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073-220-022
TEDDY CRAWFORD .S/S.-LaPorte,Rd., app. 12 mi. E. of Woodleaf, Crawford Village -Permit #867-:76t(new private garage 73-22-22 '.)ermit #y 7r7 76P,'E-(util. MH) 3 - EtEC. 1012, -76 GAS_ 6 SUP.POYR STRUCTURE REQ. COMPACTION TEST REQ: /L/!D:: 14 79-22-22 Permit #5398-7.6B.P'_]E_(ne-w ramada & cabana/MH) 73-22-22 Permit #5397'-76MRI Issued A0 - Lt. 73-22-22 3347-91B ROBERTS, Don 11910'LaPorte Rd, Clipper Mills (new carport) .3 073-220-022 PERMIT#94-L459 ROB ERTS, DONAL D & LORETTA .1 O Q10. T-APORTE CLIPPER MILLS 1I "s IT' 073-22 0-022 PtRMIT#94-2588 ROBERTS, DONALD & LORETTA j2� 11910-LAPORTE RD, CLIPPER MILLS ADD 2 CWPORCH/ 73-22-0-022 100-1751 OBERTS, DON 11910LAPORTE ROAD, CLIPPER NULLS ONIR: . BROWN'S GAS GAS BEATER & GAS LINE1 0�we 1073-22-0-022 00-1751 ROBERTS, DON 11910 LA PORTE ROAD, CLIPPER MILLS F. CONTR: BROWN'S GAS CTAS HEATER & GAS LINE 4 ' t. r w i . COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 073-22--0-022 ZONING BUILDING PERMIT Y OWNER DON ROPERTS TELEPHONE x,7.;/_;469 S0. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS P.O. BOX 40, CLIPPER 'i -MI J CONTRACTOR'S NAME U1lOFYl��" S GAS i1 TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 11910 Ln PORTS ROAD, cLIPPM � x � 1 -iz._ Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 . Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat p6nip 'water. heater ; 23.00 .gyp Water piping ' 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GAS HEA t'�'U GAS LIxM. Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE t 35.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service o.A oa mss 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. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for 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 sale. ❑� I, as owner of the property, am exclusively contracting with licensed contractors - to construct the project. ❑ I 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: ❑ I 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 4 the permit is for work of a valuation of one hundred dollars ($100) or less.) 0 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 workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date r�� �, _ Signature of -Applicant - ❑Omer '[3 Contractor ❑Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height.Bye Main Service 200A To 1000A 46.00NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. B+OS. 3.5¢FT; NEW H61D T. MULT.1 CRR UTITS @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FIXTURES Ex. Occu B20 .so Ex. Occup. DUTIEEDTS 8616.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating GAS REAM 11 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ 35.00 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 70.-) HAZ D PEES IMP FLOOD CDF PARCEL PD HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees alVerbe�'ti r { _ - �1`�_.--'( PERMIT EXPIRES ON the applicable provisions esesolutions to do aid. Date / Dele work Receipt No. ;1 ', 111. U'1 WHITE-D.D.S�iB.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT L COUNTY, OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P RMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 073-22-0-022 ZONING BUILDING PERMIT OWNER DON ROBERTS TE 67N 0469 SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS P.O. BOX 40, CLIPPER MILLS 95930 CONTRACTORS NAME BROWN ' S GAS TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 11910 LA PORTE ROAD, CLIPPER MILLS Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Filing 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: GAS HEATER GAS LINE Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Feel 20.00 Main Service '..A 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. License Class Lic. No. OWNER-BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for 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 sale.VI, 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. ❑ I 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' laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X �1'-�G� pate e - caner 'D contractor ❑ A ent Signet requiredction An OSHA permitt is is requu ired for excavations over 60" deep and demolition or constru�'� of structures over 3 stories in height,66Ww Main Service TO 46.00 CCU000A WEIL200A NEW CONST. DWEWNO OCCUP. 3 5QS0. OR ( BBLDS. FT EW CONST. MULACC. NON-RESID. U @7.50 . dPSINGLE OUTLET CIRO.WER APPARATUS Ex. Occup. OUTLET OR FDRURES Ex. Occup. OUTIFIXEEDTS REQS oE� Temporary Service V23.00 Mobile Home Facilities Misc. Wirin PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ iq -nn Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE EE TOTAL Fw 70.00 :.AZ. p, FEES IMP ROOD CDF PARCEL Pp HD ISSUE 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. ` ate G PERMIT EXPIRES ON ate ReceiptNo. 302191 / $70.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r e .._-- - -- -- -----.;-,�- -- - , �. .'COUNTY OF BUTTE -'DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. 'Rev. 12/96) APPLICATION AND PERMIT�� ASSESSOR PARCEL NUMB� L C=a /C;4 /J ZONIN`G BUILDINGPERMIT ,. OWNER �S �7"S°Np�6 SO. FT. OCC. BUILDING VALUATION OWNERS ADDRE ! Pl,�F2 /)4L l �L—S CONTRACTOR'S NAM % f //.,7 (�% �LEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ euILOINOAnDREss // Energy Plan Checking Fee $ $ PERMIT FEE $ LOTNo. SUBDIVISIONS NAME PARC MAP PLUMBING PERMIT Filing 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 J❑/Other ❑ Describe Work: Cp �yT/ Gas piping system 1 - 5 outlets 15.00 l Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoo. oA LE:: 23.00 i ' - ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANT.pats) Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR so _ OR ADDNS. ( 6 ACC. SOS. 3.50 NEW NS . MULTI -OUTLET NON-RESID. @7.50 POWER APPARATUS & SINGLE OUTLET CIR. I20- Ex. Occup. OUTLETOR FMRES BAL 01 FIXED APPLI'S . OR 5.00 EX. Occup. OUTLETS RESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S " MECHANICAL PER IT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ I occ CONST. TYVER TOTAL FEE $ HA2. D. FEES IMP I FLOOD CDF PARCEL PO HD 6SUE 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.I By Date- PERMIT EXPIRES ON `4 i �. � �, :T. ; . �, � . � � v � � y � `4 i �. -'�, .. �, �' �, � `4 i �. -'�, .. �, � . � `4 i RESIDENTIAL 073-220-022 PERMIT#94-1459 ROBERTS, DONALD & LORETTA 11910.LAPORTF-,Zp CLIPPER MILLS '12 41 OFFICE COPY Address Gm ter B y—------ _Date ELECTRIC Dat eMeter By U- 43,,_ JOB FINALED (Dat A\ ',Signature V J=OK O = Not OK � Not,Aplicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date UNDE OR (Plans) OK except #'s . Zonin etbacks-Easements-Flood-Slope g., Main; Soils-Elec. Grnd.-/,"7!-Ftg. Depth -3. Ftg-6erege; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth -4. Ftg-Perches & Decks; Soils -Steel-/ /Ftg. Depth Stemwalls, Main; Steel-Blockouts-Wrapped 6--STemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold_ Downs and Special Anchors Steel -Wrapped - iers- I Y all -Fitting -Test -2 Way C/0-Sl1wer Tes UF. Gas Pipe; Size -Anchors - yard gas piping: size -test a er Pipe; Test-Anchor-Regulator-Servic Test eca-riectric; Underground Wlj ld--Pterrnr�ucts; Clear nab ce-Material-Support-Ins. ers-Sil s -Anchor Bolts -Joists -Vents -Cripples 1 ess & Ventilation 16. I ulation Date �(Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s --1,T-Water Htr.; Vent -Access -Combustion Air -Baffle L ---------------- - - at Pipe: Test & Anchor -Nail Protection ------------------------ ------------ --- ------ D.W.V.; Test -Fittings & Anchor -Nail Protection --------------- — ------------------- ower Pan; Test, First Floor -Tub Access ub & Shower. Second Floor -Tub Access Gas Pipe: Size & Anchors -- -- -- - - -- - ------ --------------------- - -- Date'_l� C- and B-1 ' _ Date _ Card B_1 - - Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection ..------__---__- J _-_----_--_-_----_-_---_-___-- -------------------- . i-�- �- Elec. Receptacles Spacing -Lights & Switches at Doors ----------- -- - - - - ----------- Boxes & No. of Conductors -Stapled -------- - - ----------------------------------------------------------- _ omex Installed Close to Edge of Studs & C.J. -- �- - 6. qu p -Ground made up w/Meth. Fastners-Bond Gas & Water ---- - - - --------- ------------------------ 2 Appliance Circuts in Kitchen & Conductor Size/GFI ---------------------------------------------------------- - ----------------------- K--5vbfeeM-V7Fr�e ------------------------------------------------------------------------ ire ize i ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or At -------------------------------------- - -------------------------- -- -- -- . / ga. Cu or AI -Oven Circ. / r g Insulated Neutral E3 Yes 11 No ------------------- --------------------------------------------------------- --3II---------------------------------------------------sec-Conductors & Ground -Main Disconnect ----------------------------- ui earances Panels-Motors-Mech. Equip. -- - --. Clothes Closet Light -Shower Light _Spa Light --- ---- - � -- - 33!Smoke Detect r -- --- - - ----------- ------ -- -------- ------------------------ - - - -------- Date Card B-1 Date Card B-1 ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) Ok except #'s Insulation & Support ------------- - ------------------------------------------------------------- e an: Exhaust above insulation ------- ------------------------------------------------------- - ondensate Drain & Overflow: Size & Grade -- ---- 7 Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet Attic Acces & tformiiFurnance in Attic _ ---- - - --- ---- -- - ----------- r _ --- --- --------------------------------------= -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 --- ----- ---- - - ----- ------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMI G (Plans) OK except #'s Sils. Proper Material & Anchors - - -- -- ------------------------------------------ -------------- -- 4 Is Studs Nailing. Spacing '& Bracing -Plates -Sound 9�Y B ring Walls over Girders & Floor Nailing ------------------- --------------------------------------- 4,—/'Draft Stop in Walls (rat proof) urred Ceilings -Stairs -Chases -Tub ------------- �Headers ---------------- eam-Size & Bearing Date FRAMING (Continued) aa-n�gers-Post Caps -Anchors -Connectors �•g'.Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. --- place Ties or Type A Flue -Fireplace Throat clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles —_— 49 drm. Windows or Exiting Doors -Sill Hgt. & Dimensions arage ection Framing 5 roperty Line Firewall & Openings E�-•€aN-f3eors6ne 3' -Check Garage -3rd Story. 2 Exits airs; -i - eadroom-Rise-Run-Landing-Fire Protection plywood on Roof Overhang -Attic Vents -Rafter Outriggers Nailing Veneer ucco Screed -Fd. Vents-Underflr. Access Area -Glass Protection -Skylights -Plastic Flailing -Bolts Insulation-Walls-Ceilin ------------ 60. Infiltration -Walls -Windows ----------------- Dat and B-1 Date Card B-1 Date .Card B 1 Date Card B-1 Date FINAL (Plans) OK except #'s t xt. St ,ps-Door & Sidelight Protection -Landings moke Detector --------- ------------------ - 63. Furnace; Vents -Clearance -Comb. Air -Connector- --------- In Garage; - Above Floor -Ducts -Meth. Protection ---- -- ---- - ---- ----- 4. Be m Exitin i/65. G.F.I. &,5i9fh Fixtures & Tub Access -Spa r----6fT rim & Subpanel; Breaker Sizes & Labels & Rails Clearances -Hearth utlets at Wood -Panel- Int. &Ext. - -'-----�------ t. & Kit_ ppliance: Grnd.-Air Gap -Cooking Clearance c. Outlets & Recept,3,cles at Kit. Counter 72. e --Fire Door: Swing -Landing -Closer ---Duct in Garage -Damper _ 74. Htr Vents -Clearance -Comb. Air -Connect r-P.R. In Garage: Above Floor -Meeh. Protection -------------------- 7 Eley& Mech. Equip. Listed for Location ----------- f-- ---------------- - Elecej tacles in Garage: (G.F.I.)-Romex Protection ion -foam -Looked in Attic ❑ Yes rd Rails & Deck Construction -Post Caps ------- -- -------------------------- �7n. ts & Crawl Hole Door-Drainaq�-Vdood-Earth e Looked under Floor -E! es-��,_�.oowng instld : Drive ❑ s �YNo: Walks ❑ Yes � No; Planters ❑ Yes Ca_<o - ------- : Brown -Finish ---- -- _42rA-C: Unit Disconnect. Electrical, Plumbing -- Vents Above Roof; Plbg -Appliance-Fireplace.-Clearance to Openings er Well: Disconnect, Electrical, Plumbing --- ( Exterior Elec. Trim; G.F.I. Receptacle -Underground -- - anon Throughout House - - ----- ------------------------ Glass Protection -- Orrections from Previous Inspections -------------------------- t13. --_Gas Test -Meters Tagged: Gas -Electric a & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates -- ---------------------------------- --- '� Date' rd B-1 Date Card B-1 a' -- _--«__--_-__ -- ----------- - --- Date Ozcd B-1 D Card B-1 %rd B-1 Date Card B-1 Comments at Final: J=OK O= Not OK ' = Not Readyable MOBILE HOMES ' Date MOBILE HOME UTILITIES (Plans) OK except #'s DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O Concrete 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap: / P11t. / /"Nat. or/ /'L"ft./ /"LPG 6. Carports; Windows -Doors 7. Well Clearance & Disconnect 7. Electric 8. Utility Clearance 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector POOLS (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances 1. Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector 2. Soils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 7. Water and Sewer Connected -C/O to Grade -HD Approval 4. Elea.; Receptacles and Lighting, Distances-GFI 8. Gas and Electricity Tagged 5. Elec.; Pool Lighting; 15 volts-GFI 9. Exits; Insp.-Sketch 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 10. Cert. of Occupancy 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 10. Plumb.; Cir. Test -Water Supply Test I MISCELLANEOUS r ` W. Data DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elea.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 - 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER „PERMIT N0. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If y e any questions pertaining to this matter, or need additional explanation, please cont this office immediately. 1 - 4 � Ktv MUM COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE PER Anawfinebm eation indicates that the following violations of Butte County Ordinances exist at ifte above address and should be corrected. Please notify this office when correction of work iiscor~-Kyouihave any questions pertaining to this matter, or need additional explanation, s�owtad 94is office immediately. ,11'; ( T Inspector `, ' + COUNTY OF BUTTE ' +' BUILDING DIVISION#, DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916)+891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872=6307 -,CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you h e any questions pertaining to this matter, or need additional explanation, please contao4Tiis office im kediately. * - I _ /I Il/ ,�-1WL1i-/J Date 6— REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville; California 95965 - Telephone (916) 538-7541 PERMIT N0, APPLICATION AND PERMIT 4�4_/ ASSESSOR PARCEL NUMBER 073-220-022 ZONING U • BUILDING PERMIT OWNER TELEPHONED S0. FT. OCC. BUILDING VALUATI 742 C -R@4 30 422.00 OWNER'S MAILING ADDRESS BOX 40 1211PPER MIUS 95930 120 R 6,480.00 _PQ CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace A 1,500.00 CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ 38 402.00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 343.00 ARCHITECT OA ENGINEER NONE LICENSE NO. Plan Checking Fee $ 922-95 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 11910 LAPORTE RD5 PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 . CLIPPER MILLS, 95930 Each Trap R 1 7.00 96.00 Solar or heat pump water heater 23.00 Water piping 15.00 15-00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF fel Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 lis nn Building sewer 15.00 Mobile Home S G W 20'00 TYPE OF WORK New IX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other CI Describework: DINING ROOM, KITCHEN, BEDROOM & 2 BATHS PERMIT FEE $ 136 00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 (ADDITION TO EXISTING CABANA) Main Service ( 600V OR LESS 200AORLESS ) 23.00 Main Service , 200ATO1000A )R 46.00 NEW CONS. OR ADDNST D &SACLLIC BLDS. )" 2 3.5C c°; CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification fa I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) ClI am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON.RESID. ' BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20@1.00 Ex. Occup.(FIXED APPLNS. OR OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. V I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 73.15 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating HALL HTR 15.00 Cooling Hood s.so 6.50 Ventilation PERMIT FEE $ 41.50 - Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County i onsequence of the granting of this permit. X Date; � 4U Signature of Applicant Owner CI Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee$ 46.00 occ CONST. TYPE TOTAL FEE $ 6Q HAZ D. FEES -- f FLOOD XX CDF X PARCEL PD -- HD X ISSUE This permit is hereby issued under the applicable provisions inthe in the Butte County Code and/or Resolutions to do work above for which fees have been paid. By D;t�eReceipt PERMIT EXPIRES ON�J !Da rel No. 325.95-163140// 14 -%0 ?-" '5 NWHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Insulation Certificate RrrTT .nTNr nwNRR : /S /3 , %2 i S BUILDING PERMIT #: BUILDING LOCATION: Description of Installation ROOF MaterialS- Thickness (inches) Brand Name �- Thermal Resistance (R -Value) CEILING - Batt or Blanket Type _ZU 2:20_:� Brand Name Q &U F1,) ,S '�B t4 Af G Thickness (inches) / "' Thermal Resistance (R -Value) Loose Fill Type Brand Name Contractor's minimurn installed weight/ftlb Minimum thickness / inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) -X EXTERIOR WALL Material Thickness (inches) X' RAISED FLOOR -Mate Thickness (inches) ,. SLAB FLOOR Material Thickness (inches) Width (inches) FOUNDATION WALL Material Thickness (inches) Declaration Brand Name al 4r i - 0 A Al i n3 G Thermal Resistance (R -Value) A— / 9 r Brand Name O �, j l�f 66 R. A7 Thermal Resistance (R -Value) 9 - [ � Brand Name Thermal Resistance (R-Vaiue) Brand Name Thermal Resistance (R -Value) I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California administrative Code. General CUII[I r uuae Lice a Number Signature and Tule Dace Sub-Cuntractor (Insulation Installer ) Signature and Ti Lie License Number Date THIS CERTIFICATE, MUST BE PROVIDED TO THE BUILDING -DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 SCV 0 COUNTY OF BUTTE - DEPARTMENT., OF DEVELOPMENT SERVICES - BUILDING DIVISION 0" ' ' •� 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 _ PERMIT RMIT NU. . APPLICATION AND PERMIT ASSESS$3 PI NUMB �_) � _ 00 n 20NING r / BUILDING PERMIT OWNER�lA f OWNER AIUNG ADDRESS / P�/ CONTR TOP'S NAME CONTRACTOR'S MAILING ADDRESS CONSTRYCTIPN LENDER LENDER'S MAILING ADDRESS ARCH,T ENGINEER e)n0-, ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING 7011ES /© LOT NO. SUBDIVISION'S NAME USE OF STR SFX Duplex O Mobilehome Other _ TYPE OF� �1av: X AdditionN, Remodel ❑ Utilities ❑ Describe Work: A 1A ; V) r, I declare and r penalty of perjury O 1 am a I censed under provi Profess, ns Code and my Ii e License o. O I, as the o the work, and the struc r i O I, as the owner, am exclu vel O 1 am exempt under Sec. forthis reason TELEPHONE SQ. FT. I OCC. I BUILDING VALUATION TELEPHONE Fireplace 1 6NIt UNKNOWN Total Valuation $ Filing Fee $ Permit Fee $ LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ Penalty $ 1 , iI /,;) _ PERMIT FEE $ Each Trap Solar or heat pump water heater PARCEL MAP Water piping Each gas water heater or vent Gas piping system 1 5 outlets Building sewer Mobile Home S G I W ❑ Other ❑ PRS LICENSE USW .k one) of Chapter 9, Division 3 of the Business and i fu l force and effect. ssi ation wit wages as their sole compensation, will do It tended or offered for sale. (Sec 7044) ntracting with licensed contractors. (Sec 7044) , Business and Professions Code WORKER'S CqfMPENSATION INSURANCE I declare under penalty of perjur check one): O This permit is for S10 (valuation) or less. O 1 have placed on M e with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 said County in consequence of the granting of this permit. X Date Signature of Applicant - O Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep�nd demolition or construction of structures over 3 stories in height. J Receipt No. 1 7 �� ! 6, �// O WHITE-D.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECT R GO PERMIT FEE 1 $ 20.00 iling Fee 1 20.00 7.00 23.00 1 5.00' / 15.00 0 15.00 /$ 15.00 TQC @20.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOvORLESS ) 200A OR LESS 23.00 ' QQ Main Service ( 200A TO I 000 ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. )WJ, SD. 3.5C FT. NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 (POW ER APPARATUS ) S SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES t 1 2001.00 BAL. .50 EX. OCCU FIXED APPLNS. OR p' ( OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ Contractor MECHANICAL PER IT Filing Fee 20.00 Heating Q f r Il. 00 Cooling Hood 6.50 1p.cSQ Ventilation PERMIT FEE S Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ l OCC CO"ST. "' TOTAL FE -'$ HAZ. 10. FEES I IMP I FJOOX I COF 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 CANT I PERMITEXPIRESON !Dere! Date COUNT-YOF BUTTE - DEPARtMENTOF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER fA: P. Proposed Building Use JF 7V 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 RECENED BY All items have been submitted . ........................................ Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form. ............................................ ....................... . 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8, Engineered truss details and layout in duplicate (required prior to plan check). .... g. Mobilehome da a and manufacturer's installation instructions, 2 sets. ,//., f Fees of $ 9.6 S 1. Impact fees as shown on attached schedule. �� ..c?U�-..QivL.. 12. California Department of Forestry plan approval ees 13. Flood elevation letter (100 year flood) by California Engineer . .................. 14. Sanitation and plot plan approval O— Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.a bout (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . 20. Pre -inspection for to Building Ins actor required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. . Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner ,Mail to owner _)........... 5' �- 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... i 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor.' TelephoneG'I roSIGS and hold for pickup at ter p;� > ffice. Deliver with inspector. --v—= iv Other Parcel Creation1 �j Acreage Applicant(/ ZZ42 Date L r Copy of Haz-Mat form sent Health Dept. Fire Dept. - Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: A Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by _ Date Contractor, design, owner, was advised of above equired data by _ phone _ mail Counter by _ Date6��� �� Plans checked byere Date lans approvd by Date Sets of plans on hold in File cabinet AP folder 6� Copy —Department of Public Works E.H. USE ONLY Plot Pion Almched Fbor Pt�a Attached .y.. Seal to B.D, 7-7 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance / - �- 7n 12 Owner Location C I- I f 1441 I -L5 AP# Plan Approved for: Sewage Disposal Water Supply: Public( Private Well Clearance for . r, ,.ether �1a �' `" '�✓� - 6�%� Hold final for: Final clearandr-O.K. for: 8/92 f r � e COUNTY OF BUTTE - DEPARTMENT OF DEVE ,OPMP.NT SERVICES - ' BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CC 95965 - TELEPHONE (916) 538-7541 OWNER A.P. # � � PROPOSED BUILDING USE 5F 12i5OA6 DATE a 9 7" REC. # DATE REC SCHOOL DISTRICT FEES } 1 (paid at District Office) ......................... /7 2. SHERIFF FEES (paid at Building Department) Residential...... x =$ unit amt. Commercial (sgft)_ x =$ sq. ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) .......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department) 7. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT 0 DATE COUNTY OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Chico: 1469 Humboldt Rd., Chico CA 95928 OWNER -BUILDER VERIFICATION Attention Property Owner: Ph: 916-538-7541 Ph: 916-891-2751 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 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 City Phone Contractor's 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 � 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 permitted to issue the permit. RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) �f [/ Bldg. Permit #� OWNER .12 ©6 e7V_7_5 A. P. # © ,Z.t- OZ Plan Checker GENERAL ?'Z ing requirements: (sideyards and number of permitted living units). _Y,luation. .2! ans signed by designer. Existing oper description of work on application. violations on property. ems on data sheet. (W.C., fees, Health, Develope es icense law, etc). Fe 7. Recorded notice of violation. r01roydtM., kii 1. Camplete parcel size and dimensions. . Setbacks, sideyards, easements, etc. cher buildings or structures. 1►�- fills, drainage. Flood hazard. 6. Special conditions on creation map, ustible, and foundations). 7. FAU & FAS road setback. (noise, CDF, fire sprinklers, non -comb - 8. Building or utilities across lot lines (Record form). FT.nnR• PLAN 1. Complete to scale plan with dimensions. 2. Required windows for light and ventilation (Sec. 1205). 3. Required windows for second exit (Sec. 1204). 4. Skylights (Chapter 34 & Sec. 5207). 5. Human impact glass (Sec. 5406). 6. Required room sizes, ceiling heights (Sec. 1207). 7. GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). 8. Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. 9. Locations of water heater, heating and cooling equipment, other electrical or gas equipment. 10. Garage firewall, door size, and closer (Sec. 503(d)(3)). 11. 1 - 3'0" exterior exit door (sec. 3304 (f). i 12. Fireplace and wood stove location, alcoves, and clearance. j 13. Smoke detectors (Sec. 1210). 14. Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS 1 1. Standard bracing or engineered design (Table 25V) 2. Unusual shape, size, or split level house requiring lateral design. 3. Clerestory requiring balloon framing and/or engineering. 4. Three story building requiring engineered calculations and plans. �/5undation plan complete enough to construct building. Floor construction details complete enough to construct building. elevations and wall construction details complete enough to construct building ��of construction details complete enough to construct building. Fireplace construction details and talcs if necessary. . Rafter ties or bearing ridge beam. li. ge door or porch header sizes. . Stud heights. soils - special foundation design. ,____J,4_-R-e-taini.ng walls requiring design. 15_ Spec_.al Inspection required. 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO.LOOK OUT FOR *airway details: landings, rise and run, head clearance, handrails (Sec. 3306). t_2.,�uardrail details (Sec. 1711 & 3306(j). �3—tri ck or stone veneer (Chapter 30). _/.-E*t-erior plaster - weep screeds (Sec. 4706). ��Pro er roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). _�_�76am insulation - protection. 36" halls and stairways. rea over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). tic access and ventilation (Sec. 3205). Underfloor access and ventilation (Sec. 2516). (,-4-3-Combustion air for fuel burning appliances - L.P.G. requirements. Noise requirements on duplexes. Energy design. ashing at all exterior openings. 7. CDF responsible area requirements. a q.in'tiJ71tn:.ti., .� .. �t.�'y'r+JF r,F, .'..-'�F»"`-ti-,i-yrs+iG^F�r*�r�i%L��"��'F�...,»�� �t h:.�3'..;ya•:.a �. r � c Marysville Joint Unified School District CERTIFICATION OF COMPLIANCE T` SCHOOL DISTRICT DEVELOPMENT IMPACT FEES To be completed by applicant and taken to: Marysville Joint Unified School District 1919 B Street, Marysville Part I Property Owner's Name: frac=R Owner's Address: ��✓6 !� c./r� C,! p-� �= �� r �" ��� Project Address: /// U , lit -i �i-.���_�` .r • /'/'/L 1.4 v ' Parcel No: 6 �2 12 Lot No: Building Dept: �1 " '-,Perniit'N6`:171* =_ TYPE OF CONSTRUCTION: Residential Construction Residential Reconstruction Commercial Construction Commercial Reconstruction Total Number of Habitable Square Feet City or County:'r�-� Single Family Dwelling Multiple Family Dwelling No. of Units Mobile Home THIS CERTIFICATION COVERS ONLY THE AMOUNT OF SQUARE FOOTAGE INDICATED ABOVE. ANY ADDI- TIONS OR CORRECTIONS TO THE SQUARE FOOTAGE FOR THE PROJECT WILL REQUIRE AN AMENDMENT TO THE CERTIFICATION OF COMPLIANCE. FALSIFICATION OF SQUARE FOOTAGE AND/OR TYPE, OF CON- STRUCTION IS CAUSE FOR REVOCATION OF CERTIFICATION OF COMPLIANCE Applicant's Name: Y� C,<-2,eel Date: - 9L/ "1 Applicant's Signati're: Part II TO BE COMPLETED BY BUILDING DEPARTMENT Total Number of Habi�able Square Feet �� 4Z City of Marysville County of Yuba Signature i �f a��i County of Butte P r III t TO BE COMPLETED BY SCHOOL DISTRICT Certification of Compliance No. (Receipt No.): Fees Collected: No. of Square Feet No. of Square Feet Exempt from Fees: 1/" Reason: _ x's $.27 for Commercial = $ x's '$1.65 for Residential = $ AS THE AUTHORIZED SCHOOL DISTRICT OFFICIAL, I HEREBY CERTIFY THAT THE REQUIREMENTS OF GOVERNMENT CODE SECTION 65996 HAVE BEEN COMPLIED WITH BY THE ABOVE SIGNED APPLICANT. Signature 1.1.1 • !�l +: ��./ 1� •`ti Sandra Davini, Director ofBusinrssServices 1JAtC � � E White:. school District Yellow: • Applicant $D:cO Pink. Building Dept 7/92 r { 'RESIDENTIAL 073-220-022 PERMIT#94-2588 ROBERTS, DONALD & LORETTA 11910 LAPORTE RD, CLIPPER MILLS ADD 2 COV PORCH/SF r q4- !4s9 s� a ;JOB FINALED te) S Signature 3 a ;JOB FINALED te) S Signature 3 J=OK O = Not OK =Not Applicable ' = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /' L" ft. / /"Nat. or/ /' L" ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10_ Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, VER%.CARPORTS, GARAGES, Plans OK except #'s- 1. nin uirements-Setbacks-Easements 2 otings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Dec , Griders and/or Joists -Decking -Bracing -Stairs -Rails 4 ood Awn.; Posts-Beams-Rftrs.-Connectors i Sht g.-Rfg.-Bracing ' 5. m. Awn.; Columns -Connections -Splice -Decal -Enclosures . Carp •rts; Windows -Doors 7. ctric Fr ; Sils-Anchors-Studs-Rftrs-Trusses 9. ding; Nailing -Veneer -Stucco -Mesh X. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date B- Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes- Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date UNDERFLOOR (Plans) OK except N's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except h's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection --------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection -------------------- - -------------------- 19. Shower Pan; Test, First Floor -Tub Access ------------------ ------------------------- 20. Test Tub & Shower, Second Floor -Tub Access - - ------------------- 21. Gas Pipe: Size & Anchors ------------•-------------------------------------------------------------- - Date- - - -Card B_1 --- Date - Card B-1 --- ----------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a'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 wrMech. Fastners-Bond Gas & Water ---------------------------------------------------------------------------------- 27. 2 Appliance Circuits in Kitchen & Conductor Size/GFI ------------------------------------------------------- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size r ! ga. ------ ---- - -Cu or AI ----------------------------- ------------------------- ---- 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 ------------------------- ----- -------------------------------------------------- Date Card B-1 Date Card B-1 --------------------- ------------------------------------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except 4*s 34. A.C. Ducts Insulation & Support ----------- ----------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation -------------------------------------------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade --------------------- --- - - 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---- - ------------------------------------------------------------ - - 38 Attic Access & Platform if Furnance in Attic -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except n's 39 Sils. Proper Material & Anchors - ------------------------------------- 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound -- - - ---------------------------------------------...._ 41. Beanng Walls over Girders & Floor Nailing ------------------------------- 42. Draft Stop in Walls (rat proof) ------ - - ------------------------------------------------------- 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub ---------------------------------------------------------------------------- 44. Headers & 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 -Ceilings ------------------------- -------------- 60. --------- - 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 •---------------------------- -- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s ________ 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector -------------------------- - 63. Furnace, Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection -------------- 64. Bedroom Exiting 65. G_F.I_& Bath Fixtures & Tub Access -Spa ----------------------------- - 66. Elec_ Trim & SubP-anel_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. ---------- - - 73. A.C. Duct in Garage -Damper 74. Wtr. Htr: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location -------------------------- 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 7;. 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; Plbg.-Appliance-Fireplace.-Clearance to Openings - - - - -- ------------------------------ 84. Water Well; Disconnect, Electrical, Plumbing - ------------------------------------ - --- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House ---------------------------- ---------------------- 87. Glass Protection --------------------- ----------------- ----- 88 Corrections from Previous Inspections 89. Gas Test -Meters Tagged Gas -Electric ------------------- -------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ------------------------------ D-a-t e -------------- Card - B-1 -D-ate Card B-1 ---- ---------------------- Date Card B-1 Comments at Final: Date Card B-1 Date Card B-1 Date Card B-1 V COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMI 0. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER DONALD u LORETTA ROBERTS TELEPHONE 675-0469 SQ, FT, OCC. BUILDING VALUA ON 361 C 4,693. OWNER'S MAILING ADDRESS PO BOX 40 CLIPPER MILLS CA 95930 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 72.00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 46.80 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 11910 LA D CLIPPER MILLS ,; „ PERMIT FEE $ 138.80 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF 9 Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition Remodel ❑ Utilities ❑ Installation CIOther ❑ Describe Work: 2 12011FRED PORCHES PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BDovoRLEss ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. OLDS. ) so. 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) B SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 RAL. @ 1.00 Ex. Occu FIXED APPLNS. OR p (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. alshall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence f the rantin of his permit. .X Date?'11L% Sign ure of App (cant - ' Owner ❑ Contractor ❑ Agent %% An OSHA permit is equired for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is ocC CONST. TYPE TOTAL FEE $ 133.80 HAZ- L11. FEES IMP Floo CDF PARCEL PD HD I U This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By ✓ AdA��e- PERMITEXPIRESON � t arel provisions to do work paid. (j ate (J Receipt No. 168702 WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT RVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIF&RNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER P -(/1 zz,- „ : A,,P✓,No. o?,;-Of2v' Proposed Building Use 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 BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's'installation instructions, 2 sets. ........... 10. Fees of $ ..................:......... .. 11. Impact fees as shown on attached schedule.` .............................. ._ r 12. California Departnrent of"Fdf6stry-plan approval/fees.................. f 13. 4. Flood elevation letter (100 year flood) by ifornia Engineer .................. Sanitation and plot plan approval. � Health Department . ............ 15. City of Chico plumbing permit . .......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ........... Y 19. Driveway permit (construction approval required prior to occupancy). ...P��]A.�ect;o; 20. r-eqe-eif- Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ..........................� 23. Owner -Builder Verification (Given to owner , Mail to owner _)............ 24. Recorded copy of Agricultural Acknowledgement Statement. ....... ......... . 25. Letter of signature authorization . .................................. " *..... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of infent ombuilding use . ............................................ 28. Mobilehome utility clearance... .................... ..................... 29. Documentation of;legal.access.'....-:.................................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ....................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone' and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone,__ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone i mail Coun _ Date Plans checked by Date Plans approved by Date R Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 r 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 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 City Phone Contractor's 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 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. v K � kwt tom. tho job at 91 Um -. %t M wr' m 111 tY tin the DVwnmm ii oCPcf WCAM Qmftof Zxlo dZ4t'o 4x& --—MSrArc, Q:Opfuq hA An ff Wo-Sw.n'hsp WMU se Lu @uMV PrSOM bedt fCZ the spsoifed use 000 Md. the 8MimW Newel coca. r � iK�L TJE srRAp fbs" To POST 5:/,qmN Pias L14 °F- equAL gL1_2J U BUTTS OOUNTT r �,y BEING DEPARTMEN) `�� APPROVED PICA L S�-c 0�1 A --r Go vFRgD povzc \A CPR owNE'2 Vf,# ppo ;'K� V 0 6n -RMtfj!CEPA M. �- „ A P Ppoi Ta 1 ; LAJUIJ 11 , j 001- --770 �� � 3 l`+r. r N xT� � .�12 r>✓ i ( 4�i�'t�c. JJy A-) 7 1* xMTY guTTra a IUILDit4G ()I: )AIUMEN kPPR(".)VF-D I v f Lo�al ,, c AS ,- ,-. . ....J r Ir +'PERMIT NO. 5398-76B,P,E ! PERMIT EXPIRES 11/7 i OWNER Teddy Crawford • a- ' CONTR. owner LOCATION (A.P. 73-22-22 ) S/S.LaPorte Rd.,app. 12 mi.E.of Woodleaf, Crawford Village ACe.p S3 /wam r � F }f \ i k Temp. Power Pole 4 Called PG&E -. Temp. Elec. e Call 911PG&E Tem5,oGas Serv. Called PG&E JOB FINALED (Date) �• ; (Signature) i f • COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Final BUILDING BUILDING (Cont'd) PLUMBING ' Setback Firewall Soil Piping Finish Forms Parapets 1st Floor Door Closer Main Bldg. Restroom Finish 2nd Floor Footings t) Windows��� 3rd Floor Stemwall S1din To out Slab Roof Sheathing Water Piping s Piers 145—7;�'Roofing Sewer Garage Fdn. Vents Fixtures Footings • .' Stemwall Slab Carport Footings Garage Vents Insulation Prov..for physically handicapped Conformance of ex. structure Water Htr. Heaters Appliances Gas Piping & Test Tem . Gas Slab Final Sanitation Patio FIREPLA6je Final �, Footings Footing ELECTRICAL Masonr .Walls Throat Rough - 6 Reinf. Steel Final Fixtures Bond Beam FIRE P INKLERS Motors Framin d 74 Test V Water Htr. Stucco Final Mesh VEChANICAL Scratch Heating Brown Cooling Finish Ducts Interior Lath l Ventilation Door Closer - Final DATE REMARKS OR CORRECTIONS 0 Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final 0"':V . (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DPARtMENT OF PUBLIC WORKS y ' 7 County Center Drive — Oroville, California 95965 Telephpne:634-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. €a X Signature of Perrmitee or Agent Receipt No. ` S4` 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. M -RECTOR OF PUBLIC WORKS By ' �2�_ nate G Building permit expires Date: BUILDING Owner m C2Aw T-M—P SQ. FT. OCC. BUILDING VALUATION Mailing Address P!� V Adx 360 DO RA -04 'G V Telephone No. AIQ C-- Fireplace Contractor (,v Total Valuation 10,26 Mai I i ng Address Permit Fee d7� Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ �! !� Building Address MS OR7 £ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3.em h Each Trap [ 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 73_ Z2, � 22 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 W.C.on I FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel A oval Plans rovaI ��qq Permit Fee $ ti $ NEW �, ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,0110 Main service 100 AMP LESS5.00 Main service EA. ADD'L 100 AMP 2.50 OVER 600V Main service 100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OC OR ADDNS. ACC. BLDGs. 2¢sgft 1 NEW CONSTR. MULTI.OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON RES,D. SINGLE OUTLET CIR. 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 le of: style Ex. Occup(OUTLETS OR FIXTURES)@'� BAL@1 Ex. Occup. FIXED APPLNS. OR p'(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ Q $ 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. 1;5I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ 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 d authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. €a X Signature of Perrmitee or Agent Receipt No. ` S4` 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. M -RECTOR OF PUBLIC WORKS By ' �2�_ nate G Building permit expires Date: A""PERMIT NO. 867-76B PERMIT EXPIRES J//, r%,% - '�,OWNER Teddy Crawford CONTR. owner LOCATION (A.P. 73-22-22 SIS LaPorte Rd., app.132- mi. E. of Woodleaf Rd., Crawford Village Temp. Power..r. Called'PG&E 74 - Temp. le Temp. lec. Serv. mp. ' a ec lied PG&E T p . Ga T p. Gas Serv. Called ec . Called PG&E JOB �Z/� FINALED (Date) A Temp. Power..r. Called'PG&E 74 - Temp. le Temp. lec. Serv. mp. ' a ec lied PG&E T p . Ga T p. Gas Serv. Called ec . Called PG&E JOB �Z/� FINALED (Date) (Signature) (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 Setback / % i� Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finis 2nd Floor Footings ! Windows 3rd Floor Stemwall ` Siding To out Slab �r Roof Sheathing Water Piping Piers !� Roofing z Sewer Garage -- Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab - - 2 '3- --7 Prov. for physically handicapped Heaters Appliances ' Carport Footings -- Conformance of ex. structure Gas Piping& Temp. Gas est Slab Final '' Sanitation Patio FIREPLACE Final Footings Footing ELECARICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE RifiKLERS Motors Framing Test Water Htr. Stucco Final X Subpanels Mesh MEV4NICAL Grd. Fault Pr Scratch Heating Service Brown Cooling Temp. P le Finish Ducts Undergeound Interior Lath Ventilation 4 Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — `D@ T.MENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 67-7� Telephone: 534-4541 03� APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address AD 4C-Vdo s 7' ))l/F Telephone No. Fireplace Contractor Total Valuation Mailing Address • Permit Fee p �Q, e Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ �O.00 O oC Building Address 5 p or�� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 / L G &.& Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 a mel v Each gas water heater or vent 1.50 A. P. No.'Z 2 - Z Z 3 - Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F S3fxi9on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking I Parcel Plans Declaration Parcel Ma p 60' R/W Im rove nts p 'Lawn sprinkler system 2.00 Bldg. Pla'd cPael�pproval Plans Approval Permit Fee $ $ NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 6001 OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Main service OVER 6001 25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST.DWELING OR ADDNS. ( ACCLBL GS.CCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &I NON-RESID, (SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES)50 @25t BAL@101 FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID,) EA) 2.00 Temporary service 1 10,00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 Cal i forni a. 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 $ ;26OC auuwncC ICpICSCIItGIIVCJ UI ine t Uunry UI thine IU enter upon ine above-mentioned property for inspection purposes. X a.0 ,l OA- 2?1 �.� _ Date Signature of Permiteeeor Agent Receipt No. / W 4;�_ '?3 g White-D.P.W. - Yehow-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. DIRECTO PUBLIC WORKS By Date. -'7- wilding permit expires Date _ 3-1 — -7i ' � � . � ham, �, _ : .± .rr.i' wF'C ., . , i 7 o� . t r e . � -RESIDENTIAL 73-22-22 3347-91B _ i ROBERTS, Don 11910 LaPorte Rd, Clipper Mills (new carport) t JOB FINALE Signature V=OK O=Not OK NotNo Applica Ready+ble t MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, OVERS, CARPORTS, GARAGES, (Plans)OK except #'s oni gRequirements-Setbacks-Easements o-otings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric rmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Q Card 13-1 Date Card B-1 Date 4 Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'J OK O = Not OK Not Applicable Not Ready RESIDENTIAL (a = Date UNDERFLOOR (Plans) OK except h's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except h's 16. Water Htr.: Vent -Access -Combustion Air -Baffle -------------- - ------------------------- 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ---------- - -- ----------------- 19. Shower Pan: Test. First Floor -Tub Access -------- - ----- ----------------- 20. Test -Tub & Shower, Second Floor -Tub Access ---------------------- - ---------- 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B -1 --------------------------------- -------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except h's 22. Fixture & Transformer Clearance -Ins. Protection ------------------ --- ---------------------------------- --- - - 23. Elec. Receptacles Spacing -Lights & Switches at Doors -- 24. Size Boxes & No. of Conductors -Stapled - ----------------------- 25. Romex Installed Close to Edge of Studs & C.J. ---------------------------------------------------------------- 26. Equip. -Ground. made up w!Mech. Fastners-Bond & Water ----------------------------------------Gas----------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI - - -------------------=------------------------- 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size r / ga. Cu or Al ----------------------------------------------- ---- 29. Range Circ. / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 -Yes ------C3 No ------------------------------------------------------------------------ 30. Service -Riser Conductors & Ground -Main Disconnect ------ ------------------------------------------------------------------------- 31. Equip. Clearances Panels-Motors-Mech. Equip. ---------- ------------------------------------------------ 32. Clothes Closet Light -Shower Light -Spa Light --------- ---- - -- -- 33. Smoke Detector ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 --------------- ---------------------------------------------------------------- Date Card B-1 Date Card B -t Date MECHANICAL (Permit) OK except h's 34. A.C. Ducts Insu-lation &--Support- -------------------------------------------------- 35. Vent Fan: Exhaust above insulation ---------------------------------------------- --- - - ---------- 36. Condensate Drain & Overflow: Size & Grade ---------------------------------------------- ----------- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------------------------------------------------ -- -- 38 Attic Access & Platform if Furnance in Attic ----------- ---------- ----------- -------------------- ------------------------------------- Date Card B-1 Date Card B-1 -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's 39. Sits. Proper Material & Anchors ------- ------- ----- - ---------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing -- -------------------------------------------------- --------------------------- 42. Draft Stop in Walls (rat proof)- - - -------------------- 43. Fire Stops Furred Ceilings-Stairs-Chases-Tub ----------------------------------------------------------------- 44. Headers & Beam -Size & Bearing jingle & Duplex) t. Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Ritr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. -- - 47, Fireplace Ties or Type A Flue -Fireplace Throat clearance -- -- 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 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 -Ceilings 60. Infiltration -Walls -Windows -------------------------- -- Date Card B-1 Date Card B-1 --- ----------------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except h's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ------- --------------------- 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection ------------------ 64. Bedroom Exiling - - 65. G. -F. I & Bath Fixtures & Tub Access -Spa ------------------------------ 66. Elec_ Trim & S_u_b_p_anel; 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 Gap-CookingClearance ------ --------------------------- _71I. -Pec. -Outlets & Receptacles at Kit. Counter ------------72.-Garage-Fire Door: Swing -Landing -Closer ----------------------- ----- ------- 73.-.A.C.-Duct Duct in Garage -Damper ----------------------- - 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb. Elec. & Mech. Equip. Listed for Location ------------------------------------ 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 7 . 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. -- ---- ----------------------------------- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing - 85.- Exterior Elec. Trim; G.F.I. Receptacle -Underground ------------------------------------- - ---- - 86. Ventilation Throughout House _ . - --- ------------- 87. Glass Protection - - ----------------------------- 88. Corrections from Previous Inspections -- - - - - --- ---- ---------- 89. ---------89. Gas Test -Meters Tagged; Gas -Electric -------------------------------- --------- ------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval ------------------------ 91. Energy Compliance Certificate -Other Certificates ------ ----------------------------------------- ---- -- De Card B-1 Date Card B-1 --at------------------------------------ --- --- Date _ -------Card B -t Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTME'N`T OF PUBLIC WORKS PERMIT N0. 7 County Center Drive - Oroville, Callfosnla 95965 - Telephone: 916/538.7541 L APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 7-3-220-029 ZONI G BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATI OWNER'S MAILING ADDRESS CONTRACTOR' ME TELEPHONE CONTRACTOR'S M (LING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAI ING ADDRESS Permit Fee $ 90.00 ARCHITECT OR ENGINEER NQUE LICENSE NO. Plan Checking Fee $ 45.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 11910 LAPORTE RD Permit fee $ 150.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other CARPORT SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ® Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUPM OR ADDNS. ACC. SLOGS. 3.64sq.ft. NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20@7 6 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.I EA 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 5.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 FiIingFee15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said, �C�nty inuence of the granting of this perrpit. s!n. Date X � 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 S Energy Inspection Fee $ occ CONSTTY E TOTAL F $ 150.00 HAz DFEES I -� IMP '� I FL CDF '– PARC PD H ISS E This permit is hereby issued under the sions of the Butte County Code and/or work indicated above f hich fees EC OR PUBLIC By PERr EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date& ---'/--l/ �- z Receipt NO. 6 41 CtZ WHITE-O.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT .. � `'� � . ,% .� • � I ' 1 y .. � `'� .. � ,N.r,.....�,,.yr.,,. ,,.... � - .-1..�. - ,-..--,-r..-....Vwq....�.t^9,yi:". 1"•_` fir! 'i •r..•�... �,�e-• .: 1 t• M �•'r,r�,„ •-�,-...".,xa/�tr,.r f � COUNTY OF BUTTE. - DEPARTMENt)F PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORUVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 "i•-, YM PERMIT IRPUCATION DATA SHEET + Permit No. OWNER AA/ c/"tiA. P. No. '%3 . ZZ O d _Z� Proposed Building Use �"�jeyla/'�' Building Inspector v Date lb 71J Z At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1, All items have been submitted . ........................ 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting.documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions..............................,.......................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ............ 13. 14. School District fees paid ................ Sanitation approval from 020, %/I --' Health Department !, 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW —� 19. Driveway permit (construction approval required prior to occupancy) Pre-Inspec. request to • 20. Pre -Inspection for required Building Inspector (Date) f 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner o, Mail to owner ❑) ..... ti 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .................................... 26. ." ' 27. When you issue the permit, process as follows: he SaiI to owner. Mail to contractor. Telephone and hold for.pickup at office. Deliver w/inspector. « T Other . • Applicant ate / q� R• Copy of Haz-Mat form sent Health Dept. Fire Dept. —Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to p rmit issuance: (Circle new item not checked above). 1. Index permit for above items No. -w. 2. Additional items required: 6 Contractor, designer, owner, was advised of -above required data by_phone_—jnail—counter 'by—date Contractor, designer, owner, was advised of above required data by_phone_mall_countei•by date 4'- Plans checked by Date Plans approved by ��_Date _a 'V l Sets of plans on hold in File cabinet AP folder Copy—DPW TO. Building 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 �f� Clearance 5e6`om m5obi Other Pr� NOTE -0,Sanitarian Let C031 j (717 Date' I Pio T� OF s� �G ��-s DCIV 410 --z.: . —20-8, -3 I 6A&A (i la t=TViiC, - i991 ,A-Y-rFSoRi P,+iqcfl- AM, - 0 73- 2:2 0 -OZ Z CC t p Pf (z A) o APPRO-Vt� ,486t'te' CountyrnVir-onm—ental H,-�'IfF of's 83349- 40001 of %troaL oleo asovilk s cel area o�laavas", 00 C6 A t , IIDINGDL-P 9 s COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 3- ZZ0- o Z2 ZONING BUILDING PERMIT OWNERTELEPHONE /Jany r 5 675 OW SO. FT. OCC. BUILDING VALUATION 008 OWNER'S MAILING ADDRESS Oo . ,fox Z/o C1(- p 1,11415 CONTR ACT OR'S NAMEELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTIONAL ARA' ENDER UNKNOWN Total Valuation $ SGD Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ Q ARCHITECT ENGIN ER LICENSE NO. Plan Checking Fee $ S' oO Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 111169Permit KD fee $ 150-,60 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.001 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water pipina 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF F1Duplex❑ Mobilehome❑ Other CloqrPOrL SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.001 Mobile Home S G W @ 15.00 TYPE OF WORK Newi ' Addition❑ Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 Main service 200A TO t000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 011 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 Lf 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 OR ADDNS. ACC. BLDGS. / 3.6Csq.tt.l NEW CONSTR ULTI.OUTLET ^JON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES AAO@G5a Ex. Occup. OUTL TS PIRESIC.IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating ' Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant – Owner g p ❑ Connector ❑ 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEES 1 �V HAZ 7s IMP FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS i Date Receipt No. NNITE-D. .N.. YELLOW -A3 f -A PI1R• PE[TOP-A, neuvnn_�vvnAUT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541, 'i OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. y 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) 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 9f/ 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 V IVCity 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(2�z" Social Security Number — ' 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. MOBILEHOME SUPPORT DATA Mobilehome Mfr. ,ry x - �,¢S��d Setup Model No. Year Width 1,2_ (ft.) Length ft.x ft. (Draw 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.*he..County of Butte). e — t r Center Support Locations *If center piers are other than drawn above, draw in locations,,spacing, and dimensions. Typical Support Footing Size Max. Pier Spacing Footings-(check:one) 1. Wood.either pressure +treated or fdn-. grade. 2. Concreie,pad. 3.. Other,: specify Supports (check one) 1. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify Max. i6t)- Overhang. BUTTE COUNTY BUILDING DEPARTMENT APRR0VED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: ./ g"a(d Y //. C. RA w F o x d 2. Installer's name: _AR—F /00 4111 -ER 3. Is the site currently under permit? Yes / Ne (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No / / (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach.fields and LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 3 . clear of all setbacks and easements? Yes IV7 No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- 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 mobilehome siteservice? --------------------------------------------------- (If yes, identify the load and size: (Load) 9. What is the mobilehome site gas pipe size? ----------------- Yes / / No (Amps) (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? 3 . (ft.) 12. What is, the mobilehome gas demand? ------------------------------ (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) (BTU) COUNTY OF BUTTE — .DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviIle, California 95965 o Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives or the county of butte to enter upon the above-mentioned property f r inspection Rrposes. XlilS e'er a� Date _7-7 -�� Signature of Permitee or Agent Receipt No. _ zj;I4 -//e 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. DIRECTO OF PUBLIC WORKS BY Date g permit expires Date__� i� 7-7 BUILDING Owner �'f%� CJ� �� SO. FT. OCC. I BUILDING VALUATION Mailing Address e.0- /3 X 'G l0 !moi S �� Tel ephon�e„No. AW. Fireplace Contractor Total Valuation Mailing Address 0 Permit Fee PI an Checki ng Fee &/or Penal ty Telephone No. Permit Fee $ Building Address �� P�2�,� �� PLUMBING No. @ FEEPERMIT FILING FEE $3.00 Each Trap 1.50 Cyz [/ Repair drainage or vent piping 1,50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 7-3-2- Z ”" Z 2- Zoning 8 Planning Gas'piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. -Sa4tetit Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking P ns Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 ec Parcel A vol Pla pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHERS ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 S LSA A(9p— AFZ777- Main service 600v OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service �VER 600V 0 AMP OR LESS 25.00 Main.service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ( ACCLBLDGLING OCCUP. &) 20sgft NEW CONSTR. MULTI.OUTLET NON-RESID. BRANCH CIRCUITS)2.SOea NEW CONST. POWER APPARATUS & NON.R RESID. (SINGLE OUTLET CIR, 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: Ex. Occup(OUTLETS OR FIXTURES) 50 BAL21 Ex. OCCU FIXED APP,LNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 10 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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. MECHANICAL No. - @ I FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE authorize representatives or the county of butte to enter upon the above-mentioned property f r inspection Rrposes. XlilS e'er a� Date _7-7 -�� Signature of Permitee or Agent Receipt No. _ zj;I4 -//e 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. DIRECTO OF PUBLIC WORKS BY Date g permit expires Date__� i� 7-7 COUNTY OF BUTTE — DEf'&81'6IIIENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ,3o7 /7,7h_ •.+r.��..n wuv...avvwny U� uU UG lU OIIIGI UPUII LIIZ roperty for inspection purposes. above-mentigned p X Ufa Date ` Signature oermitee orrg/entt Receipt No. 14 / " y 7 / 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 R BIC WORKS BY Date � / -I —%,� ilding permit expires Date BUILDING Owner/ •C�VigG�/ �Q YL% SQ. FT. OCC. BUILDING VALUATION Mai I Ing Address A P TA LA F %d Telephone No. —'74�3 Fireplace Contractor Total Valuation Mailing Address � e` Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address S SPLUMBING Ar J,L1e -. ,( eYTe No. @ FEE PERMIT FILING FEE $3.00 3-0 5 aTer ®rr 1? V eT Q , Each Trap 1.50 Lo PM,t LS A ria Repair drainage or vent piping 1.50 Water piping Each gas water heater or vent 1.50 A. P. Np J -- 2 2. A— honing Gas piping system 1 - 5 outlets 1� p .0 Each additional outlet .30 Fes S- Fire Dept. Fire Zone Use,Permit Building sewer /b -O EQA IParking Plans Parcel Declaration Parcel Ma 60' R/W Im ro ments P Lawn sprinkler system 2.00 Bldg. Ions Recd Parc pproval Plans Approval Permit Fee $ 33,62 $ 3 3 QC NEW❑ ADDITION ❑ UTILITIES � OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP 0V OR LESS5.00 ,00 Main service EA. ADD'L 100 AMP 2.50 , Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service 10 0 AMP VER oR LESS 125.00 Main service EA. ADO'L 100 AMP 1.00 NEW CONST. DWELLING CCUP. & OR ADONIS. ACC. BLDGS. ) 20sgft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) '2.50ea NEW CONSTR (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. 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: 7 d y N.p Ex. Occup(OUTLETS OR FIXTURES)50 @250 BAL@1 Ex. OCCu FIXED APPLES. OR P•(OU•rLETS (RESID.) EA) 2•�0 Temporary service 10.00 Mobile Home Facilities 15.00 Soo License No. Classification Misc. Wiring 6.25 211 am exempt from the Contractors License Laws of the State of California. Permit Fee $ of 716-6 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. MECHANICAL No.1 @ I FEEPERMIT FILING FEE J$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 I.TOTAL PERMIT FEE is 601,5-6 •.+r.��..n wuv...avvwny U� uU UG lU OIIIGI UPUII LIIZ roperty for inspection purposes. above-mentigned p X Ufa Date ` Signature oermitee orrg/entt Receipt No. 14 / " y 7 / 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 R BIC WORKS BY Date � / -I —%,� ilding permit expires Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobil.ehome has been installed in accordance with the requirements of the Cali ornia dministrative Code, Title 25, Chapter 5, under permit numbeg _ for the following location: Owner d Owner's Address -,P— Mobilehome Mfg. Model Year? 2— Insignia No. _44Serial No. �-3 3 �!_ -It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHE MOBILEHOME IS ELOCATED 'f 1k":.i� e� ..,i't�.,r'Mti. Ll+:s f SY•y,Mr.•:+f`J{.�.".:i-ii,jy • wfi -.t.-7 a.�...N..,,rV 7: 7 �. •e' a 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,3 7% %�� for the following location: ''Owner iL C/ Owner's Address B i Mobilehome Mfg. /37�5\/SG i`�/ fir/ P Model r` Year2 Insignia No. ( �`�'4 C Serial No.It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By �C r THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS/RELOCATED -M0BT!X1[0iME MI'ALLATION INSPFCTION' CHECK LIST. 1. Is the mobilehome located wi.l_ii required separation from lot lines -and buildings and generally conform to plot plan? Yes �No 2. Doan the mobilehome have required clearances above ground? (Sec.5085) Yes No 3.� Are footint-,s and supports properly sized; spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes z --'No 4. Is the mobilehome level.? (Sec.. 5088) Yes 6 --"No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No p /V��• 5. Water. A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes �/ No B.' Test - Does water piping withstand working pressure or 50 lbs, air test? Yes ,No C. Backflow - If coach is not State of California ap roved, does station have backflow device `' and pressure -relief valve? Yes No 7. [tastes and Drains A. Is connection made with Schedule 40 DWV And have flex connectors .at each end? Yes" No B. Does it have minimum ," per foot slope and is it .properly supported? Yes. 41—No 'C'. "Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No r/y D. If coach is not State of California approved, does station have required trap and vent? Yes No (1 �/ �� 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 inlet without reductions.other than the mobilehome connector. Yes L No B. Test OK as per following procedure? Yes_ N r 1. Open all appliance connector valves. r 1 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. Con- ect: gas meter to mobilehome with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes ' No 3^3qT a. Electrical t1. Is service large en.o 1E,1h to provide adequate amperage to mobileliome (must equal rating of mr�bi_lehome caitll a ::;in.ir- of 1.00 amp) and other faciliti_cis on. lot, i.e., water pumps, gara-e;, cabana, etc. Ycs'�No_ B Is ther,-� proper clearances around panels? Yes` No C. Is power supply cord or feeder assembly properly fused? Yes 'No D. Is continuity test satisfactory as per the following procedure? Yes _'No__ 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Flake sure that the power supply cord or feeder assembly conductors, including neutral conductor, havE1. been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one le., -id of a test instrument to the mobilehome grounding conductor and _._ - ' -' a1,p,y the oiljo .l.ea'.l %u each TIIUUL.LC11Ullle Supply CoiIdLjetor, ilii udilig Heat rSL 5. All lion -current, carrying metal parts of the mobilehome (aluminum siding, gas line, ,atter line), including fixtures and appliances, shall be tested for continuity from such equipment: and the grounding conductor. 6. Upon corrpleticn of the above procedure, the power supply cord or feeder assembly conductors shale be connected to the site service equipment. A further continuity te:=;t shall then be made between rhe agrounding electrode and the chassis of the vi.obilehome. Upon s:ani_sfactory completion of the electrical tests, the lot or site service equipment- may be approved for energizing. I,, job card si-ned by. Health Departme�it for water and sanitation? 1.1.. If everything okay, sign off card and t.a; services. 'MOBTLLi10t'L DATA and/or Narnest:yle L. .- - 5e - Manufacturer P� Length 5 -) Width ! �— Vehicle Serial No. State Identification NO. ..d<'iLtional Infor-mat..ic.n or Comments: .i q 3/7 7 t PERMIT NO. 3077-76P,E .3 9.g - 7G. PERMIT EXPIRES ___-6 /Z:2 '11OWNER TED CRAWFORD CONTR. owner i LOCATION (A.P. 73-22-22 ) '• S/S Marysville LaPorte Rd. opp. Binet Rd, Clipper Mills aea Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E ' JOB % C.. FINALED :` ::ami v (St'n' 'c• 6 �, �r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING,(Cont'd) PLUMBING Setback7&-7C Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall tiding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents, Water Htr. Stemwa l l Insulation Heaters Slab Prov. for physically Appliances Carport handicaped• Conformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service - dye Brown Cooling Temp. Pol Finish Ducts Underground Interior Lath Ventilation I Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS h, , 14 hoa4�� O�D a e-4 ll 4; (NOTE: An entry must be made on this form each time you visit the job site.) Donald & Loretta Roberts PO Box 40 Clipper Mills, CA 95930-0040 'gutte countil- BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 May 18, 1995 RE: Building Permit # 94-1459 Expiration Date: 6/27/95 A.P. # 073-220-022 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [xx] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the Oroville office. Thank you for your prompt attention concerning this matter. Yours very truly, Mic el C. Vieira, C.B.O. MCV:ahb• Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 I I II 1 r 1 , � I� 1 7 r I I 1I I 1 II ' _�.. �__— III ^� � .._ a ��: _-- _-_'_ Ali'• - - - �+. - l__ `- _---_-._-- SII 1�=. _ _,. _ _ - _ - =�4__ _ —__�L —_�+ �-- if II a I � I i G� • I I R 5p a U tl n r I I ; b a IL.— �_ I '� II j i � _ r � _ � 1__ _ _ _- _ _ __ _�_ _ it - _ _ _-- _ _ ___. J •_ — - T ^ 1 1 r i r w U l j I I •r }_ I I 1 JL i- - — �Y _ ; .. I tY -.• � - I I III i ° _- : r , _ 1 II .. - _ _ _ ` _ r 1- Il L �_ _ _ _ 1 : • . _ JI III _ _i J IL I IIif i fIII if Ij 1" r d I 1 I Y p Y 1 _ 1L hill J iii4 tl r1 , f 1I � � Y _p 1 �• 1 -t� ° if If -- r 1_ 1 - LAL 1 -, � , ° � t 4 i • �( II I 9 ti it �I � Y if - If - I t+ P _ 11 ; 11 I I a if I. 111 1 11 ._ 1I I I I � I l I r 11 1 r �. I I _ 1 11 1r JI II � u II