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HomeMy WebLinkAbout073-160-037n CLAYTO ERGRASS 73-16-37' V F 5 Forbestown Oroville t' Permq 2785,-86P. _ MH) ELEC _ � GAS 3 •URPORT -STR R.E COMPACTION TEST RE ~� w 73-16-37 Perm' 3355-86bIIi -7-3=1-6-37 Perm" 634-87B(new awning & stairs/MH) Permi145-88P 73-16-37 (water heater)SF IRA aII- " li i t 1 f j I� • ' i i I I f i I CLAYTO ERGRASS 73-16-37' V F 5 Forbestown Oroville t' Permq 2785,-86P. _ MH) ELEC _ � GAS 3 •URPORT -STR R.E COMPACTION TEST RE ~� w 73-16-37 Perm' 3355-86bIIi -7-3=1-6-37 Perm" 634-87B(new awning & stairs/MH) Permi145-88P 73-16-37 (water heater)SF IRA aII- " li i t 1 f j I� • ' i _ 1 . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541, APPLICATIAN AND PERMIT ASSESSOR_PARCEL NUMBER ,..'��"7 ZONING BUILDING PERMIT OWNER ��/ /_ 1 0 In 4 i 1cS1 fk A pin f cit ss, TELEPHONE / G ,SQ. FT. OCC. BUILDING VALUATION OWNER' S' MAILIING ADDRESS . � r c�.5�� �. � � • . � � i/f � e? Co CONTRACTOR'S NAME pf J )h n -,„< T'EL PHONE ' CONT'RACTOR'S MAILING ADDRESS Fireplace ,.ACtONSTRUCTION LENDER .l I� UNi KNOWN Total Valuation $ Filing Fee $ 10.00 • LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 4,1..-2 LICENSE NO., Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 / Each Trap 2.00 ' Solar or heat pump water heater 20.00 LOT NO. SUBDI VISION NAME PARCEL MAP Water piping - 5.00 S,60 Each qas water heater or vent 5.00. Q� USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 , (g Building sewer --T-5.00 Mobile Home IsFG WO.00ea- TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other E]Permlt Describe work: Fee $ r (` Contractor ELECTRICAL PERMIT Filing Fee 10.00' _ .54f 600V OR LESS Main service 100 AMP OR LESS 10.00 . Main Service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW ' I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS and Professions Code and my license is in full force and effect. a,,License No. Classification `ccu 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 CONST. ( DWELLING OCCUP.Ed) '/z2Sgft OR AODNS. ACC. BLDGS. NEW CONSTR. MULTI -OUTLET ea NON-RESID BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. 20950a Ex.OOccup( OR FIXTURES SAL@30 Ex, Occup. OUTLETS (RESIR D.)EAJ 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):�� Q 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 Compensatio6l Insurance or a Certificate ©of Consent to Self -Insure. I shall not employ_any person in any mannerlso 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°forth'with comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating r Coolin g Hood 3.00 Ventilation perfnit.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. ✓/- �% Signotu a of Applicant — �rOwner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in eight. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ o� occ 77 SCHOOL FLOOD PARCEL I PD 1 HO 1 ISSUE✓ This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS r B ,(- t /tel r!,'/ , /Date �7�� y y�/� / PERMIT EXPIRES.' Date %l "V r i � Receipt No. n � '�) � WHITE-O.P.W.. YlLLOW-ASECeSOR, PINK -INSPECTOR, GOLOlNROD-APPLICANT . lk O COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive = Oroville, California 95965 - Telephone: 916/538-7541 A APPLICATIONAND PERMIT PERMIT . rJ ASSESSOR ARCEL UMBERZONING - - - - BUILDING PERMIT O WNE TELEPHO SQ. FT. OCC. BUILDING VALUATION - OWNE NG r DD ESS �I e - CONTRACTOR'S NAME TELEPHONE CONT ACTOR'S MAILING ADDRESS 'Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ -ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Is r-6 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. - SUBDIVISION NAME PARCEL MAP Water piping 5.00 S GD Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.00ea. TYPE OF WORK New ❑ Addition ❑ •Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 200V OR LESS 100 AMP OR LESS - 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): 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. icense No. Classification 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.51) IhQsQft OR ADDNS. 1 ACG. BLDGS. NEW CONSTR MULTI -OUTLET NON-RESID BRANCH CIRC TS' 2,50 ea /POWER APPARATUS 6 (SINGLE OUTLET CIR. EX. OCCUp(OUTLET3 OR FIXTURES SALO20@30 20@030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declar 1r der penalty of perjury (check one): he 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 I shal I 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 10.00 , Heating Cooling Hood 3.00 Ventilation Penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against id County in cc equence of the granting of this permit. X Date — Signat a of A (cant — Owner Contrcctor ❑ Agent ❑ An OSHA per jet required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in 1ght. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ o 0CCUP. CONST.TYPESCNOOL FL00D PARCEL PD ND s3u This permit is hereby Issued under sions of the Butte County Code and/or work indicated above 4OFBLIC r DIR T Y PERMIT EXPIR�f/Dat the applicable provi- resolutions to do fees have been paid. WORKS to A711,P A; Receipt No. WNITE-C.P.W.. TEL LOW -A381!330111, PINK-INSPKCTOR• GOLDENROD -APPLICANT M COUNTY OF 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 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 materials for construction of the proposed property improvement (yes or no) 2. -I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I.will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security N A er Date Z Z 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. = OK 0 = Not OK ' = Not Read�yable MOBILE HOMES MISCELLANEOUS 4- Date MOBILE HOME UTILITIES (Plans) OK except #'s We DE ,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements . Zo gRequirements-Setbacks-Easements 2. Soils; Special MH Support -Sketch ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) od Awn.; Posts- Bea ms-Rftrs.-Connec.- 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete Shthg.-Rfg.-Bracing 6. Gas; Location -Test -Wrap: / /"L"ft. 5. Alum. Awn.; Columns -Connections -Splice- Decal- Enclosures / /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. SicjjratfNailing-Veneer-Stucco-Mesh Card -B1 Date Card -B1 Date oof; Shthg-Roofing Card -B1 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Dat Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - 8. Gas and Electricity Tagged Dead Men -Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 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. Card -81 Date Card -B1 Date Boxes -Enc losures-Panel boards- Ins. to Main in Conduit Card -B1 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date = OK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable' • = Not Ready • Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth _ 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -131 Date Card -B1 Date Card -131 Date 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/Meeh. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 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 Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -131 Date Card -131 Date Card -B1 Date Card -131 Date 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. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 39. Sills, 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. Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -81 Date Card -131 Date Card -B1 Date 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 -Meeh. 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 -Meeh. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; PIbg.-Appliance-Firep l. -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 Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 9i. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -81 Date Card -131 Date Card -81 Date Card -B1 Date Card -B1 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) PERMIT NO. 1634-87B PERMIT EXPIRES • 1 OWNER CLAYTON PENDERGRASS CONTR. OWNER 'ASSESSOR PARCEL 73=16-37 LOCATION 5 Forbestown Rd., Oroville C r Temp. Power Pole Called . Temp. Elec Called Temp. Gas Called ''JOB FINAL ` Signatt 4 i� COUNTY OF BUTTE` DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone:'538-7541 747 Elliott Road, Paradise— Phone: 872-6307 RRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector "/ %//� Date /o^ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 ,-, CORRECTION NOTICE ERMIT 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. Inspector _ / Date v _COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Calif&nia 95965 - Telephone: 916/538-7541 /3 / 4 APPLICATION AND PERMIT ASSE 5 R PARC L NUMB R - ZONIN BUILDING PERMIT 071 �� T LEPH�€, L� SQ. FT. OCC. BUILDING V L ATION Q OWNER'S AILING DDRESS �D v CON ACTOR'S NAIAIE_ TELEPHONE CO TRACTOR'S MAILING ADDRESS Fireplace CON rRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ r0 ARC 1 EC,R ENGINEER LICENSE NO. Plan Checking Fee $ O Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 hes —to la In lYe Each Trap 2.00 ro V 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 Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Install t' ❑ Other Describe work: I f Vt `�' ` _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. L' ense 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 OCCUPM I/2¢sgft OR ADDNS, ACC. SLOGS. NEW CONSTR MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occu zo p OUTLETS OR FIXTURES\\ eAL930 30 Ex. QCCUp. OUTLETS ((RESID IR EA. 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 f Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIirig Fee 10.00 Heating Cooling Hood 3.00 Ventilation penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 d County in conseq ce of the granting of this permit. against S^ f �,7 X Date Signatu of Applic t — Owner fn Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- on of structures over 3 storiel in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OccUP, CONST.TYPE IFL2;IPAV PD --- � ND ISSUE This permit is hereby issued under sions of the Butte County -Code and/or work indicated above for which DIRECTO OF PUBLIC By ` PEPT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 2 R Receipt No. WHITE-D.P.W.. FELLOW-ASSE OR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL`€ . Vf &RA 11A 95,965 - TELEPHONE: 916/53454;1 PERMIT APPUWTI-Oh DATA SHEET _.. Permit No. OWNER �(.Q �O h tr Y 1�Ct 5� A. P. o. Proposed Building Use w ► - Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . Plot plans in duplicate./triplicate, signed by preparer of 4A31 Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fee's Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . IVA 9. Letter of signature authorization}. 0. Sanitation approval from (/ ✓� U�. Health -Dept. K1 1. 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 ownerE]), _15. Improvements may be required. . . . . . . . . . . . ! 16. Mobi lehome Installation Data. . » . . . . . . Pre-Inspec.request to (Date) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot np aA1� App ryoyal J{X'om ity of ?' 22. V V +% When you issue the permit, process as follows: ail to owner, Mail to contractor. Telephone and hold for pickup at office, Deliver w/inspector. Other Copy of plans sent Applicant Health Dept., - Fire Dept., --?'Other—Date The following data must be submitte 1. Index permit for above items No.. 2. Additional items required: it issuance: (Circle new item not checked above). A- Contractor, designer, owner, was advised of above required data by—phone--Mail Contractor, designer, owner, was advised of above required data by—phone—mall Plans checked Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder unter by date r date�/ate D i `— Hours: 10:00 a.m. - 3:00 p.m. TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP Plan Approved for: Sewage Disposal Water Supply Hold final for:\ Water Supply Final clearance O.K. for: Water Supply Clearance for _ _ bedroom mobile home. Other NOTE * * * Sanitarian Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: OWNER -BUILDER VERIFICATION Attention Property Owner: 916-538=7541 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 materials for construction of the proposed property improvement (yes'or no) 2. I (have/have not) /?sy4f.j!� 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 Ad ss hone Type of Work r Signed Property Owner Social Security Nu er Date — D17 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. (916IRCLE 9-27SAC009RAMENTO. CA 95815 K E E N AN 310 COMMERCE C) -1 11 SUPPLY INC. --h W n 0-0 Gr > -0 I co o ;r -I. CD (D A., P, (D (916IRCLE 9-27SAC009RAMENTO. CA 95815 K E E N AN 310 COMMERCE C) -1 11 SUPPLY INC. --h W n 0-0 Gr > -0 I co o ;r -I. CD (D (D 0 -0 IA C:S (D < ,D & CD T3 cD (D 3 V. :3 0 :y X cr V CA- Cl Ca ca o 3 to -4rp. -th. to -4(" 40. ar fw (916IRCLE 9-27SAC009RAMENTO. CA 95815 K E E N AN 310 COMMERCE C) -1 11 SUPPLY INC. --h W n 0-0 Gr > -0 I co (D (D -0 C:S (D < ,D & CD T3 cD (D 3 II :3 0 :y X cr 0 ........... if Ti� A•`,� f.� t d ; E ✓ y. v a.. et - , ." a 4� •1.. M • a ♦. � r +� ' . i�� �f t•. . r � A 7� _ lh � C� Ii• Fes• v v <. 1 � _ ��� .r.. .. _ Sao ,ter—+.. _+—.. �}— _�i._•T ._�� � ' ,'- � � __ _ _..._ YY k f- �G COO �IV 9 r hr NOTE—All Mater;,,,ls r• Worxmanship Shall ± :� 1 Accordance vii O Prar,}ice; and a�;.;,,/ ,,;-.,-C.. , . . 1 ¢ �d u3a in the of a qu Uni¢ar,RO, . _ .._.:,....ai Coc`'x; and � �a:��i d;�ci•r:cai �:L• `-. .,•: ;. � - __ - � :tel ' S 1 . 1� per. �i-s8 Utility connect; ns shall be within 4 ft. of the m ilehome, either directly behin or within the rear half of the ro dside (left) of the mobilehome p.�rmif will be required installation of the mobileh NOTE:_AII_ Materials Accordance with �` workmanship Shap Be in of p Recognized Good Practices and quality prescribed for the S Uniforan Building, plumbin pacified use in the the National Electrical 5 `q` Mechanical Codes and Code, :� 0/ Q. `r' X55, 5;ss f c. This set of plans and kept on the job at specific make an all times a ions MUST be written Y chances or altera;' it is unlawful to Works, permission from eaart e p n same without County of B e. meet of Public the A setback of 5 ft. from the property lines and a setback ,f 50ft. from the road -_enterline shall be clear of structures or equipment except for a 2 ft. eave overhang. BUTTE COUNTY BUILDING DEPARTMENT APPROVED - 11 I r f r :1 �J L v p.�rmif will be required installation of the mobileh NOTE:_AII_ Materials Accordance with �` workmanship Shap Be in of p Recognized Good Practices and quality prescribed for the S Uniforan Building, plumbin pacified use in the the National Electrical 5 `q` Mechanical Codes and Code, :� 0/ Q. `r' X55, 5;ss f c. This set of plans and kept on the job at specific make an all times a ions MUST be written Y chances or altera;' it is unlawful to Works, permission from eaart e p n same without County of B e. meet of Public the A setback of 5 ft. from the property lines and a setback ,f 50ft. from the road -_enterline shall be clear of structures or equipment except for a 2 ft. eave overhang. BUTTE COUNTY BUILDING DEPARTMENT APPROVED - 11 81-S8 Utility connecti ns shall be within 4 ft. of them ilehome, either directly behir or within the rear half of the to) dside (left) of the mobilehome N0TE;--411 Materials Accordance with �` Workmanship Shall Be in of a quali Recognized Good Practices and Uniform tZu �p�rescribed for the S fhe National g, Plurr►bing & MechanicaldCodes and Electrical Code, This set of plans and kept on the job at specific ions MUST be make an all tim�e. y cl'nnges or cyit is unlaw¢ul to Woan permission froms on same without County o¢ B arlment of Public A pprmit will be required f�r the installation of the mob;lehorr►e. A setback of 5 ft. from the property lines and a setback ,f 5011t. from the road _enterline shall be clear of structures or equipment except for a 2 ft. eave overhang. '1 BUTTE COUNTY BUILDING DEPARTMENT APPROVED 1t\ �V N0TE;--411 Materials Accordance with �` Workmanship Shall Be in of a quali Recognized Good Practices and Uniform tZu �p�rescribed for the S fhe National g, Plurr►bing & MechanicaldCodes and Electrical Code, This set of plans and kept on the job at specific ions MUST be make an all tim�e. y cl'nnges or cyit is unlaw¢ul to Woan permission froms on same without County o¢ B arlment of Public A pprmit will be required f�r the installation of the mob;lehorr►e. A setback of 5 ft. from the property lines and a setback ,f 5011t. from the road _enterline shall be clear of structures or equipment except for a 2 ft. eave overhang. '1 BUTTE COUNTY BUILDING DEPARTMENT APPROVED COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLIOTIONAND PERMIT I ASSESSOR PARCEL NUMBER 73-16-37 ZONING BUILDING PERMIT OWNER CLAYTON PENDER675-2498.. TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5 Forb s w R, Oroville CONTRACTOR'S NAM OWNER TELEPHONE 1st renewalermit CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee g $ 10.00 1 Permit Fee -FF S ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Ener Plan Checking 9Y g Fee $ Penalty $ BUILDING ADDRESS 5 FORBESTOWN RD.E• Permitfee $ 00 PLUMBING PERMIT FllingFee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehom� Other awning & stairs SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JWT in rinen TYPE OF WORK New[] Addition❑ Remodel❑ Utilities[] Installation[] Other❑ Describe work: 1st renewal of permit #1634-87 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 400 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under pen Ity 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 ❑ 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 t i reason NEW CONST. DWELLING OCCUP.•I ,/2¢sgft OR ADDNS. Acc. BLDGS. - NEWCONST R. -OU L T NON-RES10 BRA IR 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES SA 20 0500 0 EX. OCCUp. OUTLETS P(RESID.IRE A. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee _ WORKMEN -S COMPENSATION INSURANCE I declare undef 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 " FllingFee 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against. all liabilities, judgments, costs, and expenses which may in any way accrue st said County in consequence of the granting of this permit. Date SnaLtureofApplicant — 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 $ 24.00 Occup. CON3T.TYPE ISCHOOLIFLOODIPARCELI PD No 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 6-23-89 the applicable provi- resolutions to do fees have been paid. WORKS Date � - Receipt No. WNITE-D.P.M.. TELLOW-A3e9ee00. PINK -INSPECTOR, OOLDENROO-AP►LICANT Y ( 33S 5 _-- ----PERMIT NO. AT AF, PERMIT EXPIRES OWNER CLAYTON PENDERGRASS 3 CONTR. owner ASSESSOR PARCEL 73-16-37 LOCATION 5 Forbestown Rd, Oroville 4;Q OFFICE COPY 4 Address �t G M�y f 'Da e ELECTRIC Temp. Pc Meter By Date L CaI I Temp. Elec. Service ,y Called PG&E Temp. Gas Service i •r � 3 Called PG&E .I JOB FINALED (Date) •, Y Signature 1 i J=OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS ' Date MOBIL HOME UTILITIES (Plans) OK except N's V'Zoo,inc Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 0_19141r,, Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors . S r; Location-Test-FaT-C/ -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 ectncity; Location-Clearances-Grnd.-/ Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures G ; Location -Test -Wrap:/ /"L"ft./ P'Nat.or/ 7"L"ft./ /"LPG 6. Carports; Windows -Doors '7i_Z- Utility Clearance 7. Elea Card -BI rDate -( -% Card -BI Date �-ZZ 7 Card -BI Date Card -BI Date . Card -BI cooDate - P Card -BI Date Card -BI Date Card -BI Date Date LEHOME INSTALLATION (Plans) OK except H's Date POOLS (Plans) OK except N's oning Requirements -Setbacks -Easements 1. Setbacks -Easements ootings; Size -Spacing -Marriage Line yjLW, MH Test -Dem d -Valve -Connector 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining, - 7 Electricity, H est- rossovers-Breakers-Clearances 7 4. Elec.; Receptacles and Lighting; Distances-GFI Drain; MH Test -Fall -Flex Connector , 5. Elec.; Pool Lighting; 15 volts-GFI Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed Water and Sewer Connected -C/0 to Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater Gas and Electricity Tagged 8• Elec.; Grounding; Equip.w/5'-Circulating Equip.-P.00l Lghtg. Boxes -Enclosures -Panel boards -Ins. to.Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. Df 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 k1i It e i Card -BI Date Card -BI ' Date -- W J=OK 0 = Not OK -,Not, Applicable RESIDENTIAL (Single and Duplex) * = Not Reacty , Date UNDERFLOOR Plans OK except H'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 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Ste_mwalls, Garage; Steel -B lockouts -Wrapped -Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access - 7. Piers -Fireplace Fig. -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 _ Gas Pipe; Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums &_Ducts; Clearance -Material -Support -Ins. ' Eard-B-1 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 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 57. Smoke Detector Card -BI Card -81 14. 15. 16. 17. 18. 19. Water Ht.: Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection D.W.V.: Test-Fttngs & Anchors -Nail Protection Shower Pan: Test, First Floor -Tub Access Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe: Size & Anchors - Date _Card BI Date Date Card -BI Date 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper Card 8-I Card B-1 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. Fixture & Transformer Clearance -Ins, Protection Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen &Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral Yes _7No --_ _ Service -Riser Conductors &Ground -Main Disconnect -_- Equip. Clearances: Pane ls-Motors=Mech. Equip. Clothes Closet Light -Shower Light _ -- -. -- Date Card BI Date - Date Card -BI Date 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 E] Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive C Yes ❑ No: Walks ❑ Yes []No; Planters El Yes 1J_ 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. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass-Pro`tection Date MECHANICAL (Perrnit) OK except N's-- 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric Card -BI Card-BI 31. 32. 33. 34. 35. A.C. Ducts. Insulation & Support Vent Fan: Exhaust above Insulation- Condensate Drain & Overflow: Size _& Grade _ Furnace -Vent: Access -Comb. Air -Return Air_ Vent -115V outlet Attic Access & Platform if Furnace in Attic - - Date Card -BI Date - Date Card -BI Date _ 85. Water & Sewer Connected -C/O to Grade -HD Approval gg, Energy Compliance Certificate -Other Certificates ' -- -- - -- - - --'-- Card -BI Date Card -81 Date Card -BI Date Card -BI Date -_- Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Com: lents at Final: 36. 37. 38. 39. 40. 41 42. 43. 44. 45. 46. 47. 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-_T_u_b Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rhr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing - _ t (NOTE An entry must be made each time youvisit jobsite) i a. - MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE r DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE ' OROVILLE, CALIFORNIA — 534-4541. PERMIT " 3S3 SS "C � Address or location o mob ,i�� ��/ Fny6p-s rV L1 :4 Owner's name+d Yy- Y CSS 4' �yOwner's. address p Insignia or hud number A A 1 76 c * . Manufacturer's name / p)-) 1 no 1) /. Serial number of V.I.N. �% Year of manufacture (Official Approving Instdllation) (Date) IF THE 1.40BILEHOME 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. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — 'hone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER /i PERMIT A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector .� d X91 Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE MGM A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector �� Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 1 Skyway and Elliott Road; -Paradise -- Phone: 872-2961, Ext. 57 e CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector` _. Date_ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERM T NOVI/ ASSES R AR+Ey JJUMB /(/(, ZONING BUILDING PERMIT OWNE i, F/ari wo m5EP C rJ TE o 94 SO. FT. OCC. BUILDING VALUA ION OWNER'S MAILING ADD r / O ir` /'S It 17 CON A T R'S NAME TELEPHONE CON ACTOR'S MAILING ADDRESS Fireplace CONST,RU. TION LENDER UNKNOWN Total Valuation Is Filing Fee $ LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITE T OR ENGINEER YID LICENSE NO. Plan Checking Fee ,$'. Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty - $ BUILDING ADDRESS r Ad Permit fee $ 6-1 Q11J PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 eel 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❑ Mobilehomekn Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G 0.00 ea TYPE OF WORK New❑ Addition❑ Remodel[] U'litiesX Installation[] Other ❑ Describe work: t>` Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 11001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslne$S 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.&) +/Z�sgft OR AODNS. ACC. BLD -GS. I NEW CONSTR. MULTI -OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occu ALO 30 Occup(OUTLETS OR FIXTURES .2z09030 LNS OR EX. Occup. OUTLETS (FIXED PRESID) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring15.00 1, ®Q Permit Fee $ Contractor ' WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyof 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 consequ ce of the granting of this permit. Date r — Owne Contractor ❑ Agenr ❑ Signa re of Appl/Tuired An OSHA permit for excavations over 5'0" deep and demolition or construct- of structures o//ver stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ v TOTAL PERMIT FEE $ OCcUP. I CONST.TYPE FLOOD ARCEL P vi ND VI.SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PE T GPIRES Date- the applicable provi- resolutions to do fees have been paid. WORKS Date o� ceipt No, IQ,2U2- TE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT rR TO: Budlding Department FROM Encroachment Permit Section RE: Driveway Clearance o �en�✓ f o fs J� Old 7 3-/ -3 % owner location AP # Driveway permit _ C has been issued for the above property. signat re date To: suiiding Departiiient From: mvirorn-ental. }{c:ath Subject: Sanitation Clearance 3 -1-6 Dimer Locztion A Plan Approved for: Sewage dispo .al i;ater supply Hold final for: r_aer supply . t. Final clearance O.K. for: eater supply Clearance for bedroom n:oUil. homle. Other No Sanitarian Date a COUNTY OF BUTTE - DEPARTMENT' OP PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, C'ALIFOR'NIA 95965 TELEPHONE: 916/534-4541 P RMIT APPLICATION DATA SHEET Permit No. OWNERd� 1�Cf s� A. P. No. Proposed Building Usey i'i/yy( Permit Fee Based Upon: Complete Contract Price DPW'Valuation Other plaiii ► // Building Inspector Date At time of permit application, I was advised the following data must be"submitted prior to permit processing and./or issuance: DATE RECEIVED APPROVED II items.have been submit lot plans in duplicate riplicate. 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9 Letter of signature authorizatio % . . . . . . . Sanitation approval from l/1 .! 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 (Date) 7. Pre -inspection for Required. Building Inspector Record copy of AgriculturA AcknoNl d m,ent Statement. ' 19. Other r ► VF V Yi't - l� %' Whe you issue the permit, processias1oflows: Mail 1.4 downer. Mail to contractor. ; Telephone and hold'for pickup at office. Deliver w/inspector. Other Applican ate Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuancq: (For required items not checked above at ti a of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date's Plans approved by Date /�— Other: f° Copy—DPW COUNTY OF BUTTE - Departmdnt 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 materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) V144 signed an application for a building permit for the proposed wor . 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 M Signed: I d, Property Owner &e44,1�z� Social Security Num r 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. NPT COMPARED w", Return to DPW �F,�C• , `' -' ``AGitICULTURAL STATEMENT -OF ACKNOWLEDGEMENT ;RECORDED IN OFFICIAL RECORDS FOR RESIDENTIAL, DEVELOPMENT OF BUTTE COUNTY, CALIFORNIA ATTHI RCOUESTOF Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 86-31170 . = . The property described herein is adjacent to land or included ..1 986 SEP 16 FH 12 within an area zoned for agricultural purposes, and residents of thisEEEAROR M.BECKER property may be subject to inconveniences or discomfort arising from CLERK -RECORDER FEE_._.+ the use of agricultural chemicals, including, but not limited to herbicides, pesticides, 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 agricultural 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. All that real property situate in the County of Butte, State of California, described as follows: the following described real property in the County of Butte , State of California: Parcel 11 as shown on that certain Parcel Map entitled, 'Portions of Sections'3 and 10, T.19N., R.6E., M.D.M.', said Parcel Map was filed in the Office of the Recorder of the County of Butte, State of California, on September 30, 1982, in Book 89 of Parcel Maps, at Page 58. Date: 9/16/86 State of Ca. ) SS. County of Butte ) ° ANGELA D. MASTELOTTO a ■!'=� NOTARY PUBLIC -CALIFORNIA s ■ -A .' Butte County j 1 My Commission &x ,fes Sept. 7, 1990 ■ ■ On this me, the PROPERTY OWNERS: the 16 day of September 19 86, before undersigned Notary Public, personally appeared ***CLAYTON PENDERGRASS**************************** ************************************************** Personally known to me. Proved to me on the basis of satisfactory evidence. to be the person(s) whose iiame(s) is subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. No. � AP # OWNER PERMIT NEi I t1TIL.CLEARANCE DATE INSrECTOR �. ELECTRIC GAS Support Struc. Compaction Test Req. Service Size Other Load Type Pipe Size Length YES .NO YES NO zoo V COUNTY OF BUTTE - DEPAR' TMEIVT OF PUBLIC WORKS ' 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO ASSES OR P//��j� C W1�501 R ZONI G BUILDING PERM( OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION AILING ADORE S a t O R CTO AME -PHONE 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 $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[ Other ❑ Describe work: _ a� _.� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1111 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ l am licensed under provisions of Chapt. 9, Div. 3 of the BUslnes$ and Professions Code and my license is in full force and effect. (cense 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.a+) yzQsgft OR ADONS, l ACC. BLDGS. NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS) POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050Q SALO 30 FIXED Ex. Occup. OUTLETS P(RESID )LISIS REA.) 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 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 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 10.00 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 liabilities, judgments, costs, and expenses which may in any way accrue agains aid unty i conse ence of the granting of this permi Date Signo a of Appli nt — OW erp Contractor E]Agent ❑ An ' SHA permi s required for excavationsover 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 $ �O oCCUP- CONST.TYPE I I FLOOD PARCW PD NO �— lip This permit is hereby issued under sions of the Butte County Code and/or work icated above for which R C�/j�TOR OF PUBLIC By �v�,{ PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ate 93 J� Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT .,v • -T2 a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,4 LfFORNIA 95965 - TELEPHONE: 916/534-4541 / i y PERMIT APPLICATION -RATA SHEET Permit No. OWNERA. P, No. Proposed Building Use IBuildingtilnspector Date — (� 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. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD ''Fees Paid" Stamp on Floor Plan . . . . . . . . 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: x• 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 ❑ ). 1%Vjr5. Improvements may be required. . '�. . , . , . . �01N. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. BuildingJnspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. t 20. Plot plan approval from city of 21. 22. o c Whenyou issue the permit, process as follows: flail to owner, Mail to contractor. Telephone and hold for pickup at—off ice, Deliver w/inspector,. Other Applican Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2'. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, Plans checked by was advised of above required Date data by—phone Plans —mal l—counter by date approved by Ak Date AD 46 Sets of plans on hold in File cabinet AP folder Copy—DPW — Flours: 10:00 a.m. - 3:00 p.m. COUNTY OF BUTTE - DepaTtment of Public Works 7 County Center Drive, Oroville, CA 95965 Phone,: 916-534-4541 OWNER -BUILDER VERIFICATION 0 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 materials for construction of the proposed property improvement (yes or no) k e 2. I (have/have not) &Z signed an application for a building permit for the proposed wort. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the Work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Nu er 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. 1. Owner's Name: 2. Installer's Nam 3. Is the site cur + ;J BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET _ (If yes, furnish permit number ) OR Is the site an existing site? Yes F—] No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic. tank and leach fields and clear of all setbacks and easements? Yes No F (if no, clarify 5. What is the mobilehome electrical rating? --------------- SJR Amps 6. What is the mobilehome site service rating? --- ----------- Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the .y ---------`----;-=-----=-------=- Gz Ye's No mobilehome site service? (If yes, identify the load and size: (Load) (Amps) 9. e size. -------------- as pipe What is the mobilehome site g P ? � ) 10. What is the type of service? ------------------- Natural � L�(in.PG gas 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe.length less than 6 ft. on .natural gas or less than.50 ft. on LPG.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED MOBILEHOME SUPPORT DATA 14 other than single wide, Mobilehome Mfr.1furnish Setup Model No. Year, Width(ft. ) Box Length(ft. ) Tagalong or Expando Size 12- ft. x__y _ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setu sheets (if not on file with the County of Butte). � FOOTINGS (check one)el. Wood-pressure treated or foundation grade. Z2. Other (spec y) SUPPORTS (check one) ©&- Concrete block.n 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Line 1 Piers: Size -Min- ------------ Spacing-Max - -----------Spacing-Max. --------- From Ends -Max.------- Line 2 Piers: ` .) 547 Size -Min. ------------„ , � we& X(►- Spacing -Max---------- ,_ n 1>4flWO HC l &V AAft 14— From Ends -Max. ------- b 4(”. 0a0ve- FIC OtY--7 Line 3 Roof Loads: Size -Min .---------- Location (From Front) Line 4 Piers: Line 1 Openings: Size -Min. ------------------ ux u Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- y� Spacing -Max---------------- From Ends -Max .------------- Size -Min .------------ 'k " Spacing -Max.--------- , r From Ends -Max .------- Line 5 Roof Loads: Size -Min. ------------ Location (From Front) e 5 Piers: (Under Bearing Walla Only) Size -Min ------------------- Spacing -Max.------------ -- u From Ends-Max-------------- '-