONSTRUCTION LENDER N/A UNKNOWN Total Valuation $ ' Filing Fee $ '�!'�' LENDER'S MAILING ADDRESS - N/A Permit Fee $ $ 0 ARCHITECT OR ENGINEER N / A LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS N/A Permit fee $ l� Oct BUILDING ADDRESS - 4 Skipper Court PLUMBING PERMIT Filing Fee 10:00 Ornirille, CA, 95965 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION 274/3 NAME Kelly Ridge Estates PARCEL MAP Each qas water heater or vent - 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeX Other SPECIFY Building sewer 5.00 Mobile Home S G 10.00e 00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtilitiesX Installation❑ Other ❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Q,�C Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 7 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 295666 Classification B 'Gent ❑ 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.( ULT'.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR.POWER APPARATUS &' NON-RESID. (SINGLE OUTLET CIR.� Ex. 0 cup(OUTLETS OR FIXTURES eA ®30 FIXED APPLNS, OR EX. OCCUp• OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 D� Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities judg ts, costs, and expenses which may in any way accrue against sai ount con quence of the granting of this permit. r ry Date SigIA%yJ' ner eCCoonr acct r ❑ Agent ❑ na re- An OSHA permit is requir or excavations over 5'0" deep and demolition or construct- ion of structures over 3 s es in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ ��Sv OCCUP, GROUP I TYPE OF CONST, PARC PD HD SS This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date '-46 P s LReceipt No. "'SIA 4 E-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT " '^�"'Lv..+'V'nr�ir:..r!£.-?.rcr..ra..+'"o.,nvn`f7n.ct'7.^:»✓iw.��+F'F'titi."M�^.,e.-+t-A.i'e.r�"'`-"'r'..'_"�"✓.�1."` r ' COUNTY OF BUTTE - DEPARTMENT*OF PUBLIC WORKS - BUILDING DIVISION -7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 TELEPHONE: 916/534-4541 ti'PERMIT APPLICATION DATA SHEET Permit No. OWNER L�-�(�.9_0A L n� L.�. sL.. A. P. N o. I -a01 Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building Inspector _N:: Date 7L\5�'a —17—Y-5 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑) I'` 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . •Pre-Inspec. request to (Dote) 17. Pre -Inspection for Required. Building Inspector 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. I/ Telephone and hold for pickup at Q.^BZoffice. Deliver w/inspector. Other Applicant r,,- CC,,\ k-21,. 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 Telephone Mail Other By Date Plans checked by Date Plans approved by [ Date Other: ' Copy—DPW Telephone 533-2000 North Burbank Public Utility District 1960 Elgin Street - OROVILLE, CALIFORNIA 95965 120-83 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the Butte County Department of Public Works - Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by North Burbank Public Utility District, must be submitted to Butte County. Applicant: Applicant Address: Applicant Phone No.: Property Locations) A. P. No. (s): Alfred W. & Angelina M. Laurie (Doyle Carter) 5293 Royal*0aks Dr., Oroville, CA 95965 ' 589-0152 4 Skipper Court Kell=y Ridge Estates - Lot 274 - Unit 3 069-22-0-007-0 Fees Paid: N.B.P.U.D. Connection Fee Paid. SC -OR Facility Charge waived if connect1d by 11-10-83. Application for service approved: July 27, 1983 North Burbank Public Utility District Inspection(s) made and successful test(s) observed: Location: Date: By: North Burbank Public Utility District release to close permit: Date: By: I NOTE --All Materials & Workmanship Shall Be in Accordance with Recognized. Good Practices and of a,qua;ity prescribed for the Specified use in the Uniform Building, Pluc:n::ing &Mechanical Codes An the National Electrical Code - A. u.6 LOT 274 UNIT - 3 6.18-C-0sio a i0 I u o °d I . Lo 'O o-� v-:8s.`E `i .ti �i•� . y .!Q) 00, setback of 5 ft. from the I roperty lines and a setback from the road I nterline shall be clear Atructures or equipment 0;: EASEme��s BUTTE COUNI�Y BUILD NG DEPARTMENT I his set of pl s and specifications MUST bc. kept ctWil�6A1 6 a� afl. ir§c�f Qnd it is -unlawful to make any changes or alterations on same without written permission from the Department of Pub- lic Works, County of Butte. 20, 00'7E I � I 'CDI 1 m � E o I uJ(D -1 w o � p,a)c�o �o 0 c� � :E� o I al p C o _� •� o S p I N t �: �.' I N i 6.18-C-0sio a i0 I u o °d I . Lo 'O o-� v-:8s.`E `i .ti �i•� . y .!Q) 00, setback of 5 ft. from the I roperty lines and a setback from the road I nterline shall be clear Atructures or equipment 0;: EASEme��s BUTTE COUNI�Y BUILD NG DEPARTMENT I his set of pl s and specifications MUST bc. kept ctWil�6A1 6 a� afl. ir§c�f Qnd it is -unlawful to make any changes or alterations on same without written permission from the Department of Pub- lic Works, County of Butte. AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 83-24921 FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement �JFe ►OiA- KE. nt,��'� be recorded prior to issuance of a buildingpermit. B07Tf OCOI? �� ORD The property described herein is adjacent to land or included � within an area zoned.for agricultural purposes, and residents of JUL 17 3 this property may be subject to inconveniences or discomfort arising ,�. Bsf u:;;1.: from the use of agricultural chemicals, including, but -not limited to he>r v RU R. pesticides, and fertilizers; and from the pursuit of agricultural operations including, but,.:not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lot 274, as shown on that certain map entitled, "KELLY RIDGE ESTATES UNIT No.V', which map was filed in the office of the Recorder of the County of Butte, State of California, July 26, 1974 in Book 43 of Maps, at pages 44, 452 46, 47 and 48. Subject to all easments, rights of way and restrictions of record. Date: June 27, 1983 PROPERTY OWNERS: 61 State of California ) On this the 27th'aay of June 19 83 SS. before me, the undersigned Notary Public, personally County of Butte ) appeared ***Angelina M. Laurie and Alfred W. Laurie******** o 0 ac proved to me on the basis of satisfactory evidence p X*&M3Ei36AiE to be the person(s) whose name(s) are subscribed to the within instrument and acknowledged that they executed the same for the purposes therein contained. L11 IN WITNESS WHEREOF, I.hereunto set my hand and official seal. Present A.P. NO. 69-22-2 otary PubYYc 5263 Royal Oaks Drive, Orce''il,19 CA. 95965 END OF DOCUMENT NOTARY PUBLIC-CALIFORI IA Butte County �i MY Commission Expires March 2, 1986 ***Angelina M. Laurie and Alfred W. Laurie******** o 0 ac proved to me on the basis of satisfactory evidence p X*&M3Ei36AiE to be the person(s) whose name(s) are subscribed to the within instrument and acknowledged that they executed the same for the purposes therein contained. L11 IN WITNESS WHEREOF, I.hereunto set my hand and official seal. Present A.P. NO. 69-22-2 otary PubYYc 5263 Royal Oaks Drive, Orce''il,19 CA. 95965 END OF DOCUMENT 0692270-007 • 00-0653 RAY, Mary Ann 36 Apache Circle, Oro Cntr: Royal Flush Plumbing Install Gas Line OFFICE COPY Address GAS Meter By Dat y.f ao ELIC '.M ar Ry �LP�,ri COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING ISIONr 7 County Center Drive - Oroville, California 95965 - Telephone (5 0) -7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT - ,=-�'- ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER 1 1TELEPHONE f f iLji/ l SO. FT. OCC. BUILDING VALUATION OWNERS MAIVtM ADQRESS CONTRACTOR'S NAME G,dl +ly(A - TELEPHONE cdNrRAcT6WS MAILING ADDRESS L. _ W, III. -.) E ,�...0 CONSTRUCTION LENDER - LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex LD. Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ DescribeWork: 7,+ ��, �� �� S / v P ! �� + ``�'A�o.- c -':,� e" c(� /S S rPERMIT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in fullforce and effect. ; es 3 License Class C - S Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLINGOCCUP. OR AODNS. ( & ACC. BLD S. s0 3.50FT. NON-R61D. MULTI -OUTLET 97.50 POWER APPARATUS a SINGLE OUTLET CIR. EX. Occup. OUTLET OR FD(TUREs BAL @ .50 FIXED Ex. Occup. o. A�sEID.OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in.the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. J\" _ X _11.� I (_+ti�l.�. Date C, 1 G ` Signature of Applicant - ❑ Owner IZI Contractor [3Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35 • (�(. HAZ.D. FEES IMP I FLOOD CDF PARCEL PD I HD I ISE This permit is hereby issued under of the Butte County Code and/or indicated above for w ich fees have .I}y c, -W PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. O d Date Data Receipt No. 4-�)U44 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ` CbUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING ISION sl� • 7 County Center Drive - Oroville, California 95965 - Telephone (5 0) -7541 PERMIT No. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER Atdkv.n/ V TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNER'S MA[yr AD SS CONT CTOR'SNAME O L �U Ivy TELEPHONE C MAILING DRESS OR5 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ 36 APACHE CIRCLE, ORUVILLE $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex 44 Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel L� Utilities ❑ Installation ❑ Other ❑ Describe Work: :ZO2 5W// _Tof f N P G.QdL. /�i?o J.fwe T t1 IkF /� A,,J -/,M641 rr6sic � Gas piping system t - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Filing Fee 20.00 500V OR UE Main Service 200" OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, ) and my license is in full force and effect. License Class C —16 Lic. No. (� ! OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ,f I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46,00NEW CONST. OW EwG OCCUP. N OR ADDNS. ( a ACC. sLOs. SO 3.5¢FT: NEIN CONS MULTI.OUTLET NoZR IDT C @7.50 PLE OWER APPARATUS 8 SING. INGOUTLET CIR. EX. OCCu OUTLET OR FIXTURES B20 @ "00 Ex. Occup. OFIx E. RLlIS oEk 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ 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. ❑ I 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 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) Ij6 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 f hwith Com with those provisions. Date �/ 00 Signature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HA2. D. FEES IMP FLOOD CDF PARCEL PD I HD 5 UE This permit is hereby issued under of the Butte County Code and/or indicated above for w 'ch fees have PERMIT EXPIRES ON the applicable provisions Resolutions to do work beena3—�� ate _ d / Date ReceiptNo. 286440 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 6DUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION _ 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT I az i'.5_0 FIXED APPLNS. OR EX. OCCU . OUTLETS ESID. EA S.00 PERMIT 23.001 Mobile Home Facilities �TEI.EAHHONESO. Misc. Wiring FT_ OCC. BUILDING VALUATION fASSEZSSORPAACELNUMBP?2ON"OBUILDING �: .� ie- C;&,Lam. P1rf/ Plas4 I b:. lives �,r TELEPHONE 333—y/,18 CO TOR MALLJNO ADDRESS q na CONSTRUCTION LENDER ' Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee b 20'00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS ¢ I 36 �� c�,ec% - " Energy Plan Checking Fee E $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex 6j Mobilehome ❑ Other sPEC'`Y Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel 13, Utilities ❑ Installation ❑ Other ❑ ! Describe Work: �1 �� /!J�Y�e l/I %,i.�C ST��e i�/1/ e!<WC, �w6t,K piping system 1 - 5 outlets 15.o0 —'Gas Buildin sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S _____..... . ELECTRICAL PERMIT Fling Fee 20.00 e00v OR LEss 23.00 Main Service 200A OR LESS Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. 3.SCSO OR ADONS. ( 8 ACO. BLAS. NEW CONST. / m I--ULTI.OUTLET \ @7.50 NON.RESID. l eru r— 1 EX. OCCU . OUTLET OR FIXTURES I az i'.5_0 FIXED APPLNS. OR EX. OCCU . OUTLETS ESID. EA S.00 Temporary Service 23.001 Mobile Home Facilities 1 20.00 Misc. Wiring 1 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 1 20.00 Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee S Energy Inspection Fee S occ CONST. TYPE TOTAL FEES AC..V,. NAZ. D. FEES IMP FLOOD COF PARCEL This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. // ,� By Date ��ll�c ( �(/ PERMIT EXPIRES ON ~' a PERMIT NO. 328-8 PERMIT EXPIRES OWNER AL LAURIE CONTR. Sierra Mobile Service & Supply ASSESSOR PARCEL 69-22-7 F LOCATION 36 Apache, Oroville • E Temp. Power Pole Called PG&E Temp. Elec. Servi Called PG&E Temp. Gas Servi ci Called PG&E JOB FINALED (Date) r �� Signature L =OK' = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements–Setbacks–Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s a oni Requirements–Setbacks–Easements 2. Soils; Special MH Support–Sketch 2 ooting�–Depth–Spacing–Connectors 3. Sewer; Location–Test–Fall-C/O–Concrete 3jEpgo king–Bracing–Stairs–Rails 4. Water; Location–Test–Easement Needed (Sketch) J. -W od Awn.; Posts–Beams–Rftrs.–Connec.–Shthg.–Rfg.–Bracing 5. Electricity; Location–Clearances–Grnd.–/ / Amp–Concrete _ 5.,–*timrfiWn.; �lumns–Connections–Splice–Decal–Enclosures 6. Gas; Locatiorr--Test–Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG &. rs; indows–Doors 7. Utility Clearance Card -BI Date Card -BI Date Yarg1l e and -BI Date Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date – Date MOBILEHOME INSTALLATION (Plans) OK except H'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 6. Elec.; Enclosures; Conduit Entries–Terminals–Listed 7. Water and Sewer Connected–C/O to Grade–HD Approval 7. Elec.; Bonding; Metal w/5'–Circulating Equipment–Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'–Circulating Equip.–Pool Lghig. Boxes– Enc losures– Pane [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 -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = Ok 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except H's 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Dept 3. Fig., Garage; Soils -Steel- / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouls-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel _ 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except N's _ 14. Water Ht.: Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. _ 17. D.W.V.: Test-Fttngs & Anchors -Nail Protection Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Card -BI Date Card -BI Date Date FRAMING (Continued) Date Card -BI Date 48. Property Line Firewall & Openings Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Date Card -BI Date 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Elec. Outlets & Receptacles at Kit. Counter 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Card -BI Date Card -BI Date 52. Siding -Nailing -Veneer Garage Fire Door; Swing -Landing -Closer 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access Permit OK except q's 54. Glazing Area -Glass Protection -Skylights -Plastic A.C. Duct in Garage -Damper 55. Shear Walls; Nailing -Bolts Fixture & Transformer Clearance -Ins. Protection Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shlhng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Rom_ex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors-Sill_Hgt. &Dimensions__ _ Garage Fire Protection Framing 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- --- _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except p's 56. Ext. Steps -Door & Sidelight Protection -Landings 71. 57. Smoke Detector 23. 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 72. 59. Bedroom Exiting 24. 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 25. 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Condensate Drain _& Overflow; Size & Grade Date Card -BI Date 34. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Attic Access & Platform if Furnace in Attic Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) 67. Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except q's _37. 38. 39. 68. A.C. Duct in Garage -Damper _ 20. Fixture & Transformer Clearance -Ins. Protection Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shlhng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Rom_ex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors-Sill_Hgt. &Dimensions__ _ Garage Fire Protection Framing 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- --- _ In Garage; Above Floor-Mech. Protection 21. Flee. 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. 72. Insulation -Foam -Looked in Attic ❑Yes 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water -_ 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps - 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; _Insulated Neutral ,_Yes ❑No Planters ❑Yes ❑No _ 28. Service -Riser Conductors & Ground -Main Disconnect 76, Stucco; Brown -Finish - _ 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light _ 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I _Date_ Card -BI Date _ ___ 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection _ _ 83. Corrections from Previous Inspections Date MECHANICAL (Permit) OK except N's 84. Gas Test -Meters Tagged; Gas -Electric - 31_A_C. Ducts: Insulation & Support _ 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Venl_Fan=Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33. Condensate Drain _& Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet - 35. Attic Access & Platform if Furnace in Attic 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 Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors _37. 38. 39. Walls; Studs -Nailing, Spacing & Bracing -Plates_ -Sound_ Bearing Walls over Girders & Floor Nailing__ y __ Draft Stop in Walls (rat proof) _ _ 40. 41. 42. 43. 44. 45 46. 47. Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shlhng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Rom_ex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors-Sill_Hgt. &Dimensions__ _ Garage Fire Protection Framing _ (NOTE: An entry must be made each time youvisit jobsite) J COUNTY OF BUTTE - DEPARTMENT GAF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AIWD PERMIT PERMIT NO. / 3 ASSEYnPS�C�_ NUMBER ZONING BUILDING PERMIT OWNER Al Laurie TELEPHONE 5$9-1439 SO. FT. OCC. BUILDING VAL ATI N OWNER'S MAILING ADDRESS 36 Apache, Oroville, CA 95965 CONTRACTOR'S NAME Sierra Mobile Svc. &3 SupplY TELEPHONE 1877-8575 CONTRACTOR'S MAILING ADDRESS $965 Skyway, Paradise CA 95969 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 9010D ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS 36 � ROLE— PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF [1 Duplex❑ Mobilehome:PF Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ 10-00e TYPE OF WORK New] Addition EJ Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: Carport, 1$. 5 tX67 t , right deck, 21iX11.5 t , left deck, 24.5'X11.5 t Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800°V OR o AMP ORLESS10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2hQSQft 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. 221404 Classification Commercial ❑ 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 NNEW ON•RESID R BRANCH TLETlrs 2.50 ea NEW CONSTR. POWER APPARATUS W NON-RESID. (SINGLE OUTLET CIR. .besot Ex. Occup(ouTLETs OR FIXTURES 6AL®30 FIXED ALNS EX. Occup. OUTLETS PP(RESI*D IR EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Q I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation - Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County , in consequence of the granting of this permit. X �'r �`�+� Date 2-1-84 Signature of A plicant — Owner ❑ Contractor ® Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE V oC UP. GROUP —� TYPE OF CON T. 3t_ , %/ 1 PARCEx N/ PD HD 195 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OR OF PUBLIC By P AIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /3—stories Receipt No. �� T[ 7 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT [[[[��W N / 1 ! , .'r' ' •N�r•I ._�'. •� V /. '•1 i "+I�,`�n '' F,�,jI.j,�1, •`p_ ', •y"��'�p'.{.y• i'� +, , #�,W t�l'V` �\ .� �1 ' //t��l + t I,r +i:! ly'��'� � � '�' � .t 1 Jrw,, M j •f`• Y �� 1 , / cri AI L4 tA a l i e1 1 O y G •�r.i 'I ii 1 j ' 1 ! � ' 1 1 't % { i`. rL4 1 � l�•l £ tij .,r � j LA � �, •:j'+ � .. �y � EI } r i - / ,. r ��. 1_�,F.1 t11 .1 th, 7(� � ,,r,+', 1 CN CA • r tl'' ' � al ' 'i'`t uu I 1' atr i, It IY' 1 drn a o C � z Lt L4 �IA t4 I L N k N 8 N ,r w 0 u oc � W Q n N N Z 0. O 1 LL O J a <„ i W ti �oo jr Y 0 3 cr � a D' a } Q O � } Y QD V .r, oar 0 'Q coW N J ® o 14Z 47 14 ��4d-e lm�lvoo �,d �uP lk US -94 � 9 / BUTTE COUNTY BUILDING DEPARTMENT con APPROVE® 2 / �-� -S za ry C�Me�� 01 Ce/►'N eA)4-4 % CD �Z &tCIST�►�c 15�WT11JM9hti FooTW6e ow►9rcR. QacJACotL To INA0E �xPl��s�o�l 0 Yb TL&--cTL* APP�v ED '3�oLT S AP OWNER k l PERMIT lk �s�5 MH UT IL .CLEARANCE A TE a " INSPECTOR &Af?� ELECTRIC GAS. Support Compaction Struc. Test Re . Service Size Other. Load Type Pipe Size Length YES NO YES NO � r 1 PERMIT NO. 204-84B PERMIT EXPIRES OWNER AL LAURIE !• CONTR. owner ASSESSOR PARCEL 69-22-7 LOCATION 36 Apache Circle, Oroville Temp. Power Pole_ Called PG&E _ Temp. Elec. Service r Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) v� `7/ Signature C/L OK Not OK = Not Applicable MOBILEHOMES Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, QCWERS. CARPORTS, ETC. (Plans) OK except q's ilk 0 i u rrements-Setbacks-Easements •2. Soils; Special MH Support -Sketch ootings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 2 s; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) �3 'Meed A= pets-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5.r-6olumns-Connections-Splice-Decal-Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6...GacpocfsrW ows-Doors_ 7. Utility Clearance 7�— Card -BI Date Card -BI Date Card -B ` Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except H'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 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -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 -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Sate UNDERFLOOR (Plans) OK except N's 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Dept 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 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 Bolls -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s _ 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection _ _ 17. Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date ELECTRICAL (Perrcit) OK except q's Date Gard -t31 Card -B I Card -131 Date FRAMING (Continued) 48. Property Line Firewall & Openings 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire ProtE 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggi 52. Siding -Nailing -Veneer 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access 54. Glazing Area -Glass P 55. Shear Walls; Nailing -E Date Date rotection-Skylights-Plastic lolls Card -BI Date Card -BI Date uate Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Land 57. Smoke Detector ri In Vents -Clearance -Comb. Air -Connector- ; Above Floor -Ducts -Meth. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following inslid.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates_ -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _ 40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connecters 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access: Size & Romex Protect ion -Draft _Stop -Ins. Baffles 46. Bdrm. Windows or Exiling Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit job site) 20. Fixture & Transformer Clearance -Ins. Protection 21, Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled - 23. Romex Installed Close to Edge of Studs & C.J. _ 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size _26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or A - 27. _Insulated 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Neutral r Yes DNo Service -Riser Conductors & Ground -Main Disconnect - 29. Equip. Clearances; Panels-Motors-Mech. Equip. - 30. Clothes Closet Light -Shower Light Card B-1 Card B -I _ Date Card -BI Date Date Card -BI Date Date MECHANICAL (Permit) OK except p's 31. 32. 33. A.C. Ducts: Insulation & Support _ Vent Fan;_E_xhaust above Insulation _ _Condensate Drain _& Overilow; Size & Grade Card -BI Card -BI 34. 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Date Card -BI Date Date Card -BI Date Date Gard -t31 Card -B I Card -131 Date FRAMING (Continued) 48. Property Line Firewall & Openings 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire ProtE 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggi 52. Siding -Nailing -Veneer 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access 54. Glazing Area -Glass P 55. Shear Walls; Nailing -E Date Date rotection-Skylights-Plastic lolls Card -BI Date Card -BI Date uate Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Land 57. Smoke Detector ri In Vents -Clearance -Comb. Air -Connector- ; Above Floor -Ducts -Meth. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following inslid.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates_ -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _ 40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connecters 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access: Size & Romex Protect ion -Draft _Stop -Ins. Baffles 46. Bdrm. Windows or Exiling Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovillb,.CaliforNa 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR P�A�;GEIy YM Efi (/r/(/�/ L'4/ 7 ZONING IF BUILDING PERMIT OW7 T��E )N `�f SO. FT. OCC. BUILDING VALUATIO owg s Mn,L�/Thil�Ur r�/s C// �C C.f� CONTRACTOR'S NAMED I' TELE HONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ fOsae0 Filing Fee $ 10.00 LENDER'S MAILING A DRESS Permit Fee $ 2- o ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $•�S0c, , Penalty $ ARCHITECT OR ENGINES MAILING ADDRESS Permit fee $ BUILDIVjADDREs���. V /`C (;l7 PLUMBING PERMIT Fi ling Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 ©� &Col_ Water piping 5.00 T NO SUB IVIS Is1,oN 8 �2 PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SFEI Duplex❑ Mobilehome Other SPECIFY Building sewer5.00 Mobile Home S G W 10.00 e ,— , TYPE OF WORK New Addition ) Remodel❑ Utilities Installation[] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV 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. 2t/2PSgft CONTRACTORS LICENSE LAW 1 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. No. Classification Fv1I, 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.RES'D BRANCH CIRC ITS &'\ NEW CONSTR. POWER APPARATUS NON-RESID. %SINGLE OUTLET CIR. / Ex. Occu zoesoa P�OUTLETS OR FIXTURES BAL®30 FIXED APLNS.License EX. OCCUp. OUTLETS (RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against ounty ' c sequence of the granting of this permit. _,a %� Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- f strutures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE 0'ft�AI//C; P_�GyOUP J.WE o CONST. TY/j PAR EL HD 1 UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS DateE-D..W., rReceiptPNo.©�ci� YELLOW -ASSES OR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT:OF-PUBLI'C WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TELEPHONE: 916/5344541 PERMIT APPLICATION DATA SHEET. Permit No. OWNER AL 1 _lQajel L- A. P. No. Proposed Building Used Permit Fee Based Upon: Complete Contract Price DPW Valuation Other -(Explain) Building Inspector Date �r 7,'�>`- At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED ✓ 1. All items have been submitted. . . . . . . . . . . 2. Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . .. . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) 15. Improvements may be required. . . . . . ... . . . 16. Mobilehome Installation Data. . ... . . •Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Dote) 18. Other FA 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 o Appl icant!-�� 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,-Qwner) r Plans checked by. Plans approved by Other: Copy—DPW advised of above required data by By Telephone Mail Date Date Date Other COUNTY OF BUTTE Department of Public Works 7 County Center Drive, Oroville, CIS. 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 -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: • a Property Owner Social Sec u it number — — Date NOTE: This Owner -Builder Verification is sent to you -as required by Sections•19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Al NOTE:—All Materials& Workmanship Shall Be it LOT 274. Accordance with Recognized Good Practices .and of a quality prescribed for the Specified use in the UNIT 3 . Uniform Building, Plumbing &Mechanical Codes and the National Electrical Code. /X_. 4L • -SET=BA_Cf! 2O. This set of plans and specifications MUST 'ba e 5.= iBA= 5' �z'0O•.E I � ..__. kept on the job at all times and it is unlawful make any changes or altera out written permission from the Department ^f_— — 1 GlTc'CL c Public Works, County of Bute.— r �'q A setback of 5 ft. from .tp2`'t I N property lines and a setback I I L� 0 of 50ft. from the road , N I 0 centerline shall be clear of structures or equipment exceot I, fora 2 ft. eave overhAAJ an (� ! .70. 00' 1 �-�•" S � / /_ � C � CSO G/iz i'- I za4 -g41 BUTTE COUNTY Sc A ��� _ i'� •moo •, BUILDING DEPARTMEN1 .� 4:�' �4/41 f i r IA 074 a�]AOddd _ X2.'08 -- ,4P9 .Y IN3Wl�ib'd3a ONla®�f �'z°p-8� klNnoD 9-amlF mµ.LA .i N' 00 -C rill n 92 is f ` (� ! h (� , .�. `fir `� �ue�{i_no a�c�a•�}'� / ; •` i .. } : - s• r j , f . t +�, .Isafla aq�!iQl� t� �'•' - �j ' �.. t . t .•••r •,pdo1 0t�4 uat�' `�.Mv�.t'}� I; • ;*' 1 �' !. 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