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HomeMy WebLinkAbout071-190-024• 717i9 -24 - WA KRUTMAN S/S'pri 374. mi S Dollar;Rd, 300'E Lumpiin Rd, oville _ Pernii.02533-.$6 utilMH)�------, ELEC S -*2 Q GAS L Q4 SUPPORT STRUCTURE REQ COMPACTION TEST REQ .. 71-19-24. Perini i#2 3 6MHI - � Issued L.0 - A? Q` f�G . - • -•��_! ` -_' .. � - 71-19-24 �to ehill DrORoville Pe-fi8P_R(„til - MR) e 4 1 1 D f. b� 2 1 � e 4 1 1 1 D f. b� 2 1 9 { D f. • 9 { D I OFFICE COPY [Address GAS //S�� Meter By Da e ELECTRIC Meter By Abe Date Temp. Power pore Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB I. FINALED (Date) Signature = OK 0 = Not OK 'Not A = Not Read�yable MOBILE HOMES MISCELLANEOUS Date MO_WLE HOME UTILITIES Plans OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel . Sewer; 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 C3!E!9ctricity; Location-Cl earances-Grnd.�371?Amp- Con crete te'Gas; Location -Te Wrap:V L"ft. „ /"Nat. ory "L"ft./ LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Q0 Dat Card -B1 Date 10. Roof; Shthg-Roofing Card -81 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOJ311LEHOME INSTALLATION Plans OK except #'s ?bning Requirements -Setbacks -Easements , Card -131 Date Card -131 Date . F otings; Size -Spacing -Marriage Line Card -131 Date Card -131 Date Gas MH Test -Demand -Valve -Connector lectricity; MH Test -Crossovers -Breakers -Clearances y Date POOLS (Plans) OK except #'s rain; MH Test -Fall -Flex Connector Pater; MH Test -Regulator -Connector Water and Sewer Connected -C/O to Grade -HD Approval Gas and Electricity Tagged its; Insp.-Sketch Cert. of Occupancy Card-131Date .-�S and -B1 Date Q4DBoxes-Enclosures-Panelboards-Ins. Card -131 Date Card -131 Date � 14 B 0 (9 �s n M { { a 1 Card -131 t Card -131 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card -131 Date Date Card -131 Date 11 = OK 0 =NotOK picable - =Plot ApplRESIDENTIAL .(Single and Duplex) = Not Ready J Date UNDERFLOOR (Plans) OK except #'s 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Del 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -131 Date Card -61 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuits in Kitchen & Conductor Size 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Card -131 Date Card -131 Date Card -81 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 38. Sills, Proper Material & Anchors 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing Date FRAMING (Continued) 44. Hangers -Post Caps -Anchors -Connectors 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 46. Fireplace Ties or Type A Flue -Fireplace Throat 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 49. Garage Fire Protection Framing 50. Property Line Firewall & Openings 51. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 54. Siding -Nailing Veneer 55. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 56. Glazing Area -Glass Protection -Skylights -Plastic 57. Shear Walls; Nailing -Bolts 58. Insulation -Wal Is-Clg. 59. Infiltratio n-Walls-Wndws Card -B1 Date Card -81 Date Card -B1 Date Card -B1 Date Date FINAL (Plans) OK except #'s 60. Ext. Steps -Door & Sidelight Protection -Landings 61. Smoke Detector 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels 66. Stairs & Rails 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 70. Elec. Outlets & Receptacles at Kit. Counter 71. Garage Fire Door; Swing -Landing -Closer 72. A.C. Duct in Garage -Damper 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 74. Plb., Elec. & Mech. Equip. Listed for Location 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 76. Insulation -Foam -Looked in Attic O Yes 77. Guard Rails & Deck Construction -Post Caps 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 79. Following instld.; Drive O Yes ❑ No; Walks 0 Yes O No; Planters 17 Yes O No 80. Stucco; Brown -Finish 81. A.C. Unit; Disconnect, Electrical, Plumbing 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 83. Water Well; Disconnect, Electrical, Plumbing 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 85. Ventilation throughout House 86. Glass Protection 87. Corrections from Previous Inpections 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE r ,y �: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENJER DRAVE OROVILLE, CALIFORNIA — 534-4541 Address or location of mobilehome Insignia or hud number PERMIT N0. RC? Q-- e�- Year of manufacture /g IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751• 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWN T 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� Inspector : Date Inspector : Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RMIT N'. 7 County Center Drive - Oroville, Californi?,,.95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT a ASSESSOR PARCEL, NUMBER (/ ZON BUILDING PERMIT OWNER r /,y[/ T HONE (//f SO. FT. OCC. BUILDING VALUATION OWNER'S M I NG�DDRESS - %�/✓ CONTRACTOR'S NAME TELEPHON CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ LENDER'S MAILING ADORE�SS7 - Permit Fee $ ARCHITECT OR ENGINEER C, n , LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS D .-� •LJ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ry Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping . 5.00 Each qas water heater or vent 5.00 USEOF ST SF F1Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 10.00 ea , TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS % 10.00 Q Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions. Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a) yzQsgft OR ADDNS. ACC. BLDGS. NEW CONSTR 1.OUTLET 2,50 ea .NON-RESID BRANCH CIRCUITS) (POWER APPARATUS eI SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES ewL@30 Ex. Occup. OUTLETS FIXED P(RESIO )LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County.of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. all not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,. should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyof Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County inconse ue 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Occu P. CONST.TYPE SCHOOL PLoPARC PD HD' 1330 This permit is hereby Issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By P IT EXPIRES ,Date the applicable provi- resolutions to do fees have been paid. WORKS Date � 7-9 —,?,P �Z (,� Receipt No. / �7 WHITE-D.P.W.. YELLOW-ASBESSOR. PINK-IN9PECTOR. G LD ENROD-APPLICANT ^---w. Pa.iy ".. ,in"%y,�C'=+1�:7�a`',' ';Y'Y' fr.i.,Z�+�"'i- rt:+ A�.,,�a ;..^ . ,r. t'x '�. `•{:. � �t•• N: 3Gy�1'�y tri + .41,;7 �'?`ii'J'MI,«..jj''vj COUNTY OF BUTTE - DEPARTMEIITOFaIJBLIC WORKS -BUILDING DIVISION / 7 COUNTY CENTER DRIVE - OROVILLE 'CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT: APPLICATION DATA SHEET V/ Permit No. — OWNER 1 l1��7�1��f%! � A. P. No. Proposed Building Use Building Inspector X0 Date _ R 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, 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 berg) Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . , . . ' a 9. Letter of signature authorization. N4,1.0.:;Sanitat ion approval fromHealth Dept. is 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 Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of t 21. Engineered trusses in duplicate (required prior to plan check). 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor. �elephone 9-�`f� and hold for pickup at4Y'O office, Deliver w/inspector. Other Applicant �— ate Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 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 —mal I—counter by date Plans checked by Date Plans approved by J� Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan*' Approved for: Sewage Disposal Water Supply Hold final for: Water Supply. Final clearance O.K..for: Water Supply Clearance for bedroom mobile home . ��� X -FA orn 40 NOTE * * * Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has-been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) ,� 1 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone 'Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name _< Address City Phone Contractors License No. 5. I.will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property, Owner Social Security Number Date 3 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 per- mitted to issue the permit. OWNER KY V ia It'n, c -� `PERMITS 9 I g MH UTIL.CLEARANCE DATE INSPECTOR - ELECTRIC GAS FFSupport Struc. Compaction Test eq. Service Size Other Load Type Pipe Size Length YES NO YES NO 'g -u Mill ,-?v V V1 - l go e, t;. Lv� S ��o c l , c7 COUNTY OF BUTTE - DEPPIRTMENT OF PUBLIC WORKS P R IT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-75410 I T NO. APPLICATION AND PERMIT It ASSESSOR PARCEL NUMBER-� l /� ll /�7// Zor Jf— BUILDING PERMIT OWNER bi , ti r TELE P ON -5e G SQ. FT. OCC. BUILDING VALUATION OWNER'5 MAILING ADDRESS v THu CON RACTOR'S NAME TELEPHONE U rz 1 o 2 Y-1 - a Bit E No rr! C S - 7443:- -/ z N CONTRACTOR'S MAILING ADDRESS .. a2 Z -5 " S ?%lC E r A Fireplace ' CONSTRUCTION LENDER N t3 A_� 6 UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS' t-% 0 N Permit Fee $ ARCHITECT OR ENGINEER U O 0 G LICENSE NO. Plan Checking Fee $ ` 10 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS N 0 N F Penalty $ BUILDING ADDRESS - Permit fee $ PLUMBING PERMIT Filing Fee 10.00 - Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [I Duplex❑ MobilehomeA Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S FG7W H 10.00 ea' TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: / i _ 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 CONTRACTORS LICENSE LAW I declare under penalty 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 full force and effect. + License No. -22- ��% Classification 1 'T � ❑ 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 CONST. // DWELLING OCCUP.112` OR ADDNS. l ACC. SLOGS. / , 2/20sgft NEW CONSTR. MULTI -OUTLET NON,RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS IN) SINGLE OUTLET CIR, I Ex. Occu zoms 0 Occup(OUTLETS OR FIXTURES SAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIC.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. X I have placed on file with the,County of Butte Building Department J"1 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 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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��; �Q i Date -3 Signature Applicant - Owner El Contractors 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 $ 0 cup. CONST.TYPE PLo PARCEL PbND I i This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which RECTOR QF PUBLIC By PERMIT EXPIRES Date the applicable toprovi- resolutions to do fees have been paid. WORKS +7 7 �.� Receipt No. 3 WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT �''Y+""�['`Ylt�e✓'.''i ti.$:—r�+lt�3�' .f,3�1:�r.�,`yy,r,��:y��l'F:�`�'4�'�'w�f'''4�a�?P r}i".��}��'9-i.M,wa'•��'ytt+1dT;�'.i�.t+�.1'+,��i, .�R'W�'i•a'i.;,, ,�w`i.'���!,"��.�.�f"�.�r.. COUNTY OF BUTTE - DEPARTME(VT—OF.r( UBLIC WORKS -BUILDING DI IV SION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET '" Permit No. v ,OWNER 7C i���l %�� �l A. P. No. Proposed Building Use y `�%i� Building Inspector �T / Date 3a�o 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, 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. School District "Fees 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. Mobi lehome Installation Data. . . . . . . . 17. Pre -Inspection for Pre-Inspec. request to (Date) Required. Building In, 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses Jn duplicate (required prior to plan check). 22. r When you issue the permit, process as follows: Mail to owner, ?°to contractor. �� ZTelephone and hold for pickup at()rO office, Deliver w/inspector. Other /2r- Applicant G�//� /l '� ate Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: 1 Contractor, designer, owner, was advised of above required data by_phone_mall—counter by date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Date Plans approved by l -Date. Sets of plans on hold in File cabinet AP folder Coov—DPW 1. Owner's Name: ; BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS. 7 Countv Center Drive, Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET IC t2v•Trrrn0A,_� M/ 2. Installer's Name: 5,1 =g,b/t S V .03. Is the site currently under permit? Yes No (If yes, furnish permit number ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes ® No F] (If no, clarify 5. What is the mobilehome electrical rating? --------------- �TT. Amps 6. What is the mobilehome site service rating? ---------------- Amps c 7. What is the mobilehome site circuit breaker rating? ----- V e Amps B. Is there any other electric load to be served by the mobilehome site service? -------r ------------------------- Yes No • ElI (If yes, identify the load and size: (Load) (D (Amps) 9. What is the mobilehome site gas pipe size? -- -------- 3/ (in.) 10. What is the type of gas service? --=---------------- Natural LPG 'Ej 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe.length less than 6 ft. on natural gas or less than -50 ft. on LPG.) (BTU) MOBILEHOME SUPPORT DATA 2, 96177dihei'than single wide, MobJlehoa^z Mfr. J I7Unc furnish Setup Model No. Width _2_ _(ft.) Box Length�(ft.)' Tagalong or Expando Size, Year ft. x ft. 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). FOOTINGS (check one 1. Wood -pressure treated or foundation grade _0 2. Other (specify) SUPPORTS (check one 1. Concrete block. 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 ,_LineI Line 2 Line 2 Main Beams Line 2 _ _ — _ — _ — _ _ — _ — — _ _ line 2 Maio Beamer — — — — — — — — — — — — — — —• — — .+-t.ine v Tag or Triple Line 1 Line 1 Piers: Size-Min.------------ Spacing-Max - -----------Spacing-Max- --------- , From Ends -Max .------- •_ Line 2 Piers: Size -Min. ------------ Spacing -Max.-_-_----- From Ends -Max -------- Line 3 Roof loads: Line 1 Openings: Size -Min. ------------------ s Each Side of Openings With Width Over --------- " Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ .k o Spacing -Max.--------------- From Ends -Max .------------- ._ .. Size -Min. ---------- ..x3�. ��jrk 0. k u r.x n Ix o I.X... x -1_ Location (From Front) '_Q �'- /O . .- ea r_ n Line 4 Pier (o Line 5 Piers: (Under Bearing Ws e:On y Size -Min.------------ Size -Min ------------------- Spacing-Max ---------- ------------------Spacing-Max.--------- ,_ « Spacing -Max----------------- ._ n From Ends -Max.------- ._ r. From Ends -Max ------------_- r_ o Line 5 Roof loads: Bice -Min. ------------ ..x .x k _ _ x . Location (From Front) - a - - n 6.� 1 10 <.a� MSTR BATH A 1 x MASTER BEDROOM 137 S.F. E QP ��'P''" • � M I 1 OINING AREALI AT 1XITCHENI 1 a� I I I % I 11 l I 1 I. I P -0x I 1 1 I 1 1 i I 1 1 I 1 1 I I I I 1 1 1 24 s l I I 1 01mco LIVING AREA BEDROOM 03 A UNIT 8 C 00 SF. �s 3 se 2-2*2-61 2-6 1 e BEDROOM 02 ' A UNIT A 172.2 00 2-1. 3-0 Q17k ' (Al. MANUFACTURED 11ol.bING CONSTRUCTION X A '- a S;JE-TY STf11DAWS G l CCT R I CAL 1.21 AP►IIANCEf 2.3.24 LI414TIMBAF1 1• F1RUC6 O• T A Am. am RIUAAJLL 20 12/2 13 14/2 13 14/2 a/n wo wt 1y FUtl PYA LTA OW fLm 46=1 LI•L FLave 27�'• 4N`A° EEnI= AAA 7''e . na"lI01 AIAA FAaAK FILM --S ,tlB _ �� AY1 "46 If. 1L•L Gnc m RIDE BEAM SUPPORT SCHEDULE ^ 3 V (D © (D (D POT K +-2%1K X A 2 3 W I N 0 0 W S C M E 0 U L E 6240 FLS ISI 17.3 4640 KS. 112 12.99 G l CCT R I CAL 1.21 AP►IIANCEf 2.3.24 LI414TIMBAF1 1• F1RUC6 O• T A Am. am RIUAAJLL 20 12/2 13 14/2 13 14/2 a/n wo wt 1y FUtl PYA LTA OW fLm 46=1 LI•L FLave 27�'• 4N`A° EEnI= AAA 7''e . na"lI01 AIAA FAaAK FILM --S ,tlB _ �� AY1 "46 If. 1L•L Gnc m 29 PIM 2057 967 OK 1641 C 0 3053 SA 9.9 11.33 a 1 ero 1 m wIEM •rrAacc MF PW K +-211 1-2%] K E 1 3027 SK 1.00 S)7 13 MABNtR IO 12/2 wt I-= rA619 ATTAOW D FIB 211W list GS 2 2M f 1 1420 T 1.49 2116 14 ORTFR 70 10/a wo OPT. a 504 t I"Q�IO�/Oai iyf tiA0 •TT•Ot0 PS F0 /QST K f91 Eil K Illi 5211% 13537 124si 11R H 1 3609 T 1.44 2A9 2a ae wH IRr62YR-.m IN/C� 23 » ►2/a 12/7 W/o w/O Ic,rlmn y J1gYL _ WAYAM q fit; LAI IINIAT1lJ� PATE OJ;bt711►6t61 YW: `" s a 6 _ Y SCALE 1 "r'' 1-" C -C ee I1P crm �lU F� �� DATE Ob 16 WT ow Z2049 BA YSHORE HOMES of CALIFORNIA, IN t1T� (,OpE 2449144) PA BOX 1427 - 11 M• COUNTY ROAD 101 - W MANO, CA. 95695 - PHLWE 916-662-9621 3FW-2BA A 'AS. OF I AFFIDAVIT OF COMPLIANCE y ,r WITH COUNTY ORDINANCE 2277 (ADDITIONAL DWELLING IN SINGLE FAMILY RESIDENTIAL ZONES) Applicant Y�C� / TP2 ��iP zc7�j �;z/ Date Zone }'- 2 �aio AP # '% ? % %- 2 `/ Building Permit' # -2-S- 3 /— PZ iv i/ .� I, lYte-4�1? , do declare, that the dwelling (Building Permit #S'3 at address (present) 7 02e:� L�i on AP # / - �� �.� is intended for the sole occupancy of one adult or two adult persons who are '60 years of age or over, and the area of floor space of the dwelling unit does'not exceed 640 square feet. I also understand that violations of these provisions are subject to the .penalties provided in Section 24-63.1 of the Butte County Code. Signed . Dated— t r4' PERMIT NO. /v PERMIT EXPIRES OWNER WALTER KRUTMA dONTR.- unknown i ASSESSOR PARCEL 71-19-24 LOCATION S/S pr'i rd.; 3/4 mi S Dollar Rd, 300' E Luinpkin Rd, Oroville .t (f �z i ,i. OFFICE COPY t` Address GAS Date - Meter BY Temp:' Powe' ELECTRIC Date ---- Meter Meter BY M r=.• Called C - s ?_ OFFICE COPY l Temp. Elec i Called Address • i Temp. Gas S GA Dates P CalledP ELECTRIC Dat Meter By. JOB FINALED (Date), i' 0.1 r: 1 Signature 6`6 J= OK O= Not OK — = Not Applicable MOBILEHOMES * = Not Ready ' MISCELLANEOUS Date MOBILEHOME UTILITIES'(Plans) OK except #'s oning Requirements—Setbacks—Easemerits Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements . Soils; Special MH Support—Sketch Sewer; Location—Test—Fall-C/O—Concrete ter; location—Test—Easement Needed (Sketch) _ 2. Footings; Size—Depth—Spacing—Connectors _ 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing Electricity; Location--Iearances—Grnd.—d2BV/ Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures J 6. Gas; Locatiort—T —Wrap:/ /"L"ft./ /"Nat. "L"ft./ LPG Card B-IDate Card -BI Date 6. Carports; Windows—Doors Utility Clearance 7. Elec. Card -BI Date%t)•-— Card -BI Date Card -BI Date Card -BI Date Card -BI Date I- Card -BI Date Card -BI Date Card -BI Date Date BILEHOME INSTALLATION (Plans) OK except #'s Date POOLS (Plans) OK except #'s ;jaffing Requirements—Setbacks—Easements 1. Setbacks—Easements Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections-Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 5. Drain; MH Test—Fall—Flex Connector 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Elec.; Pool Lighting; 15 volts—GFI 6- Water MH.TBFt—Renulatnr—Cnnnertnr r Fter • Fnrinenroe- r—H.,it P-rive—Terminale—I i—ei 7.,,Wa1VION Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater nd Electricity Ta 8. Elec.; Grounding; Equip. w/.5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures-Panel boards—Ins. to Main in Conduit Its; Insp.—Sketch le 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-IDate Card -BI Date Card -BI Date Card -BI Date T V = OK 0 = Not OK Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except N's Date FRAMING (Continued) t. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth -4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. C 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Ste_mwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric: Underground 12. Plenums &_Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI DateCard-BI Date Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.: Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 17. Shower Pan: Test, First Floor -Tub Access 18, Test Tub & Shower, 2nd Floor -Tub Access _ 19. Gas Pipe: Size & Anchors Gard -BI Date _ _ _ Card -BI _ Date Card -BI Date Card -BI Date Date .ELECTRICAL (Permit) OK except p's 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights _& Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral Yes No 28. Service -Riser Conductors & Ground-Main_D_isconnect_ _ 29. Equip. Clearances: Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light Date Card -BI _ _ Date _ Date Card -BI Date MECHANICAL (Permit) OK except #*s 31. A.C. Ducts. Insulation & Support _ 32. Vent Fan: Exhaust above Insulation _ 33. Condensate Drain & Overflow: Size _& Grade 34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet _ 35. Attic Access & Platform if Furnace in Attic Date Card -BI Date Date Card -81 Date FRAMING(Plans) OK except p'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 Ceilinis-Stairs-Chases-Tub Card B -I Card B -I Date Card -81 Card -BI Date 41 Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rfli. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 44. 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 11 (NOTE An entry must be made each time youvisit jobsite) 48. Property Line Firewall & Openings 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Pr 51. Plywood on Roof Attic Vents -Rafter Outri 11 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑Yes 75. Following instld.: Drive ❑ Yes []No: Walks C Yes []No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House _ 82. Glass Protection _ 83. Corrections from Previous Inspections _ 84. Gas -est-Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Com tents at Final: 52. Siding -Nailing -Veneer 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 54. _ Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 59. Bedroom Exiting 11 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑Yes 75. Following instld.: Drive ❑ Yes []No: Walks C Yes []No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House _ 82. Glass Protection _ 83. Corrections from Previous Inspections _ 84. Gas -est-Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Com tents at Final: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 T' PERMIT NO.-2�- Mfr Address or location of mobi lehome yn f i!p r Owner's name I) X t i -;-_x VN Zx Owner's address f. Insignia or hud ni ! -aManufacturer's name y Serial number of V.I.N. l.�. Year of manufacture J gin 9 17 cial Approving Installation) (Date IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEF§TANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 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 PERMIT NO. 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. Inspector �� Date COUNTY OF BUTTE _ DEPARTMENT OF PUBLIC WORKS ' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center.Dri.ye, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 ' CORRECTION NOTICE J J 10 VNER PERMIT NO. 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 - .nnff— — nnu.i nrf.fif —1 —1—fl— ml-- rnnf—f fi.ic nffine i......e.li of..l .. Inspector_ �i V [_,�t Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS VVV 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT i PERMIT NO. ASSESSOR PARCEL NUMBER ZONING � BUILDING PERMIT OWNEITIELEPHONE SO. FT. OCC. BUILDING VALUATION OWNE 'S MAILIIN A15 ESS ✓ i D CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 1 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS e L� Permit fee $ PLUMBING PERMIT Filing Fee 10.00 �✓ 0 a 300 Each Trap 2.00 0fou(ul,- Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USESyIiUCTURE SF ❑ DuDuplex[]OF Mobilehome /Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G 10.00ea 30 -,- TYPE OF WORK � New ❑ Addition ❑ Remodel ❑ Utilities U Installation❑ Other ❑ Describe work: _ Permit Fee $ 0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V OR LESS10.00 100 AMP OR LESS �ad Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 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) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM YzQsgft OR ADDNS. ACC. BLOGS. I NEW CONSTR. MULTI -OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS /POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES ZD®Yoe eAL030 FIXED Ex. OCCUp. P OUTLETS (RESID,)REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 r ,✓� Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequencp of the granting of this permit. X Date I���6��6 Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 9 41 -to - OccUP. CONST.T7 I I F7 PAP PD ND seu This permit is hereby issued under sions of the But County Code and/or work indicated above for which DIRECTPR OF PUBLIC By P�441T,EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /over Receipt No. &3.330 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTME,NT_QGR-PI$'BLIC WORKS - BUILDING DTIV SION 7 COUNTY CENTER DRIVE = OROVILLE,'CALIF,ORNIA 95965 - TELEPHONE: 916/54' 541 .� PERMIT APPLICATION DATA SHEET '! Permit No. OWNER w t A. P. No.L -2 Proposed Building Use Permit Fee Based.Upon: Complete Contract Price DPW Valuation f f . Other (Explain) Building.Inspector Date tAt 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/.tr.i.plicate.—._.-...—.—.—..__-.- 4. Compete engineered plans and calcs. . _. . . . . + - 5. Plans with Energy Design Compliance Statement. . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for,Non-Heated and AC Buildings. 8. Fees Iof $ . . . . . . . . f 9,Letter of signature authorizat; , Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: I 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. . . . . . . . . . . . I Y� 16. Mobilehome`Installation'Data. •Pre-Inspec. request to,F,A 17.Pre-Inspectionfor Required. Building Inspector }Date) /Recorded copy of Agricultural Acknowledgment Statement. k 19. ther When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector.' ; Other ApplicantDate J- " -a 6 �� 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 a t' a 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 ti BY Plans checked by Plans approved by Other: r Copy—DPW Telephone Mail Other Date Date ' Date ?I �t/eatioh To: juilding Department . .r - - I'll - From: E-Invironmental Hen1th Subject: Sanitation Clearance WA C lGq 1. () Owner tom C AP// Plan Approved for: Sewage disposal v.!ater supply Hold final for: 1;::ter supply Final -clearance O.K. fdr: — 11 - water supply To: juiiding Departan�i,,t:. From: mvironmental Health Subject: Sanitation Clearance ` r '0, At AD Oimer Location AP# Plan Approved for: Hold final for: "ewa.ge disposal Final clearance O.K. for: Clearance for 2 bedroor, n:obil.e home. - Other tater supply r3�ater :supply water supply din -oma:r� Date C-- o. -O e r-,: d Return to DPW r.ECO�UE[! 1K CFF ICTAL F.E0005 AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT nF t,!.IT i C^1P1TY.,CdUFCRIdIk FOR RESIDENTIAL DEVELOPMENT :"'r'•'='.,• Section 26-8.1 of the Butte County Code requires this acknowledgement PART-( SHIC NN be recorded prior to issuance of a building permit. IriU"i h.UG 26 P11 7 The property described herein is adjacent to land or incluu d 2821? �.4,:-'r r c_�- LEi,�t�.,�Z ��i. ti_�K�r; within an area zoned for agricultural purposes, and residents.of this CLEMK,--R CORNER FEE property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides,.pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural 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 disconform from normal, necessary farm operations. All that real property situate in the County of -Butte, State of California, described as follows: Date:( - State of California SS. County of Butte PROPERTY OWNERS: Walter Krutman DoroEny Kr y man On this the 26th day ofd/ August 1986 before me, the undersigned Notary iPublic., personally appeared WALTER KRUTMAN & DOROTHY KRUTMAN******* jnP�sama�®��ec� mraessbsa�®aa� / / Personally known to me. AIX/ Proved to me on the basis of satisfactoryevidence. CiC;r,cS.,UP to be the person(s) whose hame(s) are subscribed to i9 �•.` ,• r2• NOTAR e 1 ULIZIC-CALIFORNIA m the within instrument and acknowledged that they tb �' LuttO County p ® MyCommiusionExpires Nov. 3,198A ® executed the same for the purposes therein contained. e ®®mee®®M©N IN WITNESS WIiEREOF, 'I hereunto set my hand and official seal. J �ici Jessup %� Notary ut'lic Present A.P. No. Cnuntyof Butte 1 St -11C of Colifornia, described as follows:., The Sunset and Delr.o Inde inSne t:laies, more " • ••�•"� ' Particularly described as.follows:� ' Survey No. 4711, eroraci:;rt a portinn of Sections 39, 29, 32+" 20 North, Raaye o Eust, d, U,.d,� :d,a.td 33 in Township, Cotte G u.:ty, Calif;. ;i• in the Enterprise 'dining•Listrict -.escri.aJ ,-,r.d platted as foilows: Be'e:naing for the'cesci'i tiva u V the Sunset lode claim, at turner No 8 Cl:;e .v5t •1 :cct ::1;,�, es' Squire, r1, C� ^_ _ r < •• s e J J -Ir .� I,,..r••11'.hl to •y,.. •Lt i"`l. t. I J mound of stone, from which the corner to Sections.26, 29, ;32 a•td"33 in ?om4hip,20�Y ' North of R :,ge b east of the ::ount.Di,bin 'leridian, bears N,rth•530 33' East 150.!U deet distant; thence first burse, North 120 .., feet to a point ,from .hich discovery shaft bears North 77°330'1tEast34500fee! - .r distant; 600 feet to corner :;o, dirket S-2, Dfe J7• a pine post 4 feet long, 4 inches square, ll, wlt.0 mor,nd of stone; taence-Second course, 'Vorth 77° 30' East one thousand five hundred feet tn,corner Nn. 3, a pile Post 4 teeh long, Q inches square, marked S-3 '4-2, 4741, with mound ^f stone- thanes 3rd course, south �J' East boo feet to corner NO, q, a pi.1e post 4 feet long, 4 inches squ.,,,re, ;narked S-4, M-1-4741, with mound of stone; Thence, 4th course, south 77° :30' Best one thousand fift--five and 41 hundredths - feet intersect the north boundary of the northt:st quartei of the northwest quarter. a of Section 37 in To;:nship ^ti S Be* 42' 40" orth. Range 6 East, of the Mount Diablo Meridian, at nort.i east three hundred thirteen and thirty -nine -hundredths feet from the northwest corner; Onc tl:nu;and three hundred Sixty -five andfour hundredths feet intersect t;te nest boundary of said northwest quarter of the -Northwest quarter of Section 3:3, at south 10° 25' East sixty and ninety from the nttnc! torn^r: r,nP LhnllcRnd of beginning,. tl:^. five hundred feet to corner N-). 1, the place 1 ,sur:e� 'If Ole lode claim, as above described, extending one thousand five hundred fe.:t in lennth alo:ta said Sunset vein or lode; 1• Beginning for the description of the Delno lode claim at corner No, i o �' ide;ttical with corner No, 1 of said Sunset Lode Claim; thence first course, seuth 770 �r •' ; 30' West one thousand five hundred feet to corner No, 2, a piste , marked D-2, CP=3, 4741, with mound of.stone; �1 Thence second course, north -12° 30' Best six hundred feet to„corner No, 3, a A — t"I' four feet long, four inches square Pine post 4 feet long 4 inches square, marked 0-3, CP -4, 4741, with mound of states• Thence, third course, North 771.30' East 1,500,0 feet to corner -No, 4, lr � t•: - 'y w identical with corner No. 2 of said Su.lset lode claim; •�� Thence 1 r us fourth course, South !2° • n y 1� 1 �� � ^-ut bears south 771 301 �U East, 300 feet to a pout from which.discovor f 1 west 200 feet distant; 600 feet to turner Nu, i, Y$ the place of beginning, the surveyof the lode claim as above described, tom. extendinIs .t tf` one thousand flue hundred feet in len th alon said Delno ve.fn rYl de la• ,`1 _.�_._. _ 9 ... <e .0 j 'r•"N1�4: rc. � •' ... .. ,_ -r! M .. - - ..t+-, . lwb . -1..M.f _ .. RECORDING REQUESTED UV WESTERN TITLE. INSURANCE. C(A'1PAf1Y �'' .. j • AND WHEN RECORDED MAIL TO • '' j/ Mr. is Mrs. 'Wolter rutmer. F .i'Ja�i �} A°°., D L IZ'PIL • a r +i' ~' <ak r 'Il. Alameda.De Ls; Pul "I'S C ­--Cnlifornae51110(,� :;ra Redwood CSty, 011::: J TiticOidcrN = 4409 • •-• �.r'..�K, F :� - .•.. ... .r.r c.. ,o SPACE•ABOVE­T/iIS LINE F64'1. USE ,ECOROER'S ---=-�_ 'SAME c.. a --_J 3. lttMi�' Mee�i;.. • WCBTCpN�.l.tl[ /ORM No. IOD FOR VALUE RECEIVL•I), DALE H[PICHINS'AND JEANNE D. HUTCHINS, hir wife t w. . a,1 GP.ANT-�to WALTER KRUTMAN AND DOROTHY KRLITMAN, hIc- wife, t ., as JOINT TENANTS all that real property situate in the, '•tin:ncorper:,ted , Cnuntyof Butte 1 St -11C of Colifornia, described as follows:., The Sunset and Delr.o Inde inSne t:laies, more " • ••�•"� ' Particularly described as.follows:� ' Survey No. 4711, eroraci:;rt a portinn of Sections 39, 29, 32+" 20 North, Raaye o Eust, d, U,.d,� :d,a.td 33 in Township, Cotte G u.:ty, Calif;. ;i• in the Enterprise 'dining•Listrict -.escri.aJ ,-,r.d platted as foilows: Be'e:naing for the'cesci'i tiva u V the Sunset lode claim, at turner No 8 Cl:;e .v5t •1 :cct ::1;,�, es' Squire, r1, C� ^_ _ r < •• s e J J -Ir .� I,,..r••11'.hl to •y,.. •Lt i"`l. t. I J mound of stone, from which the corner to Sections.26, 29, ;32 a•td"33 in ?om4hip,20�Y ' North of R :,ge b east of the ::ount.Di,bin 'leridian, bears N,rth•530 33' East 150.!U deet distant; thence first burse, North 120 .., feet to a point ,from .hich discovery shaft bears North 77°330'1tEast34500fee! - .r distant; 600 feet to corner :;o, dirket S-2, Dfe J7• a pine post 4 feet long, 4 inches square, ll, wlt.0 mor,nd of stone; taence-Second course, 'Vorth 77° 30' East one thousand five hundred feet tn,corner Nn. 3, a pile Post 4 teeh long, Q inches square, marked S-3 '4-2, 4741, with mound ^f stone- thanes 3rd course, south �J' East boo feet to corner NO, q, a pi.1e post 4 feet long, 4 inches squ.,,,re, ;narked S-4, M-1-4741, with mound of stone; Thence, 4th course, south 77° :30' Best one thousand fift--five and 41 hundredths - feet intersect the north boundary of the northt:st quartei of the northwest quarter. a of Section 37 in To;:nship ^ti S Be* 42' 40" orth. Range 6 East, of the Mount Diablo Meridian, at nort.i east three hundred thirteen and thirty -nine -hundredths feet from the northwest corner; Onc tl:nu;and three hundred Sixty -five andfour hundredths feet intersect t;te nest boundary of said northwest quarter of the -Northwest quarter of Section 3:3, at south 10° 25' East sixty and ninety from the nttnc! torn^r: r,nP LhnllcRnd of beginning,. tl:^. five hundred feet to corner N-). 1, the place 1 ,sur:e� 'If Ole lode claim, as above described, extending one thousand five hundred fe.:t in lennth alo:ta said Sunset vein or lode; 1• Beginning for the description of the Delno lode claim at corner No, i o �' ide;ttical with corner No, 1 of said Sunset Lode Claim; thence first course, seuth 770 �r •' ; 30' West one thousand five hundred feet to corner No, 2, a piste , marked D-2, CP=3, 4741, with mound of.stone; �1 Thence second course, north -12° 30' Best six hundred feet to„corner No, 3, a A — t"I' four feet long, four inches square Pine post 4 feet long 4 inches square, marked 0-3, CP -4, 4741, with mound of states• Thence, third course, North 771.30' East 1,500,0 feet to corner -No, 4, lr � t•: - 'y w identical with corner No. 2 of said Su.lset lode claim; •�� Thence 1 r us fourth course, South !2° • n y 1� 1 �� � ^-ut bears south 771 301 �U East, 300 feet to a pout from which.discovor f 1 west 200 feet distant; 600 feet to turner Nu, i, Y$ the place of beginning, the surveyof the lode claim as above described, tom. extendinIs .t tf` one thousand flue hundred feet in len th alon said Delno ve.fn rYl de la• ,`1 _.�_._. _ 9 ... <e .0 j 'r•"N1�4: rc. � •' ... .. ,_ -r! M .. - - ..t+-, . lwb . -1..M.f _ .. Together with existing road 60 feet property; `hence in e 32, Township 20 1;orth, BUTTE C cf wny for road and utility rurpnses over the ber.ir.nina at the Westerly line of the above described and ;northerly direction across sections 29 er.d East to the Southerly line of Lumpkin Coun�y Road. that portion within 6 East, K.D.B. b M. ALSO EXCEPTING THEREFROM the following described parcel of land: A portion nf the Crown Point and Delno Lode Mininq Claims, as described in Survey No. 4741, embracing a portion of Sections 29 and 32 in Township 20 North, Range 6 East, M.D.B. C M. in the Enterprise Mining District, Butte Co., California, described as follows: Beginning at a point on the North line of Crown Point Lode, which intersects the o North and Scuth centerline of Section 29, said point being South 880 20' East 391.2 feet from the Northwest corner of said Cronin Point Lode; thence from said (� point of beginning, South along the North and South centerline of said Sections v 29 and 32; a distance of 502.81 feet to a point on the South line of said Crown � Point Lode; thence South 88° 20' East, along the South line of said Crown Point Lode, a distance of 1033.71 feet to a point at the Southeast corner of said Crown Point Lode, and the South; -.est corner of Delno Lode; thence North 771 30' East along the Southerly line of said Delno Lode, a distance of 135.68 feet; thence North 12° 30' West, and parallel with the Westerly line of said Delno Lode, 600.00 feet � to a point on the North line of said Delno Lode; thence South 770 30' West, along the North line of said North line, a distance of 135.68 feet, to the Northwest corner of said Delno Lode and the Nnrthr:ast corner of Crown Point Lode; thence North 88° 20' West along the North line of said Crown Point Lode, 908.6 feet to the centerline of Section 29 and the point of beginning. AP # OWNER PERMIT Ni I UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Compaction Struc. Test eq. Service Size Other Type Pipe Size Length YES NO YES NO �jLoad • �� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califgrn iia'95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER �� TELEP ONE / d SO. FT. OCC. BUILDING VALYJATION OWNE MAI G ADDR O� CONTRACTUR,fSNA E TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER -. UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / / Permit fee $ PLUMBING PERMIT Filing Fee 10.00 r o-0111— Each Trap 2.00 e ` ` Solar or heat pump water heater 20.00 LOT NO. SUBDIVISIO NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF SyRUCTURE SF ❑ Duplex[] Mobilehomed,"/Other " SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G I W 10.00 ea TYPE OF WORK �.,� New ❑ Addition ❑ Remodel ❑ Utilities El Installation VT� Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 KKJJ Main service eoov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 " CO ACTORS 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 1, as the owner, Or my employees with wages as their SOIe 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- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.tr , NEW ADONIS.A ) ULTB OUTLET .50 ea NO N.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS .&) SINGLE OUTLET CIR. Ex. Occu 20®50e Occup(OUTLETS OR FIXTURES SAL030 FAPPLES. OR , LETS (RESID.) EA.� 2.00 EX. Occup. OUTLETS Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. fvi ExI 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 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequenqe of the granting of this permit. X !�� Date � oC -66 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 $ i Energy Inspection Fee $ TOTAL PERMIT FEE $ (J d� OccUP, CONST.TYPE I I FLOOD PARCEL I PD ND S9UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PERT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /0-'6�'� Receipt No. &M 3 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for'construction of the proposed property improvement (yes or no) _ k -e -n;_. 2. I (have/have not) 41a, --_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�perso'n to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted persons to provide the work indicated: Name Address Phone Signed: Property Owner Social Security Number � Date — — d'6 (hired) the following Type of Work 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 per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/53411541 PERMIT APPLICATION DATA SHEET �,/ Permit No. 'r OWNER (/1 4MA _ A. P. No.__2 Proposed Building Use Permit Fee Based Upon: Complete Contract Price _DPW Valuation T 1 in) Building Inspector •Date Z� At time of perms pplication, I was advised the following data must be submitted prior to permit processing andJor issua fie: DATE RECEIVED APPROVED V. All items.have been submitted. . . . . . . . . . . . 2.., Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate./tri.plicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees 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-Insp17. Pre -Inspection for Required- Building request to (Dote) p q Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Appl icant - Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by 449— Date _/0 -A0 -9( - Other: Copy—DPW BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALIATION SHEET 1. Owner's Name: 2. Installer's Name: 3. Is the site currently under permit? Yes F1 No (if yes, furnish permit number is the mobilehome site ) OR Is the site an existing . site? - Yes R No Fj (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic. tank and -leach fields and clear of all setbacks and easements? Yes No F1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- �/, 0 Amps 6. What is the mobilehome site service rating? --------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to -be served. �y the -------- --------- ----- Yes No mobilehome site service? (If yes, identify the load add s ize (Load) 30 (Amps) 9. What is the mobilehome site gas pipe size? -------------- - (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? --------------------------------------------- 12. What is the mobilehome gas demand? ---------------------- .(BTU) *(This information not required if pipe.length less than 6 ft. on .natural gas or less than 50 ft. on LPG.) 3a BUTTE COUNTY BUILDING DEPARTMENT APPROVED MOBILEROME SUPPORT DATA If other than single wide, ' Mobilehome Mfr. /�� furnish Setup Model No. Year— Width ear Width / z- (ft.) Box Length 3 (ft.) Tagalong or Expando Size ft. x ft. 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). FOOTINGS (check one) ❑ 1. Wood -pressure treated or foundation grade. 2. Rher (specify) SUPPORTS (check one) 1. Concrete block. 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 Piers: Size -Min, ------------ , u Spacing -Max. From Ends -Max -------- Line 2 Piers • / �-,,y� Size -Min. ------------ A0, �2 „x Aw'Of S44 „ __7777 Spacing -Max- --------- G ,_ n I*+J Tb. its From Ends -Max . ------- Cik '- �j " #04.16 , Line 3 Roof Loads: Size -Min, ---------- Location (From Front) i.ine 4 Line 1 Line 1 Oeeninxe• Size -Min- ------------------ „x Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min. - - ---------------- S Spacing -Max---------------- e.we.,From Ends -Max .------------- ,- Line 4 Piers: Size -Min, ------------ 'k " Spacing -Max.--------- , r From Ends -Max .------- Size -Min.------------------ Spacing -Max.--------------- ,_ n From Ends -Max .------------- '- Line 5 Roof Loads:—'� Size-Min,------------ ,ix„x Location (From Front) Y1 ,. ,. i .J, , ?� 5-1 f•�. from the A setback o a setback property lines and of 50ft. from the road clear of centerline shall b�pment except structures or 4 for a 2 ft• eave overhang. ,BUTTE COUN fY BUILDING DEPARTMEN-1 AP.PROVFn Utility, on ections shall be within r , "4 ft. of th mobilehome, either i directly bE hind or within the rear half of thE roadside (left) of the ( mobilo e. , ti Q A permit will berequired for the. installation of, the mobilehome" N. 1 This set of plans and spec is ions MUST be kept on the job at all times and it is unlawful to make any changes or alteraticins on same ant Ofi lic ul written permisson from the Mpa Works,, County of Imo• a t f K ! ti L t , PERMIT NO. 1566-88B PERMIT EXPIRES OWNER WALTER KRUTMAN CONTR.' OWNER i ASSESSOR PARCEL 71-19-24 LOCATION 205 Edgehill Dr., Oroville J f ' t f f 1! 3 . t Temp. Power Pole t Called PG&E Temp. Elec. Service Called PG&E / Temp. Gas Service / Called PG&E JOB• FINALED (Date] Signature A r = OK 0=Not OK ' =Not Readyable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DE ,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements . Dil<g 2. Soils; Special MH Support -Sketch = (Z. oo ' s; -Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location-Test-Fall-C/O-Concrete48-becks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4CVOo Ww- n-.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing i 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / P'Nat. or/ P'L"ft./ /"LPG 5.-Ah:Tm: Awn.; Columns -Connections -Splice -Decal -Enclosures B-Canp-orfs; Windows -Doors 7. Utility Clearance Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh f Card -B1 Date Card -B1 Date 10. Roo�,�M�g-Roofing Card -81 Date Card -B1 Date 114. -Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements-Setbacks-EasementsCard-B1 Card -B1. Card -131 Date Date Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line j 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s - 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI I 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit Card -B1 Date Card -81 Date Card -81 Date Card -131 Date 9. Health Department Approval ` f 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -61 Date Card -131 Date = OK = Not OK - =Not Applicable RESIDENTIAL (Single and Duplex) Not Ready ' . Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51, Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration -Wal Is-Wndws Card -131 Date Card -B1 Date Card -B1 Date Card -81 Date Card -131 Date Card -B1 Date Card -131 Date Card -61 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -131 Date Card -B1 Date 67. Stairs &Rails Card -B1 Date Card -131 Date 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 22. Fixture & Transformer Clearance -Ins. Protection 71. Elec. Outlets & Receptacles at Kit. Counter 23. Elec. Receptacles Spacing -Lights & Switches at Doors 72. Garage Fire Door; Swing -Landing -Closer 24. Size Boxes & No. of Conductors -Stapled 73. A.C. Duct in Garage -Damper 25. Romex Installed Close to Edge of Studs & C.J. 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75 pib., Elec. &Mech. Equip. Listed for Location Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. 28. Su feedor A Cu or AI 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑ No 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 81. Stucco; Brown -Finish Card -131 Date Card -131 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -131 Date 83. Vents Above Roof; Pibg.-Appliance-Firep I. -Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 96. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -131 Date Card -61 Date 92• Roofing Certificate Card -81 Date Card -B1 Date Card -B1 Date Card -81 Date Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors Card -B1 Date Card -B1 Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICkTION AND PERMIT PER T NO.� ASS SOR PARCEL NUMBER ZONI BUILDING PERMIT OWKE r rIZ ' TE Ho E S SO. FT. OCC. BUILDING VALUATION OWNS 'S MAILIN A DRESS �� - r rov ilt 9 CO RA :TOR'S NAN7 TELEPHONE CO RACTOR'S MAILING ADDRESS F i rep I ace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ A157 a ARCHITECT OR ENGINEER LICENSE NO., Plan Checking Fee $ / Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ $ BUILDING ADDRESS q/ e /( y� J eLlg ,/ /' Permit tee D PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF[_Duplex[:]Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORKI New ❑ Addition ❑ R' }del ❑ Uti it ❑ Installation ❑ Other® Describe work: L/OC2 Yt /C/ C° C Lf 2( f) + Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 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 ET -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) ❑ 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 CONST. DWELLING OCCUP.5i OR ADDNS. ACC. BLDGS. ,/20sgft NEW CONSTR. MULTI -OUTLET NO N.RESID .BRA C CIRC TS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. EX. Occup OUTLETS OR FIXTURES 2000* Dw 030 FIXED APLNS. Ex. Occup. OUT ETSPRESID IREAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. hall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in copse uenc -of the granting of this permit. X �— �QT ;�C i' __� Date Signature of Applicant — Owner JD --Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Occup. CONST.TYPE SCHOOL FLOOD PARCEL PDJ ND SSUF permit is hereby issued under slops of the Butte County Code and/or work indicated above for which IRECT R O PUBLIC By/ 4-: -� A PERMIT EXPIRES Date the applicable resolutions to do to do fees have been paid. WORKS Date J� ✓ /over (3Ystories Receipt NO. ! 6t o1,� WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -1 NSPECTOR. GOLDENROD -APPLICANT ,t'..r. '...i^ .. .S. -i.a ,..*-ti +T.k,n...Piri'°�t�.!'Rdi-'y"tt. •*"'►'3r r-• .. Nle + , .:r , , ti..ir'E'L. rr ...'=1'h.1•^ - St'r' `c' ' COUNTY OF BUTTE - DEPARTMENT OF• PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI tLt;,C�1LT�VORNIA-95965'- TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET T'^ Wa Hr Permit No.OWNER N e- Y_ f M 0 1� :r.A P. No. � I Proposed Building Use -dl x'71 Building Inspector Date����' At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items.have been submitted. . , . . , . , . , 2. Plot plans in duplicate./triplicate, 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. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , • , , , , , 9. Letter of signature_ authorization. /l . . . . . . . -Sanitation approval from CJ�d� ( / � Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑,). _15. Improvements may be required. , . . . , , , . , , , 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to 17. Pre -Inspection for Required, Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses'in duplicate (required prior to plan check). 22. When you issue the permit, process as follows: 4Mail to owner, Mail to contractor. Telephone and hold for pickup at—off ice, Deliver w/inspector. Other Applicant -� aie=o?o—�� Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_Jnail—counter by'� date I Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date r� 7 Date0 Plans checked Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance wax p' -eA.111 Or 02 Owner. Loc tion AP Plan Approved for: Sewage Disposal _ Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom mobile home. Other NOTE *** Sanitarian Date- COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property/improvement (yes or no) ,_ 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. Z 4. I plan to provide portions of this work, but.I have'hired the following person. to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I.will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property. Owner Social Security Number Date s- ay _io 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 per- mitted to issue the permit. E I- L.J L L C rn P -jK b m3 cy # NO rn rn MAX. —f K 6' 7< Cl rn Z . .n ! I -4 0 Fr �41 -n, ON O 10 711 c f-, --4 -44- CD V-> 0 m 0"- 34" J//HMDRAIL HEIGHT F= E m C> GN m I W STA R Z M kx, 9i 0 rT' J& WIDT4 70 7q Ln CO F 4�:� b b M ;{ c 0n4 VARIES 36, MIN. ED TY P � E I- L.J L L C rn P -jK b m3 cy # NO rn rn MAX. —f K 6' 7< Cl rn Z . .n ! I -4 0 Fr �41 -n, ON O 10 711 c f-, --4 -44- CD V-> 0 m 0"- 34" J//HMDRAIL HEIGHT F= E m C> GN m I W STA R Z M kx, 9i 0 rT' J& WIDT4 70 7q Ln CO F 4�:� b b M ;{ c 0n4 rr}�± .'�• fir; {", r itt i�.�.. r _ , 1. ' , ' { E bfat • , I � � Ir :1%awe•^•--.y•.•' M1 .� F _. _ � - , ,, .. y� I ,• , _ ,�\r1�,Y _1 6 riQ�alAi ^''yY.'7 R`r"^s n t:` r .'J. �; x- WithiD•_ Y 1 1-. , L r cs' t ,�. 'i ,► '•' .. of ft. fcom „S5 .1 h tiod� iMU s A setback and'a �tbe 3 ���eCt either .a 'rsi: rl �''" aCtS'and spga ' un l'. ' p rty lines ro �r utility e: Q i1eh e'reas N. S�sa p s a► ��� ,lawfu rope from the, , ad .4 ft o{ tt, m r Wath' the �:.. , , �4 t.all time I on W of 50ft. 1 clear of ,<=o f the } �, b:� or alfer�fi�?� an't nlerline shall nt ell `� direct Y es from the,DePartme . res or equipMe hal{ erm'�ssion structures rh no. �u�ry . eiut.write�' p of Butte. Sir 2 {+ ease ave a i s _ M , mp `� ob•l home.: Works, aunty e . ,. i PubCic r °N" v ? R t r 'Yt Nry' •h t L•t ° f i)LyP {E. v 'ri81S &�a/Vorkmeinship'Shall Be in < +'~�WMWA_ -.,Rc�€irai.zed -Gaol Practices and ' )° 4or-the Specified use in the p(umbin & Mechanical Codes r Y ilnif0rm Bu �tUrigr . 9 atianal�Eiectrical Code.00 + �'L'< r Thr ` 1 i�'' `yrY��{�T•�t• i 4, i i E�., r ' ; ' � .. , , �^D,V ' • '•t•t, v C .t'.'ri� � `".� 1: ��' q , ' L i' s ,.;Y' '7, * � ; , • - �� �• /! G GGO � '�:i �i � { Z',4.- FFFFFFyy1E`1 , �k. r ' f � rt F• � ' /� n t • t. . _00 tr _14 rj Imp t - tAS � of + 1 Y r• r F ' Lry r• �� &���.�.�'�, v��� rV�.o7.� !'. L�. �^l,�a Viz. �;.'- ..� •� • , .- � ,"t' r'� Ll-3�1 417 N /L. I u3 w S•.i, t t 7^ .i' IVA .11 3y' a.,^,..• f{ 1 A.(ii . ' •� 1t C ,- - /.�,''I • ,N` Y, _ ,S; ... - .. ... ,.. __ .. .. - . .. ... ! .. ., _ _ -. .i. .tea. - f.-. ,�,;. ,G.y'••�,