Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
073-180-072
Church in the Wi STR125 ' of Oroville-Forbesto n .,%F0 st w Permit 180-68B-- (new church) A.P. LOT BLOCK SUBDIV. TYPE IT ' PERMIT NO. PLAN NO. DATE PERMIT C� PERMIT DESIGNATION: ` DEPARTMENT OF �r • BUILDING AND SAFETY B -BUILDING P -PLUMBING T -TRAILER , CHURCH IN M=v W i,D OD 73 -Add- %Z S. of Oro-Forbestown Rd. ylk\ 6 Permit 650-74B,P,E,(add 6 classl�im� PER 1 AP ?Permit# TH W WO .•� , 1250' S. OrovilleTForbe�stown Rd 5153-74E (s) %� ��"� 4° AP r,73"18-72,, J' Permit#- 3953=75MHt Issued -2 f- - -- - -- AP 73-18-72 CHURCH OF THE WIDDW00 Penni3952-75P,E uti ELEC. ----- - GAS -- , SUPPORT STRUCTURE RDQ._J? ° COMPACTION TEST REQ. A0 73 8-72 contsir, e v r, '^'� Pe 2 -78B, new Cobaan e.ozr d0��� /If /2 yl� 73-18-72 Permit #6774-78P,E(relacate util.on existing site/MH) ELEC. GAS, SUPPORT STRUCTURE-HQ- COMPACTION TRUCTUREIQ.COMPACTION TEST REQ. AP 73-18-72 Church in the Wildwood Permit 6445-78MHI (ex. site) 7IS • UED /Z oZ '] yet / abp'/7d{ 73- 72 cont r on Kas s_BrgwrgVg) Per t �k 5-79B,E( dn 71 go- 74L. 073-1 073-18-0-072 00-1533 CHURCH IN THE WILDWOOD 19082 NEW YOR FLAT RD, FORBESTOWN 104�,Gy REROOF 1 IT HM—HOUSE MOVING EP—ENCROACHMENT IIT D — DEMOLITION 600. 1 'n m I v_I D m* 0 m •o PERMIT NUMBER D D -xjC 2 -Ai to C ;am C Q 3 i D D -1 y m S 0 ::ir D1!21(3 -1 _r A -I A 2 D i O m Z 1- m m Z m m mD m Z m C 3 m m 2 C 3 D m ss m x FORMS. A m 1 m D 2 y N i n m N T Q r� u 0 L I PERMIT NUMBER D D NND G) i C D -1 D - 0 4 D1!21(3 -1 -I O D i O m m m m m mD m m LOCATION. FORMS. FOUNDATION REINFORCING STEEL FRAMING b N INTERIOR LATH EXTERIOR LATH ........III INTERIOR PLASTER EXTERIOR PLASTER CONCRETE BLOCK GARAGE FIREWALL FIREPLACE I FINAL r� u 0 L ,. .o ,:�o-,.- ......�no:Tc�>;�icsu:;.r .;. N.;,�r �4?� ��"tA•':+F.r .. �.r.� 073-18-0-072 00-1533 CHURCH IN THE WILDWOOD 19082 NEW YORK FLAT RD, FORBESTOWN REROOF COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 41 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT . . ASSESSOR PARCEL NUMBER R � ZONING BUILDING PERMIT OWNER T T til TELEPHONE C ? SO. FT. OCC. BUILDING VALUATION irJO OWNERMAIUP4G ADDRESS S w P.O. BOX 238 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 1560 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 37, 00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILOINGADDRESS 19082 NEW -1.1 YO FLAT RD., m-_. Energy Plan Checking Fee $ $ -QX _ _ .t PERMIT FEE $ 57.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY n Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: m?" Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 0.00 7 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 500V OR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law)or the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for salei ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW coNsr. DWELLING occuP. OR ADDNS. & ACC. BLDS. so. 3.50FT. N.E'�p�lpT' muLTI.OUTLET @7.50 APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCUP. OUTLET OR FIXTURES 20 Q 1.00 BAL @ .so Ex. Occup. OuTLEEDTS RE�sID.oEa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the wor ers' compensation provisions of section 3700 of the Labor Code, I shall - fo with cor)Tply with those ons. X� Date /"-Q(� _-Sigfi'�,fure of �Applican - Owner ❑I/Contractor ❑Agent An OSHA permit is required for excavatiofis over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 57.00 HAZ. D. FEES IMP I FLOOD CDF PARCEL I PO HO ISSUE This,permit is hereby issued under the applicable provisions o{ the Butte County Code and/or Resolutions to do work indica' d abov for which f es have been paid. By to PERMIT EXPIRES ON ' / .te Receipt No. '� LUij $ •uu WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGD ISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538- 41 (Rev. 12/96) APPLICATION'AND PERMIT r ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER IN THE W11 DWOOD TELEPHONE (als-2224 - SO. FT. OCC. BUILDING VALUATIONCHURCH 26 1560 • OWNER'S MAILING ADDRESS P.O. BOX 238 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1560 ARCHITECT OR ENGINEER LICENSE No. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 19QR2 NEW YORK FLAT RD. FORMSTUAIN Energy Plan Checking Fee $ PERMIT FEE $ 57.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: --��nnF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT ng Fee 20.00 800VMain Service 200A OR LEOR SS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER Y License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License r the following reason: LZI, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 'I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the wor ers' compensation provisions of section 3700 of the Labor Code, I shall h cc ply with those o isions. Date Applican ❑Owner ❑ ontrac gent it is required for excavati s over 5'0" deep and demolition or construction ver 3 stories in height. tD.S7 Main Service 200A TO 1000A 46.00 r@7.50 NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. SO 3.5¢FT: NON -R SID. T.MULTI-OUTLET APPARATUS S SINGLE OUTLET CIR. 0 Ex. OCCU zo � 1.00 OUTLET OR FIXTURES 920 @ .0 FIXED APPLNS. OR 5,00 Ex. Occup.OUTLETS RESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 57.00 HAZ. p. FEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE Th• ermit is hereby issued under the applicable provisions the Butte Co u ty Code and/or Resolutions to do work Indica d above fWwhiches have been paid. to PERMIT EXPIRES ON 6 ate 302035 $57.00 .D. CANARY•ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 -.,.,COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION �.7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ;� P MIT NO. ' (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NU BUILDING PERMIT r OWNER `� �� TlLFDNONE SO. FT. OCC. BUILDING VALUATION OWNERS MAUFa ADDRESS CONTRACTORS NAME �c9-L TELEPMONE G 7s -ZS z CONTRACTORS MAJUNG ADDRESS CONSTRUCTION LENDER LENDERS MARINO ADDRESS Fireplace , Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Felin Fee $ 20.00 ARCWECT OR ENOWEERS MAILING ADDRESS Permit Fee $ oo Plan Checking Fee $ suaowo ADDRESS vpgz, Ow yOa -gyp/) Energy Plan Checking Fee $ To2wE5-(-Dwl�) $ PERMIT FEE $ LAT NO. SUBONISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE - SF O Duplex ❑ Mobilehome O Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New O Addition O Remodel O Utilities ❑ Installation O Other O Describe Work: LffCE /P� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE 't ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2�o.A on LLEESS 23.00 . . Main Service 200A TO 1000A 46.00 NEW CONST. DWE=G OCCUP. 3.5¢so OR ADONS. b ACC. BIAS. ONS • MULTI.OUTLET NON•RES10. @7.50 POWER APPAMTLS b SwGLE OUTLET CIR OUTLET OR FDRURES 20 O 1.00 EX. OCCU SAL .S0 EX. OCCU O.FIXEO APP'6.) OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 1 20.00 Hood I 1 6.501 1 PERMIT FELE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC 'Ns"' TOTAL FEE $ 5 . ID.FEESI IMP I FL000 I CDF IPARCELI PO ND -UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON 1 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 budding permit ; n.Q be issued until this verification is received. 1. personally pl to provide the major 1 or and materials for construction of the roposed pro erty.improvement : YES[ NO[ ]. Z. I HAVE[T] HAVE NOT[ - ]signed- an application' for a ding' permit for the :.: - - roposed work..., 3. I have contracted with the following person (firm) '- to .. provide, -the proposed construction: NAME: )OA) c ADDRESS: CITY: - . :..... , PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person -to coordinate, supervise, and provide the major work: NAME: ADDRESS: t;trY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the followingp.emi ns to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: "PROPERTY OWNER: ok_ol _/I/ SOCL.kL SECURITY NUMBER: DATE: '7 NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. May 1995 2.26 .......................... O.B.-1 -00 h�6ow1w,"'MMIRS-M M Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. .. . For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with. the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any .persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you. are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ^. 0 There may be financial risks*for you if you do not carry out these obligations,xand these risks.are•especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the' Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your y obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial C Accidents. If the structure is intended for sale, property owners who are not licensed contractors are.allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This 0xne;-Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 _ _ 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ^ ' . 1;V 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 3 Signature of Permitee or Agent Receipt No. lek 744 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or' resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Da� te- Date BUILDING OwnerCurichi JAI Tlig= VVILD(AZOOD SO. FT. OCC. BUILDING VALUATION Mailing Address /Cd Telephone No. Contractor Mailing Address � A3 t3 Fireplace Total Valuation Telephone No. ark 7.249, Permit Fee Building Address_ B Plan Checking Fee&/or Penalty �Qt Permit Fee s / 5, J. PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 F0Q$GBrd Repair drainage or vent piping 1.50 A. P. No. — Z Zoning & lanning Water piping 1.50 Each gas water heater or vent 1.50 Sa ' on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parc royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER 2� Permit Fee $ $ .4D / //1/�L��l��N DO� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 5,0e> 800V OR LESS Main service 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L 100 AMP 2.50 Main service OVER e O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST DWELINGOR ADDNS. ACC`BLDGS.CCUP. 7i1 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: MULTI NON.RESIDNEW CONST_ -OUTLET R BRANCH CIRCUITS/ 2.50ea j5 S, NEW CONSTR. (POWER APPARATUS.5 NON.RESID. SINGLE OUTLET CIR. Ex. Occuv(OUTLETS OR FIXTIIRES :50 L@; Ex. Occup. (0 'TLETS P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 I, License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee �$ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. al have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 3 Signature of Permitee or Agent Receipt No. lek 744 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or' resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Da� te- Date k C�lui'2t� 1� TV%i COUNTY,,OF BUTTE - DEPARTMENT OF PUBLIC' WORKS 7 County Center Drive, Oroville, CA. 95905PHONE: 916-534-4541 4 �'Ott'6ES'i� s DATE � . % 7 RE: �P, Ate' 1157-7q A.P. With reference to the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet —X Building Plans CEJ �* Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Labor Code Information List of,Codes Enforced OTHERDIGS Cr ENgR��1 Ct+'yPttQ�C� S'TAZEM�NT We need the following information: G Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractors License Law information or check exemption statement. Letter authorizing signature of Complete plans in including plot plans. Plot plans in Structural details in Complete plans in prepared by registered civil engineer or, architect. Engr. calcs. 1736 sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 695 Oleander Ave., Chico 7 County Center Dr., Oroville ` Skyway & Elliott Rd., Paradise Planning approval from Butte County:Planning Department, 7 County Center Drive, Oroville, for Copy of recorded parcel declaration. Recorded copy of deed showing OTHER 'PLWS W %N Ce �l erL44 COlrip 1.1 �:AiC�i . STATIM �I�T tJ� 1SiAh. rtowou NBC Ckul ST tt Ct &4ST60% ' S ILCOW TO P2001019 9W rom., rio "ro �x�sTit�lGe M�h1.T�— PV�(LLX�rs tZifV` . A M�Scta, Q'�s�'►�T F.��s w�u, 33E n� da�a�o Should you have any questions concerning the above, please contact this office. JFG:dd Yours very truly, - Clay Castleberry Director of Public, Glander Chief Building Inspector 6774-78P,E ., .PERMIT N0. ' PERMIT EXPIRES OWNER Church in the Wildwood • CONTR. owner 73-18-72 LOCATION (A.P. 1 ;E/S New York Flat Rd., app.1250'S.of Oro-_ Forbestown Rd., Forbestown t • Temp. Power Pole 4 Called PG&E Temp. Elec. Serv. Called PG&E • Temp. Gas Serv. ` Called PG&E JOB % S/_ 7 FINALED ! O (Date) t (Sign ture) l (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY -OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING F wall S 1 Piping Par ets loor \back ldg. - Restr m Finish Floor in s Window oor wall Siding $Fixtures Slab Roof Sheath i I Piers Roofing GarageFdn. Vents Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings V Prov. for physically C nonffdicoror edmance Cof ex. structure x Appliances Gas Piping & Test Temp. Gas Slab A Final Sanitation Patio F EPL CE Final Footings Footing ECTRIC Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Bea IRE SPRINKLE Motors Framing Test Water Htr. Stucco Final Sub ane - Mesh MECHANICAL Grd. F161t Prot. Scra h Heatird Servi Brg4n Cool g T mp. Pole nish Du is nder round I erior Lath X ntilation Permanent o Closer anal Inal 460 0 MOBILEHOME UTILITIES Elec. Service Elec. Pedestal IOZ /4-' " Water Piping — z k—Z �' Sewer „2 ,•� p, 'Gas Piping IgXP57 7"- �` �j '/�e✓L%�F�� M 1 E OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) t ' _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 • Telephone: 534-4541 APPLICATION AND PER BUILDING Owner twiz&4 10 T}r--ILt7W0OD SQ. FT. OCC. BUILDING VALI Mai lingAddress R o ,B ©x Z-3 el �IeB-eS WIV CA �r✓� t Le0on Contractor owm &F— 5i -/,7p Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Nc—W Yom aar JeQPVD Plan.ng Fee&/or Penalty Permit Permit Fee AP F, or 012,0 Ufff- PLUMBING No.1 @ FEE �CJ� 7DW/V D� PERMIT FILING FEE $3.00 ,O0 Each Trap 1.50 ,Repair drainage or vent piping 1.50 �7 qJ A. P. No. / —1 2'72, Zodirlg�on ng Water piping 1.50 /0,00 Each gas water heater or vent 1.50 0 o F S t n FireDept. Fire Zone Use Pe )t Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel p 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 .0 /� Bldg. Plan ,c'd Parce A rovol Plans ppr0vaI Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑permit Fee $ & Rli W( -AVE O i. 1.14 ' LTV ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 -3.00 Main service 100 AMP ORSLESS 5.00 . o0 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100 AMPP OR LESS O 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. 4)22sgft OR ADDNS. ACC. BLDGS. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name style of: y NEW CONSTR_ /MULT LOUT LET NON.RESID `BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS 9 NON-RESID. SINGLE OTLET CIR. U Ex. Occup (OUTLETS OR FIXTIiRES g L 1W Ex. Occu FIXED TS (RESAPPLNS. OR \ 2.00 P•�OUT LETS (RESID.) EAI Temporary service 10.00 Mobile Home Facilities 15.00 /3;6?0 License No. Classification Misc. Wiring 6.25 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ .00 MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. PERMIT FILING FEE $3.00 Heating Cooling certify that in the performance of the work for which this Ventilation permit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 2.00 California. Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. / �7 XZDate 1) Signature of Permitee or Agent Receipt No. 110 ` ;1_3W White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Land Development Fee $ 24% 00 TOTAL PERMIT FEE $(V This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT 0 BLIC WORKS By Date // 2-/?� wilding permit expires Date 14-7-/-2 E UST beThis . 'kept on the job at all tirocs end it is unlawfcel !q NOTE—All Materials & Workmanship Shall Be m ma4 e any ch � �s '� or alter`t'sons on same wifl o;A Accordance with Recognized Good Practices and writ�4Qn permi�sioz groin the Department .of Rub- Butt®. of a quality prescribed far the Specified use m the Plumbing & Mechanical Codes and IIS Works, Count of Y Uniform BLAIding, the National Electrical Code. Septic system on'd location to be as per Butte County. Health Dept. Re- 5 quirements. a 1 —_ — ..� r The Setback. shall be 5 ft. from the Zfda property line end 50 ft, from the "Mferline of the road, permitting a maxi- mum of a 2 ft, eave overhang but entirely 90 of all easements. 'tions shall ac utility 4 {t. outside theh me t.ea writhi x the m°bile bile the. hi sec's on al side °{ on bete I • a —AmwA—f 774c BUTTE COUNTY - '� 6UILDING DEPARTMM J- APPROVED r 420 C4 �4i 6445-78MHI ak----�aPERMIT N0. PERMIT EXPIRES OWNER CHURCH IN THE wTT.Tij�nn CONTR. Mc -Mi 11 nn MT4 Int - LOCATION (A.P. 73-18-72 ) E/S Brownsville cutoff, 1250,' S of Oroville-Forbestown Rd. Oroville ' r i r (� a F f . J Temp. Power Pole t Called PG&E ' Temp. Elec. Serv. i Called PG&E " /Temp.Gas Serv. led PG&E _�ED X 17 (Date I (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS •a �' BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab 4toof Sheathing Wat i in Piers Ro ng Is L.*War Garage Fdn. is Fixtures. Footings Stemwa I I Garage Vehks Insulation Water Htr. Heaters Slab Carport Footings Prov. for physic ly handicapped Conformance of ex. structure z Appliances Gas Piping &Test Temp. Gas Slab Final X Sanitation Patio F EPL lk Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Te Water Htr. Stucco nal 4Subpanels Mesh MECHANICAL GX Fault Prot. Scratch Heating Servl Brown Cooling Temp. le Finish Ducts Under rou Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES 'V - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal Waterlpiping . Sewer Gas Piping MRS16EHOME INSTALLATION - - - - -- - - - - - - - Support — Elec. Continuity Water. Piping — — a K zl_,_/ Drainage /,---- Gas Piping — —? DATE Ay REMARKS OR CORRECTIONS �� C' Al -L, Sc Ro'160-17 f O--rJ' �., 12 CNS Dd 2 (y.. ' dat 1. fi[,//��� p2 4k"/1oat p f i2e i1 ccJ oo JL_>v 5 ?- p RrA19 REAM/7 � � 1 /A6 0 &agv /'.-. IE C,7` liso)c W t ��� UT -(Li r% ®� � (NOTE: An entry must be made on this form each time you visit the job site.) i COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter ,5, under permit number t/ for the following location: Owner CAukr-J� /AV 7/-1Z Z-o/l'DW00� Owner's Address V' a©X a3 Mobilehome Mfg �,4,f 11-1/FLS1— Model-3& I PC Year7 Insignia No^-At- n-OJ1Q'2 A o-->,4-3--)k Serial No.' It is hereby certified for occupancy at the above described location and may be occupied. - Director of,Public Works Date//– �- 7 X B �4 Y� Yn�//Vexl THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 T APPLICATION AND PERMIT A autnor)ze representatives or the county oT t3utte to enter upon the above-mentioned property for inspection purposes. X Date 1 ign Ju re of Permitee orAgent Receipt No. Z93�g White-D.P.W. - Yeflow-Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PXJBLIC WORKS Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I ing Address Telephone No. Contractor /11&1t71'l( ` Mailing Address by, � � Fireplace Total Valuation /) TeAne No. l Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 —/Water A. P. No. 73 v nisi & Planning Water piping 1.50 Each gas water heater or vent 1.50 Few C. Saa4eth1 rl Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovement p Each additional outlet .30 Building sewer 5.00 Bldg. ans Recd Parcel roval Plans ravaI Lawn sprinkler system 2.00 NEW Q ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ is 75- ELECTRICAL No.1 @ FEE FPERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home �i� Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100 AMP eoovOR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELING' OR ADDNS. ACCLBLDGS.CCUP. 4) 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: iY�112 AW-ih- A/6-z&Y e NEW RESID. BRANCH CIRCUITS) NON-RESID, ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS .& NON-RESID. SINGLE OUTLET CIR, Ex. OCCUD{OUTLETS OR FIXTIIPES IB L1� 0¢ Ex. OCCU FIXED APPLNS. OR Occup-(RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 • l 'G� License No.,��7�_ Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 PERMIT FILING FEE $3.00 Heating Cooling I Ventilation Hood 2.00 Permit Fee $ Land Development Fee $ $ TOTAL PERMIT FEE $ 7 p{ autnor)ze representatives or the county oT t3utte to enter upon the above-mentioned property for inspection purposes. X Date 1 ign Ju re of Permitee orAgent Receipt No. Z93�g White-D.P.W. - Yeflow-Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PXJBLIC WORKS Building permit expires Date OTE:—AII Materials & Workmanship Shall Be in _ �= ccordance w4h Recognized ,Good Practices and f a quality prescribed for the Specified use in the niform Building, Plumbing. & Mechanical Codes and e National Electrical Code. This set of plans and specifications MUST bi', job at all. ti,°i1C'-s and it is unlawful, kept on the j f make .`„y cl�e�ng^s or alAeralions on same wrleen permission from the Department of Puts, lia -Works, County of Butte. Utility Zc nnect-ions shall be ated within ft- outside the rear •d section of the side of mobile bs mobile the le rt (rocd' me. BUTTE-CtUNTY BUILDING DE ARTMEN`I APPR VPD, .o .a r BUTTE COUNTY DEPARTMENT OF'PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name :�,c�.�,. no, /. (Amps) 2. Installer's name: �IilIP-14 -JI-61L /—61 Ir Z2OP-1 6.Lert1le- 3. Is the site currently under permit? Yes / / No mobilehome site gas pipe size. -------- -------------- in. (� ) 10. 5. What is the mobilehome electrical rating? ----------------------- Amps - ( If Yes' -,furnish permit number the ) OR Is the site an existing site? Yes / No the mobilehome site circuit breaker rating? ------------- (If yes, furnish two (2) plot plans.). Is there any other electric load to be served -by the mobilehome 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 77 site service? ---------------------------------------------- ---- Yes / / No ,—.�.. ( If no, clarify (Amps) 9. What is the mobilehome site gas pipe size. -------- -------------- in. (� ) 10. 5. What is the mobilehome electrical rating? ----------------------- Amps - 6. What is the mobilehome site service rating? 7. What is the mobilehome site circuit breaker rating? ------------- / Amps 8. Is there any other electric load to be served -by the mobilehome site service? ---------------------------------------------- ---- Yes / / No ,—.�.. (This information not required if pipe length less than,6 ft. on natural gas or less than 50 ft. on LPG.) (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size. -------- -------------- in. (� ) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the • mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than,6 ft. on natural gas or less than 50 ft. on LPG.) MOB ILEHA`�' : S'8PPOPT DATA If other -than -single wide, Mobilehome Mfr.% &,_Ia L furnish Setup Model No -29' bQZ,°*,3U�•: Year Width2cj( _(ft.) Box Lengthje,' C) (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. (ft.)(in.) Center support locations* (ft.)(in.) (ft.)(in.) (ft.)(in.) n Single / \ A X16.4 75 (in.) (in�) Center support footing sizes (in.) X16, (i -n.) (in.`Rfl � A (in.) 0 x WWI (in.) (irk.) f .. xJj (in.) (in.) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Footings (check one) Ej 1. Wood either pressure treated or foundation grade. Other her (s ecify) Supports (check one) . Concrete block. Other (specify) agalong or Expando, how support details. a q x#_1 -- Typical Support (in.) ( Footing Size -- Max. Pier Spacing Max. Overhang (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED /zr ° PERMIT NUMBER _ B 650-74B, P, E P f I,� I E #I L PERMIT EXPIRES_ 7L -+ OWNER Church In The Wildwood Owner. CONTR• 'LOCATION (A.P. 37-21-$0` % 3-1 J-�-2 Z , E/S Brownsville cutoff 1250' S. of Oro-Forbestown Rd., Forbestown �' COUNTY OF' BUTTE Department of Public Works ' BUILDING INSPECTION RECORD Zoning Setback �- Forms ,2 Foundation Rgh. Plumbing /'��--� ��� Piers & Girders Bond Beam m� c� ':�� Fireplace ' -Lath & Plaster' 5_e_;t1, 1-e Rein. Steel — Gas Piping & Test Found. Vents G%e '23 — Framing Plmg. Topout[ Rough Elec. '--;2,A Wtr. Htr. ' Furnace {1 L : f t�"L l Kitchen Vent Firewall f / 42_5 / Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary J' —7�_ Temporary / Cert. of Occup. • �� '� �b Final Final Final DATE REMARKS OR CORRECTIONS ms's d C' -s Owner UIUA Mai I i ng Address Contractor �f Mai I i ng Address Building Address COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR 7, County Center �,)rivA F OroviIle, Cal i forni a 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING / .SQ. FT. I OCC. I BUILDING VALUATION Tele hone No. Telephone No. r A. P. No�� --a Zo sW61S A ion iFire Dept. FireZone EQA I Parking I Parcel Parcel Ma I 60' Rlwe Plans Declaration p Bldg. PFans Recd I ParceT'/C proval NEW ❑ -ADDITION UTILITIES ❑ Single Family ❑ Duplex ❑ Mobil Home ❑ Planni Improvements Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping ,Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system' Plan pproval Permit Fee OTHER ❑ ELECTRICAL PERMIT FILING FEE c f Main service incl. 1 meter Additional meter , each Sub -panel (t r less) (morethanl: Others Range, Cook -top or Oven Water Heater or Space FVater LiqAtlixtures RaeW.. swi s & fix aets CONTRACTORS LICENSE LAW Hood, Ex. Fan or F.A. Furn. Motor I am licensed under the provisions of Chapter 9, Div. 3, of the Evap. cooler, gar. disp. or D.W. State of California Business & Professions Code under the name Air conditioner or heat pump style of: Water pump License No. Classification `I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑1 have placed on file with the County of Butte a certificate of �Workmen's Compensation Insurance. 0- , certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 tobuilding construction, and hereby authorize representatives of the County of Butte to enter upon the above -men oned property for inspection purposes. X /3�vw-f �v +.(iC! Date Signature o Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Mobil Home Facilities Temp. Power Pole Misc. wiring - - FEE =I _WAI 01 MM mi I I P20 'i §, Permit Fee $ MECHANICAL • No. @ I FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ TOTAL PERMIT FEE ist This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 PUBLIC WORKS By Date c�_Z�(- 7 wilding permit expires Date...................`(-L�(- 7.4'- � � � ;1•i, J , COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS � _7CL 7 County Center rive Oroville, California 95965 d ' ^ Tel ephon: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X .(,t�t�//�;f7'it�r Lli) Date A2 —.,2 9 -7Y Signaturem of Pei/itee or Rgent Receipt No./.! White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ' IRECTOPeOF PUBLIC WORKS C` ByDate l.1 s s �°-7y �uild+r�g permit expires Date ............................................ BUILDING Owner C t,(�C p� //t( ^Thi€ Wl{ -Paloob SO. FT. OCC. BUILDING VALUATION Mai I ing Address c;126 Telephone No. — Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checki ng Fee &/or Penalty Telephone No. Permit Fee Building Address 1 a DF PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Q5D' 160, QF ,0'0 %4,kE Each Trap 1.50 FO e -B •,. �, ` Esma)Ai kb,N Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. , Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Imp rovements p Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION [JUTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3.00 E1,.EL—rkIe_ Pon- Main service incl. 1 meter . 3,0Q Pjt—_-4f `7+- -Xt 6s-� .. -7 Additional meters, each 1.00 •, Sub -panel (12 oc less) (more' on 12) .6-0 Single Family ❑ Duplex ❑ Mobil Home ❑ Others JK Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbai a?o Receps., switches & fix outlets b CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap.cooler,gar.disp.orD.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ o 1 $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner soas to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ e authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X .(,t�t�//�;f7'it�r Lli) Date A2 —.,2 9 -7Y Signaturem of Pei/itee or Rgent Receipt No./.! White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ' IRECTOPeOF PUBLIC WORKS C` ByDate l.1 s s �°-7y �uild+r�g permit expires Date ............................................ *,_JW W JOutte OROVILLE, CALIFORNIA GENERAL CLAIM Melvin E Kasper CLAIMANT: ' p P:O. Box 276 ADDRESS: CITY &STATE: , Brownsville, CA. .95919.IMPORTANT: October 20; 1978 SEE INSTRUCTIONS .. DATE OF CLAIM: - ON REVERSE SIDE.- SUBMIT IDE.SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY; TO AVOID DELAY) AMOUNT —(Contra Owner (Church in the Wildwood) decided not to build. ter requesga refund) (Permit Appin.-#4822-78B,P;E - AP 73-18-72 -'Receipt #179145). --Retain Building permit fee ----- $64.00 , X13 Amount of•refund•due--------------$ 42.67. Plumbing permit.fee --»-- $ 9.00 --»- ount of xefund•due--------------$ 6.00 Electrical permit fee --- $13.90 ----- Amount of refund due -------------- 10.90 O= REFUND DUE ------------------$ 59.57 $59.57 TOTAL $59.57 I, the undersigned, declare_ under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Datedthis .................................. day of ............................. 19....... at................................. Calif................................................................................:.... t Signature of Claimant I, the undersigned; hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation or Specific Board Approval❑ (Check one) for the'same. 20th Oct. 78 Oroville Datedthis .................................... day of ............................. 19....... at .............................. . Calif...................................................................................... Department Head or Authorized Deputy ' Dept. Exp. Code............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE, ONLY VENDOR CODE DEPT. _ & SUB. PROD• SUB. 0BJ. CLAIM NO. INVOICE NO. INVOICE • DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. INSTRUCTIONS— to CLAIMANTS All claims against the county must be itemized, giving dates and character -of sctvicu .recld�rtd or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be Certified by the claimant and submitted to the De - pat tm rt head for appriovzd. Upon approval the Department head will forward claim to County Auditor for payment procedure. Ido not filc with the Cou .ty Auditor first. Claims shcs.zid be. presented to, officials for approval immediately upon, completion of services requested or material ordered. laims are paid even- Tuesday; however, same must be approved by officiais and in editor'.,3 office before preceeding Wednesday noon. Compliance with above will. expedite payment of claim, failure to do so .may delay payment considerably. r INSTRUCTIONS— to CLAIMANTS All claims against the county must be itemized, giving dates and character -of sctvicu .recld�rtd or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be Certified by the claimant and submitted to the De - pat tm rt head for appriovzd. Upon approval the Department head will forward claim to County Auditor for payment procedure. Ido not filc with the Cou .ty Auditor first. Claims shcs.zid be. presented to, officials for approval immediately upon, completion of services requested or material ordered. laims are paid even- Tuesday; however, same must be approved by officiais and in editor'.,3 office before preceeding Wednesday noon. Compliance with above will. expedite payment of claim, failure to do so .may delay payment considerably. --'COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS 7 Count�'y Center Drive - OroviIIe, California 95965 J/ � Telephone: 534 -4541 -- APPLICATION AND PERMIT / authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Xy� ✓✓i -�/� c+� Date 75 - Signature 5 - Signature of Permitee or Agent Receipt No.- White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date BUILDING Owner� uQr-1+ —f -HE A%!LD woo D SQ. T. OCC. BUILDING VALUATION 09�o Mailing Address • o 1 80 x /3341 6,h— Telephone No. Contractor PEZ-V041 KAS PEZ Mailing Address P0, goX .97(o Fireplace C S OD Total Valuation 576- �l/J ,8e WAc SVILLE C4 Permit Fee Building Address Els A16A)yp_PAeF(47_)9V,40 Plan Checking Fee&/or Penalty Permit Fee rD0 � /;2 OF OeO- FO,e9651-7U, 41 Rib. PLUMBING No. @ FEE PERMIT FILING FEE $3.00 :3 " Each Trap 1.50 Se? pp Repair drainage or vent piping 1.50 2 p '1 A. P. No. 73-�0 —70` Zoning & Plonning Water piping 1.50 /e�b Each gas water heater or vent 1.50 F s Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans ParcelEach I Declaration Parcel Map 60' /W Improvements additional outlet .30 Building sewer 5.00 Bldg. Plok Recd Parcel A royal 41 P s Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 3, 00 0V OR Main service 100 AMP ORSLESS 5.00 HT1/ Others J Single Family ❑ Duplex ❑ Mobil Home WV_ U Main service EA. ADD'L 100 AMP 2.50 Main service OVER eo0v 25.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 1.00 NEW CONST. ( DWELLING O 4) 20 sq ft Or90 OR ADDNS. ACC. BLDGS. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of-� vtjyc e� &k; 4_ NEW CONSTR. MULTI- LET NON.R ESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS fi NON•RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTURES B 1C¢ FIXED APPLNS. OR EX. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ,. License NoJq - "6 Classifications Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 buildinq construction, and hereby PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ Land Development Fee $ $ TOTAL PERMIT FEE $ 940 p authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Xy� ✓✓i -�/� c+� Date 75 - Signature 5 - Signature of Permitee or Agent Receipt No.- White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date i PERMIT NUMBER - B 180-68 t P 163-68 .y E 144-68 ._ . PERMIT EXPIRES f/_67, OWNER Church in the Wildwoo ' CONTR: , owner LOCATION (A.P. 37-21-80 i e/s Brownsville Cut-off 1250' so. of Oroville-Forbestown Rd.,- Forbestown .r� V w 6 F r Tom.,f � /Z u 0 COUNTY OF BUTTE Department of Publ6c :Works Zoning BUILDING INSPECTION RECORD Setback -bY Forms v - 19�eq Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Loth & Plaster Rein. Stee Gas Piping & Test Found. Vents Framing Plmg. Topout Rough Elec.- Wtr. Htr Furnace Kitchen Firewall Garage Vents Sanitation & Water 9161- ELECTRIC GAS BUILDING Temporary Final Temporary Final 17 -Il ZIP Cert. of 0 up. Final DATE REMARKS OR CORRECTIONS Tom.,f � /Z u 0 114 Permittee Owner Mailing Address Contractor Mailing Address BLDG. Ad.dress 0OUNTfU.TTE`'dF B DEPARTMENT OF PUB -LIC WORKS '7 County Center Drive - Oroville, California 95-96.5 Phone: 533-1230, Ext. 259 APPLICATION AMD BUILDING P E R M I -T 4 A. P_ No. 0. I loo Zoning I Sanit a.tio n 'Lan is Fees W..C." -P Planning �-i. NEW ADDITION F-1 REPAIRS OTHER E] Others F 0 U N D A T 1 0 N MATERIAL EXTERIOR. PIERS Single Multi USE: OF STRUCTURE''Family Duplex Dwelling Others Width at Top ......................................................................... ............................. License No . Classification and certify that the aforesaid. licens'e is in-fuIl'force and Width at Bottom .......... I .................. . ........................,,,,,,;••••••,••••••,•, effect.' .6-.,'OWNER-B,UIL-DE,R'& OTHERS COMPLEtE'THE *FOLLOWING: fesj I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because.(ch6ck one): Depth in Ground 0 I am the owner of the above property and I will' contract to have all of the -above work p'erf6rmed bylic,4nsed qontractors. SQ. FT. OCC. BUILDING VALUATION R.W. PLATE (Sill) SIZE SPACING' SPAN ............................................................................... ; ............ . ............................................................................................ ......... ............. ...................................... 4— Girder's ................... ........... ........ .............. 4 ' .W6'RKIAEN'S COMPENSATION *,INS6;FIA;NCE am aware., of thelprovisi,on"s.of Section' 3700:of tl�e California Labor Code which requires* every employer to be insured against liabil- ity, for Workmen's Compensation. I- Joists- 1st Floor haveplaced on file with the County of Butte a certificate of compjia�nce or proof oCe xemption• pursuant,!o Section 3800!" I certify'that I have' read this application and state. that the'" above information' is correct,,iind, agree tocJ, � , ompl� to all County This BUILDING PERMIT is hereby issued under the appli -_ — - Vde Joists - 2nd Floor cable provisions of the'He�aIih—qndS'afe`ry C%`7"rheC111P an • ordinances and State Laws relating to buildinf6�rnia-Adi�i"n'is—tra"ti"v—e-"Co-dF- g construction. Joists - Ceiling DIRECTOR OF PUBLIC WORKS X ......... ... -Date ............................................................... ............ ............. Total V aluation fe Exterior Studs JI Permit Fee erJ Interior s+ Studs ermit Expires Date............. .P .................... Plan Checking Fee &/or Penalty Roof Rafters Total Permit Fee Bearing Walls -CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleof ................................................................................................. ......................................................................... ............................. License No . Classification and certify that the aforesaid. licens'e is in-fuIl'force and .......... I .................. . ........................,,,,,,;••••••,••••••,•, effect.' .6-.,'OWNER-B,UIL-DE,R'& OTHERS COMPLEtE'THE *FOLLOWING: fesj I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because.(ch6ck one): 0 I am the owner of the above property and I will' contract to have all of the -above work p'erf6rmed bylic,4nsed qontractors. .(Sec. 7-044). KN , I am the the. above property an nolt itnte�nd t' offer it iol�ll date 7.1 p 0 ale for one frorn'the da' '... year of compled o*n of the imp'rovements. (Sec. 7044). Basis, if for any, other statutory exemption. ......................................................................................................... ........................ ............. ............................................................................... ; ............ . ............................................................................................ ......... ............. ...................................... .................... .............. .............................. .... .... .. . ...................................................................................... ................... ........... ........ .............. 4 ' .W6'RKIAEN'S COMPENSATION *,INS6;FIA;NCE am aware., of thelprovisi,on"s.of Section' 3700:of tl�e California Labor Code which requires* every employer to be insured against liabil- ity, for Workmen's Compensation. I- haveplaced on file with the County of Butte a certificate of compjia�nce or proof oCe xemption• pursuant,!o Section 3800!" I certify'that I have' read this application and state. that the'" above information' is correct,,iind, agree tocJ, � , ompl� to all County This BUILDING PERMIT is hereby issued under the appli -_ — - Vde 1 1, cable provisions of the'He�aIih—qndS'afe`ry C%`7"rheC111P an • ordinances and State Laws relating to buildinf6�rnia-Adi�i"n'is—tra"ti"v—e-"Co-dF- g construction. 1k DIRECTOR OF PUBLIC WORKS X ......... ... -Date ............................................................... ............ ............. .... ...... .. .......... SIGNATURE_OF PERMITTE-EfO , R AGENT 47— By ........ ....... .. ....... .......... ............................. ..................... % Receipt -No. . ........ APPROVED ............. ermit Expires Date............. .P .................... ;no 0aUN` 1"' OF BUTTE s - DEPARTMENT',OF .PUBLIC WORKS 7Xounty Center Drive - Oroville, California 95965 Phone: 533-1230, Ext. 259 A P P L ICA T I O N_ AND PLUMBING P E R M I T Permittee Owner �-'� �C'. �-�'O� A.P. No. ''2 1/117 Mailing Address Contractor Mailing Address t BLDG. Address /l K/ �-'C� [! �%�'14 7-Z_�--.,•-, l/� Tom— DESCRIPTION OF WORK No. NEW ADDITION ❑ REPAIRS r_� PERMIT FILING FEE Each fixture or trap or set of - fixtures on one trap (� OTHERS: Repair or alteration drainage or vent piping Remarks: Installation or repair water piping t- -- — Each, gas water -heater or n gas,heater.vent� USE OF STRUCTURE ' Gas piping system 1 - 5 outlets Single Multi RESIDENTIAL Family Duplex ❑ Dwelling 0 Gas piping 6 or more - Each House Sewer OTHERS: t-':/`�>� Lawn Sprinkler system Remarks: TOTAL FEE E @ Fee $2.00 "Z 0--i /.- 1.50 7' 1.50 CONTRACTORS LICENSE LAW , A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name -,style of........................................................................................................................................................................................................................................... License No .............................. Classification .............................................. . and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California+undei Sec. 7031.5 because (check one): 0 I am the owner of the above property and I will contract to have all of the above work. performed by licensed contractors. ' ,/ (Sec. 7044). I 0. I am the owner of the above property and do not intend to offer it, for sale for one year from the date of completion of the improvements. (Sec. 7044)- 1, 1 Basis, -if any, for other statutory exemption,,,,,,,, ' ....................................................................................................:'..................................................................................................::....................................................... ........................................ :........................................................................................................................................................................................................................... - WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption •I puisuant to Section 3800. I certify that I have read this application and state that the above information is correct, and agree to comply to all County ordinances and State Laws relating to building construction. / X�4- !! :� .... .!..... �/ ........... Date i%..�41 �r.. SIGNATUREr OF'PERMITTEE ems ..r.. Receipt No.... - APPROVED .....�" ....... t This PLUMBING PERMIT is hereby issued under the appli- cable provisions of COUNTY ORDINANCE NO. 888. DIRECTOR OF PUBLIC WORKS BY...................:............................................................ Date ................................ CL4 r' Permittee Owner Mailing Address Contractor Mailing Address BLDG. Address " COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Phone: 533-1230, Ext. 259 APPLICATION AND ELECTRICAL PERMIT A. P. No. J 117- •2/I'--O`gC3 NEW FA-1 OTHERS:Main Remarks: DESCRIPTION OF WORK ADDITION F-1METERSERVICE F -1s — -- PERMIT FILING FEE NO @ Fee $2.00 �y Supplementary Filing Fee trul Service / U Range Oven or Dryer r^ SUX7. f)0' CI Water Heater orfHeaten Fixture.&-Rixture-O:uel-eu '?d ZU 20'�U rr3 RESIDENTIAL DTHERS:,- Remark s: USE OF Single Family 0 , STRUCTURE Multi Duplex 0 Dwelling Recepta les or Switches _.____:, '=to Hood or jExhaust P n? J av Evap.Cooleror F.A. Fum. Motor 2 �� Garbage Disp. or Dishwasher 2� Air Conditioner or Heat Pump Water Pump TOTAL FEE CONTRACTORS LICENSE LAW A., LICENSED CONTRACTORS COMPLETE THE FOLLOWING: am•licensed under the provisions of Chapter 9, Div. 3, of the State of C Itfomia Business & Professions Code under the name ` _........................................... 1 �� - _! style of............................................................................................................................................-................. ........ ............... License No. .............'Classification and certify that the aforesaid license is in full force and effect. ............................................... + S..OWNER-BUILDER &.OT.HERS COMPLETE T-HE,,FOLLOWING:�,�� am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): r� Fes, Q I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). .. + t ' ♦ • , t 1 y t - $` �� ,*am the the owaer of the •abovetproperty and�do,not.intend to offer it for sale for one year from'the date of completion of the -. _ I` • J impro've`ments. (Sec, 7 44). i QBasis,.if any, for other statutory exemption..............................................................................)...........................................................................: , - ..........:..................................:...................................................................................................................................................................................................................... ' WORKMEN'S COMPENSATION INSURANCE I am•aware of the provisions of,Section 3700'of the California Labor Code which requires every employer to be insured against liabil- ity for Workmeri's Compensation. I have placed on'file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct, and agree to comply to all County ordinances and State Laws relating, to building construction. /..:................................................,................. Date ..................................... / % SIGNATURE40F PERMITTEE OR -AGENT l Receipt No. .Y .... APPROVED ...................... This ELECTRICAL PERMIT is hereby issued under the appli- cable provisions of the-44ee1th.'and-Safety..Gode-and-.che Gal=if- -fen3.e-Adrmi.F*i.stt•ati<ve-Code-.and. County Ordinance #$-64:p97 DIRECTOR OF PUBLIC WORKS By.....~ .........::-rl'e-!?.,.....Date ................................. 1 Permit Expires Date,,, 9S Pi 9 �>uZ.vwv�v�e 7-57 Utill •�_ ®/-G1/�c�C G�ro�tiU/l�Ig PERMIT NO. _ 3952-75P2E E /QO4-0 14 lw ® �Z L/ % MH UTIL. r /� PERMIT NO. PERMIT EXPIRES —76 OWNER Church of the Wildwood x CONTR. LOCATION (A.P. 73-18-72 ) I e/s Brownsville Rd., 12001 S. of Oro-Forbestown Rd., Forbestown ♦.4 4,r • a � •_• l:,F\ „may � L 1 t a Temp. Power Pole Called PG&E r ? Temp. Elec. Serv. f Z4 7 f ! Called PG&E I ! Temp. Gas Serv. -7 Called PG&E Jc. M !FINALED 14-7�i (Date) (Signature) f. w COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS `BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback 10 h> — ��� Firewall Soil Piping .1 Forms `- Parapets 1st Floor Main Bldg. Restroom Finish + 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping' !J Piers Roofing Sewer ; aZ . ; Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwal l Slab `Prov. "fo'r'physically handicapped Heaters Appliances Carport . Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio i FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service - Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent,- 't Door Closer Final Final DATE REMARKS OR CORRECTIONS 16-/�• 7s r X47 �t> �/gyp 2. �/�`j �i�j//�,l'C✓YS 5d �iKT1- �IJcC /e �u� _G,� 7 / N. tJ. vim; ]� �.�uvc�i�✓l vhC4r- �uiv dic /�+f o Q N �� �s i e, l� c pf���� e e *e �p ld ao u/ / �/ e -,p • � y� /% : !O �� a ,,u�/' j� o-�@' � N o �� cam` e1"'s�f�� .f ,�P f'� C•/tv✓1 9 C s -.s Gle Wrf e- "wolf e,17 -le cp ply �G 5 G T v� Vol r � �/p vaj 4 e eo- Lc✓l/s f/!/�/S�r✓� I G /!GT liOUcX 9. Electrical '39,y _75— A. 75"-A. Is service large enough to provide adequate amperage -to mobilehome-(must•equal rating 6.17 mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Yes C. Is power supply cord or feeder assembly properly fused?. Yes t"IS D.. Is continuity test satisfactory as per the following procedure? Yes i' --No 1. De -energize electrical wiring system of the mobilehome at the pedestal. i 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral.. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, .gas line, water line), including fixtures and appliances, shall be tested for continuity from. such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the+site service equipment.'.A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11.. If everything okay, sign off card and tag seivices. MOBIZEHOME DATA Manufacturer and/or Namestyle Length�j Width Vehicle Serial No. 3 % State Identification No. '�_6 LS /q Additional�n.formation or Comments: /.► -/6 -7 r f t MOBILEHOME INSTAL NE101 INSPECTION CHECK LIST 1. Is the mobilehome located with req d separation from lot lines and buildings and generally conform to plot plan? Yes ;/ No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes `No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note . possible variation at spring shackles.) (Sec. 5082 & 5083) Yes � o 4. Is the mobilehome level? (Sec. 5088) Yes 4- No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No p 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes V'No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes "No, C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes /--No B. Does it have minimum 4" per foot slope and is it properly supported? Yes I/1io C. Are any leaks detected in drainage system after running 3-lons of water through each .fixture incgaluding washing machine standpipe?, .Yes No D. If coach is not State of California approved, does station have required trap and vent? Yes No P jV 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line 1ftlet without reductions other than the mobilehome connector. Yes 1"'No B. Test OK as per following procedure? Yes No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments_. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance. vents properly installed? Yes y No COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Al Owner A4 _777d, v /, Mailing Address �– Telephone_ No.p Contractor No.1 @ FEE Mai I i ng Address $3.00 Main service incl. 1 meter Telephone No. Building Address 1.00 2 p� Range, Cook -top or Oven 1.00 _Water Heater or Space Heater 1.00 A. P. No. / J '� 7 Z— Zoning & Planning F s W<4rirte n -Fire Dept. Fire Zone 1.00 Use Permit EQA Parking Parcel Flans Declar tion Parcel Ma p 60' R/W Im ve ents p ro X87— Parcel App/oval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER �13J $ MECHANICAL Single Family ❑ Duplex ❑ Mobil Home Others ❑ $3.00 Heating CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of:., License No. Classification K X I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this er A permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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. r Al X Dat " 7-7 5 Signat re f Perm' ee or Agent Receipt No. 3,// White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant ?,5- 3-75 BUILDING SQ. FT. OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system @ FEE $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 Permit Fee $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 _Water Heater or Space Heater 1.00 Light fixtures b l"V TM Receps„ switches & fix outlets Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 Misc. wiring Permit Fee $ MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooli Ventilation Hood Permit Fee TOTAL PERMIT FEE $ ,�® Od This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P LIC WORKS By Date B ding permit expires Date7(-,— COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO S 7 County Center Drive =` Oroville,-California 9596549 pt/ Telephone: 534-4541 , APPLICATION AND PERMIT Owner ez_W_L_(� Mailing Address >15510� BUILDING SQ. FT. I OCC. I BUILDING VALUATION Temp. Power Pole Misc. wiring License No. Classification I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heatinq Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of `Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit .is issued I shall not employ any person in any manner so s to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date % 7 5 $;'g`n ot �;7e<KPermit or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Coo I i 0® Telephone No. 4 A Fireplace Contractor -9 Total Valuation Mailing Address Permit Fee Plan Checking Fee &/orPenalty Telephone No. Permit Fee Building Address PLUMBING PERMIT FILING FEE p -p Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent A. P. No. 73 •-' —r o2 �Zonin n Gas piping system 1 - 5 outlets Each additional outlet FLles / YU!C. Fire. ept. Fire Zone Use Permit Building sewer EQA Parking Plans Parch Declara ' n Parcel Ma 60' R/W Im rov ents p Lawn sprinkler system �®grPIans Recd Parcel A/royal Plans Approval Permit Fee NEW ❑ ADDITION ❑ UTILITIES [gOTHER ❑ ELECTRICAL - PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil HomePd Others ❑ Range, Cook -top or Oven Water Heater or Space Heater Light fixtures Receps„ switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole Misc. wiring License No. Classification I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heatinq Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of `Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit .is issued I shall not employ any person in any manner so s to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date % 7 5 $;'g`n ot �;7e<KPermit or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Coo I i 0® M- MUM $ ;z/, Oo @ FEE $3.00 Ventilation Hood 2.00 Permit Fee $ TOTAL PERMIT FEE J$ S-;fJ00 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Date -fig permit expires Date'� _e "776 7009 FLORIN-PERKINS ROAD SACRAMENTO, CA. 95828 PHONE (916) 383-4114 E ken+ on the iob at all times and it is unlawful to X rrN' r.nv cllrin.aes or alterations on some without 7o T 41e,!� t AlI' ■ , iii■:..���►�".? T ■ MEN mom ■ ■ , ■■■ ■ ■■■ E!, =■�.. ■ ■■■■ on on ■ ■ . M ., EMM■■ ■ME mom nNMI ■■ ' ■ ■ , 0 No ; ■ ■MMM■1E mom , :1■M■■■■ ■■NEM _ ■■ ■ OMEN ■ ME ■■ ■ ■MEN No 0 MONO mom MEN ■ ■ MEN■ No A r ./■EOM ME ■ V e .�■MOEN 0 ■ ME o N4 /1-t 15411 1144�es Thee Setback shall be 5 ft. from the side property line and 50 ft. from the centerline of the road, permitting a maximum of a 2 ft. eave overhang. Septic system and location ef-be" I"q"dpfth..M to be as per Butte County Health Dept. Re, quirements. All utility connections shall be located within h ft. outside the rear th;r4 sPc+ion of the mobile home an the left jroad) side of the mobile home. I certify that as owner of the'Property acquired. by dc6A Vo" Irma Page Official Re'co:rds of Butte County,,t(.AP.. 02 -requesting pq-j;mis . sion t" buil aai�lris am70 o additional living unit on this pr I will not divide- the"'afore - r cw� Mentioned property for sale lease, rant; or financing unless ally', 4 J_ - i d , `i',.'.",35' —ao Di ---@bl e. -1 a nd - d i%li sion dd-: faa p -ri2q4iram ents --are-_C&PA' with.. e am conversant 'with the present zoning regulations aC.0 orame., property, .and declare that I shall not violate$'Sm"'aa.- n' that the proposed use of the additional iiving it' it.�34; _!-�X", rejrese, L L L 0 un -60 0 LQ'7770, — Viand -th_nt" fuzr:her 1 -scall -not' -ch. ange -phis -proposed- Li a '-of 7 J!% -:.'living unless and until -1 receive written approval C> J. the County of But I fully . understand that .pursuant *to Chapter '20'.bf 'the -B ", Code'and §11535 e seq or the Business and Processions Co'de,t <`ire the future, 'se11,-1ease, or finance area on c ce.the ir,,a dj acent,4%-.qt -.2 L ;.�-Jmprov entL without fully 'complying with the applicable.- I N, alp, ordinances, that i shall be1.1 gLi ty of a misdemeanoran4?Ith6ref or -61K. q, to, -sonnient pursuant t&, 64Wd, F6.-rl- the aforesaid 'penalties end -im et, pra �-Zhis statement- shall -.be--properly 4ek-nowleduCDed and -:recorded the, e -County--of.. Butte.' : Northern California Nevada `: 1 fes of G the Assembl (.Church in' they W ildwoods)-F0 fitdwn Own�_A. r 17M, 4 b T -T By: D- M. G3�af PaAtori, 0 - ., iZ T PD U�/ 7 4 -Address ForbEstown, �Qalifdrni' I.P !Ult'L 'IN A. August 22, -1975 . C0MPA$,ED* WITH. Date •4?wu ORIGINAL DOCUMENT aTPATSY L. CARTER �,� iVmll "L;' STATZ 017 CALIF01"UNULA COUI:, Y 0 Butte My Commission Expires June 19,1977 gall 11 11111131111181P On this 22nd day or August 1975 .1 before me, notary _Pt!b1i- 4n an' fr z: h. e COLL:-,toz, Patsy L_ Carter i, a A - k U _Lo State O't Butte California, residing therein duly Ill S 5 1 01-lec! D. M. Graf C ancTf —orn, pearsonally appeared 'Kno-."In to. m e to be t 'person Wiioso_ name d 0 C the wizhin instrLni ent d -ackdl nowlegeu to me L 112 exccuLcd the s a rri c. Ill, W1T'1FSS*.�1!1I:RE0F I hate harellnLo sct my hand and --a £xixcd Y in di--COunt-y Or Butte tile -da"! -ro P. d Y03r in 'Z h I's. C Q. f C P t 2 -E r_ c above14ritte.11_. ' u M UT M.' CLFA Lit) DATE cMerrfYwWOw04Rq�a • SUPPORT ACTION P � ST 1C a 'TEST Q. . A P. RO. 'C. 3 3 N YES N 3.�.cl ; �-2z. r: 7 3 -J8 - 7 z /o o Gd'G >G ?c Y• O O 14 �GGY COUNTY OF BUTTE - Department of Public Works M. e5FAM �1,l 7ount Center D riveOroville, California W,0 NE : - 534-/+5 j�� .W AaOf MOBILEIiOME INSTALLATION INFORMATION Lot Facilities 1. Plot plan dimensioned, location of mobile and utility connections? Yes No 'L EIL lec r�.cal. service equipment am acity / 40 4 b Circuit breaker ampacity Permanent.Wiring Connection Ampacity �---- Receptacle Ampacity 3. Gas: Natural LPG Gas riser size 4. Drain inlet size 5. G'ater riser. size 6. Are utility connections located outside the rear 1/3 of the mobilebome ithin 4 feet of 'the left wall? Yes 'i No If not, show dimensions. above. 7. Is the mobilehome clear of septic tank, leach fields and located outside public. utility easements? Yes V No 8. Do you propose to do of er work on the property other than the mobilehome installation which will require a permit y Yes No. If' so, specify Mobjlehome Data 1. Length_ Width % 2 Manufacturer L.� ,,, C Q.� / ire. Al-a--FrOA•tr-0�., �TOI. 2. Feeder assembly ampacity Conduit size Power supply cord (amps O Afn!iq. AS 3. Gas inlet size Mobilehome connector size Capacity 4. Draiconnector: dest�ibe on reverse side - 5. Water onnector: describe on reverse side 6. Designe loads: Y Roof liv - load sf . Wind load- sf. . (only for r. bilehomes manufactured after October 7, 973) 7. Manufact rer' installation instructions? Yes No 8. Will the mobile l separate supnor Yes Noz� *For plans and specifications of support system, see other side. bme be installed on a� structure? -00 If LOAD. BEARING SUPPORTS ADDITIONAL COI�L,f"":TS Drain Connector, Describe— Water -Connector, Describe LO,O BEARING SUPPORT AND '-OUTING„ INFOR4ATION Pier Spacing Used Maximum Pier Load 'riaximum Column Load AOL— (multi-units only) Soil Bearing Capacity. Footing Dimension Used 2,x�— TYPE OF PIER. USED Steel Concrete.ZooCoacrete Block Other . TYPE OF FOOTING MATERIAL USED Pressure Treated Wood Concrete Redwood (Grade) Other Approved Type aj/ �✓Diyl p� BUTTE COUNTY _...: BUILr`,�'^ DEPARTMENT APPROVED Y is IA