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Home My WebLink About073-350-018RESIDENTIAL 73-35-18 _-- �- -� - _— 1226-90P,E BARROWS, Robert & Debra _ 35 Silesian, Bangor (utilities/MH) �? ' - t tt I4 a i w 2 9 i, OFFICE COPY Address GAS 6Meter By dcDLl at ELECTRI , Meter By Dat ` I JOB FINALE ti Signature I J=OK" i O = Not OK -=Not Applicable Not Ready MOBILE HOMES = v1!Zoni Requirements -Setbacks -Easements r'soorsoecial MH Su000rt Sketch '/O Concrete nent Needed 1,.i�Gas; Locatio est-Wr• / P'L"ft. / /"Nat. or L"ft.q "LPG 7. Utility Clearance Dat - 0 0 Card B-1 ate Card B-1 f Date . � and B-1 Date Card B-1 Date MO LE HOME INSTALLATION Plans OK except #'s 1. ing Requirements -Setbacks Easements . Footings; Size -Spacing -Marriage Line Gas; MH Test-Demand-Valve—Connector p Electricity; MH Test-Crossovers-Breakers-Clearances rain; MH Test -Fall -Flex Connector { V9—Water; MH Test -Regulator -Connector E star and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged j 9. its; Insp.-Sketch + 0. Cert. of Occupancy j Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sits-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-koofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip, w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosu res -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 V OK O = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single r v & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks- Ease ments-Floc d -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Ong. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -81ockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic, 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B71 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O Yes No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive ❑ Yes 0 No; Walks O Yes ❑ No; Planters ❑ Yes 0 No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Fumance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card 8-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made MOBILEHOME INSTALLATION ACCEPTANCE T COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT NO. �^ r Address or location of mobi lehome Owner's name Owner's address �1 ' �,., Insignia or hud number—9 6.0 ��-moo (o0 t *-7 Manufacturer's name FL G E Serial numbs of V. N. y w Year of manufacture(. !6 tial Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION: ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MQ,PILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. Y v; r it 51A White - Owner, Yellow - Installer, Pink - D.P.W i/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS . 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIOAN AND PERMIT PERMIT NO. . �1 ASSESSOR PA CEL NUMBER 73-35-18 ZONING A-5 BUILDING PERMIT OWNER Robert & Debra Barrows TELEPHONE 985-4003 SQ. FT. OCC. BUILDING VALUATION ' OWNER'S MAILING ADDRESS 266 B Montrose Dr. Folsom 95630 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 35 Silesian Permit fee $ 15.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Bangor Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP G <' Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeii Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e 30,0 TYPE OF WORK New❑ Addition [_1 Remodel❑ Utilities] Installation[] Other ❑ Describe work: MHIJ _ Permit Fee $ 40.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA, ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON.RESID I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification .'�. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.N) OR ADONS. ACC. BLDGS. Y2QSgft NEW CONSTR. MULTI -OUTLET BRANCH CIRC ITS 2,50 ea POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050t - 8AL@A1030 FIXED Ex. Occup. OUTLETS P(RESID.)LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 19,00 Misc. Wiring 15.00 Permit Fee $ 37-90 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. Lk I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fes 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conseq nce of the granting of this permit. i ^�3 X r� Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 92.50 H__ CUA PARK �'— SCHL I '— FLO I PAR P H ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees RECTOR OF PUBLIC B Plff IT EXPIRES Date the applicable provi- resolutions to do ave been aid. 1 P WORKS Dated 'e[ -3--. 9 Receipt No. 64148 WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Y] ; �Z fes' ! COUNTY'OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATrON DATA SHEET Permit No. OWNER A. P. No. %?-?S-� b Proposed Building Use /f� Building Inspector OGtl Date 4Z' 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 caics, 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. School District fees paid .............. 14. Sanitation approval fromHealth Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from C'ty of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW DITC 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ... . 24. Recorded copy of Agricultural Acknowledgment Statement .. 25. Letter of signature authorization .................................... 26. 27. t When you issue the permit, process as follows: Mail to owner. Mail to contractor. Je� Telephone,6LW—_2S/* and hold for pickup at office. D,el.iver w./inspector. Other t Applicant/ �.Ya&�._,_DateU-?3—`�(� Copy of Haz-Mat forrftsent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following .data must be submitteV to permit issuance: (Circle new item not checked above). ,• 1. Index per`mlt�for above items No. 2. Additional Items.required: Contractor, designer, owner, was advised of above required data by_phonejlfjnail—counter byCY.,date_� Contractor, designer, owner, was advised of above required data by_phone—mal l—counter by date Plans checked by Date Plans approved by Date _! Sets of plans on hold in File cabinet AP folder Copy—DPW TO Building Ddparf: hent FROM: Environmental Health SUBJECT:. Sanitation Clearance CA -- Owner ,. Location AP# Plan Approved for: Sewage Disposal ._ Hold final for: Final clearance O.R. for: Clearance for �bedroo mobi home. Other NOTE *** Sanitarian Water Supply Water Supply Water Supply Date y COUNTY OF BUTTE - 66irtibent of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) S 2. I (have/have not) -HA O FL signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name \ Address \ City Phone \ Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address \ City _ Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner �� i.��, / �c��►��r-c,v--�� 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER IT NO. 7 County Center Drive - Orovillea California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 73-35—' ZONING BUILDING PERMIT OWNER Robart & Debraa TELEPHONE _ nm SO. FT. OCC. BUILDING VALUATtON //F� / 'j /� 266 MbLINMO/r / 120 E NA / Dli.7K-/ �_S-&30 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS c 'I Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee ; ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS i Plan Checking Fee $ Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS _ -T Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Bangor? CA Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome[3 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer _s 5.00 Mobile Home T FG I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[2 Other ❑ Describe work: Install 14 X 66 Mobile Home Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10,00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ® I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions _Code and my license is in full �t ^force and effect. License No. 485584 Classification C4 El 1. as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.81) , OR ACDNS. ACC. BLDGS. / /zQsgft NEW CONSTRESID, MULTI -OUTLET NO N.R ESID BRA CH CIRC ITS 2.50 ea POWER APPARATUS e\ (SINGLE OUTLET CIR. / Ex. OCCup(OUTLETS OR FIXTURES 0 320@5SAL& eAL0 Ex. Occup. OUTLETSP(RESID )FIXED LNS.REA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 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 agai st said County in quence of the granting of this permit. X eDate Signature of Applicant — Owner E] Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct -IC ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 16-6 occu P.CONST.T7 SCNoo Loop PARCE PD . � ND IS9UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORK$ CV / Date �/�/(/ a Receipt No. �7 WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET �c QQp ,�pp Permit No. OWNER KU � �'lpf-VRA � PkouiS A. P. No.�p�- Proposed Building Use !` 1 H I Building Inspector Date 6�G At time of permit application, I was advised .the following data must be submitted prior to permit processing and/or issuance: 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. ORD F_LEM School District fees paid. 14. Sanitation approval from Health Department. 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land -Development Section of DPW. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -Inspection for required. 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 Acknowledgment Statement. 25. Letter of signature authorization. 26. 97 When you issue -the permit, process as follows: -Mai l to owner. X Telephone 61-7,1- 14OF and hold for pickup at Other Applicant office. Mail to contractor. _Deliver w. /inspector. Date GENERAL INFORMATION BUILDING DEPARTMENT OFFICES HEALTH DEPARTMENT OFFICES Chico. . . . 196 Memorial Way Chico. . . . 196 Memorial Way Phone: 891-2751 Phone: 891-2727 Hours: 8:00 a.m. - 12:00 a.m. Hours: 8:00 a.m. - 9:00 a.m. Orovi I le . . . 7 County Center Drive Orovi I le . . . 7 County Center Drive Phone: 538-7541 Phone: 538-7281 Hours: 8:00 a.m. - 5:00 p.m. Hours: 8:00 a.m.: 10:00 a.m. Paradise. . . 747 Elliott Road Paradise. . . 747 Elliott Road Phone: 872-6307 Phone: 872-6308 Hours: 8:00 a.m. - 12:00 a.m. Hours: 8:00 a.m. - 9:00 a.m. PLANNING DEPARTMENT -.7 County Center Drive, Oroville - Phone: 538-7601 - Hours: 10:00 a.m. - 3:00 p.m. Original — Applicant W,,.. �_ COUNTY OF BUTTE - DEPARTMENT ,;PUBLIC WORKS -BUILDING DIVISION R 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER tea A V�tT��UiS A. P..No. Proposed Building Use Building Inspector ko Date �S 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.,-,""' ubmitted., .................... 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 .................................................... QjC,f:�'13. ORD EL.EM School District fees paid .............. ro- zo- 96 640 14. Sanitation approval from Health Department i 15. City of Chico plumbing permit .............. ..................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... - —22. Certificate of Workmans Compensation Insurance ....•...:.:..:...... 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization �? 26. 27. f" When you issue the permit, process as follows: Mail to owner. Mail to contractorf X - Telephone 671 1010F and hold for pickup at office. Deliver. w./inspector. Other r Applicant Date 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 ri to per it issuance: (Circle new item not checked above), ' 1. Index permit for above items No. :..2. Additional items required: L. Cont or, designer, owner, was advised of above required data by phone_lnail—counter by -01 -L. -date Contractor, designer, owner, was advised of above required data by_phone_mall_coun b date Plans checked by Date Plans approved by Date ^Z Sets of plans on hold in File cabinet AP folder Copy—DPW �-1'ikRaf f, �+�gii��tyr;!W:S�St�iL'iA`s.1,..r".J77tY^Az'i.`i`.`.`�,.`:^."'��-.j`�p�4ny.':fgi.4.1n�t�r(.k�x'!y ;F:� i�{'�X.sn�""i;�:� .a'p" • ��Q�� I r:i.T,r,W,nsx/I l ��L./�°Nt�':,.+�n%at:tii"�F!,l'Nr^ .•-i`•: BUTTE COUNTY SCH'OOLS.DEVELOPMENT FEE CERTIFICATION,FORM "O�3 ✓�Q� 6/0(One Form per Building,) A.. P .''Number Building Department No. School District -j go City n County Jurisdiction Property Owner zDyert-r 4 DEPWA J% akb uu S Project Location/Address 35 '51 I_F-SI AW IX'tN6 alt Subdivision Lot Number Residential Development: a Sq. Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: New Sq. Footage Addition (Including Exterior Roofed Areas) 3 9� ate (Floor Plans reviewed by School District.Personnel) rict Jd No. 9-0 0.0 17 (Appl'cantI Name). C (Street Address) Ct/12 D � ( ity) XV has complied with the r by the payment of.$ School Distric PAID. BY CHECK NO.. BANK NO _School.District certifies that Phone Number y� (StatE nts of Resolution No. representing epresentative Zip Code square feet. D a e, n PAID BY CASH 01' cQJ D white -applicant, yellow -building d partment, pink -school district SCHOOL.FEE (8/88) ecr AP^3� ' --T--- OWNER PERMIT `# -MH'UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Compaction Service Other Pipe Struc. Test Reg. Size Load T e Size Len th YES NO YES This Mat plans and specfficatlons MUST pe .___:_� __ �.:�._ _ �� riais kept on the job.at all times and It ts.unlawhA to I Accordance wi h Recognized Good eAd make any changes or alterations on same wMW of a quality pre cribed for the SpedMww fn ow written permission from the OeparbTsM of RiOilc ///� GOrI. (�) Uniform Buildi g, Plumping & Mechanl I Cyder and Works, County of Butte. / the National El ctr'cal . 298.98'(iz) 298.99 'W 298,92'(2> —29P 99 _ 890_ 7. fi vy 11�ZE4Ui L PGtC EL /iV E / setback of,l ff. frt r�i t property lines and a setlagt 37 11 of 50►t. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. 1/0 �v /708.33'/ IVELI /00' �o'/z/w v. E. BI ' O 2590 O. ?. 5 6 5 /A 4671?5 7 A /09. 54'��) moi.—-- ---------------� I /709.55' SZo E///G SZl 24/. /7'�/?� 524.53'l/z) /35.9' f! -0. 0370. Oa' 1 N r j ' L PGtC EL /iV E / setback of,l ff. frt r�i t property lines and a setlagt 37 11 of 50►t. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. 1/0 �v /708.33'/ IVELI /00' �o'/z/w v. E. BI ' O 2590 O. ?. 5 6 5 /A 4671?5 7 A /09. 54'��) moi.—-- ---------------� I /709.55' SZo E///G SZl 24/. /7'�/?� 524.53'l/z) /35.9' f! -0. 0370. Oa' 1 N N a in Jr: o -v r .T r • t I � •..�/ a ` � �� C Jam•' � ti Y• a in Jr: o -v r .T r • t I � 4, 4 -..t". _ :a Jr: o -v A'w r • t I � •..�/ a ` � �� C Jam•' � o -v A'w r • t I � dw ��-Cn O m I -L J 0j CL j0 0w• S 0 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: Robert & Debra Barrows 2 Installer's Name: Davis & Son 3. Is the site currently under permit? Yes (If yes, furnish permit number OR Is the site an existing site? YesNo (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes Fx1 No 11 (If no, clarify 5. What is the mobilehome electrical rating? --------------- 100 Amps 6. What is the mobilehome site service rating? ------------- 5• D O Amps 7. What is the mobilehome site circuit breaker rating? ----- �/Q O Amps 8. Is there any other electric load to be served by the -------------------------------- mobilehome site service? Yes El No (If yes` identify the load and size: (Load) (Amps) 22 9.. What is the mobilehome site gas pipe size? -------------- `J�� (in.) 10. What is the type of gas service? ------------------- Natural LPG FZ] 11. What is the gas pipe length from meter or tank to the mobilehome .,�. .� ------------------------------ o (ft.) ! f ----- �� 12. What,is them�,. ileho';megas demand? ----------------- (BTU) *-(tThis nfo matron not required if pipe length less than 6 ft. on nar"tur.{al'°gas or less than 50 ft. on LPG: ) MOBILEROME SUPPORT DATA If other than single wide, Mohilehome Mfr. Fleetwood furnish Setup Model No. Z ,g Year�0_ ri. Width 14 (ft.) Box Length 66 (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)m1. SUPPORTS (check one) E1. SINGLE -WIDE Wood -pressure treated or foundation grade.D 2. Concrete block.❑ 2. Other (specify) Pier Footing Sizes and Locations MULT1-WIDE Line 1 Main Beams Line 2 — — — � — Main Beams — — — — �I_ ine 2 Tag or Triple r — — — — — — — — — — — 7 , Line 1 Other (specify) Line. I Piers: Line 1 Openings: Size -Min. ------------ „ Size -Min. ---------------- x Spacing -Max. --------- „ Each Side of Openings From finds -Max. ------- '_ " With Width Over --------- " e 2 Piers:' Line 3 Piers: (Under Bearing Wall Only) -- / _ Size -Mill ------------- ize-MLi•------------ 30 n Size -Min------------------- x Spacing -Max.-------- < 4 '- Q Spacing -Max---------------- „ r- From Ends -Max .------ M 1 '- old From Ends -Max --------------_ Line 3 Roof wads: Size -Min. ------------ Location (Prom Front) Line 4 Piers: Line 5 Piers: (Under Bearing Walls Only) Sizc-Min. - - „ „ Si -Min.- ------------- x „x „ Spacing -Max.--------- , n Sp x------ " From Ends -Max.------- _ From P.n -- - " Line_ 5 hoof Loads: "x "x "x "x "x l � Size -Mil .--•---------- iPcaLion (From Front) l � Return to DPW .x AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Sectictl 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to .land or included within an area zoned / for agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul.- tural zones which have as a priority use for productive agricultural. purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that follows: /Oa' LX� real pr,�loperty situate in the County of Butte, State of California, described as /41,0-71 .73 ., 3 S-- iY ,"�L t�•�-c- c�Il�j c�C-�- d/� l��-Z-- %�-C..a�L ElC'ei� �� 17 C -T -U- I_ e2e __e _. I S �ii� .� 2i 't 9 5? '�. _;Z e -L -a o r,.7" �Z� Date: °y - -2 J4 - I State of 0 C\Qft1i'JIX ) -.SS. County oft) PROPERTY OWNERS: p,!, -)T �APARFD WITH ,�QRIGINAL DOCUMENT On this the a.� day of 19 before me, the undersigned Notary Public, personally appeared E] Personally known to me. Proved to me on the basis of satisfactory evidence. to be the personT:iFf.whose namet;�) subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WI'TNE'SS WHEREOF, I hereunto set my hand and official seal. OFFICIAL SEAL ROBERT D. MCCOLLUM xm NOTARY PUBLIC -CALIFORNIA iI SACRAMENTO COUNTY Present A.P. No . 73-3 -/ MY COMM. EXP. FEB. 25 1994 Il' Notary Public .. - DuttzOaint�f- a�/ OROVILLE, CALIFORNIA l GENERAL CLAIM CLAIMANT: --Robert & Debra Barrows_ - ADDRESS: = 35 Silesian Way_ CITY & STATE: _ Oroville, CA 959% IMPORTANT: July 2 1990 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Total Permit Fees Paid -------------------------------- $70.00 REtain Building:. Permit Filing Fee-.-------------------- 10.00 Tutd Ref urf lue--==----- --- ------------------ --- Owner decided not to do work. Permit #1943-90B, AP#73-35-18, eceipt #65282 , dated—fi/LVEL - —, TOTAL o_ I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this .XI. .... ,� day o[ ............................. 19 a CaIif. rS SI. "' //..:..................................... ..... ....... ....... . . ........... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above hav been performed or de- livered and that there is a Budget AppropriTation ❑ or Specific Hoard Approval ❑ (Check one) for ame. Dated this .......... 2114 ................. day of .... :luly.............. 19..7Q at QX.S2Y.�..�.�.. Cali 1 . ......... ....... ........... ...................... ................... �1 artment Head or Authorized De Dept. ......4!+Q.-QQ2................. C de 421.0.5CC................. PAYABLE FROM .........CO.ILS. ....22.rMitS .......................................... FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. . - COUNTY OF BUTTE - DEclAR,T—MENT OF PUBLIC WORKS PERMIT NO. t -w' County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 1943-90 APPLICATION AND PERMIT ASSESSR PARCEL NUMBER 73-35-18 ZONING A5 BUILDING PERMIT OWNER Robert & Debra Barrows TELEPHONE 85-4003 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 266 B Montrose Dr Folsom CA 95630 CONTRACTOR'S NAME Feather River Mobile Homes TELEPHONE 73-3614 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING. ADDRESS Penalty $ BUILDING ADDRESS 35 Silpsian Permit fee $ 25.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Bangor Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[a Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: MHI (MHU # 1226-90) _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR L Main service 100 AMP ORSLESS 10.00 Main Service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of, Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING OCCUP.& OR ACDNS. (ACC. BLDGS. ,/z¢sgft NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®50¢ .5 ALO 30 Ex. Occup. OUTLETS RESID 1REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ the permit is for $100.00 (valuation) or less. ❑ 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 FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 co equence of the granting of this permit. x � Date 3 Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 45.00 Energy Inspection Fee $ occ CONST TYPE E TOTAL FEE $ 70.00 HAZ CUA PARK SCHL PAR PD Ho ISSUE00 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 66823 .WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT . «,--•-�� .. COUNTY OF,BUTTE -DEPARTMENT ti�-PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROViCLE, �� FO.RNIA 95985 -TELEPHONE: 918/538-7641 ,� PERMIT APPLICAI`I�N DATA SHEET f Permit No. OWNER A. P. No. 3 —3 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 APPROVED Z) 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. Ha{ardous Material Form ..... /................................. 6. Energy Design Compliance and&pporting documentation .......... 7. Statement of Intent for Non -Heated and AC Buildings ............... Engineered truss details and layout in duplicate (required prior to plan check) V 9. M615flehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. ChIto Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. 0A-0 F_Lr, nI School District fees paid .............. 14. Sanitation approval from Health Department, 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... '22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... ettf�� f signatur ' horization 26. ilk 27. !", When you issue the permit, process as follows: Mail t caner. l Mail to contractor. _ Telephone /:Z9"Z 5% and hold for pickup at office. Deliver w. /inspector. Other Applican/�.�. �„�,+�.�, Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution ate Copy of sent Health Dept. Fire Dept. Othere plans By The following data must be submitted prior 1. Index permit for above items No. 2. Additional items required: permit issuance:, (Circle,11794 item rV checke Contractor, designer, owner, was advised of above required data by_phone---na(I—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date o . (WI o/ C7,0 -� 14e✓% GSI pp L /N G- Fop /A R,51,21-1 AJ D E F/niA L 7-/✓S7—,4L LA7-1 c o -J p4�52rlm / T FoR MOB /L 6 A/0/7? rT � T � u N E14�✓ Go P -73-3S-/W 35 Sig-SIAKJ WA\y DkwILI.c-� 95��