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HomeMy WebLinkAbout072-250-029,.A TOM NUELL 72-25-. Z4 @ end Diamond,B,r Ct; 4 mi N Hurleton d Orovil.le.. _ Permit#3006.83P E /util MH� i ELEC ' /0- 25.83 Zoo ilk Unit #1 GAS_ /o -2S-'83 A ZoA� SUPPORT STRUCTURE REQ_ COMPACTION TEST . REQ'�0 -ermitYi300 ' 72-25-17 7"83P.,E,(u i1,;.,.MH)._ ._uni.t._#2. ELEC lv=25.83 2�,,,q GAS /o-Zb-83 .So���S[p5 cc SUPPORT STRUCTURE RE r COMPACTION TEST REQ. 72-25-17,x, Permit#3603-83 I Issued it #1 _ O' Permit#3604- 83MH2 - 7 (sitte e #2) #7 Issued �Gd1�X .. S 72-25-17 Perm* t#941-84"'rein-stall awnings/MH 72-25-29 166 Diamond Bar Ct, Oroville _Permit#1786-85B(new, ramada/MH) site 1 72-25-29 AA_A' 'ermit#1150-88B(new ramada MEIN 1 5 b 5 I i TOM NUELL 72-25-. Z4 @ end Diamond,B,r Ct; 4 mi N Hurleton d Orovil.le.. _ Permit#3006.83P E /util MH� i ELEC ' /0- 25.83 Zoo ilk Unit #1 GAS_ /o -2S-'83 A ZoA� SUPPORT STRUCTURE REQ_ COMPACTION TEST . REQ'�0 -ermitYi300 ' 72-25-17 7"83P.,E,(u i1,;.,.MH)._ ._uni.t._#2. ELEC lv=25.83 2�,,,q GAS /o-Zb-83 .So���S[p5 cc SUPPORT STRUCTURE RE r COMPACTION TEST REQ. 72-25-17,x, Permit#3603-83 I Issued it #1 _ O' Permit#3604- 83MH2 - 7 (sitte e #2) #7 Issued �Gd1�X .. S 72-25-17 Perm* t#941-84"'rein-stall awnings/MH 72-25-29 166 Diamond Bar Ct, Oroville _Permit#1786-85B(new, ramada/MH) site 1 72-25-29 AA_A' 'ermit#1150-88B(new ramada MEIN 1 5 b 5 ,_- QN N -7. PERMIT NO. 1786-85B PERMIT EXPIRES V OWNER TOM NOELL CONTR. owner ASSESSOR PARCEL 72-25-29 LOCATION 166 Diamond Bar Ct, Oroville 4 14 K 0 4 .G o-,., +U0 UJ In,_ Temp. Power Pole Called PG&E Temp. Elec. Service,, Called PG&E, Temp. Gas Service. "0 CalledPG&EZ i JOB ZALED (Date) Signature rl = OK = Not OK =Not Applicable MOBILEHOMES = , Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except p's Date DECKS COVERS, CARPORTS, ETC. (Plans) OK except q's 1. Zoning Requirements—Setbacks—Easements oning Requirements—Se ks—.Ea ents 2. Soils; Special MH Support—Sketch II ootings; — pth—SpezMg—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. De ; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) Allgood Awn.; 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete I e�m1Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI f�o Date Card -BI Date V-11?4 IS - Card -BI Date Card -BI Date Card -131 Date Card -BI Date Card -BI Date — 4 Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except H's 1. Zoning Requirements—Setbacks—Easements Date LS (Plans) OK except q's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIALJSingie and Duplex) Date UNDE OOR Plans OK exce t#'s Date FRAMING (Continued) 14"Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel -B lockouts -Wrapped -S lab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -B lockouts -Wrapped -S lab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's _ 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. 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 E] Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails &Deck Construction -Post Caps 26. 27. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes E-) No 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive [3 Yes C] No; Walks E: Yes E] No; Planters El Yes El No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light 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 Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except p's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/0 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 p's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring_. _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT h0. JL 7 County Center Drive - Oroville, Californial 95965 - Telephone 916/534-4541 _ APPLICATION ANVPERMIT X17 K_k ASSSSOR PARCEL NUMBER — ZON IN BUILDING PERMIT OW ER - O C3- TELEPH NE .S O. FT. OCC, BUILDING VALUAT C• a OWNER'�5 tv)AILIN DDRESS 6 (/eJ v CONTt;tAME &� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONS FjUCTION LENDER / UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH( TCT OR ENGINEER LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADORES WlaeW PLUMBING PERMIT Filing Fee -=0.00 Each Trap 2.00 Solar Water Heater 20.00 fd U Water piping 5.00 LOTI. ISUBDIVISION NAME PARCEL MAP �Y Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome[V Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New® Addition❑ R emode 10 Utilities ❑ Inst lation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main Service EA, ADD'L 100 AMP 2.50 NEW OR ADDNST ( DWEDWELLINGOCCUP.&) S. 21/22Sgft 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 m license is in full force and effect. y License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTRULT'-OUTLET 2,50 ea NON -RESIN BRANCH CIRC ITS NEW CONSTR (POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. 200sot FIXTURES 6AL®ao Ex. Occup( FIXEFIXED PTSOR R Ex. OCCUp. OUTLETS (RESID.)EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that i have read this application and state that the above 'information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyof 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. J�J X /–�'� Date _ Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ —' OCCUP. GROUP I TYPE OF CONST, ?; C' PARCEL PD V,15su This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which 91RECTORP PUBLIC By PER XPIRES Date the applicable prcvi- resolutions to do fees have been paid. WORKS / ate 71 7- Receipt No. WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT N 36 c>3 c PERMIT NO. 3006=83P,E (MH) • PERMIT EXPIRES OWNER TOM NOELL• CONTR. owner. . ASSESSOR PARCEL 72-25-17 LOCATION @ end Diamond Bar Ct; ' mi N Hurleton Rd, Oroville Unit #1 .. w Y Temp. Power Pole Called PG&E h Temp. Elec. Servi Called PG&E Temp. Gas Servici Cal led PG&E JOB FINALED (Date) 3 - Signature hhJ� 7� d = OK" 0 = Not OK - = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except H's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except a's . Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements s; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors - er; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures ovation -Test -Wrap:/ /"L"ft./ /" Nat. O "L" fC. & LPG! 6. Carports; Windows -Doors - Utility Clearance 7. Elec. — ate/E'/O Card -BI Date Card -BI Date Card -BI Date Card -BI CDate Card -BI Date Card -BI _ Date Card -BI Date Date ILEME INSTALLATION (Plans) OK except N's Date POOLS (Plans) OK except H's oning Requirements -Setbacks -Easements 1, Setbacks -Easements Footi ize-Spacing-Marriage Line L ' 2. Soils; Compaction -Structure Stability s; est -Demand -Valve -Connector 3. Pool Structure: Steel -Connections -Thickness -Dead Men -Lining le ity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI Za x Drain; M est -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts -GF] ��- 6 r MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed ater d Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater �.S.eff�Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit . Exits; Insp.-Sketch 7140! Cert. of Occupancy 9. Health Department Approval 10, Plumb; Cir. Test -Water Supply Test Cerd _iPfate1 d Card -BI Date Card BI Date Card -BI Date Card 13-1 Date Card -BI Date Card -BI Date Card -BI Date J = Ok 0 = Not OK Not Applicable RESIDENTIAL I = Not Ready Sin9 s le and Duplex) Date UNDERFLOOR (Plans) OK except N'sDate FRAMING (Contint 1. Zoning requirements -Setbacks -Easements 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Dept 3.. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth - 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/0 -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 Date Card -BI Date Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's - 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection _ 17. Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors Card -BI Condensate Drain _& Overilow; Size & Grade 48. Property Line Firewall & Openings r 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Date Card -BI Date 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Card -BI Date Card -BI Date Card -BI Dale Card -BI Date Date FRAMING(Plans) OK except q's 51. Plywood on Roof Overhang -,Attic Vents -Rafter Outriggers 67. Garage Fire Door; Swing -Landing -Closer 52. Siding -Nailing -Veneer Permit OK except q's __40. 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 41. 42. 43. 44. 45 46. 47. 20. 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 69. Wtr. Hlr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- --- 21. Elec. Receptacles Spacing -Lights & Switches at Doors In Garage; Above Floor -Meth. Protection 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location _ 23. Romex Installed Close to Edge of Studs & C.J. Card -BI Card -BI Card -BI 71. Date Card -BI Date Date Card -BI Date Date Card -BI Date --- DatA FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings 72. Insulation -Foam -Looked in Attic ❑Yes 57. Smoke Detector 2 Appliance Circuits in Kitchen & Conductor Size 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 59. 60. Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked Floor ❑ - 27. 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails under Yes 63. Fireplace or Stove; Clearances -Hearth -- 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Condensate Drain _& Overilow; Size & Grade Date Card -BI Date 34. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Access -&-Platform if Furnace in Attic Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Card -BI Date Card -BI Date Card -BI Dale Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: _ 36. 37. 38. _ 39. 67. Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except q's __40. 68. A.C. Duct in Garage -Damper 41. 42. 43. 44. 45 46. 47. 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Hlr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- --- 21. Elec. Receptacles Spacing -Lights & Switches at Doors In Garage; Above Floor -Meth. Protection 22. 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 Protect --- 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 Floor ❑ - 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, under Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks [IYes ❑ No; -- Insulated Neutral ��Yes El No Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish -- 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet _ 30. Clothes Closet Light -Shower Light -- 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. - --- --------------------- 79. Water Well; Disconnect, Electrical, Plumbing ------- 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I _Date_ _--- Card -BI - Date _- 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection 83. _ Corrections from Previous Inspections Date MECHANICAL (Permit) OK except N's 84. Gas Test -Meters Tagged; Gas -Electric _ 31_ A.C_. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32.- Vent Fan_ Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates _ 33. (NOTE: Anentry must Condensate Drain _& Overilow; 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 Dale Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: _ 36. 37. 38. _ 39. Sills; Proper Material & Anchors_ Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing_ __ Draft Stop in Walls (rat proof) _ _ t __40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill H_g_t. & Dimensions__ _ rotectionFraming Garage Fire Protection -Framing --------- - - (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — " 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit. number_' for the following location: Owner Owner's Address'' Mobilehome Mfg. Model Year Insignia No. ` ���- Serial No. - It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 9596t,- Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ffii ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE _. � ,a SO. FT. OCC, BUILDING VALU ION OWNER'S MAILING ADDRESS �J�• �4'e-1a CON R CST Oq R'S NAME TELEPHONE CONTRACTOR'S M I G ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ "G�^ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ _?5�1 BUILDING ADDRESS _ _ ) �� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or .vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomcOther SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Instal lationk Other ❑ Describe work: F► �y:t_1_4rrrY1?GY'e Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 1C.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 JMain service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&` OR AODNS. ACC. BLDGS. / 2/20sgft 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 21 I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. ULTI.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS &' NON.RESID. SINGLE OUTLET CIR. Ex. Occu aoe&oa P�OUTLETS OR FIXTURES 90@930 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FilingFee 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. Pri shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ 21 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. %� �- Yl ;Z� Date %©' /?—" Signature of Applicant — Owner&_ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 61001 OCCUP. GROUP I TYPE OF CONST. PARCEL PD I ND I 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. DIRE?OF LIC WORKS I F BY (^`� Date ? PERMIT EXPIRES Date Receipt No. !l �� 9(� WHITE-D.P.W., YELLOW-ASSFSSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT V BUTTE COUNTY.DEPARTMENT OF PUBLIC.WORKS 7 County Center Drive, Oroville, CA.`` - PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. owner's name: 2. Installer's name: �/ �% �� l �G`� Z_ Z__ 3. Is the site currently under permit? Yes/ L/' No (If yes, furnish permit number /° 7 OR Is the site an existing site? Yes'/ / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft, away from septic tank and leach fields and clear of.all setbacks.and easements? Yes /1// No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? 7--7`77 Amps �� 7.. What is the mobilehome site circuit breaker rating? ------------- Amps ,. 8. Is there any other electric load•'to be served by the mobilehome siteservice? -------------------------------------------- .,mac ------- Yes No / v/ (If.yes, identify the load and size: Pu M P (Load) (Amps) 9. What is the mobilehome site gas pipe size? ----------------- ------ (in.) 10. What is the type of gas service? ------------------------------ Natural /% LPG 11. What is the gas pipe length from meter or tank to the mobilehome? � %/ (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 than single wide, 41 Mobilehome Mfr. �� v:/1 iR �, „ „ , , �,�`- furnish -Setup Model No. Year l Width(ft.) Box Length (ft.) -Tagalong or Expando'Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. L --J (ft.)(in;) Center support locations* 0 (ft.)(in.) 0 (ft.)(in.) II (ft.)(in.) II (ft.)l (in.) Footines (check one) Single � 1. Wood either pressure treated or foundation grade. x 2. Other: (specify) Center support footing sizes Supports (check one) (in.) [Z '1.; Concrete block. x [:].-2: Other. (specify) (in.) (in.) (in.) (in.) (in.) (in.) (in.)I(in.) *If center piers are other than drawn above, - raw in -locations, spacing,. and dimensions. N Tagalong or Expando,' show support details. -- Typical Support (in.) Footing Size " &//I -- Max. Pier Spacing (ft.)(in.) Io/ll -- Max. Overhang (ft.)(in.) 36o3-83 BUTTE COUNTY BUILDING DEPARTMFN- APPROVE1-D COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PAR EL NUMBER 7-25 / ZONING /3 Z BUILDING PERMIT OWNE AW A/o� his - T EPHONE ��2-�a� SO. FT. OCC. BUILDING VALUA IO 0W� MAI LIN, ESS CONTRACTOR•5 NAME TELEPHONE CONTRACTOR'S MAILING ADD ESS Fireplace CONSTRUCTION LE`�. UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILIN DDRESS Permit Fee $ ARCHITECT OR E LICENSE NO. Plan Checking Fee $ ttd Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUMDING„AgxESS A`��O�D ��2 (�u/� /v9,0_ PERMIT Filing Fee 10.00 o , ` -/ 6TO� OZ), 'vI // LL K-� Each Each Trap 2.00 Solar Water Heater 20.00 O�Ov� Water piping 5.00 LOT NO. I SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeD, Other SPECIFY Building sewer 5.00 Mobile Home 10.00e 30, TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities g- Installation ❑ Other ❑ Describework: �I!�� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 Z-5-0 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2/20sgft 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 Z'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) El 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 CONSTR. E ULTI.OUTLT 2,50 ea NO N•RESID BRANCH CIRC ITS. NEWCONSTR. POWER APPARATUS &) NON .RESID, SINGLE OUTLET CIR. Ex. Occu 20@Boa P�OUTLETS OR FIXTURES BAL®30 Ex. Occup. OUTLETS FIXED PRESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 /5t" Misc. Wiring 15.00 3 Permi Fee $ Q Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F1 The permit is for $100.00 (valuation) or less. E] I 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. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. %����'�?� Date T — �� Signature of Applicant - Owner V 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 $ OCCu P. GROUP TYPE OF CONST. PARCEL D l//HD/ Is30 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF PUBLIC By P I EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date f_-1 f Receipt No. �©17 WHITE-D.P.W.. YELLOW-A93ESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT NOTE.—All Materials & Workmanship Shall Be iD h pecoonized Good Practices and of a quality' prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Code4. and the National Electrical Code. A setback of 5 ft. fro 1 property lines and a E of 50ft. from the roa centerline shall be cl structures or equipm cA.p a 2 ft. eave overh This set of plan's and specifications MUST'be kept on the job at all times and it is laM-, 7M$� cnanges or alterations on same with. out Written permission from the Department of Public Works, County of Butte� JI " I\_;M_InIMMvMWv the 0. A perm't mill be required installat of of the mobilel- ar ofN q)fility �:onn'e�'4Dns'shall be within ; nt ekcept f t• .o :.mdbik'home, either .:4 ft."D -directly beMind or wit':,in the rear ✓ 'half of :theroadside (left) of the .mobilehome.RUWAM Ib I� siTis it 41 fro /`�.�1 • S 4'J a 107E COUNTv -�IIIJOLDING'DEPARTMOHl7 r 1 107E COUNTv -�IIIJOLDING'DEPARTMOHl7 3007-83 3604-83 PERMIT NO. 941-84B PERMIT EXPIRES OWNER TOM ROEL7 —' .CONTR. owner ASSESSOR PARCEL 72-25-17 LOCATION End Diamond Bar Ct, 4 mi.N Hurleton Rd; Oroville Temp. Power Pole_ Called PG&E _ Temp. Elec. Service Called PG&E Temp. Gas Servi ci Called PG&E JOB FINALED (Date) —s -114V 4V � Signature r = OK = Not OK ` = Not Applicable = Not Ready RESIDENTIAL,(Sing'le and Duplex) Date UNDERFLOOR Plans OK except#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -Blockouls-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouls-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. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except #'s 74. Water Ht.: Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting _ 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels _ 19. Gas Pipe; Size & Anchors 62. Stairs & Rails _ 63. Fireplace or Stove; Clearances -Hearth Card -BI Card -BI Date Card -BI Date Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 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. Elec. Receptacles Spacing -Lights &Switches at Doors 22. 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 ❑Yes73. - 25. 2 Appliance Circuits in Kitchen & Conductor Size Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size i / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearaice Looked under Floor ❑ Yes - _ 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral `'Yes ❑No Service -Riser Conductors & Ground -Main Disconnect 75. 76. 77, Following instld.: Drive Yes No; Walks g ❑ ❑ ❑ Yes ❑ No; Planters ❑Yes ❑No Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Out et -_ 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light - 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opigs. ---- ----- ---------- 79. Water Well; Disconnect, Electrical, Plumbing Card B -I ------ Card -BI Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I ----Date ______ __ Date Card -BI Date 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Perrr,it) OK except #'s 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric - 31. A.C. Ducts; Insulation &Support - 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. _33. Vent Fan; Exhaust above Insulation Condensate Drain _& Overilow; Size & Grade 86, Energy Compliance Certificate -Other Certificates -_ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI --------- Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date FRAMING(Plans) OK except #'s Comments at Final: --- ----------- 36. 37. 38. 39. 40. _Sills; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) --------- --- - - Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shihng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Rom_ex Protection -Draft Stop -Ins. Baffles Bdrm_Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing - - - -- -- (NOTE: An entry must be made each time youvisit jobsite) J = OK O = Not OK = Not Applicable MOBILEHOMES * = -Not Ready MISCELLANEOUS - Date MOBILEHOME UTILITIES (Plans) OK except k's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch onin Requirements -Setbacks -Easements _ 2 --Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete _ 3; -desks; birders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4.=-Wootl-Avvn.; Posts-Beams-Rftrs.-Con nec.-Shthg.-Rfg.-Bracing_ 5, Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ -m Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6 aronrts_ windows -Doors. _ 7. Utility Clearance 7--E4ec—. Card -BI Date Card -BI Date C� " —D_at e _15 : Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's Date _ POOLS (Plans) OK except N's 1- Zoning Requirements -Setbacks -Easements 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections:: -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4• Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval A 10. Plumb; Cir. Test -Water Supply Test Card BI Date Card -BI Date Card B -I Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J COUNTY OF BUTTE - DEPARTMENT'OF PUBLIC WORKS 7 County Center Drive - Oroville, Galiforniar'95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. 94/1—s/4 /1 ASSESSOR PARCEL NUMBS ZONING BUILDING PERMIT 0Wtj$J,- TELEPHONE SO. FT. OCg, BUILDING VAL ATION s-90 �' OWNER'S MAILING ADDRESS i r CONTRAC O 'S NA TELEPHONE' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 3S •`�' Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Z..SC} Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Z-s� BUILDING ADD ESS PLUMBING PERMIT9 Filin Fee 10.00 l a Each Trap 2.00 Solar Water Heater 20.00 ro Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome [Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ 10-00e TYPE OF WORK New r_1 AdditionQ RemodelIP Utilities Installation El Other Describe work: ermit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service GOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21/2¢Sgft 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 CONSTR (MULTI-DU2,50 ea IRC ITS NON.RESID BRANCH CE NEW CONSTR. / POWER APPARATUS &'1 NON.RESID. I SINGLE OUTLET CIR. / Ex. Occu SOR FIXTURES2®50C 9A0 L®30 L@300 FIXED APPLNS OR EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 P. Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee -0.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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 �i" — �/� 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 $ fo 2,Jd occUP. GROUP �M� I Tr E OF ONST. IFPV PARCISSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR OR OF PUBLIC B P MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date —�� `� L( — ��'�� Receipt No. 14,310 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT This -set of plans and specifications MUST ems,, , kept on the job at all times and it is unlawfuf e make any changes or alterations on same with- _ out written permission from the Department of _. Public Works, County of Butte.---"-'- Y---------- -- N0TEL—All Materiads & Workmanship Shale in s A setback of 5 ft. from th property lines and a setbal of 50ft. from the road., centerline shall be clear of �. structures or equipment ex e t nor a 2 ft, eave overhang. ,;_ _Acoordsnce v ith Recognized Good Practice's -and , t�o�uM G.c• #quality p°e�cribvd #or the Specified use in the a40 Uniform Building, Plumbing & Mechanical C60e4 r1.1 and tha tvational Electrical Code. �� jam• �s�k'"�- .� -� S � (o A arc =D Imo• J ..-.-iD o u post -s r- v:t f' Pc -2 ov✓NEP: R WIVIA14 S Ta BE 2C­JAISTACiZD Al • g2lGIN/9L- . 94/-,8g BUTTE COUNTY -BUILDINIC3 DEPART1iAIENT OVED OOUNTY,OF BUTTE DEPARTMENT OF PUBLIC WORKS ' 7 COUNTY CENTER DRIVE OROVILLE, CALIF. 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with thereqquirements of the Californ_a dministrative Code, Title 25, Cl�gter 5, uncle p rm.i number, _ for the followog location: J�� fit`>t* "- T" ihj ,, ( 1t� fir_ j1clsti(�; ori ice` Owner i-tV44 A)hr-� Owner's Address AE- Mobilehome Mfg. flip Model Year`s Insignia No.~f Serial No. M C.- It /It is hereby certified for occupancy at the above described location and may be occupied. p Direct, of PtIblic Wor �� 1 Date_ ~r) U $ y THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. t" i 3(.pct 9ERMIT NO. 300 83P,E(MH) PERMIT EXPIRES ( L/ W OWNER TOM NOELL CONTR. owner ASSESSOR PARCEL 72-25-17 LOCATION @ end Diamond Bar Ct. mi.N Hurletoi Rd, Oroville Unit #2 - u Id t p i I i f Temp. Power I--- -- j �OFFICE COPY Called Pt s Address p ®� f Temp. Elec. S g MQak J- 1 GAS Called PI Meter By Date ;=-• ELECTRIC .. Temp. Gas Se Meter By Date ,! CalledPi.ac - - - - -- -- t� JOB FINALED (D�e) 11 %MW �—� a Signature i J = OK 0 = Not OK – = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHO E UTILITIES (Plans) OK except k's oning Requirements–Setbacks–Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except ti's 1. Zoning Requirements–Setbacks–Easements 2 s; ecial MH Support–Sketch 2. Footings; Size–Depth–Spacing–Connectors &.86wer; Location–Test–Fall-C/O–Concrete _ 3. Decks; Girders and/or Joists–Decking–Bracing–Stairs–Rails Location–Test–Easement Needed (Sketch) 4. Wood Awn.; Posts–Beams–Rftrs.–Conner.–Shthg.–Rig.–Bracing Elec icity; Location–Clearances–Grnd.–/ / Amp–Concrete _ 5. Alum. Awn.; Columns–Connections–Splice–Decal–Enclosures Location–Test–Wrap:/ /"L" ft./ LPG 6. Carports; Windows–Doors– Utility Clearance 7. Elec. – e Card -BI Date Card -BI Date Card -BI Date C - I Dat Card -BI Date Card -BI Date Card -BI Date Date &BILE INSTALLATION (Plans) OK except ll's Date POOLS (Plans) OK except N's oni Requirements–Setbacks–Easements 1. Setbacks–Easements Size–Spacing–Marriage Line 2. Soils; Compaction–Structure Stability 3 s H Test–Demand–Valve–Connector 3. Pool Structure; Steel–Connections–Thickness–Dead Men–Lining_ ricity; MH Test–Crossovers–Breakers–Clearances 4, Elec.; Receptacles and Lighting; Distances–GFI n; MH Test–Fall–Flex Connector 5. Elec.; Pool Lighting; 15 volts–GFI Water; MH Test–Regulator–Connector 6. Elec.; Enclosures; Conduit Entries–Terminals–Listed 7 ter and Sewer Connected–C/O to Grade–HD Approval 7, Elec.; Bonding; Metal w/5'–Circulating Equipment–Heater as 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 7 d–, — 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test–Water Supply Test ar B- to l/O and -BI Date Card -BI Date Card -BI Date B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK - = Not Applicable �k = Not Ready RESIDENTIAL(Sing`le and Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. Card -BI 13. Girders -Sills -Anchor Bolts-Joists-Vents=Cripples Date Card -BI Date Card -BI Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector 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 Gas Pipe; Size & Anchors 62. Stairs & Rails _ __19_. 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper --- 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors _- 22. 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. 25. 26. 27. _Insulated 28. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Neutral 'Yes [I No Service -Riser Conductors & Ground -Main Disconnect 72. Insulation -Foam -Looked in Attic ❑Yes73. Guard Rails &Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive E3 Yes E]No; Walks ❑Yes E]No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish - -- 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light - 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ----------------------------- Card B -I Card B -I - -----.- _ __Date -_______Card -BI Date Date Card -BI Date 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except It's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric A.C_. Ducts; Insulation & Support - 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain _& Overilow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI --------- - - Date- - - _ Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except H's Comments at Final: _ _ 36. 37. 38. 39. _�40. Sills; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Rom ex Protection -Draft Stop -Ins. Baffles Bdrm_Win_do_ws_or_Exiting Doors -Sill Hgl. & Dimensions Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) MARCH 27,1984 P. . J TO WHOM IT MAY CONCERN.. WHEN MR. NOELL BOUGHT THE PARAMOUNT MOBILE FROM US HE HAD TO REMOVE ONE 40FT. AND ONE 25 FT. AWNING THAT WAS ATTACHED. HE PLACED THESE IN THE MOBILE AND HAD IT BROUGHT TO HIS PROPERTY IN BUTTE COUNTY ,PLANNING TO ATTACH BOTH AWNINGS IN THE ORIGINAL WAY THEY WERE. TRI-STATE HOMES 53555 MISSION BLVD. UNION CITY, CA 94587 (415) 785-2677 af. . COUNTY OF BUTTE - D15PARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville$ California 95965 : Telephone 916/534-4541 APPLICATIOU AN6 PERMIT "' '''17IR`1 PERMIT NO. C/g — d A,on ASSESSOR PARCEL NUMBER ZONING %Z- 2s -?i BUILDING PERMIT Tz A Aloi`_a_ X SO. FT. OCC. BUILDING VALUIONo OIXY ILI(V)s CONTRACTOR'S NAME 0WA) TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING AD KESS Permit Fee $ ARCHITECT OR ENGIN R LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD G ADM /? PLUMBING PERMIT Filing Fee 10.00 ; / OF /��?o �T, / / /�l� Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF [_1Duplex❑ MobilehomeX Other SPECIFY Building sewer 5.00 Mobile Home 10.00e 0'ev TYPE OF WORK New❑ Addition❑ Remodel,❑ Utilities Installation❑ Other❑ Describe work: 5517E Z Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 10.00 1Q, Main service EA. ADD -L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ACDNS. ACC. BLDGS. 1 2h2sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): F1 I am licensed under provisions of Chapt. 9, Div. 3 of the Businesszo®soe and Professions Code and my license is in full force and effect. (cense 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 CONSTR ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR./SINGLE OUTLET CIR. POWER APPARATUS &' NON.RESID. ( Ex. Occup(O LE OR FIXTURES BAL®30 FIXED -(TS R Ex, OCCUp. O UTLETS(RESID.)EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 5L) 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 f Consent to Self -Insure. P�r4! 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XL_ � _ 3-� Date / _ Signature of Applicant - Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 6- nsD OCCuP. GROUP TYPE OF CONST, PARCEy I/ PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO PUBLIC By PER EXPIRES Date the applicable provii- resolutions to do fees have been paid WORKS Date 'i — r r Receipt No.__ _ 6 7 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT y BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. owner's name: l% P1. 2. Installer's name: �Q�f C% 4L 3. Is the site currently under permit? Yep /'L/� No (If yes, furnish permit numberOR Is the site an existing site? Yes] / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and . clear of.all setbacksand easements? Yes / V/" No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- U Amps ' 6. What is the mobilehome site service rating? --------------------- 0 Amps 7.. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes LI No m (I£.yes, identify the load and size: (Load) (Amps)- as pipe g ?--------------- ------ , 9. What is the mobilehome site i e size. �• (in.) 10. What is the type of gas service? ----------------------------- Natural -7-7 LPG-/ 11. What is the gas pipe length from meter or tank to the mobilehome? (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 than single wide, Mobilehome.lkfr. X',�Ijl�) i� furnish Setup Model No. Year Width )•6) (ft.) Box Length (ft.) -Tagalong-or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Single x (ft.)(in:) (in.) (in.) Center support Center support locations* footing sizes (in.) I I x I (ft.)(in.) (in.) (in.) (in.) (in.) I I X_ -_ I (ft.)(in.) (in.) (in.) I (ft.)I(in.) (in.) (in.) *If center piers are other than drawn above, -draw in. -locations, spacing,. and dimensions. ',Footings (check one) 1'. Wood either pressure treated or foundation grade.. [:],2. Other: (specify) Supports (check one) r7l'*'1: Concrete block.. •2: Other. (specify) *---Tagalong or Expando,' show support details. /Z• x3o I -- Typical Support in. (in.) Footing Size Max. Pier Spacing (ft.)(in.) -- Max. Overhang (ft.)(in.) 3&043 BUTTE COUNTY BUILDING DEPARTMENT APPROVED 2/v V - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovillel,,California 95965 - Telephone 916/534-4541 APPLICATION "AD PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER .,L . ZS_ ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS =LEI.ONE CONTRA TOR'S NAME r CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRU�N LENDER UNKNOWN Total Valuation Is 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 $ BUI ING ADDRESS � PLUMBING PERMIT Filing Fee 10.00 t �� t C,1� - Each Trap 2.00 Solar Water Heater 20.00 r_J el/ An-- Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeVOther SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ J 110.00ea_ TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installations Other ❑ Describe work: �(L7/ Y7`` gC22ng5k -5 E Z Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 1000 Main service 10ov OR LESS 100 AMP OR LESS 10.00 ' Main service EA. AOD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2�t20sgft 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 NON -RESIT P_ BRANCH CIRCTITS 2.50 ea NEW CONSTR POWER APPARATUS &' NON -R ESID. SINGLE OUTLET CIR. Ex. OCCu Ts OR FIXTURES 20®50e P�o BALO 30 FIXXEEDDAPP LNS, OR \ Ex. OCCUp- OUTLETS (RESID,) EA,/ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.30 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X rv_ � S`_l ✓�, rte,/ Date /�' /%� ' Signature of Applicant — Owner Lv� 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 TYPE OF CONST. PARCEJ PTO Issue, This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF P eel, BY ` PERMIT EXPIRES Date the applicable prcvi- resolutions to do fees have been paid. IC WORKS Date r r Receipt No.q%J WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT OFFICiAi. RFyOf;;;,, FOR RES16ENTIA'L DEVELOPMENT surrE COUNTY- Section 26-8.1 of the Butte County Code requires this acknowledgement / � be recorded prior to issuance of a building permit. SEP [ j 04�j��� The property described herein is adjacent to land or included ELERKO RECOkUERR within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from 93-29212 F E the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as fo l to S: 17J I/ v 6- 9"7, Date: l ZZ' p3 PROPERTY 014NERS : State of 'Calif. ) On this the 22nd da of July Y 19 83 , before County of Butte SS. me, the undersigned Notary Public, personally appeared ) Tom P. Noell and Eleanor E. r.oell Personally known to me. // Proved to me on the basis �,mennnnmou,uunueeeuuoemnneeenunoe s OFFICIAL SEAL ? of satisfactory evidence. LeANNE M. KIBODEAUX 2 to be the person(s) whose ilame(s) are subscribed to. NOTARY PUBLIC . CALIFORNIA "C COUNTY OF BUTTS the within instrument and acknowledged that hey '. " my commission EspltesJuly 13. 19U executed the same for the purposes therein contained. ue,eameennnm,peuuumnennueue,ee,+.e+•.� IN WITNESS WHEREOF, I hereunto set my hand and official seal. ,77 Notary Public Present A.P. No.--�Z— LS- e NOTE.—All Materials & 1A/orkriansliip Shall Be r ith P �o�"i'ed Good Practices ars' Accordance vv 'n` c-cified use in t�^ of a quality prescribed for t;Ie Sp i'ium ing c iar ai C-ud�5" Uniform gu�Tding, and the National Electrical Code. �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 exce t for a"2 ft. eave overhang./' M t\ m .A permit will be require for the vnstallation of the mobil home. 5 e iz.VY I J / I his set of plans and specifications MUST be kept on the job at all times and it is unlawful t1- make 1make env changes or , I er "ten out written permission from the -Department of f Public Works, County of Butte, i `. Jr. Z40. i9 5 Utility, connections shall be within 4 ft. of the mobilehame, either directly behind or .within the rear half of the roadside (left) of the mobilehome. I�. I " i i 300743 BUTTE COUNTY ` v BUILDING DEPARTMENT APPROVE ;t PERMIT NO. 1150-88B PERMIT EXPIRES OWNER OM NO 1L CONTR. unknown ASSESSOR PARCEL 72-25-29 LOCATION 166 Diamond -.Bar Ct, Oroville r * 7 �s6 i i �S !l J Is t t.� S i +� # Temp. Power Pole i� 3 Called PG&E Temp. Elec. Service s tiw Called PG&E ISt Temp. Gas Service Called PG&E JOB FINALED (Date) Signature = OK. O=Not OK Not ' = Not Reaable dyMOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DE S,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements. Z ing Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -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: / P'U ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. E . Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -131 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date I Card -131 Date 2. Footings; Size -Spacing -Marriage Line Card-B Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lchtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -61 Date Card -81 Date Card -81 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -61 Date Card -131 Date Card -81 Date Card -131 Date i =OK o = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable =• Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. De _ 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. De 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel -Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -61 Date Card -131 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 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 AI. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light-SDa Light Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date 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. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, 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. Header & Beam -Size & Bearing 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 T -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-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -B1 Date Card -B1 Date Card -131 Date 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. 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 Protec. 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 ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to 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 Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Card -81 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION 440 PERMIT AS ES OR PARCEL U ER ZONI BUILDING PERMIT O N _ rnQ<� TELEPHON/ SO. FT. OCC. BUILDING VALUATION OWNER'S MAILI ADDRESS 14 6 fly moo 0(A, , C N AC R S NA TELEPHONE aCQ r f e- r CONT ACTOR' MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKN45WN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty b BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ` Solar or heat pump water heater 20.00 LOT tl u\ SUBDIVISION NAME PARCEL, jAAP {/Iii//�`�/N/Y/j Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFO Duplex[] Mobilehomex Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New El Addition❑ Remodel Utilities Ination❑ Other st Describe work: Gl a �/ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10. DO Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the 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 or 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.p( ,h�sgft OR ADDNS. Acc. BLDGS. NEW CONST'L U LOUT LET NON- ESID BRA CH CIRC ITS 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CiR. Ex. Occup(OUTLETS OR FIXTURES .209030 FIXED APLNS Ex. Occup. OUTLETS P(RES(D )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 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. ❑I -have placed on file with the County of Butte Building Department Certificate of Workmen's Compensation Insurance or a Certificate fConsent to Self-Insure.shall not employ any person in any manner so as to become subject . v�o to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 0 Ventilation permit Fee = Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X �Q _��� k- Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -EC ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. YPtJ SCHOOL r -- P D PAJCfL I PD ND ee This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which OR PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been pard. WORKS �� ate `�� U `7 0 Receipt No. WHIT[-D.P.W.. YELLOW-AS.2Le50R. PINK -INSPECTOR. GOLDENROD -APPLICANT X.. COUNTY OF BUTTE - DEPARTMENT"OF✓PUBLIC WORKS -BUILDING D-01VIS°ION 7 COUNTY CENTER DRIVE- OROVILf)E`;`eAALNt'ORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET l l Permit No. OWNER l vI / Q C I A. P. No. - �� Proposed Building Use e—>(— Q Building Inspector (A Date Y� - At time of permit application, I was adv and:/or issuance: 1. 2. 3. 4. 5. 6. 7 /Ih 11 e 18. 19. 20. 21. 22. data must be submitted prior to permit processing DATE RECEIVED APPROVED All items.have been submitted. . . . . . . . . . . . Plot plans in duplicate./triplicate, signed by preparer of plans. Complete plans in duplicate. /triplicate, signed by preparer of plans. Complete engineered plans and calcs, with wet signature on plans. Plans with Energy Design Compliance Statement. . . . . u School District "Fees Paid" Stamp on Floor Plan. Statement of Intent for Non -Heated and AC Buildings. Fees of $ , , , , , , Letter of signature author ization.1 . . . . Sanitation approval from- roililk Health Dept. . Planning approval for (A) Use: (B) Parking: Certificate of Workmen's Compensation Insurance. Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner, Mail to owner ❑•) Improvements may be required. , . , . , , , , , , , Mobilehome Installation Data. . . . . . . . . Pre -Inspection for Pre-Inspec. request to Required, Building Inspector (Date) Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit, rt Plot plan approval from city of a Engineered trusses'in duplicate (required prior to plan check).- WVep you issue the permit p ocess as follows: Mail to wner, Mail to contractor. Telephone and hold for pickup at/Aaffice, Deliver w/inspector. v Other P e Applicant re Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_lnail—counter by Contractor, designer, owner, was advised of above required data by—phone —Mai l—counter by, Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder _ date — date Date TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Hold final for: Final clearance O.K. for: p Clearance for _ bedroom mobile home. Other 6 NOTE *** Sanitarian Water Supply Water Supply Water supply ate 014