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069-250-001
69-25-'1' Mark & Evelyn Herring r1A ' 6 Treasure Hill Dr., lot 178,KRB Orovillecontr0 Ri{dge"Prop., 0roville ! Permit �k205 - 1P,E(util.,MH ` ELEC .11-20- 81 00pt 0Q GAS ` SUPPORT STRUCTU3E REQ. v I o COMPACTION SREQ T. 69yz� r Contr `Oro dge Properties;. Inc.. > Permit��3 14=82MHI. Issue 69-25-1 12 / 'sea 1 if �/5*3 PAUL HERRING • . � ' 5396 Treasure Hill_ Drive, Oroville.. Contr:•J.W. Lancaster Const,.Oroville I` -� Permit#104-83B(new carport• & deck/MH) f 0 0 i T miT T umi PERMIT NO. 2057-81P•,E PERMIT EXPIRES OWNER Mark & Evelyn Herring CONTR. Oro Ridge Prop.;;_ Oroville ASSESSOR PARCEL 69-25-1 LOCATION' 5396 Treasure Hill Dr:, Oroville „j { fi t I. . r v � h ' r Temp. Power Pole Called PG&E Temp. Elec. Service A -1,4 -f-L- N. 1. Called PG&E L� Temp. Gas Service Cal led PG&E JOB FINALED (Date)- 45` 16 d Z i Signature J = OK O = Not OK , = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS ,v Date MOBILEHOME UTILITIES (Plans) OK except #'s !^:P"o"rting Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements oils; Special MH Support—Sketch ? 2, Footings; Size—Depth—Spacing—Connectors �wer; Location—Test—Fall-C/O—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails ater; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing ectrlcity; Location—Clearances—Grnd.— Amp—Concrete 6. atior—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Carports;Wihdows—Doors tiIity Clearance 7. Elec. Card -1314 Date Card -BI Date Card -BI Date Card -BI Date Card -BI �� Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s Date POOLS (Plans) OK except #'s Zoning Requirements—Setbacks—Easements 1. Setbacks—Easements Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability est—Demand—Valve—Connector 3. Pool Structure; Steel—Connections-Thickness—Dead Men—Lining 4 lectricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI rain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI er; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ater and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panelboards-Ins. to Main in Conduit Exi Insp.—Sketch ert. of Occupancy 9. Health Department Approval • 10. Plumb; Cir. Test—Water Supply Test B-1!2 / atV _ C_ rd -BI Date Card -BI Date Card -61 Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable Read = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'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/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 Card -BI Date Card -BI Date Date _ PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. 16. Water Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 08. 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. 23. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72• 73. Insulation -Foam -Looked in Attic ❑ Yes Guard Rails & Deck Construction -Post Caps 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or A1, Insulated Neutral ❑Yes [I No 75. Following instld.: Drive ❑ Yes []No; Walks ❑ Yes []No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 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-1 Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q'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 _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date __- Card -BI _ _Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. 39. _Walls; 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. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) u 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. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 51 under permit number for the following location: Owner L% LL", Owner's Address =LIG " Mobilehome Mfg. Model '�%��� Year Insignia No.%%i%%�' '��� Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Date Director of Public Works Y THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY -OF BUTTE - DEP.ATMENT OF PUBLIC WORKS ,,PE MIT NO. 7 County Center Drive - Oroville, Califowa 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT 'O � Kl ASSESSOR PARCEL NUMBER 69 — 25 —.01 ZONING BUILDING PERMIT OWNER Mark C. Herring TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Temp: 5293 Royal Oaks Drive, Oroville,' CA. 95965 CO ONTRACTOR'S NAME ro Ridge Properties, Inc. TEE PE�QN15zE 59 CONTRACTOR'S MAILING ADDRESS 5263 Royal; Oaks Drive, Oroville, CA, 95965 Fireplace CONSTRUCTION LENDER N/A UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS N a Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ SrOD Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS N/A Permit fee , $fir Oa BUILDING ADDRESS 5396 Treasure Hill Drive PLUMBING PERMIT FiIingFee 10.00 Oroville California 95965 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT N0. 178/4B SUBDI VISION NAME Kelly Ridge Estates PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobiiehome❑ Other 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 6001 OR LESS 100 AMP OR LESS 5,00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST'( DWELLING OCCUP.OI) OR ADDNS. \ ACC. BLDGS. _ 20 Sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): FXI I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 295666 Classification B -'Gen. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑T I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I.ou LET 2.50 ea NON.R ESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS &) NON.RESID. SINGLE OUTLET CIR, Ex. Occup OUTLETS OR FIXTURES e L. 10C IXED 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. 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 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 sa' ounty cons quence of the granting of this permi t Date ��/it Sign a P� »mss �eC&1c4&ctor ❑ Agent An OSHA permit is required f excavations over 5'0" deep and demolition or construct- ion of structures over 3 star' in.height. Mobile Home Installation Fee $ j TOTAL PERMIT FEE $ ®r oCGROUP I TTPE OF CONST. PARCEL PD I HD I 1556E This permit is hereby issued under sions of the But County Code and/or work indicated above for which DIR=ECTF UBLIC By PE T EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date_Jl/—/7_ 2__ Receipt No._/, WHITE-D.P.W., FELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 11 II f 1 \ COUNTY OF BUTTE - DEPARTMENT- F -.PUBLIC WORKS -BUILDING DIVISION 7''COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET A 0 A , t Permit No. OWNER r A. P. No. 9 4 1<�_/ Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation 1 (2::�t..er (Explain) Building Inspector Date �� — 1- rR At time of permit application, I was advised the following data must be'submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . ... . 9. Letter of signature authorization. \ 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: M 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 ownerEl) 15. Improvements may be required. - - . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . •Pre - Inspec. request to 17. Pre-Inspe11��tion for Required- Building Inspector (Date) "" Other �KO.r 63 YrA 1 l -- f :Z - &: Z When you issue the permit, processas follows: g Mail to owner. Mail to contractor. — Telephone C?/,C?/ and hold for pickup at office. Deliver w/inspector. Other i Appl ican Date ,_i Copy of plans sent Health Dept.,Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved b KYV Date Other: Copy—DPW r AGRICULTURAL STATEMENT OF ACKNOWLEIDGEMENT 82-34310 FOR RESIDENTIAL DEVELOPMENT OFFIG:aL Ql: BUT7F_ Section 26-8.1of the Butte County Code requires this acknowledgement be recorded prior to issuance ofa building permit. The property described herein is adjacent to land or included Nov 17 1(1 P P Y 2. within an area zoned for agricultural purposes, and residents of ELEANOR K._�_,,,, this property may be subject to inconveniences or discomfort arisingCLERK-RECORDER from the use of agricultural chemicals$ including, but not limited to herbicides, FEE& pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lot 178, as shown on that certain map entitled, "KELLY RIDGE ESTATES UNIT 4B", which map was filed in the office of the Recorder of the County of Butte, State of California, November 10, 1977 in Book 58 of Maps, at pages 73, 74, 75, 76 and 77. Date: August 12, 1982 PROPERTY OWNERS: velyn Herring WITNE State of ) On the _ /day of 19 SS. before me, the undersigned Notary Public, personally County of ) appeared n_......_.. n n win known to me to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public AGRICULTURAL STAT KENT,OF ACKNOWLEDGEMENT 82-34310 FOR RESIDENTIAL DEVELOPMENT OFFIC:aL Section 26-8.1of the Butte County Code requires this acknowledgementor, be recorded prior to issuance of a building permit. X1"1.0 The property described herein is adjacent to land or included Nov 17 it 27 within an area zoned for agricultural purposes, and residents of ELE:AtioFI M. _ . this property may be subject to inconveniences or discomfort arisingCEERK-RECORUER from the use of agricultural chemicals, including, but not limited to herbicides, FEE pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lot 178, as shown on that certain map entitled, "KELLY RIDGE ESTATES UNIT 4B", which map was filed in the office of the Recorder of the County of Butte, State of California, November 10, 1977 in Book 58 of Maps, at pages 73, 74, 75, 76 and 77. Date: August 12, 1982 PROPERTY OWNERS: STATE OF CALIFORNIA ) ss. COUNTY OF BUTTE ) On this^ 13th day of August in.the year 1982 Before me Nina J. Dunn personally appeared ****Gail Shirley***f3�� known to me to be the person whose name is subscribed to the, within instrument as a witness thereto, who being by me July sworn, deposed and said: that he resides at Oroville. California ; that he was present and saw *************** ******************Mark Herring and Evelyn personally known to him to be the person described in and whose name is subscribed to the within and annexed instrument,.executed the same; and that affiant subscribed his name thereto as a witness to said execution. IN WITNESS WHEREOF, I have hereunto set may hand and affixed my official seal, in the County of Butte, the day and year in this certificate first above written. ary Public in andJor the County of Butte, to of California END OF DOCUMENT AP OWNER 104A l� PERMIT # MH UT IL . CLEARANCE DATE `[ INSPECTOR ELE TRIC GAS Support Compaction Pipe Stru.c. Test Req. Tvpe Size Length YES NO YES NO service size Other Load BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: Mark C...Herring Lot 178, Unit 4B -2. Installer's name: ORO RIDGE PROPERTIES, INC. 3. Is the site currently under permit? Yes / X/ No ) (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No / X / (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / X/ No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- 200 Amps 6. What is the mobilehome site service rating? --------------------- 200 Amps 7. What is the mobilehome site circuit breaker rating? ------------- 200 Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No /=% (If yes, identify the load and size: (Load) �O- (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- -0- (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? -0- (ft.) 12. What is the mobilehome gas demand? ------------------------------ -O- (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 501t. on LPG.) MOBILEHOME SUPPORT DATA If other than single wide,MOUNTAIN VALLEY Mobilehome Mfr. FAR WEST, INC. furnish Setup Model No.2BR LPK Year 1982 NET Width 24 (ft.) Box Length _66 (ft.) Tagalong or Expando Size ---ft. x ----- ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 19731 furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center -supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single 1. Wood either AApressure treated o O� iax3o foundation grade. (ft.)(in:) (in.) (in.) Fj 2. Other (specify) Center support Center support locations* footing sizes Supports (check one) (in.) Lfj 1:'Concrete block. W x.30 I El 2: Other (specify) (ft.)(in.) (in.) (in.) <----Tagalong or Expando,' details. show support (ft.)(in.) (in.) (in.) /a x30 -- Typical Support (in.) (in.) Footing Size 3Vq„ a'7x3o (ft.)(in.) (in.) (in.) Max. Pier Spacing (ft.)(in.) 5a ,� a 30 Max. Overhang x -- (ft.) (in.) (in.) (in.) (ft.)(in.) oil :34i4 -8i BUTTE COON ll BUILDING DEPARTMEN APPROVED ,r If center piers are other than drawn above, g�L LOT 178 UNIT 4B S -i -SAC G--- �37� 39' i /n1IZ \ . 7 Z \\ \, 0 0 SGnL= i' -20' L =35.4 45 ,• \ 5 Z 00 0 y • //-12 -77 .7 b. L-) moo. G� s^�-3.acx-- 45 - O0, � 110 �6 2 y 1i -12 -77 o G.D. LOT 178 UNIT 4B n S C f\ L-'. I.. = 20, w o- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO� i'– 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT 0 ASSESSOR PARCEL NUMBER gam_ � _. b.0 f . ZON G 'T_ BUILDING PERMIT OWNER Herrin M rk & Eve Z n TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MA LING ADDRESS 1662 Husted Avenue San Jose California 95125 CONTRACTOR'SNAME e -Ina TELEPHONE CONTRACTO S MAILI G ADDRES , 5263 R Z Oaks Drive, OrotiNe, Ca Zi ornia 95965 CONSTRUCTI N LENDER UNKNOWN Fireplace Total Valuation $ LEND R'S MAILING ADDRESS N/A Permit Fee $ ARCHITECT OR ENGINEER NIA LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee le $ 0.00 BUIL ING ADDRESS 5396 Treasure Hi ZZ Drive PLUMBING PERMIT FiIingFee 10.00 OrovZlle, CalifOrl2ia 95965 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping d.d� LOT NO. 17814B SUBDIVISION NAME Kell Ri e Lake OroviUe PARCEL MAP Each gas water heater or vent 2.00 Gas piping system 1 -5 outlets USE OF STRUCTURE SF ❑ Duplex[] Mobilehomeo Other SPECIFYFT Building sewer. 0� Lawn sprinkler system 2.00 TYPE OF WORK New❑ Addition ❑ Remodel❑ Utilities Installation❑ Other ❑ Describe work: — Permit Fee' Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR L Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 �Sv, NEW CONST. DWELLING OCCUP.& OR ADDNS, ( AGC, BLDGS. 22 sq ft _ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): [3 I am licensed under provisions of Chapt. 9, Div.3 of the Business and Professions Code and my license is in full force and effect. License No. 295666 Classification B—Gen- ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEw CONSTR ULT 1 -OUTLET NON-RESID, BRANCH CIRC ITS 2.50 ea NEW CONSTR POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50@25C BAL@toc FIXED APP LNS. OR Ex. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 fes' Misc. Wiring 6,25 Permit Fee $ -SD Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes.. I also agree to save, indemnify and keep harmless the County of Butte against all li ilities, judgments, costs, and xpenses which may in any way accrue agains aic0�n�» ��e gTfng of this permit. X r �1 �lg' Date Signa'u',e of Applicant — Own r❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ SD occuP. GROUP I TYPE OF CONST. PARC L PD HD f/ SSUE v This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which. DIRECT OF PUBLIC ! By PER I EXPIRES Date_ the applicable prov resolutions to di - o fees have been paid. WORKS r� 4 Date —�7+5 yO^ Receipt No. e� WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT J•- �COUNVTs4 OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION `COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET 4 Permit No. OWNER A,zsta scar. S�fi�o.A a._..w. �� �.r,-, A. P. No. 3L- –84-o 1 Proposed Building Use Permit Fee Based Upon: Complete, Contract Price DPW Valuation 0th r (Explain) 09 Building, Inspector Date _ Ll"aN At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. , 10. Sanitation approval from Health Dept. �- 11. Planning approval for (A) Use: (B) Parking: 12.- Certificate of Workmen's Compensation Insurance. . . . . . '13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector ) 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup atoffice. Deliver w/inspector. Other Applicant �� c�� �� fit` �- Date –q `SSI Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance; (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail By Plans checked by Plans approved b, Other Copy—DPW Date Date Date _�e — (:9 Other Telephone - 533.2000 North,. Burbank Public Utility District.,. 1960 Elgin Stieet OROVILLE, CALIFORNIA 95965 -DISTRICT APPROVAL AND ; 55-81 ' VERIFICATION OF INSPECTION BUILDING SEWERS This verification• form must,be submitted'to the Butte County Department of Public Works - Building Department prior to issuance of a building or occupancy . permit, whichever,is app.licable. , Prior to final approval.by Butte County of a, Building or.an Occupancy Permit, a copy of this verification form, signed off by North Burbank Public Utility District, must be submitted to Butte County. Applicant: MARK. & EVELYN HERRING (Doyle Carter • -HUH, 1662. Husted Ave. , • San Jose, CA 95125 Applicant Address: . r Applicant Phone No.: 408-266-6789 ' Property Location(s): 5396 Treasure Hill Drive, Oroville. : Kelly Ridge Estates Lot 178 Unit'4B A'. P. N6.(s): .34-84-01 69-25-01 Fees'Paid: ALL FEES -PAID Application for service approved: June 4, 1981 North Burbank Public Utility District • Inspection(s) made and successful tests) observed: Location: _ Date: By: North. Burbank -Public. Utility District release to close permit: Date: By: LOT 1-78 -, • s NOTE:—All Materials & .. Workmanship Shall Be in t•. 'Accordance with' Recogniied Good ' Practices and LIN IT., 4. B of a quality prescribed for theSpecisied use in -the /7/='! f1,,� 9 Uniform Building, Plumbing & Machanical Codes and the' National Electrical Code. vx Utility connections sha'l be within ` - greA 4 ft. of the mobilehorrge either < �o eau�red directly behind or with the rear It Vai11 be r _ . half of the roadside the • ,�, ,-;A A Pei" !D' mobilehome. { % Z 00 0 f 4- 5 — . FT.'MINIMUM - ^, ' \ 500 S V� s = _, •k , FO MOBILES" �� •' oq y R=2 -30- L =230 §'Fback of �ft. from the �\ q permit will be required for the property lines and a setback . installation of the mobyehome. 45 „ ; of 50ft. from #e road '10 ' °° centerline shalQfie clear of R = 20.00 • \ � � structures or equipment excW L - 31' 4-2 - --- �y for a 2 ft. eave overhanq. J . J BUTTE COUNTY 'C BUILDING DEPARTMENT This set of plans and specifications WSTge 'p p R ®V /` �E D ' kept on the job at all times (r d j ' • u�nlcywful +o A make any changes or alteration' on same without written permission from therDepartment of Public 1-12-77 0 b. D/ Works, County of Butte. Telephone 533-2000 North Burbank Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965 DISTRICT APPROVAL AND 55-81 VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the Butte County Department of Public Works - Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by North Burbank Public Utility District, must be submitted to Butte County. Applicant: MARK & EVELYN HERRING (Doyle Carter) Applicant Address: HXM 1662 Husted Ave., San Jose, CA 95125 Applicant Phone No.: 408-266-6789 Property Location (s)* 5396 Treasure Hill Drive, Oroville Kelly Ridge Estates Lot 178 Unit 4B A. P. No. (s): 34-84-01F:c)-95-01 Fees Paid: ALL FEES PAIUD Application for service approved: North Burbank June 4, 1981 Public Utility District Inspection(s) made and successful test(s) observed: Location:4 /78' Date: //--T- _,?_ By: ��'�rv,. North Burbank Public Utility District releasetoclose permit: Date: y�/- 3- By: ENGINEERING SURVEYING PLANNING 463 ORO DAM BLVD., SUITE M OROVILLE; CA. 95965 (916) 533-2068 June 25, 1981 Mr. Jim Glander Assistant Director of Public Works County of Butte 7 County Center Drive Oroville, CA 95965 RE: COMP.ACTION,TESTS. Dear Jim; Enclosed please find two (2).copies of.compaction tests taken for Doyle Carter, Treasure Hill Drive, Unit 4B, Lot 178, Kelly Ridge Estates. Results indicate that the fill has been constructed in excess of 90% relative density. Also attached is a location map of the site for your convenience. Please call if you have any questions. Sincerely, G.D.A-. w Kenneth C. Lenhardt; P.E. K'CL:par GDA 173-81, enc. CC: Mr. Doyle Carter Oro Ridge Properties 5263 Royal Oaks Drive Or-oville, CA 95965 WILLIAM W. GEDDIS - DAVID R. DRISCOLL - JOHN D. CHRISTOFFERSON - KENNETH C. LENHARDT - 6 Eti�INEERING �, 463 ORO DAM BLVD: SURVEYING GD z SUITE M PLANNING � ll OROVIIIE. CA. 95965 (916 533-2068 NUCL EA !� /''� /� YY //�i{,�5I T Y TEST TEST n.4TE 19$1 MODE / nE/�TN ASTM D-2922 ASTM D-/557 % REL/" T/YE DENS I'fATER/AL / TEST LOCATION " o�sr CON r- P. .F wEr /DENS RC -F DRr DENS P.C.F % A1D/Sr MA _ DENS R.C.F % OP r MO/ST. 6/24 6". 20.1 141.5 121.5 16.5 128.8 12.2 97 Center of pad 15" 2 6/24 8" 21.1 1,138.2 117.0 18.1 128.8 12.2 94 S.W. corner 24" 3 6/24 1, 8" 19.3 :131.11111 8 I 17.2 128.8 12.2 90 S.E. corner 24" 4 5 6 7 . 8 9 ./O - /2 /3 /4 /5 CONNEAt r SOIL- red with some silt from cut at ,north end of lot CLIENT CARTER PRO✓Er�.R.E. UNIT 4B, LOT 178 alluKu Ave JOB ti'O. 173-81 REF: OPERA TORR. A. S . ' GI) l 0 I0 LOT 170 LOW T 4 0 ,VDT M SC4GE qv, PERMIT NO. 104-83B s L�. PERMIT EXPIRES- OWNER XPIRES OWNER PAUL HERRING CONTR.J.W;--Lancaster Const, Oroville ASSESSOR PARCEL 769-25-1 LOCATION 5396 Treasure Hill Drive, Oroville r s F r Temp. Power Pole Called PG&E I� Temp. Elec. Service M Called PG&E i Temp. Gas Service f/ i CalledPG&E JOB FINALED (Date)/v a f 4 Signature C O = Not OK — = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except p's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except ✓✓'s 1. Zoning Requirements—Setbacks—Easements onin quirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch ooti s; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concreteecks; 4. Water; Location—Test—Easement Needed (Sketch) _ ' Girders and/or Joists—Decking—Bracing—Stairs—Rails T j ood Awn.; Posts—Beams—Ritrs.—Connec.—Shthg.—Rig.—Bracing_ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete _ vc. 5. A- .5, Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG arports; Windows—Doors 7. Utility Clearance Elec. Card -BI Date Card - BI Date d -B Date 1-3f- Card -BI Date Card -BI Date Card -BI Date B Dat V_5 - Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements—Setbacks—Easements Date _ POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elect; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghig. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J=OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready Date UNDERFLOOR Plans OK exce t#'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. Fig., 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/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 14. Water Ht.; Vent -Access -Combustion Air 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access _ 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. 69. A.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 20. Fixture & Transformer Clearance -Ins. Protection -- _- 21. Alec. _Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71, Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. --- -- 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails &Deck Construction -Post Caps -- 25. 26. 2 Appliance Circuits in Kitchen & Conductor Size Subieed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth ClearanceLooked under Floor ❑ Yes -- - 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ,_Yes ❑No -Service-Riser Conductors & Ground -Main Disconnect 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light _ 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. - Card B -I Card B -I - ---- --------------------- --- - _Date_ _ Card -BI -- Date -- - Date Card -BI Date 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric - 31. 32.Vent 33. A.C. Ducts_ Insulation &Support - Fan; Exhaust above Insulation _Condensate Drain _& Overflow; Size & Grade__ 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates 34. 35. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card -BI Card -BI _ Date -Card-BI - Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date _ FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors__ 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound_ 38. Bearing Walls over Girders & Floor _Nailing__ 39. Draft Stop in Walls (rat proof) 40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub Comments at Final: 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Rom ex Protect ion-DraIt_Stop-Ins. Baffles _ Bdrm. Windows or Exiting Doors -Sill Hg_t. & Dimensions___ _ Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califfornja 9065 - Telephone 916/534-4541 APPLICATION"AND PERMIT PERMIT NO. O ASSESSOR PA CEL NUMBER �— ZONING BUILDING PERMIT • TELEPHONE SQ. FT. OCC. BUILDING VA UATION OWNER'S MAILING ADDRESS //gy�pp y/y� ZG 9 r COy`R CTOR'S _64srcr yE � O� -0-0 CNTRACTOR'S M i INGf ADDRESS 501E ! [�L.J Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Q a 00 Flling Fee $ 10.00 LENDER'S MAILIN ADDRESS Permit Fee $ 6-0,00 ARCHITECT OR ENGI LICENSE NO. Plan Checking Fee $ Z5;, 0© Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ S,5i 00 BU 16X I GORESS /Do PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Q� Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeQ other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00e ' TYPE OF WORK New ❑ Addition Eq Remodel ❑ Uti I' ies ❑ Installation ❑ Other ❑ Describe work: ��_ %%��� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LE LESS10.00 Main service EA. ADD•L too AMP 2.50 NEW CONST. DWELLING OCCUP•& OR ADDNS. ACC. BLDGS. 2t/20sgit 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 Profess ns Code and my license is in full force and effect. License No. Classification C—(p I ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET 2.50 ea NON -RES'., CIRCUITS) NEW CONSTR POWER APPARATUS &+ NON-RESID. %SINGLE OUTLET CIR. / Ex. Occup(OUTLETS ZD@gO` \ o FIXTURES SALO 30Q A POR FIXED R Ex. Occup. OUTLETS (RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Cer ficate of Workmen's Compensation Insurance or a Certificate 19�onsent 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. 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 cons Zranting of this permit. X Date %— IZ> ` 4% ,..7 Signot a of Ap li a — Owner ❑ Contractor ®Agent ❑ An 0 HA perm is required for excavations over 5'0" deep and demolition or construct- ion of tr ctures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 85.00 OCCUP. GROUP M-� I TYPE OF CONST. -T_� PARCEL ✓ PD r/ HD ISSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY P T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT