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HomeMy WebLinkAbout071-490-003W.. a a >Harold Moore S/S Lumpkin Rd.,app.l mi.S.of Feather Falls Permit #882-79P,E(util.,MH) s-C.+ �. GAS SUPPORT STRiJCT - RE REQ COMPACTION TEST RE�Q.-1 Permit ##258-79B(S,ew open_df4l431- !, LsSU MOORE, Harold Z5{ iw�p�n l2 6 Kt, Feather Falls Off Lumpkin Rd, Feather Falls) (installation/mh) ! COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PAROL NUMBER —85 ZONING BUILDING PERMIT OWNe Harold Moore TELEPHON 342-8948 SQ. FT. OCC. BUILDING VALUATION D7�i50 FeatherDFalls Star Rt., Oroville 95966 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace C NSTRUCTION LENDER None UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS 1 Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ ' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ro ille Permit fee $ 25.007 PLUMBING PERMIT Filing Fee 10.00 /r u {�L � ��1 ► .IVNI O �� �(5 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP (2©-17 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomeak Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home JSFG IN 10.00e TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation® Other ❑ Describe work: _ reinstall MH on existing site 10 x 40 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is In full force and effect.SINGLE 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.5i OR ADDNS. ( ACC. BLDGS. , 2h¢sgIt NEW CONSTR. ULT' -OUTLET NON.RES'D BRANCH CIRC ITS 2.50 ea POWER APPARATUS e OUTLET CIR. Ex. Occu OUTLETS OR FIXTURES P 2L SOC eAeso FIXED APPLN S. Ex. OCCUp. OUTLETS IIRESID.>REA.) 2.00 Temporary service 10.00 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 Buil.ding Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 1 Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X 2_ �g _� Signature of Applicant — Owner [5'� Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 70.00 HAZ I CLIA PARK SCHL I FLo I PAR I PD Ho I 'ssuE Th;s permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 83490—$70.00 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CO IFORNIA 95965 - TELEPHONE: 916/538-7541 417_,0 '., lico PERMIT. APPLI&AiION DATA SHEET Permit No. A. P. No. �2 /- n �: - F Proposed Building Use 1,611h� 0^3 9�11F' Building Inspector Date At time of permit application, I was advised the following data must be submitted prior - to permit processing and/or issuance: DATE RECEIVED APPROVED 1 . All items have been submitted . .. ................................. 20. 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) L--'1'0�Mobilehome installation data including manufacturer's installation instructions .............................. * .......................... 10. Fees of $ . . ........................ 11. Chico Urban Area fees paid ........................................ 19 Park fees paid ............................................ -144e:* School District fees paid ............... Sanitation approval from eo geD LW&AC Health Department JOn 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval froTn 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 ... P,e-Inspec. request to Building Inspector —(Date) 21. Contractor's license information (No., Name Style, Classificati 0 n) 22. Certificate of Workmans Compensation Insurance .................. ��- Owner -Builder Verification (Given to owner b, Mail to owner 0) ..... V424.)Recorded copy of Agricultural Acknowledgment Statement ......... . '25' Letter of signature authorization ..... .............................. 26. 27. When you issue the permit, process as follows: Mail to owner. to contractor. — —Mail 0� Telephone '3 Y-2 - 39'51� and hold for pickup at el&. off ice. —Del iver w/inspector. — Other Applicantk &'Ad Date 91 Copy of Haz-Mat form sent —Health Dept. —Fire Dept. ----Air Pollution Date Copy of -plans sent ---HealthDept. —FireDept. —Other— Date— By. The following data must be submitted ptior 1. Index permit for above items NoA-Y 2. Additional items required: it issuance: (Circ -le new item not checked above). .-f — Contractor, designer, owner, was advised of above required data by _4�hone__jnai I —counter by FAIL) ..date 'L 72- 2L21—eck Contractor, designer, owner, was advised of above required,data by 'phone —mal I —counter by— date Plans checked byw bate �- ZI -'�l Plans approved by Date Sets of plans on hold in 1 File cabinet _AP folder Copy–DPW TO Buildinc Department FROM: Environmental Health SUBJECT:' Sanitation Clearance 1 u 0(93 mer Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for _I bedroom mobile home. Other itarian COUNTY OF BUTTE - De'partment 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 maPK labor and materials for construction of the proposed property improvement yes or no) 2. I (have/have•not) signed an application for a building permit for the proposed worI41 3. I have contracted with the following person (firm) construction: Name Address to provide the proposed Phone Contractors License No. City 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 a Address City Phone Contractors License No. 5. I will provide some of the work.but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number Date 2 - / Q — 0l' 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. r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916,,'538-7541 APPLICATION AD PERMIT ! %�— AS ESrSOR PARCEL NUMBER ZONING BUILDING PERMIT darold Moore 342.8948 SO. FT. OCC. BUILDING VALUATION DR505FeatherDFalls Star Rt., troville 95966 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace C NSTRUCTION LENDER None UNKNOWN Total Valuation Is Filing Fee 10,00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ uILOING ADDRESSPermit 7650 Feather Falls Star Rt., Oroville tee $ PLUMBING PERMIT Filing Fee 10.00 R�ra(/rfC V9 9' Each Trap 2.00 Ole /-,MP/<,n Rd _ Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP 60- 07 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeyX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00e TYPE OF WORK New ❑ Addition ❑• Remodel ❑ Utilities ❑ Installation IT Other ❑ Describe work: reinstall MH on existing site 10 x 40 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 r Main service eOOV OR LESS 100 AMP OR LESS 10,00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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. BLD -GS. yx¢Sgft NEW CONSTR ULT' -OUTLET NON:R£SIO BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 20 @ 50t eAL@30 FIXED Ex. Occup. OUTLETS P(RESIO ILINS KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against Aftall liabilities, judgments, costs, and expenses which may in any way accrue PF gain st said Couunty in consequence of the granting of this permit. X A-eGC �YLOf✓�L- Date 2 — �4 -Q Signature of Applicant — Owner Lp".� Contractor Ci Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 70.00 HAz I CUA I PARK I SCHL I FLD I PAR PD HD IssuE Tl:s permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 83490—$70.00 w�TE•O. P. W., YELLOW-ASAr SS—. P14X-145Pq CT04, r0L0FN*n O -AP L(CANT S Septic System anti location of build- ir.,, drain sful)-nv.if to he (is Per The Bldg.P160A s 5 ff. from f, r-!fap Oounfy Hoclith Dept. Re- -ty linn..C'.nd 5041. gllirernents.C)�- Ide propel from the Ito -10.rIlki. 141 �p roc, . I PO, i71 j C11 Max!' Mum of a 2 ff. oave over,hanq but entirely 600 nil easements„ 0.y? Ad�S $ x 37 NOM—All S'Iall Be fn rradices and Of a C!Uaj;;.\' J)jrEs, ,j!, 'J.jccified use in the Unifoln'i r"Uhi'ding, PILM.11.111110 MechanicalCodes and the National Eleci-rical Code. IpaAU-Q -7 1 This sef of plans cl.n An -Of on ff-in i -l:) -I- ril! f'ohs MUST be. is tinlajyf,,l fo or SOM'M without i"houf Workr, Deparlmenf of Public Y OuNe. / ol UNITY -A A LtC-'- __ _ fib _ _ Thu Jan 3 10:17:18 1991 PAGE 1 of 5 FC -18(3/.89) DEPARTMENT OF FORESTRY AND FIRE PROTECTION FIRE REPORT State: CA Year: 1990 Incident #: BTU -001724 Fire #: 00138 Exposure Q c_oo Fire Name : MOORE FDID : 04555,CDF, BUTTE COUNTY State: CA ,CALIFORNIA Order Agency/#: BTU -00174 Protct R6sp: 1.1 ,STATE ZONE-CDF DPA, ,STATE Year: 1990 Mutual : 0 ,AUTOMATIC/MUTUAL AID NOT REPORTED Situation Found #1: 12.0 ,FIRE IN MOBILE P'ROP'ERTY WHEN USED AS A STRUCTURE Situation Found #: Situation Found #.?: Situation Found #4: Rm/ApRm/Apt tn:'-l�d�ressZocafione `:f1-UMPKIN- D -FEATHER MACCS-`""`-`- : Zip Code : 95966 Census : 0024.00 Temp . . 60. Dispatch Level: Weather: 1 ,CLEAR Code: DO ,DRIVER/OWNER Name(Last, First Mi): MOORE,HAROLD,W. Addr: 7650 LUMPKIN RD. Pim/Apt: City: FEATHER FALLS State..: CA Zipcode: 95966 Telephone Number : (916)534-7347 Code: TE ,TENANT Name(Last, First Mi): DOLAN,CHRISTOP'HER Addr: 7650 LUMPKIN RD. Rm/Apt: City: FEATHER FALLS State: CA Zipcode: 95966 Telephone Number : (916)534-7347 1/4 Section: SE Sec.: 15 Townshipy 20 N/S: N Range: 06 E/W: E Base/Meridian: M ,MT. DIABLO Response Area:. U4 Battalion : 05 FHSZ : Ocii oO. Z Prop Mgmt : 1 ,P'RIVATE TAX -PAYING PROPERTY General Property Use : 47 ,MOBILE HOME PARK USE Specific Property Use: 411 ,ONE -FAMILY DWELLING: YEAR ROUND USE Building Code , R-30 ,DWELLINGS AND LODGING HOUSES Structure Status ,IN USE W/FURNISHINGS IN PLACE, P'ROP'ERTY BEING USED Mobile Property : 15 ,TRAVEL TRAILER Yr Make Model IF NEW MOON MOBILE 1 ------------------------------- PROPERTY! Vehicle Identification Number INVOLVED: License # St ------------------------------------ Permit # Drivers License # St Thu Jan 3 10:17:18 1991 (Yr -1990 Inc# -BTU -(--)(-)1724 Fire# -001=8 E::p#-000) 2 of SECTION B Date and Time a ------------------------------------------------------------------------------ Estimated . Start . . . . : 04/01/1990 18: •30: oo First`Report.. . . . . . : 04/01/1990 18:30:00 Method of Alarm 1 ,TELEPHONE DIRECT TO FIFE DEPARTMENT Lookout Second Report . . . . . : 99/99/1990 99:99:oo Method of Alarm Lookout First Enroute . . . . . : 04/01/1990 19:15:00 First On Scene . . . . . : 04/01/1990 19:50:00 Contained . . . . . . . : 04/01/1990 2o:oo-00 Controlled . . . . . . . : 04/01/1990 20:30:00 End Time . . . . . 04/01/1990 22:30:00 SECTION C Casualty ---------------------------------------------------------------- L ----- Fire Service ........... Injuries: 0 Fatalities: 0 Non -Fire Service ........... Injuries: 0 Fatalities:. 0 SECTION D Completed- ------------------------------------------------------------------------------ e'--"--------------- for aU f-ics --------` ------ Type Action Taken #1: 13 ;EXTINGUISHMENT, SALVAGE AND OVERHAUL Type Action Taken #2: 71 ,INVESTIGATE Type Action Taken #3: Type Action Taken #4: Area of Origin : 00 ;AREA OF ORIGIN; INSUFFICIENT INFORMATION Level of Origin :_Aol Horz Distance From Origin: Equip Involved in .Ig: 99 ,EQUIPMENT INVOLVED IN IGNITION NOT CLASSIFIED Form of Heat oO .FORM OF HEAT IGNITION UNDETERMINED OR NOT REPORTED Certainty 4 ,BEST ESTIMATE Factor 99.0 ,IGNITION FACTOR NOT CLASSIFIED ABOVE Certainty 4 ,BEST ESTIMATE Contributing Factorl: 300 ,BUILDING CONTENTS; INSUFFICIENT INFORMATION Contributing Factor2: Resp Person-Occptn#1: Sex #1: Age #1: Occptn#2: Sex #2: Age #2: Occptn#=:•. Sex #3: Age #=: Type of Material Ign: 00 ,TYPE OF MATERIAL UNDETERMINED OR NOT REPORTED Certainty , 4 ,PEST ESTIMATE Form of Material Ign: 00 ,FORM OF MATERIAL UNDETERMINED OR NOT REPORTED Certainty 4 ,BEST ESTIMATE Method of Extinguish: 5 ,WATER ON APPARATUS INITIALLY ASSIGNED TO INCIDENT Violation -Section #1: Code #1: Violation -Section #2: Code #2: IF EQUIP INVOLVED -YR: 1951 Make: NEWMOON Model: Serial Number: L Thu Jan* 3 10:17:18 1991 (Yr -1990 Inc#-BTU-ool724 Fire# -00138 Exp# -000) 3 of 5 SECTION E Structure Fire Number of Stories i Flame Damage.E:.t 6 ,CONFINED TO STRUCTURE OF ORIGIN Smoke Damage Ext :.8 ,NO DAMAGE OF THIS TYPE Roof Covering r 6 ,METAL Construction Type 9 ,TYPE OF CONSTRUCTION NOT CLASSIFIED Detector System Type : 0 ,DETECTOR TYPE UNDETERMINED OR NOT REPORTED Power Supply : 9 ,DETECTOR POWER SUPPLY NOT CLASSIFIED Performance : 9 ,PERFORM OF FIRE DETECTION NOT CLASSIFIED Reason for Failure: 9 ,REASON FOR FAILURE NOT CLASSIFIED ABOVE Extinguishing. System Type Performance Reason for Failure: Number of Heads Head Type ^ Ma£er al^Generating Most Smoke Type 00 ,TYPE OF MATERIAL UNDETERMINED OR NOT REPORTED Form 00 FORM OF MATERIAL UNDETERMINED OR NOT REPORTED Avenue Smole Travel: 9 ,NOT CLASSIFIED ABOVE SECTION F Vegetation Fire ------------------------------------------------------------------------------ Size Dist to Head Flame Length Elevation Behavior Slope �- Aspect Fuel Model Wind Speed Wind Dir Burning Index': Structures Destroyed: Damaged Threatened SECTION G Acres Burned by Vegetation Type within Direct Protection Area ----------------------------------------------------------------------------- Category Timber Grass Woodland Agri Prod Brush Totals -------- --------- --------- ---------- --------- --------- --------- State Local -------------------------------------------------------------- Totals Thu Jan 3 10:17:18 1991 ( Yr -1990 Inc# -BTU -001724 Fire# -00138 Exp# -000 ) 4 of 5 SECTION H Acres Burned by Statutory Respon Win State Direct Protection Area --------------------------------------------------... State United States Forest Service(USFS) Bureau of Land management(BLM) Bureau of Indian Affairs(BIA) National Park Service(NPS) Bureau of Reclamation(BOR) Other Federal Other Total SECTION I Dollar Damage Category CDF State/Fed Local Totals Vehicle _ 0 0 0 Other Structure 0 0 0 0 Other Improvements 0 0 Contents 0 Timber 0 0 0 0 Agricultural Product 0 p 0 o •Wildland 0 0 0 0 Other 0 0 0 ----------- -------------------- Totals ---------- -------------------- 7000 .- �j ... - 0 7000 SECTION J Total Resources --------------------- ---------------------------------------------------------- _Schedule A Engines: 0 Federal Engines 0 Schedule A Truck: 0 Emergency Fire Fighter o Schedule A squad . o Other Local Agency - Schedule B Engines: 1 Overhead . 1 Schedule B Dozers Call when needed Helicopter: 0 CDF Fire Crews 0 Helicopter • Air Attach:: 10 Private Equipment o Air Tanker. V 0 Paid Persons - Fire Crews 0 Volunteers 5 Thu Jan 3.10:17:18 1991 (Yr -1990 Inc# -ETU -001724 Fire#-VU138 Exp# -000) SECTION K' Comments -------------------------------------------------------- -------------- SMALL TRAVEL TRAILER CAUSE UNDETERMINED Type Of Action Taken #1 : #2 # 3 #4 : Special Studies: SECTION L Reporting Officer Name WILLIAM ORTHEL Title FC Date.' 04/17/1990 THE UNDERSIGNED HER BY CERTIF ESHIS REPORT IS A TRUE COPY OF THE RECORD ON ,F L _ -1/ � n Signature -------------- Title ---------------- Date -----� --� - 1-/ ----------------------------- 5 of - F 882-79E,E .�� PER11gIT N0. PERMIT EXPIRES R R Harold Moor OWNER E' CONTR. owner "rr'�LOCATION (A.P. 71-05-83 ) SIS Lum kin . Rda p _, pp. 1 mi.S.of Feather = Falls 1 tf . 1 . S l • 1 I 1. 1 1 ' 1 } 1 Temp. Power Pole �. Called PG&E Temp. Elea Serv. I Called PG&E t Temp. Gas Serv. Called PG&E i JOB FINALED (Date) � C (Signature) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING .Se ack Fire II Sol Plpin ' Fo tin s Ste all Slab Piers Garage Footings Stemwal I Slab Carport Footings Slab Patio Footi nas I erior Lath oor Closer MOBILEHON Water Piping OBm Water Piping Para a 1st loor Restroo Finish 2nd oor . Windows 3rd FI r Siding To out Roof Sheathi Water Pi In Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for physically handicapped Conformance of ex.Gas structure A Appliances Pininn & Test Temp. Gas Final Sanitation ARE PL CE Final F V ntllation anal ----------------- Elec. Service Sewer ON -------------- Support Drainage M E CT Rou h Fixtures Motors Water Htr. Subpanels L Gird. Fau Prot. Service T4. Pole U der round ennanent final i*S Elec. Pedestal Gas Piping Elec. Continuity Gas Piping DATE �3r?/ REMARKS OR CORRECTIONS �' 7Z 1,1C, l,l C, --,e— (NOTE: An entry must be made on this form each time you visit the job site.) „ - COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County�,Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICADON AN'D PERMIT api —; � ze 2 QUIIIUII&V ICt/ICJC11lG1lIVCJ UI 111", liUUllly VI DUMC IV CALCI U`/VIl ill”, above-mentioned fproperty for inspection purposes. �C-[ QY VIS 0 Date 40-��V_h Signature oof er'miiteeee or Agent Receipt No. � V sy / a White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above which fees have been paid. _UWECTOR.)OF PUBLIC WORKS Building L Date BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address SP- Telephone No. .�-- Contractor 02= Mailing Address I Fireplace Total Valuation Telephone No. Permit Fee Building Address5- .71 Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 E!2h Trap 1.50 epair drainage or vent piping 1.50 A. P. No. _ S • . 1 •zani`SPIa Ins Water piping 1.50 ) Each gas water heater or vent 1.50 F S t n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach Declaration P4(# M 60' R/W Improvements additional outlet •.30 Building sewer 5.00 r40 Bldg. Pla eed i/ Parcel oval Plan pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ® OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �. 600V OR LESS v® Main service 100 AMP OR LESS 5.00 ) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD -L 100 AMP 2.50 s `A Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST %ACCLBLDGSCOUP. !� 2¢Sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y NEW CONSTR BRANCH TL T NEW CO I T ` BRANCH CIRC"TITS) 12.50ea NEW C ONST R. ( POWER APPARATUS.6, NON.RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES 5 251 L , FIXED APPLNS. OR Ex. OCCUp• 2.00 OUTLETS (RESID.) EA) Temporary service 10.00 Mobile Home Facilities 15.00 s, License No. Classification Misc. Wiring 6.25 / I am exempt from the Contractors License Laws of the State of California. Permit Fee $ b� $ac WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner oas to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ .SZ QUIIIUII&V ICt/ICJC11lG1lIVCJ UI 111", liUUllly VI DUMC IV CALCI U`/VIl ill”, above-mentioned fproperty for inspection purposes. �C-[ QY VIS 0 Date 40-��V_h Signature oof er'miiteeee or Agent Receipt No. � V sy / a White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above which fees have been paid. _UWECTOR.)OF PUBLIC WORKS Building L Date This set of plans and specifications MUST be and ilt is unlawful to kept OR the iob at 81es tirn atic on same w thcut make a:�y chfang�=s o. alterations from the Department of Pub- wri•tton permissico1 rc Works. County of Butte. I v ,-Y, * f / 10 TFxe Setback shat► be iff. f� m the sl a property line and So otfra maxi - c terline of the road, permitting njum of a 2 ft. eave overhang but entirely out of all easements. NOTE:—All Materials & Workmanship Shall Be in Accordance with Recognized: Good Practices and of a quality prescribed. for the Specifiod use in the Uniform Building, Plumbing & Mechanical Codes and w ' the National Electrical Code. / p a/at �j/c jtY \ hp w, onn.. on sect •thin 4 actio hoj.the/eft( of yho out ship e a th l Of the ,Or)7e �b »obi/e . a {Or el a� "I. • be re(hu i\ei roe' �A permit wd1 }1z^ mob ias}o11a}ion of f ///��/� /no �� is Pari?,=-•�f7!C�;%;. v y Septjc sYst . e n� °'nd q 4rerneCountY l to t� n nts to De as s' eptper . Red 8U1� p�NG CUViv i r PDepARTMENj. • �. ED ns and specifications MUST be NOTE: -W. -All This set of pia Materials & Workmanshi ab �t ��I tin-cs and i�f is 'uniawful to Accordance with p Shall BeBi QQ �- � kept on the l Of a qualify Recognized Good Practices and mu�e a�.Y cl,_,nn- er a•:#orations on same w�theruf y prescribed for the S erm.r,10, t�'on' the Department of Pub Unlforrn Building, Plumbing pacified use in tho , wrii-i on p the National Electrical Code Mechanical Codes and I% W rks, County of Butte. The Bldg. S back shall be 5 ft. from the side proper y line and 50 ft. from the •" centerline the road, permitting a maxi- mum of a ft. eave overhang but -entirely gut of all asements. 9�O ��J �-., 'vIJ -�_ 8� 37 . � Septi. � 1179 SystembuedrCo stub o� location of b guirem county Health p p f s aper Re. 'ERMIT NO. 1258-79B PERMIT EXPIRES i)wNER Harold Moore {� owner �(6TR. 71-05-83 OCATION (A.P. ) S/S Lumpkin Rd., app.l mi.S.of Feather Falls, Feather Falls Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) • T COUNTY OF BUTTE, — DEPARTMENT OF PUBLIC WORKS ' BUILDING INSPECTIOWRECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings r pehysically handica dde of ex. Conformance structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat, Rou h Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping 0B16EHOME INSTALLATION - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY_OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel epho6e:'534-4541 APPLICATION AND PERMIT 000��Y AA authorize representatives of the County of Butte to enter upon the above-mentioned property , for inspection purposes. X�.c �.P Q 11.C.er[SYz�-, Date /2 7 Signature of Permiteeeor Agent Receipt No. o 603 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO ,F PUBLIC WORKS 1"3— / `{— FloBuilding permit expires Date BUILDING r OwnerSQ. FT. OCC. BUILDING VALUATIO 00 QO Mailing Address 76. Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee ; QC) Building Address V ' Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 ,7e CV2,Ao— Repair drainage or vent piping 1.50 �/ `� A. P. NO. �-�0./ 'Zoning8 Planning Water piping 1.50 Each gas water heater or vent 1.50 es S o Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel M 60' R/W Im provements Each additional outlet .30 Ilding sewer 5.00 Lawn sprinkler system 2.00 � Bldg. Pis Rec'd Parcel A roval Plans Approval NEW Eg ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 SinSingle Famil Duplex Mobil Home Others 9 Y ❑ P ❑ � ❑ Main service EA, ADDtoo AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service// EA. ADD'L 100 AMP 1.00 NEW OR ADDNST 1 ACCDWELBLDGS.LING CCUP, k) 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: Y -OUTLET NEW CONSTR RANCHULTICIRCUITS NON.RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS .& NON-RESID. SINGLE OUTLET CIR, EX. OCCUP(OUTLETS OR FIXT11RES BAL� Ex. QCCU FIXED APP LNS. OR P.�OUT LETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. permit is issued I shall not employ any person in any manner TsI certify that in the performance of the work for which this as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood J 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee is TOTAL PERMIT FEE $ C authorize representatives of the County of Butte to enter upon the above-mentioned property , for inspection purposes. X�.c �.P Q 11.C.er[SYz�-, Date /2 7 Signature of Permiteeeor Agent Receipt No. o 603 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO ,F PUBLIC WORKS 1"3— / `{— FloBuilding permit expires Date tlS c.1eC: Cia c �c�ti N e r `Septic system and location of build- inq drain stub-out to be as per T'he Bldg, Se 60A shall be 5 ft. from f1re° B,I++e County Health Dept. Re- WO property line and 54 ft. from the quiresnents. 166004ino of the road; permitting a maxi- ale _ Mum of a 2 ft. oave.overhang but entirely an easmwft P PDX JSr, �S ACV?% _<4 x 3 This set of plans and specifications kept on the iob. at all f - and it is s unlawful be mp�.P anv ch(Inges or alterations on same without ul to . NOTE—AD Raterials W©r�mar„hi r$�ia� g"-� ( written permission from t;:e Department of p Works, Counfy of Butte. Public Accrcicnce wifi, FtQcognized Good PracfIces and of a qualify prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and. � �� the National Electrical Code. / BUTTE COUNTY ML PING DrpAr, APpp�V / ED. CA J1 e�� r6, , .11b .� •c �