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073-130-023
73-13-23 * . 2870-_90P, E S�HIRSHIR Lillian 45 Lore Dr, Oroville J (utilities �ELEC�vl - �1a GAS . COMPACTION TEST RE o (�� SUPPORT •STRUCT .RE 73-13-23 Per t#2871-9 P'ffiI n�tallation/MH3� '' u ;Z3 r..� RESIDENTIAL 73-13-23 2870-90P,E SHIRA. Lillian 45 Lone Oak Dr, Oroville (utilities/MH) 53-�- r a 12- 0 JOB FINAL Signature OFF00, ICE COPY AddressL�—'� GAS Date Meter By / ELECTRIC Date��aw Meter By COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, ttrfco = Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE .11 %/gto- OWNER PERMIT Nb: 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. Date Inspector/Gj MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE tZ DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT N04` �/J ` Address or location of mobilehome OP7< 6A/C l�(� cc i Owner's'name Owner's address Insignia or hud number C4e367-773 C44 3 ' 32� Manufacturer's name Serial -umber of V.I.N7. c* L 65/k ,�'3/ ?, Year of manufacture fo \ /1-4 cial :A,p yApg Installation) (Date IF. THE MOBILEHOME IS. MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME. IS INSTALLED ON A FOUNDATION SYSTEM. J=OK O = Not OKNot 1►p + Not Readyle MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s t 1. Zoning Requirements -Setbacks -Easements . Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/ oncret L--'4—Water; Location -Test -Easement Needed (Sketch) Electricity; Location-Clearences-Grnd Amp -Concrete 6. Gas'Location-Test-Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date/0 — r 0 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION Plans OK exce t #'s ning Requirements -Setbacks Easements e—Eaett6s; Size -Spacing -Marriage Line —Connector ricit MH Test -Crossovers -Breakers -Clearances am; MM -fest -Fall -Flex Connector 1 ater; MH Test -Regulator -Connector ewer Connecta /O to Grade -HD Approval Electri ' � � 06 its; !psp.-Sketch rt. of Occupancy 40 I Date 9 Card B- Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 *J=OK O = Not OK - = Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. O.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B71 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearino Ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor o Yes 80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT �ybounfy Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 A APPLICATION ASID PERMIT ASSESSOR PARCEL NUMBER 73-13-21 ZONING BUILDING PER I OWNER TELEPHONE SO. FT. OCC.1 BUILDI G VALUATION OWNER'S MAILING ADDRESS nrhestn,n 99941 CONTRACTOR'SN ME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER VNKNOWN Total Valuation $ Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 45 Lone Oak Dr. Permit fee $ 25.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOYO. a7 SUBDIVISION NAME PA�R/y EL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeXX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S=# W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationYR Other ❑ Describe work: MHT (MHL1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8000 AMP ORV OR SLESS 10.00 Main service EA. ADD -L 100 AMP 2,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under -provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the Owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ACDNS. (ACC. BLDGS. 2/zQsgft NEW CONREST RANCH TLET NON•R ESID BRANCH CIRC ITS CIRCUITS) 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20@30C BAL®3O FIXED APPLNS.OR Ex. Occup. OUTLETS (RESIO.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities' 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. Not ce to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIirig Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against id County in cons qu nce of the granting of this permit. %� Date 8—Ho-96 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 $ 45.00 Energy Inspection Fee $ occ CONST TYPE TOTAL F E $ 70. HAZ CUA PARK sc FL PAR P H , uE This permit is herissued under sions of the Butte County Code and/or work indicated abov for which fees DI C R OF U C By yr PERMIT EXPIRES Me the applicable provi- resolutions to do have been paid. WORKS Dat Receipt No. 70680 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT AP ��=l�� OWNER S 14 14,4 PERMIT'l_ILLI a MH UT IL . CLEARANC INSPECTOR — ELECTRIC GAS Support Struc. Compactioi Test -Req.. Service Size Other Load Type Pipe Size Length YES NO YES NO C/ V CIUN, Y. OF BUTTE - DEPARTMENT ;OF PUBLIC WORKS - BUILDING DIVISION :7 COUNTY CENTER DRIVE - OROVIULE=CAtIF.ORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER 1-11 ba- n �La A. P. No. 073- /30-023 .Proposed Building Use Building Inspector 05eJ Date 9-1(0-90 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ ......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... -8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 44�2m fes 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees -paid ................. 13. 020 EUIP1 School District fees paid .............. f3_ i G__ 90 i3a) 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ...................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development, Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -inspection for required Pre-Inspec. request to $ Building Inspector (Date) 21. Contractor's license information�(No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance ........... w ..... . 23. Owner -Builder Verification (Given to owner ❑, Mail to owner o) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 6. lh U ' CLe_0_.A,2/mGe When you issue the permit, process as follows:y Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w./inspector. Other u �/ GJ Applicant A/►� Date O �� Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be sub mitte pri pe it issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---- inaii_counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date Plans checked by Date PI ns approved by Date .Sets of plans on hold in File cabinet AP folder Copy—DPW .,.y¢_� %'�'s ::%� r��+y..�q'/'.. a�,a...T,gaiy�•.srs;+uuV•�r.'r-�S"t�i�`:ax,-;�f:�rf9'• c � ... A�kN"r3�;�X',�r�:��t7�:n,��.>•yj,� r..��nr�r;r:-�n.fsw,y- BUTTE COUNTY•SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Formoper Building) A.P. Number 073- 130 -613 Building Department No School District Q1Z0 EfP M City D County Q`. Jurisdiction Property Owner W aln Sh o a Project Location/Address (� ( .�QnuL Li►2()��/(� Subdivision. Lot Number Residential Development: Sq. Footage 1136 of Living MHI Addition (Group R) Units Commercial/Industrial: Sq. Footage - New Addition (Including Exterior Roofed Areas) t Building partment Representative 1`, Date. F 1�(Floor Plans reviewed by School Distri, t Personnel) District Id No. �Q 8oZ School District certifies that 4'• x.. (Applicant'Name) - .(Street Address) /1 • r l� Phone Number M (City) (State) (Zip Code) 'has complied with the requirements of Resolution No. 9 f — 90 —10 by the payment of $ / 7N, representing square feet. School District Rep , sentative Date PAID BY CHECK NO. REMARKS: BANK NO PAID BY CASH J white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. ` 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMER 6-7-5-730 ^ 6Z3 ZONING TM 2 BUILDING PERMIT OWNER_ U GV/ 1 siy��a TELEPHONE , 1 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS /' �n ,1{��� M 4 P_0. 8 !? F� I['W/t a / I CONTRACTOR'S NAME TELEPH NE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 1i . ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS ayu O0—k Permit fee $ PLUMBING PERMIT Filing Fee 10.00 k Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeL-A-r Other SPECIFY Cies piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10-00ea TYPE OF WORK New ❑ Addition ❑ TRemodel [] Utilities ❑ Installation Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 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 ❑ 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) ID1, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason Main service EA. ADD•L 100 AMP 2.50 NEW CONST. DWELLING OR ADDNS. ACC. SLOGS. 0CUP.& ( , 2�20sgft NEW CONSTR. ULTI-OUTLET NON-RESIO BRANCH CIRCUITS) 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES aAL®s30509 0¢¢ FIXED APPLNS. OR 11 Ex. Occup. OUTLETS IRESIO.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 VentilationEt 7 Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to.comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives- of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in -any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $45 ITU Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAZ CUA PARK SCHL FLD PAR PO HD IssuE Th;s permit is nereby issued unser sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. % D 6,66 WHITE-D.P.W.. YELLOW- ASSESSOR. PINK-INSPCCTOR. f.OLOF.NPnO-APPLICANT COUNTY OV BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building'permi.t has been applied for '.n 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 materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an applicat--on 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 persons to provide the work indicated: Name Address Phone Signed: Property Owner �;e' Social Security NumSer Date (hired) the following Type of Work 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 per- mitted to issue the permit. r ,.;,,�„�..: ..: •.�. - '.�=- _•r-�- �-��__.. ,. .- � .m , i ..ice: ..COUNTY OF BUTTE - DEPARTMENT OF!PUBLIC WORKS 7 County Center Drive - Orovill;;, Califodnia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO./ ASSESSOR PARCEL NUMBER 73-13-23 ZONING T'M2 BUILDING PERM OWNER Lillian Shira TELEPHONE None SQ. FT. OCC. BUILDING ATION OWNER'S MAILING ADDRESS P.O. Box 268 Forbestown 95941 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER 7c, SE NO. Plan Checking Fee $ 15.00 1J Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 45 Lone Oak 'Dr. Permit fee $ 15.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Oroville Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP /Vr Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeU Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home G10.00e 20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities D Instal lationIJ Other ❑ Describe work: M1411 Permit Fee $ 30.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP ORSLESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification j 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 reason NEW CONST. DWELLING OCCUP.& A NEW 2.50 CONSTR. ULTB OUTLET NON•RES10 BRANCH CIRCUITS 2.50 ea ea / POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 2ALS30 aAl@30 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.1 2.0(]1, Temporary service 10.00 Mobile Home Facilities 15.00 15.00 Misc. byirin g 15.00 Permit Fee $ 37''.50 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. IRI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor � MECHANICAL PERMIT Filing Fee 10.00 Heating Coolin Cooling Hood 3.00 Ventilation s 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 aga nst said County in conse ue ce of the granting of this per it. X v o Date Signature of Applicant — Owner Contractor ❑ AgentEJ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.` Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FE $ HAZ CUA PARK SCHL FLD PAR • PD D (SSU This permit is nereby issued under sions or the Butte County Code and/or work indicated abo a for which fees D E OR O PUBLIC C29 By :' PERMIT EXPIRES ate the applicable provi- resolutions to do have been paid. WORKS f�I D to u L ./ Receipt No. 70680 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT C©.UNT1P'OF BUTTE - DEPARTMENT,OP PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 / PERMIT APPLICATION DATA SHEET �/ Permit No. �l � OWNER %1" ULA A. P. No. 673" /30-0Z3 Proposed Building UseBuilding Inspector % Date 8-/60-90 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. ................................ 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) Q. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 142 :6T44. Sanitation approval from drz0 Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) r— `. 17. Planning approval for (A) Use: (B) Parking: ...... r 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) ext 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) . . 24. Recorded copy of Agricultural Acknowledgment Statement ......... 153_11(0=910 6C4 25. Letter of signature authorization ................................... 26. 27. ` When you issue the permit, process as follows: _�� Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w. /inspector. Other Applicanro� Date Copy of Haz-Mat Torm sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent t Health Dept. Fire Dept. Other Date By. The following data must be submitted prig to permit. issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_—nail—counter by ..date Contractor, designer, owner,-, was advised of above required data by—phone _mall—counter by date Plans checked b, Sets of plans on hold in i Copy—DPW Date Plans approved by File cabinet AP folder Date A –2 7� er TO Building Department z, f - FROM: Environmental Health , SUBJECT:, Sanitation Clearance Owner Location AP# Plan Approved for: Sewaqe Disposal_ Water Supply L* Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for _~bedroo �obile�ome. Other NOTE * * * ate Sanitarian C011iy'TY 0i' BUTTE = Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538_7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for J.n 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 materials for construction of the proposed property improvement (yes or no) _ 2. I (have/have not) JA W14 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 N– o. — 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: o Property Owner LAAAAJ Social Security Nu ber Date 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 per- mitted to issue the permit. r COUNTY OF' BUTTa -.DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 673 -13o - oa - o o D OWNER I ZONING 1-M 2 BUILDING PERMIT - TELEPHONE F SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING AODRESS 0o G �=o W c CONTRACTOR'SNAME i 7a . TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER JQ ' UNKNOWN Total Valuation S LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. BNF_ Filing Fee $ Permit Fee. S Plan Checking Feb ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS F Energy Plan Checking Fee S Penalty $ . ' Permit fee S OR 40 tiA.LF 10.4.PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. 3 SUBDIVISION NAME PARCEL MAP }13 —/3 Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ .Duplex❑ MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I 11W I TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installationy Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8000 AMP ORSLESS 10.00 16. Main service EA. ADD'L 100 AMP q111> 2.50 NEW CONST. DWELLING OCCUP.& , OR ACDNS. ( ACC. SLOGS. /:¢sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONSTR. ULTI-OUTLET NON.RESID BRANCH CIRC 'ITS 2.50 ea (POWER APPARATUS e\ SINGLE OUTLET CIR. I .20250C Ex. Occup(OUTLETS OR FIXTURES 20i 50¢ ALV 30e FIXED APP LNS. OR EX. Occup. OUTLETS IRESID.1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 js-(fa Misc. Wiring 15.00 Permit Fee $ 3 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for S100.00 (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. ❑ 1shall not employ any person in any manner so as to become Suoject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FilingFee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in,any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner G,'. 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 S occ CONST TYPE TOTAL FEES 82 HAZ CUA I PARK I SCHL I FLD I PAR PD NoISSUE This permit is nereoy Issued unser the applicable provi- sions or the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Receipt No. `70(e RD ,o DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDEMKAL- DEVELOPMENT jeion 26-8.1 of the Butte County Code equires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned NOT COMPARED WITH ORIGINAL DOCUMEN I Eor agricultural purposes,. and residents ACCEPTED FOR RECORDING of this property may be subject to incon- AT a'�� veniences or discomfort arising from the use of agricultural chemicals, including, ,1 f- U but not limited to herbicides, pesticides, -4, and fertilizers;, and' from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate -dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept ,such, inconvenience or disconform from normal, necessary farm operations. �rtv citnatn ;- them 0 _r •- I 4. Th -e land referred to in this policy is situated in the County of Butte, State of California, described as follows: Lots 3 and 4, as .shown on that certain Parcel Map of a portion of the Southwest quarter of the Southwest quarter of Section 17, Township 19 North, Range 6 East, M.D.B. & M., which Map was filed in the Office of the Recorder of the County of Butte, State of California, on August 30, 1971, in Book 40 of Parcel Maps, at page 9. TOGETHER WITH AND RESERVING THEREFROM a right of way for road purposes, as shown on said Parcel Map. (AP NO. 073-130-023 and 073-130-024) State of p� On this the � day of �, 19CIn before me, SS. the undersigned Notary Public, per nally appeared County of ) (Aiain, I t(0�- _�� c• ��e�r�u°i2 Igo Personally known. to me. roved to me on the basis G ?`-„ ,'9:.L. m of satisfactory evidence. a to be the person(s) whose name(s) S \�Y',r'• % "`'' a subscribed to the within instrument and .acknowled ed that , mach 8.1981 g :executed the same for the purposes therein contained. IN WITNESS Liu..]I2UULi000i:dJU0WU0 WHEREOF, I hereunto set my hand and official seal. Present A.P. No. 0 4.7�4�q N ary Public BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 •4 MOBILEHOME INSTALLATION SHEET 1. Owner's Name h �1412A 2. Installer's Name: MdE31&6 HOME CSC-ti(E-'\- 3. Is the sit•e:�currently under permit? Yes No re 5 (If yes, -burnish permit number 22%6- 70 k-) OR Is the site `a'n existing site? Yes I No (If yes furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach I � fields and clear of all setbacks and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating? --------------- 6. What is the mobilehome site service rating? ------------- 7. What is the mobilehome site circuit breaker rating? ----- _ 8. Is there,any,other electric load to be served by the mobilehomesiteservice?-------------------------------- Yes (If yes, identify the load and size: j< (-C, (Load) 9. What is the mobilehome site gas pipe size? -------------- 10. What is the type of gas service? ------------------- Natur 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- * 12. What�is the'mobilehome gas demand? ---------------------- 1 =2aQ Amps Z� 0 Amps Z� a Amps n „e El Z0 (Amps) *(This -,information not required if pipe length less than 6 ft. on ,., natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA If other li-chan single wide, Mobilehome Mfr. ClHAMPlo N furnish Setup Model No. (OlVi- Year _ Width '/q (ft. ) Box Length LN (ft.) Tagalong or Expando SizeTft. x_ 1�ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)m1. Wood -pressure treated or foundation grade.2. Other (specify) SUPPORTS (check one) IN1. Concrete block.a 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE tine 1 _ MULTI -WIDE amine 1 Line 2 _ _ _ _ _ _ Line 2 — Line 2 Main Beams ` _ — — — — — — — — — — — Line 4 ---� -- --- — ---- -+--L'—ne 2 Main Beams — — — — — — — — 2 � nineLine 1 — — r - — — — — — — — — — Lin e Tag or Triple Line 1 Line 1 Piers: Size-Min.------------ Spacing-Max - ----------- Spacing-Max. --------- From Ends -Max. ------- Line 2 Piers: Size -Min. ---- Spacing -Max. --------- From Ends -Max.------- Line 3 Roof Wads: Size -Min - ------------ 30„ x Location (From Front) J '_ Q Line 4 Piers: Size -Min .------------ Spacing-Max.--------- ,- From Ends -Max. ------- Line 5 Roof Wads: Size -Min. ------------ x Location (From Front) Line 1 Openings: Size -Min. ---------- - - - x Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ x Spacing -Max.--------------- „ From Ends -Max.------------- / „x SV„ „x N „x -1 URUI1 2 - t 4 '9 -JO -111 „ Line 5 Piers: (Under Bearing Walls Only) Size -Min. ------------------ "x Spacing -Max.--------------- From Ends -Max .------------- " BUTTE COUNTY