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HomeMy WebLinkAbout073-120-033U 73-1-2-33 tcn/ 331, Robert S. & Doris Dkenso wf App -.2700,01A NE/S Arbesto fj. Rd. ,&pp - 1 4/10 mi.E"I.o 1n Rd ValgesiTo wn P e r m i t � A1,51 �846 AT' 9 P ingle 0 family) 73-12-33 E (u t i 1'.'; MH Permit #5553-75 - GAS SUPPORT STRUCTURE RE' I, if WV COMPACTION TEST REQ. 73-12L33 Permit #3829-80B,P,E(new pri garage),' I a -012!0000;;, too, 0 z I woo, A41A 73-12-33 Permit #1175181P,E( itil. Mffl) (replaces #5553-79) ELEC. e., 1 0 - I GAS SUPPORT STRUCTURE REO. COMPACTION TEST REQ. 73-12-- Perm4ft*-7�24�-82B,.'P,E (mew ri det r 1- aces,382 7-3-12=-337-7 Permit -803(lst renewal /1-724-782) gar. 73-12-33 - Permit#1436-84P,E(util, MH) . 3-441" ELEC M* A AD "AS --1 SUPPORT STRUdTdRE RE 14t� COMPACTION TEST REQ t70— Ion .Q Perm�it#2134-81(2nd renewal/1724-82) 73-12-23 Permit#2603-84MHI Issued - 73 -12-33 Per rgiX#171h-85 (3W wal/1724-82)SF -Ofl%- -Permit,*35n9-85B-(onari� deck/Tvm)'! Wo #2'. 49OW3 1 33 3 L/ Permiti)1526-86B(4thirene-�wa1/1724-82) 7- M a4 r t. 3829-80B P, E PERMIT NO. > > PERMIT EXPIRES r 7'J OWNER Robert & Doris Dickenson owner CONTR. ,- LOCATION (A.P. 73-12-33 t app.2700'off NE/S Forbestown Rd., appAux 1 4/10 mi.E.of Lumpkin Rd., Forbestown y R• i 1 �L C 7,,)`4 F Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) - COUNTY OF BUTTE — DEPARTMEN-I- OF PUBLIC WORKS BUILDING INSPECTION �ECORD j BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidino To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicap ed Conformance of ex. structure Appliances 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 Heatinn 4 Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOMEUTILITIES---------------- -- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping ®®tea Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on -this form- each time you visit the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 C6unty Center Drive - Oroville,,Califorpia 95965 - Telephone 916/534-4541 c APPLICATION AND PERMIT VP .♦ /'PPPP A3� SO �PnRC L UMBER ZONI / ��G � � - BUILDING qEWVf1F OW E TELEPHONE 7_�6 _2� 0915 SOA/.TELEPHONE V740-3W SQ FT OCC. BUILDING VALUATION Al O' OV O NER'S /�o X 5 *aUC-2VEWOOD PAP . G4 QST CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LEN R UNKNOWN Fireplace Total Valuation $ �a�a LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGID ER (/ LICENSE NO. Plan Checking Fee - $ SOV Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRFSS ' / APP. 27LO V N� S xO�g �l(i� 't7• PQ PLUMBING PERMIT Filing Fee 3.00 Each Trap / 2.00 a Oa Repair drainage or vent piping 2.00 . / Water piping 2-00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 2'.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE ❑ ❑ 77q/��(LE _ SF [:1 Duplex Mobilehome Other ��'' SPECIFY Building sewer Lawn sprinkler system 2.00 ++ TYPE OF WORK New Q�Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ . co Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 1011V OR 0 AMP ORSLESS 5.00 Main service ADD'L 100 AMP 2.50 (EA. NEW CONST.D FLING 5C OR ACDNS. ACCLBLDG P 20 sq ft a, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed unden.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 NON.RESID CONSTR.BRANCH CIRCMULTI-OUTLEUITS 2.50 ea NEw CONSTR. POWER APPARATUS &\ NON.RESI D. SINGLE OUTLET CIR. / Ex. OCCUp(OUTLETS OR FIXTURES BAL@¢ AL 10¢ FIXED APP LNS. OR EX. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee, $ Contractor .WORKMEN'S COMPENSATION INSURANCE 1 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 FiIingFee 3.00 Heating Cooling Hood 2.00 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. andeexpen eharmless all labgreeto save, S, j dgmentde co tsand s which maynin anyy wayof Butte aacc ue ainst agains d ou ) on uenc of the gr nting of this permit. X Date Signature of Applicant — Owner 9 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 $ Land Development Fee $ TOTAL PERMIT FEE $ . �O OCCUP. GROUP TYPE of CONST, U PAR ND � This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE TOR OF BLIC BY " ` PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Q /� Date Q'-/ - Receipt No. X33' WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT t � PERMIT NO. 1175-81P,E PERMIT EXPIRES OWNER Robert Dickenson CONTR. owner ASSESSOR PARCEL XX 73-12=33 Y LOCATION App.2700'off NE/S Forbestown Rd.,qT 1 4/10 mi.E.of Lumpkim Rd.,Forbes. LA s Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) i Signature s v V = OK O = Not OK - = Not Applicable * = Not Ready MOBILEHOMES ) MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Is; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors -Y% Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Locatior>-Test-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date T L- TK - -. 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) � Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection _ 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 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 q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 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. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 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 E] Yes 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents Crawl Hole Door -Drainage &Wood -Earth Clearance Looked under Floor El Yes -- 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes 0 N 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters []Yes El No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I 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/0 to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic ---- Card -BI Date Card -BI Date Card -BI _ _Date _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. 37. 38. 39. 40. Sills; Proper Material & Anchors _Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) _ Fire Stops; Furred Ceilings -Stairs -Chases -Tub s-^ � ,Ef ` ♦ , ► 41. 42. 43. 44. 45. _Header_& Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors_ Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Rom_ex Protection -Draft Stop -Ins. Baffles _ 46. 47. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) 7- coAj e. F Ao u V�) 11W&F /611 C, Al --: w COUNTY OF BUTTE,- DEPARTMENT OF PUBLIC WORKS 7 County Center Driye - Oroville, California 95965 - Telephone 916/534-454 APPLICATION AND PERMIT �PERMIT NO. 1 _!/ ASSESSOR PARCEL NUM E Zp� 61 — — -,!.> BUILDING PERMIT OWN TELEPHONE �0_ / SO. FT. OCC. BUILDING VALUATION OW R'S MAILI ADDRESS CONTRACTOR'S NAM TELEP-HONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER �w V Il UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Ot Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL ING ADDRESS /1) r �� r�^ r l..i PLUMBING PERMIT Fllln g Fee 10.00 l�O Ci I Each Trap 2.00 Repair drainage or vent piping 5.00 r�j Water pipingIre) LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets t00 USEOF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer I Lawn sprinkler system 5.00 TYPE OF WORK / New ❑ Addition [:1R ode [J_, Uti lities I Installation ❑ Other ❑ Describe work: 3C°P 5 �`r 10' e. cL Permit Fee $ Q 1 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e001 oR LESS 100 AMP OR LESS 5.00 S, Main service EA. ADD'L 100 AMP 2;50 1 - NEW CONST. DWELLING OCCUP.5i OR ADDNS. ACC. BLDGS. 2�sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI 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. NO N.RESID BRANCH CIRC TS 2.50 ea NEW CONSTSL I POWER APPARATUS e NON.RESID. %SINGLE OUTLET CIR. 50 @ 250 Ex. Occup OUTLETS OR FIXTURES eAL@1 Ex. Occup.(OUT ETS P(RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ' Misc. Wiring 7.50 100 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. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee 3 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabil' s judgmentcos and (expenses hich may in any way accrue aga,Zp&d out in nse ce of he grantin of this rm' . X Date p Signature of Applicant — Owner K 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 $ e OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD IseuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which +Rt3 TOR OF PUBLIC By. PERMIT EXPIRES D to T the applicable provi- resolutions to do fees have been paid. WORKS Date .Z� Receipt No. f6 (¢ WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT CLAIMANT: ADDRESS: &mud* ­of J(3tdk OROVILLE, CALIFORNIA GENERAL CLAIM Robert S. Dickenson P.O. Box 54 CITY & STATE: Guernewood Park, CA. 95446 IMPORTANT: July 17, 1979 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Decided not to build. (Permit #3821-78B,P,E,M - Receipt #178353 - - Ar 73-12-33) Building permit fee ----- $112.00 eta n of fee -------37.33 Amount of refund due ---------------$ 74.67 Plumbing permit fee --- - $ 21.00 - Retain i g fee ------ 3.00 Amount of refund due ---------------$ 18.00 _ Electrical permit fee --- $ 30.90 Reta n g fee ------- .Du Amount of refund due ---------------$ 27.90 _ Mechanical permit fee --- $ 12.00 Retain filing fee ------- 3.00 Amount of refund due --------------- 9.00 Total Permits Fees Refund Due ------ $129.57 Land Development Fee Refund Due ----.$ 25.00 TOTAL REFUND DUE -------------------$154.57 $154.57 TOTAL $154,57 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Datedthis .................................. day of ............................. 19....... at................................. Calif..................................................................................... ' Signature of Claimant I. the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation❑ or Specific Board ApprovalO (Check one) for the same. Dated this,,,,,,,,,,,,17th........... day of .........Jul..........y l9 79 at Oroville .......... .. .............. . Calif . .................................................................................... Department Head or Authorized Deputy Dept. Exp. Code............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE — AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD• SUB. 0BJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. . a INSTRUCTIONS to 9LAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles furniobcd_or_ delivered. Claims must be certified by the claimant, and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor - for -payment -procedure.. � Do not file with the County Auditor first. Claims should be presented to officials' for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before -preceeding. Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. s� A' COUNTY OF BUT 6" - DEPARTMENT OF PUBLIC WORKS 7 County (�enFar Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-ment'oned property for inspection purposes.20 r x Date X Signature ofPermmitee or Agent Receipt No. ',Z26,�:K 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. DIRECT OF UBLIC WORKS By Date 7-/2- ?Z B Iding permit expires Date 7-15-7Z BUILDING Owner � S , � 'S � G SQ. FT. OCC. BUILDING VALUA N _ Mailing Address 0Q, 5 /y 07 hone No.,� Qv Contractor — IQ 40,017 e_1� Mailing Address — Zo Fireplace Q(J Total Valuation Telephone No. Permit Fee O Building Addressr ,0 �� Plan Checking Fee&/or Penalty - P ermit Fee OQ O S/Id/s �J�l� �l/ ,. `ly PLUMBING No. @ FEE o, OLU � r / /� - �J PERMIT FILING FEE $3.00 QQ Each Trap 1.50 J-0 2�nin� y�rfic�tiva Cpl Repair drainage or vent piping 1.50 .... A. P. No. 7 — Water piping 1.50 � O Each gas water heater or vent 1.50 0 es J� Y . S It on Fire Dept. Fire Zone 11"Use Permit Gas piping system 1 - 5 outlets 1.50 d EQA Parking Plans Parcel Declaration Parcel Map 0' / Improvements Each additional outlet .30 Building sewer 5.00 Bldg. ens Recd arc royal � Plans App — Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ Q ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Le C) 00V OR LES Main service 100 AMP ORSLESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L too AMP 2.50 ' OVER 600V Main service 00 AMP OR' LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 OR ADDNS. ACC,DWE-BL ILDG C 2¢Sgftge 96, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &- Professions Code under the name style le of: UTLET NEW RESID,CONSTBRANCH NON-RESID � BRANCH CIRCUITS) 12.50ea NEW CONSTR. /POWER APPARATUS a NON.RESI D. (POOUTLET CIR. Ex. Occuo(OUTLETS OR FIXT11RES 5 L� Ex. Occup. FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 X 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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. NrI 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. PERMIT FILING FEE $3.00 p Heatin- d Cooling Ventilation �D AZO Hood 2.00 00 Permit Fee $ $ dC' 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ Q authorize representatives of the County of Butte to enter upon the above-ment'oned property for inspection purposes.20 r x Date X Signature ofPermmitee or Agent Receipt No. ',Z26,�:K 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. DIRECT OF UBLIC WORKS By Date 7-/2- ?Z B Iding permit expires Date 7-15-7Z 5553-79P,E PERMIT N0: f per PERMIT EXPIRES Robert & Doris Dickenson J OWNER CONTR. owner .� 73-12-3T LOCATION (A.P. ) App.2700'off NE/S Forbestown Rd., app.1 4/1( mi.E.of Lumpkin Rd., Forbestown h x t� { t - Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT-OF� PUBLIC WORKS .BUILDING INSPECTION RECORD . BUILDING _ BUILDING (Cont'd) PLUMBING S tback FI wall it Piping Ffns o • Para petsst Floor M #,n Bldg. Restroom Finish 2 Floor ootin s Windows 3rd .loor Stemwall Siding To out Slab Roof SheatRInq Water Piping Piers Roofing Sewer i Garage \ Fdn. Vents ! . Fixtures Footin s\ Stemwall Garage Vents $ Insulation Water Htr. Heaters Slab Carport t Footings handicor) slcally� Conformance o4 ex. 9 structure Appliances Gas PI in & Test Temp. Gas Slab Final N Sanitation' Patio (REPLACE Final N, Footings Footing ECTRIO-AL Masonry Walls Throat Rough Reinf. Stee Final Fixtures Bond Bearfi FIRE SPRINKLERS ' Motors Framino Test Water Htr. - Stucco Final Sub anel Mesh MECHANICAL Gird. Fa6lt Prot. Scralth HeatIA9. Servlqg BroAn Coo ng T mp. Pole F ish Dqf is nder round Int rior Lath Ventilation Permanent D or Closer anal Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer - Gas Piping B E OME INSTALLATION -------------- Support Elec. Continuity Water Piping Drainage Gas Piping DATE �- f REMARKS OR CORRECTIONS ` (NOTE: An entry must be made on this form each time you visit the job site.) o COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive aroviile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT _A 53t7_--F� authorize representatives of the County of Butte to enter upon the above-meyd)oned property,;or ijygection purposes. n sixcoV�� Signature of ermitee or Agent Receipt No. 2,9 7�Z White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By � �'� Date f-1 % f Building permit expires Date F— BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Z -q- Tel pho a No. Cw JN6 a Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building AddressPlan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE ` PERMIT FILING FEE $3.00-:3,670 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No.Water `� lI 8 I° "i"g piping 1.50 Q�(� Each gas water heater or vent 1.50 F �aaita�ierr FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 •OU EQA Parking Plan Parcel Declaration Parcel Map 0' R/W I Improvements Each additional outlet .30 Building sewer 5.00 /0,00 Bldg. PI s Recd Parcel ApLLou Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 . a(J Main service;o°o AMP ORV OR LES5.00 T, 00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e O 25.00 100 AMP OR LESS Main service EA. AOD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ACCLBLDGS.LING OCCUR. Y) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR (MULTIBRANCH-OUTLETCIR NON.RESID BRANCH CIRCUITS) J2.50eal NEW CONSTR. POWER APPARATUS 9 NON.RESID. SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTIIRES B L�; FIXED APLNS Ex. Occup. (OUTLETS P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 t S( I am exempt from the Contractors License Laws of the State of California. Permit Fee $ b $ a MECHANICAL No. @ 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. 1' I certify that in the performance of the work for which this Vc 0 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. 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 Land Development Fee $ a5 TOTALPERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-meyd)oned property,;or ijygection purposes. n sixcoV�� Signature of ermitee or Agent Receipt No. 2,9 7�Z White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By � �'� Date f-1 % f Building permit expires Date F— r `R 1175-81 1724-82 PERMIT N0: 1436-84P,E(MH) •PERMIT EXPIRES- OWNER XPIRES OWNER ROBERT DICKENSON CONTR.. owner ASSESSOR PARCEL 73-12-33 LOCATION 2700' off NEZS Forbes Rd 1 4/10 mi E Lumpkin Rd, Forbestown .'h w <.5 } E Iti Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Sei Called PG JOB FINALEI Signature J =' OK 0 = Not OK = Not Applicable = Not Ready MOBILEHOMES MISCELLANEOUS - Date MOBI OME UTILITIES (Plans) OK except q's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's . zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -.Easements oiIs; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors er; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails ter; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing Electricity; Location-Clearances-Grnd.- Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. tion -Test -Wrap:/ /"L" ft./ /"Nat.or/ .P'L"ft./ /"LPG 6. Carports; Windows -Doors tility Clearance 7. Elec. s Card -BI C.0 Dat -1�ard-BI Date Card -BI Date Card -BI Date Card -BI 001Date Card -BI Date Card -BI Date Card -BI Date Date N40BILPfOME INSTALLATION (Plans) OK except N's !Date POOLS (Plans) OK except N's 1 • g Re uirements-Setbacks-Easements I 1. Setbacks -Easements . Foo • gs; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3 as; est -Demand -Valve -Connector s 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining e icity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI %X.ra_jTest-Fall-Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6 ater Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed L.&a -and Sewer Connected -C/0 to Grade -HD Approval i 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater Ga d Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit xi , nsp.-Sketch Cert. of Occupancy 9. Health Department Approval [ 10. Plumb; Cir. Test -Water Supply Test Card B -I Date f - - i; Card -BI Date 1Card-BI Date Card -BI Date Card B -I Date Card -B1 Date •Card -BI Date Card -BI Date N J = OK ' 0 -L' Not -OK• Not Applicable Not Ready RESIDENTIAL' (Single and Duplex) �E = Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) Date ELECTRICAL Permit OK except p's 1. Zoning requirements -Setbacks -Easements Fixture & Transformer Clearance -Ins. Protection 48. Property Line Firewall & Openings 22. 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 23. 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 2 Appliance Circuits in Kitchen & Conductor Size 50. 51. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 27. 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel -B lockouts -Wrapped -S lab 28. 52. 53. Siding -Nailing -Veneer Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic 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 p's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except k's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date ELECTRICAL Permit OK except p's 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral []Yes ONO 28. Service -Riser Conductors & Ground -Main Disconnect 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light Card B-1 Date Card -BI Date Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 32. 33. Vent Fan; Exhaust above Insulation 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 Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. 45. 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 Framinq oa. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961. Ext. 57 CORRECTION NOTICE (o (D -3 /,/,3 6, - ?'y OWNER PERMIT NO. 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. / , "� �:-->' , " , , ( -C? ,I /-) n rc3 44 '::� � el� /-) --� 1-1 r -- e /,j 4ZA I +< -r- e - Inspector Date SLP COUNTY OF BUTTE DE PARTIVIENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville —'Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE /V 01 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 Immediate, ly. Inspector :9-13 — Date— MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. Address or location of mobilehome I Owner's name Owner's address Insignia or hud number Manufacturer's name Serial number of V.I.N.,/, Year of manufacture (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. L 513B White - Owner, Yellow - Installer, Pink - D.P.W. /,D- -3'3.. 'AP!j# V 10A;OWNER. PERMIT # MH-,UTIL..CLEARANCE DATE —/9'-0 C� INSPECTOR IN ELE RS,�rvice RIC GAS Support Compaction Stric. Test Req. Other P i -p e YES NO YES NO Siz le 4v - Load Type Size Length .It N . . COUNTY OF BUTTE - DEPARTMENT" OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND' PERMIT PERMIT NO. 3�- ASSESSOR PARCELZONING 1 ,3 BUILDING PERMIT OWNERTELEPHONE t SQ. FT. OCC. BUILDING VALUA ON OWNER'S " fLING DRESS 42�,II r l J 7 L CONTRACTOR'S NAME Jr TEPHONE CONTRA O 'S MAILING ADDRESS Fireplace CONSTRUCTION LENNDEER- UNKNOWN Total Valuation $ Filing Fee $ 00 LENDER'S MAILING ADDRESS Permit Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ t Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING DRESS Q PLUMBING PERMIT Filing Fee 10.00 LdAJ1h kAJJ Each Trap 2.00 rSolar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 RUCTURE USE;�Other SF ❑ Duplex[]ilehomeMob SPECIFY Building sewer 6.00 Mobile Home 0.00e Q TYPE OF WORK New [–I AdditionE R ode l❑ Utilities Insta�tion❑ Other Describe work: _ r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 21/20sgft CONTRACTORS LICENSE LAW I declare underna ty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CO ID H R. BRANCTLCT Ts. 2.50 ea NEW CONSTR. POWER APPARATUS &' NON.RESID, (SINGLE OUTLET CIR. zo®soe OR FIXTURES eAL030 Ex. Occup(o XED A FIXED APP LNS, OR Ex. Occup. OUTLETS (RESID,) EA. 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare unddr 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. 171 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabili ' , judgments ost ano expenses hich may in any way accrue against i ount Inc 7sehce o the granti g of this per 't. X Date •� Signature of Applicant — OwnerK Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over^?3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ `® OCCUP. GROUP I TYPE OF CONST. I V PARCE PD HD SSU This permit is hereby issued under Bions of the Butte County Code and/or work indicated above for which DIRECTOROF PUBLIC BY PERM PIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 1�r8� Receipt No. J ? � WHITE-D.P.W., YELLOW-ASSE OR, PINK -I SPECTOR, GOLDENROD -APPLICANT y� ca�orc COUNTY'OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center bride; Oroville, CA 95965 PHONE: 916-534-4541 SECOND NOTICE DATE April 27. 1984 Robert Dickenson RE: Permit Application to Replace #1175-81 P.O. Box 54 (except sewer) Ruernewood Park, CA 95446 A.P. # 73-12-33 With reference -to the above subject: Attached is: (SENT MARCH 15,. 1984) Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet xOwner-Builder Verification Form List of Codes Enforced OTHER Agricultural Statement of Acknowledgement /K 1 We need the following information: X_ Permit application signed and completed where.indicated•with all,copies returned. X_ Fees of $ 84An payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance.or check exemption.statement. Contractor's License.Law information or check exemption statement. Complete,plans in including plot plans. _ Plot plans in triplicate- _ Structural details in Complete plans and calcs in by.registered engineer or architect. Energy design including. Street and drainage improvement plan approval from Land Development Section (DPW). sets of,plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for x Completed Owner -Builder Verification form. Recorded copy of deed showing _x Recorded copy of agricultural acknowledgement statement. L1 OTHER Should you have any questions concerning the above, please contact this office. Yours very truly, Will tam- Chef ActingDirector of Public Works F. Glander JFG/aj Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovil4,, California 95965 - Telephone 916/534-4541 . APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEI, NUMBER —1 d,—c9,3 ZONING BUILDING PERMIT OWNE e tc �v�s® TELEPHONE SO. FT. OCC, BUILDING VALUATION ' OWNER AILINGADDRESS . Po Ga e r1l Dd a l CONTRACTOR'S NAME ELEPHO E CONTRACTOR'S MAILING ADDRE IS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MliA4 ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ C� Penalty $ AR CHITEC R ENGINEER'S MAILING ADDRESS Permit fee $ BUILDIN ADDRESS ! � g QJH PLUMBING PERMIT Filing Fee 10.00 `"Id 11Ar u/l( I N Each Trap 2.00 Solar Water Heater 20.00 u/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 USEOUCTURE SF ❑ Duplex ❑ Mobi lehome Other SPECIFY Building sewer 5.00 Mobile Home I S I G W 10-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10Dv OR LEss 100 AMP LE LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.8, OR ADDNS. ACC. BLDGS. t 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification Q 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 U TI.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR.POWER APPARATUS IN' NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES e/D ®80 FIXED APPLNS. OR \ EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare u der penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: if after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 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 liabilitie judgments, costs, and expenses which may in any way accrue against sa'� Pty i consZeof t e grantin of this permi . X Date g 1g,4sions Signature of Applicant — Owner Contractor ❑ Agent ❑ I An OSHA permit is required for excavations over 5'0" deep and demolition or construct-DiR ion of structures over 3 stories in height. Moble Home Installation Fee $ TOTAL PERMIT FEE ® Q OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ssuE This permit is hereby issued under of the Butte County Code and/or work indicated above for which <CT`OR OF PUBLIC I--- By PE MIT EXPIRES Date! the applicable provi- resolutions to do fees have been paid. WORKS Date-1q-PS— Q L �� �- Receipt No. WHITE-D.P.W., YELLOW-ASSjSOR, PINK-INSP CTOR, GOLDENROD -APPLICANT t ' s 1 viol gig p►'Iflna dp ,IAI0 1. owner's name: 2. Installer's name: BUTTE,COUNTY.DEPARTMENT OF PUBLIC WORKS -7 County Center Drive, Orovil.'67'dA.' PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yet T-7 No /3ZF (If yes, furnish permit number OR Is the site an existing site? Yes /X/ No 7 (If yes, furnish two (2) plot plans.) f UAztl 77CD )OF /7710 1A.0r4"- 0 7 Z4 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach'iields and clear.9f.pall setbacks.and easements? Yes No (If no, clarify 5. What is the mobilehome'electrical rating? ----------------------- I Amps 6. What is the mobilehome site service 21" rating? ---------------------- �__4 Amps 7.. What is the mobil . ehome site circuit breaker rating? -------------/ .00 21= Amps 8. Is there any other electric, load to be served by the mobilehome siteservice? --------------------------------------------------- Yes No ' R. P PUq P . , , ;? 0 j �6npoeAGM (If .yes, identify the load and size: Li,/,%WT_5;(Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. 'What is the type of gas service? ----------------------------- Natural -7-7 LPG MV 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? -------------------- - (BTU) (This information not required if pipe length less than 6 ft. on n tural gas - or less than 50 ft. on LPG.) BLMF- COUNTY BUILDING DEPARTMGN,i A PP ROV R D MOBILEHOME SUPPORT DATA f�� If ofher than single wide,`' �7 7 Mobilehome Mfr. �� W�� furnish letup Model No. 1� �P��" 5Z�� Year `-7 Width 2,0 (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. Footings (check one) .. �.. Single , ' 1'. Wood either pressure treated or rte._ foundation grade. (ft.)(in:) (in.) (in.) El 2. Other: (specify) Center support locations* Center support footing sizes ' Supaorta (check one) (in.) 1: Concrete block. �'1 [:]..2i Other. (specify) _J l x (ft.)(in.) (in.) (in.) (� 4 ---Tagalong or Expando,' show support details. (ft.) in.) (in.) X Typical Support in. (in.) Footing Size 01 r ('ft.) (in.) (in.) (in.) -- Max. Pier Spacing �m (ft.)((in.) (in.) (in.) Q d9 To &CT -Tl+f 1'N F601 I�CV LO � *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. -- Max. Overhang I .:;;, — y 1 (ft.)(in.) 01 �>_ov%LUE_- Robert Dickenson P.O. Box 54 Guernewood Park, CA 95445 Dear Mr. Dickenson: W January 310 1984 R8: Permits and Inspections AP #73-12-33 With reference to the above subject, we have been advised by one of our building Inspectors that you have installed a mobile on your property located off Forbestown Road, Forbestovn, without permits, inspections, and approval from this office. Although Permit #1175-81 was issued April 89 1981, for mobilehome utilities, the only called inspection was for the sewer and no/other inspections have been called for or made, and the permit has expired. Since both armits and insseclions are required by both State and County laws, please obtain a new mobilehome utilities permit and maks arrangements for the required inspections, and obtain a mobilehome installation permit within tea days of the date of this letter. We also wrote you a letter dated December 28, 19839 requesting you renew your Permit #1724-82 for a private garage since the permit has expired and no called Inspections since footing inspection. Please renew this permit and make arrange- ments for inspections within ten days of the date of this letter. Should you have any questions concerning these matters, please contact this office. Yours very truly, Clay Castleberry Director of Public Works Original. signed by J. F. Glander . J.F. Glander JFG:aJ Chief Building Inspector cc: Building Inspector - Oroville a Actlug -July 2,,1984 Robert Dickenson Rk:' Permits and los. pectiona P.O. Box 54 AP #73-12-33 . Quern wood Park, CRA' 95446 Dear MX. * Dickenson With ,i"Oresuos to the abovea subject, oa January 31, 1984; 'wQ ,wrato,. you it 1; Iter about pwr having installed a mobilehome on;your•property located off Forbostoon; ; '` Road, Forbeetotm,' without pormits, Inspections, and approvals , from this office. On May,17, 1994,, a Vomit to install the utilitieas -for a mobiishome, ass ieisucd,. and on' March 156 _ 19840 and again on April . I79 19841, as sant,letters resquesting a.' Mobilehome Installation permit. Since butt: oeMita end tgpjMtfons' are >r oquire d' by-both State and County laws, .ualoss you have obtained the required Mobilshome Installation permit `and made arvangeameuta for inspection$ for the utilities within ten days of the date of this letter; the mattes wl�.l .be referred to the proper authorities for appropriate-action. , Should you-havo any queetious, plewase-contact this office:. your$ very truly, Acting Director of Public Works Original signed by J. F. Glander , • J.p. Glaadesr . ' JFG:aj Chief Building Inspector' cc: Building Inspector • Ouovilles k9i 6 Mr. Robert Dickenson P. 0. Box 54 Guernewood Park, CA 95446 RE: A.P. 73-12-33 Dear. Mr. Dickenson: B E A u T Y - - - ------._.. __..._.._.RIVE OROVILLE. CALIFORNIA 95965-3381 TELEPHONE: (916) 534-4621 February 27, 1985 It has been brought to our attention by Mr. Jim Glander, Chief Building Inspector for the Butte County Public Works Department, that you have installed a mobile home on your property located off For.bestown Road in the Forbestown area, without obtaining the required permits and inspections. Section 26-1 of the Butte County Code states that the County has adopted the 1979 Edition of the Uniform Building Code. The Uniform Building Code requires that all persons constructing buildings within the County of Butte, except for agricultural buildings, are required to obtain a permit from the'County Building Department. Section 26-6 of the Butte County Code states that: "It shall be unlawful for any person, firm, or corporation to erect, construct, alter, repair, move, remove, improve, convert, demolish or equip any building or structure in the unincorporated areas of the County or to cause the same to be done contrary to or in violation of any of the provisions of this chapter. "The use or occupancy of any building in violation of any of the provisions of this chapter is hereby declared to be a public nuisance and may be abated in a manner provided by law." Section 1-7 of the Butte County Code provides that any violation of any provision of the Code constitutes a misdemeanor, or in the discretion of the District Attorney, be charged as an infraction. The penalty for a misdemeanor is punishment by a fine not exceeding $500.00 or imprisonment. The punishment for an infraction shall be a fine not to exceed the sum of $500.00. Mr,. Robert Dickenson Page 2. February 27; 1985 Therefore, you are to immediately remove the mobile home you you have installed on your property located off Forbestown Road in the Forbestown area, until. you have obtained the.proper permits, inspections and approvals, from the Butte County Department of Public Works. i Ver tru yo r.s, ELBERT M. SIEMSEN Butte County Counsel s DMS:je cc: Jim Glander Chief Building Inspector s County Counsel fir, Department of Public Works Building Permit - AP #73-12-33 " December 20, 1984 ; With reference to the above subject, attached are copies of correspondence sent to Robert Dickenson about a mobilehome he installed without permits,. inspections, -and approvals from this office. To date, we have had no reply. Would you please send him the,normal letter about obtaining permits and inspections. Should you have any questions concerning this, please contact me.. Qrigin-al signed by, - ,J,. F. Glander. JFG:aj Attachments • f ' File No. o.y:- - -••—.. - (For Information ✓) BUTTE COUNTY (For Action 1, 2,3) I Dep. Dir. Sec. Rd. & Br. Mtce. Shop &Yards Bldgs. 8 Grnds. Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. � "Surveys , Mapping Transp. T Land Dev. Drng. /5.1, i Sub. 8. Pcl. Maps Permits . J . Addr. - J.F. Public Works Dept: (For Information ✓) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop &Yards Bldgs. 8 Grnds. Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. � "Surveys , Mapping Transp. Land Dev. Drng. /5.1, i Sub. 8. Pcl. Maps Permits . J . Addr. - Glander Chief Building Inspector. • 'D Cn T 4) SENOEIP Complete Hems 1, 2, 3, and 4 Add your address In the "RET6RN TO" !! sXlce on reverse. (CONSULT POSTMASTER FOR FEES) 1. The follovvIng service Is requested (check one). 11 Show to whom and date delivered ............... C& Show to whom, date, and address of delivery .. 2. 0 RESTRICTED DELIVERY ........................... (ft msftw aflviy too is OwW in addition to Vw return receipt too.) TOTAL 8 3. ARTICLE ADDRESSP TO: 'Robert DiCKenson P.0 Box 54' Gueinewood Park, CA 95446- 4. TYPE OF SERVICE: ARTICLE NUMBER OREGISTEREO INSURED 13CERTIFIED DCOO P367195766 DEXPRESS MAIL (Always obtaln sigruttum of addressee or agent) I have received the article described above. SIGNATURE 11 Addressee ffAutharized agent ADATE 5. OF DELIVERY on MvM lid 140V 6. ADDRESSEE'S ADDRESS (or* N mqmW) cP- 1984 7. UNABLE TO DELIVER BECAUSE: ?a. NIT 11/16/84 AP #73-12-33 * GPM 'WM2-3 UNITED STATES POSTAL SERVICE OFFICIAL BUSINESS SENDER INSTRUCTIONS Print wr sdftn. and ZIP We In the spm bdm. U&MAIL bms 1, 1, 3, awl 4 an ft trwa. M�M trod d tnw It spM pumb. o&An*o aft to beck d wfich. *E -m utich "Rohn RoeW Requuted" PENALTY FOR PRIVATE to M USE. $300 RETURN TO Department of Public Works (Name of Sender) Q 7 County Center Drive (Street or P.O. Box) oroville, CA 95965 (city, State, and ZIP Code) Attn: Building Department • r r - i �.�.�D.�a { ieovembes ib, 1984 Robert Dickenson _ � ;; zti ` RE: Permit et and ` Inspect Mona Poo. Box 54 AP 473-12»33 Guerneeood Perk, CA 9S b Dear Mr. Dickesnson. With reference to the mbbr a subject, on July 7, 19014;g we aro te• you a ,letter requesting that you obtain permits, inspections, and approvals for a mobile-' home installed on your propeyxty located off Forbestown Road, Forbestoon., Although the installation permit bac since'beta applied for, there havo been no inspections to obtain the required appxovals to relessei the mohilebomo ' installation permit for placement of the mobile. Since the awbilehome gas installed without permits and inspections; and since nth sgr,�eits and inepeetipp.s ars.required by both State - and' County laws, unless you have wade arrangements for inspections of the utilItiess"witbin•ten days of the date of this letter, Wie Oatter will be preferred to they proper authorittoo for appropriate action. Should you have any quastions, pleases contact this office. Yours very truly, . Will"M Chaff j Director of Public Works J.P. Claider JF6sag Chief Building ,Inspector cc: Buildiacs8 Inspector OrOville P 367.195 766 RECEIPT F&R CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED— NOT FOR INTERNATIONAL MAIL (See R—) sent to Robert Dickenson Street and No. P.O. Box 54 P.O., State and ZIP Code Guernewood Park CA 954 Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to whom and Date Delivered Return Receipt Showing to whom, N Date, and Address of Delivery ao �+ TOTAL Postage and Fads E p w Postmark or Date 0 0 Cn cn E w 11/16/84 Ca AP #73-12-33 r i•. i i . January 9,,.1980 I • A Robert S. Dickenson RE: Recent Correspondence P.O. Box 54 (AP 75-12-33) Guernewood Park, CA. 95446- Dear 5446Dear Mr. Dickenson: f' With reference to the above subject and your letter dated January 4,,1980,.below are the answers to your questions: 1. A garage may abut a mobilehome;'however, it must be3 ft. away if windows are in the mobilehome adjacent wall, and the inside of the garage wall must be protected to 1-hour fire resistive construction if within-6 ft. of the mobilehome. 2. The electric service for both the mobilehome and the garage may be on the garage. (Note: The service size must be.adequate to handle both loads with a minimum of 150 amps available to the mobilehorie.) Attached is a mobilehome utilities.sheet for specific requirements for the mobile- home utilities. 3. Yes, a temporary pole maybe installed to serve the mobilehome but it � must be capable of at least the 150 amp,requirement for the.mobil-ehome.. r Shouldou have any further y questions, please feel free to contact us. Yours very truly, Y� Clay Castleberry «* Director of Public Works r Otigii t signed by -•f :!: F. Gunder r ' ' } J.F. Glander JFG:dd Chief Building `Inspector, c en , ing Inspector. cc: !� JFor information, only -.File •w/Permit #5553-79P,E ' .. i P.0.Box 54 Guernewood Pk., Ca..195446 January 4, 1980 ; Department of .Public Works Butte County, Ca. Dear Sirs I would appreciate your response to the following questions so I can proceed with the development -of my Forbestown.Rd. in Oroville. property off How close can a garage be to a mobile home? Can a weatherhead and electrical main be located: on a wall in the garage to serve both the garage and the mobile home? A washer and dryer are to be,located in the garage. If the answer is "yes" to the above, canI install a temporary power pole until the electrical main is installed in the garage wall? I.will submit my plans.for the garage and a tem- porary power pole permit at a.later date, upon receipt of your reply to this letter. Regards, a _ ` I 09 PE I NO. f 1 24-82B,P 'E 3sa9 0 PERMIT EXPIRES ~ OWNER Robert Dickenson ��. CONTR.- Owner' ASSESSOR PARCEL 73-12-33 LOCATION app 2700' off NE/S• Forbestown Rd, rt r. app 1 mi. E. of Lumpkin Rd, Forbestown . 7E - {. t • 0P r, ��� �" • •f'•Wit, r 't ' • Temp. Power Pole_ Called P( _ _ OFFICE COPY. K Tem :=Elea S! Address Called P( GAS .. � �• Meter By Daee ELECTRIC r i Temp. Gas Sei i Meter By Dat, A\ ` Cal led PC. _ -' JOB FINALED (Date) *• �' 1 + . Signature V = OK 0 = Not OK - = Not Applicable * = Not Ready MOBILEHOMES A. ' MISCELLANEOI Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) G.. except N 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Con nec.-Shthg.-Rfg. -Gracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enciosures 6. Gas; Location -Test -Wrap:/ %"L" ft./ "/"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date.. Card -BI Date Card -BI. Date - ate-Card-BI Card -B I Date Card -BI Date Card -BI Date Card -BI' Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date _ POOLS (Plans) OK except q's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to.Grade-HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes- Enc losures- Pane lboards-Ins. to Main in Conduit 9. Exits; Insp.-Sketch } - 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date 1 = OK - Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDE LOOK Plans OK except #'s Date FRAMING (Continued) oning requirements -Setbacks -Easements 08:--Property.-Line Firewall & Openings 2. ain; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth @9 xt. Doors -One 3' -Check Garage -3rd story, 2 exits tg., Garage; Soils -Steel- Y,4, /" Ftg. Depth 50_._Stair-s;-W4th-Headroom-Rise-Run-Landing-Fire Protection 4_5. Parches & Decks; Soils -Steel- / /" Ftg. Depth to walls, Main; Steel-Blockouts-Wrapped-Slab5& lywoqg_pn-Roof Overhang -Attic Vents -Rafter Outriggers g -Nailing -Veneer 46e'gjf., Garage; S -Blockouts-Wrapped iz 53.-Stueeo-Mesh-9F4p Screed-Fdn. Vents-Underflr. Access - eplace Ftg.-Steel 5 lass Protection -Skylights -Plastic 8. : Fall -Fittings -Test -2 way C/O -Sewer Test s; ailing -Bolts 9.�_-�as Pi e; Size -Anchors 10. ater Pipe; Test -Anchors -Regulator -Service Test 11.r c— Underground 12. enums & ; 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- Dat _ j Card -BI Date Date FIVL 0-1ans) OK except q's C -BI Dat -Card-BI Date Date PLUMBING (Permit) OK except q'sa 14. Water Ht.; Vent -Access -Combustion Air- 15. Water Pipe; Test & Anchors -Nail Protection 56. t. Steps -Door & Sidelight Protection -Landings etector learance-Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 'fie room�Exiting .I. & Bath Fixtures & Tub Access 17. Shower Pan; Test, First Floor -Tub Access _ 18. Test Tub & Shower, 2nd Floor -Tub Access 1 lec. Trim & Subpanel; Breaker Sizes -Labels fairs & Rails e; Clearances -Hearth 19. Gas Pipe; Size & Anchors Card -BI Date Card -BI Date 65 u e s a Wood Panel; Int. & Ext. Kit �' 1 pliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date " ee ° eceptacles at Kit. Counter DaW..1�- ELECT CAL Permit OK except N's 6 i ng- Land i ng -C loser 6 -Damper tor:-Xixtw6 & Transformer Clearance -Ins. Protection 6 lorance-Comb. Air-Connector-P.R.V.- In Garage; Above For-Mech. Protection 2 eceptacles Spacing -Lights &Switches at Doors 2W! Pdxes & No. of Conductors -Stapled 7 quip. Listed for 'ocation 23V5pflex Installed Close to Edge of Studs & C.J. 1t."Elec. Receptacles in Garage; (G. ..)-RorpProtec. Ground made up w/Mech. Fasteners -Bond Gas & Water 7 ._ sulation-Foam-Looked in Attic ❑Yes -2L,-/Equip. 46r P-AJ5i lance Circuits in Kitchen & Conductor Size / 73. , uard Rails & Deck Construction -Post Caps eed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. �Edn. Vents-& £rayl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 2z.�e rc. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, I� yns lateed Neutral ❑Yes ONO 75. ing Inst .: Dr've ❑Yeso; Walks ❑Yes o; Planters []Yes No 28. $ rvice-Riser Conductors & Ground -Main Disconnect i n i s h 2 E,Q p. Clearances; Panels-Motors-Mech. Equip. 7 isconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 3 Clothes Closet Light -Shower Light 7 ove , Plbg.-Appliance-Firepl.-Clearance to Opngs. 7 , Electrical, Plumbing 8n F -" s ^•F.I. Receptacle -Underground Card B -I Date Date 81 82 ut House Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except q's Corrections from Previous Inspections 84 85: g Gas T - as -Electric er onn cted-C/0 to Grade -HD Approval p i Certificate -Other Certificates _ 31. A.C. Ducts; Insulation & Support 32; Vent Fan; Exhaust above Insulation _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 .S Card -BI Date Card -BI Date .Ca d -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMIN tans) OK except q's Comments at Final: _ ills; Proper Material & Anchors i . Wales Studs -Nailing, Spacing & Bracing -Plates -Sound Baring —Walls -over Girders & Floor Nailing__ 3 .. rhrWalls (rat proof) L 40: ops; urred Ceilings -Stairs -Chases -Tub _ Bader & Beam -Size & Bearing_ 4,2r'�gers-Post Caps -Anchors -Connectors 4,1_rCT_ngJoist-Rftr. Ties-Purlin-Root Brac.-Truss-Shthnq.-Ring. 44.Fireptace-ties or Type A Flue -Fireplace Throat 45.-A+ie-AccesjP: Size &_Rom_ex Protection -Draft Stop -Ins. Baffles 46. Rdrm--WTsdovTs�or Exiting Doors -Sill Hgt. & Dimensions -rage Fire Protection Framing (NOTE: Anentrymust be made each time you visit jobsite) J COUNTY OF BUTTE :-DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 73 —/Z ZONING BUILDING PERMIT OWNER 4:110 D// MAAs.� F/ -NVV TELEPHONE 7 C� SO. FT. OCC. BUILDING V LUATION �1p %' N R P. LING R �7 TESS CONTRACTOR'S NAME aw�y�e TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ TO ARCHITECT OR ENGINEER LICENSE NO. Pian Checking Fee $ /0,00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ,56 BUI DING ADDR SS / P�• , A/C .$ r-p/e$Q%8!�(i PLUMBING PERMIT FiIingFee 10.00 ��11 �O M/J UIMFIZI , / �iD, /V Each Trap 2.00 :Z,0014 Repair drainage or vent piping 5.00 /)le8rS7VJ4f Water piping , O(� LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTUREnn�� SF [:1 Duplex❑ Mobilehome❑ Other/r1ca����T�.y� SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New9--Addition❑ Remodel❑ Utilities[—] Installation❑ Other❑ Describe work: Arlepzl*6415S $821A-80 Permit Fee $ ZZ v6 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 - Main service EA. ADD'L 100 AMP 2;50 NEW CONST. DWELLING O OR DCON5TR( DNS.ACC. B •� sq ft 8"o -0 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No: Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) . ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW ODUTLET NON.RESID BRANCH CIRCUITS_)_2.50ea NEW CONSTR. ( POWER APPARATUS D� NON-RESID. SINGLE OUTLET CIR. Ex. OCCUp OUTLETS OR FIXTURES BA�,@j IXED APPLNS. OR Ex. Occup.(ouT LE TS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ 23,00 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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 liab' I s, jud ment co t , and expenses which may in ny wa accrue again s o i ons nce the grant' g of this per t. X Date 21 Signature of Applicant — Owner ❑ Contractor ❑ Agent F6 An OSHA permit is required for excavations over 5'Q" deep and demolition or construct- ion of structures over 3 sstt�or`ies in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $107, � OCCUP. GROUP TYPE of CONST. PARCEL PD ND IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Z— Receipt No. O WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE— Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name"and bearing your signature. Please complete and return this information 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 material 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 coordinat , 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 pr vide the work indicated: Name / Address Phone Type of Work Signed: Property Owner Social Sec it., Date 01M 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION .7 COUNTY CENTER DRIVE - OROVILLE,,CALIFO.RNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET . r / Permit No. OWNER S S. �O. % 1)16e `/V_SON A. P. No. Z—:3,3 Proposed Building Use 14eA Permit Fee Based Upo Complete Contract Price DPW Valuation Other (Explain) It Building Inspector Date �' Z� d'Z_ i At time of permit application, I was advised the following data must be submitted prior to permit processing and/or iis,<uance: DATE RECEIVED APPROVED _Z1 . 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. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11: Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. 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 )�.a1�d�pr pickup at office. Deliver w/inspector. Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Ownerj was advised of above required data by Plans checked by. Plan -q gnnrnvPrI by Other Telephone Mail Date Other Copy—DPW 0 COUNTY OF BUTTE, DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. 3 ASSESSOR PARCEL NUMBER 73-12-33 ZONING BUILDING PERMIT OWNER Robert S. & Doris Dickenson TELEPHONE 869-3215 S0. FT. OCC. BUILDING VALUATI 1st Renewal OWNER'S MAILING ADDRESS P.O. Box 54 Guernewood Park CA 95446 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee (2 of ORIGINAL) $ 23.75 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 33.75 BUILDING ADDRESS App 2700 off NE/S Forbestown Rd, app 1 4/10 mi E PLUMBING PERMIT Filin g Fee 10.00 Lum kin RD I Each Trap 2.00 Solar Water Heater 20.00 Forbestown Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other Pri Det Garage SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 9 Describe work: 1st REnewal of Permit #1724-82 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.&` OR ADDNS. ACC. BLDGS. I / 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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 LTI.OUTLET 2,50 ea NO N.RESID BRANCH CIRCUITS) NEW CONSTR POWER APPARATUS & NON.RESID, (SINGLE OUTLET CIR, 200sot Ex. Occup(o XTs OR FIXTURES BAL®30 FIXED APP LNS, OR Ex. Occup. OUTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT 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 XY'� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabili 'e judgments, osts, nd expenses which may in any way accrue against a' out Yincseq a of t e grantin of this p�jerm' . X Date r� Signature of Applicant — Owner 111�4 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 $ 33.75 OCCUP. GROUP I TYPE OF CONST. PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date,2— /6- 6-25-84 Receipt No., / WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i 1 919Ifi1f171T171171PT'gl131Z Lid wd bS OM 6iii6d 10 'idd 3J,Lne dO ALNnOO 919Ifi1f171T171171PT'gl131Z Lid wd bS OM 6iii6d 10 'idd 3J,Lne dO ALNnOO PEFC-II•r APPLIrlITION VOR74 SHLF f MIER Use Proposed: Per -mit No. A. P. No. 3 Approved Not Sp}roved Permit fee based upon: _ 1. C -plete contract price. 2. Partial contract price (explain). - - 3. DF4 Valuation (ahow) : 4t time of permit application-, the applicant was adviaed the following data or information must b, submitted prior to pera.f.t processing and/or issuance: Date received _ 1. All jtems3 havo been submitted. -----•---------- ---------- 2. Plot plans in duplicate/triplicate.---------------------- 3. -•--------------------3. Complete? plans in duplicate/ser;plicate------------------ :___.__...-.,_._____Y. �- _ � 4. Compl.et,, engineered plans and calca.--------------------- 5. -------------- --- ��_. 5, Fees u.% ? -------------------- 6. Letter• of signature authorization. ---------------------- ���� 7. Sanitation approval. ------------------------------------- 8. ----------------- -----8. Planutog approval for 9. F?orknea's Compensation Insurance Certificate. ----------- 10. Cont:rac:Lor_-s license information. ----•--.------------------- _11. Parcel declaration, recorded copy• ---------------------- - 12. Accts..declaration .--------------------------------------- 13. ----------------------------------13. Auz MI..nnia information - -------- �, 14. Deed cif-lccess, recorded copy. -------------------------- 15. Deed o` parcel creation, reco-rded copy. ----------------- 16. Parcel map, recording data. 17. Pre -inspection reque-st for- Improve-ments - 2ar.3 requi- D`Ei approval. ---- ----- 19. ez --- _ - -- By - Daus_ " Bldg.: Insp ct string plan checking process, the ing data :)r i.nforviation rust be submitted prior to permit issuance: 1. Ir_dex pe-�nit for iL-Fms �,_•, above and in addition file_w -following: Applicant advised by ___.TeeFi__oae _ rail - Other Plans clReciLE`d by Dcls_z_+ .__._--•- Pla,.s �pproved by _.._.._.-.. -_-_. r;'te-___---__.-- Then p rrriit is�ssued, process as follows:. _ 1. Ma i 1 tri own (!r.. ~ 2. Mall to .otos-cctor. 3. Baliver- with inspection. - 4. Telephone r -.11d hold for picicup i? _•__..______�office. Before permit issuance, all of the following item,amust be signed or marked IFA: 1. Zoning use ^_ 2. Legal parcel 3. En%Jir.Health - Date Plans Sent A. Sanitation B. Restaurant C. 4. Publt.a Works - Date notice Sent____ __. A. Street Itnp. �. B. Drainage C. Permits & Foes -` D. Other -_ 5. r1 fin 11.ng A. Use_ Parmit�B. Variance_. -- C., Other _-__- 6. Other Agerciea - Date Plans Sent-___ -A. ent___- -A. Fi.r:'-------.- z. Other_ L� Wil•--_°� �'; .aW: i/+.i e . r Gv or --- Robert Dickenson P.O. Box 54 Guernewood Park, CA 95446 Dear Mr. Dickenson: �` �iutte Count LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS / CLAY CASTLEBERRY, Director �77t_47 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 WILLIAM (Bill) CHEFF Deputy Director January 31, 1984 RE: Permits and Inspections AP #73-12-33 With reference to the above subject, we have been advised by one of our building inspectors that you have installed a mobile on your property located off Forbestown Road, Forbestown, without ,permits, inspections, and approval from this office. Although Permit #1175-81 was issued.April 8, 1981, -for mobilehome utilities, the only called inspection was for the sewer and no other inspections have been called for or made, and the permit has expired. Since both permits and inspections are required by both State and County laws, please obtain a new mobilehome utilities permit and make arrangements for the required inspections, and obtain a mobilehome installation permit within ten days of the date of this letter. - We also wrote you a letter dated December 28, 1983, requesting you renew your Permit #1724-82 for a private garage since the permit has expired and no called inspections since footing inspection. Please renew this permit and make arrange- ments for inspections within ten days of the date of this letter. Should you have any questions concerning these matters, please contact this office. Yours very truly, Clay Castleberry Director of Public Works F. Glander JFG:ajChief Building Inspec or cc: Building Inspector - Oroville kid MGM �u-�an� �a taaa 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-'ermit will be issued until -this verification is received. 1. I personally plan to provide the major labor and ma is s for construction of the proposed propert improvement (yes or no) 2. I (have/have not) signed an appli "tion for a building permit for the proposed work.. 3. I have contracted with the ollowing person (firm) to provide the proposed construction Name C 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: • a . 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 : - Date 7f��i 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. 73��a-33 elk �i ,� � O 1p y' dpi OJ �, I xv ( '2011 �"v WNW loft CO HCjW well do f How wri rections'!'Pla is game. to firk! out. Mak a 3 a ystery ictu ith shaves. ja piece ot paper and a n d. The do tly wha e.,fions tell YOU. 5, IN lonsi . I TOM 1. ake a/squa e in t cente of y66ur In I Ing up from one comer f the 2. ake WIN Up of Ahe are to e oth r com-9r. 3 : N 8/two7e angle th Z 11. 'ak of same s, e comir g out of th top of the 11 circle. 4. IV a a rect� ngle gq.ing out rom thq!night side f the juhre. 5. W 4e a red ingie t I e so -me size go ing out fro the 1E I side of i. ise squ�re. N Ake half c. !as doing out rom the ends of e 1*0 r gles I OU jutt drew. "tan ke two re Iangles the Jae si a going down from a bottom f thO square., to I re I m 81 6, You have rn creature f m- another pla et! Add your own d, in Cwk- CI&SMMS 0:11W. 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA .95965 Robert & Doris•Dickenson P.O. Box 54 . . Guernewood Park, CA 95446 With reference to the above subject: Attached is: PHONE.: 9167534-4541 DATE June 29, .1'984 RE: Building Permit Renewal of Permit # .1724-82 A.P. # 73-12-33 X Application for permit Mobilehome Utilities .Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr: Calcs Typical Plan Sheet X Owner -Builder Verification Form List of Codes Enforced OTHER 4y L We .need the following information: _ - Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. X Cert.'ificate of Workmen's Compensation Insurance or check exemption statement. _Contractor's License Law information or check exemption statement-. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer'or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from -Butte County Planning Department, 7 County Center Drive, Oroville, for X Completed Owner -Builder Verification form. f Recorded copy of deed showing .Recorded -copy of agricultural acknowledgement statement. Should you have any questions concerning the above, please contact this of'Tice. ` Yours very truly, William Cheff Acting Director of Public Works .F. Glander JFG/aj Chief Building Inspector JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT O. J ASSE PACEL NU B R ZONING — BUILDING PERMIT O E S TELEPHONE SO. FT. OCC, BUILDING VALuAVON ER'�J4AILJNG ADDRESS r CONTRACTOR'S NAME pp L/ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS J1 Permit fee $ � BUIL ING ADDRESS P PLUMBING PERMIT Filing Fee .10.00 IEach o Trap 2.00 Solar Water Heater 20.00 r 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 STRUCRE SF❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ erpRdel ❑ Uti Iities ❑ Installation❑ Other � Describe work: no a./ 17a4-1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 V Main service EA, ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 1 220sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. /POWER APPARATUS &) NON.RESID, %SINGLE OUTLET CIR. 20050a Ex. OCCUp(DUTLTs OR FIXTURES BAL®3o 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 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. f� I shall not employ any person in any manner so as to become subject Jul to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabiliti�, save, costs, and expenses which may in any way accrue against s 61C., unVyn ycselp ce6 the grant* g of this perm' . X Date Signature of Applicant — Owner X Contractor ❑ Agent 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 $ , OCcuP, GROUP TYPE OF CONST. PARCEL PD HD ISSDE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DRE TO /� F PUBLIC By0_ PERMIT EXPIRES D e the applicable provi- resolutions to do fees have been paid. WORKS Date �' Receipt No. �� 7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 0 9�st fl10 1 Y yY 1 - . t 1 - 0 9�st fl10 E / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS A PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 _ -)S7_ APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 73-12-33 ZONING BUILDING PERMIT OWNER Robert & Doris Dickenson TELEPHONE SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS P-0- Rax 14 tiernewood Park, CA 95446 CONTRACTOR'S NA E owner TELEPHONE /4, 3rd renewal permit �f CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER none UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee @ ?r FEE 2i it % 23.75 ARCHITECT OR ENGINEER none LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS app. 2700' off NE/S Forbestown Rd., PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Forhestown Water piping 5.00 LOT NO. SUBDI VISION 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 pri garage SPECIFY Building sewer 5.00 Mobile Home I S I G W 10.00e TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: 3rd renewal permit #1724-82 _ (2nd renewal #2134-84) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V DR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& 1 OR ADDNS. ( ACC. BLDGS. 2/20sgit CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON.RESID. I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for thiii on NEW CONSTR(MULTI-OUTLET 2,50 ea IRC ITS NO N.RESID BRANCH CIRCUIT S NEW CONSTR. POWER APPARATUS & ( SINGLE OUTLET CIR. Ex. Occup(o OUTLETS 20@50t OR FIXTURES 6AL®30 FIXED APPLNS. OR A Ex. Occup. OUTLETS (RESID.I 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 pemlit.shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read ttils'appiication and state that the above information is correct. I agree to -,comply to _all County Ordinances and State Laws relating to building cons4rucf�On;'and he'reby�authorize representatives of the Countyot Butte to enter upon"the°"ab'ove=mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabiliti judgments, co ts, an expenses which may in any way accrue nst s d o t cons en f the ranting this per t. X Date Signature of Applicant — OwnerX 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 $ _ 33.75 OCCOP. GROUP TYPE OF CONST. PARCEL PD HD 59UE This mit is hereby issued under the applicable provi- on o the But County Code and/or resolutions to do wo i is ed bove for which fees have been paid. ECTbR OF PUBLIC WORKS pp BY Date PERMIT EXPIRES Date 6-25-86 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT SM E I &nr s,Tuns ;jo uNno*a Robert Dickenson P.O. Box 54 Guernewood Park, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS s 7 County Center Drive, Oroville, CA 95965 PHONE: 916-534-4541 DATE June 14, 1985 RE: Building Permit Renewal (#1724-82 CA 95446 A.P. # 73-12-33 With reference to the above subject: LxL Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER Receipt. _XL We need the following information: Permit application signed,and completed where•indicated with all copies returned. Fees.of $ payable: to Butte'County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in , including plot plans. Plot plans in Structural details in Complete plans and-calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval.from Land Development Section'(DPW). sets of plans'fn accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,'Chico 7 County Center Dr., Oroville; t Skyway & Elliott.Rd., Paradise, Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for, Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement 'statement., LX OTHER Please complete the attached form and return to this office as soon as possible —so iia may issue your renewal Permit. 'Thank you. Should -you have any questions concerning the above, please contact this office: Yours very truly, William Cheff Director of Public Works .F. Glander JFG/aj Chief Building Inspector i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 73-12-33 ZONING BUILDING PERMIT OWNER Robert & Doris Dickenson TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Boy: 54 Guernewood Park CA 95446 COy_T ReATO R'S NAME TELEPHONE 4th r enewal CONTRACTOR'S MAILING ADDRESS Fireplace Cbb!JgUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee @3FEE $ 23.75 A�,(b%JECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS a 2700.' off NE/S 'c�o-rbestown Rd. Permit fee $ 33. 5 PLUMBING PERMIT Filing Fee 10.00 app.l 4/10 mi E Lumpkin Rd., Forbestown Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [I Duplex ❑ Mobilehome❑ � Otherri, garage IFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 4th renewal of permit #1724-82 _ Ord renewal #1712-85) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6100 AMP ORSLESS 10.00 Main service EA. ADD -1- 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under pens ty 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 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this eason NEW CONST. DWELLING OCCUP.tr OR ADDNS. ACC. BLDGS. , /20sgft NEW CONSTR. U TI.OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS) I POWER APPARATUS &) %SINGLE OUTLET CIR. Ex. Occup(2oe OUTLETS OR FIXTURES eAL030s0e FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under natty 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 �l to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 liabilitie judgments, co ts,. and expenses wh h may in any way accrue nst s o tyI'i cons due Fof itgranting o this per it. �--� —�� X ..'r" `-' ate ignature of Applicant'�1',',f,Owner� Contractor ❑ Agent ❑ An OSHA permit is required°fo 'excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesrin height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 33.75 occuP. CONST.TYPE I I iLOOOJ PARCEL PD ND 990E 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. IRECT UBLI RKS i By ( _ate PE PIKES Date �+-25-87 Receipt No. t � ! / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Cmc COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7•County Center Drive,.Oroville, CA 95965 PHONE: 916-534-4541 - DATE March 15, 1984 Robert Dickenson RE: Building Permit Application for P.O. Box 54 Mobilehome Installation Guernewood Park, CA 95446 A.P. # 73-12-33 With reference to the above subject: /_X / Att.,ached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans X Mobilehome Installation Information Sheets Engr. Calcs Typical Plan Sheet X Owner -Builder Verification Form List of Codes Enforced OTHER /X We need the following information: X Permit application signed and completed where.indicated with all copies returned. X Fees of $ 70.00 payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in . Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including . Street and drainage improvement plan approval from Land Development Section sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd:, Paradise (DPW). Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for X Completed Owner -Builder Verification form'. Recorded copy of deed showing Recorded.copy of agricultural acknowledgement statement. 1&I OTHER Mobilehome Information Sheets (in duplicate) Should you have any questions concerning the above, please contact this office. Yours very truly, ' William.Cheff ActingDirector of Public Works V Glander JFG/aj 6hie-f Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT,NO.. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER �3 ZONING - BUILDING PERMIT. OWNE `� c�r.is���� TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER AILING DDRESS /��? - . CONT RACT R'SS NAME - wn . b% ELEPHO E CONTRACTOR'S MAILING ADDRESS Firepiace. - CONSTRUCTIONS LENDER F . UNKNOWN Total Valuat IonI $ Fi.ling Fee_ $ 10.00 .4 LENDER'S MAILING ADDRESS Permit Fee 5 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ '_ b`Q. $ / Penalty $' A-RCHITEC R ENGINEER'S. MAILING ADDRESS Perml:t fee . $ BUILDING' ADDRESS � i�si -PLUMB.ING- PERMIT Filing.Fee. 10.00 Each, Trap. 2.00 AU < •�! I✓� Solar Water Heater 20,06 Nater piping 5,06 LOT N.O. SUBDIVISION NAME PARCEL MAP Each -gas water heater or vent 5.00 Gas piping system t - 5 outlets 5.00 USE OF S UCTURE SF El Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00. Mobile Home S . G W 10.00e TYPE OF WORK New ❑ Addition [ Remodel❑ Utilities E]Installation Other ❑ Describe work: Permit Fee Contractor ELECTRICAL PERMIT„ FiiingFee 10.00 Main service soovOR LESS 100 AMP OR LESS 10.00 Main service EA. ADD•L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.y) OR ADDNS. ACC.- BLOGS. 21/aQsgft _ CONTRACTORS LICENSE LAW ' I declare under penalty of perjury (check one): _ ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in .full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) [] I, as -the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) '❑ I am exempt under Sec. , Business and Professions Code for this reason NEW .CONSTR u TI:OUTLET 2.50 ea 'NON.RESI0 BRANCH CIRC ITS NEW CONSTR. ( POWER' APPARATUS B') NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES SA as oe FIXED APP:LNS. OR \ Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary. service 10.00 Mobile Home Facilities 15.00, Misc. Wiring 15.00 Permit. Fee . $ Contractor. MECHANICAL PERMITFilingFee 10.00 WORKMEN'S COMPENSATION INSURANCE 1 declare u der penalty of.perjury (check, one): n The permit is for $100.00 (valuation) or less. ❑ I have placed ori file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or, a Certificate of Consent to Self -Insure. F71I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If 'after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above. information is correct. I agree to comply to all County Ordinances. and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify.and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County.in consequence of the granting of this permit. X Date _ Signature of Applicant — Owner El 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 $ n . OCCUR. GROUP TYPE OF CONST. IPARCELI PD I HD IssuF • T. permit is hereby issued under sions of the :Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date .. the applicable provi- resolutions to do fees have. been paid.. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-534-4541 DATE march ts. 1984 Robert Dickenson RE: Peirmit Application to Replace #1175.81 P.O: Box 54 (except sewer) Guernewood Park,'CA 95446 A.P. #73-12-33 With reference to the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet _x_ Owner -Builder Verification Form List of Codes Enforced OTHER*„ral Stateicent of Acknowledgement L_y L. We need the following information: _ Permit application signed and completed where.indicated with all copies returned. X, Fees of $ 84-50 payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License -Law information or check exemption statement. Complete plans in including plot plans. _ Plot plans in triplicate Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). 'sets of'plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr.,°Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for _ X Completed Owner -Builder Verification form. Recorded copy of deed showing _ x Recorded copy of agricultural acknowledgement statement. L_L OTHER Should you have any questions concerning the above, please contact this office. Yours very truly, Willi$ai Cheff Acting Director of Public /fWorks JIF Glander JFG/aj r Chief Building Inspector GUUNTY OF 6U I I t - UhFAH 1 MCN I OF t UbLIU VVUKKS 7County Center Drive - Oroville, California.95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR. PARCEL NUMB OWNERM"tt /�j/'(� 17� ZONING TELEPHONE BUILDING PERMIT' SO. FT, '� OCC. BUILDING VALUATION. NER'S 1 ING DRE1 vi% I CONTRACTOR'S NAME ALL 7E,YtPHONE CONTRA MAILING ADDRESS - Fireplace CONSTRUCTION LENDER' UNKNOWN Total Valuation $ Fir Fee' '.$ LENDER'S MAILING ADDRESS ' mit Fee ' Pei $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee g Penalty $ ARCHITECT OR ENGINEER'SMAIL.ING ADDRESS ' Permit fee. $ BUILDING APDRESS tl/ PLUMBING PERMITg Filin Fee 10.00 'r Each Trap 2.00 Solar Water Heater 20.00 1 Water piping 5.00 LOT NO. S.UBDLVISION NAME - PARCEL MAP Each QflS water heater Or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF TRUCTURE 'SFEJ Duplex ❑ Mobi IehomeOther SPECIFY Building sewer 5:00 Mobile Home 0.00 e4,06 TYPE OF WORK r-�/, .New❑ Addition Remodel❑ UtilitiesE instalJ'tion❑ Other Describe work: t SC>_CL/P Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service too AMOR P OR LESS 10.00 ; GG ' Main service EA. ADD.'L too AMP 2:50 ' NEW CONST. / DWELLING OCCUP.&) OR ADONS. l ACC. BLDGS. '�2c*SQft - - CONTRACTORS LICENSE LAW I declare under 94inaty of perjury (check one): ❑ I am Licensed under provisions of Chapt. 9, Div.. 3 of the Business.E.x.-OCCUpf and Professions Code and my license Is in. full force and effect. License No: CIaSSIflCfltlOn ❑ t, 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) ❑ t am exempt under Seca , Business and Professions Code for this reason NEW CONSTR. MULTI -OUTLET cJOea IRC ITS NO N.RESID RANCH CIRCUIT q NEw CONSTR. POWER APPARATUS Q' NON.RESID. %.SINGLE OUTLET CIR. 'I OUTLETS OR. FIXTURES nA 0801 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID) EA.I 2,00 Temporary service - 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15;00 Permit Fee S L Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare undAr 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 shal I 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 authorizerepresentatives of the Countyot) Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte.against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. iC Date _ Signature of Applicant — Owner F-1 Contractor EJ' Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ ,✓ TOTAL PERMIT FEE $ �_ .) OCCUP. gROUP TYPE OF CONST, [PAICE PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date , the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT T L PERMIT NO-= 8' PERMIT EXPIRES v OWNER ROBERT & DORIS DICKENSON CONTR. OWNER ASSESSOR PARCEL 73-12-33 LOCATION_ app 2700' off NE/S Forbestown Rd. app 1 4/10 mi E Lumpkin Rd.. Forbestown Temp. Power Pole Called PG&E Temp..Elec. Service Called PG&E Temp. Gas Service` Called PG&E JOB FINALE Signature J = OK` �t O = Not OK — = Not Applicable MOBILEHOMES = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N'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—Clearances—Grnd.—/ / Amp—Concrete 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ P'L"ft./ /"LPG 7. Utility Clearance Card -BI Date Card-BIDate Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N'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 S. Drain; MH Test—Fall—Flex Connector 6. Water; MH Test—Regulator—Connector 7- Water and Sewer Connected—C/O to Grade—HD Approval B. Gas and Electricity Tagged 9. Exits; Insp.—Sketch 10. Cert. of Occupancy Card B -I Date Card -BI Date Card B -I Date Card -BI Date MISCELLANEOUS Date DECK , COVERS, CARPORTS, ETC. (Plans) OK except N's 1 0 ' g equirements—Setbacks—.Easements 2. oo ' gs; Size—Depth—Spacing—Connectors 3 ecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails Wood Awn.; Posts—Beams—Rfirs.—Conner.—Shthg.-Rfg.—Bracing 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Carports; Windows—Doors 7. Elea Card -BI Date Card -BI Date Card -BI Date ' 1 Card -BI Date Date POOLS (Plans) OK except N'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 Equipment—Heater 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card -BI Date Card -BI Date Card -BI Date Card -BI Date _ . OK O = Not OK , - = Not Applicable * Not Ready RESIDENTIAL (Single and Duplex) ., _ ._ _ , _ Date UNDERFLOOR Plans OK except #'a Date FRAMING Continued 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. 3. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth Fig., Garage; Soils -Steel- / /" Ftg. Depth 49. 50. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 52. Siding -Nailing -Veneer 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 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. 11. Water Pipe; Test -Anchors -Regulator -Service Test Electric; Underground Card -BI Card -BI 12. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples - Date Card -BI Date Date Card -BI Date Card -BI Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except #'s Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67, Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. 22. Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs 8 C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. 25. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size 72. Foam- Looked in Attic C] Yes Insulation- Foo m-LDeck 73. Guard Rails Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor Cl Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral Oyes ❑No 75, Followin instld.: Drive 9 ❑Yes ❑ No; Walks ❑Yes ❑ No; Planters El Yes 11 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 Opn s. 79. Water Well; Disconnect, Electrical, Plumbing 80. 81. 82. Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except #'s 83. Corrections from Previous Inspections 84. 85. Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval 31. A.C. Ducts; Insulation & Support 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86, Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Card -BI Card -BI Date Card -BI Date Date Card -BI Date 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 Comments at Final: Date FRAMING Plans OK except #'s 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _ 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size &Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-_S_hthn_g._-_Rfn_g_._ _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framino �. �. COUNTY OF BUTTE - DEPARTMEAT GF PUBLIC WORKSPERMIT NO — - 7 County Center Drive - Oroville, California=95965 —Telephone 916/534-454 _ APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER & 73-12-33 Z0NIJ . ((//,,x/11// BUILDING PERMIT OWNER Robert & Doris Dickenson TELEPHONE SQ. FT. OCC. BUILDING VALUATION 600 Open OWNER'S MAILING ADDRESS P.O. Box 2054 Guernewood Park CA 95446 CONTRACTOR'SNAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ 83.000 FilingFee $ 10.00 LENDER'S MAILING ADDRESS - Permit Fee $ 38.50 ARCHITECT OR ENGINEER Nene LICENSE NO. Plan Checking Fee $ 1925 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS app. 2700 off NE/S Forbestown Rd app, 1 4/10 mi Permit fee $ 6 7.75 PLUMBING PERMIT Filing Fee 10.00 E of Lumpkin Rd. Each Trap 2.00 Forbestown Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome© Other SPECIFY SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 5.00 Mobile Home S G W TYPE OF WORK New ® Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Open Deck _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of pdrjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.Ed , h(Csgft A U�TB oU New CONST R( TLET NO N.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &I SINGLE OUTLET CIR. / / Ex. Occup( z0®s0C p\OUTLETS OR FIXTURES eALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. fj I shall not employ any person in any manner so as to become subject 6N to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation penult Fee $ Contractor 1 certify that 1;1have read this application and state that the above information is correct. I agi•ee•t'o comply to all County Ordinances and State Laws relating to building,const�ubtionrand hereby authorize representatives of the Countyot Butte to eriter pion the 'abov,' .mentioned property for inspection purposes. I also a ree�to�.save,, i.ndemnie and keep harmless the Count of Butte against 9 �,. 7 Y P Y 9 all liabilitie judgments; costs and expenses which may in any way accrue against s o t i "c ' 1�1" cel of he grantin hof this permit. p p XDate O O 1 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 67.75 occu P. CONST.TYPE FLOG' PARCEL PD ND SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF BLIC e A PERMIT EXPIRES Date �r�—� the applicable provi- resolutions to do fees have been paid. WORKS Date �1� f�� _ Receipt No. /y WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT .l essQ 3v'� COUNTY OF BUTTE - Department of Public Works 7 -County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building.permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally 'plan to provide the major labor and matevials 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 Xvit"e, Social •Securit umber � - Date z"X «, NOTE: This Owner -Builder Verification is sent to you as required b'y.fSedtions 19831 and 19832 of the California Health and Safety Code. �7 c: This verification must be completed and returned to our office before we are per- mitted to issue the permit. Tot BuildingDepartment, From ard-ronmental Health Subj ts Sanitation Clearance W& Owner Loc, ion Plan Approved for: Sewage disposal - Hold final for: 7Z-1�2-33 --_ AP# water rupply ...;ater s�ppiy Final clearance OsKo for:. wiLer supp.Ly Clearance for bedroom mobile home. Other NOT% Sanitarian Date COUNTY OF BUTTE -,DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,.Oroville, CA 95965 PHONE:' 916-534-4541 DATE November 20, 1985 Robert & Doris Dickenson 'RE: Building Permit Application for P.O. Box 2054 Oen D ck Guernewood Park, CA 95446 �•P• 73-12-33 With reference to the above subject: Attached is: X Application for permit Mobilehome.Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet _X _ Owner -Builder Verification Form List of Codes Enforced OTHER 4N L We ne d the following information: Permit application signed and completed where indicated with all copies returned. f Fees of $ 67.75 payable to Butte County Treasurer. - Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. RCS Complete plans in +', •'including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement 'plan approval from Land Development Section (DPW), sets of plans in accordance with'the changes marked in red,. Sanitation approval from Butte County Health Department at: . 196 Memorial Way, Chico X_ 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verificat ion' form. Recorded copy' of deed showing -�_• Recorded copy of agricultural acknowledgement statement. OTHER Please complete the attached forms where indicated and return to this off ice along with your check for $67,75, Thank you Should you have any questions concerning the above, please contact this office. JFG/aj r Yours very truly; William Cheff Director of Public Works .F. Glander Chief Building Inspector O in N �a i �. STEEP SLOPS (DowN) I (NOT, TO .SCALE) NOTE:—A# Materials day Workmanship • Shap Be in Accordance with Recognized Good Practices and of a gaality prescribed for the Specified use in the Uniform. Building, Plumbing & Mechanical Codes anj the Nationd Electrical Cale, This sof of plain anil specificatioAs MUST e - kept on the job of all times and it is unlawful to make any changes or alterations on some withoui written permission from the Department of Public Works, County of Butte: /SFPT10 TANKS A setback of 5 ft. from the property lines and'a setback of 50ft. from the road centerline'shall be clear of structures or equipment except ioo fora 2 ft. eave overhang. LIMES ' , iso -8s surrE courvrr BUILDING DEPARTMENT APPROVED 334.5' ]DICKCWS04 PLOT PLAN Cao AcREs) yY SHEET i AP* 73-12-33 OR 2 - 7 00 Ifnci� r;i:itfsram�'tt�\'J )i 00ivetom fiA-3TOO Cf:n ¢vait�►.y�,�-� iacn� boxirpn7:�Si ti?ice: eaf:ni:-aaa� grit vi 4?u belli:;Cg? 101 beci3azr;;q l�atfixa;la�M,& plik lizai t� 13 ilcarai} ikO ~ s l 1jJiv� 2hOitr�si�9q?jftra i In tea rifl'I c}t fia�vra!itiu i fi t�fs.a 23n:iy {Iu Sn �t� _r14 no iq:J ttr:�f9ti�r �,�i�z .iu raitri�eil�a .10 asarnrlN Ynn �i,'c3„q )fy i:;�rnl�fac^a sAi WWII ndi2mmi,q .9t+u8 to chi-nup” ,74'OW grit mo-il .11 e, i4 :li:,utt-?2 r ,c,f�"t 3ttfi mo;1 110.?, 1c, ir, -molt-, sd fiafi3 Oifiillotn' tge:vx,� 1n:)mgiUpe ''0 29subolt2 pnuf i5V t avL;S A S 5 101 'rl;lf;liln,c��ln Ot!!_3J1i j8 _"�- -f-mg- Ir -T- _ 7 • 3 �'—•_S..`T t t ^ rte.. -y-_ �� �w �_ t •' � G... _� � I {I/VV1110 t�� y �E � � V,c � T.� ""���� �pw- •�.0 �' al „-, 7 90 VL 114 -A Ina 4 tAvu- __�-. 1 t g � V' • iji - .� tel -7 If tL-7 3 el - CL 06. ao V _ ,p .9 via 73 CkAR 2d.2 q.' 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