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069-220-014
Me 'vin Gaines 37 ipper Ct., lot 267, KR#3, Orovill Permi # 399-76P,E(util. ELEC . %� ' , 71 v. SUPPORT S RuariRE REQ COMPACTION 'EST REQ. OROES 37 Skipper 0., lot 267, kk#3, Oro. contr: Carneros obi le Transport,Nap� Permit #6273-76 Issued %�_� 9_ i;md la(7I� Contr: Holmes MH Se 'y Ban ,Permit #6294-76B (new ar t }}`` covered decks/MH). �0��1�7 Contr : //��CarnarosrrMobile T ansport, Napa 4`�) a zr ' _ hermit #835-78MHI.(e, isf ng _ _ite) , Esued �- —70 Permit 2061-78 (cov.deck/MH) rcontr-.7Herita'�,e es MH Service, Bangor- ray �7 -Z2 -1¢ r t, lot 267; KR��3; OYov 219-79B(new storage shed/MH� 9 z2 -/9 itage Const., Oroville 799- QB(new awnin /MH)17 1z 112 -BOB (1st renewal/3219 79)--�L� 69-22-14 - � " "Permit*'# 3004=81B ;•E (n"ew -cov .deck open deck, awning &;elec.for stg. shed& 2nd renewal for #3219-79) 069-22-14 #98-2398 SMITH, NORMAN R. 37 SKIPPER CT. OROV�jjal E OWNER j I417�R PLUMBING IN STO(GE BLD } J• Me 'vin Gaines 37 ipper Ct., lot 267, KR#3, Orovill Permi # 399-76P,E(util. ELEC . %� ' , 71 v. SUPPORT S RuariRE REQ COMPACTION 'EST REQ. OROES 37 Skipper 0., lot 267, kk#3, Oro. contr: Carneros obi le Transport,Nap� Permit #6273-76 Issued %�_� 9_ i;md la(7I� Contr: Holmes MH Se 'y Ban ,Permit #6294-76B (new ar t }}`` covered decks/MH). �0��1�7 Contr : //��CarnarosrrMobile T ansport, Napa 4`�) a zr ' _ hermit #835-78MHI.(e, isf ng _ _ite) , Esued �- —70 Permit 2061-78 (cov.deck/MH) rcontr-.7Herita'�,e es MH Service, Bangor- ray �7 -Z2 -1¢ r t, lot 267; KR��3; OYov 219-79B(new storage shed/MH� 9 z2 -/9 itage Const., Oroville 799- QB(new awnin /MH)17 1z 112 -BOB (1st renewal/3219 79)--�L� 69-22-14 - � " "Permit*'# 3004=81B ;•E (n"ew -cov .deck open deck, awning &;elec.for stg. shed& 2nd renewal for #3219-79) 069-22-14 #98-2398 SMITH, NORMAN R. 37 SKIPPER CT. OROV�jjal E OWNER j I417�R PLUMBING IN STO(GE BLD Q N K Oro,f , 41) ooq - 220 aid :PERM o. 3219-79B PERMIT EXPIRES 714 OWNER William Gray 'CONTR. owner 34-74-14 .'LOCATION (A.P. 37 Skipper Ct., lot 267, KR#3, Oroville 6 I L{ yy4 . 1 K ' q C H y Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) Mesh COUN 1Y OF BUTTE — DEPARTMENT OF PUBLIC WORKS t i BUILDING INSPECTION RECORD ;r Grd. Fault Prot. BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Pipingf Forms Parapets 1st Floor.;-,' Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handica e. Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final _ Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------Flet. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLAIMN .............. Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (BLPJ QboV r p,t`6�• IQ1Jf �°0W� 4tTl [�cJ� LeIOSf �p✓�b� ©G<3T4l�oL� cc-�l .Aifc/L/s�L � � ml--[p�O 6�Z.j��r1Z`- AD ZV IS -160 A6&,JJC- (NOTE: An entry must be made on this form each time you visit the job site.) dt COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: €534-4541 APPLICATIO9 AND PERMIT autnonze representatives or the county or tsutte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. _7 - C' ,q -7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do -work indicated above for which fees have been paid. DIRECTOR,OF PUBLIC WORKS By>=7% / 1� Date h Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai ling Address ._ • ! - _. • - I r Telephone No. 1 - Contractor Mai I i ng Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee &/orPenalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 r, Repair drainage or vent piping 1.50 A. P. No.Zoning •-- j & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees WC` Sanitation Fire Dept. Fire2one Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach I Declaration I Parcel Map 60' R/W I Improvements additional outlet .30 Building sewer 5.00 Bldg Plans Recd I Parcel Approval I PlanseApproval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home 0 Others ❑ Main service EA. ADD•L 100 AMP 2.50 - - Main service OVER soov 25.00 100 AMP OR LESS Main service EA. ADD -L.100 AMP 1.00 NEW CONST. ( OR ADDNS. ACCLLING BLDGS.CCUP. Y) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: TLET NEW CONSTR. BRANCH CIRCU 1 NEW CO ID BRANCH CIRCUITS/ 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTURES) 5 L 1@ FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Mise. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Cali fomia. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Elhave placed on file with the County of Butte a certificate of 'workmen's Compensation Insurance. r -1I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE autnonze representatives or the county or tsutte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. _7 - C' ,q -7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do -work indicated above for which fees have been paid. DIRECTOR,OF PUBLIC WORKS By>=7% / 1� Date h Building permit expires Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee h� $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other , Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 1000V OR 0 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 22 sq ft CO TORS LICEN I declare under penalty of perjury p y p f y (Check One): ❑NON-RESID. I am licensed under provisions of Chapt. 9, Div. 3 of the Bus Iness and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET NON-RESID. BRANCH CIRC ITS 2.50 ea NEW CONSTR. (POWER APPARATUS &\ (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 50@NQ BAL@10S FIXED APP LNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities , 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 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. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against ;said County in consequence of the granting of this permit. X� Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD I HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS D'ate Receipt NO. i, WHITE-D.P.W., YELLOW ASSESSOR, PINK/INSPECTOR, GOLDENROD -APPLICANT C• 3004-81B,E PERMIT NO. PERMIT EXPIRES OWNER William Gray CONTR. owner ASSESSOR PARCEL 69-22-14 I LOCATION 37 Skipper Ct., lot 267,KRIP3, Oro. • 9 Temp. Power Pole C Y Called PG&E I Temp. Elec. Service Called PG&E t Temp. Gas Service .K i Called PG&E JOB FINALED (Date) t Signature . A I J = OK i O = Not OK Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning require men ts-Setba s -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Ele;. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check G rage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel-' /" Ftg. Depth 50. Stairs; Width -Headroom Ri -Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soil, Steel- / /" Ftg. Depth 51. Plywood on Roof Overhan =Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -Bloc uts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -B I, ckouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 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 q'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 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. &Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. - 24. 25. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 72. Insulation -Foam -Looked in Attic E] Yes 73. 74. Guard Rails &Deck Construction -Post Caps 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 AI, Insulated Neutral ❑Yes ❑No 75, Following instld.: Drive C:) Yes E] No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77• A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing 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 Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. 86. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 32. Vent Fan; Exhaust above Insulation _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI _ _Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except 4'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. 43. 44. 45. 46. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. _ 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 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) = OK` = Not OK = Not Applicable MOBILEHOMES = 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/0 -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; Location -Test -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 q's 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI Date Date Card -BI 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 Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date 4: COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS PERMIT NO. ''mow 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT 1 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER /�1rN. mac, TELEPHONE �� M y ` SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME Y Y CONTRACTOR'S TELEPHONE 1 CONTRACTOR'S MAILING ADDRESS --- Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Filing Fee $ 10.00 LENDER'S MAILING ADDRESS � — Permit Fee $ .cG ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ roc Penalty+'- '+f -fi $ i o - �- ARCHITECT OR ENGINEER'S MAILING ADDRESS -- Permit fee $ BUILDING ADDRESS- 5 7 sr� ��� ,P✓ �' j� PLUMBING PERMIT FilingFee'l 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 0.1U Water piping LOT NO. SUBDIVISION NAME_ PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE/ SF ❑ Duplex ❑ Mobilehome❑ Other f /,/ W*f fbl <C SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New 0 Addition ❑ Remodel ❑ utilities[:]- Installation ❑ Other ❑ /0 X /V BOG+v v o4 Describe work: �{//}�\ / y (`j // � .r /,f)l�?'� G oAr'i lctV /sV lJ / �!\ �Ci /V �/F�«C't.� f,,i C� 4tlg�,�K Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee `,,10.00 BOOV OR LESS Main service 600 AMP OR LESS 5•00 ,4//_ / j/ �1 `/ G n} ov / YtLN6 l" ,rid• 3Z// -�S e"ff" ',�'•�6'ain service EA. ADD'L 100 AMP 2.50 NEW CiS,4ST���pW,���ING OCCUF.N\ 2QS ft /" OR ADD !(rr,1/A.,: BLDGS. / q (pe K G .r iJ✓ '7Z1 J 71 CONTRACTORS LICENSE LAW JI declare unde penalty of perjury (check one): F]I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) r]I am exempt under Sec. , Business and Professions Code for this reason NoN REES D R BRANCH CIRCUITS) Ts 2.50 ea NEW CONSTR /POWER APPARATUS &) .NON-RESID. %SINGLE OUTLET CIR. / EX. Occup OUTLETS OR FIXTURES BAL@1 Ct IXED APPLNS. OR EX. Occup. (OUTLETS (RESID•) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50' Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. Iaws 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 3 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 againnsst.s�aid County in consequence of the granting of this permit. �~ / X 4•��->`�� lT;��+'.2.r Date'" %� Jt/ Y Signature of Applicant — Owner,Q, Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over.3 stories -in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I d Ni I TYPE OF CONST, V, I PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By � Date , /7- 57 PERMIT EXPIRES Date 7 Receipt No. .5—� �" WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 069-22-14 498-2398 SMITH, NORMAN R. 37 SKIPPER CT. ORO.VII.,LE OWNER PLUMBING IN STORAGE BLD a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ' _C39 - ASSESSOR PARCEL NUMBER 69_22_16 ZONING BUILDING PERMIT OWNER SHM, NORMAN R}.�p SQ. FT. OCC. BUILDING VALUATION V� �1�t�� /��pT��I�f/O�•N��12�7—/9173 OWNER'S MAILING ADDFJtf210 AVENIDA PRIMA TERAS CATHEDRAL C 11 SCA �iO CONTRACTOR'S NAME 9223 F 7L .Y ELEPHOTNE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 37 SKIPPER CT Energy Plan Checking Fee $ $ OROVIUE PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SMRAGE BUILDING SPECIFY Each Trap 31 7.00 21.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Worki4- 'STAU PLUMING IN STORAGE SAED ESISMG AM 44:1M INSPECTION FEE Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE $ 71.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service .OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: J4 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. ❑ 1, as owner of the property, am_ exclusively contracting with licensed contractors to construct the project. i ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I 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. DWELLING OCCUR OR ( a acC. SO 3.5QFT. CNS. OUTLET NON-RESID T.MULTI.OUTLET CIRCUITS 97,50 POWER APPARATUS a SINGLE OLJRET CIR. Ex. OCCu OUTLET OR FIXTURES Ex. Occup. ourLEEDTSA Rr=.OEw 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMITi' 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.) 1 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provlsio . -' rte^ /n / � �} f' ! / ( X % . ice' `� r rr., Date &6_nature of Applicant -_.5t Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructionL;�� of structures over 3 stories in height. Mobile Home Installation Fee $ r4K Inspection Fee $ 00 occ CONST. TYPE TOTAL FEE $ 117.00 HAZ. tFEES IMP I FLOOD I COF PARCEL I 0D HO ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date V PERMIT EXPIRES ON 16 I IDe provisions to do work p aid. G / Receipt No. al r) [, q0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 No. (Rev. 12/96) APPLICATION AND PERMIT a ASSESSOR PARCEL NUMBER 69-22-14 ZONING BUILDING PERMIT OWNER SMITH, NORMAN R. TIM -227-973 SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDJg21O AVENIDA PRIMA VERA, CATHEDRAL CITY,CA CONTRACTOR'S NAME 92234 TELEPHONE CONTRACTORS MAILING ADDRESS 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 Checking Fee $ BUILDINGADDRESS 37 SKIPPER CT. Ener Plan Checking Fee $ Energy 9 OR OV I I LE $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other STORAGE BUILDING sPECIPv Each Trap 31 7.00 21.00 Solar or heat pump water heater 1 23.00 Water piping 15.00 15 00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: INSTALL PLUMBING IN STORAGE SHED EXISTING AND ONE TIME INSPECTION FEE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home I s I G w @20.00 PERMIT FEE $ 1.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 'ODA OR IES.' 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. NO. OWNER-BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: AI, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 3 ACC. Bens. so 3.5¢FT; NNOONN-RE ID. MULTI.OUTLET 97,50 POWER APPARATUS 6 SINGLE Oun.ET CR. Ex. Occup. OUTLET OR FDmJRE.' 20 @ 1'00 BAL g .SO PPLNSI Ex. Occup. ounFis R D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 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. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I 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 with comply w' Be provisio X Date �� �� *ate Sof Applicant - Owner ❑Contractor ❑Agent Aermit is required for excavations over 5'0" deep and demolition or construction/D�/os over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee Is Inspection Fee $ 0 cc CONST. TYPE TOTAL FEE $ 117.00 HAZ. D. FEES IMP FLOOD CDF PARC0. PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B Date 0 PERMIT EXPIRES ON zb ht? D e Receipt No. o F t] WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P. o. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER C�Q!(1 �(Y►c'1(DO1-4135 ��NE SO. FT. OCC. BUILDING VALUATION . OWNERS WJUNG ADDRESS a -55a16 CONTRACTORS NAME a `Manci�. C CA Gay. c. TELEPHONE CONTRACTORS MARINO ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation S ARCHITECT OR ENGINEER LICENSE NO. Filing Fee S 20.00 ARCHITECT OR ENGINEERS "UNG ADDRESS Permit Fee $ Plan Checkin Fee $ BUILDING ADDRESS 3;9- 5y_I (2�+Energy Plan Checking Fee S ��OU�Ls PERMIT FEE f , LOT No. sL1BDNISIDNSNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sPEcFr Each Trap 3 7.00 :aJDC. Solar or heat pump water heater 23.00 Water piping 15.00 t ,© Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ©V.Q�Q�-Q� �'(1�� �' -(e1°jt� -��� �� I�CYLh(YICI h Gj����1`� �lA'm!4 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 19,00 mobile Home S G W 020.00 PERMIT FEE ELECTRICAL PERMIT Fling Fee 20.00 Main Service *.**' '.R LLEN 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full force and effectAPPARAT�s License Class Uc. 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 ❑ 1 am exempt under Sec. , Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penally of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 she., forthwith comply with those provisions. X Date 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 Main Service aowT°IOWA 46.00 NEW CONST. DWELLMq OCCUP. 80 OR ADONS. a ACC. BLDS. 3.5¢FT: NON-R°S,D,' F MULT.1*0 Fr 07.50 8 9MIGLE OURET dR. � Oyu ounFroR FDCTURES zo ®'•°° BAL .50 Ex. Occu . oDsESIa)EA. 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 $ Mobile Home Installation Fee $ Inspection Fee OCL -_k L $ .� °CO CONST' TYPE TOTAL FEE; IMP I FLOOD COF PARCEL Po SUE This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. ro Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT '. OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your. signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan. to provide the major labor and materials for construction of the proposed property improvement: YES NO E3 ' 2. I HAVE HAVE NOT 13 signed an application for a building permit for the proposed wo& 3. I have contracted with the following person (firm) to provide the proposed consbuction: ".' NA►��_ ADDRESS: CITY: PHONE: CONTRACTOR'S 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: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOV NER: SOCIAL SECURITY R: DATE: /D// ,�,? e NOTE: This Owner -Builder Verification is required by Section 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. f PERMIT,. Nb. 6294..-76B � } PERMIT EXPIRES t ' OWNER t CONTR. Holmes Mobile Home Service, Bangor ' LOCATION (A.P. 34-74-11) .. , j8 ; ar-o.v-i_�lj.P -37 z ,j t Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E { Te p. Gas Serv. Called PG&E { JOB FINALED (Da71d i C z- .e t (Signature) COUNTY OF BUTTE - DEPARTMENT_OF.PUBLIC WORKS,, - BUILDING INSrPECTI,ON RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback 7— Firewall Soil Piping Forms r Parapets A 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows I / 3rd Floor Stemwal l Siding I To out Slab Roof Sheathing Water Piping Piers Roofing 1pzalz>zl� Sewer Garage Fdn. Vents Fixtures Footings Stemwa l I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. ✓ structure A liances Gas Piping & Tes Temp. Gas Slab I Final v 5' 72 Sanitation Patio IREPLACE Final Footinas l —7 G 4egAYL I Footina ELECTRICAL ., Reinf. Steel Final Fixtures Bond Beam FIRE RINKLE Motors Framing std Z ZL Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground/ Interior Lath Ventilation Pennanen Door Closer Final Final i DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE 6ERARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965✓/ Telephone: 534-4541 / APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -m ntione property for inspection purposes. X Date gnature of ermitee or Agent Receipt No. I White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO 0 PUBLIC WORKS By Date %/-1 j - 7 So uitding permit expires Date i,7 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Q D, Do Mailing Address Telephone No. Fireplace Contractor 0 es Se -Pince Total Valuation O O Mailing Address �j� � Y, Permit Fee Plan Checking Fee &/or Penalty h O� Tele hone No. 1 r s Permit Fee $ OI OL Building AddressS PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Q�0 U e 3 Each Trap 1.50 ke, J Repair drainage or vent piping 1.50 Water piping 1.50 �(j , � Each gas water heater or vent 1.50 A. P. No. - .�- Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s ff,, W ilpta9i'on I FireDept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans Parcelparcel Declaration Ma P 60' R/W Im rovers P Lawn sprinkler system 2.00 Bldg. Plans Recd Par Approval PI ApproVaI Permit Fee $ $ NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 1000V OR L 0 AMP ORLESS5.00 Main service EA. ADD'L too AMP 2.50 Main service OVER 600V100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service EA. ADD•L 100 AMP 1.00 C�� Qr �oU eytJ ID �� / K _� I N NEW CONST. DWELLING OCCUP. & OR ACDNS. ACC. LN GS. 20 s gft , NEW CONSTR.MULTI-OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea If - NEW CONSTR. (POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: %r , Ex. OCCUp(OUTLETS OR FIXTURES) @@1 109 EX. OCCU FIXED APPLNS. OR Occup.(OUTLETS OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 / License No.32/�7 / Classification �� ��/ Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Califomia. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. JUI I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above -m ntione property for inspection purposes. X Date gnature of ermitee or Agent Receipt No. I White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO 0 PUBLIC WORKS By Date %/-1 j - 7 So uitding permit expires Date i,7 Temp. Power Pole Called P &E Temp. Ele . Serv. - .2 a s ^' Call PG&E c7 - 6ffAPV Temp as Serv. alled PG&E rr V JOB 7� D FINALED_ (Date) (Signature) AS ArO DiEAlCZ6 Tfll S 1-44E�t4/ 5399-76P PERMIT NO. ,E 1 PERMIT EXPIRES ,.� .&Z,�.P Lel 1 ! OWNER Melvin Gaines e -DA. fS%j .YArE 7� --T"- . ! l� CONTR. owner ®M TC a �1� 34-74-14 ), LOCATION (A.P. ) 37 Skipper Ct., lot 267, KR#3, Oroville f. Temp. Power Pole Called P &E Temp. Ele . Serv. - .2 a s ^' Call PG&E c7 - 6ffAPV Temp as Serv. alled PG&E rr V JOB 7� D FINALED_ (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION -RECORD BUILDING BUILDING (Cont'd) r PLUMBING Setback Firewall Soil Piping Forms Parapets A list Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping 0 -t Piers Roofing Sewer - I -- -6 Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Prov. for physically handica ed Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing L Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRIN RS Motors Framing Test Water. Htr. Stucco Final Subpanels Mesh MECHANICAL--- Grd. Fault Prot. Scratch Heatino Service Brown Cooling Temp. Pole-, Finish Ducts Underground./ Interior Lath Ventilation Permanent Door Closer Final Final DATE rf 5&N7 9--0 on. REMARKS OR CORRECTIONS a d o ,9 A10AAE N v No (NOTE: An entry must be made on this form each time you visit the job site.) ICA L i i kP73-7i(, k. 9. Electrical n. Is se> -vice large er..i�kigl. to provide .acieq iate amperage to mobilehome. (must equal rating of mobilehome with a ::;inu:um o6 100 amp) anal other faciliti_as on lot, i.e., water pumps, ,ara ,e, cab.lna, etc..i YesNo_ B. Is them proper cicararices around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes_,No D. Is continuity test satisfactory a^ per the f.ollowiiig procedure? Yes No I De -energize electrical wiring, system of the mobilehome at th1r-��'pede tal. Take sure that the p toter supply cord or feeder assembly cond�kctors, including neutral conductor, have= been disconnected. vitch all breakers and switches in.the mobilehome to the "on" position. Connect one l:,ad of a test iristrtttmeht to the mobilehome grounding conductor and •, t p� ly 9 apply tike otu.er .Lead to each viol Oie iiiiiit Sii il" CGfluuCto'i, in�liiulll" YLE:uLrai. All nor. -current, carrying metal parts of,the''mobilehome (aluminum siding, gas line, water line), incliiding fixtures and:appliances, shall be tested for -continuity from such egilipment and the grounding conductor. Vl_<�On cornpleticn of the above procedure, the power supply cord or feeder assembly conductors shall. be connected to the site service equipment. A further continuity te:;L shall then be made between It -he grounding electrode and the chassis of the t'i.obilehome. Upon satisfactory completion of the ol.ectrical tests, the lot or site service equipment may be approved for energizing. :f"Is job card signed by health Department for water and sanitation? i f evo ything okay, sign off card and t.a; services. _MOBTLi i OML DATA ,Q Manufacturer and/or Namestyle �aw'-w//� /�/�jv� /"�� ��/V //� �%% Length y Width �- Vehicle Serial No. State Identificat-ion No. 4�^- ,.&I, t t Tonal Infoz-na t: i on or Comments: M0BTiXH0MJ1' INSTALLATION INSPECTION CHECK LIST 1. Is the. mobilehome 'located wi.'ai required separation from lot lines and buildings and, generally conform to plot plan? y(: No ?, Does the mobilehome have requir<_d clearances above ground? (Sec.5085) Yesk No 3. Are footin,s and supports properly `sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec, 5082 & 5083) Yes_V No 4. Is the mobilehome level.? (Sec. 5088) Yes No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Ye#� No 5. Water A. Is i ible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Y e s_\N c B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes No C. Backflow - If coach is not Sta California approved, does station have backflow device and pressure -relief valve? Yes ��� 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No. B. Does it have minimum per foot slope and is it properly supported? YeskNo C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes_ No -X, JDA f coach is not State of California approved, does station have required trap and vent? Tit es No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft, long? Not All piping is to be at least as large as the m ilehome gas line inlet without re ctions other than the mobilehome connector. Yes No B. Test OK as per follows procedure? Yes_ o' 1. Open all appliance c hector valves. 2. Shut off appliance burner nd pilo valves. 3. Air test with manometer to 10"- " water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrat in enth pound increments. Test for 10 min, without drop, 4. Connect: gas meter tomc, lehome with co or, turn. on gas, test connections with soapy water. \\ C. Are all appliance vent/properly installed? Yes \No_ , COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLS, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY _ This mobilehome has been installed in accordance with the requirements of the alitornia,Administrative Code, Title 25, Chapter 5, under permit; number�a- .3_2� for the following location: Owner— le�R 1� r Owner's Address __5 y 2 5/ A v `�/ c. 4_t�,4F p,- Cat 0 __3. / Mobilehome Mfg. %h%�• J� )5zl Model // Ypeear �7u' Insignia No. //27 1 ! / Serial No.Sa 3 Itis hereby certified for occupancy at the above described location and may be occupied. Directo(of Public Works'��/L! Date c�/ 5� By j _C _ r THIS CERTIFICATE IS VOID .WHEN MOBILEHOME IS RELOCATED .• t _ w COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ` 7 County Center Drive 10rcwiIle, California 95965 Telephone: 534-4541 .APPLICATION AND PERMIT -76 o BUILDING OwnerOro Ride Properties, Inc. SQ. FT. OCC. BUILDING VALUATION Mailing Address Lot 267, Unit 3 Telephone No. Fireplace Contractor Carneros Mobile Transport Total Valuation Mailing Address 1290 El Capitan Permit Fee Plan Checking Fee&/or Penalty Napa, California 94558 Telephone N 707 252-2411o. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 37 Skipper Court Each Trap 1.50 Oroville California 95965 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.Gas 34- -14 Zoning &Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 BIte Ions Recd Parcel A pr Plans oval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 INSTALLATION Main service 100 AMP OR00V .11 SLESS 5.00 .� Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home © Others ❑ R OOOV Main service 100AMPOR LESS 25.00 Main service EA. ADD'L ioo AMP 1.00 NEW CONST. ODWELING R ADONS. ( ACCLBLDGS.CCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID. (BRANCH CIRCUITS)2.50ea NEW CONSTR (POWER APPARATUS &) NON.RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name St le Of: Y Carneros Mobile Transport Ex. Occup(OUTLETS OR FIXTURES) BA@L2@51 FIXED APPLNS. OR Ex. OCCup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 259158 Classification C-61 Misc. Wiring 6.25 ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ®I have placed on file with the County of Butte a"certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Mobile Home Installation 30.0 TOTAL PERMIT FEE $ 3 0 00 auinorize representatives of the county of tfutte to enter upon the above-mentioned property for inspection purposes. r - Date / Signature of Permi e or Ag nt Receipt No. :4e 0 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been 'd. DIRECTOR OF P BLIC WORKS BY Date f/ -19-7L wilding permit expires Date /1-19-77 MOBILEHOME SUPPORT DATA Mobilehome`Mfr. Mo{intairi VAlley Homes Setup Model No. 3BR F&R year 76 Width 24 (ft.) Length . 64(ft:.)': Expando Size ."�. ft.x ^ (Draw 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). Sin le ►; Footings- (check. one) .— A / 1. Wood either i pressure treated or Center Center Support fdn-. grade. Support Footing Sizes Locations (in.) 2. Concrete pad. ��- 24 x 30 / / 3. Other, specify tt.) ( n. in.) Cin. - — -- -- - Supports (check one) I.' -Concrete" -block $ - •� 24 x 30 / j 2.- Concrete-- iers ftp (in (in.)(in.) 3. Steel piers / 14. Other, specify Typical Support C12 x30 Footing Size in.)(in.) (in. )4.1 1� p 4 r5 _6� Max. Pier (� Spacing � ( in. in. n.).. 'ft. in.) ;GY in.) (in.) 1 -0 Max. Overhang -If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DEPARTMENT .APPROVED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS T County Center Drive,.Oroville, CA. PHONE: 534-4541 MOBILEHOMEINSTALLATION SHEET 1. Owner's name: Oro Ridge Properties, Inc. Lot 267, -Unit 3 2. Installer's name: Carneros• Mobile Transport 3. Is the site currently under permit? Yes /x / No (If yes, furnish permit number _ � � � �� 7-4 ) OR Is the site an existing siteT Yes / /' No jk/ (If yes, furnish two (2) plot plans.) 4. Will - the mobilehome-be located at least 5 ft. away from -septic tank and leach fields and. clear of all setbacks and easements? Yes / x/• No (If --no, clarify 5. What is the mobilehome electrical rating? ---- ----------------- ------ 200 Amps 6. What is the mobilehome site service rating? --------------------- 200 Amps 7. What is the mobilehome site circuit breaker rating? ------------- 200 Amps 8. Is there any other electric load to be served by the mobilehome site service? ---------------------------------------------------- Yes / / No ik / (If yes, identify the load..and. size: (Load) .-• -0- (Amps)•: 9. What is the mobilehome site gas pipe size? -"--------------------- -0- (in:) - . 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the"gas- pipe length..from meter or tank.to the mobilehome? -0- (ft.) L2. 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--L-PG'.) COUNTY OF BUTTE - ,DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — broville, California 95965 • Telephone: 534-4541 • APPLICATION AND PERMIT �9G=76 u CJclIIaU VCS VI Me %,OUIILY UI t5uiiu lU enier upon the above-mentioned property for inspection purposes. —,0' Signctt'ire of Permitee or Agent Receipt No. &�_ ��0 White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTORnFPUBLIC WORKS By -sem Cate_ 1y- I 2(6 ilding permit expires Date BUILDING 4 OwnerlndaeL SQ. FT. OCC. BUILDING VALUATION Mailing Address WE pe -/16 ,_ �' b Telephone No. Fireplace Contractor Total Valuation Mai I Ing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building AddressPLUMBING '9 No. @ FEE PERMIT FILING FEE $3.00 5,00 / �tl�'-f_,'• ee, �! Each Trap 1.50 / ! Repair drainage or vent piping 1.50 Water piping 0 $ _ Each gas water heater or vent 1.5 A. P. N9. — f / Z. ni ys Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 F W FireDept. Fire Zone Use Permit Building sewer EQA I Parking Plans Parcel Declaration P e-4101 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plan ec'd ������ �Np U Ptel�pp`ro✓al Plops pproval Permit Fee NEW ADDITION ❑ ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORV OR LESS5.00' Main service EA. AOD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 1100EAMP oR LESS 25.00 Main service EA. ADD•L too AMP 1.00 MINIMUM SO.FF.2.50ea 500 �/� • A FO MOBILES NEW CONST. I DWELLING OCCUP. & OR ADDNS. ACC. BLOGS. ) 20sq ft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRC NON. RESID R. (SINGLE OUTLETNF-WCONSTPOWERTUSCIR.& CONTRACTORS LICENSE LAW I am licensed under the provisions of. Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@@25Q 109 FIXED APP LNS. OR Ex. Occup. (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No: Classification Misc. Wiring 6.25 E?ram exempt from the Contractors License Laws of the State of California. Permit Fee $ is WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ I FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE u CJclIIaU VCS VI Me %,OUIILY UI t5uiiu lU enier upon the above-mentioned property for inspection purposes. —,0' Signctt'ire of Permitee or Agent Receipt No. &�_ ��0 White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTORnFPUBLIC WORKS By -sem Cate_ 1y- I 2(6 ilding permit expires Date /.00 NO .9CCE55 -5- TS/.,— LOT 267 --sE-7 ate Cir UNIT 3 Ate- -- C � �Ye t � P may. c.fa )Q" The Setback shall be75 ft. from the side property line and 5q ft. , from the centerline of the road, per itting a maxi-.. .F7' mum of a 2 ft..eave overha g but entirehl out of all easements. / j :T'+- ai x W L E 'All utility con °nections st9�al) bei �. ° +, within 4 ft. outside the rea�' w I loco, ed i(e .hor� N �=1 third section of the mob ;� �` •� C on the left. (road) side of. the okfale E� , home. -Q�' I k` = o 0 y V i 0�1 / 9 60 This set of plans a e t on 'the job at all i X20%YI .Tom//S �1IF— / make any ch ingC ; or ai'rt Td _13G/iG C writiten permission T`rom L ,67.4--'2�-G ' +lic Works, Cow°ity of. Bt SET �pi4 C� _.v �M 'SI r✓ A r� i s� �y�k !' L szs 0� " ie.0.00'.. - G=T:7, 00'. NNUMeRs MUST be and it is unlawful to tions on same without- � Departrrierit of Pub - BUTTE COUNTY BUILDING DEPARTMENT APPROVED iZsw�. /2 2� 7S% .PE.9MIT N0. 2061-78B PERMIT EXPIRES `OWNER Oro kidge Properties CONTR. Holmes.MH Service, Bangor LOCATION (A.P. 34-74-14 37 Skipper Ct., Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB ,00'FIINALED V/ a (D e) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIO14 RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback % Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows '1,A FI It Reinf. Steel Final t oor StemwalI Siding To out i Slab Roof Sheathing Water Piping Piers Roofing - 7 Sewer Garage I y Fdn. Vents Fixtures Footin s Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Prov. for physically Appliances Carport p handica ed Conformance of ex. Gas Piping & test . Footings / structure Temp. Gas: Slab Final Sanitation Patio FIREPLACE Final Footings -? Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final t Fixtures Bond Beam FIRE S VRINKL RS Motors Framing - ;L- . - 7 �� Test Water Htr. Stucco Final Subpanels Mesh 7 'MCCHAN16AL Gird. Fault Prot. Scratch Heating Service Brown Cooling N Temp. Pole Finish Ducts Under roup Interior Lath Ventilation Permanent Door Closer / Final Final MOBILEHOME UTILITIES • • - - - - - - - - - - - • - - • - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you vislt the job site.) a J7 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION SND PERMIT above- entio ed property for inspection purposes. G X Date •. f_ �[3 SigUatureofPermitee or Agent Receipt No.—I-77126 , 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR BLIC WORKS BY Date 7P �dingermit expires Date —Z6 -72 BUILDING Owner- SQ. FT. OCC. BUILDING VALUATION Q Mailing Address Telephone No. Fireplace Contractor L `S" ,Total Valuation 0 Mailing Address ,©t �/ Permit Fee Plan Checking Fee&/or Penalty Tele hone No. . Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 S7� 3 S /P1045 . �,0f i Each Trap 1.50 ©< vO ` L `C l� V �`�- Repair drainage or vent piping 1.50 t�o c1 ( Water piping 1.50 Each gas water heater or vent 1.50 L/ A. P. No. — `% / Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fwef W NAAD I FireDept. FireZone Use Permit Building sewer 5.00 EQA Parkin Plansec'd Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Parcel Appro a Plans A royal Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 1000 0 OR AMP OP. LOP. LESS 5.00 1 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 -� C 1, �S.T % CL/L71.../ NEW CONST. ( DWELLING OCCUP. & OR ADDNS. \ ACC. BLDGS. 20sgft NEW CONSTR MULTI.OUTLET NO N.R ESI D. BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name QQ Style fjM� 17706) (_� f19� /✓�/L l�%�lZ��G-�� Ex. Occup(OUTLETS OR FIXTURES)50 @25Q SAL@104 Ex. QCCU FIXED APPL_NSTS (RES. OR p•(OUTLETS (RESID.) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 / 22 License No'3 /7 � Classification �% "- / Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not em p employ y person in any manner so as to become subject to an bject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation LT Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ S above- entio ed property for inspection purposes. G X Date •. f_ �[3 SigUatureofPermitee or Agent Receipt No.—I-77126 , 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR BLIC WORKS BY Date 7P �dingermit expires Date —Z6 -72 -r r F• z .PERMIT NO.' 2799—R(lR I PERMIT EXPIRES OWNER William Gray Heritage Const., Oroville CONTR. <LOCATION- (A.P. 34-74-14 ) .l la, 37 Skipper Ct., lot 267, KR#3, Oroville d i' .r a i r Temp. Power Pole Called PG&E _ i Temp. Elec. Serv.. Called PG&E _ Temp. Gas Serv. _ Called PG&E _ JOB 2 �. FINALED (Date) (Signature COUNTY OF -BUTTE — DEPARTMEN"C QF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets .1st Floor Main Bldg. 7 Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII , Siding To out Slab Roof Sheathin Water Piping Piers V Roofing ' Sewer Garage A Fdn. Vents Fixtures Footincis Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footin Slab Prov. for physically handicapped Conformance of ex. st re nal Appliances Gas PipingTest Term).Gas Sanitation Patio FIRE LACE Final Footings r. `7 Lo Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam 4 FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior -Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OB16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping 'J DATE ` _ l REMARKS OR ,c CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) T COUNTY OF BUTTE - Drp,.)„RT,MENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville! CalifoMia 95965 (Telephone 916/534-454 APPLICATION AND PERMIT ASSESSO P RCEL N MBE ,, / —7 �—� tf' ZD� BUILDING PERMIT o`A7/� , A A 6 � TELEPHONE SQ. FT. OCC. BUILDING VA ION • �.� OWNER'S MAILING ADDRESS GL1OTGA1k4�S7-ev �O Al ykV HON CONTRACTOR'S (, 3Z � tel CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation is a 0 0 LENDER'S MAILING ADDRESS Permit Fee $ 2 0O ARCHITECT OR ENGIN ER __71 CENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD; ! DDRS/SL n�G h PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 64911& Water piping LOT NO. Z6 SUBDIVISION AME e� PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTTU/RE/////�/ SF ❑ Duplex❑ MobilehomeQ�-'Other Ly(�/�V 7 SP CI FY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New Addition❑ Remodel EJ Utilities Installation❑ Other ❑ Describe work:, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service SS 1000V OR 0 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. OR ADDNS. ( ACC`BLDGS.CCUP.&� 20sgft CONTRACTORS LICENSE LAWDWELING I declare under penalty of perjury (Check one): � am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneSS and Professions Code and my license is in full orce and effect. "' License No. �? �%iO� Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEWCONSTR MUTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR. (POWER APPARATUS .&) NON-RESID. SINGLE OUTLET CI3. EX. QCCUp(OUTLETS OR FIXTURES �@� BAL@1 Ex. Occup.(OUT OUTLETS FIXED P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate � of Consent to Self -Insure. 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 FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 ag n t said County inec e granting of this permit. XA!! re! , q, - Q Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ISSOE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work i cated above for which fees have been paid. EF PUWIC WORK C B Dat P MIT EXPIR Date i a'ure Applicant — Owner ❑ .tractor Agent n OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures oveGr�3 stories in height. Receipt NO. �%%%� WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT M 6 PERMIT NO.. 835-78MHI-'existing site c PERMIT EXPIRES o OWNER ORO RIDGE PROPERTIES,.INC. .CONTR. Carneros Mobile Transport i LOCATION (A.P. 34-74-14 lot 267, KR#3, 37 Skipper Ct, Oroville il Temp. Power Pole d. Called PG&E Temp. Elec. Serv. rn - Called PG&E i Temp. Gas Serv. Called PG&E AOB13 FINALED O (Dat ( ignature) } A Setback Forms Main Bldg. Footings Stemwal I Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footinas COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping "Parapets 1st Floor Restroom Finish 2nd Flo K2, t Windows 3rd F or -Siding Topold Roof Sheathing W er Piping Roofing ewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for physically - ndica ed Comance of ex. structu A Iiances Gas Piping & Test Tem .Gas Final Sanitation 'NEIR LACE Final ELECTRICAL rteint. steel Final I Bond Beam FIRE SPRINKLEF Framing Test Stucco Fin Mesh MECHANICAL Scratch Heating Brown Cooling Finish Ducts Interior Lath 100, Ventilation Door Closer Final MOBILEHOME UTILITIES/------------------ Elec- Service Water Piping Sewer MEIN ALLATION--------------Support Water Piping ��� ,7 L Drainage DATE REMARKS OR CORRECTIONS_ G Fault Prot. Service Temp. Pole Under round Permanent Final Elec. Pedestal Gas Piping Elec. Continuity Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) 9. Electrical ' A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes•_ No B. Is there proper clearances around panels? YesIK-.No C. Is power supply cord,or feeder assembly properly fused? Yes% No D. Is continuity test satisfactory as per the following procedure? YesL.No De -energize electrical wiring system of the mobilehome at the pedestal. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, '77'• water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6 Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. 1411- job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle 62 OCIAI MIAI Length Width Vehicle Serial No. State Identification No.%..DS-�a' 67 ` (�i�%� i�6 fs2�� 0P�Fu � Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes o 2. Does the mobilehome have.required clearances above ground? (Sec.5085) Yes -K No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yesj!�.No_ 4. Is the mobilehome level? (Sec. 5088) YesXNo_ 5. If +e than a single unit, are crossover connections properly installed? (Sec. 5088) / Yes _ o_ 6. Water A. Is fl xlble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes V-40_ 1,C/.{0 --Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No_ 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? YesX No B. Does it have minimum 4" per foot slope and is it properly supported? Yes_�__Id'o_ C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No]�!-, f coach is not State of California approved, does station have required trap and vent?? �/ s No 8. Gas Piping and Gas Vents , 4 . t A. Connector - mobilehome connected to the gas supply with an approved 3/4" mirilmum mobilehome conn ctor not more than 6 ft. long? N All piping is to be at least as large as the mob! home gas line inlet without ductions other than the mobilehome connector.' Yes 3 B. Test OK as per following p edure? YesZ No 1. Open all appliance connect valve 2. Shut off appliance burner and poflof`vQves. 3. Air test with manometer to 0"-14" water col or test with slope gauge (minimum 6oz.-maximum 8 oz.) cal ib ated in tenth pound inc r ts. Test for 10 min. without drop. 4. Connect gas meter to obilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance ve is properly installed? Yes_ No F a COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY Thee mobilehome has been installed in accordance with the requirements of the" California Administrative Code, Title 25, Chapter 51 under permit numbW for the following location: Owner Owner's Address Mobilehome Mfg. Model Year Insignia No. " `Serial No. It is hereby certified -for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED COUnTV,01 BUTTE — DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Ae7 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. a ` X � Date / i g n—a Zum of mitee oc e Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have. been paid. DIRECTOR OFU LIC WORKS Date BY Building permit expires Date �" Z7 — �� BUILDING Owner ORO RIDGE PROPERTIES, INC. SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Carneros Mobile Transport Total Valuation Mailing Address 1290 E1 Capitan Permit Fee Plan Checking Fee&/or Penalty Napa, California 94558 Tel hone No.]Q] 25L-2411 Permit Fee $ Building Address 37 Skipper Court PLUMBING No. @ FEEPERMIT FILING FEE $3.00 Oroville, CA. 95965 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Lot 267, Unit 3 — Kelly Ridge Each gas water heater or vent 1.50 A. P. No. 34 — 74 —/ Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 SeR+t64@,+- Fire Dept. Fire Zone Use Permit Building sewer 5.00 --::T EQA Parking Parcel Declaration Parcel Ma 60' R/WI. P Im provements Lawn sprinkler system 2.00 �Planss Bldg. P nl`d s FFec'd Parcel A ovol Plans proal Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE - PERMIT FILING FEE $3.00 _ INSTALLATION 00V OR LES Main service i00 AMP ORS SLESS 5.00 Main service EA. ADD•L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home © Others ❑ OVER 600V Main service 00 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW OR ADDNST ( DACCLBLDGLING OCCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 12.50ea NEW CONST. POWER APPARATUS & NON- R RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Carneros Mobile Transport Ex. Occup(OUTLETS OR FIXTURES)50 @Z'a BAL@1 Ex. Occu / FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00. License No. 259158 Classification C-61 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ® 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this El permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.FO Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Mobile Home Installation 30 00 TOTAL PERMIT FEE $ 30100 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. a ` X � Date / i g n—a Zum of mitee oc e Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have. been paid. DIRECTOR OFU LIC WORKS Date BY Building permit expires Date �" Z7 — �� �Kt6 COUNTY OF BUTTE - DEPARTMENT. OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. 1911 ASSESS R PAR EL NUM ER ZONING 3 - .— f BUILDING PER OWNER .TELEPHONE wv/1\(JJ� ;59 �xv SQ. FT. OCC. BUILDING VALUATION OWNER'S MAIL NG ADDRES CONT ACTOR'S N TAF TELEPHONE r CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS ---- Permit Fee $ ARCHITECT OR ENGINEER 04 LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOTV SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New Addition ❑ Remodel ❑ Uti li ies ❑ Installation Other Describe work: tDiln �Qwlli�. _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 1000 AMP ORV OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP,&) 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON.RESID. I am licensed under provisions of . Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 'O'I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, 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 CO IR D BRANCH CIRCTITS 2.50ea NEW CONSTR. /POWER APPARATUS g) \SINGLE OUTLET CIR. 50 L zsc Ex. Occup(o OR FIXTURES gAL @ ipQ XEED APP LHS. OR EFIXD A X. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �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 FiIingFee 3.00 Heating' Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liab ities, judgments, costs, and expenses which may in any way accrue again aid County, in cc sequen of the granting of this permit. X Date 1�-'�Z_�� Signature of Applicant — Owner- Contra for ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, PARCEL PD F. ISSUE This permit is hereby issued under sions of the Butte County Code and/or work .indicated above for which D R F PUBLIC (/�1 By�.� PERMIT EXPIRES Date ��� the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt NO. 2�� WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ` COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville., CA. 95965 Phone:. 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement ( s or no) 2. I (have/have not) 4A4 signed an applic tion for a building permit for the propo d work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Phone Contractors License No. C ity 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 S igned Pr So Da 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. r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize re ese tatives of the County of Butte to enter upon the above- ti ed p operty for inspection purposes. X Date Signature of Permitee o ant Receipt No. 2 e 7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO"F.PUBLIC WORKS By Date Bu' ing permit expires Date 7-Y C, BUILDING Owner Ana SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. �07V Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee U Building Address v, Plan Checking Fee &/orPenalty Permit Fee aL p O, ,2Q PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 � Repair drainage or vent piping 1.50 A. P. No. - '7 --/ Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 pirs . . .,9 tion Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 g. Plane Recd Parcel A royal Pla pproval Lawn sprinkler system 2.00 - F_ NEW ® ADDITION ❑ UTILITIES [:]—OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service EA. ADD'L 100 AMP 2.50 //I -->,"�,--L Main service OVER e O 25.00 100 AMP OR LESS Main service/ EA. ADD•L 100 AMP 1.00 NEW CONSTOR ADDNS. C ACC• BLOGS.CCUP. S) 20sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR BRANCH CIRCUITS) NON.RESID BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS d NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTI-RES I 5B L;; FIXED APPLNS, OR EX. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Li nse No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ F_EE ' WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner iso as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State L� relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ �Q Q2 authorize re ese tatives of the County of Butte to enter upon the above- ti ed p operty for inspection purposes. X Date Signature of Permitee o ant Receipt No. 2 e 7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO"F.PUBLIC WORKS By Date Bu' ing permit expires Date 7-Y C, z Y/ - --- - --- -- --- -- - •COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION a /+ 7 County Center Drive — Oroville, California 95965 — Telephone 534-4541 ., e PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use Permit fee based upon: Complete Contract Price Buildin( At time Other (explain) Inspector permit application, I was a issuance: 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15 16 ng data must F, Permit No. i A. P. No. Lr -1-- i DPW Valuation Date submitted prior to permit processing -and/or DATE RECEIVED APPROVED All items have been submitted.....................................................`............. Plot plans in duplicate/triplicate............................................................... Complete plans in duplicate/triplicate................................................... Complete engineered plans and calcs....................................... :..... :....... Plans with Energy Design Compliance Statement ............................ State Energy Forms No. .................... Statement of Intent for Non -Heated & AC Buildings: .................. Fees of $ Letter of signature authorization............................................................. Sanitation approval from Health Dept.... Planning approval for ............. Certificate of Workmen's Compensation Insurance ........................ Contractors License Information (no., name style, classification) ............................... Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. Pre inspection for -required. Pre-inspec. request to bldg. inspector, (date) Other When you issue the permit, process as follows: Mail to owner Mail to contractor. Telephone -.7' 9— 07, -6 and hold for pickup at h-�� office. Deliver w/inspection. Other�� Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Dater 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 i L Plans checked by_ Plans approved by OTHER: Copv/DPW Telephone Mail Other Date Date �-- I -75 - Date 6-7 WE a !� 1 I I I 1 1 l I :COQ d v oo �o 7 — _ �\ � The Bldg. Setback shall be 5 ft. from to \ side property line and 50 ft. from the v Septic system and location of b4ild- \ permitting a maxi' ing drain stub -out to be as 'per \ '��.� centerline of the road, p 9 o mum of a 2 ft. esus overhangbut entirely Q Butte County Health Dept. 19. c o .out of all easements. quirements. \ d' Q �_ BUTTE t or'�cmanship Shall �e in .9 �i o i \13V BUILDING zed ofa quality prescn - - Uniform Building, plumbing the National Electrical Code. \Y- ? tO\UN DEPA\I'M a�� This set of plans and specifications MUST be �9 kept on the job at cll times and it is unlawful to p ^ N made any charges or alterations on same without from the Department of Public u �V In written permission Works County of Butte. -� 7 — _ �\ � The Bldg. Setback shall be 5 ft. from to \ side property line and 50 ft. from the v Septic system and location of b4ild- \ permitting a maxi' ing drain stub -out to be as 'per \ '��.� centerline of the road, p 9 o mum of a 2 ft. esus overhangbut entirely Q Butte County Health Dept. 19. c o .out of all easements. quirements. \ d' Q �_ BUTTE t or'�cmanship Shall �e in .9 �i o i \13V BUILDING zed ofa quality prescn - - Uniform Building, plumbing the National Electrical Code. \Y- ? tO\UN DEPA\I'M a�� .__..� i�.� t_—_� I_ —f _— _..�_ ._...._ .t_�_—.—_—r_ •--�..—� __ . F.-- 1_— a _��_ �.—�.�_���_.—..--_�� ate--. �_. I I i Iii ' I ij R � I f r I • I - - w. - 1 kJ { •J. 17 --T— I 7 071"1 IF jr- rT 11 to AP, I = II Cl 3 A Q,,tN d 0 V A-9 t nmvpr. AIR 42 ps NIQ!� ('Vd�gk �JA C -n VG'S IB I IS N— inoo 3euna % WM. -cl 7 7,1.n t�C4 h4O 11,101408je�*4 joud JO} p?:l auiBue 41w_gnS wfOT ,L -5 pf�v�►� E� f i � B(,pGk 1 N 6 • � 'Subrr fora MF6• �-�tas5�s le i ii engineered p proval prior i I etail of trus erection, qs dl.,octcl �` wfOT ,L -5 pf�v�►� E� COUNTY OF BUTTE = DgFIARTMEN-i OF PUBLIC WORKS O®T I`o� 7J,ounty Center Drive - Oroville, California 95965 - Telephone 916/534 4 / • APPLICATION AND PERMIT ASSESSO P RCEL NU BE ZO NG 22_ / 7`",L BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC. BUILDING VALUATION v. Z OWNER'S MAILING ADORE Y_Oro 490 OPN 2-40 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER a UNKNOWN Total Valuation Is las Filing Fee 10.00 $ LENDER'S MAILING ADDRESS . -� Permit Fee $ 'C'o ARCHITECT OR ENGINEER NN // !fie" DD LICENSE NO. Plan Checkin Fee $ JZ Cf0 P 2 e $ GC) a ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 46 BUILDING ADDRESS r PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 0._0 Water piping LOT NO. Z-6 7 SUBDIVISION NAME _,Z_ I - �, 0- 3 PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE A SF ❑ Duplex❑ Mobilehome❑ Other E2oaL et /Xct/Kwc s SPEC[ FY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New R Addition ❑ Remodel ❑ Utilities p / Installation❑ Other ❑ Describe work: /oX/O Cak 4 40XR e9-4 G 6 Y /8 �i. /�C� '0/i ,\ [. W,�,,�� ` Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 5.00 \ y I'� "P 12 p,�+(1(L /1i(�• 3219-> i _� t7�Q aln Service EA. ADD'L 100 AMP 2.50 NEW STS/fC1YELLING OCCUP.d) OR A S BLDGS. 20Sgft C 321.s�?9. ACTORS LICENSE LAW I declare unde penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9; Div. 3 of the BUSIneSS and Professions Code and my license is in full force and effect. License No. Classification ®- I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Q 1 am exempt under Sec. , Business and Professions Code for this reason NNEW ON.RESID R BRULT"OANCH cIRCTITs 2.50 ea NEWNON-RESID. SINGLE OUTLET CIR. CONSTR. POWER APPARATUS 6 EX. Occup OUTLETS OR FIXTURES BAL@1 00 IXED APPLNS. OR EX. Occup. TLE(RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ ! , Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of penury (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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains d County in consequence of the granting of this permit. X �� /T�,. �. �t� Date k— 7- Signature Df Applicant — Owners Contractor ElAgent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ �` D OCCUP. GROUP I TYPE OF CONST. —N PARCEL PDND 99UE SS This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC By �� PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dat _ Receipt No. WHITE=D.P.W., YELLOW-ASSE990 R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY -CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER A. P. No. U �`J. 7Z Proposed Building Use .5 - Permit Permit Fee Based Upon: Complete Contract Price DPW Valuation S � her ( xplain) Building Inspector r C �. �...hc�-� Date v 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. . . 'L. Plot plans i t—upIicate/ ipUga-e. Complete plans in,d�pIicate/ r.i dig- e..• . . . . . . . . 4. Complete engineerre4 pd�ns 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. . . . . . On 13..Contractor's License Information (no., name st le, classif.) 14. Owner -Builder Verification (Given to own , Mail to owner ❑.) r ' 15. Improvements may be required. 16. Mobilehome Installation Data. . . . . . . . . •Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other _ 1__1? Appl ican 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 ti a of apgication, circle item.) 1. Index permit for above Items No.y�, 2. Additional Items required: (Contractor, Designer, Owner) was advise of above required data by Telephone Mail Other By Plans checked by Date Plans approved by Date r Other: Copy—DPW Date =_ , i ', COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no). 2. I (have/have not) /fav E 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 4. Address City Phone Contractors License No. 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 S igned : Property - Owner Social Security number �,? Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. /• O D NO A CCESS S72/P I'V C _ /V I N®TE: 7k1i i�iv at al -� IAccordance with orkmans�i ea I of Recognized LOT 267 UNIT 3 sErB�, c/T a quality prescribed for the $ood• Proctice V,l I Uniform Building,p, c; s and _ _ . the Plumbin & Machanicgd use in the �- National Ele%tirical Cole, Codes and I.77' F_20Ny7— - ice.= 0.00' I I P �I? I �7' C ��� A setback ofi ft. from the r property lines and a setback �. I2.0-0 _ AMP_ / of 50ft. from the road I centerline shall be clearof / a structures or equipment except for a 2 ft. eave overhang, l8' 0l 7-70._,36_/?e LE.,t/C:L 1"4 D, / Thi. set of plans and spec;ficefia-s MUST be � kip' on the R^b at a!l Times and if is t�nlawf�al td I — r`'� s �Ce any changes or calteraa*Ions on same w1t1104 written permission from the Depa4menf-ol Public I I Works, County of Butte. I � /i°/4'30'• _SC'-.�I-CE7" = 20" — LA66. PZ 3 'BUTTE COUNTY WILDING DE-. l"'R O = /. /' /� '-70 " -950. 00, rzr6 /2.23- �s� ��• rl Cr 1 �i 1 • , Y• . 77, s ':.: ° (' . _a 3 �. °l'�r}°sk •. . r ' \ � , f+� Aft l. t QA BUTTE COUNTY . �, r• f4,!�',„ F r ry �;�, �, 81 � bING,�D PARTMENTj > �,�. +� � 3 ; if6.A �t is• ,a r ! •' -¢� �r +j j '• ,I. i , Yy�L�t�)�4,` k� 4 t0 ED r.1„• � �' `+�v Y �• 1 j:� t �' .. e, 1 �,� �lY �#s� i'•� � ! �:�• t �i��''pYlt � y °t VT�ft' Ld APPROVEI) 0 -T e Cori so AA+ j 7, 7 40Pens.f� 13 Vt,- )6e 1-. L MAE- ✓ Top rail to be 36 in. high With I rails to be not rmLdjatq mce 0 LCJL j al 0 0 t4lc 0 UJ 0 O ,2 - z Q - < 0 LCJL j al 0 0 t4lc 0 UJ 0 O D co z Q - < D ca •�Z:.�f' � 4�t;,i , �, ;,'�,IY1' fr�4+{�+'�'H f}5t f'.r. �• °� .. 1:1 3 i . t ' s _ _ `!�'-per;, • r+t I r q i.• { NZt r - � b C o --c �. ru o ,% , ( Cl S BUTTE COUNTY o . ,BUILDING D;�y�,c;'�v�ry ��