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072-250-013
AP 72-25-13 72-25-13 -�1t GERAL I �CHT,R GRACE L. POST & GERALDINE RICHTER" -'' Rd.�,@ int rsec 'on ofa N VS' Hurleton Rd at Stringtowu Rd, {: urleton Rd., Orovile /i �,��" Permit 146-82-A(feed storage) Permi-4 /.102-y75P, E(»til �I 10/90/82 ELEC. 1��7 z - SUPPORT STRUCTURE RDS -7 1Ka' OJ G GAS - ��,G-, ENVIRONMENTAL �-- COMPS oTEST REQ, a HEALTH CLEARARANCE AP 72-25-13 �2 j,�5 SATE '-/0 -83 Permit 4660-75MHI w /9 / ' CONTR: Oroville Trailer Sales, [Permit SSUED - _ ---------- 72-25-13 a #5232-78B(new covered deck/MH) ir�ao ��A�71 Y 72-25-13 1675-91B D RICHTER, Lary Z3&-& 534 Hurleton Rd, Oroville ! cont:. Richard Van Stavern a (mh installation) 72-25-13 1715-91B RICHTER, Geraldine ` 534 Hurleton Rd, Oroville _a/_c�� ( decks R. - �'- ) 072-250-013. PERMIT#94-2770 �, 1 RICHTER, LARRY D. i 534 HURLETON3RD., OROVILLE Q MHI EXIST SITE i i �LJ' 072-250-:::A02RICHTE534 ED `MHI-REP3 Ln NOTES Y RESIDENTIAL PERMIT NO. —.,072-250-013 - --V%03-270.2.' RICHTER, LARRY 534 HURLETON RD, OROVILLE •MHI-REPLACE BURNT MH 1- i f { . Yr' F1 1 f �I i i SPECIAL CONDITIONS CHECKED SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED Date) Signatur J=OK 0 = Not OK . = NotReadyable MOBILE HOMES Date MOQUX,.WWE UTILITIES (Plans) OK except #'s 117 ZogjG@-Req uirements-Setbacks-Easements Soils; Special MH Support Sketch er; Location -Test -Fall -C/O -Concrete 4. ocation-Test-Easement Needed (Sketch) . Ele ; Location-Clearances-Grnd-/ /Amp -Concrete Gas; Location -Test -Wrap;-/ /" L'ft. s / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. Roof; Shthg-Roofing 10. Exits; Insp.-Sketch Ext.; Steps -Doors -Landings 11. Cert. of Occupancy Braced Wall Panels Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PERMA T END SYSTEM (ONLY) . Setbacks -Easements ing_Requ i rements-Setbacks-Easements 00 ' , ize-Spacing-Marriage Line Soils; Compaction -Structure Stability 3. Blocking Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Gas; MH Test -Demand -Valve Elec.; Receptacles and Lighting, Distance-GFI 5. Electricity; MH Test Elec.; Pool Lighting; 15 Volts-GFI 6. Water; MH Test Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Gas and Electricity Tagged Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool L3htg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Exits Health Department Approval 10. License Decals Plumb.; Cir. Test -Water Supply Test 11. Verify #'s with Office Light Niche I 12. Date Card B-1 Date Card 8-1 Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -St Bel 3. Decks, Girders and/or Joists -Decking -Bracing -Stair -Rails 4. Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns-Connections-Splice-Decal-En--Iosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card E Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI i 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 L3htg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit I I 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche I 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 48. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 51. 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped Garage Fire Protection Framing -RC Channel 8. Piers -Fireplace Ftg.-Steel 53. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test _ 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 12. Electric Underground 56. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Siding -Nailing Veneer 15. Access & Ventilation 58. 16. Insulation 59. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle Insulation -Walls -Ceilings 18. Water Pipe; Test & Anchor -Nail Protection 63. 19. D.W.V.; Test Fittings & Anchor -Nail Protection Date 20. Shower Pan; Test, First Floor -Tub Access Card B-1 Date Card B-1 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date 23. Fire Sprinkler; Test 64. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection Bedroom Exiting 25. Elec. Receptacles Spacing -Lights & Switches at Doors 68. G.F.I. & Bath Fixtures & Tub Access -Spa 26. Size Boxes & No. of Conductors Stapled 69. 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Stairs & Rails 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 71. Fireplace or Stove, Clearance -Hearth 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 72. Elec. Outlets at Wood Panel, Int. & Ext. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All Insulated Neutral ❑ Yes ❑ No 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 32. Service -Riser Conductors & Ground Main Disconnect 74. 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light Garage Fire Door; Swing -Landing -Closure 35. Smoke Detector 76. A.C. Duct in Garage -Damper Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation Insulation -Foam -Looked in Attic 38. Condensate Drain & Overflow, Size & Grade 81. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Following Instld./Drive O Yes O No/Walks ❑ Yes O No/Planters O Yes O No 41. Sills Proper Materials & Anchors 84. 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing A.C. Unit Disconnect, Electrical -Plumbing 44. Draft Stop in Walls (rat proof) 86. 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth ' Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive O Yes O No/Walks ❑ Yes O No/Planters O Yes O No 84. Stucco Brown -Finish ^ 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: y✓�"'-'r.r r -rte•-.T�� ..13 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: 7![f / �t ) 7 v — A)m s r0 /)7-Z PERMIT NO.: 2-76 �. Owner's Name: I�-t c P Owner's Address: 4 S S q t,1(LL Mobilehome Manufacturer: Year of Manufacture: f � > J) Ian- 11�7 '?7 Serial Number or V.I.N.: Insignia or HUD Number: Clic Official approving installation: Date: If the mobilehome is,moved_Qr relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 5138 White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT 03-2702 PEFMIT NO. ASSS�O�PAFE�NMBE� 13 / L V IONING FR -10 BUILDING PERMIT OTRrry Richter TELEPHONE 534-3835 SO. FT. OCC. BUILDING VALUATION °W EM`u bTcTssHomct t Rd. , Oroville 95966 C06,p��'$NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ '.7µ�Ln3lIgqG T'Usrlton Rd, Oroville Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Q Other sPEclry Each Trap7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation f Other ❑ Describe Work: MH! REPLACES BURNT MOBILE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI w Ca20.00 PERMIT FEE S • FLOOD' X 0825C SRP, ELECTRICAL PERMIT Fling Fee 20.00 Main Service " A OR lESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: } I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO IGOOA 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 6 ACC. S. SO 3.50 NON-ROSID. MULTI.OUTLET g7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. ourLFT OR FaruREs 20 @ 1.00 BAL @ ,50 LNS Ex. Occup. ountis RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PRE TNSP PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) Q9 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisionsof sectio 3700 of the Labor Code, I shall forthwith comply with those provisio Date 3� ©3 _ gnature oficant - ❑ Owner ❑ Contractor ❑ Agent An OSHA per ' is required for excavations over 60" deep and demolition or construction structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.90 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S100-0,11 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 HAI. — D, IM ° D CD PAR EL P9 H IS-�' E ` 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. I� ( 0-1of By it Date PERMIT EXPIRES ON / f , Receipt No. 'R2 143.00 WHITE-D.D.S.-B. RY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .,...rlr-`-r..r;r .�, ,;: t.•.�f4 ;:��.-'1r �' �.i, o-+-dti •.n�rY-(L..,....�.y� �' '".�3r'.""r.'� . -# r.:.�..i,r--...•.�+:^�+i.�y�i�"'.�,:,1�iThr.'-.:'.. .� �' � "" � •T:.-.<•-•-�•.�i��.,�1':�,t.:. -. , ` COUNTY OF BUTTE-DEPARTMENT'OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Orovilie, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �� `� ASSESSOR PARCEL NUMBER Or� SV Q t �. Proposed Building Use: r / t E - ' Counter Technician: Date: 9 /3 I ems required in order to apply for a permit. All boxes MUST be checked OR mark NA in order to apply. " !H 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance dn and supporting documentation in duplicate. /- 6. Manufactured homes: *) Data sheets and installation inst, (B) Marriage line in�Floor Plan�Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Mem i -tag Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed dnd returned to thwplan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Site plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out.by_the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Fire Sprinklers............................................'............................................... ❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 15. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 16. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... 'A❑ Statement of Intent for Non -heated and A/C Buildings ..................................../..'.. /""i ' Sanitation and site plan approval from the Environmental Health Department in ❑ 19. City of Chico Plumbing permit...........................................alifornia Department of Forestry plan approval ❑ paid. Sent .b..y.:.................�.. ..... 3r❑ 21. Planning approval for (A) Use: oG BParkin : (C) Parcel Check. = ❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 23. NPDES Form............................................................................................. ❑ 24. Encroachment Permit for driveway from the Pubic Works Dept ................................. V25. Pre -Inspection for L01AYYX.Q required ................ EI 26. Contractor's license information. (Number, Name Style, Classification) ......... I............ ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. p 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 29. Letter of Signature authorization.................................................................... ❑ 30. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 31.Manufactured home utility clearance............................................................... ;.,. ❑ 32. Existing violations and/or expired permits ....................... .................................... ❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 34. Other: When issued Telephone and hold for pickup. I have been info ed o the above items..and requirements for obtaining a building permit. , AmA;a t�applicatio�4 Date: ,1. Inde he above items num Bred: Plan Check Letter 2. Additional items req 9 Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of theabov data b ❑ one, ❑ mail, ❑ counter, b Date: Plans reviewed by: Date: 0 � lans approved by: Date: Z7, 3 Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E.N. USE GAMY r ►. Piot Plan Attecha� o3 -S701— F1cas Plan A elcad ®ns gas B.C.JPI M/N TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance o ���.c.T /�c� . O 7 -off So - o .� . ner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well. ✓ Clearance for ✓ dwelling. Other 67€�52oy-rY7 .�Jcc�,Ec.c./.ciA of Hold final for: Final clearance O.K. for: NOTU-' Environmental 8/96 Specialist /®' ,,few Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER ` A.P. # PROPROSED BUILDING USE DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... --- Additional Fees Due........... $ — Revised Plan Checking Fee.... $ / r. 2. SCHOOL DISTRICT FEES VYk2en2� (paid at School District Office) (form available after Pltt%q�3.SHERIFF FEES (paid at Building Division) rip, Residential............ X $360.00 Units Commercial (sq. ftg.)..... X $0.03 = $ _ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ _ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) D4. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER M At time of permit application, I was advised -the above fees are required to be paid prior to issuance of the permit. These fees may be changed durin%the plan checking prod DATE ?__ 3 Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) • • LOCATION:_53Lf OMi I A -P. # I , r DATE TO INSPECTOR: PERMIT HISTORY:( ) NONE AAS FOLLOWS:�� ��_ BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: Residential/# of Units: G� Currently Occupied / �� c Abandoned/Vacant Electric: Yes / No Electric currently On Off l Condition of Electric 1 Gas: Natural Propane None Currently On Off Obvious Problems:_ rj� Sanitation: Plumbing Working Well Working_ Potable Water Obvious SewageProblems Comments: 1 ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector._ Date l Sketch buildings on reverse and indicate location on property. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 41 P MIT NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR�i ER �Q A ZONING �Q U BUILDING PERMIT V Pl OWNER 1 r SQ. FT. OCC. BUILDING VALUATION .OWNERS MA,UZrESS Main Service CONTRACTOR'S NAM � I W L - TELEPHONE 46.00 CONTRACTORS MART G ADDRESS DWELLING OCCUR & ACC. Amn CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHnECT OR ENGWEERS MAUNG ADDRESS Permit Fee $ Plan Checking Fee $ BURDINGADDRESS )/ �^ /�J1 jf � Energy Plan Checking Fee $ cNv $ PERMIT FEE $ LOT NO. SUBDNSIDNS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Tra 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF ❑ Duplex ❑ Mobilehome�& Other Water piping 15.00 sPEcffv Each as water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets . 15.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Building sewer 15.00 11 Mobile Home S' G W @20.00 Describe Work: 1 i � ,�� .PERMIT FEE PAID SRA SHERIFF OTHER S S S S AMOUNT RECEIVED $ a �� DATE RECEIVED. !L_1 RECEIPF# q�t) EX. OCCU . OUTLEr OR FIXTURES PERMIT FEE S FIXED EX. Occup. oLrtnErSS(PEEBID °ERA ELECTRICAL PERMIT Fling Fee 20.00 Main Service s OwA ow LE6s 23.00 Main Service 200A TO LDDOA 46.00 NEW CONST. OR ADDNS. DWELLING OCCUR & ACC. Amn SO 3.50c ' EX. OCCU . OUTLEr OR FIXTURES IBZ O '.�O FIXED EX. Occup. oLrtnErSS(PEEBID °ERA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc,,AWing ter. _ 23.00 I PERNIT' FEE $ I I MECHANICAL PERMIT Filing Fee I 20.00 11 Hood . 1 1 6.501 1 PERMIT FEt3 $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ + —� HAZ D. FEES IMP I FLOn CDP I PARCEL PD I HD I MSUE This permit is hereby issued under the applicable provesions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON era -T— AP 72-25-13 72-25-13 GERAL I=CHTOR GRACE L. POST & GERALDINE RICHTER S/ s IM Rd., @ int S- j*L 0 n 0 -f"1SIS Hurleton Rd at Stringtown Rd,' &vJ-Hurleton Rd., Orovil-le,Permit #46-82-A(feed storage) Permi-W 4102-,75P,E(util. 10/20/82 ELEC., SUPPORT STRUCTURE REQ fel IG GAS a,//-) COMPACTION TEST REQ.—JI C AP 72-25-13 s. CONTR: Oroville Trailer Sales, Permit 4660-75MHI ISSUED 9—zla - ztr 72-25-13 Permit #5232-78B(new covered d ck/MH) 72-25-13 1675-91B RICHTER, Lary 534 Hurleton Rd, Oroville, cont: Richard Van Stavern (mh installation) 72-25-13 1715-91Bj RICHTER, Geraldine 534 Hurleton Rd, Oroville 072-250-013 1:)TFVMTTA94-9770 AI, RICHTER, LARRY D. 534 HURLETON RD., OROVILLE MHI EXIST SITE J Building Permit Number: Q,3 - oZ 70 �- Owner Name: I ` i Lh+cr- �' Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required. Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: Owner Name: Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. MThe following parcel map requirements shall be met: All structures and equipment including overhan s shall be clear of all easements. s A setback o et from the side andOW Met aom. the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. ,Ufro i'�s COP I@ /�'40 r7l &wo • IC•e,. ..... , G - r REVIE1A! •m. C • BU iTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY ' (� approved `as submitted _ approved with conditions er attach d heet. nature Date amu- STRUCTURES AND EQUIPMENT INACLUD VE (HANGS SHALL BE CLEAR OF ALL EASEMENTS; k SET BACK OF �i_,g tv-. FROM THE SIDE AND G.0 aFROM THE REAR PROPERTY LINES AND FROM THE ROAD CENTERLINE SHALL:BE CL OF STRUCTURES AND EQUIPMENT EXCEF�; • ' • COR A 2 FT. EAVE OVERHANG. C • Lc� of of l � Tod ��► � z w bUZ aa-. w"l , :L . C.) CO. wz� HCCO)t3 CIDF FIRE SAFE REQUIREMENTS 2--7D z AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [X] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provide for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards [X] 1273.02 Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provide unobstructed access to conventional drive vehicles. Including sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03 Grade. Not to exceed 16 percent unless paved 1273.04 Driveway Radius IN 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100- 200 feet. IN 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 - feet from the center of the road. [X] 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1273.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3 -7Z - l3 AP# J C� 3- 2-'7 a L PERMIT# NAME [X] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [X] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [X] 1.Gate entrances shall be at least two feet wider than the roadway it serves. IN 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [X] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space '[ 1. All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road./, 3 [ ] 2. For parcels less than 1 acre, local jurisdiction hall provide for the same practical effect. See other requirements on page 3. 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Page 2 of 3 2-- 70 AN PERMIT # NAME( Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof and Enclosed Eaves [ ] If Building Setback is Less Than 15 Feet- Class A or B Roof with Enclosed Eaves and: Choose any 2 of the following: - Metal or no doors on the side toward property line with insufficient setback - Interior automatic fire sprinkler system per NFPA 13D - Glass area not to exceed 10 % of wall area toward property line with insufficient setback - Siding from the following list: Stucco — 3 coat Hardi- Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials OR � Date Signature Page 3 of 3 2 �/ ,L- V 1. Owner's Name: 2. Assessor's Parcel Number: �� 1 3. Installer's Name: 4. Is the site currently under permit? Yes[ ] No[ Permit No. 5. Is the site an existing site? Yes[ No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? Amperes. 7. What is the mobilehome site circuit breaker rating? Amperes. 8. What is the electrical rating of the mobilehome site? Amperes. 9. Is the main se 'ce remote from the mobilehome site? Yes[ Lj---I 0[ ] If it is, what is the rating? Amperes. 10. Is there any other electric load to be s by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ ' If yes, please identify the load and size: a) The mobile home site: Load- . Amperes - b) The main servicer Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] PropaneLX---"None[ ] 12. Size off, as pipe at the mobilehome site from the meter or tank: �' inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?,O�ft.). 14. What is the mobilehome gas demand? B.T.U. * *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). May 1995 BUT"'= COUN- AUILDING DEPARTIVIF, A���8.5 Mobilehome Manufacturer: Manufacture Year: If other than single wide, furnish Setup Model Number: Width:�(ft.) Length: r (ft.) Tagalong or Expando" Size (ft.) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. ' FOOTINGS: WoodP ressure treated or foundation grade[VI Other: SUPPORTS: Concrete block[ 1,r'Other: Provide Tie Down Specifications for all Mobilehome,: 79 HS e Q Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 e I Line 2 Line 2 ................................................................................................. Main Beams .:.........._......_......... .............................................•.................... Line 2 " Line 1 Line 3 Line 2 .............................................................................................. M1. Main Beams - Line 2 Line 1 a ................................................. ine S Tag or Triple ine 4 ine 1 Line 1 Piers: Size minimum: x Spacing maximum: ` From ends -maximum: ` Line 2 Piers: o2� -.V, Size minimum: J x [moi. Spacing maximum: 6 f ` From ends-maximum.p ` Line 3 hoof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): May 1995 Line 1 Openings Size minimum: [ ] x [ ]• Each side of openings with width over: r I` Line 4 Piers: Size minimum: [ ) x ( ]• Spacing maximum: ` From ends -maximum: ` , ' y 3o - Cly' Gt�Q.Q rig-Ferla�' be Ccrwa iz ✓/ gtjlLDINGVrR ® V 8.4 �W {.' i �� � -:.ter K.. r� tit, 1•� 1 ` I TT r\ C c ate }Mitd••itD {O'Ia 0 !�I j n •..i': y�� �Wii < N'.�Q �P .0: Vi � 9� (i '1 yW�yW V JW Lij !� dod �,! i � � � W� e�eW i I•_i�r 7 S.'Q t�� j, � v � � z•� i C ON 4 I F; Li I Iii �' '' PM 01 NelC l q� rv, � O� �to do C dN ��W irf < � HIjmeEez a it -+II �• S 1iJI 1� b �f�y1 Ci W � 'dr` < JJ �hNh✓! d I.coco uj to at 6�v7r w�►� IIa S 1 e sfi LL+ `� Q1 9; CJ H 0A := TG =MA r Y � •t f r �W {.' i �� � -:.ter K.. r� tit, 1•� 1 ` I TT r\ C c ate }Mitd••itD {O'Ia 0 !�I j n •..i': y�� �Wii < N'.�Q �P .0: Vi � 9� (i '1 yW�yW V JW Lij !� dod �,! i � � � W� e�eW i I•_i�r 7 S.'Q t�� j, � v � � z•� i C ON 4 I F; Li I Iii �' '' PM 01 NelC l q� rv, � O� �to do C dN ��W irf < � HIjmeEez a it -+II �• S 1iJI 1� b �f�y1 Ci W � 'dr` < JJ �hNh✓! d I.coco uj to at 6�v7r w�►� IIa S 1 e sfi LL+ `� Q1 9; CJ H 0A := TG =MA r 2`x2"xS/16' STL AKCLE , 1/2' DU►. HOLO (B) PLACES l- 3/e" CAD PLATED BOLT. NUT & WASHER COIMITfA BORED FLU91 WITH BOTTOM _ (B) REQUIRED -- — 1/4" STAN BAS£ ¢ —_ 4 ':S lllld ' ABESCO ABS PAD X503 1B SD Tfll Q7 OFTAIL "A" CHASSIS FRAME -- 114' GRIPPEN PLAIF: (2) RFC111Kkv 1 /4'• (MPKA BASt- 1/2'13L'NC-A:nt x •,A" BOLT WITH 114111' f4j RfOU1R(D 01 1/2" SCH 49 PIPt- RISER WITH •1/2' ADJUSTER FIOIF'S Amr) s/8 - THICK TOP PLATE 02" SM 40 PIPE STAND WITll TiJi► 0111_ AnxIsTER tIOLES ARE:.CQ ABS, PAD 1503 �r �r STCCL TRAME- \tom rn c yam_ ' 18,75 3/4" DIA. x 19" LG_ (A) REOUIRED f7--+ $ 30.00 ---.._z.. r STEEL FRAME / TOP VIEW l ) 1/REQ2"xJ/IUIRED 6`{ 3T► < �, 4 f;/ } (!`�sl 34;' wAx \ f a.:• TO 130170M - a, Of PAD �^ �t SIDE VIEW f 414/2'. 31' C.R. I LUCK PIN *1 1`14 i 01/6' BRIDGE i - o '09/16 HOLE (TYP) STAND -BAaE TQP V.ILV aw STS (2) REQUIRED 1/4' GRIPPER RASE - COACH "C FRAME 1/4" GRIPPE PLATE 2" C1IAM.4, IRAN[ TER STS REQIJIKD A307 HOLT P.EDUIRED 1/4' GRIPPER BASE 1/2. J `-1 2ASO u 4RMUR- RD saw I FLOPJN - FFJUUM ROAD S4CRAb4MM. CA 95623 PH: (1100) 382-8831 FAX: (916) 383-5207 . C-GEAh1 3-0-EAM ATTACHUBRT AMACRMENT E —Z TIE_ DOWN _SYSTEM WAYNE T. POLVADO, PE -LISTING NO. - 99001 SHIET ? vl 3 0 L6 s i- U) "I bi f? 0 T CD N Z. INSTALLATION INSTRUCTIONS E_ -Z TIE DOWN SYSTEE 1. PIERS MUST BE PLACED ON BEAM WITHIN 24" OF AN OUTRIGGER OR CROSS MEMBER, OTHERWISE iNSYALL WEB STIFFENER ON CHASSIS BEAM. 2_ MAKE LEVEL THE PLACE WHERE THE PAD WILL SET. DOWN TO UNDISTURBED SOIL. S. THE PAD MUST BE CENTERED BELOW THE CHASSIS BEAN. 4. REMOVE THE FOUR (4) NUTS AND WASHERS FROM THE STUD BOLTS IN THE PAO AND PLACE THE PIER. THE HOLES IN THE 13ASE PLATE Wit.1 ZINE UP Wlftl TJ4E STUD BOLTS. REPLACE THE NUTS AND WASHERS AND TIGHTEN DOWN. 1 -BEAM S. "CUOVE THE TWO (2) GRIPPER PLATES ON ISLE TOP OF THL PIER. START THE HEIGHT ADJUSTMENT BY REMOVING THE COIILR AND ADJUSIMENT PINS, PIERS CAN T!IEN TELESCOPE. RAISE ]HE TDP OF THE PIER UNTIL THE PLATE IS AS CLOSE TO THE SOITOM Of TITE CHASSIS BEAM AS f OSSIIII.E.. PI ACF ADJUSTUrNT PIN THRU ADJUSTMFt#T "OLE AND SECURF WITH THE COTTER PIN, 6. RAISE THE TOP PIATF USING TtIE AOJUSTMEIJf NUTS UNTIL THE NEF TOP 15 TIGHT AGAINST THL U0fTlOM Of THE CHASSIS RAM. 1. "".ACF THE GRIPER? PLATFS OVER THE }LANGI: OF THE BEAM AND T7GHTT::N DOWN FIRMLY WFTFI THE TOL' NUTS. C. -BEAKS ANll 1--11LAMAS 8. Ilfgp OF PIERS R.[OL'iRF'S THAT TWO (2) TEI< S{:6:EWS SE PLACED THRU THE SIDE Of THE REAM IN ADDITION TO ONE CitIPPER'PLATT. 9. FOUR (4) STEEL `;fAKF'i ;3L9PPLiED) ARE TO BE iJRIVLN THRU GUIDES INTO SOIL UNTIL STOPS ARF FLUSH WITH THE ':UIDE_ ALILRNATIVE: (2) J12 S.M.S. OR WELD _y4a (2) d12 S.M-S. 3'1£ ANGLE IRON I V.";c 11401 ti9s" MOTE: USE STIFFIIER IF OUTRIGGER OR _— CROSS MEUSER OU NOT OCCUR WITHIN 24" OF STANCHION (TYP) WEB S'T'IFFENER DETAIL ABO -43M GUARD ( OheANY ' 59 51 FTA)M-PERKiM3 ROAD ACRAIrlI�(7 CA8931 PH: (BOO) ' 382-8831 WAYNE T. POLVADO, PE-11STING. NO. -.99001 5 FAX: (916) 363-5207 SHEET 3 of G C- APPROVED I • Counttyy • • Environ ental H9 • ate • 19natU � � , • • l • n 6 d. �. 'i" ... • • � -fir :•y 1 / •ice APPROVED VCounty mental Health a4lui-10-1a GNo fpp�0 o`�no 0 4d/�a S �Wxt1:j,, BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM - (One form per Building) )L9", School Districty �' V Building Department No. A.P. Number Ot. O5).• aburisdiction: City /County Property Owner Property Location/Address Z-��� 11. -Y-\ � Subdivision i Residential Development No'of Living Mo�itmee �` Units Ti' Commercial/Industrial New Addition Building Department Representative G�y Lot 0 0 Addition/ *Supplemental to Conversion Permit # *(No foundation insp -41 WIEff,wrom 11 Sq. Footage ` L�L� 6— (Group R) Sq. Footage Date (Including Exterior ,Roofed Areas) (Floor4Plans reviewed by School District Personnel) District Identification No. z' ...fes .." f ,ice 4- A ►School District certifies that S 31 j,6k,-O_ r (Applicant) eA Ilk (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. 1:7 o VO by payment of $ r, . representing it� tD square feet. AB 2926 $ ` FULL MITIGATION _ —CA --u3 School District RepFesentative Date Paid by Check # n� j _ Remarks: t}–( A -J _y �_�_� ,yY`,�}��.✓�,Q� l = V s Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act ICEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department►, Pink (school district) `� feeform.xis 110198)dmm D.B.- I I 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 cation is received I personally plan to provide the major labor and materials for construction of the proposed 0property improvement: YES O NO 0 I HAVE 0 HAVE NOT0 signed an application for a building permit for �• p the proposed work, ' I have contracted with the following person (firm) to provide the proposed construction: ,.T l %.-,-. I'A" 1001CITY: CONTRACTOR'S LICENSE NO. . I plan to provide portions of this work, but I have hired the following person to.coordinate, supervise, and provide the major work- DRESS: orkDRESS: CITY• P NE: CONTRACTOR'S LICENSE NO. 5. I ' provide some of the work but I have contracted (hired) the following persons to provide e work indicated: NAME ADDRESS PHONE TYPE OF WORK IGNED: PROPERTYOWNER: -17 DATE: 3 NOTE. This Owner Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Coda This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner. O.B.- I An application for a budding permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own woii, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building Permit, erroneously implying that the property owner is providing his or her own labor and material personally. Budding permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street; Sacramento, CA. 95914. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The budding permit will not be issued until the verification is returned. - -; -' 'y Ivfic 1 C. Vi ira, C.B.O. er, Building hispection NOTE: YkIs Owner -Builder Information is regr&ed by Section 19830 of the California Health and Safety Code. OVER RESIDENTIAL 072-250-013 PERMIT#94-2770 RICHTER, LARRY D.- 534 HURLETON RD., OROVILLE MHI EXIST SITE JOB FINALED (Date) r Signature ,/=OK O = Not OK NotNot Applicable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s ing Requirements -Setbacks Easements ooti ;-Size-Spacing-Marriage Line as; est-Demand-Valve—Connector lectrici .y.; MH Test -Crossovers -Breakers -Clearances rain; Test -Fall -Flex Connector ateL;,bAH-Test-Regulator-Connector at t9' Sewer Connected -C/O to Grade -HD Approval G Electricity Tagged E ' , sp.-Sketch Cert. of Occupancy Date (S' and B-1 Date Card B-1 Date Card B-1 Date Card B-1 01 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rail; 4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lgldg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) = Date UNDERFLOOR (Plans) OK except ti's Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cling. Joist-Rftr. ties-Purlin -roof Brac-Truss-Shthnq.-Rfnq. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ft's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ---------- -- - ---------------- 19. Shower Pan: Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance -Ins. Protection -------------------- ----------------------------------------------------- Elec_Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled ------------ -------------- ----------- -------- -------------- 25. Romex Installed Close to Edge of Studs & C.J. --------------------------------------------------------------- _ 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ------------------ ---- - ------------------------ 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI -------------------------------------------------- ----------- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or AI 29. Range Circ ! ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect ------------- ---------------------------------------------- 31. Equip. Clearances Panels-Motors-Mech. Equip. ---------- ------ ------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light --- - -- -- --- - -- - ------ -------------- ---------- 33. Smoke Detector ------------------------------------------------- ------------------------------- -------------------------------------------------- Date Card B-1 Date Card B-1 - ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support ------------------------------------------------7------------------------------- 35. Vent Fan: Exhaust above insulation ----------- ------ -- ----------------- ----- --- ---------------- ------ ----- 36. ------- ----------- 36. _Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------------------------------------------------------------------- 38 Attic Access & Platform if Furnance in Attic ----------------------- - ----- -- - -- - --- --- ------------------------------- Date - -- ---------- - Date Card B-1 Date Card B-1 --- ----- --- -- ------------------------------------- ---------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. Sils. Proper Material & Anchors ------ --- -------------- ---------------------------------------- ------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------ ----- ---------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing -- - - - ----------------------------------------------------- 42. Draft Stop in Walls (rat proof) 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------- ---------------------------------------------------------- 44. Headers & Beam -Size & Bearing 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing _ 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits _ 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ----------- 542 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 Date Date ___58. Shear Walls: -Nailing -Bolts 59. Insulation -Walls -Ceilings_ 60. Infiltration -Walls -Windows Card B-1 Date _ Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ------------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------- ----------------------- -- 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66.- Elec. Trim & Subpanel; Breaker Sizes & Labels ------------- -------------------- 67. Stags & 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 -Meth. Protection ------------- Equip. -- -------------- - -- 75. Plb.. Elec. & Mech. E uip Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection - ---------------------------------------- 7;. 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. ---------------------------------------80. Following inslld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No - - -- ---------------------- --- 81. Stucco: Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing - - - -- - - --- -- ---------------------------- - 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings - - - ------------------------- ------ 84. Water Well; Disconnect, Electrical, Plumbing ----------- 85. --Exterior---Elec.-- Trim: G.F.I. Receptacle -Underground ------------------------ ---- 86. Ventilation Throughout House 87. Glass Protection - -- . - - - --------------------------- 88. - - ---------------------------- ----------- 88. Corrections from Previous Inspections ----- --- --- ------------------------------------------ 89. Gas Test -Meters Tagged; Gas -Electric ----------------------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval --- --- --. -. ...------------- ------------- ----- 91. Energy Compliance Certificate -Other Certificates ----------------------------------------------- --- --- Date Card B-1 Date Card B-1 ------------- --------------------------- --- -- Date Card B-1 Date Card B-1 -_-------------------------------'------- - Date Card B-1 Date Card B-1 Comments at Final: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — T€LEPHONE: (916) 538-7541 t PERMIT N0.` Z%�G Address or location of mobi lehome S �t u �L L'�� 12 t, Owner's name Owner's address 1,911(�174�' Insignia or hud number 1 5d (0 t Manufacturer's name �'�''. 11 Serial number of V.I.N._ .� `1 Z. � � Year of manufacture, r /c, /z b A;; u (Official Approving P stallation) (Date) ` IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. /k J COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Ulifdrnia 95965 - Telephone (916) 7541 _ No• APPLICATION AND'PERMIT C7` ASSESSOR PARCEL NUMBER 72-250-013 ZONING FR10 BUILDING PERMIT OWNER LARRY D RICHTER TELEPHONE 533 -0235 SQ. FT. OCC. BUILDING VALU ON OWNER'S MAILING ADDRESS 38 NARAMTA AVE OROVILLE, 95966 CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 534 HURLETON RD PERMIT FEE $ 4.3.00 OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex O MobilehomeM Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel El ❑ InstallatiorX,�'1 Other ❑ Describe Work: 2 BEDROOM PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 REPLACE BURNED MH 600V OR LESS Main Service ( 200AORLESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONIS. ( & ACC. BLOS. ) SO. 3.50v FT, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ® 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup.FIXED APPLNS. OR ( OUTLETS (RESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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. 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 Countansequence of the ranting of this ermit. X Date /0•- / Signa re of plicant $' caner O Contractor ❑Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100 00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 HAZ• D. §Kfs IMP RLS4 CDF PARCEL 1 PD ISS E This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions or which fees ave been In11EXPliRES B �— PON ID rel provisions to do work paid. Date 10�L Receipt 168905 .D. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT l h .t CERTIFICATE' OF. ANCHOR. INSTALLATION Title 25 CCR -Mobilehome Parks Act Section 1326 (b)(3) I certify.: those: portions of the tiedown system installed below grade were not damaged prior to or as a result- of the installation, were not modified prior to or during the installation, and were installed in accordance with the manufacturer's installation instructions, plans and specifications of the engineered tiedown system referenced on this certificate. Tiedown System: Manufacturer: Model: 7 ZZA5N14A I `1 L 1 Installed. by: WA) Date: % b — aZ(o — % 4f Contr./Owner: wl"'3iJ;t ,Kdy1'iL 6�%i✓S`j "�� "b'4 "1`,"£+�"'""�vr�.�-`^. .u-7 ""^`F'3'"�..;-,R1W�/a�t+9�ii Ud'�j.°•r' 7Mrc(wt,Cff7 {a4;p Yc'- 9i`'7�'+'' `�T'k .el i�hiq ' i�Jr'{:`7��.+•C:1:.:rLv +r.� y COUNTYOF BUTTE -DEPARTMENT 0F*,. f.LOPM ENT SERVICES -BUILDING DIVISION 7COUNTYCENTERDRIVE -OROVILLE,CkiFORNIA95965-TELEPHONE 91 538-7541 P MIT APPLICATION DATA SHEET r- OWNER . y A. P. No. 72-- Proposed ZProposed Building Use Building Inspector Date zeq Id At time of permit application., I was advised the following data must be submitted prior to permit processing and/or issuance: ! * DATE RECEIVED BY 1. All items have been submitted. ..................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by'preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7 Statement of Intent for Non -Heated and A/C Buildings. ...`................... Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ......... P Fees of $ ..•......................... . Impact fees as shown on attached schedule.�� ffo(/.4 ..................... 12. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer. ... . . Sanitation and plot plan approval 'C Health Department. ei�,� . 15. City of Chico plumbing permit . ....................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . -Freanspedion n:quest- 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ..............�� 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. `A 25. Letter of signature authorization . ........................................ . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list........................................................... 33. 34. When you issue the permit, process as follows: Mail to owMail to contractor. Telephone - nd hold for pickup at e% A, office. Deliver with inspector. Other Parcel Creation Acreage Applica Date TV Copy of Haz-Mat form sent Health Dept. Fire Dept. _ Copy of plans sent Health Dept. Fire Dept. Other The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: lution Date Date (Circle new,.item not checked above). NA Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Cou ref by _ Date Plans checked by Date Plans approved by f/ Date Sets of plans on hold in File cabinet AP folder e Copytz Department of Public Works TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Attached -� FW" Plan Attechod Seat W B.D. �/ - LA-i.ev Rtsaqe. . "" �11), O ner Location OR -(D Plan Approved for: Sewage Disposal Water Supply: Public _ Clearance for V, bedroo nobile o'm'�.�Other i,�-;?- S-/3 AP# ` Private Well Environmental L\ 0 M11 4 Q J. s' ISO l Y� Q J. s' ISO l Y� i 1 tQ , 1 lYoo� oo� /y ths job at an thl" W'd it is utlawa MW abaulve ()r catww, ft GM the at Pt 3c wefts. oommw at DUU9. ALL 8TRUC,7l .M A I -- 'NWT C NT mult Nor -le a r- AL . IENTS. IL A CK Of FT. FROM 11U. fim E FT. 11114 lllllia-Q�=R PRO LLNES AND 1#1% FT. FROM THE ROAD' SHALL BE lb�'IRES AND E IP y�ie6�`Jr� .-EQR A 2 Fr. a. (7�,j 34 -4 oact, 18 MOM AnIl Aaaardm P-5009 of a Quallj7ax?pr:zl Jn the Unlftwm BWldlqj Cod" and the National m 40 /• — —,qp ,Ap MI&U Be In �'/ PrrbcUom and I use 7 % SysThe AM SOP .-d� dmb z Ice •W4 MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr._I(%C gy /q P_5 furnish Setup Model No. —Year/? � Width(ft. ) Box Length(ft: ) Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installat_on manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check F�-one)Wood-pressure treated or foundation grade.a 2. Other (specify) SUPPORTS (check one)Concrete block. a 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Line 1 Piers: Size -Min. ------------ "x Spacing -Max. --------- _ From Ends -Max. ----- Line 2 Piers: Size-Min.------------ Spacing-Max ---------- From Ends -Max .------ _ 0 ' Line 3 Roof Leads: Size -Min. ------------ Location (From Front) Line 4 Piers: Size -Min ------------- x Spacing -Max.--------- „ From Ends -Max. ------- Main Beams Main Beams — Tag or Triple MULTI -WIDE .Line 1SEE '4 -TT A (*F_D � Linc 2 ,}$ESC0 - rJ 67 — .�w� ► u . 2 Line 1 Openings: Size-Min.------------------� Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ "x ' Spacing -Max._______________ „ From Ends -Max -------------- Line 5 Roof loads: Size -Min .------------ „x „x „ Location (From Front) w„ 'x " Line 5 Piers: (Under Bearing Walls Only Size -Min. ------------------ „x Spacing -Max.--------------- From Ends -Max -------------- "x "x "x "x " BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: 3. Is the site currently under permit? Yes F-1 No I� (If yes, furnish permit number ) OR fs the site an existing site? Yes Evr No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes 0"'No F-1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the n Yes No Le_� mobilehome site service? -------------------------------- L�; (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ------------- 7 (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.) S� -; 12. What is the mobilehome gas demand? ----=----------------- (BTU) *(This information' -not regyired if pipe length less than 6 ft. on natural gas or less<'than`50 ft, on LPG.) AB'ESCO ENGINEERED TIE -DOWNS MANUFACTURED HOME AND COMMERCIAL COACH TIEDOWN CALCULATIONS AND SCHEDULES FOR SINGLE/DOUBLE/TRIPLE AND QUAD-%VIDES GENERAL NOTES 1. DESIGN LOADS: * WIND--- 85 MPH EXPOSURE "C" * SEISMIC - ZONE 4 * SOIL --- 1,000 LBS. PSF LOAD BEARING ABESCO EARTH ANCHORS #601 OR #602 MAY BE USED FOR BOTH SIDE AND END TIEDOWNS. 2. ANCHOR DESIGN PULLOUT: 9P 4,750 LBS.—MINIMUM TOTAL LOAD CAPACITY (TESTED 7,000 LBS.) * 3,150 LBS.—WORKING LOAD CAPACITY (1.5 SAFETY FACTOR). TIEDOWN STRAPS ARE TO BE ABESCO'S STEEL STRAPS #606 AND #614. THESE STRAPS MEETS FEDERAL SPECIFICATION QQ-S-781 H FOR TYPE 1, CLASS B, GRADE 1 STRAPPING AND BE AT LEAST 1 1/4" x .035 ZINC PLATED. 3. STRAP DESIGN TENSION: * 4,750 LBS. -MINIMUM TOTAL LOAD CAPACITY (TESTED 5,900 LBS.) * 3,150 LBS. -WORKING LOAD CAPACITY (1.5 SAFETY FACTOR) SIDE TIEDOWNS ARE LOCATED ALONG THE OUTSIDE CHASSIS BEAMS. PLACE AN ABESCO EARTH ANCHOR AT 2' IN FROM EACH END OF EACH OUTSIDE CHASSIS BEAM. DISTRIBUTE THE REMAINING TIEDOWNS EVENLY ALONG THE CHASSIS BEAMS. 4. END TIEDOWNS ARE LOCATED AT BOTH ENDS OF EACH UNIT(S). THEY ARE TO BE PLACED AT EACH END OF CHASSIS BEAMS, OF EACH TRANSPORTABLE SECTION OF THE BUILDING. J. THE NUMBER OF TIEDOWNS REQUIRED ON EACH SIDE/END OF UNIT(S) ARE BASED ON THE LATERAL LOADS DUE TO 85 MPH WIND EXPOSURE "C" OR SEISMIC ZONE 4 --WHICHEVER IS GREATER. ENGINEER APPROVAL 0 Q F2 No. 17918 7D ABESCO INC. EXP 5851 FLORIN-PERKINS RD. SACRAMENTO, CA. 95828.. CPU clv\\- a�Q FAx6) 3-8831520800) 382-8831 OF CAS THIS TIEDOWN SYSTEM MEETS THE REQUIREMENTS OF SECTION 1336.3, SUBSECTION (a) OpQ PACIFIC CONSULTING ENGINEERS '7h 4020 EL CAMINO AVE. SAC. CA. 95821 PH: 916-482-7378 �,` TYPE a SEE CHART \ TYPE QE SEE (CHART 2'1 EVENLY (SPACED 2' r LENGTH VARIES SINGLE WIDE 1 < < < �2' EVENLY SPACED I EVENLY SPACED I EVENLY SPACED 22.1 LENGTH VARIEiS 1 DOUBLE WIDE TYPE n CFF rWART PE OE E TART ®1 WIND= 85 m.p.h. 'Exp. "C" SEI. MIC= ZONE 4 REQUIRED NUMBER OF TIEDOWNS FOR EACH SIDE AND EACH END LENGTH OF U�ES 40' 50' 56' 1 60' 62' 66' 70' TIEDOWN LOCATS E S E S E� S E> S E S E S E SINGLE WIDE UNIT 4 2 4 2 5 12 1 612 1 7 21 ,, 7 12. 8 12 1 8 12 18 127 TOTAL TIEDOWNS 1 12 12 1 14 1 16 1 18 R 18 1 20 1 20 1 20 WIND= 85 m.p.h. Exp. "C" SEISMIC= ZONE 4 r WIND= 85 m.p.h. Exp. "C" iEE O SEISMIC= ZONE 4 CHART r I I 2' EVENLY SPS CTH VARIES Y SPACED 2' TRIPLE WIDE 2-1 EVENLY SPACED EVENLY SPACED Y LENGTH VARIES QUAD -WIDE PE OE E TART WIND= 85 m.p.h. Exp. "C' SEISMIC= ZONE 4 ABESCO TIEDOWNS wi #601 30" #606 7' STL. #614 7' STL. T.D.A. STRAP SIT/BUC STRAP W/HOLE #602 48" T.D.A. #406 BOLT- ON TOP ENGINEERING CALCULATIONS #616 STABILIZER PLATE 85 MPH WIND EXP "C' 85 MPH WIND EXP "C' Vs SEISMIC ZONE 4 FLAT=(1.06)(1.3)(17)(1)=25.6 PSF 333 PLF=0.186 132.5)("ORT")+160] WLAT=(25.6 PSF)(13� ')=333 PLF "oe WIDTH T"WIDTH =50.8'=D 51' SEISMIC ZONE 4 V=0.186(DL) V=0.186 E(10 PSF)( WIo"D ")+( ;Q +10 PSF)( 0 H")+(2 WALLS)(8')(10 PSF WID WIND= 85 MPH F.XP "r" ANn gPT(ZVTr 70XTV A EWIDTH LENGTH LOAD/LOAD TRANS LONG TOTAL LOAD TRANS TOTAL LOAD LONG #TRANS T.D. TYPE -V #LONG T. D. TYPE -E" SINGLE WIDE TO 14' 40 FT. 333/333 13,320 LBS. 4,662 LBS. 5 2 50 FT. 333/333 16,650 LBS. 4,662 LBS. 6 2 60 FT. 333/392 19,980 LBS. 5,488 LBS. 7 2 70 FT. 333/453 23,310 LBS. 6,342 LBS. 8 2 DOUBLE TO.ID 8' 40 FT. 333/333 13,320 LBS. 9,324 LBS. 5 4 50 FT. 333/333 16,650 LBS. 9,324 LBS. 6 4 60 FT. 333/392 19,980 LBS. 10,976 LBS. 7 4 70 FT. 333/453 23,310 LBS. 12,684 LBS. 8 4 TRIPLE WIDE TO 42' 40 FT. 333/333 13,320 LBS. 13,986 LBS. 5 6 50 FT. 333/333 16,650 LBS. 13,986 LBS. 6 6 60 FT. 333/392 19,980 LBS. 16,464 LBS. 7 6 70 FT. 333/453 23,310 LBS. 19,026 LBS. 8 6 QUAD WIDE TO 50' 40 FT. 333/333 13,320 LBS. 16,650 LBS. 5 8 50 FT. 333/333 16,650 LBS. 16,650 LBS. 6 8 60 FT. 333/392 19,980 LBS. 19,600 LBS. 7 8 70 FT. 333/453 23,310 LBS. 22,650 LBS. 8 8 PITTSBURGE TESTING LABORATORY- RESULTS TEST #1: Pull Out .Test in SANDY SOIL, A3, having a Density of -124.90 lbs./cu.ft. RESULTS: Actual Pull Out=7,000 lbs. Average Deflection measured in inches=1.448 TEST #2: Pull Out Test in ROCKY SOIL. A1, having a Density of -133.65 lbs./cu.ft. RESULTS: Actual Pull Out=7,000 lbs. Average Deflection measured in inches= .771 'TEST #3: Pull Out Test in ADOBE SOIL, A6, having a Density of- 87.23 lbs./cu.ft. RESULTS: Actual Pull Out=7,000 lbs. Average Deflection measured. in inches= .624 SEE DETAIL-- - TYPE QE TIEDOWN #614 STL. STRAP — CHASSIS CHASSIS SEE DETAIL <<A„ TYPE Q TIEDOWN CONTRACTORS WARNING: 1. CHECK FIRST FOR UNDERGROUND UTILITIES. 2. INSTALL ANCHORS INTO SOIL APPLYING CONSTANT DOWNWARD PRESSURE TO MINIMIZE SOIL DISTURBANCE. UNTIL HEAD IS FLUSH WITH STABILIZER PLATE. ANCHORS SHOULD BE INSTALLED BELOW FROST LINE. 3. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 4. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. 5. ABESCO NAME IS STAMPED IN ANCHOR HEAD. p p p O p O p 1 Q INSTALL GROUND ANCHOR PLACE STABILIZER PLATE INTO GROUND. LEAVING s' = NEXT TO SHAFT BETWEEN ".5'-12" OF SHAFT EXPOSED. -;y;= ANCHOR AND CHASSIS BEAM. AND DRIVE INTO GROUND. - CONTRACTORS VERIFICATION - �� FINISH TURNING ANCHOR INTO THE GROUND UNTIL ANCHOR HEAD IS FLUSH WITH STABILIZER PLATE. THIS PROVIDES SECURE PROTECTION AGAINST LATERAL MOVEMENT. I CERTIFY THAT I HAVE INSTALLED THE ABESCO ANCHORING SYSTEM' AS PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE NO MODIFICATIONS TO THE ANCHORING SYSTEM OR TO : THE BUILDING STRUCTURE. COMPANY NAME:__CONTRACTORS LIC.#_ __—_ _ DATE:___________ SIGNATURE: R(A1�f ��4i�F. •.pn;�,;7sr .r;cr—..� T,�..,`r— f BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One' Form Per Building) School District ; i� a Building Department No. A.P. Number,, vZ�d ��/ Jurisdiction 0 City 0 County Property Owner Jp 1212Y 'D, ye A!f/f /-Z-- Property Location/Address �/y� L�/j/ otllz Subdivison Lot No. Residential Development Commercial/Industrial No. of Living VHI Units New I f 0 Sq. Footage_ Addition (Gr6uFR)N All, T Sq. Footage Addition (Including Exterior Roofed Areas) r � • ti B ilding Departure epresenta ive _Date .... ,, (Floor Plans reviewed by School District Personnel) District IdentifLtion No. School District certifies that ' (Applicant) (Street Address) �? w " " `'"' ` (Phone Number) (City) ., ' c,..,(State) (Zip Code) ir has complied with,tlr a requiremenKYts_oICRe_solution No a.. representing %oZiJ" square feet. School District Representative Paid by Check Number Bank Number Paid by Cash by payment of_$, ,. ID— V -9y Date Remarks: G� Z V If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) ' : feeformmkl (4/92) !ov . PERMIT NO. 523.2-78B PERMIT EXPIRES OWNER Geraldine Richter CONTR. owner LOCATION (A.P. 72-25-13 ) S/S Forbeston Rd., @ inters.of Hurleton Rd., Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED b (Da ) ignature) (NOTE: An entry must be made on this, form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIQN RECORD BUILDING BUILDING (Cont'd) PLUMBING ' Setback aO 2 GcFirewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows A 3rd Floor Stemwall Sidina A To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. i Stemwa l l Insulation V Heaters Slab Carport Footin / Prov. for ph slcally handlca ed Conformance of ex. structure A -Appliances Gas Piping & Te Temp. Gas Slab Finales g.l Sanitation Patio Ftf4EPLACE Final Footings Footing El ECTRICAII Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FI SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MEC NICAL Grd. Fault Prot. Scratch Heating- Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Penna--';g Door Closer Final Final MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE a nREMA�R CS OR CORRECTIONS Lo CUf �'�'�i�L !FL /Milt/ L )l7we9a F, 1 1'Z.5P%2'.L�76A1 (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 - APPLICATION AND PERMIT V5_VJ a 2_—Itil AA authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X &Y4�&-_ - date Signature of Permitee ?or Agent Receipt No. / M2 a3S 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. DIRECTOR 0 BLIC WORKS By Daie- B ding permit expires Date BUILDING Owner 6eaALr_>I/JE /GNq 7r-2 SQ. FT. OCC. BUILDING VALUATION d0 � 03 Mailing Address 93 y, GJo��cg� S„9�e 20i-6,/ CA- `5PS96-5 Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee p Building Address ,s �l�A �I Plan Checking Fee &/or Penalty Permit Fee ,00 �,a 1AJ7E-�.cS6C-77 AJ T 14 � �lV RO/4-Q PLUMBING No.1 @ FEE 'vvbQ, PERMIT FILING FEE $3.00 Each Trao 1.50 Repair drainage or vent piping 1.50 A. P. No. a "' /^.� Caning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fktesl W. S i on Fire Dept. Fire Zone I Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking ParcelEach Pians -1 Declaration I Parcel Map 1 60' R/W Improv ments additional outlet .30 Building sewer 5.00 Bldg: P ans Recd Parcel A royal PI s Approval Lawn sprinkler system 2.00 NEW 8-_� ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service e00v OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Q�Others ❑ Main service EA. ADD'L 100 AMP 2.50 DOG, V L Main service OVER eoov 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST.( OR ADDNS. ACCLLING BLOGS.CCUP. S) 20sgft 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 style le of: NEW CONSTR (MULTIBRANCOUTL T NON-RESID BRANCH CIRCVITS) 12.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID, (SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES @251'00 Ex. QCCU FIXED APPLNS. OR p• OUTLETS (RESID•) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I 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 orkmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued 1 shall not employ any .person in any manner so as 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 $ $ 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 $ TOTAL PERMIT FEE $ ®O authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X &Y4�&-_ - date Signature of Permitee ?or Agent Receipt No. / M2 a3S 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. DIRECTOR 0 BLIC WORKS By Daie- B ding permit expires Date �•`' 1 � � / .. r � � `�. �j �� � ���� Sze �� �:��= �, RESIDENTIAL, A� 72-25-13 1715-91B RICHTER, Geraldine, 534 Hurleton Rd, Oroville (2 decks & carport/mh) JOB FIN Signati J=OK O=Not OK = Not Applicable Not Ready MOBILE HOMES ' = f Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete -� 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS *�), y, Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements oo ' s; Soils -Size -Depth -Spacing -Connectors -Steel ecks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date -112_1 -1 2-eard - c Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK -=Not Applicable =Not ead RESIDENTIAL (: ' Ry' • Date + ' UNDERFLOOR (Plans) OK except ft's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.,/, /" Ftg. Depth 3. Ftg., Garage: Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection -------- ------------------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test. First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 ------------------- ---------------------- -- ------------------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection ------------------ ----------- ---------- ----- ----- --------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled -------------------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. -------- - - - - - - - ------------------ 26. Equip Ground made up w!Mech. Fastners-Bond Gas & Water - - - ---------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------------------------- ---------------------------- 28. Subfeed Wire Size r / ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or AI - - - ----------------------- 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ----------- ------- ---------- ----------- - - --- --- 30. Service -Riser Conductors & Ground -Main Disconnect ------------- - - ------------------------------------ 31. Equip. Clearances Panels-Motors-Mech. Equip. --------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ----- --- --- - - ---------------- ---- ------ -- - --------------------------- 33. Smoke Detector --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------------- - - ------------------------------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's 34.--A.C.-Ducts Insulation & Support ------------------------------------------------------------------------------ 35. Vent Fan: Exhaust above insulation --------------------- 36. ----------36. Condensate Drain & Overflow: Size & Grade --------------------------------------------------------------_ 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115, outlet ---------- --------------------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic -------------------------------- - -- - --- --- ------------------------- -- ---------- - Date Card B-1 Date Card B-1 ------------------------------------------ --------------------------- ---------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors ------------------------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound --------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing --------------- --------------------------------------------------------- ------------ 42. -Draft -Stop -in-Walls-- (rat - proof)- --------------------------------- ----------------------- 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub -------------------------------------------------------------------------- 44. Headers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps-Anchors-Cornectors 46. Cing. Joist-Rftr. ties-Purlin-root Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection _ 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer __ -56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access __57. Glazing Area -Glass Protection -Skylights -Plastic _ 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ------------------------- Date _ _ _ Card B-1 _ Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. 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 -Meth. Protection ------------- 75. Plb. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. -Guard -Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No ---------------------------------- ------- 81. Stucco: Brown -Finish 82. -A. -C. -Unit: Disconnect. Electrical, Plumbing 83. Vents Above Roof: Plb A liance-Fire lace. -Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground - ------------ ----------------------- -- ---- 86. Ventilation Throughout House ------ -------------------------- -------------- 87. Glass Protection ------ --------------------------------------------------- 88. Corrections from Previous Inspections - - --- - --- ---- -- ---------------------------- 89. Gas Test -Meters Tagged: Gas -Electric ----------------------------------- ----------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ---------------------------------------- - - - Date Card B-1 Date Card B-1 ------------------ ---------------- ----- -- -- Date Card B-1 Date Card B-1 ----------------------------- Date ---------------------------Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ' 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE CfL /7/f--5/ OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. c -O GJ v ird 2. o - s "h / tY C -c!4 ,A 4L -t- 0 -GM, a- -- Date E— / ( "fz, Inspector REV 11/81 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ERMIT IIIIII0. 7 County Cgnter Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 72-25— ZONING — BUILDING PERMIT �' OWNER • ��—bt�c�"L Ger TELEPHONE SO. FT. OCC. BUILDING VALUATION 280 C 3,640.60 OWNER'S MAILING ADDRESS 1 192 0 1,344.00 CONTRACTOR'S NAME TInknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Nonp UNKNOWN Total Valuation 1$4.984.00 Filing Fee $ 1OL00 LENDER'S MAILING ADDRESS Permit Fee $50. 0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $2 5.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $85.75 PLUMBING PERMIT Filing Fee 1C.00 514 Mirlptnn Rd-, Ornvillp Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome X❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00 ea TYPE OF WORK New ❑ Addition g Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 2 Decks Carport Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8011 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/POWER 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. ( A DWELLING OCCUP.O{ New CONST , �z¢sgft R.ULTII.OUTLET _NON •RES'D BRANCH CIRC ITS 2.50 ea APPARATUS e (SINGLE OUTLET CIR. Occup(OUTLETS OR FIXTURES Ex. Occu 20050t SALO 30 FIXED APPLNS.❑ Ex. OCCUp. OUTLETS (RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities MobileHo 15.00 M 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. j� 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 16.00 Heating 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 or 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 l all liabilities, judgments, costs, and expenses which may in any way accrue again said County in consequence of the granting of this permit. %� 4 Date�2 °� — Q� Signature of Applicant — OwnerV Contractor ❑ Agent ❑ If 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 $85.75 i HAz. / cuA PA / /q" sc %` FL V C coy P P I HD Issu This permit is hereby issued unser the applicable p-ovi- sions of the Butte County. Code and/or resolutions o do work indicated above for which fees have been paid. DIRE OR OF UBLIC WORKS 0— By ^� Z U PE IT EXPIRES Date Receipt No. 93901/ 85.75 WHITE-D.P.W.. YELLOW-ASDE330M. PINK -INSPECTOR. GOLDENROD -APPLICANT _ ... � ..-' - r.- . .tom .--, -F.-., -.(f`: '.;`:'.`"'""+.. -"`., -,`..'.-a ..sN�.•.f.61..3T'ti71.. � 'j .,i' , � COUNTY OF BUTTE - DEPARTMENT�OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFOR�,,,95965 -TELEPHONE: 916/536-7541 PERMIT Af RLICATION"DATA SHEET V " Permit No. � I j &M,OWNER C�-e,�-lD��tlE, C C P, No � t'Proposed Building Use s�,�R4 Building Inspector toV Date 5--2 (_ `1 At time of permit application, tl was advised the following data must be submitted prior to permit processing and/or issuance: ` DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions.................................. ................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13 School District fees paid .............. __✓e 4. Sanitation approval from ©12-0 Health Department f V City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 1,9. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Cate) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25.- Letter of signature authorization ................................... 26. 27. --When you issue the permit, process as follows: l% Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/iinspectoc . Other 15 L i iJbA- Ox ort o �Q Applicant r�Sl� �r�-�`�h, .DateV��— %f r� Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuan e. 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---naiI—counter by—date— Contractor, y ..date_Contractor, designer, owner, was advised of above required data by—phone _maII � counter by date— Plans Plans checked by Date Plans approved by OV Date Sets of plans on hold in File cabinet VAP folder Copy—DPW TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance ( C7ZA-(-/Mr c c_ (��� . ��y l-� Ge 14 J- 7--V), 7 _ r Owner Locatinn AP# UU ► L� Pian Approved for: Sewage Disposal Water.Supply Bold final for: Water Supply ^anal clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other NOTE *** ell L itarian Date 7,�\ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. LSS ESSO P�CEL NUMB ER 20NI N / BUILDING PERMIT ""N 3• f^ f(� C r� !i Z 5 330E SO. FT. OCC. BUILDING VALUATION 3WNER'S M/y�LI NGt ^D�R E3 �� �� I;r C T A TO SL TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDERUNKNOWN Total Valuation $ Filing Fee 10.E LENDER'S MAILING ADDRESS Permit Fee $ Q ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ a Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS L 2 � � L> � A � permit fee $ PLUMBING PERMIT Filing Fee 10.00 �r nQ I�� �� �I s /��G Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 U STRUCTURE SF ❑ Duplex[] Mobilehom Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.00ea TYPE OF WORK New ❑ Additio Remodel❑ Utilities'❑---Installation❑ Other E] Describe wor �G (' e ���� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 - Main service e00V 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 for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.e\ OR ADDNS. ACC. BLDGS. yz2sgft NEW CONSTR. ULTI.OUTLET N4NIf?£SID BRANCH CIRCUITS) 2.50 ea /POWER APPARATUS S (POWER OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 B SOt eALO 30 FIXED APPLNS. Ex. OCCup. OUTLETS IRESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑The permit is for $100.00 (valuation) or less. E] 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 subjectpermit to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Fee ; L I 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. %� 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 he'ght. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE -7 TOTAL FEE $ 51 / HAL CUA 1 PARK scHL I FLD I CD PAR PD I Ho. IssuE This permit is hereby issued Linger the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable p-ovl- resolutions to do have been paid. WORKS Date 2 Receipt No. .7 "FLLaW-ASAFSSaF I4K-INSPFCT0Q. nnLnFN 015-AP-LICANT P 72- ,z5r(� ficattons MUST be yyarin,R hip slats Be h " tans and sped '+it►Is set of p at all times and it is unlawfw,� ��ame with w. �n� E, pmt I kept on the job a quality prescribed for the S ified uW 1 snake any changes or alterations on sartment of llnifom Bwid'ng� 9 . P •' 'on"from the Depa piumbin & Me ,haedcd Co�� e� out written permission Hotiosal flea;nail mss,. Pub1iE�N�rks, County of Butte f i0 A setback ofA ft. from the property lines .and a setback of 50 1t. from the road centerline shall be clear of structures or equipment except foie o,a,� ve overhang. &-Yr5. BU'T'TE COUWTV Bt11LQ1N0 DEPA4iSMENT APpROVED � v wlell? � . 5-2 '� -9t • '�¢ OAED %.fwaua 4A;?F�3s�t'C C: d; ol Eta/tB �y� r+�iti? .sui n=fr Arkidt.;!-0 �E`:1 j.� fit `A!![l6:.t i),t,£E zaJ4- taw Fro dICU01 FSC#!C43j dj�� � 4:tar;3j�® o'w 6rR9'ua' bfnwP!4f3I plot-� OU IU4r,Ji. *j±�ttA � Gt< a %o+le } ot a dffafe#,1 �)Latc: 1pcq 147E $}X y? t��1 jU uutS Jaffe1p UlIC-ClaUlY # ,� 2 r cc {laza �•., do �01C--Vfi pi%f+;tija if E 4A IAan�,s �x�sia oval LXX 1.. 1. ,. J �� � �Z�� �- � � %� �►�/ .A. r S f r CA o72 -iso -ot 3 -000 /'rJ`JL ETA A w/y A �. 4 x,Y o� �couNr � B1111AA1N0 OEPA�E�T APpRpV�� V "D - kni (o' T Y P. Q„x V 1'/P;' T� 0) PI YWOOD P.r., EXT. - -- - I I IT I r �Q FRMIJG. CLIP - �, zo L. - 2° x 12” STAIR 'STRINGER. 48'0.x. NIAX. RS -TOP VIEW H MA)VAIL NOT SHOW KI FDR CLARITY. AI , 3/,S f30LT 2„ x 4" MOBILE HOME OR DEC.y-,?�, MAX. 4?)" MTL. FKMU L --- — — MAX. CLIP (EA. SIPE) 4!,x 4" POST — CrUARDRAIL # -DF� (2) 3/g' fib"MAX. a Mlr�. DDLT5 �— DECKIH6 GIRDER I"x 9" PO ST 1 MIN. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: .538-7541 ___ L � � �, zo L. - 2° x 12” STAIR 'STRINGER. 48'0.x. NIAX. RS -TOP VIEW H MA)VAIL NOT SHOW KI FDR CLARITY. AI , 3/,S f30LT 2„ x 4" MOBILE HOME OR DEC.y-,?�, MAX. 4?)" MTL. FKMU L --- — — MAX. CLIP (EA. SIPE) 4!,x 4" POST — CrUARDRAIL # -DF� (2) 3/g' fib"MAX. a Mlr�. DDLT5 �— DECKIH6 GIRDER I"x 9" PO ST 1 MIN. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: .538-7541 ___ COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. '7 Agricultural building is defined as follows: Agricultural building is a structure designed and construct to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSES OR PARCEL NVQ. ZONING _ 2 OW R PHONE NO. 6 O R'S ADDRESS S , LOCATION OF BUILDING 5 S USE OF BUILD G SIZE OF STRUCTURE ' X SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME ` STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF/4qOVERING FLO9J TYPE ESTIMATED COST OF CONSTRUCTION L J,_ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follow, / f S FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 Jeet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals tc comply with the requirements in effect at that time and before occupancy. e Date &I Signature of Owner Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No. r%�� Director of Public Works By Date White - DPW, Yellow - Assessor, Pink - B. L, Goldenrod - Applicant BUTTE COUNTY DEPARTMENT OF PUBLIC WORKSow SPECIAL INSPECTION REPORT • 6� 1A RS T A. . 7�__7(5 Owner. - Address:" W000 L'�1�' Date of Inspection' Tenant• Inspector Building Location: A&ffU 2;t/ Ab 4e,&S.S F40;"i 5?2lliJG,T�i�1� iZ0 _' = �9r�3 Type of Inspection requested: 77 1. Housing. 772. Financing 3. Change of Occupancy to 4. Other (specify) ' &16[..01x1G._. &EWA ' :Present use of building: A. Sanitation (Housing) ' 1. Water closet. 2. Lavatory: . 3. Bathtub or shower: ' 4. Kitchen sink• 5. Hot and cold water to fixtures: 6. Heating facilities:` 7. Natural light and ventilation: 8. Room and space requirements: .': 9.. Bedroom window or door for second exit: . 10. Infestation of insects, vermin, or rodents: .11. Connectior,to sewage disposal: 12. Connection to water -.supply: 13. Rubbish and garbage facilities: 14. .Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and:roof construction: 5. Fireplaces:' 6. Comments - C. Electrical 1. Service and ground: 2. Receptac' es• ' 3. Fusing: 4. Cananent s r D. Plumbing 1. Fiktures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4... Comments E. Other I . Maintdnance and repair: 2. Fire hazards:. 3. Safety hazards: 4' Weather protection* 5: Underfloor and attic ventilation: 6 Conments:_.' F. Comercial Buildings 1. Roof covering:_ -`'2-.-''Disrdnce to property lines: 3. Physically handicapped: 4' -Rest-obm floors and walls: 5: Exits'*: 6-."*'* Tinpr6vements: 7. Zoning: 8. CommeAtll-:_ G. Field Proble&,,is or Viclatioris 1. Problem or violation (give complete description):_" do 454T__ K— What action taken (give cmplete -Jescription): t<auu�& - r - Te c �o m m -*e i e d .3. What action T7 P.. Info-mlation only filk-2. B. Hold for ten (10) days then wri:�u letter. / /. C. Write letter. D. Other': RESIDENTIAL - 72-25-13 1675-91B RICHTER, Lary 538 & 534 Hurleton Rd, Oroville cont: Richard Van Stavern (mh installation) S�3o/ 9:z OFFICE COPY Address GASI Meter ByDate a I ELECTRIC e j Meter BY —_ Date JOB FINALED (Date) 1 Signature J=OK O = Not OK'" o: Not AppliReadcaf$le MOBILE HOMES a' = No') Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirlements-Setbacks-Easements 2. Soil; Special MH Support Sketch 3. Sewer; Location-Test-Fall-CJO Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 i Date Card B-1 Date Card -B-1 Date MOBILgACOME INSTALLATION (Plans)'OK except #'s oni Requirements -Setbacks Easements oti s; Size -Spacing -Marriage Line 3 MH Test-Demand-Valve—Connector Electricity; MH Test -Crossovers -Breakers -Clearances 5 ain; H Test -Fall -Flex Connector 1 6 ater; MH Test -Regulator -Connector r ater and Sewer Connected -C/O to Grade -HD Approval Gas and Electricity Tagged 4.9 Exits; Insp.-Sketch Cert. of Occupancy Date,/ -j/ ,7� Card B-1 Date Card B-1 Date fCard B Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except 4's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Con nectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.;'Steps-Doors-Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elect; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtc. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK r ` O= Not OJ(,-' _,t Applicable RESIDENTIAL (Single & Duplex) of Ready Date UNDERFLOOR (Plans) OK except #i's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clea rance- Mate ria l-Support=Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except 4's 16. -Water Htr.: Vent -Access -Combustion Air -Baffle ---------------- ----------------------------- 17. Water Pipe; Test & Anchor -Nail Protection --------- ------ ----- ---------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------- ------- - --- - ------------------ 19. Shower Pan: Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access - - ----------------------- ----------------- -- - 21. Gas Pipe: Size & Anchors ------------------------------------------ Date --Card B_1 --- Date -- Card B=1 ---------- - ------------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except 4'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/Meth. Fastners-Bond Gas & Water --------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ------------------ ---------------------------------------------------------- 28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 29. Range Circ / r ga Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------------------------ 30. Service -Riser Conductors & Ground -Main Disconnect --------------------------------------------------------------------------------- 31. Equip. Clearances Panels-Motors-Mech. Equip. ------------------------------------------------------ 32. Clothes Closet Light -Shower Light -Spa Light ----------- - -------------------------------------------------- 33. Smoke Detector ------------------------------ ---- --------------------------------------------- Date ---------------------------------------- Date Card B-1 Date - Card B-1 --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except p's 34. A.C. Ducts Insulation & Support ------------- ------------------------------------ ------------------------------- 35. Vent Fan: Exhaust above insulation ------------- --------------------------------------------------------------- 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet ------------------------------------ I -------- ------------------------------------ 38. Attic Access & Platform if Furnance in Attic ---------------------------------------------------------------------------- Date Card B-1 Date Card B-1 --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except 4's " 39. Sils. Proper Material & Anchors ------- ----------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ----------------------------------------------------- -- 41. Bearing Walls over Girders & Floor Nailing ------------ --------------------------------------------------------- 42. Draft Stop in Walls (rat proof) -------------------------------- - ----------- - - - -------------------------------- ------------- 43.- Fire -Stops: Furred Ceilings -Stairs -Chases -Tub ----- ----------------------- ------------------------ 44. Headers & Beam -Size & Bearing 4 , 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 SO. Garage Fire Protection Framing 51. Property Line Firewall & Openings ----------------------- - _ _ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection --------------------- - - 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers _- __55.. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 57. Glazing Area -Glass Protection -Skylights -Plastic ------------------ 58. Shear Walls: Nailing -Bolts _ 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Date Card B-1 Date Card, B-1 Card B-1 Date Card_B-1 Date FINAL (Plans) OK except ti's _ 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector -------------- ---------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. 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 ------------- -- ---------- ------- 6J. 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 -Meth. Protection -------- --- 75. Plb. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection ---------------------------------- - 77. Insulation -Foam -Looked in Attic ❑ Yes 78. -Guard -Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; ---------- Planters ❑ Yes ❑ No - 81. Stucco: Brow -n -Finish -------------------------- -- - 82 A.C. Unit: Disconnect. Electrical, Plumbing --------------------------------------- - 83. Vents Above Roof; Plbg.-Appliance-fireplace.-Clearance to Openings - - - ---------------------------- ---- 84. Water Well; Disconnect, Electrical, Plumbing -------------- -------- -------- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House --- - ------ -- -------------------------- 87. Glass Protection 88. Corrections from Previous Inspections -- - - --------------- ----------------- - --------------- 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval ------ ----- - - ----------- - 91. Energy Compliance Certificate -Other Certificates ------ ------------------------ D -ate- - Card B-1 ------ --- - -- - - - - ------------ -Date Card B-1 ----------- -------------- Date Card B-1 Comments at Final: Date _ _Card B-1 Date _ Card B-1 Date Card B-1 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. Address or location of mobi lehome Owner's name Owner's address Insignia or hud number Manufacturer's name Serial number of V.I.N. Year of manufacture tial Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. J 5136 White -Owner, Yellow -Installer, Pink -D.P.W. ...—�-•-.{�-.;:e'ti.�=?�''�" C+b'�;�-�jei;�y�r'rE�Y,;''�Sr..,Fi S��Di.,,.,,,r., :a:,,. �1;:�[<r.�it'''-'Xtiati::='.C�ie'�7 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE Z. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. _6 vtE-Grw� � N2i S S' -r-GLBS � O r I�Orf � se2 d { ICG , ti Date S Inspector COUNTY OF BUTT E,r,DEPARTMENT OF PUBLIC WORKS 7 County Center Drive-0!roville, California 65965 - Telephone: 916/538-7541 / APPLIGA;TION AND PERMIT PERMIT NO. 1675-91 ASSESSOR PARCEL NUMBER 72-25-13 ZONING FR10 BUILDING PERMIT OWNER Lary Richter TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING, ADDRESS 538 Hurleton Rd Lr i //I' to CONTRACTOR'S NAME Richard Van Stavern TELEPHONE 872-0364 CONTRACTOR'S MAILING ADDRESS 1430 Carroll Ln Paradise 95969 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 534 Hurleton Rd Oroville Permit fee E 25.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeE3X Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installationgi Other ❑ Describe work: mhi existing site _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 60OV 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. M l( +1 License No. lI T ( Classification. �� Eli, 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 LIN OCCUP.yd\ oR ADDNST CONACCSTG/ I/x2sgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES SALO30 20@030 Ex. Occup. OUTLETS FIXED P(RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. • EI shall not employ any person in any manner so as to become subject i to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject • to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 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. 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 `F—�J/ Signature of Applicant — Owner ❑ Contractor ❑i' 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 $ 45.00 Energy Inspection Fee $ occ CONST TYPE TOL F $ 0.00 HAz. cuA ARK sc PA PD HD s0 . This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions tc do work indicated a ve for which fees have been paid. IR TO OP UBLIC WORKS BY Date PE MIT .4 Date �O Receipt No. 93690 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT . ... �: F{„�. , w.. ,.. _-n-•yam. ,� .. r,.t--•-•-.-- f . i, r ...+v�+aF*ttK�,....y..�..- ,v' Y►s^'y%.-. . ,. ” BUTTE COUNTY SCHOOLS DEV-ELGPMENT FEE CERTIFICATION FORM (One Farm per Building) A.P. Nu mr 7ZBuildi De artment No.b,� /71 C/O 0 School District City County T Jurisdiction Property Owner Project Location/Address 536> 4" 531rLe- WV &'9D Subdivision Lot Number Residential Development: 8o� O Sq. Footage # of Living MHI Addition (Group R) Units f y r Commercial/Industrial: a Sq. Footage r New Addition (Including Exterior Roofed Areas) Building Department Represd'ntative Date (Floor Plans reviewed by School District Personnel) � r � t District Id No. -/.-27/ 1 School ,District certifies that (Appli(Cant Name), (Phone Number) (Street Address) (City) (State) (Zip Code) has complied with the requirements of Resolution No. q- `�� -U,(, by the pa ym nt of $ representing square feet. chool District Repr�Sentative PAID BY CHECK NO. i BANK NO PAID BY CASH Date white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) COUNTY OF BUTTE - DEPAR MEh. 7;GFWPUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE#% avIetE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER �/4 r / A. P. No. -% Proposed Building US, /tet Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuanc-3: DATE RECEIVED APPROVED 1. All items have been submitted. .................................... 2. Plot plans in duplicate/triplicate, signed by preparerof 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) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park egs paid ................................................... 13. /LO School District fees paid ............. . 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .... . 24. Recorded copy of Agricultural Acknowledgment Statement ......... >r 25. Letter of signature authorization ................................... 26. 27. P When you issue the permit, process as follows: Mail to owner. Mail to contractor. y Telephone ''-G2G'F and hold for pickup at '061-0 office. Deliver w/ inspector. 1 Other ,,.�� Applicant 1PIA4 J UCttiti �vt,� Date /Ul 11 Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent, Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. i 2. Additional items required: Contractor, designer, owner, was advised of above required Contractor, designer, owner, was advised of above required Plans checked by Copy—DPW Date by_phone_—jnail_counter by ..date by_phone_mall_epunte by date ans approved by Sets of plans on hold in File cabinet v AP folder a Date J- TO Huildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance "AA iet--j-d-IX d f2 - -..7--S Owner Location AP# Plan Approved for: Hold final for: V Sewaqe Disposal ^inal clearance O.K. for: Clearance for 64z- bedroom mobile home. Other Water Supply Water Supply Water Supply Sanitarian DOW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO, 7 County Center Drive Orovlllet Californla 95965 - Telephone: 916/53841 6 APP-LICA�ION AND PERMIT 4KG �� A95E35OR PARCEL NUMBER ' ZONING /O BUILDING PERMIT - OWNER c TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS w1i CONTRACTOR'S NE / TELEPHONE CONTRALTO RAILING g RESS sw vl- �.Z L fC Fireplace CONSTRUCTION L NDE/-� UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENIN ER _� LICENSE NO. Plan Checking Fee $ �� 67C—> Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ d:> PLUMBING PERMIT Filing Fee 10:00 �n �1 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeOther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I IN 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installatioq2<Other ❑ Describe work: � 1 C i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the 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 oCCU1.8i OR ACONS. ACC. BLDGS. , NEW CONSTR RANCHUTLET NQM.fPESID BRANCH CIRC ITS .50 ea 2.50 ea (POWER APPARATUS e SINGLE OUTLET CIR, Ex. Occup OUTLETS OR FIXTURES zoe5oe .ALO 30 Ex. Occup. our ETS PLISIS K (RESID IEA.) 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 Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Penult 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 Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in h fight. Mobile Home Installation Fee $ c:; -C> Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ V� HA2. CUA ( PARK sCHI I fLD CDF PAR PD HO• ISSUE This permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date / .e�� Receipt No. -s6 6 7 a w41 T>• -n. P,w„ ve.( I.Ow-AG 4��10P PI4K-INSPr..CT0P. 'CnLnFm Pne-APvLI CANT -7 0 IL specifications MUS' This set of pbe- lart, a 1. 1 1 times and 1,t -Is unlaArful tOA Q/ ?0 kept on i�ie job at a, alterations ort same without or riment Of Pub- mal,e any [rorn ihe Depa M,,sion writ,I-On PC " bounty Of Butte' VLr or ks, 1 72-25.-, Ship & worwo'n ?me Good, Recooll ned (40 jar time S I MorgrtodttY d*"Ge WPr'eSC'IMVb9d. inq..& I ' i U�� guildi�g, .� Gode. .l a . �=� OM the A setback setback of lines and )PeriY rc the 3. road 504fter1 eclear 01 tine shall tcenexcept or eqU structuresQTtlanq- t cave for, a AJ &- 7� .77 Iry 47 4 _YL W YANDO TTE ou COU" JIUD114G V)Sp gigMES" COR P No. -72 — 25 Gou.-ity of Butte., Cc/ 41. Ar- rr�, ,t,,i¢� `�'"a�''� ro 1l+� , �4 J.�J h � ♦_ l If f t � t MOBILEHO14E SUPPORT DATA If oVt'..r thansingle wide, /q7'/ Mob`ilehome Mfr. _ xur�Y3l5 Setup Model No. Year T Width�(ft.) or Expando Size_ft. x I Z- ft. . On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). 'FOOTINGS (check one)Wood-pressure treated or foundation grade. El2. Other (specify) SUPPORTS (check one)ff1 Concrete block.2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line II ' Una 2 Main Beams -----,", LJ ne — — — — — — — — — — — — — k-1'1�` Z 1. Line 2 Main Beams �_�� — a Line 2 Tag or Triple -� Line j Line 1 Piers: Size-Min.------------ �k Spacing -Max. '------- r_ u From Ends -Max. ------- Line 2 Piers: Size -Min. ------------ Spacing-Max - -----------Spacing-Max- --------- From Ends -Max -------- Line------- Line l Roof Loads: Size -Min ------------- Location (From Front) Ik 1 opeoinRa: Size -Min- ------------------ k � Each Side of Openings ..With Width over Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- „x Spacing -Max---------------- From Ends -Max.--- ' Line 4 Piers: Size -Min ------------- 'k Spacing -Max---------- From Ends -Max. ------- Line 5 Roof leads: Size -Min. -- "x 'k Location (From front)I _ e 55 Piere: (Under Bearing Wella Unly) Size -Min .------------------ Spacing -Max---------------- From Ends -Max -------------- _ ®ff�i �: �- �01R� �1Ni i*x BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET G 1. Owner's Name: 2. Installer's Name: 3. Is the site currently under permit? Yes No (If yes, furnish permit number ) OR Is the site an existing site? . Yes No 1-1 (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes D— No 0 (If no, clarify .5. What is the mobilehome electrical rating? --------------- O © Amps 6. What is the mobilehome site service rating?---�__-._------ 2 D �' Amps (0 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the mobilehome site service? ----- ------------------=-------- Yes No z (If yes, identify the load and size: (Amps) 3/¢ 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 ------------- '1 'r 0 (ft.) mobilehome?--`------ * 12. What is -the mobilehome gas demand? ---------------------- (BTU) *(This;; information ddt' required if pipe length less than 6 ft. on natural.;gas or %less than 50 ft. on LPG.) K - t pREINSPECT-' , OWNER: DATE - LOCATION : , ' C ' rjle; A A. P CONTRACTOR: UX,4e- ( 1 � 2 �O C/ ZONING i < ----------------------------------------------------- / PRE -INSPECTION FOR :�� Fo r IMIO mol7e °% DATE TO INSPECTOR 7 C'� ---------------------------------- ----------- 7 ----- PERMIT HISTORY: NONE' AS FOLLOWS: I i i i i TYPE OF OCCUPANCY BUILDING USAGE: TENNANT: :?rq6 6 a -75 FIELD - INFORMATION L [� OCCUPIED D HAS ELECTRIC Q HAS GAS HAS SANITATION FACILITIES 0 HEATED -COOLED PERSON CONTACTED 1 OTHER COMMENTS: I V / K /fLG ACTION R .COMMENDED: SSUE OTHER: HOLD FOR i BY A?( I I DATE �:;?- s I —IV �_W_ ,_ 72-25-1. s MUST be 'Pl, and specification 'O I times 1,t is unlawful t* A ?0 TVIS set at ail and -t'1t kept On the to same I - or alterations a�tmentof Pub.- 1),,, make anythe wrIfl-in Pcr rl, suI ontn'1oof Buttes uttes Works, C0Y -j-7. N. I ll b e 5 it- from Setback sb {t. from )rhetg. line and 50 • Athe PlopeY)tbelrQa6i permitting the cent of a ea,,,erhang - wdmm U r iSeptic system Septic system - i ta�3.� o be as pe?, �o be Butte County 1 Health Dept.. Re-. quirements. utiMy' zonned:t�ors 3�iarjl, located within 4 ft. outside the rear % third section of the mobile home Dn the left Eroad) side of the moue o � I ; 'j j 141C_8'Ae ZO AV -9 a Cl 4, W YANDO TTE gU�C,E COUNTY BU_ ILQIAG DON"I'meNT �RPROV.ED , .7a mabV ]PRO A s sessors Mop Wo. 72 —25 Cov.11Y Of Butte, Cal MH Util. PERMIT NO. �4102-75P.E P E M MH UTIL. PERMIT NO. PERMIT EXPIRES .OWNER Geraldine Richter ;CONTR. rLOCATION (A.P. 72-25-13 ) sls ForbestoTah Rd., @ intersection of MEE 'i Hurleton Rd., Oroville 1 a .t t_ Temp. EIec. Serv. ZS Called PG&E Temp. Gas Serv. Called PG&E /FINAILED &'w; isNg r.c GGz z -0B �G Z , /�S�a/�e✓� cw..t�J, (D -ate) (Signal e , e-, ; 5 d , COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback 4x / Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidinq To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Gara a Vents Water Htr. StemwaII Slab - Prov. for.physically handicapped Heaters Appliances Carport Footings Conformance of ex. • structure Gas Pi in & Test - Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch 1-14ating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS ORCORRECTIONS �-SJ 7 Gou l/z�l oyGj/� j�3 / /0 -Ci �ZAe-- O K Jo�O e-, ; 5 d T0: EuildingDepartment FROM.:. Environmental Health RE: Sewage and/or 4ater Clearance 12 _ O'v SER LOCATIOr( A.P Has been approved for: S;•,iAGE DISPOSAL b I MATER SUP'LY G 1� Z Sae 0e.0 nitar' n n S95-775 Date -' MOBTLEHOME L-MALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes 0 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes l/No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (/Se/c. 5082 & 5083) Yes 4 --"NP 4. Is the mobilehome level? (Sec. 5088) Yes_ No 5. If mor—than a single unit, are crossover connections properly installed? (Sec. 5088) Yes ✓ No f 6. .Water A. Is flexle connector of adequate.size and properly installed (1/2" .ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure*or 50 lbs. air test? Yes P_�No C.. Backflow - If coach is not State of California approved; does station have backflow device and pressure -relief valve? Yes No AIX 7. Wastes and Drains A. Is connection made with Schedule 40 D14V and.have.flex connectors at each end? Yes i, o B. Does it have minimum 4' per foot slope and is it properly supported? Yes --�No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe?, Yes Noy D. If. coach is not Sta�t ,�� o California approved, does station have required trap and vent? Yes No f 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected .to the gas supply with an approved 3/4" minimum mobilehomeconnector not more than 6 ft, long? Note: 'All piping is to be at least as large as the mob'll ame gas line Uil"et without reductions other than the mobilehome connector. Yes No B. Test OK as per' following procedure? Yes No 1. Open all -appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column;, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated'in tenth pound increments. Test for,, 10 min. without drop, 4. Connect gas meter to mabilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? YesyNo 9. Electrical 410 2— A. A. Is service large enough to provide'adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 1Q0 amp) and other facilities on lot, i.e., water pumps, • garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes ✓No . D. T continuity test satisfactory as per the following procedure? Yes: No De -energize electrical wiring system of the mobilehome at the pedestal. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. Switch all breakers and switches in the mobilehome to the "on" position., Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. (-,3'*.' All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is.job card signed.by Health Department for water and sanitation? - 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length_ Width f Vehicle Serial No. -)006 State Identification No./91 00 j Additional Information or Comments: l8-2. Ale I I COUWTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Tel ephone:' 534-4541 APPLICATION AND PERMIT 7I/ authorize Wlpresentatieot the C of Butte to enter upon the above -me t' ned prop rt fo 'n ecti purposes. r Date Signature 0Olermitee or gent Receipt No. 6(.37 7 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. DIRECTOR 0 UBLIC WORKS BY Date j -"%G - 7 wilding permit expires Date Ir/6 -7-4 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address �S�% - Permit Fee Plan Checking Fee&/or Penalty o. Telephone No. Permit Fee Building Address ' PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. --Z ,j %3 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 s Saflt'tativn FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking I Parcel Plans Declaration Parcel Map 60' R/W Improveme is Lawn sprinkler system 2.00 Bldg. P s Recd Parcel pproval Plans proval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ' ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 -7 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) - Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b 2 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Caalifornia B siness & Profe ions Codeunder. the name style I te d— ` V 421 Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 / .- Classification License Noc fo ���25 Misc. wiring ❑ I 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. KI have placed on file with the County of Butte a certificate of 1 Workmen's Compensation Insurance. r -1I certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT 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 Ot TOTAL PERMIT FEE $ Oc authorize Wlpresentatieot the C of Butte to enter upon the above -me t' ned prop rt fo 'n ecti purposes. r Date Signature 0Olermitee or gent Receipt No. 6(.37 7 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. DIRECTOR 0 UBLIC WORKS BY Date j -"%G - 7 wilding permit expires Date Ir/6 -7-4 m V of f COUNTY OF BUTTE — DEPARTMENT OF PUBLICW y 7 County -Center DSivq .-, OroviIIe, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT �/Oa - 25- N CUulU11Le Iep1ebU[1LdIIVUb o1 MU UUunty o1 outte to enter upon the This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. Date .P,. � _ DIRECTOR PUBLIC, WORKS __ o ,L �d `Signature of Permitee or Agent B e3c �9l%3 y Date R3cei t No. f/ WFite-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant ilding permit expires DateJI r� b BUILDING Owner ' SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address S' PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 , 6'V gas water heater or vent 1.50 A. P. No. �-2' — s �3 /pEach O -'Zan n Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 iF S tion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EGA Parking Plans Pa I D ration Parcel Ma P 60' R/W Im rov ents P Lawn sprinkler system 2.00 Bldg. s Rec'd / PaocelpprovaI P PlanspprovaI Permit Fee $ , 001's 33 Oe NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 OO Main service incl. 1 meter 3 ®-a Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) - Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures y 2 10 Receps., switches & fix outlets 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 style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump i S D Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring c lam exempt from the Contractors License Laws of the State of California. Permit Fee $ 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. �1 certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 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 TOTAL PERMIT FEE $ S < CUulU11Le Iep1ebU[1LdIIVUb o1 MU UUunty o1 outte to enter upon the This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. Date .P,. � _ DIRECTOR PUBLIC, WORKS __ o ,L �d `Signature of Permitee or Agent B e3c �9l%3 y Date R3cei t No. f/ WFite-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant ilding permit expires DateJI r� b