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069-230-032
*vats/32 y Douglas A. Crouch 115 AeaCir.,lot 161,KR#3, Oroville Permit #6 33`76P(utiL..effi) ELEC , GAS .SUPPORI ST UCTURE REQ. Also COPACTION TEST REQ. Q� ee AO.?1ha -/&W/7 contr: Carneros Mobile Transport, Napa Perm"71X-8-575 =x726 I� r9� Issued Permit #3759-80B(new open deck/MH) /Oi116led 9 2 — �-3-3Z r2 Permit #882-81B(new cabs QMH) 2.2�.... ennit i� 2`575`T2B(new cabagaAH re laces cabana 882-81)MH • -69-23-32- 'F��4 -Perrimit#333-83B(new carport/MH),/��� y 69-23-22- PermitA113-83E(elewir- /cab na j 69-23-32 d Contr : _ -*un-tain--Developmen-t - -MLe Permit #1130-87B,E,M (new cabana and roof over existing deck/MH)/4/s340/" 9- 31• Temp. C ' PERMIT NO. 1130-8713 .E M PERMIT EXPIRES OWNER DOUGLAS =CROUCH • CONTR. —Mountain Develo ment ASSESSOR PARCEL 69-23-32. LOCATION 11.5 Apahe Circle, Oroville, ' • ' 'ice - yt t• Temp. Power Pole ? 9 Called PG&E 1 Temp. Elec. Service d" 'Called PG&E 31• Temp. C J=OK 0 = Not OK = Not•Applicable MOBILEHOMES r MISCELLANEOUS ., = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except k'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-Grrid.-/ % 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. t ` Card -BI Date Card -BI Date Card -BI Date " Card -BI Date Card -BI Date Date Card -BI Date t MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK -except H'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-Thicknes's-Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector S. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. EIec.; 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 -BI Date Card -BI Date Card B-1 Date Card -BI Date • Card B-1 Date Card -BI Date Card -BI Date Card -BI Date t t ` = OK = Not OK = Not Applicable Not Redy RESIDENTIAL (Single. and Duplex) ` DateU DERFLOOR Plans OK except N's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 64E Property Line Firewall & Openings . Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 14. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits -ail tg., Garage; Soils -Steel- / .ri- /" Ftg. Depth q0j Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection -- r`/Ptg., Porches 8 Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel -Blockouts-Wrapped-Slab wood on R f Overhang -Attic Vents -Rafter Outriggers _ 5 idi g eneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 5 . - rip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54.-1ataztnT*m9-Glass Protection -Skylights -Plastic - 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test aili g -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -1314W Date 4V4621 Card -BI Date Card -BV Date Card -BI Date Card -BI Date i / Card -BI Date Date FINAL (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except ff's V. Ext. Steps -Door & Sidelight Protection -Landings -,S?. Smoke Detector - 14. Water Ht.: Vent -Access -Combustion Air _15. Water Pipe: Test & Anchors -Nail Protection Furnace; Vents -Clearance -Comb. Air -Connector- In Garage; Above Floor-Ducts-Mech. Protection _ 16. D.W.V.;_Test-Fttngs & Anchors -Nail Protection 17. Shower Pan: Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub AccessElec. -59, Bedro Exiting •I. & Bath Fixtures & Tub Access Trim & Subpanel; Breaker Sizes -Labels Card -BI Card -BI 19. Gas Pipe: Size & Anchors -- _Date Card -BI Date Date Card -BI Date Stairs & Rails Fireplace or Stove; Clearances -Hearth t641-Llec. Outlets at Wood Panel; Int. & Ext. -� Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance -W*-Elec. Outlets & Receptacles at Kit. Counter -67r Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except k's -ft- A.C. Duct in Garage -Damper -68� Wir. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection �.plb., Elec. &Mech. Equip. Listed for Location _ 20 ixture &_Transformer Clearance -Ins. Protection -� 1 lec. Receptacles Spacing -Lights & Switches at Doors - -"ize Boxes 8 No. of Conductors -Stapled _✓lJ. R_omex Installed Close to Edge of Studs & C.J. Ground made up w/Mech. Fasteners ea in Kitchen &Conductor Size 26. Subfeed Wire Size // 9a_Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Visulated Ne7� / ga. a or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral Yes ]No _ - 28.Service-Riser Conductors & Ground -Main Disconnect 29. ^E u.p__CJaarances: Pane ls=Motors-Mech. Equip. 30. LIeFFtes'Croset Light -Shower Light - - - --- --- -- - 6 tj� perry --- --- Card 2-1 Date O C / Card -BI_ _ Date Card B -I Date Card -BI Date Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Att' Guard Rails & Deck Construction t aps 74,' Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance 1 Looked under Floor [ ees- —� Following insild.: Drive `4`Yes ❑ No: Walks es ❑ No; Planters ❑Yes_S_JNo y5" Stucco; Brown -Finish A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet 'Mr.--Ve5Ls Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. ter Well; Discon ical, Plumbing Exterior Elec. Tri eceptacle-Underground \J1. Ven ilation throughout House ass Protection Date MECHANICAL (Permit) OK except q's Corrections from Previous Inspections -fid- Gas Test -Meters Tagged: Gas -Electric 31--•A-e-Bucls. Insulation'& Support_ - - _ �_ 3�:-:2:,-Fan: Exhaust above Insulation _ _ 33 -Condensate Drain & Overflow: Size & Grade 34. 'Frn•nece-Vent: Access -Comb. Air -Return Air Vent -115V outlet 35. 'A+t4.c Access & Platform if Furnace in Attic - Card -BI _ Date _ Card-BI� Dater T� - Card -BI Date Card -BI Date -" — 81* -Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates - - - — Card -BI Date Card -BI Date Card -BI � DatBI Date e � - and - �-- --"—` Card -B Date Card -BI Date Date FR ING(Plans) OK except p's Comments at Final: Sills; Proper Material & Anchors ring Walls over Girders & Floor Nailing rDs. Studs -Nailing, Spacing & Bracing -Plates -Sound t Stop in Walls (rat proof) 40. _Fuc S— low p5 Furred C ilinc�s =Sta"S-C_ bases -Tub 4 Header & am- e & Beating 2. Hangers Post'aps Anchors-Connectors- Cing. Joist-Rfti. Ties-Puilin-Roof Biac.-Truss-Shthnp.-Ring. Fireplace 'Ties of Type A Flue-Fheplace Throat 4T-_'TITrL--�-S Size & Romex Protection -Draft Stop -Ins. Baffles nn. mdows oi Exiting Doors -Sill Hgt. & Dimensions - --- - ---- --- - - - `--- - _ - - COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER P RMI A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ale - ,'/--2 i-- ?!% ©- Inspectol� / �! Date /� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 > 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNERERMIT Ni A routine inspection indicates that the following violations of County Ordinance exist at the above address, and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. T% n _ " II rA _ _ i r it �� A Inspector Date �l COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO_� 7 County Center Drive - Oroville, California 95965- Telephone 916/534-454 I 3 �lCJ APPLICATION AND PERMIT AS R P R EL ER j ZONING BUILDI PERMIT owN TELEPHONE SO, FT. OCC.1 BUILDING VALUATION I OWN'ER'S 'L NG CORES / r r© v ; A CONT CTOR' N)FmE r. s e TELEPHONE 'S AI/INAD SS * 0 Nt R A cr01RZO& q . ' Fireplace CONSTRUCTION LENDER UNKNO Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Pian Checking Fee ,$ O Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS I Permit fee $ PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 V _ Solar or heat pump water her 20.00 LOT NO. SUBDIVISION NAME' PARCEL MAP Water piping 5.00 Each qas water heat! r vent 5.00 USE OF STRUCTUREGas SFDuplex❑ Mobilehome❑ Other { PECIFY piping systemX- 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G I W I 10.00ea TYPE OF WORK New Addition ❑ emodel❑ Utilities Inst Ilation❑ Other ❑ Describe work'— � _ o e �C' VItArl Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 P Main service 800V OR LESS100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACT RS LICENSE LAW I declare under pena t of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUslnesS and Professions Code and my license Is In full4orce and effect. License No. ��_� Classification El 1, 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) ❑ orsa the owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for t is eason NEW CONST. DWELLING OCC , ocorNisrR( A h¢sgft rDiew ULTBI OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES 20080¢ e AL030 EX. OCCUp. OUTLETS IIRESID IR EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare unde 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling I t Q Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to ve, indemnify and keep harmless the County of Butte against liabilitie j ments, costs, d expenses which may in any way accrue ag st said ty in con q en e f e granting of this permit. X - Date nd ure pplicant — 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. CONST.TYPe FLOOD A c PD ND — ss This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC7 OF PUBLIC e�_ PE T"EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 4 Y'�a Receipt No. WHITE-D.P.W., YELLOW -ASSESS R, PINK -INSPECTOR, GOLDENROD -APPLICANT 'M '-- OWNER • . COUNTXI �OF BUTTE -- DEPARTMENT OF PUB' LIC. WORKS - BUILDING DIVISION 7 CO&I (CENTER DRIVE - OROVILLE; CALIFORNIA 95965 - TELEPHONE: 916%534-454.1 --Z PERMIT APPLICATION DATA SHEET- /1� 1 /� I Permit No. OWNER Proposed Building Use lOuC A. P. N Building Inspector Date1 At time ofermit application, I was advised the following data must be submitted prior to permit processing andJor iiuance: DATE RECEIVED APPROVED —�L 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. . 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fee's Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ), —15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Ins 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. W 20. Plot plan approval from city of 21. 22. Whe ou issue the per /i t,, p e as follows: Mail to ner, Mail to contractor. Telephone U 7 � and hold for pickup at�ffice, Deliver w/inspector. Other / Applican Copy of plans sent Health Dept., Fire Dept., Other Date Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. i 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by_ date Plans checked Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder — Flours: 10:00 a.m. - 3:00 p.m. FORM ❑ (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight fitting closeable metal or glass doors covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, openable, and tight fitting damper to draw air from the outside of the building; and a tight fitting flue damper with a readily accessible control. *1(5) HEATING. VENTILATING; AIR CONDITIONING SYSTEM (A): `Heating ❑ Central Gas Furnace % (brand and model number). SE Btu/hr (heating capacity) ❑ Heat Pump. (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar ;type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector M *1 ❑ orientation collector tilt rated y -intercept rated slope Other (describe) (B) Cooling Electric Air Conditioner (brand and model number) (seasonal EER) x E COUNTY OF BUTTE - DEPARTMENT OF`NUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING- Setback. Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. . I Heaters Slab Carport Footings Prov. for phsically handica ed Conformance of ex. structure Appliances Gas Piping & Tes Temp. Gas Slab Final r Sanitation Patio FIREPLACE Final Footin s f/ — Footing El E TRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SVfIINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh ME HANICAL Grd. Fault Prot. Scratch Heatinq Service ' Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final MOBILEHOME UTILITIES Elec- Service Final i Elec. Pedestal Water Piping OB16EHOME INSTALLATION Sewer - - - - - - - - - - - - - - Support Gas Piping Elec. Continuity Water Piping DATE Drainage REMARKS OR CORRECTIONS Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) _ COUNTY OF BUTTE' -DEPART MEN T•OF"PUBLIC WORKS - PERMIT NO. �) 7 Cgunty Center Drive-,Oroville; California' 95965 -Telephone 916/534-4541 "APPLICATION -AND PERMIT n .A SS SO IP AR C EL UM ER Z ING -BUILDING PIEWflo , OWN p `^j•. _ - - 'QQ E ePHONE +� :-SQ: FT. OC BUILDING VALUATION Ih , r ✓ O N R'S MAI G A DR - •• !.`. ,( xxg •r V ir,C. aa,;fy/;,r( 8.Qd0� CON RACTOR'S NAME _ - W T LEPH NE _ CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNO Fireplace Total Valuation $ � ; LENDER'S MAILING ADDRESS.' - • - Permit Feer $ _ ✓ ARCHITECT OR ENGINEER } LICENSE NO. -Plan Checking Fee - $ -� Penalty $ ARCHITECT OR ENGINEER'S -MAILING ADDRESS - - ' Permit fee" $ BUILDING ADD Ss - 1 - -,.PLUMBING PERMIT Filing Fee 3.00 r 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 • t New.9?11'Addition❑ Remodel E3 Utilities 11 Installation❑ ,Other❑ Describe work: Permit Fee . $ Contractor ' ELECTRICAL PERMIT Filing Fee 3.00 Main service, 100 AMP OROR LESS5.00 a.. - Main service EA, ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.& OR ADDNS.1 ( ACC. BLDGS. 22 sq ft 05 CONTRACTORS LICENSE LAW I declare under penalt perjury y of p I y (check one): , -t ❑ I am licensed under provisions of Chapt. 9, Div. 3 of tiie 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 employees compen-- sation, will do the work,and,the structure•is'not intended- w for sale..(Sec. 7044) ')• • .• - + ❑ I, as the owner, .am exclusively contracting with 'I icenged contract- ors. (Sec. 7044) ❑ I am exempt under Sec. ,Business anti Professions Code for this reason NEW CONSTR ULTI.OUTLET 2,50 ea c NON-RESID BRANCH clRc Irs NEW CONSTR. (POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR, / ' Ex..Occup(OUTLETS OR FIXTURES 50 @ , FIXED APPLNS, OR Ex. Occup•(OUTLETS (RESID.) EA.) 2.00 Temporary service. , -; 10.00 Mobile Home Facilities 15.00 Misc. Wiring _ 6.25 Permit Fee $ Contractor • ;^ MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE i• ' declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or Less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or. a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W.,C. laws of California. r ' 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 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. /'. R Date 7//�/�D Signature of Applicant = Owner - 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 $ Land Development Fee $ TOTAL PERMIT FEE $ GROuP OCCu.J. TYPE OF CONST. V __ ELP. PARC P cD HD ISSUE This permit is hereby issued under sions of, the Butte County Code and/or Work,, indicated above for which r' DIREC OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to-do fees have been paid: WORKS Date _7 71- 7--�-(-0' Receipt No. '�! � I (� � WHITE-D.P.W.. YELLOW -ASSESSOR, PINK-IN5PECTOR,. GOLDENROD -APPLICANT - COU§TY 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 nameand 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. y -, 1. I personally plan to provide the major labor and materials for construction of the proposed.property improvement (yes or no) i� S 2. I (have/have not) 144 V, 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 N6 N f Address City Phone Contractors.License No. j 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 ,-V PW Address City Phone Contractors License No. 5. 1 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 g /1lt7 iy r Signed: Property Owner -45 ,2 Q• 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. r n r 0 ` ' r .6471.St. Paul Circle Huntington Beach, CA 92647 8 July. 1980 County of Butte Department of Public Works 7 -County Center' Drive Oroville, CA 95965 Dear Sirs: Enclosed'please find an application for a permit to build an open deck,'behind my mobile -home•at 115 Apache Circle at Kelly ''Ridge in- Oroville'. Your office provided me a sample copy of the application in 1978. Since that time.I have changed my plans and added 46 sq. ft. The plan view has`been revised to reflect the change. Enclosed is a check for $10:00 to cover the cost of the permit. Ihope to start construction the 'last week of August 1980. Please send the .permit to the Huntington Beach address above. Yours truly,: y` `Douglas A Crouch 6861 Inn, .1 r PERMIT NO. 333-83B PERMIT EXPIRES ,......__ DOUGLAS CROUCH OK 0 = Not OK = Not Applicable MOBILEHOMES r MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKERS, CARPORTS; ETC. (Plans),OK except Ws 1. Zoning Requirements—Setback's—Easements ) nittg Requirements—Setbacks—Easements ,2. -Soils; Special MH Support—Sketch _ Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location-Test—Fall-C/O—Concrete r 13. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easemerit.Needed (Sketch) 1e 4, Wood. Awn:; Posts—Beams—Rftrs.—Con nec.—Shthg.—Rfg.-Bracing__ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. AI Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap: <"L"ft./ 7"Nat. or/ /"L"ft./ /"LPG d arportsegf5 •, 7. Utility Clearance _' ?-7. Elec. Card -BI Date Card -B1. Date ." C hedBI Date,—/'f' Card -BI Date Card -BI Date Card -BI Date I _ , at�. Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except H's 1 • 'Zoning Requirements—Setbacks-Easements Date P OLS (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 -81 Date Card B -I Date Card -BL Date • i . Card -BI Date Card -BI Date J = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL�(Singte and Duplex) Date UNDERFLOOR Plans OK except N's Date FRAMING (Continued) 1. Zoning requirements-Setbacks-Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg: Depth 49. Ext. Doors-One 3'-Check Garage-3rd story, 2 exits 3. Ftg., Garage; Soils-Steel- / • /" Ftg. Depth 50. Stairs; Width-Headroom-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils-Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang-Attic Vents-Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding-Nailing-Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh-Drip Screed-Fdn. Vents-Underflr. Access _ 7. Piers-Fireplace Ftg.-Steel 54. Glazing Area-Glass Protection-Skylights-Plastic - 8. D.W.V.: Fall-Fittings-Test-2 way C/0-Sewer Test' - 55. Shear Walls; Nailing-Bolts 9. Gas Pipe; Size-Anchors 10. Water Pipe; Test-Anchors-Regulator-Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance-Material-Support-Ins. 13. Girders-Sills-Anchor Bolts-Joists-Vents-Cripples Card-BI Date Card-BI Date Card-BI Date Card-BI Date Card-BI Card-BI Date Date Card-BI Date Date Card-BI Date FINAL (Plans) OK except N's 56. Ext. Steps-Door & Sidelight Protection-Landings Card-BI Date Date Card-BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector _ 14. Water Ht.; Vent-Access-Combustion Air 58. Furnace; Vents-Clearance-Comb. Air-Connector- In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors-Nail Protection _ 16. D.W.V.; Test-Fttngs & Anchors-Nail Protection 59. 60. Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access Shower Pan; Test, First Floor-Tub Access ___17. 18. Test Tub & Shower, 2nd Floor-Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes-Labels Gas Pipe; Size & Anchors 62. Stairs & Rails _ _19. y 63. Fireplace or Stove; Clearances-Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card-BI Card-BI Date Card-BI Date Date Card-BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap-Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Perrr,it 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. Hir.; Vents-Clearance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection - 21. Stec. Receptacles Spacing-Lights &Switches at Doors 70. 71. 72. Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation-Foam-Looked in Attic ❑Yes73. _ 22. Size Boxes & No. of Conductors-Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners-Bond Gas & Water 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails & Deck Construction-Post Caps ^ 26. Subfeed Wire Size i / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 74. Fdn. Vents & Crawl Hole Door-Drainage & Wood-Earth Clearance Looked under Floor ❑ Yes - 27. _Insulated Range Circ. / / ga. Cu or AI-Oven Circ. / / ga. Cu or Al, Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 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 83. _ Corrections from Previous Inspections 84. Gas Test-Meters Tagged; Gas-Electric 31, A.C_. Ducts: Insulation & Support 85. Water & Sewer Connected-C/O to Grade-HD Approval 32. Vent Fan_Exhaust above Insulation 86, Energy Compliance Certificate-Other Certificates Condensate Drain_& Overilow; Size & Grade 34. Furnace-Vent; Access-Comb. Air-Return Air Vent-115V outlet 35. Attic Access & Platform if Furnace in Attic Gard-BI -- Card-BI ---- ---- - Date -` _Card-BI Date Date Card-BI Date Card-BI Date Card-BI Date Card-BI Date Card-BI Date Card-BI Date Card-BI Date Date FRAMING(Plans) OK except q's Comments at Final: _36. Sills; Proper Material & Anchors 37. 38. 39. Walls; Studs-Nailing, Spacing & Bracing-Plates-Sound Bearing Walls over Girders & Floor Nailing__ _ Draft Stop in Walls (rat proof) - _40.^_Fire Stops; Furred Ceilings-Stairs-Chases-Tub _ 41. 42. 43. 44. Header & Beam-Size & Bearing Hangers-Post Caps-Anchors-Connectors - Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng. Fireplace Ties or Type A Flue-Fireplace Throat 45. 46. 47. Attic Access; Size &Romex Protection-Draft Slop-Ins. Baffles Bdrm. Windows or Exiting Doors-Sill Hgt. & Dimensions Garage Fire Protection Framing` (NOTE: Anentry must be made each time you visit job site) COUNTY OF BUTTE - DEP4RTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califbrriia 91965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCE -ML.✓'-J� ZBER I 1 - BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC BUILDING VAOLU•-AOTaION OWADDRESS /y .4iiy6r crirr 657/ e4 C-#4 /3,z'9c�r c ciZ6�i T E L E P H O N E CONTRACTOR'S MAILING ADDRESS - Fireplace CONSTRUCTION LENDER UNKNOWN 1 Total'Valuation $ . �V Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ Q� ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Or7 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 50-o6 BUILD r{G- ADDR ,7. /_].�/� NY/ PLUMBING PERMIT Fi ling Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 L j;O. c/v SU13;/Jes�N MEQ., �� vim( PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00' USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome Q�ther SPECIFY Building sewer5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition Remodel Utililitgi_0 Installation[] Other ❑ Describe work: C//l�7� — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&` OR ADDNS. ACC. BLOGS. I 2t/20sgft CONTRACTORS LICENSE LAW I declare under penaltyof perjury p i y (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and'effect. License No. Classification ® I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CO NIS ULT' -OUTLET NON.R BRANCH PIRA IS 2,50 ea NEW RESID. %POWER APPARATUS ONS NON•R ESID. SINGLE OUTLET CIR, Ex. Occup(13AL@3c RES 9AL®soy OF�IXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ®• I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have 'read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date -01 Signature of Applicant — Owner X Contractor ElAge"work 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 $co �Q DiCUP, GROUP '-' _� TY E 0 CQNST. /A\/// PARCF PD/ =D ISS This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIR OR OF PUBLIC BY P MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dater - ✓ Q —jiR `1 Receipt No. / v C/ WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD-APPLI CANT Permit No. OWNER A. P. No. A 9 - Z Zoning Use Pro sed Approved • Not approved Permit fee based upon: 1. Complete contract price. 2. Partial contract price (explain). DPW Valuation' (show): At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: Date received 1. All items have been submitted. -------------------------- 2. Plot plans in duplicate/triplicate. --------------------- 3. Complete plans in duplicate/triplicate. ----------------- 4. Complete engineered plana and calcs. -------------------- 5. Fees of $ . -------------------- 6. Letter of -signature authorization. ---------------------- 7. Sanitation approval. ------------------------------------ 8. Planning approval for 9. Workmen's Compensation Insurance Certificate. ----------- 10. Contractors license information. ------------------------ 11. Parcel declaration, recorded copy. ---------------------- 12. Access declaration. ------------------------------------- 13. Aunt Minnie information. -=-------------------- 14. Deed of access, recorded copy. -------------------------- 15. Deed of parcel creation, recorded copy. --- ------ 16. Parcel map, recording data. 17. Pre -inspection request for' -- ��. Improvements. plans red & DPW approval. ----------- Tl 19. r ------ R By Date - �--� Bldg. Inspec or During plan checking process, the following data or information must be submitted prior'to permit issuance: 1. Index permit for items above and in addition the following: 2. Applicant advised by Telephone Mail Other 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold,, for pickup @ office. 5. Other Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir.Health - Date Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works - Date Notice Sent ,A, Street Imp. B. Drainage C. Permits &Fees D. Other 5. Planning A. Use Permit B. Variance C: Other 6. Other Agencies - Date Plans Sent A. Fire' Dept. B. Other UNIT 3 • This set of plans.and *specifications MUST be kept on the. job✓ at all `times and it is unlawful• t.i oe• • /CZ/E / make any changes or alterations on same with- 24'�.�G• �S 6 K out written permission from the Department of. 1z j `.� Public Works, County of Butte. t A o i t,� 14 % �Z_ v . O P,E-iv j elf ed fe' R of 5 ft. from the -�/ operty lines and a setback / av tj of 50ft. from the road centerline shall be clear of , `-'E7--,ETA Cs-0ructures or equipment except I 4or a 2 ft. eave overhang. - �- ELI M i . BUTTE COUNTY NOTE:—All Materials & Workmansbip Shall Be in BUILDING DEPARTMENT Accordance with Recognized -Good Practices and /� n n O of a quality prescribed for the -Specified use in the /'1 j�VE `'� :.=:'_:J%9oar /LE .-V /0-9/. 716 !?'sem `Uniform Building, Plumbing -& Mechanical CQdr,,, .and the_National Electrical eod%,..._.. r._-. - /rrR - J' -/f- 7.0c.- �� 0 i. -W of4 L SPAN I NALL&LAW—F-5.0-4S -J-� I I --- -.— ITS A'rA(:::oP�. ------ IT ul Z7 LU CY > 0Ell 0 RT 'all z 5 CL 0 i. -W of4 L SPAN I NALL&LAW—F-5.0-4S -J-� I I --- -.— J I , BUTTE COUNTY 3UILDING DEPARTMENI _ALAPRIO I✓Ep . /3 r• 11 2 Clif Mickelson, Administrative Officer Department of Public Works s Building Permit Renewal for Douglas Crouch (AP 69,-23=32) January 11, 1982 ' With reference to the above subject and the letter dated January 4, 1982 from Douglas'Crouch regarding a renewal of his building permit which will expire on March 30, 1982, there is no provision in the Butte County Code to renew.a permit unless the building is under construction..(see attachment) I suggest he be advised to either start constructing,by the expiration date of the permit or plan to re-apply for a new permit when he is able to do the construction work. Should you have any questions, please contact me. Yours very truly, C1ay,Castleberry Director of Public Works .. J.F.+ Glander JFG:ds Chief Building Inspector ro File No. "' I 11i J. ... -'--OROVILLE-CACI RMA y _ ��-•4+c....��_�_._ �/t� �2���t-.r_� ,C [�3pC/S �/��� ��`-�� c�".-�c'�,.ti.�.cl.��;r..� - --- �./�iC.�4yc.G_��_ / c..r.,tic.��•-✓��L�L.--t�P-c.�..�i.i�1 _. �l .J. G � �� �-�'�+"'t-�+"`LT�'L 1. �+'v .'�i�/y`� � �, /LL✓� c J Cf�� �Lt'-C--G L ✓� vC ei�..��-c-s C l —. _ "�--<- �'--- - �-��•T�„-e.��.� --�,�z-.--z_ �.x�'`���i.c__���:� _ �-�-tea`--� .. -L+C-�ti..•GE(��J�`�,-�-vim /t-��/2i�-G,�,.-s..n-i...y��_�`Z.�1.�--_ �S"'L'+i'a-"�,m�C Z/����I�tr>> �%R'C_`C-�'�l—� G�C /L1.,v..�,�-�-p•--c�....�C�. _ . _ /�"K ��t.�s-.,�,.- �:�1-�-a-ar�cc.�i� Zs�cZ�7 G � .-C-�c.�`��...� �`-�'�•�i. %/"''4-�c�..� �fc--4"�-s�c� � J' c�-�.......rt,.�.��/ C¢,--�:�T' :�-t-..t�.ct..�i6�,s?�� �2� .,�/ •-c_-t-c..�,c�C.=��r.� �L.,���c�cr�..fr--�....? j /�C!G'��-G--f rte" �--�.-�.�`. ��? .il iL �Li_/' �['�'Z_ _•��:/"ti►ci/ ����"(-✓�L�..-z� _ _ ti po y File No. BUTTE COUNTY (For Action 1, 2,3) Public Works Dept. (For Information ✓) Director Dep. Dir. Sec. i Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. -` D&C / Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Transp. R/ FV Mapping Land Dev. Ref. Disp. Drng. / S. 1. Sub. & Pcl. Maps Permits 1� t .q55 3 R PAR L NUMBER `7 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC ORKS PERMIT NO. BUILDING PERMIT 7 County Center Drive - Oroville-. California 95965 - Telephone 916/534-4541 117PHONE APPLICATION AND PERMIT VALUATION V. .q55 3 R PAR L NUMBER `7 BUILDING PERMIT 0 VNER 117PHONE SO. FT. OCC. BUILDING VALUATION V. OWNER'S 1 I ADDRE S N. Y,,, - n 4 COWT.RAC'r_0yi'b N- TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CON STI!UCTI(?N LENDER Total Valuation$ 'M N , DA I - . - Filing Fee 10.00 I. LENDER'S M AI NG LI ESS ADDR * 3'. � - Permit Fee $ S 1 Cr ARCHITECT OR ENGINEER NO. Plan Checking Fee $ 4 ILICENSE Penalty Permit fee $ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS OU . ILDING ADDRESS PLUMBING PERMIT FilingFee 10.00 • •a 4 rc/1 9— Each Trap 2.00 Repair drainage or vent piping 5.00 14 T) I -D Water piping - ?"T., SUBDIVISION. NAME MAP Each qas water heater or vent 5.00 ]PARCEL Gas piping system 1 5 outlets USE OF STRUCTUj Building sewer S PuplexR MobllehomeF Other III. -I Lawn sprinkler system �5.00 SPECIFY TYPE OF WORK Permit Fee $ New [�Addition❑ Remodel[:] Utilities[] InstallationD OtherEJ Contractor ELECTRICAL PERMIT Filing Fee 10.00 besC`rIbe work: C4 B -I /V 9 Main service ?'0' OR LESS 00 AMPOR LESS 5.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.]1 OR AOLNS. ( ACC. 5LOGS, 2Z sq It _ ET CONSTR L NEW NON -RES 0 a RANCH IR N CCUITJ 2.50 ea CONTRACTORS LICENSE LAW declare under penalty of perjury (check one): NEW CONSTFL ( APPARATUS 1k) NON-RESID. OUTLET..SIR. ANGLE Ts OR FIXTURES Ex. Occup OUTLETS BAL @ 10C ❑ 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. F 1, XTEL AP 15—L �N 0 , 0 1, Ex. Occup. ET (R E S I'D. I"E A.) 1 2.00 Icense No. Classification Temporary service 10.00 as the owner, or my employees with wages as their sole compen- Mobile Home Facilities 15.00 will do the work,and the structure is not intended or offered Misc. Wiring 7.50 ..�sation, for sale. (Sec. 7044) I as the owner, am exclusively contracting with licensed contract- -ors. (Sec. 7044) Permit Fee $ I am exempt under Sec.—, Business and Professions Code Contractor J or f this reason MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE Heating I declare under penalty of perjury (check one): E--*The permit is for $100.00 (valuation) or less. ] >-J. have placed on fl,d with the County of Butte Building Department Cooling Hood 3.00 -a Certificate of Workmen's Compensation Insurance or a Certificate iof Consent to Self -Insure. Ventilation `;A_I—s hall not employ any person in any manner so as to become subject 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 Permit Fee Contractor ..provisions or this permit shall be deemed revoked. 1 Icertify'that I have read this application and state that the above Information Mobile Home Installation Fee $ I i'cdrrect. 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 abovementioned property for inspection purposes. TOTAL PERMIT FEE I also agree to save, indemnify and keep harmless the County of Butte against OCc u Ho 1InI7 all Aiabilities, judgments, costs, and expenses which may in any way accrue ..against said County in consequence of the granting of this permit. This permit is hereby issued under the applicable provi County Code and/or resolutions to do L X - - - --C Z—"/ Date Signature ofpplicant Owner �/Contractor [] A...,n sions of the Butte work indicated above for which fees have been paid. An' I OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. By Date WHITE D. P.W.,'YELLOW-ASSESSOR, PINK -INSPECTOR, GOLOLMROB-Ap PL I CANT PERMIT EXPIRES Date vi• .f ... V Zv C f a 1 �j 0`i_ 50`i_- X' - MOT :--Aii Materials cx Wo4rnanshiBe In Accordonce viii? Rccognir.:�r.; Go�ci P cir,'tic.e; a;a'ci of a qualify prescribed for ihie `=;:.-c; ied use in,/46 Uniform Building, plumbing a Mach anlGGi hod s and the No Iona! Electrical 'Cod go • �J 1 1 �j 0`i_ 50`i_- •' A!. t ...;r 1 0`i_ 50`i_- X' - a 'z V . ' IS - S. _ of, plans and sp !c!flc(. ions BUST lie koit. 5rithe i.ob at all +Imes and if is t+9e+w$ul Pc� y.�honges or cil+Prrlions on same arimen% of Public ermission from iii©Dop VI%ors`,+County of Hutto. r. /BUTTE: CCDl NT, I BUILDING DFr'Al',,* lV...''!, PP, R �j'` 1 a 'z V r. /BUTTE: CCDl NT, I BUILDING DFr'Al',,* lV...''!, PP, R �j'` i UNIT 3 R, M. ,mo02, o .j A A 1 � � •' - -- `L /�".t ' -moi NI �Z. R\ N W 1 , �F CA VA ' 'Fiat• r f ��� ��.• .,.h; cc�i[a`r,... . � � \7�(• t �, SET—.,8.4 C% -r• . -°:•-={ •.i;�s9 t, tis +' •• . s BU TE CO yy;, Y> Y LINTY O BUILDING DEPARTrviEN'T APPROVED 4 1° rt 3zs �{, 5 , .._.'_ .1 90l� /L E• /41J.p•EL7 �0' ;;2; zi A ilial 7..9; -y" Ib,% c D r 2x 7FID6,C- LZ) T f ZER-5 0/-v 2 'CF_r✓'r PG \ . ......... T'y r y1r, U S -- - -- LLL- 2- RUTI I 'ILDING D PA RT�E',! J A ®� v vc� p p wA/ D -re 31 fl 2fDG T `7 0 c -k- VF_wTl3l o ch r7 - p c A U, C- CD6 "rt? L - i--- ; / IV /If 13roctc /* j S r;� X 6 y p ?.c' .a c BUTTECOUNTY WLDING r / li 'SAW 1 -16- DS I VI Jr /Z./Oi /V 5- 7- -6, 'T I ,,� - T7'/? BUILDI,\ IG Dr.) X 84.0 c k-, D"D ?Lock- Vt--,Vr H =' - - , -, or - / li 'SAW 1 -16- DS I VI Jr /Z./Oi /V 5- 7- -5 8UTTE CC)UNITY BUILDI,\ IG Dr.) yr P/ D"D a 0 O d �1 A-1 I -y r b. IN 1 v a ,--7-/-// S iDCifv,,' cr >-/ - QOUNTY :BUILDING DEPARTMENT rAPPROVE® 16 A-1 r b. .I � I • iii \ `'J . - --��----'---'.,� j ---- Ii ----------- ----- _------. _... - -- Ll ,--7-/-// S iDCifv,,' cr >-/ - QOUNTY :BUILDING DEPARTMENT rAPPROVE® 1 jar 882-81B PERMIT NO., • PERMIT EXPIRES r OWNER Douglas Crouch CONTR. &weer 4 ASSESSOR PARCEL 34-75-32 LOCATION . 115 Apache Cir. ,lot 161,KR#3, Oroville r E t ` Temp. Power Pole t Called PG&E Temp. Elec. Service Called PG&E - t {{ Temp. Gas Service r1)1 Called PG&E JOB_FINALED (Date) Signature c - t V = OK O = Not OK — = Not.Appli cable * = Not Ready MOBILEHOMES' 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.—Shing.—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. Elea — Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1- Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except q's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GF] 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 9. Exits; Insp.—Sketch 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 10, Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Card B -I Date Card -BI Date. Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single,and Duplex) Date UNDERFLOOR Plans OK except Y's Date FRAMING (Continued) , 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. 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 Card -BI Date Card -BI Date 64. Elec. Outlets*at Wood Panel; Int. & Ext. 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 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72, 73. Insulation -Foam -Looked in Attic E:) Yes Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75, Following instld.: Drive ❑ Yes ❑ No; Walks E3 Yes ❑ No; Planters ❑Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 83. 84. _ Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date _ Card -BI 'Date Card -BI Date Date FRAMING(Plans) OK except H's 36. Sills; Proper Material & Anchors Comments at Final: 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. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. 47. drm. Windows or Exiling Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS RMIT ! - _ t 7 County Center Drive - Oroville, California 95965 -Telephone 916/534-4541 APPLICATION AND PERMIT ASSF=SS,OR PARCEL NUMBER NING • BUILDING PERMIT O NERV TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S ILI ADORE S-xt �f 1 6 7 iF�E CONTRACT O RS NAM TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKN•/ - ! Total Valuation - Is _ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS - Permit Fee $ 3140 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $G t Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $gyp. BUILDING ADDRESSrdQ G PLUMBING PERMIT Filing Fee 10.00 - Each Trap 2:00 Repair drainage or vent piping 5.00 t Water,piping • LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTUM L SF [:]Duplex[]Mobilehome❑ Other ` ";4kal'Yi SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New [Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 00V OR LESS Mai1 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2:50 NEW CONST. I DWELLING OCCUP.01 OR ADDNS. % ACC. BLDGS. 2Q ft S q' CONTRACTORS LICENSE LAW I declare under penalty Of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No: Classification 2/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 MULTI -OUTLET 2,50 ea NON•RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS .&) NON-RESID. %SINGLE OUTLET {IR, s0 @ zsa Ex. Occup OUTLETS OR FIXTURES eAL�i (FIAPPLNSXEDOR Ex. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig 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. 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 against said County in consequence of the granting of this permit. X �Cy (::;e-- � � Date �6 Signature of Applicant - Owner Contractor E]Agentwork An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 33 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE OCCUP, GROUP 1 TYPE ov CONST. (/ N PARCEL PD MD SSUE This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DJRECTORJ�F PUBLIC By. PERMIT PfRES Date. the applicable provi- resolutions to do ,fees have been paid. WORKS Date -?-3;--?/ Receipt No. L/ RtJ / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 1 L � 9' ���� i �. �� �� :raUM Oriand do *liaa 3.LLnu do J.! mnoo Pzm4rr APPLICATIAN WORK SWET Permit No. OWNER A. P. No. 3 q- %� �� 2-, Zoning�Ie Proposed Approved Not approved Permit fee based upon: 1. Complete contract price. 2. Partial contract price (explain). 3. DPW Valuation (show): At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: Date received 1. All items have been submitted. -------------------------- 2. Plot plans in duplicate/tri 1lcate. -------- ------ --- -- - -- 3. Complete plans i p scats riplicate:. PQM- p-�'=------ 4. Complete engineers pans and calcs. -------------------- 5. Fees of $.-------------------- Letter of,signature authorization. r� ------ - -- i 7. Sanitation approval.-------------�=--- 8. Planning approval for -- 9. Workmen's Compensation Insurance Certificate. ----------- 10. Contractors license information. ------------------------ 11. Parcel declaration, recorded copy. ---------------------- 12. Access declaration. ------------------------------------- 13. Aunt Minnie information. -=------------------- 14. Deed of access, recorded copy. -------------------------- 15. Deed of parcel creation, recorded copy. ----------------- 16. Parcel map, recording data. ----------------------------- 17. Pre -inspection request for - 18. Improvements - plans required & DPW approval. ----------- 19. ther ------ By -- By n Date Bldg. I specto During plan checking process, the following data Before permit issuance, all of the following or information must be submitted prior'to permit items must be signed or marked NA: issuance: 1. Zoning use 1. Index permit for items 2. Legal parcel above and in a itio the following: 3. Errvir.Health - Date Plans Sent �j�j�ell A. Sanitation B. Restaurant C. Other 4. Public Works - Date Notice Sent 'A: Street Imp. 2. Applicant advised by Telephone B. Drainage _ Mail C. Permits &Fees Other D. Other 3. Plans checked by Date 3 C -8 5. Planning 4. Plans approved by Datel, ;o-- / A. Use Permit B. Variance When permit is isixied, process as followsz C: Other 1. Mail to owner. 6. Other Agencies - Date Plans Sent 2. Mail to contractor. A. Fire Dept. 3. Deliver with inspection.. B. Other 4. Telephone and hold., for pickup @ office. 5. Other „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. Pleasecomplete and return this information.in the•errvelope 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) YFS 2. I (have/have not) `IY4y.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 Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the•major work: Name /1I 0 "-C-- 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 /Vc:)zVf,% Signed- Property igned:Property Owner ac, Q . Social Security numbeF O> 7 z- v 7 v Date 3/�64&-1 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. ` .6471 St. Paul Circle Huntington Beach, Ca., 92647 5 February 1981. County.. of Butte _ • Dept. of Public Works 7 County Center Drive Oroville, CA 95965. Dear Sirs •I would like to build a workshop in,front of my'mobile home at 115 Apache Circle at Kelly Ridge.,,.Copies of my.plans and a plot,,,plan.of the 1'ot are enclosed. 9 'F -1. At this ;times, the building wlll.be just a shfell with no electricity or -interior-wall. When I retire and move to this location permanently in, 1985, I will then complete the interioi,zand,.put.electricity in it. Will you please advise me"Miat.the-.cost of a building permit will,be and ,how long it, will be; effec_tiv_e.;, They duratiow,of the;-p,ermit.", is important because -I only get.'up to Oroville 2 times'a year, as a rule. If I`desired to -make the building 15,feet high instead of 14 feet, would that be permissible on'the same permit? Please 'send me the necessary forms to,apply for a permit if necessary. Yours; truly, • � ` , .. • OBJ C—� Douglas A. Crouch Utie� ` 1 6471 St. Paul Circle Huntington Beach,. -Ca. .92647 5 February. 1981. County of Butte Dept. of Public Works 7 County Center Drive Oroville; CA 95965 :. Dear Sirs: gib: I would like to build a workshop in front of my, mobile home at 115 Apache . Circle at Kelly Ridge.. Copies of my plans 'and. a, plot plan. of. the lot are enclosed. At this time, the building will be just a shell with no electricity or interior wall. When I retire and move to this location permanently in 1985, I will then complete the interior and put electricity in it. Will you please advise me what. the cost of a building permit will.be and how long it will be effective. The duration of the permit is important because I. onlyget up to Oroville 2. times a year,. as. a .rule. If I desired to make the building 15 feet.high instead of -14 feet, would that be permissible on the same permit?' Please send me the necessary forms to apply for a permit if necessary. Yours truly, .Douglas A. Crouch; -13-�► `.- d)Q- V t i CA. 001. �. Ai 1 ++ / _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. A RFARCE=NUMBER , ✓NI 6ER "-T BUILDING PERMIT O / T LEPHONE SQ. F.T. OCC. BUILDING VALUATION OWNER'SILI ADDRESS CONTRACTOR'S NAM TE EPFIONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKN. !/ Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee _ b ,0b ARCHITECT OR ENGINEER. LICENSE NO. Plan Checking Fee $ Q , Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee p $ O BUILDING AD KESS PLUMBING PERMIT Fill Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME [PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTU SF ❑ Duplex❑ Mobilehome❑ Other c:Ak .Ac -4 SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1001 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.b) OR ADDNS. \ ACC. BLDGS. 'LQ sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): E]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 ❑ 1, 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I- UTLET 2,50 ea NON-RESID BRANCH CIRCUITS) NEW CONSTR (POWER APPARATUS 0) NON RES,D. SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES g L 11B�0¢ ,FIXED APPLNS. OR Ex. Occup.(DUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee b Contractor. MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X 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 $ TOTAL PERMIT FEE $ Occup. GROuP I TYPE OF CONST. PARCEL PD No seOE 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 Date Receipt No. W141TE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT Replaces 882-81 2575-82B n PERMIT NO. _..._ PERMIT EXPIRES , )' OWNER Douglas Crough . a P�Owner ' CONTR. ASSESSOR PARCEL 69-23-22 LOCATION 115 Apache Circ, Oroville f �s V e Temp. Power Pole v Called PG&E Temp. Elea Service Cal led'PG&E Temp. Gas Service Cal led PG&E 10� JOB FINALED (Date) �< ✓�/ �- "J G' Signature V = OK t 0 = Not OK - = Not Applicable. MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) Oi. 3xcept # 1. Zoning Requirements -Setbacks -Easements 2.. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors e 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.-Bra_cing__ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Locatiort-Test-Wrap:/ /"L"ft./ "/'•Nat.or/ /"L" ft./ Y"LPG 7. Utility.Clearance 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc'ost,res 6. Carports; Windows Doors 7. Elec. ` ---------------- Card-BI Date Card -BI Date Card -BI Date Card -BI. Date Card=Bl Date, Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Card -BI' Date _ Date Card -BI Date _ POOLS (Plans) OK except it'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 -GF( 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures;' Conduit Entries -Terminals -Listed 7. Water and Sewer Conriected-C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged - ' 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enc losures-Pane l boards -Ins. to Maid in Conduit 9. Exits; Insp.-Sketch _ 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK - = Not Applicable--;--- ble,-, .^' Rea = Not Ready RESIDENTIAL (Single and Duplex) t Date U D RFLOOR P ns OK except #'s Date FRAMING (Continued) irements-Setbacks-Easements 4 irewall & Openings , Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 12--f-0- Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. GIai-9: Widih,! eadroom-R ise-Run-Landing-F ire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5 wood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab52_ing-Nailing-Veneer 6. Stemwalls, Garage; Steel -B lockouts -Wrapped -S lab 53:`SlurcT10esn-DTIjfScreed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Fig. -Steel 5 zing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 5 ing-Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regulator-Seryice Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date -L. d -BI Date Card -Br Date Card -BI Date Card -BI Date Card -BI Date Card -BI Dat - Card -BI Date Date FINAL (Plans) OK except #'s Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air Wit. Steps -Door & Sidelight Protection -Landings 57. 58. S_ka_Q@4@eEer' Furnace; Ve nce-C mb. Air -Connector - ge; Above Floor-Ducts-Mech. Protection 15. 16. Water Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection 59• 17. Shower Pan; Test, First Floor -Tub Access 60. i ures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Srat�� A Iieils-� _ 63. ve; earances- 64. & Ext. Card -BI Date Card -BI Date fi5• rn .- ap-Cooking Clearance Card -BI Date Card -BI Date 66. ecep ac t Kit. Counter Date ELECTRICAL Permit OK except H's 67. oor; wing Landing -Closer 68' 20. Fixture & Transformer Clearance -Ins. Protection 69. - Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70 sted for Listed Location for 22. Size Boxes & No. of Conductors -Stapled 71. _ Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72, - - ked in Attic E] Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73.Guars R_.� �^^^ �r onstruction-Post Caps - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. a Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes El No _ 28. 29. 30. Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light 76. h 77. t-Clrnces-Brkr. & Cond. Size -115V Outlet 78, -Appliance-Firep 1. -Clearance to Opngs. 79. isc nnect, Electrical, Plumbing 80. rim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81, ouse Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except N's 82 _ ctions 84. gged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. ewe cted-C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. E Aarq*-Geo+qUaoe&Certificate-OtherCertifi ales _ 33. Condensate Drain & Overflow; Size & Grade J L� o��� 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic WN60t-l' l- f1 W10 WILL, --- Card -BI to rd -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FRAMING(Plans) OK except p's ___oper Material & Anchors Card -BI Date Card -BI Date Comments at Final: - _ 38. 39. llills as; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing___ STs (rat proof) 40. 41.-Heae9a_Sj',ze 44. 45.�+Rt11t_!! F*r-SrUVT,- t7ed Ceilings -Stairs -Chases -Tub & Bearing _ -_ - os; Caps -Anchors -_Connectors Ing. Joist-Rftr. Ties- Purlin - Root .-Truss-Sht <.-Rfiq. ce ies or Type A Flue -Fireplace Throat -! e & Romex Protection -Draft Stop -Ins. Baffles _ _ 46. Bd Exiting Doors -Sill Hgt. & Dimensions 4 awtF7e-PrQ a lion Framing (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. r e7 C_ W/ -I STit � ! r r Inspector' . A} �! �j, / 4 �. e''-I'Date COUNTY OF BUTTE'-( DEPARTMENT ,QF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPUCATIGN AND PERMIT' PERMIT NO. o� 5 ?,S- - 2 -2 ASSESS R ARCEL NUMBER d - Zai - Z'� Z I.Lu' ,�—� l BUILDING PERMIT `�t o�,y/y�N[lf�Ei�v�/1/ C.`u' TELEPHONE q, FST! OCC. BUILDING Vj�ALUATION V O� i�/// / DIM / % MAILING F G✓ 4//V ��/' ��/ CONTRACTOR'S NAME,,/Q DW TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKN_owr�. [ .� Total Valuation $ . Filing fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ,, pig ARCHITECT OR ENGINEER -- // ®N LICENSE NO. Plan Checking Fee $ S`0 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ,.00 BUIL 9 ADDy, / /f PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 V / Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE O STRUCTURE SF ❑ Duplex❑ Mobilehome Other PEC% FV Building sewer Lawn sprinkler system 5.00 TYPE OF WORK tallation❑ Other❑ New gl<ddition❑ Remodel �Wvo� Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OccuP.y1 OR ADONS, l ACC, BLDGS. / 20 sq It CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p f y (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 JN 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. MULTI -OUTLET 2,50 ea NON-NONBRANCH CIRC ITs NEW CONSTR. / POWER APPARATUS 6� NON-RESID. %SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES a �� Ct FIXED APPLNS. OR Ex. Occup.(ouTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. fr71 I shall not employ any person in any manner -so as to become subject !� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling ' Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again!hs aid County in consequence of the granting of this permit. X �. Date Signature o Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- of structures over 3 stori-e7s in height.ceipt Mobile Home Installation Fee $ TOTAL PERMIT FEE $ C? f) OCCUP. GROUP I TYPE OF CONST.PARC 1 PDJ HDseuE J 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. DIREC R PUBLIC WORKS By ate PERMIT EXPIRES Date No. 1/ %/& L TE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ' r.r^�✓ ... 1+ -.I`.SI+.c _�y+i_'A�. -f'.l. �N'L.-.+"�h'/r.1�j'+{�Ya'g'.�11./.�-'�'-'Y�w�,,.''MS� ,-„�+��•r,1^�—. COUNTY OF BUTTE - DEPARTMENT OF IPU.B;LrC WORKS - BUILDING DIVISION 7 COUNTY CENTBR`DRIV€ - OROVILLE, 'CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA'SHEET . Permit No. OWNER �Du (.7(�i7�S �jt-CJ�.� ,' A. P. No. 7-3rZ2-- Proposed Building Use / Permit Fee Based Uponom�ete Contract Price DPW Valuation t er (Explain) Building Inspector _ Date G At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. PI,ot plans in duplicate./triplicate. . . . 3. Complete plans in dupL1a&te.41-L pAkaa�. Ai.� Z7 -- 4. Complete engineered plans and calcs. . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.•) 14. Owner -Builder Verification (Given to owner, Mail to owner ❑-) 15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . . . . Pre-Inspec. request to 17. Pre-Inspecti6n for Required- Building Inspector (Dote) 18. Other When you issue the permit, process as follow_ Mail to owner. ' _ Id Telephone and r pickup at �'� office. Other AppI icant Mail to contractor. _Deliver w/inspector-`' Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Desi Plans checkedlby Plans aporove � Other Copy—DPW Owner) was advised of above required. data by Telephone Mail 1 n , By Date Date Date Other Permit#4113-83E Douglas Crouch 1'. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,.California 95965 - Telephone 916/534-4541 =r , APPLICATION ARID PERMIT ASSESSOR PARCEL NUMBER L� Z-ry ZONING LP 1 BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 41 . 1-1 5 r-llac (7/,t • . 41CI. 6iv C�4 CONTRACTOR'S NAME �l Ou�C: `( TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDERS MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESSr- / 5 / f/ -o ; COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,Zaliforria 95965 - Telephone 916/534-4541 APPLICATION A4D PERMIT PE/RMIT NO. ASSESSOR PARCEL NUMBER _ 3-7–Z ZONING 40 BUILDING PERMIT OWNS 6140c� e14 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWil, MAILING A. P" ((//00r 7oA 4/ vl � ri/V <J�' WL- �N CONTRACTOR'S NAME 0AAJCI TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING A DRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDI#5DDRE„SP�r1 �� ILf / r� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE ���nI,A SF ❑ Duplex❑ Mobilehome❑ Cid/ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New Q Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: CL49-7 72)e/644- AJ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 OR ADDNST ( ACCLBLDG S &) 21h0sgft 1460 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): aI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. Y 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 CON5TF1 U. TI.OUT 2.50 ea NON.RESID BRANCH CIRC ITS. NEW CONSTR. NON-RESID, (POWER APPARATUSSINGLE OUTLET CIR. &'� Ex. Occu Ts OR FIXTURES BAL@AL®30 P�o XED5o FIXED Ex. OCCUp- OUTLETS P(RESID.)R EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 — Permit Fee $ 7400 Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): Q 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. TX I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again t said County in consequence of the granting of this permit. �( In �- Date 12 Signature ofpplicant — Owner❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $14-40 OCCUP, GROUP TYPE OF CONST. PARCEL PD I NO I ISSUE This rmit is hereby issued under sio o the Butte County Code and/or woi 'ca .d ab ve for which D RE TOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS �[ Date Z %Z'/ ^� p31stories Receipt No. ll�(1J71� WHITE-D.P.W., YELLOW-ASSFSSOR, 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 (yes or no) YS 2. I (have/have not) (r ,Cr signed,an application for a buXlding permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: i. Name , ` Address. City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 7 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 / z/iY y 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. ( 6433-76P,E g PERMIT NO. 'i r, PERMIT EXPIRES S. OWNER Douglas A. Crouch ,a CONTR. - owner b LOCATION (A.P. 34-75-32 ) 115 Apache Circle, lot 16lXR#3, Oroville I a I' 7 C I�} r� t Temp. Power Pole Called PG&E Temp. EIe-c�'Serv. Cal ed PG&E Z Tem'Gas Serv. Called PG&E - /Fol �fLED !/� P;e) (SKn#0re i COUNTY OF BUTTE — DEPARTMENT -OF PUBLIC WORKS " BUILDING INSPECTION RECORD BUILDING BUILDING (Cofit'd) PLUMBING Setback Firewall Soil piping Forms Parapets, 1st Floor Main Bldg.,, . Restroom, F,Inish 2nd Floor Windows 3rd Floor —Footings., Stemwal,l, Siding To out Slab Roof.Sheathing Water Pi In �l! Piers. Roofing • Sewer Garage Fdn. Vents Fixtures Footings StemwaII Garage Vents Insulation Water Htr. a Heaters Slab. Carport Footings Prov. for phy n ed. Conformance of ex. Conforfor structure, , Appliances Gas, Piping & Test J Temp. Gas Slab Final Sanitation . Patio., FIREPLACE ' Final , Z Footings, ,, Footing ELECTRICA Masonry Walls, .Throat ! Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors. Framing Test -, Water.H,tr. ... Stucco Final. '*Subpanels, Mesh , MECHANICAL Grd. Fault Prot. , Scratch. Heating 'Serv.ice Brown Cooling Temp. Pole.. Finish Ducts Underground Interior Lath Venttlation Permanent Door Closer Final Final 1Z12_j DATE _ �- i I REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you. visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COLtNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilebome has been installed in accordance with the =ement.s of the California Administrative Code, Title 25, Chapter 5 , permit number for the fo.1lowing location: 4 X,,/, . Owner ALt, 04;�- 4- 0 Owner's Addres Mobilehome —Model �. �—Y6d�L/l Insignia No. (2 Serial No.--�_90 It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works -�7 Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED tiUB.T.i,1aiU.1.13 LIS `.t'ALLM'700'INSPECTION CHECK LIST 1. Is the mobilehome loc;�itccl wi.0i required, separation from lot lines and buildings and,generally conform to, plot plan?' YecsLe_�OQo- 2. Does the mobilehome' lave required clearances,'above ground? (Sec.5085) Yds/No 3. Are foot:i.n�,s and supports properly sized, spaced, and braced as per approved plans? (Note possible varication at spring shackles.) (Sec. 5082 & 5083) Yes (�- No 4. Is the mobilehome level.? (Sec. 5088) 5. If mor than.a single unit, are crossover connections' properly installed? (Sec. 5088) Yes 0 r . 4 5. Water A. Is flexible connector.of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes_ No B.- Test Does water -piping withstand working pressure or 50 lbs, air test? Yes ?/No C. Backfl.ow 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? Yes ✓ No ,B. Does it have minimum i," per foot slope and is it properly supported? Yes X.—No C. Are any leaks detected in drainage system after running�3-g aIons of water through each fixture including washing machine standpipe? Yes Noonw- - D. 'If coach is not State of :California approved, does station have required trap and,vent? Yes Soo', No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the as supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. Note:. All piping is to be at least as large as the mobileh a gasline iiile vithou,trreduceions other than the mobilehome connector. Yes B. Test OK as per following pr cedu ? Yes No r 1. Open all appliance tonne t valves. .., i t 2. Shut off appliance, burned p _ pilot valves`: , r• I. 3. -Air test wiVmanomet- to 1 "-14" water column, or test with slope gauge (minimum 6oz.-maximuibrate in tenth pound increments. Test for 10 min. without drop. 4. Connect: gasbilehome 'th connector, turn.on gas, test connections with - soapy water C. Are all appliance vents properly installed? Yes No 9. El.ecti.ical A. Is service Large enough to provide .adequalt_e amperage. to'mobileliome (must equal rating of mobilehome with J ailn.b-lu l of 100 amp) and other faciliti.E!s on lot, i.e., water pumps, -arat,e, cabana, etc.:' Yes o_ B. Is then, proper cicararIces around panels? Yes`t!!!�'No C. Is power supply cord or feeder assembly properly fused? Yesv 1\0- D. Is continuity test. satisfactory as per the following procedure? Ye No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have.been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one 1--n..-id of a test instrument to the mobilehome grounding conductor and Is .1. aOVLLapply,-tiieotl ei 1.eUTIIC slipply CoCtuLictor, ilicluding neuLral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, w-ater line), including fixtures and appliances, shall be tested for continuity from such eql:ipment 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 to<;C shall then be made between .he grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 1.0, Ts job card signed by health Departmeat for water and sanitation? 1.1.. If evc_rything olray, sign off card and to services. MOB IL E 1:10ML•' _DATA Manufacturer and/or Namest:yle Length _!C 2�:_ Width Vehicle Serial No. State Identification No.8 g6 t --I x a r.&ILLional Infoz-natiOn or Comments: COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drix rr _ �roville, California 95965 1 Telephone: 534-4541 APPLICATION AND PERMIT _......�'/�JfJ BY !'�. Date Receipt No. — I , White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Ulldltlj petlillt aNnireS Dat@ — Z- 7f -- % BUILDING Owner Douglas A. Crouch SQ. FT. OCC. BUILDING VALUATION Mailing Address Lot 161, Unit 3 Telephone No. Fireplace Contractor Carneros Mobile Transport Total Valuation Mailing Address 1290 El Capitan Permit Fee Plan Checking Fee&/or Penalty Nara, California 94558 hone No. 70 TelePermit 2S2-2411 Fee $ Building Address' PLUMBING No. @ 'FEE PERMITjFILING FEE $3.00 115 Apache Circle 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. 34-75-32 Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W Sanitation I FireDept. FireZone Use Permit Building sewer , 5.00 EQA Parking I Plans Parcel eclaration Parcel Ma P 60'. R/W Im rov menu P Lawn. sprinkler system 2.00 Bldg. Pla Recd Parcel Ap ovol PlojeeApproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 INSTALLATION — Main service . 100 AMP OR00V OR SLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 00 AMP oR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONS.. WELING OR ADDNST ( DACCLBLDGS.OCCUP. &) 22Sq ft 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 style of: Carneros Mobile Transport ' Ex. Occup(OUTLETS OR FIXTURES) @1 BAL 104 Ex. OCCU FIXED APP LNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service- 10.00 Mobile Home Facilities 15.00 259158 License No. Classification C -61d Misc. Wiring ' 6.25 I ❑ 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. ® I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. F1I certify that in the performance of the work for which this permitis issued I shall not employ any ,person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee - $ $ . I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. DateX2DIRECTOR Mobile Home Installation 30.00 TOTAL PERMIT FEE 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. Orr-mUBLIC WORKS _......�'/�JfJ BY !'�. Date Receipt No. — I , White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Ulldltlj petlillt aNnireS Dat@ — Z- 7f -- % MH UTIL. CLEARED, DATE Support Campactios No. AP NO. EIEC. CA3 rrq ItQ SES � i I BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,- Oroville, CA.. J. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: Douglas A. Crouch Lot 161., Unit`3., 2. Installer's name: Carneros Mobile Transport 3. Is the site currently under permit? Yes /X / No `yes, (If furnish permit number ) OR Is theesite-an existing site? Yes / / No /X ,yes,._furnish two (2) plot plans.) }. ;.:i.Will.the•_mobilehome be located at least 5 ft, away _., _ A: 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 Amp's 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 /X / (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 / / F LPG 11. What !is the gas pipe length ,from meter or tank to the mobilehome? -0- (ft.) 12. What is the mobilehome gas demand? ------------------------------ (gam) (This information not required if pipe length less -than 6 ft on'natural gas or less than'50 ft. on LPG.) '. MOBILEHOME SUPPORT DATA Mobilehome Mfr. Lancer Homes, Inc. Setup Model No. 156 Year 76' Width 24 (ft.) Length 52 ' (ft.) Expando'Size ft:x ft. ` (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). _. _ .. .. � :. Single b, Footings- (check. one) _- Al I. Wood either pressure treated or Center Center Support fdn-. grade. Support Footing Sizes - Locations (in.) f,j 2. Concrete pad. �Z- 24)x 30 3. Other, specify t. in. in. in. . --- — — -- -- -- Supports (check one) .(in.)(in.) I g:v 3 in. _ (in.) (in.) ft. in.) • (in.) (in.) + - go -4 *If center piers_ are other .than drawn above.,,, draw in locations, spacing,, and dimensions. A/ 1. -Concrete block 2. Concrete.piers 7-1 3. Steel piers 4. Other, specify rr 12 x 30 Typical Support' LnFooting Size - Max. Pier' , Spacing 1 • _ 0 — Overhang BUTTE COUNTY- BUILDING OUNTYBUILDING DEPARTMENT APPROVED LOT 161 ,This set of plans aad— ieaq ns MUST be UNIT 3, kept on the job at all timed and it it unlawful to > _ - J%, _ Cl2.O UCf�' make any changes or alterations on same without Q R, /v/• 'L ,I NCE2 written permisson from the Department of Publi. i Works, County of Butte. J 24'XS�5 6 PR ► �E.T-BAC'if 0 2 5 kA \ion` air a�- �re\ ' 63 l�• \ \ S� II e e er'r►, L / i, � 8 � ---0 6 � � N _ A S icy b� 0B-,4 : w e< e o o01q CET •(he coP k �' de / ce�, 03 , o \ ease .38 � \I" ©-. - \ 07 SO N �\ Ir o6l og Ak . SCA �; � �" 1 7y 9G • �. S y?— ly '3 o.o'• 20 PGS E1 /04,0r► 7- fill utility connections shall �e �o' located within 4 ft. outside the rear third section of the mobile home on the left (road) side of the mobi Io home. •�J �•9 .C/-�E'_. __C_/_ Septic system and location - ito be' as per Butte County Health Dept. Re- BUTTE COUNTY quirements. RtJIMING DEPARTMENT OUTTE COUNTY APPROVED BUILDING DEPARTMENT NOTE: All Mciferials & \A./orkmanship Shall Be in APPROVED Accordance Rnco: n*., -a Good Practices and of a qu lity t.re;c,:i`eJ for fhe Specified use in the Uniform Buituing, i !.::1%ing & Mechanical Codes and the National Electrical Code. • Client Crouch COO S_c;c ES Project KRE Unit 3 Lot 161 ENGINEERING CONSULTANTS Nuclear In- Place Job No. 76551 2060 PARK AVENUE Moisture Density Test Johnston y OROVILLE ,CALIFORNIA 95965 Operator ( 91 6) 533 — 6457 1976 TEST NUMBER 1 2 3 4 5 6 7 8 9" 10 TEST DATE 12-20 -12--20 15x10 QL Pad TEST NW Cor 61from dge LOCATION 3.6fill 4'fill FAIL FINAL MODE Ek DEPTH 8" DT 8" DT MOISTURE COUNT 1029 1025 MOISTURE COUNT RATIO .741 .745 MOISTURE 10.5/ 8.9/ PCF 18.5 18.75 DENSITY COUNT 303 265 DENSITY COUNT 1.126 RATIO .989 WET DENSITY 125.0 130.5 PCF DRY DENSITY 114.5/ 121.6/ PCF 106.5 111.75 9.2/ 7.6/ % MOISTURE' 17.4 16.6 OPTIMUM DRY DENSITY PCF 133 133 % OPTIMUM MOISTURE 12 12 , % RELATIVE 86/80 91/84 COMPACTION DAILY STANDARD COUNT COMMENT: DATE MOISTURE DENSITY 12-20 1375 268 l COUNTY OF BUTTE. — aE A MENT OF PUBLIC WORKS 7 County Center Drive ra oroville, California 95965 �J/ ' Telephone: 534-4541 // �, APPLICATION AND PERMITW.VVY��� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. N o r-cG� 5Z- Date /O' 2 �6 Sign re of Permitee or Agent Receipt No. Z-5_ 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 VILIC WORKS By Date /I — J_ 611 -ding permit expires Date I/ `3- - Z BUILDING Owner 01 SQ. FT. OCC. BUILDING VALUATION Mai ng Addres 71 �74 /Tele (DCe hone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address � PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 .00 Each Trap 1.50 • `/ • S Repair drainage or vent piping 1.50 Water piping 1:5@ Ald/ Each gas water heater or vent 1.50 // A. P. N, -,.;x �32. (C-� /Zo�{ing & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5-80 ,Q Fe W.C. I a FireDept. Fir a Use Permit EQA Parking Plans Parcel Declaration PeA&r 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd At Lj k/ arce �Approj P a Approval Permit Fee $ 7'3 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3; ' V OR L Main service i°o°o AMP ORSLESS 5.00I✓.�. O Main service EA. ADD'L 100 AMP 2.50 Z_ Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 1100 AMP oR LESS 25.00 Main service EA. ADD•L too AMP 1.00 600 SQ. FT. MINIMUM NEW CONST. DWELLING OCCUP. & OR AODNS. ACC. SLOGS. 20 sq ft NEW CONSTR ( MULTI.OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea EOR MOBILES 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 y le of: Ex. Occup(OUTLETS OR FIXTURES)BAL� E x. OCCU FIXED APPLNS. OR p•(OUTLETS (RES EA) 2.00 -ID.) Temporary service 10.00 Mobile Home Facilities 15.00 Jl, Ou Lice No. Classification Misc. Wiring 6.25 211'am exempt from the Contractors License Laws of the State of California. Permit Fee $ _ yl<7 $ C 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 ha placed on file with the County of Butte a certificate of kmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ S authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. N o r-cG� 5Z- Date /O' 2 �6 Sign re of Permitee or Agent Receipt No. Z-5_ 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 VILIC WORKS By Date /I — J_ 611 -ding permit expires Date I/ `3- - Z