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HomeMy WebLinkAbout071-400-034Deck without Permit 2-11-92 PMQ CERTIFICATE OF COMPLIANCE issued F ,.. ^ Anril 26_ 1978 7/y'�f y�'� �n'_O •3 71-08-98 - CHARLES SKOW % /�% (� S/S Simmons Rd, app 1 mi NE uinc �j I L 1 D( R d, Orovi le Permit 8 g,!em e® o C./��%I(/l�� C , P future lot`e e opment) + 71"1 � � Permit �k694-81P,E(uti!. ,MH) ELEC.--a7_92- G AS SUPPORT STRUCTURE REQ. COMPACTION TEST HQ. 71- t Permit#6�81B(new deck/MH) 71-40-34 ` 92-604 P E is SKOW, Charles _/ 9 418 Simmons Rd, Oroville (mh utilities) •sXo-19,02 ELEGC L�00 ASltJOputlaf'®cieCj COMPACTION TEST REQ o SUPPORT STRUCT REQ o 71-40-34 -- - 922.- 99022B SKOW, Charles 418 Simmons Rd';` Oroville S =17-Iciln 9-3 71-40-.34 SKOW, Char 92-1373r,Hl iI 41 les mh8 Simmons Rd, Or6-v 71-40-34 92-2118 B �� SKOW, Charles 418 Simmons Rd,Oroville deck/mh 5 ��3 RESIDENTIAL 71-40-34 92-604 P,E SKOW, Charles 418 Simmons Rd, Oroville 3 (mh utilities) �jZ~i�13 t t- f i OFFICE -COPY Address G AS Meter By Dat ELECTRIC Meter By aJ ti JOB FINALED (Date) _ Signature, .�. J=OK O = Not OK ' =N tReadyabl MOBILE HOMES , Date MO tCE HOME UTILITIES (Plans) OK except #'s [ . Zo g equirements-Setbacks-Easements 2 o : Special MH Support Sketch e r; Location -Test -Fall -C/O Concrete ater; Location-Test-EaseMent Needed (Sketch) 5. Ejectricity; Location- earences-Grnop-Concrete I Gas; Location -T st-Wr p: / P'L"ft. / /" t. or L"ft. "LPG ell Cleara ce & D' c nnect 75 o,<tility Clearance Date 4 /4�Card B-1 ,tJ4.f- Date Card B-1 Date 'S Card B-1 W.IfDate Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s i ,"Zoning Requirements -Setbacks Easements 00 'rigs; Size -Spacing -Marriage Line 6115as; MH Test-Demand-Valve—Connector L-rectricity; MH Test -Crossovers -Breakers -Clearances in; MH Test -Fall -Flex Connector ter; MH Test -Regulator -Connector 7.water and Sewer Connected -C/O to Grade -HD Approval Gas and Electricity Tagged L9. E ats; Insp.-Sketch . Cert. of Occupancy Date Mrj Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 C./ v dC,1,e C, FL B�b� 6;,q &(,08 r 51o 1 a 2 Z? 7.0 zg MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 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. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK O = Not OK = Not Applicable► Not ReadyRESIDENTIAL (: '=' Date UNDERFLOOR (Plans) OK except M's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grhd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls. Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test-Ancbor-Regulator-Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except a's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ----------------------- - ----------------- 19. Shower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access ------------------------------------ - --_ 21. Gas Pipe: & Anchors ----------------------- Date - - -Card B_1 ---- - Date - Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except A's 22. Fixture & Transformer Clearance -Ins. Protection ----------------------------------------------------------- ---- - - 23. E-lec. 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/Meeh. Fastners-Bond Gas & Water ------------------------------------------------------ - --------------- ------------- 27. ----------- ----------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI --------------------- ---------------------------------------- 28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size / / ga. -------- --- - Cu or AI 29. Range Circ. / I ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------------------------ ------------- 30. -------------------- 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light -------------------------------------------------- -- - -------- 33. --------- - ------------------------------33. Smoke Detector --------------------------------------------------------------------------------- Date Card B-1 Date Card -B-1 -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support ------------------------------------------------------ 35. Vent Fan: Exhaust above insulation -------------------------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade ------------------------------------------------- ---- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------------------------------------------------------------- 38. Attic -Access-&- Platform if Furnance in Attic -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ------------------------------------------------------------------------------------ Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39. Sils, Proper Material & Anchors ------ ------- ------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ----------------------------------- ---------------- 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) ----------------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub -------------------------------------------------------------------------- 44. Headers & Beam -Size & Bearing ')ingle "& .Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin -roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings _ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------------ 55. Siding -Nailing Veneer ____________ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic -------- - 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows --- - ------------- ------ _Date ___ _ __Card B-1____ _ Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except N's 61. Ext. Steps -Door & Sidelight Protection -Landings 62 Smoke Detector --------------- 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection -------------------------------- 64. Bedroom Exiting -------------- 65. G.F.I. & Bath Fixtures & Tub Access -Spa ------------------------------ 66. Elec_ Trim & Subpanel; Breaker Sizes & Labels ------------------ 67. Stairs & Rails 68 Fireplace or Stove: Clearances -Hearth ---------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit Fixt_& Appliance_Grnd_Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing- Land ing-Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meeh. Protection ------------------------------------- 75. Plb:_Elec_ & Mech. Equip. Listed for Locatior) 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instid.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco: Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing - --- - -- ----------------- - 83. Vents Above Roof: Plbg.-Appliance-fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House .............. ------------------ ------ 87. Glass Protection _ - - ----------------------------------- -- -- 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates -- - - - ---- ---- ------------ -- -- Date Card B-1 Date Card B-1 ------------------------------------------- - ---- Date Card B-1 _Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final MOBILEHOME INSTALLATION ACCEPTANCE s COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT NO. (7Z - /J Address or location of mobilehome ��/s S gym/ Owner's name Owner's addre Insignia or hud number �lyL/ O/ CiI� b %�. C���� Manufacturer's name W �'f 1 r 4 Lu Serial number of V.I.y. Year of manufacture 7 Q I Approving Installation) f ' (Dot 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. mac:• 't COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) -872-6307 CORRECTION NOTICE 1S'Z-/373 OWNER PERMIT NO_ A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanatiol4 Please contact this office immediately. Date /i Z InspectorUf REV 11/91 t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �--� 7 County,Cente'r Drive - Orovilte. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT. PERMIT NO. Z . `j3_37S ASSESSOR PARCEL NUMBER 71-40-34 ZONING U BUILDING PERMIT OWNER CHARLES SKOW TELEPHONE 893-5475 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1212 GLEM400D AVE CHICO CONTRACTOR'S NAME AL CARL TELEPHONE 589-0758 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 418 SIMMONS ROAD OROVILLE Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomea Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK ��(( New 7,Addition ❑ Remodel ❑ Utilities ❑ Installation E` Other ❑ Describe work: 4A I RE -PLACES 92-605kMHU 92-604) _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 0V OR LESS 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under Snail of perjurycheck one): penalty ( ) _ ❑ 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 F1I, 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) C] 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 Main service 200A TO 1000AI _37.50 NEW CONST. ( DWELLING OCCUPM 3.64 sq.ft. OR ADDNS. l ACC. BLDGS. I NEW CONSTR.MULTI-OUTLET @ 5.00 NON-RESI BRANCH CIRC ITS POWER APPARATUS 1,)) SINGLE OUTLET CIR. 20 76d p Ex. OCcU OUTLETS OR FIXTURESFIXED Ex. Occup. OU LETS PRESID )APLNS.REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g '15.00 Permit Fee $ 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 ntil ation PeVencil 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 'd County in co sequence of the granting of this permit. X a Date Z Z- 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 $ 70.00 Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 105.00 HAz/ DFE IMP i -- FLOOD — COF PARCEL _ PD .- HD Issu This permit is Aeby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicate bove f hich fees have been paid. By. w I F PUBLIC WORKS r —D_ e PER IT EXPIRES Date ,�-� . � Receipt No. J1.5 %�� WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT -. I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ,. -zvo - ZONING G! BUILDING PERMIT OWNERTELEPHONE /es -show- 893-51-/75 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS /2/Z- /eor w nvu 14 t, -f- k t c o _ CONTRACTOR -5 NAME ' r / TELEPHONE l8 9 0758 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER _ UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ - 15.00 Permit Fee $ ARCHITECT OR ENGINEER _ LICENSE NO. Plan Checking Fee $ 0 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 3S ✓t^ �"� O ri S PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 d Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomej%/ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel❑ Utilities ❑ InstallationK Other ❑ IDescribe work: / \ las 5 /irrs 92 '00H, 92_6py I Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service LESS 200A OR LESS 18.50 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) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Profess for this reason Main service 200ATO1000AI 37.50 DWELLING OCCUP.E\ NEW CONST.OR ADDNS. / ( ACC. SLOGS. I 3.6Q sq.ft. NEW CONSTR. MULTI -OUTLET NON-RESIDI BRANCH CIRC ITS @ 5.00 POWER APPARATUS tr (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES A. 764 464 Ex. Occup. OUTLETS ((RESID )FIXED APPLNS. REA.) 1 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 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 represent ati'ves of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHApermit 1s required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S /Q Energy Inspection Fee $ OCC CON STTYPE TOTAL FEES l(�S HAz DFEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. NHITE-O.P.W., YELLOW -ASSESSOR- PI-1-P11TnR r_n, nru onn_.-e� ��...r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER n A. P. No. % Proposed Building Use_ Building Inspector ku 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. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 6 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ x,11.. Chico Urban Area fees paid ....................................... ; ParneVesp.�id .... 0.; ... School District fees paid ............. . U 4 School District fees paid . I 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance ................... 23. Owner -Builder Verification (Given to owner ❑, 24. Recorded copy of Agricultural Acknowl ment Statement ......... r 25. Letter of signature authorization ... ....... er;�" 5 When you issue the permit, process as follows: Mail tQ owner.. Mail to contractor. Telephone _and hold for pickup atoffice. Deliver w/inspector. Other - 7,:�A ho ahsa.er-025. Cd - I ica --`— Date z i (L - Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to per it issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: _ ontracto designer, owner,.was advised of above required data by �phone�nail_counter by_Dhe t) date 5 0 o • designer, owner, was advised of above req Pd data by ✓phone_mall_counter by_!t� date ` an Pla checked by Date 5(5(q Plans approved by Date ,S is G9� Sets of plans on hold in File cabinet AP folder Copy—DPW 101 - BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District—Cra_��.�—___[y__- A.P. Number 0.' DJ Jurisdiction Y - Property Qwner--(AaJe�_--S—a ,( _______ Property Location/Address . Subdivison Residential Development Commercial/Industrial Building Department No. City County CUiVT oa Isurr� BUILDING DEPT MAY 1 1 1992 Li'l . urc V; l h , --------- ------ Lot No. �] F Sq. Footage N yo No. of Living t MHI Addition (Group R)_ Units . 0 = Sq. Footage New Addition (Including Exterior Roofed Areas) Building Dep Went Representative Date ,� • mar �i, District Identification No., -Q -- _____ Oke ) L Oo 1(w�_ -965 JSchool District certifies that el),ge&Cs (Applicant) A0 S Y)m rn 0/�s l20 (Street Address) ity) (State) (Phone Number) 91519 69l, (Zip Code) i has complied with the requirements of Resolution.No. _ _�0 �� by payment of $ Cyar5 ao representing _ _ _ — square feet. x9k le School District Representative Paid by Check Number �/ �/_ Remarks: Bank Number Si Z� 2r5TIOT� Paid by Cash Date If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being ieviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) APT Jam. 014NER PERMIT If 9 2 _ 4 ,-0 VJ MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test eq. Service Size- Other Load Type Pipe Size Length YES NO AES1 N0.•' Lpc �v , _ arcs ! 'A rd.. ca with Reco-nixed oad ?racrim; zt� . ,, ri c;1 1S'y ps ribed for the Specd,fied "s' In �:�. � . kl Plumbing 4 WCIK COMI. KQ Nat-;''ri I io this set of plans rid pecificrt;ans MUST . be --11 ?�e�} on the lob at 'times and it is unlawful to , !-�' �`! Mcljl P any chang r alterations on same without writteh permiss' n !rcrW.J& {department of Pub{ic Works, Coo butte. { 4C 21 v 1 I r - I LI 1` I-eNQeL TtzPy>kV- S W I&—'Z-.! , C`�"� -t•�� o�Y I LrcTa!� 1 n�'4u6v4m f - . iLocati011 of strucluMs & equipment shall be as shown I i &. clear oi•all easements. � I • . 3 d o 1: r MVYI # q Z- \ S-73 SUTTE COUNTY BUILIDI Q MgA5TMENT p a)Qvf-« Y;.. Butte County Environmental Health _alth --- (pate - ---- -- signature ------ ' C.1 v' C c. 0 N BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: G'/</ c /� ✓�� �✓ -2. Installer's Name::F-1 3. Is',the site currently under permit? Yes a No o (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 F-1 No l V . (If no, clarify 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? ------------- —:;,a D Amps '. T. What is.the mobilehome site circuit breaker rating?.----- Amps 8. Is there any other electric load to be served by the 'mobilehome a site service? -------------------------------- Yes No I (If yes, identify the load and size: (Load) (Amps) l` 9. What is the mobilehome site gas pipe size? -------------- r (in.) 10. What is the ? ------------------- type of as service Natural a LPG YP g 11. What is the gas pipe length from meter or tank to the mobilehome?--------- -------------------------------------�f��� * 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.) 0 MOBILEHOME SUPPORT DATA Xqd If other than single wide,/�Mobilehome Mfr. G I►1 .4 furnish Setup Model No. �=S Year l Width (ft.) Box Length /,, 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. Other (specify) SUPPORTS (check one)1. Concrete block. 1:1 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Main Beams Line 2 ` _ _ _ _ _ _ � _ _ ------,,,, Line 1 Piers: Size-Mir------------- Spacing-Max - ----------Spacing-Max. --------- From Ends -Max. ------- Line2 Piers: Size-Min------------- Spacing-Max ---------- ,_ „ ✓ From Ends -Max .------- Line 3 Roof Loads: Size -Min ------------- Location (From Front) Line 4 Piers: Main Beams Tag or Triple line 4 Line 1 Line 1 Openings: •b Size -Min. ------------------ Each ----------- -----Each Side of Openings With Width Over --------- Line-2 -------- Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- „x „ Spacing -Max.--------------- From Ends -Max.------------- 30 BlocrtlYl ►o Ott". c 421 -4 4 30 „ 6-,.x , o„ 3�;k 3 0 „ 3„� o„ y� I. „ „x o Size -Min .------------ ,k Spacing -Max.--------- , From Ends -Max .------- Line 5 Roof Loads: Size -Min. ------------ Location (From Front) bewoly P11 on 0 e 5 Piers: (Under Bearing Walls Only 'MNMAT Size -Min .------------------ 'x u Spacing -Max.--------------- From Ends -Max.------------- '- ” r s COUNTY OF BUTTE - PEPAR.TMENT OF PUBLIC WORKS 7 County Center Drive - Oroylll'er California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT - PERMIT N ASSESSOR PARCEL NUMBER 71-40-34 ZONING U BUILDING PER44/ OWNER CHARLES SKOW TELEPHONE 893-5475 SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 1212 GLM100D AVE CHICO 95926 CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS SIMMONS ROAD OROVILLE Permit fee $ 20.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL. MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I 01W I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities] Installation❑ Other ❑ Describe work: MH 1J _ Permit Fee $ 30.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO IOOOAI CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP.&) OR AODNS. ACC. BLDGS. _37.50 3.6a sq.ft. NEW CONSTR. MULTI -OUTLET NO N•R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d FIXED APLNS. Ex. Occup. OUTLETS (PRESI0.)REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 19.00 Misc. Wiring g 15.00 Permit Fee $ — 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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Perrnit 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 agai t said County in cons uence of the granting of this permit. """'-- Date .3 Z_ Signature pp ❑ Contractor ❑ Agent ❑ Si nature of Applicant - owner 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL EE $ 80.00 I HAz 1 0 FEESJ IMP –� F1 0116CDF PARCEL PO HD Iss E This permit is hereby issued under the applicable provi- Bions of the Butte Co my Code and resolutions to do Work indicated abo for which fees have been paid. D R O PU WORKS 7 By DatePER XPIRES ate —Z• Receipt No. 110062 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT r�..�'.'r'"�-y?'f+"1c`�yru7'i+:'s.cf'�'t "' ` �,�,�''�+HrS'V`r"�a'�"`•�.r��=�,����;�'�'s�.z-�-,lfy;i,�,�r2-,i,.-.,,�..� :�� .rY�.�r<ti„r..� COUNTY OF BUTTE - DE;F PUBLIC WORKS ;,BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI k�E, CALIFORNIA 95965 - TELEPHONE: 916/538-A41 -PERMIT;AME TION DATA SHEET 1 Permit No. OWNER Iq / eS O U A. P. No. IlU Proposed Building Use Building InspectorfilDate 3 5 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED All items have been submitted. r%l —2. Plot plans in duplicat i lic signed by preparer of plans........ Aka 14cu 0. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ................................. .'......... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's. installation a " instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 1 S hoot Di$tt't fees paid .............. 14. Sanitation approval from 096 01 Health Department 4'92 iyr �_ City of Chico plumbing permit. . ................................ 16. Plot plan and business license.approval from City of . (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 1 Improvements may be required. Contact Land Development Section DPW a 1 cons ruc Ion ap pa pttTrnnfor P to SEE {°IWLl # q2-a�02 Building Inspector ( ate 1. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance ......... 0 ........ ' Owner Builder Verification (Given to owner ❑, Mail to owner o) ..... Recorded copy of Agricultural Acknowledgment Statement ......... 3/?7792- 04A) 5. Letter of signature authorization ................................... _igg!t 26. L 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor., I Telephone L ZLnd hold for pickup at 0(200 office. Deliver w/inspector. Other Applica 4 .Date 9Z Copy of Hdz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior er it issua c Circle new item not checked above), 1. Index permit for above items No. * / 2. Additional items required: IN Contractor, designer, owner, was advised of above required data by—phone---mail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by�?06Date _Plans approved by Date In Sets of plans on hold in File cabinet AP folder Copy—DPW <<r G)7 COUNTY OF BUTTE - DEPART NT OF PUBLIC WORKS 7 County Center Drive - Orovl-Ile. California 95985 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT l ' 1 OWNERTELEPHONfi �(lQ(� GGo�c� S0. FT. OCC. BUILDING VALUATION CONTRAC,TOR•S'tJ�i M�- - ��-�-��" TELEPHONE V ,Y CONTRACT R'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee ,$' LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 0• C9 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 9,o, - PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomellF' Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I apm I @ 15.00 _Ocp TYPE OF WORK New ❑ Addition[] / / Remodel ❑ Utilities Installation❑ Other [J Describe work: X ('7' — o Permit Fee $ (' ' Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 Main service 200A TO IOOOA) 37.50 CONTRACTORS LICENSE LAW I declare under penaltyof perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is In full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not. intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am. exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.61 OR ACDNS. (ACG. BLDGS. 3.6dsa.ft. NEWCONSTR. UL I.OU TLET NON.RESIO BRA C CIR TS 1@ 5.00 POWER APPARATUS e ( SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 Z 76d Ex. OCCup. OUTLETS IXED (RESID )REA.) 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00,j c9./>' Misc. Wiring g '15.00 Permit Fee $ (�Q 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood _ 6.50 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 of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA ion of structures over 3gsrorries in height. excavations over 5'0"'deep and demolition o. construct. Mobile Home Installation Fee S Energy Inspection Fee $ Occ CONST TYPE TOTAL FEES O� HAz 1 0 111 I IMP I FLOOD COP PARCEL PO ND Issu This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. I OOb� -HITC-D.P.W.. YCLLOW•ASS9330N, PINK-INSPCCTON. GOLOCNPOO-APPLICANT . zw l I PL. i cz i pE2ouj 4.12192 AQpr2-6VAL- ;� I APPROVED `) I Butte County \ ` Environmental Health ---- ------ Da --== Signature ell- Be -tr. a ,z►I'VTiCON :C". iIR'C r8C'iir� / (►�.� V, qui ;p.t ry.:tiri� r,i ;c r he 'C fled to fta. Uniform BuNdI;;:v. r lurnL I ftd tho INS' nCl�?.o ?r, r' fhis set of pl s and specificctions MUST be -;z kept on the t all ti i Is and it is unlawful to I , I make any s 8Y Arreratrons on some wit houi i 2 i written p �mi sin i from the Department of Public Workr ounty of 13utte. _ O � i PL. 4-4 I w N .r • „) , L � 7 v MIA U qt- (PC)4 4�"f" BUTTE CCU T Pe C DEPARTMEW ' R2 - OgO7 $UILDI01 �, J ,SPP �QED A Pi' , E \ / Butte county i Location of structures & ental Health equipment shall be as shown Environm'q`�� 9_ clear of all easements.`�� Date 5 s c signature I U5 6GTUl2 IV miair, 3 ? I � � �y►'►aVlg'r, d� pECfc � � � r 92- 13342 ' `R'6turn to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County ,Code, requires this acknowledgement be recorded', prior to issuance of a building permit, - — --- - -- — - -- I The property described herein is adjacent 92-013342 1 Rec Fee 8.00 to land or included within an area zoned I I Cash 8.00 for agricultural purposes, and residents Recorded 1 of this property mey be subject to incon- j Official Records 1 veniences or discomfort arising from the � County of use of agricultural chemicals, including, Butte but not limited to herbicides, pesticides, Candace J. Grubbs and fertilizers; and from the pursuit i Recorder I of agricultural operations including, 1:36pm 27 -Mar -92 I PUBL XX 2 but not limited to cultivation, plowing, _ spraying, pruning, and harvesting which occasionally 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 *fhat real.:property:.situate in the County of Butte, State of California, described as follows: Date: State County 3 6 p Z PROPERTY. OWNERS: of �� << ) On this the +4 day of 19 QZ , of �) SS. undersigned Notary Public, personally appeared ��� ) before me, the Personally known to me. M Proved to me on the basis OFFICIALMARY ANNiZTOROSS SEAI of satisfactory evidence. ' MARY ANN ROSS Y No4vyPublic -California to be the person(s) whose name(s) BUTTE COUNTY subscribed to the within instrument and acknowledged that My Comm. Expires MAR 31,1992 executed the same for the purposes therein contained. IN WITNESS A, y WHEREOF, I hereunto set my hand and official seal. Present A.P. No. �1-(%�3�� T Notary Public ORDER NO.: 1163379 133.4 9 SCHEDULE C The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: I. Parcel I: The North 400.0 feet of the South 915.0 feet of the Southeast quarter of Section 20, Township 20 North, Range 5 East; M.D.B. & M. .EXCEPTING THEREFROM all that portion of the above described property lying�ilesterly of the easement described in the Deed from the State of California., to Er6e st=N,usser, et al, recorded November 2.8, 1969 in Book 1593 of Official Records, at page?692, records of Butte County, California. PARCEL 2: A RIGHT Or WAY over a strip of land for road and utility purposes located in Sections 20 and 21, Township 20 North, Range 5 East, M.D.M., Butte County, California, being more particularly described as follows: - A strip of land 60.00 feet in width, lying 30.00 feet. on each side of the following described centerline. Commencing at the Southwest corner of said Section 21; thence North 00-52-4.6 West along the West line of Section.21, 915.31 feet to the northeast corner of that property described in Deed to Lou 14. Thomas et ux,. recorded in Book 1967 Official. Records, at page 495,.Butte County Recorder's Office; thence•South 8.7-37-26 West along the North line of said Thomas property, 65.00 feet to the true point of beginning; thence South 61-03-05 East, a distance of 74.90 feet to the east line of. said Thomas property; thence North 88-52-24 East, 136.72 feet; thence North 03-42-08 East, 259.87 feet; thence North 44-01-22 East,228.43 .feet, more or less to a point on the centerline of a right of way contained in Deed to•Raymond 0. Gott, et al, recorded in Book 1372 Official Records, at page 470, Butte County Recorder's Office. Said point being the end of the described centerline. I� !ice PG/e(rCOf e� F, C9 r" /�'� ���OU/ G(/Clit H7CJ -U 2 v/ 3 s- 2� 4c e7 �c n �c� _ (=Cc G l - f �, ' H'► /' �l �O l,✓ a a4 6i/ %e C/ L - ��,`co ®���ee a c�� cab 4at'� �ervv\t�s — 130�� Y wvvi rd �er X3•/9 Ow�.� , s� ,�, ,a, o !� . � Ifs "�'_ • a c,►r . «<l- af-o 3�2�%92 �. show a�ptc�d S/lO w �2 ���Z /�Jr Seo � _��/�� � s��� ����� waw �� ���� /' 1 .moi � ti%%�GTldw , 1 s��s �_r � 6 e d c¢- GAS �"���'� TO Huildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance C 8U&DIjNGp�upr TE MAR 5 1991 rt - yc-z C -N S��,tcd Owner Lo�tr* n AP# �/0 1 Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply ?anal clearance O.R. for: Clearance for 4�-2— bedro mobil ome. Other Water Supply Sanitarian to 41, OT 10 t 7;z F, APPIZOvED Butte County Environmental Health Date Signature l d � o� YT\ cx • i F, APPIZOvED Butte County Environmental Health Date Signature l d � o� YT\ cx I 4 � r • ' � � , t 1. h ; , i � 11 1 .. 1 4 � r • ' h ; i a• � \ . �, 1 { R � � i t � .. ` __ � _ ' ��� _ ...� � ., ,. i ,. -.. . � \ � � _. _ _—._.. ___ _ _._. ___— — __ 1. _.-. —___. __ _ _ 7 9V t- - -7 F I P I P Y �.. -�.., ,� Q Q p I / I• ,. � w I rw. r. P P` � . � P 742 SUP 1, . � � d� ° "��,� �. a . Vic•- l�. j l z l �' Z o, r . MOTE:—All M r Is & Workmanship Shall Be in Accordance with a qn zed Good Practices and ; of a quality prescrib r the Specified uise in the Uniform Building, Plumbi & 'Machanica ;o es the National Electrical 'Co e. ! ------- i--._..�„�__ I ' • This set of.plans and specifications MUST be ' kept on the job at all times'and it is unlawful to f make any changes or alterations'on same without written peimissiacl from the Depprtment of Public Works, County of te'. ; I A setback of 5 •ft. from the property lines and.a setback_ . of 50ft. from the road. '�-- centerline shall• be clear of structures or equipment except . for a 2 ft. eave.overha.ng.. RESIDENTIAL 71-40-34 92-902B SKOW,Charles 418 Simmons Rd, Oroville deck/mh t a JOB FINALE Signature J=qK O=Not OK =Not Applicable ' = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s ' 1. Zoning Requirements -Setbacks -Easements Card B-1 2. Soils; Special MH Support Sketch ' Card B-1 3. Sewer; Location -Test -Fall -C/O Concrete Card B-1 4. Water; Location -Test -Easement Needed (Sketch) Card B-1 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS j Date DE S, COVERS, CARPORTS, GARAGES, (Plans)OK except #� s Zoning . equirements-Setbacks-Easements Fo gs; Soils -Size -Depth -Spacing -Connectors -Steel V34.eckq- Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding,; Nailing -Veneer -Stucco -Mesh 10. 3e6f; Shthg-Roofing Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Dat /, Card B-1 _ Date Card B-1 Date POOLS (Plans) OK except #'s 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. _ Boxes-Enclosures-Pahelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS j Date DE S, COVERS, CARPORTS, GARAGES, (Plans)OK except #� s Zoning . equirements-Setbacks-Easements Fo gs; Soils -Size -Depth -Spacing -Connectors -Steel V34.eckq- Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding,; Nailing -Veneer -Stucco -Mesh 10. 3e6f; Shthg-Roofing Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Dat /, Card B-1 _ Date Card B-1 Date POOLS (Plans) OK except #'s 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. _ Boxes-Enclosures-Pahelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 r J=OK,1 Read O=Not OK =Not ya RESIDENTIAL (; =Not Ready Date ..UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pien6ms & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Botts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle ------------- --------------------------- 17. Water Pipe: Test & Anchor -Nail Protection -------- ----- --------- ------------ 18. D.W.V.; Test -Fittings & Anchor -Nail Protection --------- ------------- -- ------------------ 19. Shower Pan; Test, First Floor -Tub Access ---------------- --------------------------- 20. Test Tub & Shower, Second Floor -Tub Access -------------------------------------- 21. Gas Pipe: Size & Anchors Date- - - Card B_1 -- Date Card B-1 ------------------------------------------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection --------- -- 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. Fastners-Bond Gas & Water ----------------------------------------- --------- ------------------- _ 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -----------------------------'----------------- 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 ------- ------------------------------------------------- ----------------- -- 33. Smoke Detector ------------------------------------------------------------------------------- Date Card -B- I Date Card -B- 1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support --------------------------------------------------- -------------------------------- 35. Vent Fan; Exhaust above insulation ------------------- ----------------------------- -- ----------- 36. Condensate Drain & Overflow; Size & Grade --------------------------------------- - 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -------- ---- - - --------------------------------------------------- Attic-- 38. Access & Platform if Furnance in Attic -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------------------------------------------------------- ---------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors ------- ------ ------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing-Plates-Sound --------------------------------------------------------- -------------------- 41. Bearing Walls over Girders & Floor Nailing - ------------------------------------ ------------------------- 42. Draft Stop in Walls (rat proof) ------------------------------------------------------------------ a3. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------------------------------------------------------------ 44. Headers & Beam -Size & Bearing "ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin -roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions -- 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings _ -52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection -----------54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ---- -- 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access _ 57. Glazing Area -Glass Protection -Skylights -Plastic _ 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ----------------------------- - Date _Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ------------------------ - 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection ----------------- 64. Bedroom Exiting 65. G.F. I & Bath Fixtures & Tub Access -Spa ------------------------------ 66. Elec_ Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth 69.-Elec. Outlets at Wood Panel; Int. & Ext. ----------------- ----------------- -- 70. Kit.Fixt. & Appliance, Grnd.-Air Gap -Cooking Clearance -------------- 71. -- _Outlets Outlets & Receptacles at Kit. Counter ---------------- - ------ 72. Garage Fire Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection -------------- 75. Plb__Elec_ & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection ---------------- 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps -------------------------- 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth --------------- Clearance Looked under Floor ❑ Yes 80. Following instld. Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters 13 -Yes -❑ No -- 81. Stucco; Brown -Finish --------------------- ------------- 82. A.C. Unit: Disconnect. Electrical, Plumbing ..----------------------------------------- -- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle-Underground f•----------------------------------------- --- 86. Ventilation Throughout House ------------- ----------------------------------- - 87. Glass Protection ------------ ------ 88. Corrections from Previous Inspections ----------------- ------------ --------- 89. ----------- --------------89. Gas -Test -Meters -Tagged: Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval ---------------------9Y ----------- ------ 91. Ener Compliance Certificate -Other Certificates ------------------------------------------- --- ---- Date Card B-1 Date Card B-1 ----- - - ------------------------------- - - Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ..:^"^ �'n' .. ''"' .""i'� .y�'�t"y%zC'?.:�•-^�:1�. . i..:�w. .tea, _--,r.'. f � ; .� COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES - 1469 Humboldt Road, Chico, CA - (916)•891-2751 7 County Center Drive, Oroville, CA - (916)"538-1541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ,%20Z. OWNER:/' !' PERMIT. NO. S, A routine inspection indicates that the following vi/natifhis e County Ordinances exist at the above address and should be corrected. Pleasice when correction of work;.;is completed. If you have any questions pertaining tneed additional explanation,'-., please contact this office immediately. ry PjF FIJWAME r-_ � . ,I Date �� ,;� ;5 a y; j Inspector REV 10192 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Certter'Drive - Oroville, ,alifornl9 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 071-400-034 ZONING U BUILDING PERMIT OWNER Charles Skow TELEPHONE 893-5475 SO. FT. DCC. BUILDING VALUATION 240 1680.00 OWNER'S MAILING ADDRESS 1212 Glenwood Ave., Chico 95926 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$1,680.0 0 LENDER'S MAILING ADDRESS Filing Fee $ 155,00 Permit Fee ARCHITECT OR ENGINEER LICENS,00 E NO. --$33 Plan Checking Fee .$16.50 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 418 Simmons Rd. OrOville Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Deck SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other® Describe work: 12 x 20 Deck Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions Of Chapt. 9Div. 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) 0._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 Main service 200ATO1000AI 37.50 OccuP.tf\ 3.6Qsq.ft. NEW CONST. ( DWELLING OR ADONS. ACC. BLDGS. // l NEW CONSTR ULTI-OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APLNS.❑ Ex. Occup. OUTLETS PIRESID IREAJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ — 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. �l shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 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/ ai County in consequ ce of the granting of this permit. 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $64.50 HAz 0FEES IMP FLOOO — coF PARCEL PO Ho Issug r✓ This permit is hereby issued under the applicable provi- J esoons sions of the Butte C unty Code and/or resolutions to do i work indicated a e f Ich fees have been paid. OF,;✓OF P BLIC WORKS By GOA Date ' PERMIT EXPIRES Date —Z�y Receipt No. 110333 WNITE-D.P.W., YELLOW-A58CSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT "� // , * � r' - 574'-• �, ;,y. , . �� ...�.i-.�,,.,.�:�' .�;.. �,�v..n,�, «ra7'Y.e�►k.+.� '{.'i''"'`v�'r`y=i�'^` COUNTY OF BUTTE -„DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION e 7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPYZAj10k DATA SHEET k` `::„ s - Permit No. - .OWNER ('�1(Oo S�duJ .��, f 'A. P .No. ' 7I' 46 -'81 �. Proposed'Building Use Building InspectorM Date 3, Z719? - At time of permit application, I was advised the following data must be submitted prior to permit processing aMd4or issuance: DATE RECEIVED APPROVED 1. All items have been submitted —Oir 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ (l 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees .paid ....................................... �- 12. Park fees paid .................................................... 13. School District fees paid .............. 'y 14. Sanitation approval from Health DepartmentZ rah 5. City` of Chico plumbing permit ...................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Plarihing approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW �- 19. Driveway permit (construction approval required prior to occupancy) ,. 20.., Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. _^ 23. Owner -Builder Verification (Given to owner ❑, Ihail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... _`/— I-�f fi 25. Letter of signature authorization .... When you issue the permit, process as follows: Mail to owner. flail to contractor. Telephone 5q-7!5- and hold for pickup at OZO office. Deliver w/inspector. Other AppIi 1044 --'.Date 3 ” Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By 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: _.� J_. Contractor, designer, owner, was advised of above required data by_phone_mail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date , Plans checked by ow Date -Z Plans approved by DW - Date Sets of plans on hold in File cabinet AP folder Copy—DPW 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. ' e 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) y -e 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 persons to provide the work indicated: Name Address . Phone Signed: Property Owner or Social Security Number S 2 - 2- -C ?ly Date (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 PERMIT NO. 7 County Center Drive - Oroviller California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PAR EL 6- NUMBE3 4R ZONING U BUILDING PERMIT OWNER . CtAAC-LES Sr- 6Wpa3-54� TELEPHONE UI SO. FT. OCC. BUILDING VALUATION to 86 OWNER'S MAILING ADDRESS ISI 'Z- 6I.ENL,L1000 N0E. C1lC-0 59 2(0 CONTRACTOR'S NAME TELEPHONE - CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 35,00 ARCHITECT OR ENGINEER _ LICENSE NO. Plan Checking Fee $ t Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - Permit fee PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Cc SPECT FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 615.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: I21 is-Z�? )r--cIr _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20CATO IOOOA1 37.50 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. ClassificationEx. E] 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) ❑ 1 am exempt under Sec. , Business and Professions Code; for this reason NEW CONST. ( DWELLING OCCUPM OR ADDNS.5Q ACC. BLDGS. 3. sq.ft. NEW CONSTRULTI.OUTLET NON.RESID BRANCH CIRC ITS ^ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Occup(OUTLETS OR FIXTURE S 20 76d FIXED APLINIS \ Ex. Occup. OUTLETS P(RESID,)REA.) I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 ' Permit Fee $ — 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. 0 I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant - owner 9 pp ❑ 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $(�j I HAz OFEES IMP I FLOOD CDF PARCEL I PO I HD I ISSJE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date T 32 Receipt No. � •�J IO WHITE -O. .W.. YELLOW-ASSE390R. PINK -INSPECTOR. GOLDENROD -APPLICANT teri Workmanship Shoill So i ► r Air dr+ © il, .nized. Good Pract's �� 'G crlbed for the , ecified U -,-; !Lo 1 1 crfi s galty pro SP � '.' \ % i Uniform Buiidirm, Plumbing & MeeheA the N atk nal Electrical c«fe. - 1 ` 1 I 1 i � I i J .l This set of plans and specific AVAM'be pt 'on the job at aN times and it -unlawful to Ae any changes or alteration n same without itten permission from the �partme i�Puble ` t 4 6 'Lo pEP_ow k -)(M � 412192 S'i6aA6E 4 La ;aeon of structures & equipment shall be as shown & clear of all easements. SCS- 5/ SIDeyAR-1) Bhp 5` 2EP\e- YACD 50' FWM SOF 6'MM0rJ- t.y i' loan" _ p FL. lzi c i r 4 �y � J L/ �•(! !f � BUTTE COUNTY . BUILLUNQ DEPAATPAEM APPROVED rte' 4/z,/97- 'Ib /2/92 APPROVED Butte County Environmental Health 2 - Da -- - -Da- e Signature -r(c,G cc) Py 0 i -=q zi Liv: w 'Lin I ;no 'mun, "Al: Oi�wl lo y1nuo", 6' fYf7. r w ill -41 Tl r r)1 v%. IAI%r% nn r vT GIRDERS ' 1 I zo FRMN G• CLIP- 2'x 12" STAIR 'STRINGER. 48'o.0. MAX. RS -TDP VIEW HAUDRAIL NOT SHDWM FOR MIZITY. BOLT W I'/a" T4G PLYWOOD CC EXT. 211X4" sr.. UJI MOBILE HOME* �r a cc >-o MAX uJ 481 �MTL FRMIJ — — — ��� �. Z �.1 �. CL MAX. CLIP EA. DE 9"MIN. `4 4"x 4" POST 2"X I'L? Q GUARDRAIL : ; ._.� .. .'I2.DF 1 co 2'4" PRESSURE. TREATED oR DOLTS _REDWOOD PLATE . 1� :.6" MAX. - DECKIIJ.G GIRDER 'CAST 4.X41, POST`. IgnM1N. .W PRE .. .. PIER Ap�'gUATE. DIACONAL', T YP l CAL RES I D�/VT14L sl � 6°MIIJf.. BRACING. ... �.------ Ct7UNTY OF BUTTE — DEPARI "k x 007 J N� li''`•l 7 County Center Drive — Oro 14 14. MIN.' F G i Telephone: 538 F4M : SUBJECT: Buildinv Department Environmental Health Sanitation Clearance A hlit LLQ l� AP# Owner Location Pian Approved for: Hold final for: Sewage Disposal Water Supply Water Supply ^inal clearance O.K..for: 1' Wateru Supply C1 a ed •' ome. Other !or room Date • i ✓ I � /f � Y'� i Y. ' f1 AAa!erials � r ansiii � ' ' l W46L ,n.1 C w nited Good . o q quallry proscribed for she Spec in ` i Uniform Bul4mg, Plumbir2 - kal Ccx+r d tki t-iatiapel flect►ical F , - I ! r=/ G i his set of plans a ecificat�ns MUST be 7 � -kept on the job at all i es it is unlawful to n C � �i make any changes t w s on same without �, t p written permissi ram Depar mens of Pubiie Works, Cou of Butte qA tJI tu rAV J i � � i � Wil, �t`'f..• 1 I Ky G N APHROVED Pe C c Butte County 17 ! I <j2_dy62 Environmental Health _1 2gc location of structures .& Date equipment shalt be as 3howR�� 111 clear of all easements. sEr 5' Sto�YAeo Signature / � i3r„rc.•s �R�A2Yaeb' 50 F ea m o f S�rnr(1CN5 iZtp -- ! / ! Environmental Health . o •,fy,} ', 1 N5 pc crp 2 Ta V�F`( eE;7,ovAl,cF t-_.::. JUN 18 1992 Ee � '� • `� Grovilie , (-Xilifornia RESIDENTIAL Y 71-40-34 - 15' 21��I Row, Charles 418 Simmons Rd,Or , deck/mh T .. k r k r tt e JOB FINALE Signature V=OK O = Not OK =Not Applicable ' = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P'L"ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances -GF] 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-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) = Date UNDERFLOOR (Plans) OK except ff's Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd. / /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" 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------------ 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ft's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection -------- ---------------------------------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection - --19. Shower Pan: Test. First Floor -Tub Access -- -- ---- 20. Test -Tub &--- Shower, -- Second Floor -Tub Access -------------------------- ------- ----------- 21. Gas Pipe: Size & Anchors ---------- --------------------- ---------------------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti'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. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ----------------------------------- - - ---------------------- 28 Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size ! / ga. Cu or At --------------------------------------------------- - ---------------------------- 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 33. Smoke Detector --------------------------------------------------------------------------------- Date --------_-----Card --1--------------Date------------- Card B-1 _ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) Ok except P's 34. A.C. Ducts Insulation & Support ------------------ --- ---------------------------------------------------------- 35. Vent Fan; Exhaust above insulation --------------------------------- - -- - ----- ------------------------ 36. -------------------36 Conden=ate Drain & Overflow; Size & Grade ----------------------------------------------------- ----- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------------ ---------------------------------------------------------------- 38. -Attic -Access-&- Platform if Furnance in Attic ------------------------------------------ -------------------------------------­ Card-B-1 - CardB-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except fr's 39. Sils, Proper Material & Anchors - -- ------ ------------------------------------------------------------------ 40. Walls Studs -Nailing. Spacing -& Bracing -Plates -Sound ------------ --------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing --------------------------------------------------- 42. -- Stop in Walls (rat proof) ----------------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub - --------------------------- 44' Headers & Beam -Size & Bearing 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ----------- 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers --- --- 55._Siding-Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ---------------- Date _ Card B-1 _ _ _ Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ------------------------ - 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection --------------------- 64. Bedroom Exiting ------------------------- -- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ---------------- -------------------- 6T Stairs -&-Rails---- 68. Rails68. Fireplace or Stove: Clearances -Hearth ----------- -_1 -------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance --------------------------- ------------- -- 71. Elec. Outlets & Receptacles at Kit. Counter -- - ----- --- - - --- ------------------------ --- 72. Garage Fire Door: Swing -Landing -Closer --------------------------------------- - 73. A.C. Duct in -Garage -Damper -- ----- - - ------------ 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ------------ - - 75. Plb. Elec. & Mech. Equip. Listed for Location ------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection -------------------------------------- 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps ----------------- - -------------- - - ___ 79. ------------------------------------ 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No -------------- - __ _____ 81. Stucco Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing -------------------------------- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing -------- -85. --Exte-rior -Elec.---- Trim;- G.F.I. Receptacle -Underground ----- -------------- -- -- - 86. Ventilation Throughout House - ---- - - - ---------------------------------------- 87. Glass Protection _...__ ..... ------------------------------------- ------ 88. Corrections from Previous Inspections -- ---- ---------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ------ -------------------- - --------- --- -- Date Card B-1 Date Card B -1 -------------------------------------------- ----------- Date Card B-1 Date Card B-1 ---------------------------------------- Date Card B-1 Date Card B-1 Comments at Final %: j X15,• .� r -r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Le1'tter Drlve - Oroville, California 95965 - Telephone: 916.`538.7541 APPLICATION AND PERMIT PERMIT NO. 92-2118 ASSESSOR PARCEL NUMBER 71-40-34 1 ZONING U BUILDING PERMIT OWNER' CHARLES SKOW TELEPHONE 8 3-5475 SO. FT. OCC. BUILDING VALUA I N 358 0 2,506 OWNER'S MAILING ADDRESS 1212 GLENWOOD AVECHICO5 26 CONTRACTOR'S NAME OWNER TELE PHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 2.506 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 45.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 22.50 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 418 SIMMONS ROAD OROVTT.T.F Permit fee $ 82.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome© Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition �J Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: DECK Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000A) 37.50 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 .Jo. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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.tr\ OR ADDNS. ( ACC. BLDGS. I/ 3.6Qsq.ft. NEWCONSTP- ULT' -OUTLET NON- RESIDE BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ — 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. NAI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 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 ai County in consequep ce of the granting of this permit. XDate d %5 ?�� Signature of Applicant — Owncr� Contractor ❑ Agent EJi 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 82.50 HAz DFEES IMP FLOOD _ COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- � Bions of the Butte CO ty Code and/or resolutions to do work ind ated bo for w is fees have been paid. DIOF UB IC WORKS PE^ IT EXPIRE ate Z Date Receipt No. 117079 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ,(r' -..., �.. .•'k' - Y •'i".'� �e1--,'}r'�*y OT• ,� r -!•. •.,� -� �t 'Y r R'>I<"""4� 1.�.• �' �'iR.'��,�1'4{!•t ;. ,..Cr., All - COUNTY OF BUTTE-.,--PARTMENT.T01`PUBLIC WOF��; "BUILDING DIVISION ...; .t..Asa 7 COUNTY CENTER DRIVE - OROVILLE;,CALIFORNIA 95965 = TELEPHONE (916) 538-7541 PERMIT APPL] � uATION DATA SHEET OWNER �r �� ` ` �1�- ' A P/ ;.X/0 Proposed Building Use Building Inspector w Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1,` All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans: ...................... �- 4. Engineered plans and calcs, 314 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered. truss details and layout in duplicate (required prior to plan check). .... 9. Mobileho6,-e16 a and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ *....., ... s ; �:.................. . 11. Impact fees as shown•on atta°ched sched'ulet I F 12. California,D'eod�tme5t of`(Foresq.I .itry plan approval/fees. ....................... . 3. Flood ele yation letter (100 year fl %Malifornia Engineer. . 14. Sanitation and plot plan approval& Health Department. 15. City of Chico plumbing permit ........................ t .� 16. Plot plan and business license approval from City of Biggs/Gridley ............... 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... ... . _ 20. Pre -inspection for i / ! Pre -Inspection req required required. . . to Building Inspector (Dale) 21. Contractor's license information. (No., Name Style, Clasgi# cation) . .............. " 22. Certificate of Workmans Compensation Insurance. .......:.................. . 23. Owner -Builder Verification (Given to owner , Mail to owner ). .:.•:....... 24. Recorded copy of Agricultural Acknowledgement Statement. ........ ......... . 25. Letter of signature authorization. .............................. . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... +� 28. Mobilehome utility clearance........................................... 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits.- .......................• ............... -�- 32. Plan check list . ......:........................................:. 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. ,,� Telephone and hold for pickup at office. Deliver with in p54' Other - ( ; PiviE l Creation Acreage Applica Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By 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 itemg-required: Contractor, designer, owner, was advised of above required data by _ phone _`mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by R1A1 Date 25 Plans approved by P�u1 Date Sets of plans on hold in File cabinet AP folder 5' Copy - Department of Public Works J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95985 - Telephone: 916.'538-7541 t1 y0 La) APPLICATION AND PERMIT ASSESSOR P R L t9UIABER tk ZONING - BUILDING PERMIT OWNER TEEPH0N[�E_ SO. FT. 0 BUILDING VALUATION OW),E 'S MNGA DRESS 6 C N ACT R'S ME TELEPHONE CON R CTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ Q ARCHITECT OR ENGINEER LICENSE NO. Pian Checking Fee $ , Energy Pian CheckingFee$ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDI GID RESS G VV Permit tee $ i PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE,\�OF, STRUCTURE SF ❑ Duplex❑ Mobilehom' Other ///��� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New Additio RemoodeI❑ Utilities InstallationC Other ❑ Describe work: __� �� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 18,50 200A OR LESS Main service 200ATO1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE No. Classification j] 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 OCCUM P3.64sq.ft. OR ADDNS. l ACC. SLOGS. // NEW CONSTR. ULTI-OUTLET 5.001 NON.RESI BRANCH CIRC ITS POWER APPARATUS 6 OUTLET CILicense 42:0 76d Ex. Occup( OUTLETS OR FIXTURESAL 0 49A FIXED APPLNS. OR Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): (� The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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, shouldyou become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling 9 Hood 6.50 Ventilation nt pent 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 consiquence of the granting of this permit. Datee / 5,1� signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or consiruct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ HAz 1 0FEES I IMP I FLOOD I CDF PARCEL PD HD IssuE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. WHITE-D.P.W.. FELL -A 6EssOR. PINK-INSPr ETOR_ COI nrlann-ARRi Ir11T 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) •"e S 2. I (have/hemv of) signed an application for a building permit for the proposed work. 3. I have contracted with the following person construction: Name Address City Phone Contractors License No. (firm) to provide the proposed 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 Secu i y Num er _�z Z, 2 4 —� 710 Date l ! s,/ 9_ -z-- 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. eounta, Q•t iquttz C47 OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Charles Skow ADDR ESS: 1212 Glenwood Ave. CITY & STATE: Chico, CA 95926 IMPORTANT: May 7, 1992 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT ! Owner has.decided not to do work. Permit #92-605NUH AP#71-40-34, Receipt #110062, dated 3/5/92. ! Total Vermittees Paid -------------------------------- $105.00 Retain Building Permit Filing Fee -------------- $15.00 IotaalPeermit Fees Retained ---------------------------- 15.00 TOTAL REFUND DUE--------------------------------------$ 90.00 I i i I i - I I i i I i i TOTAL $90100 I, the undersigned. Ieclare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. ('1 Dated this 7th ..................... day of ...May................ 19...1.�at....Oroyille..... Calif. 2+;...............-..�........`. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation or Specific Board ApprovellJ (Checkone) f e same ' Dated this 7th 92 Oroville - �................. ................................... day of .. May................. 19......, at ..4444 ......i............. call(. 4444.. ........................ p y _ apartment Head or Authon De ut Dept, 440-002. Exp' 4210500 4.0.....0.2 .................. Code ................................................PAYABLE FROM .......COri t. Per FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. N0. INV. DATE ENCUMB. GROSS AMT. CLAIMANT: - ADDRESS: CITY & STATE: DATE OF CLAIM: eount* q4DUtle OROVILLE, CALIFORNIA GENERAL CLAIM IMPORTANT: SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) I AMOUNT y-Z92P d� a �t,��c,Q o mer w"F 2-6 or Q S Cc S S t I- — t S-CG.I( Owl I i ! j -1" 1 � C c TOTAL I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Datedthis .................................. day of ............................. 19....... at................................. Calif..................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation or Specific Board Approval F_� (Check one) for the same. Datedthis .................................... day of ............................. 19....... at .............................. , Calif..................................................................................... Department Head or Authorized Deputy Dept. Exp. Code............................................Code ................................................ PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE — AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. INSTRUCTIONS to CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. . Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delle payment considerably. I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 Crusty Oenter Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION, AND PERMIT PERMIT No. 6 ASSESSOR PARCEL NUMBER 71-40-34 IMONIF4r. U BUILDING PERMIT OWNER CHARLES SKOW TELEPHONE 893-5475 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1212 GLENWOOD AVE CHICO CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Pian Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS SIMMONS ROAD OROVILLE Permit tee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each gas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomel] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer -115.00 Mobile Home S GW @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel Utilities ❑ Installation L t Other Q Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO IOOOA/ 37.50 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) 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.e�j OR -AD DNS. 1 ACC. BLDGS. 3.64 q.ft. NEW CONSTR. MULTI -OUTLET NON.RESID N BRACH CITS @ 5.00 POWER APPARAIRCTUS & (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 @ 76d FIXED APPLNS. Ex. Occup. OUTLETS ((RESID IRE AT I 3.00 Temporary service 15.00 Ho me Facilities Mobile Ho 15.00 Misc. g 15.00 Permit Fee $ — 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 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 ainst aid County in consequence the granting of this permit. to 3 Si nature 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 $ 70,00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $105.00 I HAz 1 OFEES IMP FLOOD CDF PARCEL Po HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY EXPIRES Date applicable provi- resolutions to do have been paid. WORKS DatePERMIT - Receipt No. 110062 :I WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT y, , . ... - � . , ... r�, . . �.rr-•--,s-i r.,...g� .tw . :y`�r. iY•. �.�„r . , y:�� , : a,,. d . h e r t i►! �h' 3, 4..rr*y.��.yY!i'�iq'r4yY . .r. Y COUNTY OF'BUTTE - DEPARTMENT OF'•PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRWFzP- ®ROVILLE.`CALIFORNIA 95965 - TELEPHONE: 916/538-7541 - aT' PERMIT A[09'41C`ATION DATA SHEET Permit No. �W Z/ OWNEROZ�leS A. P. No. 71' 3 Proposed Building Use ,/�(�7 =–fes Building Inspector—lb Date 3 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. DATE RECEIVED APPROVED 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. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. Engineered truss details and layout in duplicate (required prior to plan check) Mobilehome installation data including manufacturer's installation instructions........................................................ 312,7/9-L 10. Fees of $ 11. Chico Urban Area fees paid ........................................ 12. Park fees p Id.......................... —� 1 a4 0� School District fees paid .............. a T4. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW ' 19. Driveway permit (construction approval required prior to occupancy) ' . 20. Pre-inspec. Pre -Inspection for required p request to (Date), Building Inspector � M 21. Contractor's license information (No., Name Style, Classification) ... ` • �'. 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. t 26. Letter of signature authoriza n �a 27. When you issue the permit, process as follows: Mail to O\yer:-�� Mail to contractor. _Telephone M— 5_ 7.!!�nd hold for pickup at Qf Q office. Deliver w/inspector. �L Other Applican Gto 3 g� Copy of Hdz-Mat form sent • Health Dept. Fire Dept. "Air Pollution Copy of plans sent Health. Dept. Fire Dept. Other Date The following data must be submi'RE 1. Index permit for above items No 2. Additional items required: d prior�to permit issuance: (Circle G� 4a Date By Contractor, designer, owner, was advised of -above reqs fired data by_phone---nail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in Copy—DPW File cabinet AP folder above). 1. Owner's Name: 2. Installer's'Name: BUTTE COUNTY DEP KMENT OF PUBLIC WORKS 7 County Center Drive Oroville, CA PHONE: 538-7541 s MOBILEHOME INSTALLATION SHEET 6 3. Is the site currently under permit? (If yes, furnish permit number Is the site an existing site? Yes 17 Yes !`1 No ki T) OR No F-1 ,(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 U No F I (If no, clarify 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- V (ft.) 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.) 0 5. What is the mobilehome electrical rating? --------------- �� Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- ® 0 Amps 8. Is there any other electric load to be served by the -------------------------------- Yes No mobilehome site service? (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- L (in.) 10. What is the type of service? ------------------- Natural LPG JA I gas 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- V (ft.) 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.) MOBILEHOME SUPPORT DATA `�_ � If other Setup single wide,_ Mobilehome Mfr. COB oma.,. // furnish Setu Model No. � (o / Year Width X? (ft.) Box Length ( 6 (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) Zi. Wood-pressure treated or foundation grade.7 2. Other (specify) SUPPORTS (check one)1. Concrete block. El 2. Other (specify) Pier Footing Sizes.and Locations SINGLE -WIDE MULTI -WIDE Main Beams Line 2 Main Beams --3Lne v Tag or Triple r Line 1 Line 1 Piers: Line 1 Openings: Size -Min. ------------ ,k Size -Min. ------------------ 'x Spacing -Max. --------- , „ Each Side of Openings From Ends -Max. ------- With Width Over --------- Line 2 Piers: Size -Min------------- -.L „x 3o a Spacing -Max.--------- From Ends -Max .------- Line 3 Roof Loads: Size -Min .------------„ "x "x 'k Location (From Front) _ Line 4 Piers: Size -Min ------------- ,k „ Spacing -Max.--------- From Ends -Max .------- Line 5 Root Loads: Size -Min. ------------ Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- „x Spacing -Max.--------------- From Ends -Max .------------- 'k "x ” N N "x „ Line 5 Piers: (Under Bearing Walls Only) Size -Min .------------------ 'k Spacing -Max.---•----------- From Ends -Max .------------- '- Ilx ,Ix „x 1, I „x nx1.1 ,L_ n ,L_ „ „x „ -a , Ll Temp. Gas Service Cal led PG&E JOB FINALED (De V `7 Signature 0r % PERMIT NO. 694-81P,E � �l PERMIT EXPIRES 3//A/,�5 i OWNER Charles Skow t CONTR. owner y/ ASSESSOR PARCEL $=i8 LOCATION_ S/S Simmons Rd.,app.l mi.NE of Quincy Rd., Oroville t t i t s 2- it —'TZ Ot✓.wr nro+.��eJ' �p`.,.,.�5 rt�.«� t 1 / Temp. Power Pole Called PG&E\OA Temp. Elec. Service \ �1 L Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (De V `7 Signature 0r I V = OK 0 = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements " Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except ti's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. W r; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing AK -Electricity; Location-Clearances-Grnd.-g-EEiAmp-Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures - 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. ^ Card -BI Date,3- - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch t 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 ,t S r (' = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) � Date UNDERFLOOR Plans OK except#'s Dgte FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements n8. Property Line Firewall & Openings 2. 3. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth Ftg., Garage; Soils -Steel- / /" Ftg. Depth 49. 50. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 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 Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 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 #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. 22. Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. &Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic ❑Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails &Deck Construction -Post Caps - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74• Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes [:1 No 75, Following instid.: Drive El Yes E) No; Walks C] Yes [I 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. 81. 82. Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House Glass Protection Card B I Date Card BI Date Card B-1 Date Card -BI Date Date MECHANICAL (Perrrit) OK except #'s 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 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 #'s 36, Sills; Proper Material & Anchors Comments at Final: 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _40. 41._Header Fire Stops; Furred Ceilings -Stairs -Chases -Tub & Beam -Size & Bearing _ 42. 43. 44. 45. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing11 (NOTE: Anentrymust be made each time youvisit jobsite) r ` - U — , ill �vo� o4 SyF-r sof Sr C, 20 n F -,a �, T'►• [ a o M , t2 s i<, 44, v3 4- M e4 -C L Utility cor 4 ft. of th, directly b half of th, mobileho sections shall be within I M mobilehome, either s �� hind or within the rear 1' roadside (left),of the f q ; Oar a �e . 90- 0,6 e4ov ) e, Workmanship Sha(( lie ink NOTe._Ajl oteriars Gpod Proctices and Accordan + - � i6edReconixed ualr y ,cribed or the Specified * use in the of a qBuilds ; . lurr►b; ,•, & Machanical Codes and UniformI ode. the National Ele r� - _te _57/ y �t S_.. y �•CJ This set of plans ard specifications MUST be kept on the job at all times and it is unlawful to made any changes or c Itern+ions on some without written per from the Department of Public Works, County of, Butte.. , A setback of 5 ft. from the property lines and a setback c,{ -rtOft. frorn the road ccritcrline shall be clear of . structure:, o, equipment except for a 2 ft. eave overhang. �74-81 E couNrr G DE?ARTMEIdL 1// �c— cI atr vis � � �`t ack diro � / :.. id ffo Y4 Top rail to be 36 in. high with Top rail to be 39 in. high �it� rails to be not 1.2 1( 12. intermediate intermediate rails to be n�� if ...... over Y in. apart. over 9 in. apart. Provide adequate br'adng. L-ld ... .......... ........... . ......... ... . P adequatC4aclng. BUTTE COUNTY BUILDING DEPARTMENT APPROVED COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS '1469 Humboldt Road, Chico, CA - (916) 891-2751 `r 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE * '-'C a �► — o , OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 'vim LM.t• /75 � f i rye t v� Date Xq Inspector REV 11/91 CIOUNTY OF BUTTE - DEPARTMENT ,0F PUBLIC WORKS PE IT O. 7 County Center Drive - Oroville, California 9y965 - Telephone 916/534-4541 kPPLICATION AND PERMIT A ASSESSORCEL RCEL NUMBER `I _0g — $ ZONING BUILDING PE OINNE 14•�P—LC S S i,l/ ^ 1�- TELEPHONE 3 3^3 (Z� SQ. FT. OCC. BUILDING ' VALUATION OWNER'S MAILING ADDRESS Pr. Z. Box. 34 04160 &4 .RSR2lo CONTRACTOR'S NAME C>Wa C (Z TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ TQC) Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD G ADDRESS S S S M M o�S �n • �4'PP• �• M I L� PLUMBING PERMIT Filing Fee 10,00 N a v( N L Each Trap 2.00 Repair drainage or vent piping 5.00 OP—OV (LL Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets '00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[]-' Other SPECIFY Building sewer p0' Lawn sprinkler system 5.00 TYPE OF WORK �/ New F1 Addition ❑ Remodel El Utilities 52 Installation ❑ Other ❑ Describe work: Permit Fee $ ,00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR 00 AMP ORSLESS 5.00 S-00 Main service EA. ADD'L 100 AMP 2.50 ,2,,5-19 NEW CONSDWELING OR ADDNST (ACCLBL GS.CCUP.a� 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and, effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ '1 am exempt under Sec. , Business and Professions Code for this reason NEWC CONSTR OU LET NON•RESID BRA CH CIRC S 2.50 ea NEW CONSTR. ( POWER APPARATUS 9 NON-RESID. SINGLE OUTLET CIR, EX. Occup(OUTLETS OR FIXTURES ggL�j IX100 ED APPLNS. OR Ex. Occup.(OUTLETS (RESID•) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 W f✓L(, VOA -77 i0D Permit Fee $ 33, $O 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 S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 agaaiinQst said County in consequence of the granting of this permit. �- — Date 3"'i�_ S,/ 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 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ $'.3, SQ OCCUP. GROUP la_1 TYPE O1- CONST. V - PACE P.HB ' t/ 1Srs This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF UBLIC > By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �� Receipt No. a WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ^-rr•-.. v-.,..«+�-.....*�--w..,.-..-...,�,m--;r�wz-..-..L...ra..r•.,.. Yt 1�--r..;-v�•`r,�--•-•--.--'+.r. - � ___.. _ .----•/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE .. . OROVILLE, CX-LIFO65 FMIA 959 - TELEPHONE: 91/534-4541 y w PERMIT APPLICATION DATA SHEET Permit No. OWNER C(-�A2L_FS 514-0 �A. P. No. %/-DR -qe Proposed Building Use /V, 1q' 1/77 L e Permit Fee Based U/pon: Complete- Contract Price_ Other (Explain) t \\l i ,- Building Inspector DPW Valuation Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/o( 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. r J 8. Fees of $ . . . . . . . . . Letter'of signature authorization."'` . . . . . . . �7OO' 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.) :�tk14. Owner -Builder Verification (Given to owner0, Mail to owner ❑•) 15. Improvements may be required. . . . . . . . . . 16. Mobilehome Installation Data. .. . . . . . . •. . 17. Pre -Inspection for RequiredPre-Inspec. request to . Building Inspector (Date) 18. Other r When you issue the permit, process as follows: 1l,,Mail to owner. Mail to contractor. • Telephone and hold for pickup at office. Deliver w/i',pector. Other Applicant 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 By Plans checked by Plans approved b, Other Copy—DPW Telephone Mail Other Date Date Date To: Building Department From: Environmental Health Subjiact: Sanitation Clearance Omer Location on _ A Pans approved fors Sewage Disposal ti ✓ 'dater Supply Hold final .for; eater Supply Final. Clearance O.K. for., dater Supply �..m Clearance for bade�ce home. Other Clearance for addition ' of Note,,,-* i� r n a e COUNTY OF BUTTE - Department of Public Works 7 County Center Dx'ive, Oroville, CA. 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-534-4541 An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your. earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no)eS 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 S" 33-:Z/0j Signed: Property Owne Social Security number 5-2-,>- — z 4—o!�7/ a Date L/ - S� / NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Jet utility connection s s 4 ft. of the rn'bileho ""I it in the rear directly behind or w half of th road X 0. CL —WorVMCnsh1r—,ih We— ea Uniform Butidi the No n This set of plans or d -specifications MUST- lie kept on the job of all fim�'s and it 1sluril Ywritten permission f rot� 4he' Department Of Public A,setlpack of 5 ft. Y1 / , . . / . . / . .- . | | / ' I 411- - ---�_ - -�-- _+ - I I I I ! i I ! I I jI I I ' �gv -Sr PERMIT N0. 695-81B / PERMIT EXPIRES OWNER Charles Skow CONTR. owner 1 ASSESSOR PARCEL i / - LOCATION 1 3 S/S Simmons Rd.,app.l mi.NE of Temp. Power Pole y Called PG&E i Temp. Elec. Service Called PG&E t i Temp. Gas Service Nv Called PG&E rr ` zeJOB FINALED (Date) Signature �,y K J = OK O = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except H's >' 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except 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 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enc losures- Pane lboards-Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -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 O = Not OK = Not Applicable * Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except #'s I Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. D 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. De 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date _ Date Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except N's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. 17. D.W.V.; Test-Fttngs & Anchors -Nail Protection Shower Pan; Test, First Floor -Tub Access 18. 19. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date ELECTRICAL (Permit) OK except N'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. 25. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 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 Al, Insulated Neutral ❑Yes EJ No 28. Service -Riser Conductors & Ground -Main Disconnect 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light Card B -I Date Card -BI Date Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except N'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 Card -BI - _Date Card -BI Date Card -BI Date Card -BI Dale _Date FRAMING(Plans) OK except N's 36. Sills; Proper Material & Anchors _ 37. 38. 39. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. 46. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing 1 48. Property Line Firewall & Openings 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 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 Date Card -BI Date Card -BI 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-Mech. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. 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 ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: (NOTE: An entry must be made each time youvisit jobsite) 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-Mech. 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 ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE -.DEPARTMENT OF PUBLIC WORKS IT,�0. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541CIJ -APPLICATION AND PERMIT ( ASSESSOR PARCE BER 'ZONING r BUILDING PERMIT >`1-0L OWekgeLes SKOGf/ TELEPHONE SO. FT. OCC. BUILDING VALUATION � �V OWNER'O S MAILING ADDRESS 3 CHICK 0,49�92� CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS T Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ c60 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ /0''90 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Dro 0 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS It Permit fee $ 5vt G CT BUILD[ G ADDRESS -S S Sl"/NOAJ_S PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 l%led�%/LLE Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeQ---Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition [�3�Remodel ❑ Utilities ❑ instal,lation ❑ Other ❑ Describe work: i� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR101 OR LESS5.00 Main service EA. ADD'L too AMP 2.50 NEW CONSDWELING OR ADDNST ( ACCL BLDGS.CCUP. N� 22 sq ft 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 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044). ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CO ID R BRANCH TLETCIRCUITs 2.50 ea NEW CONSTR. ( POWER APPARATUS SI NON-RESID. (SINGLE OUTLET CIR, Ex. Occup OUTLETS OR FIXTURES 25 BA 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 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. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject b� 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 Penult Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 s County in copse u ce of the granting of this permit. %This C` 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 h ight. Mobile Home Installation Fee $ TOTAL PERMIT FEE (J O(7 3!� OCCUP. GROUP i#_( TYPEOF� T. PANEL ISSUE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DMECTO PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS D to '3-9—ehl– ` -�, Receipt No. 01 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ..-.R.r`..r...f Y'�.r✓^'r�.-.�sT-ate-- T+.,+i.+' �.'c -i-w.. w'�a.!•rT77os'+'•,•„•"".'+r�,,'�.r--.-.w:.-ar'a... .. w.-+v-� , 'r....•-.-...--��.� ,-,.4 �' • - COUNTY OF BUTTE = DEPARTMENT OF. PUBLIC WORKS -BUILDING DIWISION ,. �•' 7 COUNTY CENTER DRIA/E OROVILLE_CALIFORNIA 95965 - TELEPHONE -916/534-4541 r PERMIT APPLICATION DATA SHEET Permit No. OWNER 671142LQ S'4044 - _ A. P. No. Proposed Building Use b�L� Permit Fee Based Upon<'Vomplete Contract Price i. /DPW Valuation t.h'er (Explain) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: IDATE 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. 0. Sanitation approval from •O Health Dept. z 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) ey k14. 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. Other When you issue the permit, process as follows: Mail to owner. Mail to contractors Telephone and hold for pickup at office. Deliver w/inspector. Other Es +r-4 w. ✓ Applicarif'% 4 Date 'Z C 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 Plans checked by_ Plans approved by_ Other: Copy—DPW By Date _ Date Date''— 1 •- . r To: Building Department From: Environmental Health 1;�xbject: Sanitation Clearance owner Meati n Plan approved for: Sewage disposal X water supply Hold final for::.water supply Final clearance., 04. forf water, 'supply Clearejidb for bedroom mobile home. Otliery: Clearance for add'iti'on of -.. <- ,..y • . r� rz i.* . � _ d. r -.-...-..... - � e , r_r i �"�"Yy: r .!� y,,,,yy _ _ ,. COUNTY OF BUTTE - Department of Public Works 7 County Center'Drive, Oroville, CA. 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-534-4541 An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to.provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) a v — Z. 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 3/ 2 z=Zy-�7io Date 3— q— c2r I NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. - -- - -- - _ - - - / -1QII -t- �J _ _ _ This set of plans and specifications MUST be- - - - - t ''�- �'' j kept on the job at all times and it is unlawful to make any changes or hlfe�a}inns on same without �@ _ _ _ — written permission -from the Department of Public _ _� .� ._ __ 'Works, County of Butte. o y (A. Z. Zit VI A setback of 5 ft. from the ` Z property lines and a setback of 50ft. from the road o, d J ; centerline shall be clear'of / . N J. ri ! - -- -" structures or equipment except i - --' - - - A for a 2 ft. eave overhang. :O 4-1 NOTE: All Materials &j ma p Shall Be Accords nce with 'Re6o� ied - ood Practices and BUTTE COUNTY • - �7� o;- - - of a quality .pres&lbe -the Specified use in the . . ' . ' ' • . . Uniform., P !ging & Machanical Codes and BUILDING DEPARTMENT . .--'the NationciV- ectrical Code. ``'` APPROVED COUNTY OF UTT - DEPARTMENT OF PUBLIC WORK 7 County Center ive - Or ille, California 9 65 - Telephone 916/534 41 ARP CATION AND INJTjn PERM T NO. ASSESSOR PARCEL NUMBER ZONING .� BUIL ING PERMIT O WNE TELEPHONE OCC. BUILDING VALUATION OR'S AI ING ADDRESS I CO RACTO 'S c LEPHONE 33 O. CO R CT 'S MAILING ADDESS 0 rM Fireplace CONSTRUCTION LENDER V r1 UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS sS PLUMBING PERMIT Filing Fee 10.00 t ? V\ Each Trap 2.00 Repair drainage or vent piping 5.00 S SWater piping LOT NO. SUBDIVISION NAME PA MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other work: S DesTIAI�Jr�0Main Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 service 100 AMP OROR SLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 :,� NEW CONST. ( DWELLING OCCUP.61� OR ADDNS. ACC. BLDGS. 2� sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): iness ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Bus00 and Professions Code �and my license is in full force and effect. License No.g �l%U� Classification �/� ❑ 1, as the owner, or'my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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 •OU LET 2.50 ea NON.RESID BRANCH CIRC TS NEW CONSTR. POWER APPARATUS 6 NON-RESID. %SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES a �@1 IXED APPLN5. OR Ex. Occup.(OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 ,Q Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ , Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I d unde enalty of perjury (check one): permit is for $100.00 (valuation) or less. 00'have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. shall not employ any person in any manner so as to become subject �tothe W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation -:4 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 Co fft consequence of the granting of this permit. X Date .1-1, Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over�3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD 1550E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt NO./1f WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIL'LE, CALIFORNIA 95965 TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET 'r" Permit No. m. .(A) t.i'!"�-= �* A P Nn Proposed Building Use. Permit Fee Based Upon Building Inspector_ Complete Contract Price `JD PW Valuation Iain) v� Date At time of permit application, I was advised ihe 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 Installatio Data. - . _ ' � Pre-Inspec. request to X17. Pre -Inspection for fiired. Building Inspector ate) X18. they, 6 t e/Ybinr— i ,7 . a A /f s. to : \ // / When you issue the permit, process agf follows: "�_ Mai I to owner. _ Telephone and hold for pickup at office Other~ ' Applicant '— ,K Copy of plans sent Health Dept., Fire Dept., Other 'J A Mail to contractor;�d V _Deliver w/inspector. Date Z,4 Q� Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at tim f application, circle item.) rj 1. Index permit for above Items No.,or 2. Additional items required: , ,Wb '(Aawg ontrac Designer, Owner) was advised of above required data by BY Plans checked by_ Plans approved by Other Telephone - Date Date -Mail Other Date Copy—DPW s � COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville,.CA 95965 .534-4266 May 2, 1978 Wilfred R. Olson- 'Re: AP 71-08-98. 3022 Olive Hwy. Oroville, CA 95965 Dear Mr. Olson: Enclosed.please find a copy of the Certificate of Compliance issued by the Butte County Subdivision Violation CnmmStfPP , which was recorded on Ayxjj 26,_,19.78 , in Book 2278 Page 460 ; in the Office of the Butte County Recorder. Should you have any questions regarding this matter, please contact this office. Very truly yours, Clay Castleberry Director of Public Works Original signed by McLaren Parker McLaren Parker Assistant Director MP/db Enc. cc: Planning Dept. Health Dept. BUi.ldi ng Dept. RETURN T0: Public Works OFr C;�_ErnP�� Land Development Section 9U7T::' PUBLIC 1 pus r 25 3 22 P' 191 CERTIFICATE OF COMPLIANCE LE,U `:.: _ COUNTY Issued to: Wilfred R. Olson 3022 Olive.Hwy.. E Oroville, CA 95965 This Certificate of Compliance is hereby issued by the County of Butte to certify that the land division which created the parcel of property identified below complies with the applicable provisions of the Subdivision Map Act and of Chapter 20 of the Butte County Code. 1. Property location: East side of Simmons Rd. 1/4 mile northeast of Oroville Quincy Hwy.,. Bidwell Bar area. 2. Assessor's Parcel Number: 71-08-98 Description: All that certain property located 'in the County of 'Butte, State of California, more particularly described as follows - The North 400 feet of the South 915.feet of the Southeast quarter of Section 20 Township 20 North, Range 5 East, M. D B. &M. EXCEPTING THEREFROM all that portion of the above described property lying Westerly of the easement described in the Deed from the State of California to Ernest Nusser, et al, recorded November 28,.1969 in Book 1593 of Butte County Official Records, at page 675. TOGETHER WITH a right.of way for road and public utility purposes over the existing road. Issuance of this Certificate is conditional upon the following conditions which have been imposed pursuant to the Butte County Code Chapter 20-167 and Government Code, Section 66499.35 (b), to protect the public health and .public safety• None. c� 0 �c CIC 1 County of Butte Cx Subdivisio/V1 dation Comm' tee