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Home My WebLink About072-270-041� 72-27-41 GE�RA )FORD �GG1,21111Y4 ofS btoneRd Rd'•a pp 1.2 mi. E. �. .,Orov�lle Permit. #63S--75P,E (utiil� -) , LEC. �Z c SUPPORT STRUCTURE 'REQ . \ACTION TEST REQ. Gly C 72- -41 CONTR:Ray9Gorman, Gar en Permit ¢#328-76MHI ifl��az Issued --- 72-27-41 Jo Danly & A. R. Feehrer S/S Fo b�stown Rd.;app.1.2 mi.E.of Hurleton Rd., Hurleton Area 36900281P E(util. ,MH)• Permit �� S ELEC.S-II-82 Zoo ' GAS 5- 11- 82. ZS 7 -,SUPPORT STRLTURE"REq: COMPACTION TEST REQ,. 7. Permit, # 1,933= "ZMHI41 Issued.- _ . 5^ =':. . I cont,: Joel Mannie, Marystille 072-270-041 PERMIT#95-1499 DANLEY, John R. 66 Forbestown Circle, Oroville New Pri Det Garage I t ' ti ;a �� s RESIDENTIAL 072-270-041 PERMIT#95-1499 DANLEY, John.R. 66 Forbestown Circle, Oroville j New Pri Det Garage 17 3 -7d Ix::5' JOB FINALED (Date) Signature %t OK O=Not OK ' = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" it. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- RItrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements -2.-Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosu res-Panelboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single ' = Date UNDERFLOOR (Plans) OK except #'s Date 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-Wra pped 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 #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection I ---------------- ----------------------------- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ------------------ - ------------------ 19. Shower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors ---------------------------------------------- --------------------------- Date Card B-1 Date Card B-1 ------------------------------------------- ----- ------------------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection ---------- ---- ----- ---------- ------------------------------------------- -- - - - - - - -- 23. ------------------- 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. ------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------- ---- - --------------------------------------------------- 28. Subfeed Wire Size r r ga. Cu or AI-A.C. Wire Size r / ga. or -Al -___Cu_- --------------------- ----------------------------- 29. Range Circ / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --------- - - ------------------------------------------------ 30. ------------------------------ 30. Service -Riser Conductors & Ground -Main Disconnect ---------------------------------------------------- -- --------------31.--Equip -Clearances--Panels-Motors-Mech.-Equip. -------------------------------------------- --------- 32. Clothes Closet Light -Shower Light -Spa Light ----------- -- --------- ----------------------`----------`----- ----- ---- - -- -- 33. Smoke Detector ------------------------ ----- -------------------------------------------------- Date Card B-1 Date Card B-1 --------------------- ----------- -------------------------------------- ----------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support ----------- -- ------------------------------------------------ 35. Vent Fan: Exhaust above insulation ------------ --- -- ---------------------------- - - --- - -------- --- 36. Condensate Drain & Overflow: Size & Grade --------------------------------------------------------------- - _ _. --- _ _ -- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---------- ------------------------------------------------------------- 38 ---------------------------------------------- 38 Attic Access & Platform if Furnance in Attic ----------------------------------------- ---------- -------------------------- Date ------------------------ Date Card B-1 Date Card -B-1 ------------------- --------------------------------- - - - -- -- - ----- ---------- Date -------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors - - ------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------ ---- -- --- ------ -- ---------------- -------------...- 41. Bearing Walls over Girders & Floor Nailing ------ - ------------------------------------------------ ---------------------------- 42. Draft Stop m Walls (rat proof) ------------ --------- - --------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ----------------------------- -- ----------------------------------------- 44. Headers & Beam -Size & Bearing & Duplex) FRAMING (Continued 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic -------------- 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows -------------------------- - Date Card B-1 Dale Card B-1 -------------------------- -- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings ----------------- 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection -------------- ---------- 64. Bedroom Exiting -------- -- -------------- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels 67. Stairs -&-Rai-Is 68. Fireplace or Stove: Clearances -Hearth -------------- - -------------------- 69. Elec. Outlets at Wood Panel. Int. & Ext. ----------------------------- 70. ---------------------------70. Kit Fixt_& Appliance_Grnd_Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer -73.--A.C.- Duct in -Garage -Damper 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb. Elec. & Mech. Equip. Listed for Location ---------------------------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection -------------- 7;-. Insulation -Foam -Looked in -Attic- ❑ Yes --------------------------- -- 78. -Guard -Rails & Deck -Const ruction- Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes --------------------------------------- -------- 80. ......--------------------------------------80. Following instld.; Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No --------- ------------------- 81. Stucco: Brown -Finish ---- -- ----------------------------- --- -- 82. -A. -C.- Unit: Disconnect, Electrical, Plumbing --------------------------- -- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing - - -------------------------- -- ---- 85. Exterior Elec. Trim: G.F.I. Receptacle-Under9 round 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: " COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION r 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 0 ASFYO0BEBSOi��CE�L 64E@ ..(� 1 ZONING` SH BUILDING PERMIT OWNER JOHN R - DAM EY TELEPHONE 9g9_0130 SO. FT. OCC. BUILDING VALUATION G "80 M 8640 OWNERS MAILING ADDRESS 66 WWRINMIN F OROVITLE CIA QSQA6 CONTRACTOR'S NAME owm TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ 108.00 ARCHITECT OR ENGINEER NM LICENSE No. Plan Checking Fee $ 70.20 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 66 FORBESTIMTH CIRIME,i' PERMITFEE $ • PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar of heat pump water heater 23.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other PVT DET GARAGE SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK Newt Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 24'X20' Mobile Home IS I GI W1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 • Main Service E00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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 L w 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. I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUR oR ( a ACC. BLDS. ) SD. 3.5Q Fr. NEW C CNONS ST.LTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( 8 POSINGLEWER APPARATOUTLET sUS ) Ex. Occup. (OUTLET OR FIXTURES zo p I.00 BAL 0 .50 FIXED Ex. Occup. (oF(R S D. OR ETA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE g Contractor 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.)occ I certify that in the performance of the work for which this permit is issued, I shall Xnot employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith c mply ith those pro, isions. fes'` y ,r X /` Date ,�,f �"Signat of Applicant - ❑ Owner grContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is CO PE TOTAL FEE $198.20, HAZ. 1 D. FEES I IMP I FLOOD cDF PARCEL PD I HD SUE This permit is hereby issued under the of the Butte County Code and/or Resolutions indicated abov for which fee ave By PERMITEXPIRESON � � applicable provisions to do work been paid. Date Q 1-5— / (Date) Receipt No. IOU380 I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT UrFAKIMMi Ur vcvcLUr1V1c1M1 Qcnvl VLJ 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 5/30/96 JOHN R. DANLEY 66 FORBESTOWN CIRCLE RE: Building Permit # 95-1499 OROVILLE, CA 95966 Expiration Date: 7/13/96 A.P. # 072-27-0-041 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [ ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be, completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [X] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE office. Thank you for your prompt attention concerning this matter. Yours very truly, Michfael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 t� Y - u e count BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 5/30/96 JOHN R. DANLEY 66 FORBESTOWN CIRCLE RE: Building Permit # 95-1499 OROVILLE, CA 95966 Expiration Date: 7/13/96 A.P. # 072-27-0-041 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below:. [ ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with. the fee shown. Please return all copies of the application form. [X] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you uEhave any questions concerning this matter, please contact the office. Thank you for your prompt attention concerning this matter. Yours very truly, Mic el C.1 Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico office - 1469 Humboldt Rd/891-2751 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NU ER 072-27-U-OrlR ZONING SH BUILDING PERMIT OWNER 7- TELEPHONE 989-0139 SQ. FT. OCC. BUILDING VALUATION 480 M 8640 OWNER'S MAILING ADDRESS66 „ 'PT T?.^ T T+ CA 95966 CONTRACTOR'S NAME T TP IR TELEPHONE I CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20,00 LENDER'S MAIUNG ADDRESS Permit Fee $ 108.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 70.20 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 66 FIGRBESTOWN E, _ PERMITFEE $ 198.20 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 IAT NO. SUBDNISION'SNAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other PVT DET GARAGE SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New X] Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 24'X20' Mobile Home S G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service e00v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A To 1000A ) 46.00 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 I hereby affirm under penalty of perjury that I am exempt from the Contractors License for the following reason: L 7g,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. I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADON ( a ) SO. 3.5¢ FT. LTI-ACCUTLEBUDS NEW CONST. MULTI -OUTLET S NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER NGL APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL a .SO Ex. Occup. (oFIXEED RENS. OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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. ❑ I 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 MECHANICAL PERMIT Filing Fee 20,00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith mply ith those pr isions. _ Date .f gnat of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is o co PE TOTAL FEE $ 2 HAZ. D. FEES _f:4 FLOOD CDF PARCEL PO HD 6SU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated abov for whi h fee ave been paid. By Date 7-- 13 PERMITEXPIRESON -7 _L7 I (Date) Receipt No. 180380 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT E.H..HUSE Plot Plan AttacLed Flow Pim Attached _ Sect to B. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location 0j2o, Plan Approved for: Sewage Disposal Water SSply: Public Clearance for final O.K. M: Environmental 8/92 450V AP// Private Well ate :�.:.'itr=�,;•cc.f1f'i'cS�i-,u�t�{l'7tv�''t=��r�`*�i^�",�(`rr�'A��7�p,,,,i�,�Y��'�"�'•t'yyl+c'4itrY'a,�y�,�;iP.:�c...,, �,.,:�t+rrr�,r� .*Irv.A�iMr.Rk�-�s,n�..,r�+�i-t+�,.,�'`�t��t.:t COUNT` -OF,BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965.- TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER A A. No. (`) r7 Proposed Building Use Building Inspector OML2 Date 1 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 . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .............. ................... . 1 Impact fees as shown on attached schedule . ............ . California Department of Forestry plan approval ees. ...� 13. Flood elevation letter (100 year floo by Cgifornia ngineer. ........... �14. Sanitation and plot plan approval t LP Health Department . ............ 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). ..........reqs est 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 . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. - 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation CrG%�•- Acreage Applicant Date � � 3 � �•5 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by0aonL; Date Sets of plans on hold in -?C_ File cabinet AP folder Copy - Department of Public Works Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 0 I personally plan to provide the major labor and, materials for construction of the proposed property improvement: YESM NO[ �. 2. I HAVEUrk- 3. HAVE NOT[ ] signed an application for a building permit for the proposed HAVE[ I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAlME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. S. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER:_ ��y�,��zze� SOCIAL SECURITY NUMBER: 3-6 DATE: % 3 - NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Dear Property Owner. .. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified- For pecifiedFor 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 work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. 0 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. 0 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. 0 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 "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are noc required to be signed by property owners unless they are performing their own work pens-onally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95811. 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 building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira. C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. 0`v -ER COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7'County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSORP CEL NUMBER a-�-?76--off ZON' T4f BUILDING PERMIT OWNER .// �j // h TELEPHONE JO / rJ SO. FT. OCC. BUILDING VALUATION S OWNERMAI NG ADO�S / _ LO � /J/ r� CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER - UNXNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUIDINGADDRESS PERMITFEE $ I !� DO PLUMBINGPERMIT Fling Fee 20 0 Each Trap 1 7,0 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater .00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sIECIFY ki Water piping 15.00 Each gas water heater or ven 15.00 Gas piping system 1 - 5 odflets 15.00 Building sewer 15.00 TYPE OF WORK New K Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: �C�� Mobile Home S G W 920.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filin Fee 20:00 Main Service " V OR LESS ( 2o.OA OR LESS ) 23.00 Main Service ( 200A To 1000A ) 46.00 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 NEW CONST. DWELLING OCCUR OR ADONs. ( a ACC. BLDs. ) s0. 3.50 Fr. NEW CONST. MULTI.OUTLET NON-RESIO. ( BRANCH CIRCUITS ( POWER PARATLETUS ) 8 SINGLEAPUTCIR. Ex. Occup. (OUTLET OR FIXTURES 2U O I. a40 so50 t' ) Ex. Occup. (GFIXEDrs )As .l Ew 5.00 Temporary Service 23.00 Mobile Hom acilities 20.00 Misc. ng 23.00 PERMITFEE $ Contractor 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 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ HAZ. 1 O. FEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRES ON the applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE-O.O.S. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I Butte* coun, D OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH Address ❑ 196 Memorial Way 0(7 County Center,Orive ❑ 747 Elliott.Road Reply 'to Chico, Cal.ifornia.95926 Oroville; California 95965 Paradise, California 95969 Telephone: 916/891-2727 Telephone:' 916/534-4281 Telephone: 916/872.2961, Ext. 58 May 31 ,. 1984.. Mr. John Danly Box 7203 Feather Falls Star Route Feather Falls, CA 9.5940 Dear Mr. Danly: Tais is to advise 'you that pursuant -to Sect .oh 19-19 of the. Butte . County Code, the Board of Superviso-rs has approved a variance renewal to Secti,o.ls 19-10 and. 19-12 of the. Butte County Code for the continued use of a >robi.le home on your property located at Box 7203 Forbes -town Road, Feather ,Falls area,. and identified as Assessor's ParcelNumb-' �72- T.-iis variance .iener,.ral zrGs granted GnMa i, 1984 a Ld includcs the f. o_llowi.n` conditions: 1. T:i1e variance renewal is granted only for a 'te-r_m of one year. At the end of one year you rust apply .for a new variance if cont. the usei.ti to tinue . 2.: If the applicant residinE i..n. tie i.-iobile .home or conventional residence r:ioves to a.n:ctn;:r loca`,.-ion or is deceased', the varie.nce autos,atical.ly expires and the mobile home shall be -?T1oved ui.thin 120 days. : if the mobile home is not removed within 120. days, the county 147, remove said mbbi.le home and store it at -the o-,:,_Z1er's expense Very truly yours, 1tynn Fd Vans art, Director L Divi,,: -;`-ion of_ F:nviron_�len�al Health hE'V/1:da cc . C of the Boa cd Address ❑ 196 Memorial Way Reply to Chico, California 95926 Telephone: 916/891-2727 John Danly 7203 Forbestown Road Oroville, CA 95965 Dear Mr. Danly: Same o 'CIE: ..; T -i Ai -i D F =AI)TY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH X7 County Center Drive Q 747 Elliott Road Oroville, California 95965 Paradise, California 95969 Telephone: 916/534-4281 Telephone: 916/872-2961, Ext. 58 February 17,'1983 This.is to advise you that pursuant to Section 19-19 of the Butte County Code, the Board of Supervisors has approved a variance renewal to Sections 19-10 and 19-12 of the Butte County Code for the continued use of a mobile. home on your property located at. 7203 Forbestown Road, Oroville, Calif. and identified as Assessor's Parcel Number 72-27-41. This.vari_ance renewal was granted on February 8, 1983 and includes the following conditions: I. The variance renewal is granted only for a term of one year. At the end of one-year you must apply for a new variance if the use is to continue. 2. If the applicant residing in the mobile home or conventional residence moves to another location or is deceased, the variance automatically expires and the mobile home shall be moved within 120 days. If the mobile home is not removed within 120 days, the County may remove said mobile home and store it at the oirner's expense. . Very truly yours, Lynn Vanhart, Director Division of Environmental Health LEV/lld , cc: Cler' of the Board P ing Department uilding Department L-A N D iO f N A T U R .A i WE -A T H A N. D E A :U :l ` DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH Address ❑ 695 Oleander Avenue, P.O.. Box 1100 2:7 County Center Drive ❑ 747 Elliott Road Reply to Chico, California 95927 Oroville, California 95965 Paradise, California 95969 Telephone: 916/891.2727 Telephone: 916/534-4281 Telephone: 916/ 872-2961, Ext: 58 December 1, 1981 John Danly Box 7203 Feather Falls Star Route Feather Falls,.CA 95940 Dear Mr. Darnly This is.to advise you that pursuant to Section 19-19 of the Butte County Code., the Board of.Supervisors has approved a variance to Sections 19-10.and 19-12 of the Butte County.Code for theplacement of a mobile home on your property located at Box 7203 Forbestown Road, Feather Falls,CAand identified as Assessor's Parcel Number 72-27=41. This.variance was granted on. November 241 1981 and includes:the following conditions: 1. The variance is granted only for a term of one year. At the. end of one year you must apply for anew variance if the .use is to continue. 2. If the applicant residing in the mobile home or conventional residence moves to another location or is deceased, the variance automatically expires and the mobile home shall be moved within .120 days. If the mobile home is not removed within 120. days, the,,�County may remove said mobile home and store.it at the owner's expense:` 3. The mobile home shall be placed on the pr'op`erty ,,without violating any of the setback requirements of the zone in which theproperty is located.'` 4. The applicant shall secure all necessary sewage,di,sposal, electrical, plumbing and building permits necessary toins.ta.lil",: mobile home. 4.i . Very truly yours, Lynn E, Vanhart, Director Division of Environmental Health LEV/lld .cc:. Clerk of the Board. Planning Department Building -Department= ,l dls��ij� 186t p A-V&O" y® Qd 'Ql -yo - .Vno �isq . 0 COUNTY OF BUTTE r + DEPARTMENT OF PUBLIC WORKS ' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector/ Date 'e'�r5 �--- P 3690-81P,E PERMIT 'NO. PERMIT EXPIRES ` z.2 OWNER John Danly & A. R.. Feehrer CONTR. owner ASSESSOR PARCEL 72-27-41 LOCATION S/S Forbestown Rd.,app. 1.2 mi. E/Hurleton Rd., Hurleton Area .q t� C� �I l 1 t } V IM1 � Temp. Power Pole Called PG&E 1 Temp. Elec. Service�— Called PG&E 1 Temp. Gas Service /-e - Zli- JOB,F NALED (Date) — �6 —J Z/ Signature V =OK i i O = Not OK r — = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBIL ME UTILITIES (Plans) OK except q's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's Zoning Requirements–Setbacks–Easements 1. Zoning Requirements–Setbacks-Easements s; Special MH Support–Sketch 2. Footings; Size–Depth–Spacing–Connectors wer; Location–Test–Fall-C/0–Concrete 3. Decks; Girders and/or Joists–Decking–Bracing–Stairs–Rails r; Location–Test–Easement Needed etch) 4, Wood Awn.; Posts–Beams–Rftrs.–Connec.–Shthg.–Rfg.–Bracing !¢,electricity; Location–Clearances– d.– 4F�jAmp– 5. Alum. Awn.; Columns–Connections–Splice–Decal–Enclosures as' Location–Test–Wrap ' "" "" ' "^ .or�j%"L"ft./ /"LPG 6. Carports; Windows–Doors tility Clearance 7. Elec. C ate5 ;34 y Card -BI Date Card -BI Date Card -BI - Date Card -BI Date Date 5 19 d Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's Card -BI Date _ Date Card -BI Date POOLS (Plans) OK except N's 4—Toning Requirements—Setbacks—Easements 1. Setbacks—Easements oon ; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. as; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining ectricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI ain; MH Test—Fall—Flex Connector ! -5. Elec.; Pool Lighting; 15 volts—GFI ateL;,IVIH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ater and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater as_AAd Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit its Insp.—Sketch 1 ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card BI Date Card -BI Date G Card B- Dat `p herd -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = 0K '_ 4 = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Dupl,ex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -B lockouts -Wrapped -S lab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except N's 14. Water Ht.; Vent -Access -Combustion Air 57. Smoke Detector .58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except q's 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72• Insulation -Foam -Looked in Attic ❑ Yes 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral []Yes F-1 No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes []No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B-1 Date Card -BI Date Date MECHANICAL (Permit) OK except q's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - ---- Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) 36. OK except N's Sills; Proper Material & Anchors 37. Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. _Walls; Bearing Walls over Girders & Floor Nailing 39. 40. Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. 45. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47, Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) ` COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cglifprnia 95965 - Telephone 916/534-4541 APPI,ICATLON AND -PERMIT PERMIT NO. J8 —O ASSESSOR PARCEL NUMBER -'Z — 41, ZONING ; BUI NG PERMIT O WNE O C D TELEPHONE S0. FT. dccel BUILDING VALUATION OWNER'S MAILING ADDRESS CO RACTOR'S NAME001 T - = 772, j C2fj�' TRACTOR'S MAILING ADDRESS p-204el VE��%�fvG, Fireplace CONSTRUCTION LEND UNKNOWN Total Valuation is Filing Fee $ _ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 4 Ae SE NO.Plan Checking Fee $ v Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ B.IG DRESS , / , PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 `•�jeLL% Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USEOF STg11CTURE SF ❑ Duplex❑ MobilehomeOther SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel/❑ Uti liti s I allation ther ❑ Describe work: Permit Fee $ Contractor ELECTRICAL ELECTRICAL PERMIT Filing Fee 10.00 000 AMP OSLESS Main service 10 R 5.00 (('V Main service EA. ADD'L 100 AMP 2.50 NEW CON S OR ADDNST DWEACCLBLING LDGS.CCUP. y) 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and effect. and Professio Code and my license is in full id License No. MD 9 X63 Classification L3 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NoN.Resio R. BRANCH CIRCUITS 2.50 ea NEw CONSTR. POWER APPARATUS Q) NON-RESID, SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES_ S0@� BAL@100 EX. OCCU IXED TS (REAPPLNS, OR p•(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIirig Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s id County in consequence of the granting of this permit. J X ate .S� (7 Signa re of Applicant - Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Q•() TOTAL PERMIT FEE Da OCCUP. GROUP I TYPE OF CONST, I PARCEL PD ND SS This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUB j BY ° the applicable provi- resolutions to do fees have been paid. C WORKS Date Receipt No. / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT EXPIRES Date 3� F-1 MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. /��ee�`CcJ6d �� furnish Setup Model No. Year / Width— /t/ (ft.) Box Length,(ft.) . Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the .County of Butte). All center supports measured from front of mobilehome unless otherwise specified. 1 Footings (check one) Single 1. Wood either pressure treated or foundation grade. �.— x 21 2. Other:•(specify) (ft.)(in:) (in.) (in.) ❑ Center support Center support ' locations* footing sizes Support$ (check one) (in.) 1. Concrete block. �—j ❑ -2 Other. (specify) (in.) (in.) <--Tagalong or Expando,' show support details. (in.) (in.) /a x 3 -- Typical Support (in.) (in.) Footing Size (in.) (in.) -- Max. Pier Spacing , (ft.) Max. Overhang (ft.)l(in.) (in.) (in.) BUTTE COUNTY BUILDING DEPARTMENT "APPROVED *If center piers are other than drawn above, draw in•locations, spacing,. and dimensions. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: Q'"I ' .e 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number )) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of.all setbacks.and easements? Yes / / No ( 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 mobilehome siteservice? --------------------------------------------------- Yes No / (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- / (in.) 10. What is the type of gas service? ---------------------- --- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? `� (ft.). 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PE MIT NO. 7 County Center Drive - Oroville, Califorr)ia-95965 - Telephone 916/534-4 41 APPLICATION AND -PERMIT , l ASSESSOR PARCEL NUMBER z --Z •-4 �� v'� r ZONING M 2 --.0 hl BUILDING PERM( OWNER / Jd � 00, ` G�r !/ TELEPHONE S8 ! a 16 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS �r �o3 s CONTR AC T OR'S N AMETELEPHONE OC.0 u .a v CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER �jLICENSE Ce NO. 1 Plan Checking Fee $ `(:CP Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Q.C96 BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 / t " ' " °" �e't XC41 Each Trap 2.00 Repair drainage or vent piping 5.00 //" y W /ti /�i..ra�g Water piping . oo LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets JO, USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeR Other SPECIFY Building sewer / d Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 09 Installation❑ Other ❑ Describe work: Permit Fee $ 0c) Contractor ELECTRICAL PERMIT Filing Fee 1`0.00 Main service 100 AMP OROR LESS5.00 x[00 Main service EA. ADD'L 100 AMP 2,50 NEW CONST. DWELLING OCCUP.y) OR ADDNS. ACC. BLDGS. 2?sgft CONTRACTORS. LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bus Iness and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. I.OUTLET 2,50 ea NO N.RESID BRANCH CIRC ITS NEW CONSTR / POWER APPARATUS b\ NON.RESID. (SINGLE OUTLET CIR. 1 EX. OCCUp OUTLETS OR FIXTURES_ BAL@1 FIXED APPLNS. OR Ex. Occup. �OUTLE TS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ,5-0 Misc. Wiring 7.50 Permit Fee $.$'� Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agaVid ty i equ ce 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 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OcCUP. GROUP I TYPE OF CONST. PARC L PD HD ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT F PUBLIC By PWAIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 10--f—A' / / Z— f P, ? C qq. /3 Receipt No. S66 -`>•sid WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT AW 16 0 4 4( r f - T .� i -r r^ + r t ,.� . ; ' ' �.,G+►/�L' " '.0 lit/�— i _ r t F4 22v UJ AF Sj-/�V& r 4 ft 50 FT. MINIMUM r 50 v Q". of 0 t)e R MOBILES epi /0 s. fje-, . %I 6 0 0 W/ ,6 A 00, o 0 0, V1 L of ZAr A permit A"ere installation of the moWhomola 44. i- 4 f�o ID4 ft., f romrthe A setback of 19 property; 4ne-� 1a setback T'E:—All Materials & Wo4mansRlp Sh'aff Be irr of ft from the road ordance with Roconni-n4 Gond Practices andcleqr of -S5 cen.terl-ie shall,bP,' j quality prescribed for 4e Specified use in the stru.ct1jres--&r- e4uliF—aept-excz;:f :orm Building, Plumbing & Machanical Codes and I' q.- " National Electrical Code. fora -2 eave O'Verh4 This set Of plans and specifications MUST be UTTE, COUP hop+ on the 'job at all times and it is unlawful to -PAP ou a LTM56 - made any chances or al+Prn+ions on some without ou UL written permission from the Department of Public PPROVET).- Wor�s, Cf111-+Y of Butte. A/ 20' 40' 60' 80' 100, 20' :]An'. 9 72 0 3 � ��scsiv ,� i� �-.� v f E' PERPERMIT 6358-75P,,E PERMIT N0. t P d E . M MH UTIL. r, ERMIT NO. PERMIT EXPIRES OWNER Gene Bradford coNTR. owner LOCATION/A.P. 72-27-41 ) S%S Forbestown Rd., app. 1.2 mi. E. of Hurleton Rd., Oroville ,.r I, t( , Temp. Power Pole Called PG&E'' -Z&P Elec erv. � Calle PG&E Serv. /Temps d PG&E /y! �• �%• /V4 /� T FINALED 74- a (Date) (Signal e) ' ` /►'" z /� /� , . !U COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer -'7 Garage Fdn. Vents Fixtures Footings Garage Vents Water lllr. `- StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & 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 Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS 9. Electrical -� A. Is service 1lrge e ough to provide a&N1Lat6-'amp erage to mobilehome-(must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water' pumps, garage, cabana, etc,? Yesy No B. Is there proper clearances around panels? Yes L____No C. Is power supply cord or feeder assembly properly fused? YesL--No_ D. Is continuity test satisfactory as per the following procedure? Yes i -`No 1. De -energize electrical wiring system.of the, mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected, 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test.instrument to the mobilehome grounding conductor and apply the other lead to each m.obilehome supply conductor, including neutral. 5. 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. 6. 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. 1 MOBILEHOME DATA - Manufacturer and/or Namestylef ic _ 4 Length � D Width 24 `ox 28 Vehicle Serial No. 7-2— - //-4Z-//-L State Identification No. -J-1 / /QI - -LI 1—!aZ Additional.Informati-on or Comments: 74 -P4 2_ MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome' located Ndth required epar2tion from lot lines and buildings and generally conform to plot plan? Yes No , 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes6---Nd 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes 4 --No 4. Is the mobilehome level?,(Sec. 5088) Yes '�" No 5. If more than a single unit,,are crossover connections properly installed? (Sec. 5088) Yes �No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Seca 5566) Yes '��No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes "o C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes 4—No B. Does it have minimum 4" per foot slope and is it properly supported? Yes Z'. No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No D. If coach is not State of California approved, does station have required trap and vent? Yes No P Al A 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply wi an approved 3/4" minimum mobilehome onnector not more than 6 ft. long? Note:. 11 piping is to be at least as large as the bilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per follow g procedure? Yes No 1. Open all appliance nnector valve . 2., Shut off appliance burne an ilot valves. 3. Air test with manometer o 1 "-14" water column, or test.with slope gauge (minimum 6oz.-maximum 8 oz.) c ibrated 'n tenth pound increments. Test for 10 min. without drop. 4. Connect gasmeter to mobilehome wi soapy water_, C. Are all appliance vents properly installed? Y tor, turn on gas, test connections with No J COUNTY OF BUTTE — DEPART-MENT OF PUBLIC WORKS 7 County Center Drive. — Uroville, California 95965-i/ �<�5 Telephone: 534-4541 ��JJ APPLICATION AND PERMIT ignature o ermltee or gent BY Date_/— Receipt No. ` White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant BUding permit expires Date , ! �f s 27 BUILDING OwnerSQ. FT. OCC. BUILDING VALUATION Mailing Address s TTelephone L 70/10. .4. ��3� No. LoC4 Fireplace Contractor ��/C �. Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Addresss _ ems. PLUMBING No. @ FEE PERMIT FILING FEE $3.00 •bit r d Q S Each Trap 1.50 Repair drainage or vent piping 1.50 - .,40 u Water piping -f-r0 /O-- Each gas water heater or vent 1.50 A. P. No. ? 2 -.;z 7 " � /• �� S_�.f Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s Fire Dept. Fire Zone Use Permit Building sewer .ac66A3— EQA PPlans Declarration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Id I( d Parc pproval Plans pproval Permit Fee $$ a3 N W ❑ ADDITION ❑ UTILITIES M OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 V OR Main service 100 AMP LOR ESS LESS 5.00 " Main service EA. ADD'L 100 AMP 2.50� Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service 1100EAMP oR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDIS. A//CC. BLOGS. ) 2¢sgft NUN-Ht--SID.EWCOTR t BRANCH CIRCUITS) 2.50ea / // V „ NEW CONSTR. (POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES)50 `°25C 109 Ex. Occu FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �S— License No.Classification Misc. Wiring 6.25 � u 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 Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ I FEEPERMIT FILING FEE J$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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date ��'��` 75✓ TOTAL PERMIT FEE //// $ `�7 This permit is hereby issued under the applicable provisions orf the Butte County Code and/or resolutions to do work indicated above for which fees have been p DIRECTOR OF U LIC WORKS ignature o ermltee or gent BY Date_/— Receipt No. ` White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant BUding permit expires Date , ! �f s 27 ✓. r COUNTY OF BUTTE — ' DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT v'un.y V1 OURO W CHLUI uIJVn 1110 above-mentioned pro�p%erty for inspection purposes. X 7)� Date & 3 2-74� y Signature of Permitee or /Agent Receipt No. % y a `� ,1�% White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO,"F PUBLIC WORKS By 'ng permit expires Date lN BUILDING Owner �s— �� r 02 )0, SQ. FT. OCC. BUILDING VALUATION Mailing Address 2 3 3- 0 0 C Ar Telephone No. Fireplace ,Contractor 2 ✓4n7 Total Valuation Mailing Address s� Z ,� ,!Z ,✓� j /� Permit Fee Plan Checking Fee &/or Penalty _ 41, b l Teep one No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 r Each Trap 1.50 d Repair drainage or vent piping 1.50 Water piping 1.50 ®i, 0 V ' L (. -Q-- Each gas water heater or vent 1.50 2_ �� ^ L' I A. P. No. T Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe -e4`51 WLCJ 9ani-tt3 n FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Imp pro ements Lawn sprinkler system 2.00 aLd d Parce( pprovaI Pans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER .® ELECTRICAL ;No.1 @ I FEE PERMIT FILING FEE J$3.00 %Ir d ','I — s Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures y dZ 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 Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. 89 1 J Classification � _ �� Misc. wiring ❑ I am 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. �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 the Workmen's Compensation Laws of Cal i forni a. 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 J C -i(v TOTAL PERMIT FEE $ 3d v'un.y V1 OURO W CHLUI uIJVn 1110 above-mentioned pro�p%erty for inspection purposes. X 7)� Date & 3 2-74� y Signature of Permitee or /Agent Receipt No. % y a `� ,1�% White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO,"F PUBLIC WORKS By 'ng permit expires Date lN BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION' SHEET 1. Owner's name: 2. Installer's name: 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number lOs',5� ^ S� ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No ( If no, clarify 5. What is the mobilehome electrical rat _� ��►�M.J.04mM., 6. What is the mobilehome site service rating?- --'`-'- -------Amps 7. What is the mobilehome site circuit breaker rating? ------------- (Y-70 Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- es / / No W 19 Y -c- /2 ®yv� (If yes, identify the load and size: �a /i�,�? (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ------------- PIdY�------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12 :What is the mobilehome gas demand? ------------------------------ k (DA= (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) M'0401 q ^If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DEPARTMENT F APPROVED ) /9coe 0 CIS � 0 z�X 2 C D �C M1014 v SUYYUDATAi P10BILEHOM lt'1' 3,z Mob ilehome Mfr. PAS I SciS, , Setup Model No. h lD 6----5-3X-Year Width 00, 2 (ft.) Length (ft.)-Expando Size ft.x �ft. (Draw support details below) _/0 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). Sin l Footings- (check.one) 1. Wood 'either ? b i pressure treated or Center Support Center Support Footing Sizes fdn.*grade. Locations (in.) 2. .Concrete pad. 02 Al00 / / 3. Other,`specify ln. in. in. Supports (check one) 1. Concrete block ( / / 2. Concrete piers /[ 3. Steel piers / / 4. Other, specify -.1 V00 �k _ -Footing Typical Support Size . ('F in. in. in. (in.) (in.) Max. Pier _O in. in. _ Spacing �...�i in. -.. (in.) (in.) ' / Overhang ^If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DEPARTMENT F APPROVED ) /9coe 0 CIS � 0 z�X 2 A�q A Workmanship Shall Be in- Aci--ordance w4h Recoan;zed Good" Practices and of a quialify pre-scrubed for the Specified use in thei Uniform Building, Plumbing & Machanical Codes and the National Electrical. Code. this set of pians Wmism MUST km kept on the job at all times and,it is_ unlawful to make any changes or alterations on -same with'aut written permisson from, the. Department of N61V Works, County of Butte. Septic system and l6cationvt*O" to be as. per e, Butte County H ealth ept. Re- 0 quirements. All utility connections shall be located within 4 ft. outside the rear third section of the mobile home on the left (road) side -of the mobile home. The': Setback shall be 5 ff. from the side property line. and 50 -ft. from the centerline of the road, permitting a maximum of a 2 ft. eave overhang. . e8 10r the 16e requir Vne fli BUTTE COONT.Y. 8U1Lb1NG.'.DEPARTMENT APPR' t O:VL. D