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072-590-003
Steve Goff w/s private road app. 1 mi. S. of. String'town'Rd.,'app. 5 mi. N. of Hijrleton Rd.,--Oroville Permit 374'�-78P,E (til' 1' '1% ------------ u . /AM, ELEC. GAS Vj; RIW'SUPPORT STRUC.'REQ. Aj'O COMPACTION TEST REQ. -Jolr� 2 5 Permit #46568MHI a Ij ssued_ ' Permit#1016-83BiE(new =caban�a deck . 05 .......... I I AU�� 0 BUIL:OING"DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT N Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticuftural 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. I ASSES " :r( E�y.Q a ©,) ZONING OWNER � X'K to f, Q / PHON ��. OWNER'S ESS U) I y5,9 LOCATIONbP BUILDING L. USE O ILDINr r C "r SIZE OF STRUCTUREr' SQ. FT. TYPE OF CONSTRUC'TION: WOOD FRAME < � ( STEEL CONCRETE OTHER (Specify) TYPE O SIDING d ROOF CMG FLOOR TYP ESTIMATED�O,�T QF�NSTRUCTION $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows:L�--� FRONT k�- SIDES Ll 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 feet 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 AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as st ed above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the bug4ing is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to complVqith the requirements in effect ak?that time and before occupancy. Date C _ l `� - 9 3 Signature of Owner Permit Fee - Vag- 015-0'Lo Receipt No. I Im The above described AG Building is exempt from a building permit FLOO PAFj2El P jY ROOF}IQG I ISS Manager Building Divi ' n By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant s COUNTYOF BUTTE - DEPARTMEIiTOFIVELOPMENT SERVICES -BUILDING DIVISION t• > w 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 ERMIT OWNER �iC li V Proposed Building Use PLICAT j 0,�� OSS P. o. _ Building Inspector Date Y ` S ON DATA SHEET At time of per 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 . ...................... A. 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 $....................................... . 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . 15. City of Chico plumbing permit . .................... I..................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . .4...... . 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. ... . 20. Pre -inspection for Pre InsPedion request p required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............... 22. Certificate of Workmans Compensation Insurance . .................... I ..... 23. Owner -Builder Verification (Given to owner , Mail to owner ....... t 24. Recorded copy of Agricultural Acknowledgement Statement. ........... i ..... . 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 . ..................... 1 ................. . 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 checklist ...................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold foroeiickop at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _phone _ m Counter bye'Date,r'r Contractor, designer, owner, was advised of above required data by _ phone,_ mail Counter by _ Date Plans checked by Date Plans approved by` Date Sets of plans on hold in File cabinet -AF folder Copy - Department of Public Works { PERMIT NO. 1016-83B,E PERMIT EXPIRES OWNER STEVE GOFF CONTR. Owner ASSESSOR PARCEL 72-26-25 LOCATION W/S pri rd,.app 1 mi S Stringtown Rc app 5 mi N Hurleton Rd, Oroville i t 0 pb 1' Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E_ Temp. Gas Sei n ' Cal led PG JOB FINALE[ P Signature V = OK 0 Not"OK - = Not Applicable MOBILEHOMES = Not Ready T MISCELLANEOUS Date r Date D S, COVERS, CARPORTS, ETC. (Plans) OK except #'s �i 1. Zoning Requirements -Setbacks -Easements 1 2. Soils; Special MH Support -Sketch oatings; Size -Depth -Spacing -Connectors _ - 1 T MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s Date D S, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements oning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch oatings; Size -Depth -Spacing -Connectors _ - 1 3. Sewer; Location -Test -Fall -C/O -Concrete 1 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) • 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing t 5. Electricity; Location-Clearances-Grnd.-/ •/ Amp -Concrete 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat: or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors _ 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date C BI ate!.0 •2j Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s r 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elect; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card -81 Date Card -BI Date Card B-1 Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date - 1 • t J = OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR P OK except #'s Date FRAMI Continued oning requirements -Setbacks -Easements 4 y ine Firewall & Openings g., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49.-Ext-OSISPS=Vne 3' -Check Garage -3rd story, 2 exits 3. Fig., Garage; Soils -Steel- / /" Ftg. Depth 50 SU-'-y:::-Headroom-Rise-Run-Landing-Fire Protection 4-PrT.7-Poruhes & Decks; Soils -Steel- / /" Ftg. Depth -pt d n Roof Overhang -Attic Vents -Rafter Outriggers 5„ liteni aUs, Main; Steel-Blockouts-Wrapped-Slab 5 _ tding-Nailing-Veneer I emwalls, Garage; Steel-Blockouts-Wrapped-Slab 53.__Siucee-Mesh-Drip Screed-Fdn. Vents-Underflr. Access 7 place Ftg.-Steel a - ittings-Test-2 way C/0 -Sewer Test 9. Gas Pipe; Size -Anchors 54_G4ee R- ;,a -Glass Protection -Skylights -Plastic 5&--6heer*atfs; Nailing -Bolts 1 0-WvM -PTpe Test -Anchors -Regulator -Service Test 11 "eterrrt�-underground 1Pr-P+ertart[s�S Ducts; Clearance -Material -Support -Ins. r ers-Sills-Anchor Bolts -Joists -Vents -Cripples C r e Card -BI Date CardcBl Date Card -BI Dale Card -BI Date Card -BI Date C_� I Date j Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 15. Water Pipe; Test & Anchors -Nail Protection D.W.V.: Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails _ 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRI A o P .it OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper fixture &rransformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meeh. Protection70. -- - _-ec. Receptacles Spacing -Lights &Switches at Doors Plb., Elec. & Mech. Equip. Listed for Location 2 ox s & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 2 ex Installed Close to Edge of Studs & C.J. - quip. Ground made u w/ [eners-Bo d Gas & Water 72. Insulation -Foam -Looked in Attic []Yes 73. Guard Rails & Deck Construction -Post Caps is !K itc ctor Size - 2& --au WirSipe /' CJ r Af-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, _Ins eutral ❑Yes El No 28. c�S2TGtSeE- r Conductors & Ground -Main Disconnect 75, Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 2 quip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - - ------------------- 30. -- oset Light -Shower Light - --- 78. 79. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing C-=1[�ate j� Card -BI Date -__ Card B-1 Date Card -BI Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK cept #'s 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric - - 31_ A_ Ducts: Insulati & Support - 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. Vent -- n; Exha above Insulation 33. Condensa in Overflow; low; Size & Grade gg, Energy Compliance Certificate -Other Certificates 34. Furnace- nt; _cess-Comb._Air-Return Air Vent -115V outlet --3,5..-Attic A' cess & PIaTtKm if Furnace in Attic Card -BI Card -BI -Date _- Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -61 Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING s) OK except #'s Proper Material & Anchors _ills; _all tuds-Nailing, Spacing & Bracing -Plates -Sound _ e_aring Walls over Girders & Floor _Nailing-- -- t Stop in Walls (rat proof) _ _ ed Ceilings -Stairs -Chases -Tub a er & Beam -Size & Bearing 4 rs- t Caps -Anchors -Connectors g. Joist-Rftr. Ties-Purlin - Roof Brac.-Truss-Sht - (n, or Type A Flue -Fireplace Throat 4� ccess; Size & Rom_ex Protection -Draft Stop -Ins. Baffles �8'�6411S�G�indows or Exiling Doors -Sill Hgt. & Dimensions 47..Ga&a .�-�-`--��otection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT, OF PUBLIC WORKS PERMIT NO. ` 7 County Center Drive - Oroville, CaPifornia.95965 -Telephone 916/534-4541 - APPLIC.010NAND PERMIT ASSESSOR PAr NUMBER D__RCE. b — s ZONING BUILDING PERMIT IZI OWNE A TELEPHONE SQ. FT. OCC. BUILDING .VAI UA 1(')N OWNER'S MAILING ADDRESS CONTRACTOR'S NAME ,A r) TELEPHONE i CONTRACTOR'S MAILING ADDRESS .Fireplace CONSTRUCTION LENDER 'V UNKNOWN Total Valuation $ Filing Fee $ '10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER B'1'1 LICENSE NO. Plan Checking Fee $ r?Y� Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDIN A ESS , A �.� PLUMBING PERMIT .Filing Fee 10.00 r- Each Trap 2.00 Solar Water Heater 20.00 P, 4 Water piping 5.00 LOT SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[a"�Other SPECIFY Building sewer 5.00 Mobile Home S I G I W I 10.00e TYPE OF WORK New❑ Addition R model❑ Utilitie❑�Itllation❑ Other❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 611V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWEL UP.& OR ADDNG. S. ( AC 2�2cSq ft O 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 VI, 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 -,S-60 NEW CONSTR ULTI-OUTL T 2,50 ea NON.RESID BRANCH CIRCUITS NEW CONSTR POWER APPARATUS IN NON.RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETs OR FIXTURES gA 50 FIXED APPLNS. .OR Ex. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring • 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under,penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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 $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai id County ' onsequence of the granting of this permit. X Date"/ ��3 Signature of Applicant — Owner LJ Contractor ❑ Agentj An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories inheight. Mobile Home Installation Fee. $ TOTAL PERMIT FEE $ 1 /� OCCUP, GROUP �?)v/ I TYPE�O CONST. PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC BY P IT EXPIRES Dat e/—�il�—�� the applicable provi- resolutions to do fees have been paid. WORKS Date `% — Lb gyp' 7 Receipt N0. d c'] D WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r -ry ... R qM1 . i _., . ,.�, ., +..,��-. � ..., .w� , ..- � .... ,S-. �. -.. � �-"7� . -.«,. . ..�i T ..Y . rw... a• r .._ , •r4 ; `.. t - COUNTY OF- BUTTE - DEPARTMENTkoF PUBLIC WORKS - BUILDING DIVISION 7 COUNT, -Y C NTiER DRIVE - OROVIL`C E CALIFORNIA 95965 - TELEPHONE: 916/534-4541 ••4 _ PkRMIT APPLICATION DATA SHEET Permit No. OWNER O A. P. No. Proposed Building Use fi> Permit Fee Based Upon: omplete Contract Price //' DPW Valuation O.LhSri(Explain) Building Inspector. I Date Al- Li—r_3 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. • . . . . . . . . 4. Complete engineered plans and calcs. 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. . . . 7 Statement of Intent for Non -Heated and AC Buildings. . 8. Fees of $ . . . , . . , . 9� Letter of signature authorization. . . . . . . . . . 0. Sanitation approval from I/ecr-Z - Health Dept. . . •��'�� Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. r' 1 Contractor's License Information (no., name style, classif.) f . 4 Owner -Builder Verification (Given to owner, Mail to owner 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation.Data. . . . . . . . . . . Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspecteor. Other ._•�Applicant����7`rn�-- Date 3- Copy of plans sent Health Dept., Fire Dept., Other. Date During the plan checking process, the following data must be subm' to permit issuance: (For required. -items not checked above at i I tem.) 1. Index permit for above Items No. ` ( L ` 2. Additional items required: (Contractor, Designer,caner s advi ep of above requir d f Telephoney Mail Other By Date Plans checked by W -11P& P 1111M I Date 14111S Plans approved by I KVYV Date Other: Copy—DPW From- Ho th Cleat"=rte Fl_for: Hol_. 1i_^_v1 nor. e supply. . Fi^a? clear -tce C, K. nor: grater suo-31, iOr bedroom:- hom3 Cth Q C'L3?rw'"ce mobile e /pig NO i• _ {x_ J COUNTY OF BUTTE - Department of Public Works 7 -County Center Drive, Oroville, CA. 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-534-4541 An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address. City Phone Contractors License No. 4. I plan to provide portions of'this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No.' .`L'_ . 5. I will provide some of the work but I,have contracted (hired) the following persons to provide the work indicated: Name Address Zn ,Phone Type of Work 4tiv c i R8- t Signed: Property Owner Social Security number - - - Date J J- NOTE: This Owner -Builder Verification is sent to you as required by'Sections 19831 and 19832 of the California Health and Safety Code.' This verification must be completed and returned to our office before we are permitted to issue the permit. 7L-sC-2Y te 4 . r i, 1 6�w . V ' ell �I 0 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIF ICAT ION 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name .. Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner_ Social Security number Date 4 -D-LJ —_ NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to -issue the permit. //may k•4t n, < �.` . • . . -. w 4• , w.;�„f'',,,=. <. 4.;yi�t1-_r..Z-.^•..�,, _V iF r(:, --'n r.X- rxr,^^7"'^'9cy ' .a�n ' ."�' _.g' ro' 'j'•"'.'. y.►'-,? "�iy : i• ..� _ . ... . „p.�,Z. . . . ,I ��1• • T � . . -' n f' r[ �V R•.y '•S�.�tl. �Y. 1�. 't '�� 4--,5 � i.L.-I� i �. - f f r � .. .. . 1`• .j `��' .F,." F + _ 3 _ , �• ' x '.c r " ° ��` I « ..�" ;-•. "' ,yT.rtr`5 �', t •a.. f s., 7 i. - c .. - �.{ �, 4 •r ,r "'' h` t ;NOT --All-Maters �,all�or ? This set of'plans'a d,bpec�fi mi ivy " 1s krrian4h' Shall $ n �fiions 11 >be �,. p., a in: ' `� �' - .., � � �:.�� - • ,- x-A�4o'rd�nee wifh ecograi�ed 3 • oci 'Pr • •�` _ j .�,. _kept dn.fhe job at-all;tirrzes.sr�tl �t �s.t nls u1 . ,.� �',.� .► s, .M �f a actices and' ..�. �" • J " zV , ` 3a'qualit 'r sc'b dr -use:: • L- • 'hake ariy changes bY.lterationsiri'eFvIfh� "� `l:�,r '`'� w .tJriif`''p d f the Specifieef use in the :oufi-written permissip,0r m'the Depatf�'teRt r mb�ng & Mlechenieal Codes t /i y ( + • " .` i } ,3 r ] r. ze4,tfie Alationat �leetriCai t ,PUbtic 1116Ir ,, Coupty of But e.. ,. -w, . , ti y f r_' ` >q :Cede. t" "-T },:r ° '• •. - .� • r' • C � .ft rF'+.{.t ;`�j.�t _ xc.�. �- 1-• - o .r =: ": - b �' - . Ty _y;. b. �. ,7Y .-J�' - t t `. , � .. ' , - � L t � • Y . _ � �� �,' tea. :� � ~. \ `• � ♦ � . •t h'', H '. >ti- ^t ... - , •r I^ ` - , f-�>�.. rY". 7 fir'* •� r� ' /'. i s•:.2 ?• �.` '�'.� , _ iii (�, ` ii IK_~� '}. : it '� /' •".w._�_ '� K, q. 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Jk g 44 ,, x Diff /Ny A 4R YinY V.�' Q, S.� )00 QAth J L IVIhJr F ; . rte ROO 4 � • INekl .3T ''� 5 •'t- v �k • • a /V If 1�?Xw"io 1000, - t-tUSI GOMP�Y WIT' ITBl)TT �a E ,0, i • F1��55 �LEl.�la'IIZEMEIST " r t� WILDING DEP�� � n � A ppRo t - _ s � � -� �' ... y �.. .. �,-' ta,{ i.t'�t.a�•�y�w.�xt41 1l1µ, �G"�l' �� �.1 %a" T� G PLYWOOD C EXT 0 T Y P.117 no -r zo FIZMM G. > . STAIR STR INGER. 4$'o.c,. M 12"X12"PIN S -TDP VIEW HAUPUL. NOT SHDWf4 FDI, CLARITY. 4 x�,. DF#2_ 2 X(n DECKING GIRDERS I— IYs" TtG PLYWOOD CC EXT. 2"X4♦ BILE HDME �r r I - .O Q ;.� .CTUARDRAIL MAX. 10) 48 L. FRMU--- — — �`� LIP (EA. IRE) MAX"MIN. `I 4„x4" POST 2"x 1 Z. x #MF � 2'x4" PRF�SUR --- (2) 3/13' TREATED OR DECKI IJ G GI BOLTS WOOD rLA . '�: •�'. �'E COUNTY W PRECAST 4x9" P ST-----�` Oc PIER �pF UATE. DIAC,O'NAL oul INC; F-411 T YP CAL REST DENT/ COUNTY OF BUTTE — DE AR C WORKS 14 X 14" MIN. Foot . 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 l�/y /-146 180 Steve. Goff WSR 9330 Oroville, CA III '' �iutte C LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 WILLIAM (ill) CHEFF Act Director May 9, 6984 RE: Building Permit No. 1016-83 Expired) 4-16-84-` (A.P. No.- 72-26"25_) .Dear Mr. Goff: With reference to the above subject, our records indicate that your -Building Permit -.r expired ---,on the 'above. date. Building permits are valid for one year and should construction be started but not completed by the expiration date of. the permit, the permit-shAll,be renewed for 1/-2 the original Building Permit it .Fee (plus a $10.00 "Filing Fee"). Therenewalpermit will extend the Building Permit for an -additional year from the original expiration date. Should you not renew your permit in a timely manner, it cannot be renewed and all work must cease until a new building permit is,igsued. If your construction is completed or should you have any,question:concerning this matter, please contact the Oroville'. office. - For your convenience,;we areenclosinga renewal application form ancf'an�owner- builder form to be completed and signed byyou-whereindicated and returned to this office together with the fee shown. Please return all copies 'of,the application form. Thank you for your prompt.attention concerning this matter.' Yours very truly, William Chef f ---w ActingDirector of Public Works Y.F.der C�F JFG:aj f u Chief Building . g Inspector Attachments: Permit Application Owner -Builder Information Owner -Builder Verification cc: Building Inspector - Orovifte Chico - 196 Memorial Way/891-2751 Paradise 747 Elliott Rd/872-2961, Ext. 57 UNITED STATES POSTAL SERVICE OFtt.CIAL BUSINESS ` PENALTY FOR PRIVATE, � SENDER INSTRUCTIONS USE TO AVOID PAVMENTI $300 Print your name, address, and ZIP Code in the spate below. OF POSTAGE, ��U:Fw1YCAU6 • Complete items 1, 1, and 3 on the reverse. ,® • Attach to front of article if space permits, otherwise affix to back of article. • Endorse article "Return Receipt Requested" adjacent to number. RETURN TO !aunty of Butte [dept. of Public Works (NaraeofSender) 7 County Center Drive Oroville, California (Street or P.O. BM) 95965 ATTN: B1dg.Dept. (City, State, andZLPCo& 5 ® SENDER: Complete items 1, 2, and 3. Add your address in the "RETURN TO" space an i r.verse. 0 1. The following service is requested (check one.) ' &Show to whom and date deiivcred............ —a ❑ Show to whom, date and address of delivery...._a RESTRICTED DELIVERY Show to whom and date delivered..... ...Q Q ❑ RESTRICTED DEL:`VERY. 0 Show to whon, date, and address ofjLa--, __r (CONSULT POST-MASTER FOR FEE'S) '"��•� 2. ARTICLE ADORMED TO: Steve Goff -P.O. Box 835 Oroville, CA. 95965 3. ARTICLE DESCRIPTION: t REGISTERED NO. CERT MED NO. INSURED lrO. 531557 3 (Always a5;3in signviure cf sddres3e0tf ager, ),; f I have yyd the artide a ❑aufuboF 4daressee P DELIVERY � 30p,-el( � . S. A DRESS (Complete only if requestadY i 6. UNABLE TO DELIVER BECAUSE: .-Cl'ER!e,s IPJI IA, s tr/ *GPO: )0'59300-e5e M L0 LI) L0 Z J File No _ RETURN i RECEIPT' SERVICES PS Form Apr. 1971 3800 DNAL.SERVICES FOR ADDITIONAL r t (, 1. Shows to whom and 15¢ +� ( 7 With delivery t0 addressee only ............ 65¢ 2. Shows to whom, date and where delivered .. 35¢' With delivery to addressee only 85¢ , • �,' t > a i f 1 rgy FRESSEE ONLY 77.7 tY . 50d (extra fee required) ................. ........ , ;�' ii• t„ fi NO INSURANCE COVERAGE' PROVIDED— (See other side) NOT FOR INTERNATIONAL MAIL * Gpo : 1912 O -J60-7,13 BUTTE COUNTY (For Action 1, 2,3) Public Works Dept. (For Information �) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. I / D&C / Traffic Const. Rd. Des. Br. Des. Sur. & Loc. T ra n sp. R/W Mapping Land Dev. Ref. Disp. Drng. / S.I. Sub. & Pcl. Maps Perm its . STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, -S 1 CERTIFIED MAIL FEE, AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES. (see front) 1. It you want this receipt postmarked, stick the gummed stub on the left portion of the address side of the article, leaving the receipt attached, and present the article at a post office service window or hand if to your rural carrier. (no extra charge) 2. It you do not want this receipt postmarked, stick the gummed stub on the lett portion of the address gide of the article, date, detach and retain the receipt, and mail the article. I, 3. '.If you want a return receipt, write the certified -mail number and your name and address on a return receipt card, Form 3811, and attach it to the front of the article by means of the gummed ends it space permits, otherwise. affix to back of article. Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee, or to an authorized agent of the addressee, endorse RESTRICTED DELIVERY on the front of the article. 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested, check the applicable blocks in Item 1 of Form 3811. 6. Save this receipt and present it if you make inquiry. . *GPO: 1980 331-003 FOR CERTIFIED AP 72-26-25 MAIL -30 (plus postage) rl f R ECEiPT POSTMARK f ! SENT 0 Steve Goff OR DATE �,#) )t r •- " ��� 1/27/81 Ifs=•. 1i STREET AND NO J ..,,. x P.O. NO. 835 J- t P.O., STATE AND ZIP CODE ' orovi lle, cA. 95965 ,.. _ RETURN i RECEIPT' SERVICES PS Form Apr. 1971 3800 DNAL.SERVICES FOR ADDITIONAL r t (, 1. Shows to whom and 15¢ +� ( 7 With delivery t0 addressee only ............ 65¢ 2. Shows to whom, date and where delivered .. 35¢' With delivery to addressee only 85¢ , • �,' t > a i f 1 rgy FRESSEE ONLY 77.7 tY . 50d (extra fee required) ................. ........ , ;�' ii• t„ fi NO INSURANCE COVERAGE' PROVIDED— (See other side) NOT FOR INTERNATIONAL MAIL * Gpo : 1912 O -J60-7,13 BUTTE COUNTY (For Action 1, 2,3) Public Works Dept. (For Information �) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. I / D&C / Traffic Const. Rd. Des. Br. Des. Sur. & Loc. T ra n sp. R/W Mapping Land Dev. Ref. Disp. Drng. / S.I. Sub. & Pcl. Maps Perm its . yEtP P -S 1 I, 41 rl th;t I lei ! ifrrr . '�:kfsa f A `_ Eat 60untg LAND OF. NATURAL WEALTH::AND BEAUTY ' DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY:; Director �Sr ++i� any, +-<'�t,• 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 ~f i a Selephone: (916)j534-4541 H. W.-McDONALD, . Deputy Director. January -21,A981,. CERTIFIED 1, 1931 CERTIFIED MAIL .Stave Goff RE:. Building. Permit P.O. Box 835..A.P..# 72-26-25 Oroville, CA. 95965 Deair Ht. Goff: With reference to the above subject, on Vovfber 26r 1980, we wrote you a letter. . , . requesting that you obtain the required permits...and inspections from this office for the work you are doing as follows: On your property on a. private read off Stringto m Road, you have. constructed a 12'x12° cabaut adtditloo to your mobilahoine.. Since we.have not heard from you -concerning -this matter, unless you have obtained the required permits within ten (10) days of the.date you receive this letter, the matter will be referred to the proper authorities for appropriate action. Should you have any questions concerning this matter, please contact us. , Yours very truly, Clay Castleberry Director.of Public Works J.F. Glander JFG:dd Chief Building Inspector cc: B)Iiilddiin6 Inspector " 0:90VOle 3417,1 i/ l� l �f v, G��•� G�-! l � `G�i� � C dY �7a .J a � n/ f 9` �✓.i �G,- c ( Cat �.Lc ✓ t e may � st te Count _ LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS CLAY CA§TLEBERRY, Director . 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965. s, Toloohono: (916) 534-4541 H. W. McDONALD November 26, 1980 Deputy Director Steve Goff RE: Building Permit r.t3.. BOX- 835 A;P. # 72-26.25 OtoVille., CA. 95965 Dear tir., Goff t With reference to the above subject, we have been advised by one of our building inspectors that you have not obtained the required permits and inspections from this office for the work you are doing as follows: On 3rour property on a private road off the Ctr3ogtown Road, you have constructed a 121'421 cabdua addition to your mobilebow. Since permits and inspections are required by both State and County laws, please contact this office within ten (10) days of the date of this letter, submit two (2) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until you obtain these permits and are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Your cooperation in resolving this matter would certainly be appreciated. Should you have any questions concerning this matter, please contact this office. Yours very truly, Clay Castleberry Director of Public Works JFG:dd cc: Building Inspector - Oroville Assessor. J.F. Glander Chief Building Inspector BUTTE COUNTY (For Action 1, 2,3) Public Works Dept. (For Information J) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. D&C / Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Transp. R/W Mapping Land Dev. Ref. Disp. Drng. / S.I: Sub. & Pcl. Maps Permits r . BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: V4 I!; � A. P. # -7 o26 Address: P.O. Date of Inspection Tenant: Inspector AjOffl:k�,A). Building Locat ion: wA PoU 40 1,W1 S OF b rn//��TDufn/ 1eD �S �!� it! © � !�!. ins .TZ�M ,eb Type of Inspection requested: 1. Housing / / 2. Financing 3. Change of Occupancy to 4. Other (specify) 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. Connection 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. Receptacles: ' 3. Fusing: 4. Comments: r D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4.. Comments: (nnntin»ur� nn i�nnlrl E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroon floors and walls: 5. Exits: 6. Improvements: 7. Zoning:_ 8. Comments: G. Field Problems or Violations 1. Problem or -violation (give complete description Cn� g',;ILjj,`r2.1TtQ.((�2�up �%�/C%�< C /o i /.Laic 2. ',that action taken (give complete descrip ioxx) (Q�.Qclt/Ll�n ! OoL Cjc"E 3. What acti.on ree _ ended: %% A. information only - fila. B. Hold for ten. (10) days, the -n write: letter. C � Write letter. /% D. Other: LAND -O.F NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 H. W. McDONALD :Deputy' Director ' January 27, 1951 CERTIFIED MAIL 'St _ova Goff RE:. Building.Permit '.G. 1>ox 835 A.P.. �k 72-i-26-25 urov1,110,.CA. 95905 :. Desi '14r.. Goff With reference to the above subject, on V%raeser 26, 1980, we wrote you a letter requesting that you obtain the required permits..and inspections from this office for the work you are doing as follows: On your: property on a. private road off Stringtown Road, you have construct®d a 12'x.12' cabmia addition to your mabileho ae.. Since we have not heard from you concerning -this matter, unless you have obtained the required permits within ten -(10) days of the. date you receive this letter,.the matter will be referred to the proper authorities for appropriate.actioh. Should you have any questions, concerning this matter, please contact us. Yours very truly,' .Clay Castleberry X442)1 Al /hCs � Director of Public Works J.F. Glander JFG•dd Chief Building Inspector Cc: BXilsdin Ins ector e orovilla -a' l J6ce, y� . COUNTY'OF BUTTE - DEPARTMENT OF PUBLIC WORKS r7,COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location:*'<< �--_� • 'r nr" 577'+,kAl Cr\� on 'A Owner 57t ✓F 61 Fl Owner's Address �y -,'Zkf)Y - ' /ox;')/� Mobilehome Mfg. 71t:,- / -'J n n A Model -RI / L � � Year % `. Insignia No.` a�-�� §>/ �' 7 +�/ '� f Serial No. / �- It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date 1� , 5 - %- gy THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED PERMIT NO. 3741-78P,E �J PERMIT EXPIRES ;OWNER Steve Goff CONTR. owner :LOCATION (A.P. 72-26'25 • t't w/s of private road approx. 1 mi. S. of Stringtown Rd., Oroville ' o V4,00; � ryry y • 1 V • ?t 1 y. x At tt J Temp. Power Pole Called PG&E Temp. Elec. Serv. 4 Called PG&E Temp. Gas Serv. �� � ,o &11 Called JOB FINALED a (Date 4 (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' BUILDING INSPECTION RECORD BUILDING BUILDING.(Cont'd) PLUMBING Se ck F ewall S I Piping _ For PApets t Floor a Bldg. Restr om Finish 2n)L Floor �Fo tins Windo 3rd Ioor Stem all Siding To out Slash Roof SheaNhina Water PIPNpg Piens Roofing Sewer Garage'. Fdn. Vents Fixtures :...Footin s Garage Vents Water Htr. StemwaII Insulation Heaters Slab Carport Footings Prov. for ph sica handicapped Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIRE LACE Final Footings Footing ELECTRO AL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLE Motors Framing Test Water Htr. Stucco Final Sub anels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Llec. Pedestal Water Piping Sewer Gas Piping --s` ` MQlILEHOME INSTALLATION - - - - - - - - - - - - - Support - Elec. Continuity Water PipingDrainage l Gas Piping DATE-- i� % 6 s4;;�A4,q- 'T -o 020 REMARKS OR CORRECTIONS I/y''�P� (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 — OroviIIe,, California 95965 Telephone: 534-4541 7 APPLICATION AND PERMIT /III Owner Mailing Address Contractor 4e epW Mai I i ng Address Building Addre _ • -1 Air 29nm9 Verification Only, ' A. P. No. F S e Dept. Fi re Zone Parking Parcel EQA Plans Declaration Parcel 60' R/W Bldg. Plans Recd Parcel kpproval NEW ❑ ADDITION ❑ UTILITIES Use Permit Improvements Plans Approval OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home Others ❑ 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: License No. ® I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating 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. Classification _ BUILDING SQ. FT. OCC. I BUILDING VALUATION Fireplace 5ON�BAL�1C FIXED APPLNS. OR EX. QCCU p•(OUTLETS (RESID.) EA) Total Valuation Temporary service 10.00 Permit Fee 15.00 , Misc. Wirina Plan Checking Fee &/or Penalty Permit Fee PLUMBING No. @ -FEE RMIT FILING FEE $3.009,00 ach Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 AGO Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 QoF/ Each additional outlet .30 Building sewer 5.00 ,00 Lawn sprinkler system 2.00 Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. / DWELLING OCCUP. h $3.00 5.00 2.50 25.00 1.00 Ex. OCCUQ(OUTLETS10R FIXTIIRES 5ON�BAL�1C FIXED APPLNS. OR EX. QCCU p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 , Misc. Wirina 6.25 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 in ection purposes. c/ isDate G — � Signature of PermibVe or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Coo I i $3.00 Ventilation Hood 1 1 2.00 Permit Fee $ Land Development Fee $ 01�" --+ TOTAL PERMIT FEE Is d JyV 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 !Q�FnBIC WORKS By gef Date %—J 7,? ilding permit expires Date 7f COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS + - 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner G SQ. FT. OCC. BUILDING VALUATION Mailing Address © f (..S(_A1•- Telephone No. / Contractor �> Mailing Address Fireplace Total-ValuationTelephone No. Permit Fee Building Address t/J t r t t PI an Checki ng Fee &/or Penalty Permit Fee PLUMBING No.1 @ FEE 'Each PERMIT FILING FEE $3.00 Trap 1.50 (.Aj [ Repair drainage or vent piping 1.50 _ A. P. No. — Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 d6(,<- saRi"rtttJfT Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg.,f�s Rec'd Parce roval P pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER CR Permit Fee $ $ I v ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex Mobil Home Others ❑ Main service EA. ADD•L too AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service/ EA. ADD'L 100 AMP 1.00 NEW CONSTOR ...NS. C ACCLBLDGS CCUP. S) 2¢sq ft 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: T NEW CONSTR BRANCH CIRCUITS NON.RESID (MULTI BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS.a NON-RESID. SINGLE OUTLET CIR. EX. OCCUl)(OUTLETS OR FIXTIIRES BALD; Ex. Occup. (FIXED OUTLETS P(RESID.)REA) 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 Workmen's Compensation Insurance. B-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 nd $ CSS TOTAL PERMIT FEE $ autnonze representatives or the county OT tsutte to enter upon the above -menti ned property for inspection rposes. G X Date Signature of Permitee or Arrot Receipt No. S 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. DIRECT2fl Qq PUBLIC WORKS � L . . i-fding permit expires Date MOBILEHOME SUPPORT DATA • . 1 - .. •meq If other than single wide, Mobilehome Mfr. FiE+c�tcannri HnmPc� Tnr_ furnish ,Setup Model No. 34R2T. Year Ig7A Width 24 (ft.)/ Box Length uR (ft.) Tagalong or Expando Size 0 ft. x 0 ft. (SHOW UPPORT DETAILS BELOW) On all mobil omes manufactured after October 7, 1973; furnish manufacturer's installation manual and st �tural setup sheets (if not on file with the County of Butte). All cenYer,supports measured from front of mobilehome unless otherwise specified. ' Footings (check one) Single 1. Wood either pressure treated o v foundation grade. ++ x u (in.) '(in.) 2. Other (specify) Center support Center support ', Supports (check one locations"footing sizes ) �. (in.) El1: concrete block. i 11 . n x ++ 2. Other (specify) (ft.)(in.) (in, '7715. `�' MQta] Pieva *---=Tagalong or Expando, show support details. ne (ft.)(in.) .(in.) (in.) Typical Support' (in.) (in.) Footing Size . in -- ( ) •• _--_Max. Pier Spacing ^� f (ft.) (in.) int 1' 24'X 24' -- Max. Overhang (ft. (Ask(in.) .(in.) � n (ft.)(in.) BUTTS COUNTY BUILDING DEPARTMENT ,APPROVED *If center piers are other than drawn above, draw in locations, spacing, and dimensions.' vv BUTTE COUNTY DEPARTMENT�'OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. i PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: Steve Gaff 2. Installer's name: Golden State Mobile Home Sales 3. Is the site currently under permit? Yes No 8. Is there any other electric load to be served by the mobilehome site (If yes, furnish permit number ) OR (If yes, identify the load and size: w Z(Load) Is the site an existing site? Yes / / No '- 9. What (If yes, furnish two (2) plot plans.) . 10. What is the type of gas service? ----------------------------- Natural / / 4. Will the mobilehome be'located at least 5 ft. away from septic tank and leach fields and 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) clear of all setbacks and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating? ----------------------- 100 Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- 100 Amps' 8. Is there any other electric load to be served by the mobilehome site service? --------------=------------------------------------ Yes No (If yes, identify the load and size: w Z(Load) (Amps) '- 9. What is the mobilehome site gas pipe size? ---------------------- 3� (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG N / 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. :What is the mobilehome gas demand? ------------------------------ 152,000 ( BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) i MOBILEHOME INSTALLATION INSPECTION _CHECK LIST 1. Is the mobilehome located w'th equired separation from lot lines and buildings and generally conform to plot plan? Yes= No 2. Does the mobilehome have required clearances above ground? (Sec.5085) -Y`s_ o 3. Are footings and supports properly sized, spaced and braced as approved plans? (Note possible variation at spring shackles.) (Sec.• 82 5083) Yes_ No 4. Is `the mobi home level? (Sec. 5088) Yes_ No 5. If more han a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is fle le 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 t� No_ �%,\J�<'ckflow If coach is not State of California approved, does.station have backflow device s•�,-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 No B. Does it have minimum 4" per foot slope and is it properly suppor ed? Yes - No C. Are any leaks detected in drainage system after running 3- Ions of water through each fixture including washing machine standpipe? Yes_ No coach is not State of California approved, does station have required trap and vent? es No 8. Gas.Piping and Gas Vents A. Connector - Is mobilehome onnected to the gas supply with'an approved 3/4" minimum mobilehome connector more than 6 ft. long? Note: All piping is to be at least as large aq,the mobile me gas line inlet without reductions other than the mobilehome connector. Yes No B. :Test OK as per following procedure? Yes_ No Open all appliance connector valves. 2✓l Shut off appliance burner and pilot valves. 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. Connect gas meter to mobilehome.with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes_ No 9. Electrical A. Is service large enough to provide adequate amperage to mobilehome (must equal rating of mobilehome with a minimum of 10 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No_ / B. Is there proper clearances around panels? Yes y No C. Is power supply cord or feeder assembly properly fused? Yes L'o_ D. Is continuity test satisfactory as per the following procedure? Yes if lQo 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(*ilehome 4upply conductor, including neutral. S. 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 elect.rode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. �o,s 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 and/or Namestyle Length -air Width a / Vehicle Serial No. , 0FV(. ' / r/ r State Identification No. �'ijs}L %C)Op _14✓. -7 / F7 G d Additional Information or Comments: 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916%534-4541 APPLICATION AND PERMIT PERMIT NO. — I )—a 7, ASSESSOR PARCEL NUMBER 72-26-25 ZONING BUILDING PERMIT OWNER Steve Goff TELEPHONE SQ. FT. OCC. BUILDING VALUATION lst Renewal OWNER'S MAILING ADDRESS WSR 9330 Oroville CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee(i of Original) $ 30.00 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $40.00 ING SS BUI W/SLDri rd, app 1 mi S of Stringtown Rd, app 5 mi N PLUMBING PERMIT Filing Fee 10.00 of HurletOn Rd. Each Trap 2.00 Solar Water Heater 20.00 Oroville Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex[:] Mobilehome® Other Cabana & Deck SPECIFY Building sewer 5.00 Mobile Home S I G I W 0.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other [X] Describework: lqt- Rp,�pwal of pP_ rMjt— #1016-83 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR Main service 100°O AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.Q OR ADDNS. ACC, BLDGS. , 2/20sgft CONTRACTORS LICENSE LAW declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3- of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR nu TI -OUTLET 2,50 ea RESID. BRANCH CIRCUITS) —NON. NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. 20e50e Ex. Occup(o TS OR FIXTURES BAL@30C FIXED APPLNS, OR EX. Occup. OUTLETS (RESID,) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00. WORKMEN'S COMPENSATION INSURANCE 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 $ Contractor 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 40.00 Occup. GROUP TYPE OF CONST. PARCEL PO MD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date 4-26-85 Receipt No. -------- -