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HomeMy WebLinkAbout078-040-014• rence- G. Hammons E/S Custer Ln.,app.1300'S.of Kusel Rd., Palermo Permit 80-76P,E(util. MH)II BLEC. e g �1 GAS S OR STRUCTURE REQ.) /UO COMPACTION TEST REQ. 1U0 ��Permit ��4306=76MI- Issued; - - 7A�� v. ��_® contr: Orgville Trailer Sales, Oro. —Permit #2774-Q77MHI Issued_ /- A.A S contr:Holmes Mobi a .Home Serv., Bango Permit #28 9-7n(new awning/Ml ermitt #4493-WP"-Wutkl,.J1/ Y, QOMPACTION TZST REvy— J ' Oka / All s/V 01- A- Q 1 a Contr: HolmesMH S77, Oroville Permit #7342-78B (1st . renewal/ 2R_79-77) Contr: Holmes MH Ser, Oroville Permit#7346_ 78B (new awn extj) MH Contr: Holme Ser, Bangor Permit#1.1x7'9-8OB (1st renewal/7346- 7� g extension J Permit #7f+8-8�18� e ( pri&t.garage) d609.'�I, -T-Ya dArl', T 1 j ELANUEL-ELMS 291 Custer Lane,-Oroville ContR : Mobile home Center Permit#409-89B(reinstall Caning/MH) ELMS, MAE 03 (o -gob -O/ V 6291 CUSTER, OROVILLE - - COV DECK/SF PERMIT 95-3050` ELMS, Ma' , 6291 Custer Ln., 0roville s. New Carport PERMIT#95=3051' ELMS, Mae 6291 Custer .Lri.., Oroville /a 7 Open Deck Around. Doughboy-Pool.�, Coritr-:- Valley Drywall r Perm 2448-84B,P,E,M(convert garage to /SF) ��.� A4A'J i 1 171 :4. I - -;4 oly J. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilie, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT P RMIT O. ASSESSOR PARCEL NUMBER ZONI G . BUILDING PERMIT 0 WN -M T LEPFt NE SO. FT. OCC. BUILDING VAL N OW 'S MAIL I NG ADDRESS C T I CT ME TEL PHONE 3 r" C CONTRAC OR'S M IL NG ADDRESS - L:1 - Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS - - Filing Fee $ 1.0 .00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ r` ARCHITECT OR ENGINEER'S MAILING ADDRESS - Permit fee $ BUILDING DDRE S , PLUMBING PERMIT Filing Fee 10.00 Jr S C1 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 ^ . LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 55,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY%Jwv\,aA'04 Building sewer 5.00 r Mob' a Home I S I G W 0.00e TYPE OF WORKO New E] Addition Remodel Utilities Installatio ❑ Otherr Descri work: s Permit Fee $ Contractor 100100 ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 10.00 ` ,00 Main service EA. ADD'L 100 AMP 2;550 CONTRACTORS LICENSE LAW I declare u er penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Busines and Professions Code and my license is in full force a d effect. License Nor�q ��©/U 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. DWELING OR ADDNS. ( ACCLBLDGS.0 21�20sgft / NEW CON STD R BRANCH TLE ITBJ 2.50 ea NEW CONSTR POWER APPARATUS & ( I\ NON-RESID. SINGLE OUTLET CIR. 1s Ex. Occup(ourLETs OR FIXTURES a°L°eao` FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Oy\ in Permit Fee $ Contractor 71 (93 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 o Onsent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating b Cooling r Hood 3.00 Ventilation �� ! Perm it Fee $ o Contractor 170r 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 a y wa accrue agai st id County in consequent f the granting of this perm' 'Imate Signature of Applicant — Owner❑ Contractor Q' Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in h 'ght. Mobile Home Installation Fee $ TOTAL PERMA PEE OCCUP. GROUP I TYPE OF CONST. ARCEL PD 1 ND 100CSSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR Qg BLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS to Receipt No. / WHITE-D.P.W.. � PINK -INS CTOR. GOLDENROD -APPLICANT I i PERMIT NO. 2448-84B, P,E,M PERMIT EXPIRES OWNER LAWRENCE HAMMONS CONTR.. _ Valley Drywall ASSESSOR PARCEL 36-291-66 LOCATION E/S Custer Ln; 1300'S Kusel Rd, Paler 9 Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) Signature J�� = OK = Not OK = NotReadyable RESIDENTIAIy(Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / ./" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Fig., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regulator-Seryice Test 11. Electric; Underground 55. Shear Walls; Nailing -Bolts 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -81 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date FINAL (Plans) OK except q's Date PLUMBING (Permit) OK except q's 56. Ext. Steps -Door & Sidelight Protection- andings 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. A -Connector - In Garage; Above Floor -Ducts -Me .Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub ccess 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Sub net; BreaAr Sizes -Labels 19.. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clear nces-Hearth 64. Elec. Outlets at Wood P nel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & A lianc , Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Rec ptacles at Kit. Counter Date ELECTRICAL Permit OK except ti's 67. Garage Fire Door; in -Landing-Closer 68. A.C. Duct in Gar -4e -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -/Clearance -Comb. Air-Connector-P.R.V.- In Garage; Aboa Floor -Mach. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size B es & No. of Conductors -Stapled 70. Plb., Elec. & ech. Equip. Listed for Location 23. Ro Installed Close to Edge of Studs & C.J. 71. Elec. Re cles in Garage; (G.F.I.)-Romex Protec. 24. E ip. Ground made up w./Mech. Fasteners -Bond Gas & Water 72• Ins ulet i n oam-Looked in Attic ❑ Yes 25. KAppliance Circuits in Kitchen & Conductor Size 73. Guard 09fifi & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked inder Floor ❑ Yes 2 . Range Circ: / / ga. Cu or AI -Oven Circ. ga. Cu or At, Insulated Neutral ❑Yes ❑No 75. Follow)fig instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes [:]No; Plant4s ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stuc o; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.4. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. V nts Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. 79. hater Well; Disconnect, Electrical, Plumbing Card B -I Date Card -BI Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81' Ventilation throughout House Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 2. Glass Protection 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation gg. Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Y Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI 'Date Card -BI Date Comments at Final: Date FRAMING Plans OK except q's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) C, 40. Fire Stops; Furred Cell in s -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors ^ 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you vis it jcVsite) BUTTE COUNTY PLANNING COMMISSION USE PERMIT August 9, 1984 DATE (Registered mail receipt) 84-48 PERMIT NO. 36-293..-66 ASSESSOR'S PARCEL N0. Pursuant to the. provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Lawrencc ` aituf:ons is hereby granted a Use Permit NAME' In accordance with application filed: S/8/84 to allow .a TeSide tial. use 2 Om industrial zone of K-1 date on property located Asn the east side di•. Custer Lane, approx. 1/4 stile south of Wel Road® Orov :ile. 1 failure to comply with the conditions. specifies herein as the basis for approval of appli- cation and issuance of Permit, constitutes cause for the revocation of said permit in accor- darice with the procedures set forth in the Butte.County Zoning Enabling Ordinance. 2 -Unless. otherwise provided for in. a condition to a use' permit, all. conditions must be com- pleted. by. the permittee within 12 months of the delivery of the countersigned permit to 'the .permittee. 3.. If any use for which a use permit has been granted is not established within one year of the date of receipt of the countersigned permit. by the permittee, the permit shall become null and void and reapplication shall be required to establish the use. SPECIAL CONDITIONS: x . Install a sewage d§. posa2. sgstem tinder permit fTOM , thQ Butte Courltip Department of P011c ligalth. -Rrbvide an approved water suptily. 1-o *er shall, make occupants aware of h.igix noise levels generated -icy nearby lndu.strial uses. 4. All construction -shall -be done pursuant to the rules and T0gtt V.'tir 1S of th'e Building Division of :tine 'Dept. of Public Works. S. Applicant tsu.st al.em_ corlsly w3.t:h 'a11 other applicable "tate and .16ca."L Statutes, Ordinances, and. tregulat�ons. I hereby declare under penalty of.perjury that I have read -the foregoing conditions, that they are in fact the conditions which were imposed upon the ,granting of this use permit, and that I agree to abide fully .by said conditions. Dated: Applicant NOTE: _ Issuance of this Use Permit does not waive requirement of obtaining Building and Health Department permits before starting construction, nor does it waive any other requirements. - CC: Health. Department Department of Public Works (2) Fire Department Chairman of Planning Commission B.H. USE ONLY Plot Phu AmcSed Poor Phu Amcbed Sect to B.D._ Ia — P IT TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 5 61)-7I Ce s7��Ll' Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date M O.B.- I .... 0-1 I. AWIWM� .1 M, w 0 1"o -I-, 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. 1 personally plan to provide the major labor -'and materials for construction of the proposed property improvement: YES[ NO[ 2. .1 HAVE[" HAVE NOT[ ] signed an application for a building .permit for the proposed work. 3. 1 have contracted. with the following person, (firm) to. provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. J 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. S. 1 will provide some of the work but I have contracted (hired) the following persons to provide'the.work indicated: NAIVE ADDRESS PHONE TYPE. OF WORK SIGNED: PROPERTY OWNER:- '77/ SOCIAL SECURITY NUMBER: DATE:— NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. - This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as thebuilder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits arenot required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations; and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract - the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors a*e allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. . A frequent practice of unlicensed persons professing to be contractors is to secure an ` ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. r� Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER waggg ............ ..... • 2�*��% 22, �:...*%t....*'�-.I...'��l�'---...,o•al. -4! IN V -5.1 XXI . . . . . . . . . .. ......... . ..................... 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. Nobuilding permitwill ' be issued until this verification 'isreceived. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES[ J NO[ J. 1 2...I'HAVE[" HAVE NOT[ I signed an application for a building permit for the . proposed work. 3. --1 have contracted. with the following person -(firm) to. provide the proposed construction: NAME: ADDRESS': CTIY: PHONE: CONTRACTOR'S LICENSE NO. 4. J 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. 1 will provide some of the work but I have contracted (hired) the following provide'the.work indicated: persons to NAIVIE ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: - SOCIAL SECURITY NUMBER:OA DATE: 1,21 -/ 3 5 NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as thebuilder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are. not required to be signed by property owners unless they are personally performing their own work If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: . 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract - the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department. of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who .are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an ` ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors. State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sinchrel , Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Id MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1: Is the mobilehome located w h required separation from lot lines and buildings and general conform to.plot plan? YesW No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes No 3. Are footings and supports properly sized, spaced, and braced asper approved plans? (Note possible variation at;'spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes Xj No 5. Lf nnections properly installed? (Sec. 5088) Yes No 6. Water A. Is fl xible 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 ibs. air test? YesNo C. B - s not State is approved, does station have backflow devic and pressure -relief valve? Yes No �. Wastes and .Drains A. Is. connection made. with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum".per foot.slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after un ing 3 -gallons of water through each fixture including washing machine standpipe? Y s No D. If c.Qach re o . a rove does station have required trap and. vent? Yes - No $.. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the. gas supply, with an approved 3/.411"minimum mobilehome connector not more than 6 ft. long? Note: All piping is to beat least as large as the mobil home gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as .per following procedure? Yes o 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are 411 appliance vents properly installed? Yes No. Y 9. Electrical A. Is service large enough to provide adequate amperage. to mobilehome (must equal rating of mobilehome with a minimumQf,, 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there 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 procedu e? Yes No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that'the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test.instrument to the mobilehome grounding conductor and apply the oilier lead to each mobilehortie supply conductor, including neutral. 5. All non-current., carrying metal parts of the mobilehome (aluminum siding, gas line, water'iine),• including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor.. ^. 6. Upgncompletion of the above procedure, the power supply cord or feeder.assembly conduc o*rls.shall be connected to the site service equipment. A`further continuity.' test all then be made between thegrounding electrode and the chassis of the mob'ilhome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation. 11. If everything.okay, sign off card and tag services. r/ KOBILEHOME DATA. Manufacturer .and/or. NamestyleIzz:::-^ Length, Width 2� Vehicle Serial No. —®�-� --� State identification No. �O Additional.Information or Comments: ` F PERMIT NO. 3803-76P,E PERMIT EXPIRES/ KZ OWNER Lawrence G. Hammans CONTR. owner LOCATION (A.P. 36-291-66 E/S Custer Ln.,app.1300'S.of Kusel Rd., Paled COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) I PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidinq To out All Slab Roof Sheathing Water PI in Piers Roofing Sewer �O Garage Fdn. Vents Fixtures Footings StemwaI l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Slab handicar pehysically Conformancdde of ex. structure Final Appliances Gas Piping & Test Temp. Gas Sanitation /� Patio FIREPLACE Final Footings ;. Footing EJ,9CTRICAL Masonry Walls . Throat Rough ` Reinf. Steel �.,, Final Fixtwts Water Htr. Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service ' �lJ IeUwl Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS 07 1 I � ? Ven7 s form each time you visit the job site.) ".'.­­!­V-ERMIT NO. PERMIT EXPIRES Lawrence G. Hammons -".OWNER CONTR. Holmes Mobile Home Serv., Oroville . LOCATION (A.P. 36-291-66 6291 Custer Lane, Palermo Temp.Power P_j6 Called P Temp. El Serv, Cal PG�PG&E Tem Gas Serv. ailed ed PG&E JOB FINALED Setback Forms Main Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings lasonry Wallt COUNTY OF, BUTTE — DEPARTMENT OF PUBLIC WORKS 0 BUILDING INSPECTION RECORD MECHANICAL BUILDING BUILDING (Cont'd) Scratch Firewall Soll PI In Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water PI Inj Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for phsicaliy handica e. Appliances PLUMBING Conformance of ex. Gas Piping & Test structure Temp. Gas Final Sanitation . FIREPLACE Final FI ECTRICA mesn MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer I Final Final MOBILEHOMEUTILITIES------------------Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALL/TION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS "—A, �CT (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive y Oroviile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -men ned operty for i tion purposes. 46 isDate 5' nature of Permit e . Agent Receipt No. wki...n P W _ Yar L. W_sss.sc... _ FI..L_I....._..... _ G.. LA_......1_e....I;.-..... This permit is hereby issued under the applicable provisions of t4w13Djte County Code and/or resolutions to do work indicated LZA- es ave been paid. fi�O��ROF PUBLIC WORKS ��i�'— Date Buildina permit expires Date. /Xs�/R'l BUILDING Owner je6, SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor o L- �, owls .3�tvi•cclr Mailiv Address Telephone No. Fireplace Total Valuation Permit Fee t , O Building Address_ U 45'- Plan Checking Fee&/or Penalty Permit Fee ^� PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Traa 1.50 v I[,(,Ijp Repair drainage or vent piping 1.50 _ A. P. No. (� — % — Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 W!•Gl Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 B Parcel Approval Plane Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ permit Fee $ -�qr( p C # _ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service 1100V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service O100 VER appy 25.00 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST.( OR A.D.S. ACCLBLDGS.CCUP. �'� 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9. Div. 3, of the State of Califonia Business & Professions Code under the name sty! � � / llmfr_� & /� 6flf/N.-6� 6 NEW CONSTR T NON.RESID BRRANCANCHH CCIRRCUITS 2.50ea NEW CONSTR (POWER APPARATUS & NON.RESID. `SINGLE OUTLET CIR. EX. OCCUD(OUTLETS OR FIXTURES 50 @ 25 EX. QCCUp (FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 3 License No. 71 Classification if—`/ 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 California. MECHANICAL No @ FEE PERMIT FILING FEE $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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above -men ned operty for i tion purposes. 46 isDate 5' nature of Permit e . Agent Receipt No. wki...n P W _ Yar L. W_sss.sc... _ FI..L_I....._..... _ G.. LA_......1_e....I;.-..... This permit is hereby issued under the applicable provisions of t4w13Djte County Code and/or resolutions to do work indicated LZA- es ave been paid. fi�O��ROF PUBLIC WORKS ��i�'— Date Buildina permit expires Date. /Xs�/R'l CVtJN if.,OFUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT�I WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ,I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this 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. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1;&X Date 0 5 gnoture of Permitee or Agent Receipt No. ��v 0 White-D.P.W. — Yel ow -Assessor — Pink-Insoector — Goldenrod-Aoclicant _ BUILDING k./ SQ.,kT/ 1 OCC. BUILDINQ VALUATION 10WRIA 17,9 Fireplace Owner iA R:5ebI�1�S ELECTRICAL Mailing Address PERMIT FILING FEE Plan Checking Fee &/or Penalty Telephone No. Contractor 5 5.00 PLUMBING Mai I ing Address 3`� I 1e jZ PERMIT FILING FEE Q / CE O OV ��� 1 �7 Telep ne go Building Address Repair drainage or vent piping C os-raR t_kw c- Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning loef .30 San' Fire Dept. Fire Zone 5.00 Use Permit EQA Parking Plans Parcel Declaration Parcel Ma 0' R/W P Im provements Bldg. PI Recd Parcel A r al Plans Approval NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ r Own 6 Single Family ❑ Duplex ❑ Mobil Home OthersEJ_ CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. 3 , Classification 0— 10 ❑ I am exempt from the Contractors License Laws o1 the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ,I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this 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. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1;&X Date 0 5 gnoture of Permitee or Agent Receipt No. ��v 0 White-D.P.W. — Yel ow -Assessor — Pink-Insoector — Goldenrod-Aoclicant _ BUILDING k./ SQ.,kT/ 1 OCC. BUILDINQ VALUATION 10WRIA 17,9 Fireplace Total Valuation ELECTRICAL Permit Fee PERMIT FILING FEE Plan Checking Fee &/or Penalty Main service Permit Fee 5.00 PLUMBING No. @ PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ ELECTRICAL No.1 @ PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Main service 100 AMP OR LESS 100 AO 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. OR AODNS. ( DWELLING ACC. BLDGS.CCUP. 9) 2�Sgft NEW CONSTR. NON.RESID_ (MULTI -OUTLET BRANCH CIRCUITS 2.50ea e EX. OCCUp OUTLETS OR FIXTURES ' "o BA"o FIXED APPLNS, OR P•(OUTLETS (RESID.) EAP EX. OCCU 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ MECHANICAL M @ PERMIT FILING FEE 1$3.0o Heating Coo I i Ventilation FEE Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P LIC WORKS 1-4 By Date Buildinq permit expires Date _���� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovil.le, California 95965 Telepho0:534-4541 APPLICATION AND PERMIT x �1N�ljt-O7La/ Date 4 , -0 — �7 Signat to of ermitee or Agent Receipt No. 14n --% White-D.P.W. – Yellow -Assessor – Pin4-Insn—fnr _ fnl to a_e l Inv auue uounty uoae anaior resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Buildina hermit exoires Data Date BUILDING OwnerLm U J VIVA SO. FT. OCC. BUILDING VALUATION Mailing Address P o,Z Telephone o. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE .� PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Y>Q do Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.—y. Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. Sanit/a�tion FireDept. Fire Zone Use Permit EQA PPar n Ong el Parce Map 60' R/W Improvements Building sewer 5,00 JMW Lawn sprinkler system 2.00 '6f? Bldg. Plclt 2ec'd parcel Approval Plans Approval Permit Fee $012$ p NEW ADDITION ❑ UTILITIES ®OTHER ❑ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 Q Main service 600V OR LESS 100 AMP OR LESS 5.00 -6"n 0 Main service EA. ADD'L 100 AMP 2,50 Single Family.❑ Duplex ❑ M6bil Home Others ❑ OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 SY1. FT MINIMUM NEW CONST. DWELINGSW OR ADDNS. ( A/CCLBLDGS.CC UP. &) 20sq ft FORY� MOBILES NEW CONSTMULTI-OUTLET NON-RESID R l 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: Ex. Occup(OUTLETS OR FIXTURES BAL@1 FIXED Ex. Occup. ( OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 u� I am exempt from the Contractors License Laws of the State of California. Permit Fee $-a& xD$ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this 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 N0.1 @ I FEE PERMIT FILING FEE $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 authorize representatives of the County of Butte to enter upon the ahnva-mpntinnpri nrnnprty fnr inennn♦Inn m-^ ­ 45__�ofl TOTAL PERMIT EE $ This permit is hereby issued under the applicable provisions of x �1N�ljt-O7La/ Date 4 , -0 — �7 Signat to of ermitee or Agent Receipt No. 14n --% White-D.P.W. – Yellow -Assessor – Pin4-Insn—fnr _ fnl to a_e l Inv auue uounty uoae anaior resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Buildina hermit exoires Data Date /I CLAIMANT: — ADDRESS: — CITY & STATE: Palermo, CA. 95968 IMPORTANT: September 27, 1977 SEE INSTRUCTIONS DATE OF CLAIM: p ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVIrFs eouw* of (3td � ryI /� OROVILLE, CALIFORNIA GENERAL CLAIM Valley Dry wall Service P.O. Box 271: DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Cannot issue permit for second dwelling due to zoning. Receipt #168271 - AP 36-291-66) Plumbing permit fee $33.00 El etries! fee $25.50 permit Land Development fee $25.00 TOTAL REFUND DUE -------- $83.50 $83.50 TOTAL $83.50 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 .................................. day of ............. . 19....... at.......... Calif. .............. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge• the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation Q or Specific Board Approval a (Check one) for the same. Dated this 27th Sept • , 19 77 at Oroville Cell[ ....................... day of ............. . ..... ............. .......... ........ ...... .......................................... Department Head or Authorized Deputy Dept. Exp. Code ............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD• SUB. 0BJ. CLAIM NO. I INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E 2 JOB FINALED (Date) Signature Y PERMIT NO.4nq—RQR 2 A-) lo'2 PERMIT EXPIRES OWNER FMAMiFT, FT.MR CONTR. Mohile homy CPntPr ASSESSOR PARCEL 36-991-66 6291 Custer,Une, Oroville LOCATION �-1(c-90 Az-� i i 0 Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E 2 JOB FINALED (Date) Signature 'Ok 0 = Not OK -=Not Applicable MOBILE HOMES ' =Not Ready MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DEC S,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements akloning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) -Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- S fig.-Rfg: Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete *Alum. Awn.; Coiumns-Connections-Splice-Decal-Enclosures 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Card -81 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Card -B1 Date Card -Bi Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card-9117,MDate%2 and -131 Date 2. Footings; Size -Spacing -Marriage Line Card -Bi Date Card -131 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s S. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure. Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8: Gas and Electricity Tagged 4. Elec.; Receptacles and Lighting, Distances-GFI 9. Exits; Insp.-Sketch 5. Elec.; Pool Lighting; 15 volts-GFI 10. Cert. of Occupancy 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 Card -131 Date Card -81 -Date Card -131 Date Card -81 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1. Date Card -131 Date Card -81 Date. % COUNTY OF BUTTE:. — PEPARTMEI`qT-OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner �� O SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. 1 Contractor Fireplace Total Valuation Mailing Address ��� Permit Fee Plan Checking Fee&/or Penalty. �Tee hone No � Permit Fee $ Building Address PLUMBING No. @ FEE --ff f % Q S PERMIT FILING FEE $3.00 Each Trap 1.50 OF If Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. Noa �! �p� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional F Ser>♦;atial Fite Dept. FireZone Use Permit outlet 30 Building sewer 5.00 EQA ParinPlansg Declaration Parcel Map 60' R/W I Improvements Lawn sprinkler system 2.00 Bldg Plans Rec'd Parcel oval PI pprovol Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER,® ELECTRICAL No.1 @ I FEE 641 ex�i(/Wxl/ ,Ef PERMIT FILING FEE 1 $3.00 Main service 600 AMP LOR ESSLESS 5.00 1 •� Main service EA. ADD'L 100 AMP 2,50 , Single Family Duplex ❑ Mobil Home Others ❑ Main service 10 0 AMVER P OR LESS 25.00 Main service EA. ADD'L 100 AMP 1,00 - NEW CONS. DWELING OR ADDNST ( ACCLBLDGS,CCUP. &� 22sgft NEW CONSTR. -OUTLET (MULTI 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 un er the name styl ��" Ex. Occup(OUTLETS OR FIXTURES) 5BO L Occup. Ex. O 2,00 Temporary service 10.00 Home Facilities 15.00 / CMobile License NoatO�/Q Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 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. )!f,have placed on file with the County of Butte a certificate of Wor men's Compensation Insurance. Ify 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. @ FEE, PERMIT FILING FEE $3.00 Heating Cooling Ventilation 12.00 Hood Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree omply to all County Ordinances and State Laws relating b (ding construction, and hereby authorize������cceec���nr1 at ive of County of Butte to enter upon the ahnv pn,1r'�ri;,npd/n„ ,Af ., o tl.. oc O"QC TOTAL PERMIT FEE This permit is hereby P y issued under the applicable provisions of Date S' notur `ermitee or Agent Receipt No. 149 �» White-D.P.W. — Yellow -Assessor — Pink-Insnentnr — r n1de.,r.,.l-Annhi t the rsutte L;ounty L;oae anaior resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS C By Date_� 7— 7, Bul dine permit expires Date 6— 5�- 7 p (This information not required if pipe length less or less than.: 50 •ft on. LPG.) 6 ft. on natural gas r c BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center'Drive;:Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name • �'�/� M M 0 &a 2. Installer's name: VILLE. Tin WILEJ 3. Is the site currently under permit? Yes / / No / (If yes, furnish permit number ) OR :s Is the site an existing. site? Yes No .-(If.yes, furnish two (2) plot plans.) 4. Will -the moblehome be located at least 5 ft. aw y from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no,. clarify 5. What is the mobilehome electrical rating? -----------------------. /� B Amps ----� 6. What is the mobilehome site service rating? ---------------------® Amps 7. What is the mobilehome site circuit breaker rating? ------------- e,::. ':C'C� Amps 8. Is there any other electric load to be served by the mobilehome site service? ----------------------------- .---------------------- Yes No (If yes, identify the load and size: (Load) (Lo - ) 9. What is the mobilehome site gas pipe size?----------------------- ---------------(ome?' 10. What is the typeof gas service?----------=---------------ral/LPG11. What is the:gas pipe length from%meter or tank to the mobil(ft.) 12. :What is the mobilehomegas demand? ------------------------ (B) (This information not required if pipe length less or less than.: 50 •ft on. LPG.) 6 ft. on natural gas MOBILEHOME SUPPORT DATA Mobilehome Mfr.. __ .✓Dpc- Setup Model No. _Zlell Width 014 (ft.) Length (ft.") -Expando Size -.x ft. (Draw support: details below) . Year ,97Y 0 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) . m Center Support Locations f t)(1nT' S.in le .� Footin s (check.one / 1. Wood 'either pressure treated o: Center Support :: fdn.':grade.:: .: Footing Sizes (in.)J.2—:Concrete pad. x 14 4 3. Other,': specify . .. ........ .(in.) (in.) I 1 d ft.(in.) in. .) (in.) (in.) ' Supports (check one Y. Concrete block 2. Concrete piers 3. Steel piers .... ... .................. Other, specify. Typical Support ... jAx'3' Footing Size in. in. Pier_. .... ...:..... ..... S_ �:•. .Spacing .. IMax. ,Overhang *If.center piers.are other than drawn above,. draw -in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DFPARTMFNT APPROVED b�� MOBILEHOME SUPPORT DATA Mobilehome Mfr. �"� � i�L.��c�®)� Setup Model No. Year Width (ft.) Length 'J! (fto) -Expando Size 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 the County of Butte). Sin le Footings--(check.one Im / 1. Wood :either . pressure treated of nter Center .Supp rt fdz�.:grade. S pport Footing Si s L at ions (in.) ..... / 2 -.:Concrete pad. x / / 3. Other,' -specify in. in. --� - - - - - _ Supports (check one Z1. Concrete block 77 2. Concrete piers 3. Steel piers .. ........ Other, specify ' .� .... ....... W3n.W3-n. Typical Footing Support ize .. - Size- _.n. _-n-.) x + �. in. Max. Pier. Spacing n -in Max. erhangdv ------� r ^If 0 center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY o3 8 ` ' BUILDING DEPARTMENT APPROVED Z� BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: Zfi F 2. Installe;'s name: 3. Is the site currently under permit? Yes _ No ( 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 clear of all `setbacks and easements? Yes // 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? ---------=--- X Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- _VMCWNo 7777 (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size?-----------------�---- ( ) 10. What is the type of gas service? ------------------------------ Natural/ / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. :What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft . I 9. Electrical A. Is service large enotigit to provide adequate amperage to mobilehome (must equal rating of mobilehome with a :::inv±:um of 100 amp) and other facilities on lot, i.e. , water pumps, garage, cabana, etc.? Yes �o B. Is there proper clearances around panels? YeskN C. Is power supply cord or feeder assembly properly fused? Yesy 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. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one -4c!.3d of a test instru�ient to the mobilehome .grounding -.conductor and apply the of 'e ihc-ad to each viobilehoyfie supply consLictor, ii�cliiding neui.rai. 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from - such equipment and the grounding conductor.. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall. be connected to the site service -equipment.: A further continuity te..<;t• shall then be made between the grounding electrode and the chassis of the rioibilehome. Upon satisfactory completion of the doctrical tests, the lot or site service equipment may be approved for energizing. .J, Ts 'job card signed by Health Departmeat for water and sanitation? 11. If everything okay, sign off card and tag, services. MOBD,E1'TOMt DATA Manufacturer, `and/c,r Namestyle I Length jQ i Width Vehicle Serial No. 1qO 32 State Identification No. ,.de, L t ibnal Information or- Comments: M1011I;X.110a11.1 DVS7'ALUAT ON. INSPECTION CIiECK LIST 1. Is the mobilehome located wi.�:ii r quired separation from lot lines and buildings and generally conform to plot plan?. Ye 13 o 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes 3. Are footin,s and supports properly sized, spaced, and braced a r approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) YesENo 4. Is the mobilehome level.? (Sec. 5088) Yes VNo 5. If more -than a single unit, are crossover connections properly installed? (Sec. 5088) Yes o 5, Water A. Is l,Pxible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes V No B..'Test -'Does water piping withstand working pressure or 50 lbs. air test? YesyNo C. Backflow - If coach is not State of Cali roved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains <_ A. Is connection made with Schedule 40 DWV and.have flex connectors at each end? Yes No_ B.. Does it have minimum k." per foot slope and is it. properly supported? Yeo C. Are. any leaks detected in.drainage system after running 1 -gallons of water through each fixture including washing machine standpipe? Yes No (,Y D. If coach is not Stat o ifornia approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas siipply 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 mobilelome:ga's.line inlet without.: reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yesa/No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without. drop. 4. Connect: gas meter to mobilehome with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yesl/ No J i' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive UroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT �..I+­0 0 VI IIIc IiVUIItY VI DUMC to enter upon the above-m9ptioned property for inspectio purposes. ate Signature of Permitee Agent Receipt No. by 2 le�' 2k 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 0 PUBLIC WORKS BY Date - IP -3-7 �o wilding permit expires Date — X-3' 2 BUILDING Owner — C.' ORI;FeA. 4 S SO. FT. OCC. BUILDING VALUATION Mailing Address 06 A 7 � .. 2mc) Telephone No. -0 Contractor �e� Fireplace Total Valuation Mai I Ing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address ,S Qh U 57'ert PLUMBING No. @ FEE c f J�Qi= SF—j d PERMIT FILING FEE $3.00 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. (y p� �—� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees I W.C.6aaiSati9p Fire Dept. Fire Zone Use Permit Building sewer 5.00 E�OAA Parking Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Ili d .Plans Recd Parcel A oval Plans pprov31 Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER,® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 _ IIJ S 7�9 *%7e/� ,0 Q�— Main service i°o°o V OR AMP LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service 10 0 AMP VER oR LESS 25.00 Main service EA. ADD`L 100 AMP 1.00 NEW CONST. OR ADDNS. ( ACCL BLOGS.CCUP. &) 2¢sq ft NEW CONSTR. (MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) *2.50ea NEW COPOWER APPARATUS & NST R. 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) BAL250 FIXED ALINIS Ex. Occup.(OUTLETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 IN I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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. INI 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. @ FEE PERMIT FILING FEE $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 authnrivn nnrnenn tofi..en ,.s +I,- 401 PK2TOTAL PERMIT FEE $ Q �..I+­0 0 VI IIIc IiVUIItY VI DUMC to enter upon the above-m9ptioned property for inspectio purposes. ate Signature of Permitee Agent Receipt No. by 2 le�' 2k 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 0 PUBLIC WORKS BY Date - IP -3-7 �o wilding permit expires Date — X-3' 2 �0 COUNTY OF BUTTE – DEPARTMENT OF PUBLIC WORKS 7 County Center Drive–'`"Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT a Signature of Permeiteeegor Agent Receipt No, _ I / / zY7 By White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant wilding permit expires Date BUILDING Owner z XW/<-IC-5 _ c E ��/ SQ. FT. OCC. BUILDING VALUATION Mailing Address ©�X 2 �l ' Telephone No. .t110A,01ar Contractor Fireplace Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address s OF C'v�E%L PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3.0 / 3 OC: S'®. c� 1= /t.�� L .L1, Each Trap 1.50 Z_ g m V Repair drainage or.vent piping 1.50 _ ���� 7eMtafiea Water piping 1{0- yEach gas water heater or vent 1.50 A. P. No. 3,6 –2 '?l —66 /f• Zonin Gas piping system 1 - 5 outlets "0. � Q Each additional outlet .30 t� F s WrC;. Sa t on Fire Dept. Fire Zone Use Permit EQA I Parking Parcel arcel MaImprovementsLawn Plans Declaration p 60' R/W Building sewer 5-W /0.01 sprinkler system 2.00 Bldg. Plan Recd Parcel Approval Plans pproval Permit Fee $ d OC NEW ❑ ADDITION ❑ UTILITIES ® OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 3 O Main service 1000V OR 0 AMP ORLESS5.00 f p O Main service EA. ADO'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service/ EA. ADD•L 100 AMP 1.00 9WFT. FAINIMUM NEW CONST. OR ADONS. ( ACC*BLOGSLING O.CCUP. &� 22 sq it 4tiAK� NEW NON-RESID R. ( BRANCH CIRCUITS) '2.50ea NEW CON5TR. 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: Ex. Occup(OUTLETS OR FIXTURES) 50025 Ex. QCCU FIXED APP LNS. OR Occup. (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ✓ O License No.Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ZS .j' $ 2 S 1s_o WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against 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. @ FEE PERMIT FILING FEE $3.00Heating 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 authorize representatives of the Cou y of Butte to enter upon the above -m boned property for inspe n purposes. X to / 7� TOTAL PERMIT FEE $�!' �Q 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 pai DIRECTOR OF PA1 LIC WORKS Signature of Permeiteeegor Agent Receipt No, _ I / / zY7 By White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant wilding permit expires Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICAT-A-AND PERMIT ASSES OARCEL NUMBER - oZ - ZONI ~ BUILDING PERMIT o� _ER t44 E��.. g �� TELEPH NE say-baov SO. FT. OCC. BUILDING VALUATION NER•S MAIL NG AOPRESS CONTRAC? R'S NAME /L 4/C TELEPHONE S 33 �51o3 CONTRACTOR'S MA7 ING ADDRESS'' % U 012& Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS /� t 4 s �-U-S e(, -1n 1-1 L /nom e l lx Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP—Water piping . 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF[:] Duplex[] Mobilehome❑ Other_ SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S F G f W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service f00V OR 00 AMP ORLESS10.00 .CONTRACTORS LICENSE LAW I declare pder penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions /Cffpd/e�a�n7d�my license is in full/ force janndd effect. License No. � 6 570 y_ Classification / �— / / F1IEX. 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 Main service EA. ADD•L 100 AMP 2,50 NEW CONST.(DWELLING OCCUP.aI OR ADDNS. ACC. BLOGS. , q /2¢S it NEW CONST R LOUT LET NON.R ESID .BRA C CIRC TS 2.50@8 (POWER APPARATUS a) SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES BAL090 OCCUp. OUTLETS FIXED P(RESID IRE A.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ®- I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C., laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 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. 1 also -agree to save, indemnify and -seep harmless the County of Butte against all liabilities, ju ents, sts, ants expenses which may in any way accrue agajAst sai�u n c eque cue of the granting of this permit. X i== _ Date gnoture of Applican� wner ❑ Contractors Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. I^ Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPE SCHOOL I FLOOD Rc PD 1 [7=1 This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work Indicated abOV for which fees have been paid. OR PUBLIC WORKS - Date (o/ PERMIT EXPIRES Date ' — Receipt No. WHITE-O.P.W., YELLOW-ASGESGOR. PIN -INGPfCTOR. GOLDENROD -APPLICANT Y i w .. COUNTY 00,BUTTE - DEPARTMENT OF'=PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILiF--RNIA 95965 -TELEPHONE: 916/538-7541 PERMIT APPL'ICAT ON DATA SHEET Permit No. OWNER A. P. Proposed Building Use Building Inspector Date At time of permit application, I was advised t following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED All items have been s fitted . .................................... 2. Plot plans in dIcate licate, signed by preparer of plans ........ 'f 3. Complete plgrns In duplicate/triplicate, signed by preparer of plans ..'00- 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan checl�) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: B) Parking: 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required ...... Pre-Inspec. request t6 Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner-Builde Verification (Given to owner o, Mail to owner ❑) ........ 23. Recorded py of Agricultural Acknowledgment Statement ............ 0w.. t o.+o.., When you issue the permit, process as follows Mai to owner. Mail to contractor. Telephone,, ,i��ff-end hold for pickup at office. Deliver w/inspector. Other Appl ic� Y C�4f - - M �' Dat Copy of plans sent Health Dept., Fire Dept., Other Date Tte_fol.lowing data -must be submitted prior to permit :issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —Mal l—counter but date Plans checked by 6 � Date a `�� Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW XUUNrY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 3 County Center Drive, Oroville, CA 95965 PHONE: 916-534-4541 DATE_ Austust 9, 1984 Lawrence Hammons RE: Building Permit Application #2448184 P.O. Box 271 Palermo, CA 9$.968 A. P. # 36-291-66 With reference to the above subject: X Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs X Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER X We need.the following information: Permit application signed and completed where indicated with all copies returned. X Fees of $ 368.40 payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. R Complete plans in _duplicate including plot plans. AS. NOTED ON TYPICAL -Plot-plans in PLAN SORT ENCLOSED. Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). _ sets of plans in accordance with the changes marked in red. R Sanitation approval from Butte -County Health Department at: 196 Memorial Way, Chico X 7 County Center Dr., Oroville Skyway & Elliott Rd., paradise X Planning approval from Butte.County Planning Department, 7 County Center Drive, Oroville, for oisgle family in M1 zone Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER Should you have any questions concerning the above, please contact this office. JFG/aj Yours very truly, William Cheff Director of Public Works .F. Glander Chief Building Inspector if 1> PERMIT N0. 748-81B PERMIT EXPIRES _ _3 AA2, OWNER Lawrence Hammons CONTR. owner ASSESSOR PARCEL 36-291-66 LOCATION 6291 Custer Lane, Oroville Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG& E JOB FINALED (Date) �¢ Signature = OK = Not OK c = Not Ready Applicable RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except N's _Date FRAMING (Continued) oning requirements -Setbacks -Easements -49 --Property Line Firewall & Openings -2 F , Main; Soils -Steel -EI c. Grnd.- / /" Ftg. Depth xt. Doors -One 3' -Check Garage -3rd story, 2 exits tg., Garage; Soils -St' - //L/" Ftg. Depth -50.-6tairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4- Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth . Plywood on Roof Overhang -Attic Vents -Rafter Outriggers ,6r-Etemwalls, Main; Steel-Blockouts-Wrapped-Slab . Siding -Nailing -Veneer temwalls, Garage;-BIockouts-Wrapped -5S7 --Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access -7e'Piers-Fireplace Ftg.-Steel -59-Glazing Area -Glass Protection -Skylights -Plastic . 0. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test `9!Gas Pipe; Size -Anchors X65 -Shear Walls; Nailing -Bolts -te-Water Pipe; Test-Anchors-Regulator-Seryice Test 44- Electric; Underground 4& Plenums & Ducts; Clearance -Material -Support -Ins. 4,3r Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI - Date and -BI Date Card -BI Date Card -BI Date 1W Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (P rmit) OX except q's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Te & Anchors -Nail Protection 16. D.W.V.; Tes ttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; est, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & h wer, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; ize`& Anchors 62. Stairs & Rails j 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Pe it OK except q's 68. A.C. Duct in Garage -Damper 20. Fixture & Trans rmer learance-Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage;'Above Floor-Mech. Protection 21. Elec. Receptacl Sp -Lights & Switches at Doors ,Icing 22. Size Boxes & No o Conductors -Stapled 70. Plb., Elec. &Mech. Equip. listed for Location 23. Romex Installed Mose to Edge of Studs & C.J. 71. .Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground m e up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic ❑Yes73. 25. 2 Appliance Cir u is in Kitchen & Conductor Size Guard Rails & Deck Construction -Post Caps _ 26. Subfeed Wire S ze / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / a. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Ne tral Yes ❑No 75. Following instld.: Drive ❑Yes ❑ No; Walks El Yes E]No; Planters El Yes 0 N 28. Service-Ri r Cond ptors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Cle ; nets-Motors-Mech. Equip. Closet30. Clothes CILi set Li Light -Shower Light 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Per ' OK except p's 83. Corrections from Previous Inspections 84. 85. 86, Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 31. A.C. Ducts; Ins tion & Support A 32. Vent Fan; ExhdjA above Insulation _ 33. Condensate Dr in V Overflow; Size & Grade 34. Furnace-Ve .-I Ac ss -Comb. Air -Return Air Vent -115V outlet 35. Attic Acces & Pla form if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAM NG Plans OK except #'s s; Proper Material & Anchors . Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. -_Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) _ 180' Fire Stops; Furred Ceilings -Stairs -Chases -Tub _�eader & Beam -Size & Bearing H ngers-Post Caps -Anchors -Connectors 4 Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfng. _ P/ .- __ .44. -Fireplace Ties or Type A Flue -Fireplace Throat �4.i. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46lBdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions ...4W- Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY 01 BUTTE - DEPARTMENT O�r- PUBLIC WORKSP 7TN. 7 County Center L .1ve - Orovi.Ile,,.California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT r ASSESSOR PARCEL M Eg .�(o-Z�p(p yy Z0i�I* LDING PERMIT 14A / 4E 1n� AIVOIJ9 �T,�' L HONE SQ. FT. OCC. BUILDING VALUATION e 00 OWNER'S MAILING ADDRESS P. O. ox.;t1qt-Ee-Vo 64 5 rs6 CONTRACTOR•S NAME �/� G du Ep, TELEPH NE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ eQQ Filing Fee $ 1000 LENDER'S MAILING AD DRESS Permit Fee $ , O0 ARCHITECT OR ENGINEE LICENSE NO. Plan Checking Fee $ ,GO Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ,p BU I�7 �DDRECaS� (p PLUMBING PERMIT FiIingFee 10.00 Each Trap 2,00 Repair drainage or vent piping 5.00 / Water.piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other 4A4 i(ppy. SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main Service 100 AMP LESS 100 5.00 Main service EA. ADD'L 100 AMP 2;50 NEW CONST. DWELINGOR ADONS. �ACCLBL GS.CCIIP. y1 / 20 Sq�ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Q 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 12,1, 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) �] 1 am exempt under Sec. , Business and Professions Code for this reason NNEW ON -RESIT R MULTBRA c° cIRCT Ts 2.50 ea NEW CONSTR. POWER APPARATUS e NON-RESID. %SINGLE OUTLET CIR. 1 Ex. Occup OUTLETS OR FIXTURES a �� (FIXED APPLN5. OR Ex. Occup,OUTLETS, (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): Q The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIirig Fee 10.00 Heating Cooling Hood 3,00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save,. indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s 'd County in cons quence of the gra ting of this permit. X Date ��� Signature of Ap icant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures ov rp3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ ,pd OCCUP. GROUP J TYPE OF CONST.PARCEL V RC PD • ND v 'Y ISSUE !� This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF BLIC By L PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dat � Receipt No. 0 16 Za WHITE-O.P.W., YELLOW -ASSESSOR. PINK•INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BL'TI'E - DEPAR'TNEENT OF DEVELOP.NIE`1T SERVICES, BU .DING DIVISION 7 czuncy center Drive, oroville G 9596S ?hone: 916-538-7S41 DORTHY MAE ELMS 6291 CUSTER LANE OROVILLE CA 95965 RE: PERMIT APPLNS,. POOL AND._CA RQRT 036-29=1.-066 With reference to the above subject: Attached is: Application for permit Building Plans Engineered Calculations Owner -Builder Verification Fm DATE: 8/14/96 Mobilehome utilities Installation Sheet Mobilehome Installation Information -Sheet Typical Plan Sheet List of Codes.Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned Plot plans, 3/4 sets, signed by preparer of plans.. Complete plans; 3/4 sets, signed by preparer of plans. Engineered plans and talcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement -of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of S , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) by California Engineer. ta?nsp1�c�'a�a=�aal. �raI '-e.. C1ty"of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley.. Planning approval for Land Deveicc.-ment (a) I:::prove-encs (b) Drainage. Dr'-veway permit (approval of construction required prior to occupancy). Contractor's license information (No. .tame Style, Class) or exemption statement. Certlf=care cf Wcrk:rans Cc•• ensat' cr-rsurance . Owner -Builder Veri=_cation Form. Recorded cczy of Agric::ltu=al Acknow__dgemne-t Stac=-,e= t. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access.. Documentation of 50V subdivision developed or (a) Road improvements completed an, (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Copy of recorded 60' right-of-way to a public road. Other. TO AVOID GO:, ° TF�N 'OI MfilaiT: ^R ASE _OBTAIN THE ABOVE :ITEM 'AS SOON, AS �'OSSI LE Should you have any questions concerning the above, please contact':'DQNNA. SPER -ING of this office. Y rs very trikiy, Miegael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection COE.�TY OF 3L'I-I-E - DEP.-kRT.N1E.-4 ' OF DEVELOPNMNT SERVICES, BUILD[NG D[VMOr ��ttn�-i Cetsee= crave. orvv:__e Ca 93965 Phcns: 916 -Sia -75.4. - DORTHY MAE ELMS 6291 CUSTER LANE OROVILLE C9 95965 RE: PERMIT APPLNS. POOL AND CARPORT DATE: 8/14/96 A.P. 036-29-1-066 With reference to the above subject: Attached is: Application for permit Building Plans Engineered Calculations owner -Builder verification Fm Mobilehome Utilities Installation Sheet Mobilehome Installation Information Shet =Typical Plan Sheet List of Codes.Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returne Plot plans, 3/4 sets, signed by preparer of plans.. Complete plans; 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of S , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) by California Engineer. X%x%XSanitation and plot plan approval ngoyTTTF Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley.. Planning acproval for Land Deve' ^^�:en t ( a ) 1-,-rcvec:e= s ;b) Drainage. Dr._ve+vay permit (approval of construction reruired prior to occupancy) . Contractor's license information (No. :tame Stvle, Class) or exemption statement C�rt�ficat� cf ricrkmans Cc•^• ensati^.r.--insurance. Owner -Builder Verification Form. Recorded Cf Acr__-_tu a; Ack. cw__dzeme :t S=a==me =t. Letter of s:crature authorization. Copy of recorded deed of parcel creation and 60' richt of way Letter of intent or. building use. Mobilehome utility clearance. Documentation of leca l access. to a public road. Documentation of 50?c subdivision developed or (a) Road improvements-comm3eted a: (b: Parcel meets zoninc area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans I. accordance with changes marked in red. Copy of recorded 60' right-of-way to a public road. Other: TO AVOID CODE ENFORCEMENT, PLEASE OBTAIN THE ABOVE ITEM AS SOON AS POSSIBLE Should you have any questicrs concerning the above, please contact DONNA SPERLING of this office. Y rs very tr ly, Mic'ryael C. oieira, C.B.O. MCV:ahb Manager, Building Inspection RESIDENTIAL 036-291-066 PERMIT#95-3050 ELMS, Mae 6291 Custer Ln., Oroville New Carport J60FINALED (Date) .s V=OK O = Not OK Not *=NotRepady 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-Clearances-Gmd-/ /Amp:Concrete 6. Gas; Location -Test -Wrap; / /t.YL MISCELLANEOUS Date' DECKS, COVERS, CARPORTS, GARAGES lana OK except #'s mg Requirements -Setbacks -Easements tings; Soils-Size-DepthSpacing-ConnectorsSteel 3. Decks;.Girders and/or Joists-Decking-BracngStairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shth .-R .-Bracin 5. Akilm. Awn.; Columns-connectionsSplioe-0ecal-Enclosures 'lam Carports; Windows -Doors 7. EI g.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing4/eneerStucco-Mesh 10. Roof; Shthg-Roofing 11. Ext; Steps -Doors -Landings Date 7t Card 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, Distance•GFI 5. Elec.; Pool Lighting; 15 Volts -GR 6. Elec.; Enclosures; Conduit Entries-Termirials-Usted 7. Elec.; Bonding; Metal w/3-Circutating Equip. -Heater 8. Elec.; Grounding; Equip. w/V Circulating Equip. -Pool L ghtg. Boxes-Enclosures-Panelboards4ns. 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 / /Nat or/ t LYL/ /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-Demand4/alve-Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test-FalWlex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date' DECKS, COVERS, CARPORTS, GARAGES lana OK except #'s mg Requirements -Setbacks -Easements tings; Soils-Size-DepthSpacing-ConnectorsSteel 3. Decks;.Girders and/or Joists-Decking-BracngStairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shth .-R .-Bracin 5. Akilm. Awn.; Columns-connectionsSplioe-0ecal-Enclosures 'lam Carports; Windows -Doors 7. EI g.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing4/eneerStucco-Mesh 10. Roof; Shthg-Roofing 11. Ext; Steps -Doors -Landings Date 7t Card 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, Distance•GFI 5. Elec.; Pool Lighting; 15 Volts -GR 6. Elec.; Enclosures; Conduit Entries-Termirials-Usted 7. Elec.; Bonding; Metal w/3-Circutating Equip. -Heater 8. Elec.; Grounding; Equip. w/V Circulating Equip. -Pool L ghtg. Boxes-Enclosures-Panelboards4ns. 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 - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, • Califorhia -95965 - Telephone (916) 538-7541 P RMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-291-066 DOWNG M1 BUI G PERMIT OWNER 14AE ELMS°+- 208 SO. FT. OCC. BUILDING VALUATION OWNERS MAUNG ADDRESS 6i2�9T1 CUSTER LN OROVILLE, 95965 CONTRACTOR'S NAME OWNER TINE CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER NONE UNIWOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 90.00 ARCHITECT OR ENGINEER NONE LICENSENO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUN.OINGADDRESS 6291 CUSTER LN PERMITFEE $ OROVILLE PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other CARPORT SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New EY Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Mobile Home IS I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service000V OR LESS ( .. oa LESS ) 23.00 -.- Main Service ( 200A TO 1000A ) 46.00 X^' • •� LICENSED CONTRACTOR'S DE. �. - i4TION I hereby affirm under penalty of perjury that I am licensed'tlnder.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 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law f r the following reason:Mobile '1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason -- WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed tf the permit Is for work of a valuation of one hundred dollars ($100) or less.) �l 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, 1 shall forthwith comply with those provisions. X �r�-�y o2i�. �� _ Date l C� - / 3 - 95 _ Signature of Applicant - M -Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. NEW CONST, DWELLING OCCUR SD. OR AODNS. ( a ACC. BLDs. NEW CONST. MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (6 SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES) zo Q 1.00 BAL .so EX. Occup. OUTLEDT�� OR ( (RESID.1 EA) 5.00 -Temporary Service 23.00 Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE t Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 168.50 HA2. D. FEES .._ I P FI 000 CDF PARC PD D UE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. /D'ate ata) ReceiptNo. 190495 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT NT)rOF BUTTE - DEPARTMENT OFPE R. KENT SERVICES -BUILDING DIVISION ._7 COUNTY CENTER DRIVE - OROVILL'•E, IffALIFORK A95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER . A. P. No. 9/ - 6(la to e - /W 1� Ni I Proposed Building Use r Building Inspector d66 Date 9 At, time of permit application, I was advised, the following data Aust be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items h been submitted . ............i........................... . .':2. Plot plahs&r4 se ,signed ign6d by preparer of plans'. 3. Comple .01�hhso/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and ca ' Ics, 3/4 sets,. with: wet• signature on plans . ............. 5. Hai.'arddMi.Waterial Form. ...... .............. 6. Energy De.bign Compliance and suopolqing documentation . .................. 7. Statement -,of fntentfor-Non-Heated,,and A/C Buildings . ...................... 8. Engineered truss.details and layout in duplicate (required prior to plan check). 9. Mobileh6r,.,rjo data an d.,rn anufacturer's installation instructions, 2 sets. ........... 10. -Fees of . . ......................................... 11. Impact fees as shown on attached schedule ............................... 12. California Department of Forestry plan approval/fees . ........................ 13. Flood elevation letter (100 year flood) by California Engineer... 14.' Sanitation and plot plan approval roti- 2.. Health Department. .......... 15. City of Chico plumbing permit ............................................ 16. Plot plan aInd.business license approval from City of Biggs/Gfidlpy. . .............. 17. Planning app_rqval for. Q�) Use: (B) Parking: 18. Contact Lqnd Development about (A) lrhprovements fB,)-5fainage ........ 19.. Driveway permit (construction approval r6quired prior -lop cupancy)---:'. ....... B jesr- 4. Pre-inspedtion for eq. �4 P B,1specfion requ to ujldingV"F�r (Date) 21. Contractor's license information. (No., Name Style, Plassificationi'l' ...... 22. Certificate'of W6rkmans Compensation Insurance. ...............;< 23. Owner-BUilder Verification (Given to owner Mail4o owner 24. Recorded 'copy of Agricultural Acknowledgement StateNlent,:7 25. Letter of ......................................... _-26. Copy of recorded deed of parcel creation and 60 right of way to a public road. 27. Letter of intent on building use. ...... f ................................. 28. Mobilehome utility clearance. .. ............. . 29. Documentation of legal access . ....................... ;; ...... 30. Documentation of 50%'subdivision developed or (A) f1dad,fimprovements completed and (B) Parcel meets zoning area and frontage retIuirements . ............... 31. Existing violations/expired permits. ...................................... 32. Plan he list. ...... e). 6-- f- eA- - U. .............. . - 33. VP ;T V0 �e e,S 34. V _1 ge P When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for picckuat office. Deliver with inspector. Other Parcel Creation Acreage 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 sub0itti 1. Index permit for above items No. 2. Additional items required: prior to permit issuance: (Circle/14kitep fiot checked above). 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 - mail Count r by Date Plans checked by 'Datee'.:­--Pl4fi§aj5#((5Vdd"by Date Sets of plans on hold in File cabinet. AP folder coov - Deoartment of Public Works 1/2 SEC. 32 T. E5 N.;R.4� E.. M.D. B. & M. - ROADu. 043OI I i I II '1I : ! A : , 1r -.c h!. 7.73 l C7% J2/�' :j .::/�3.2A;. O (P•.sy.r L .�S2.�7l:��'•Bi'� A�c 2 -1. ------ - '00 PM9&-17 87r5,5C-.4-. 33(. 2054 z C13 4.14A: A: 80 ''31a C.-45AC - m0 u�O X3 O 0S .0A C 5j8 AL87 Lc 78 2 Ac52ao.Z 97 4q .0 99AC.519. 83.25 375 -727'7 . 8/.75 692AC 2. ^� „ b K S9 5 :c k� GzG� GIGO sz. X49 .5 I -- - 8'`7-38 k Q 393 5.30 AC. J. G.2T�4 ` 2.2nC 1 43� &X 7o�p „�G9 Ni �6 - --'- g 84� 1 i {` V GZ 86t5� c2.2 AC a %.a80 ! �OG eg >'O E ���Y N 50 ReALYr , 1 489.39 9b6� 2. F ac _I ��� r' 11.52 ac. 2 2 Y_..� ( !PMSG �.: 9 4; t .. J 2/ v b G3/8 sr ' �AcoC! I Q i 40 ��'z _ - _ r �.. , C•E. 855A' /�• 1�5j, <' ►.76 AC" .i� 3G'9 �crjl IT ._ �L_ 0 . �4 0 - b�j� 364.3 /07 31.8r / T4 - ! o J� FPLC M I 7 I 3.� i aC (SSYo°1 3'G ` 4 .� ff� "'7` ' r:�! cr ! =l it 5l 3./2AC 5.9AC. I 99Ac b 33 7 Ih Sq ` AA; , 6 -10054 z', 2 �.o3A �!+' 585.b is :G3y/ 36 F� 9! 7��-.'�s1C H __976.17 -4.Ac.^. s�'is% e, /�i05 ��rK ,O E UI 277.1 I L IAI C OJN .628:C a 4 a! 4414/ .i �N ! 1 .- -- - - - -------1--sy�cy�+iPa(�r�� E.6BQC� J�� N �,' I HOME o''i^te�t•, a ro' 1 VlL1.AGE lava t 14 73,CC 942.75 2074- tp.�Ef�.OK` 02 r 6.83.114- 49 ° a 7./9Ac_ 4B C a NOTE --ASSESSOR'S PARCEL' BLOCK & LOT NUMBERS, SHOWN IN CIRCLES 990 990 Assessor's.Map No. J6- 29 County of Butte, Calif.`', Mor , /952 36-29 . ..' ---------- F3.3 - 4001 /A 92AC - -- 106456 0 17.< 4Ac kc LM J254 Zo 55 A:'` •.. a4 i 2.004c. • 330 �� ,;� ' M 2AC x' !4 7: 5OAc ' : ; . �t 3AC : • 32 33 £. a 5 4 Assessor's.Map No. J6- 29 County of Butte, Calif.`', Mor , /952 a tr to 'a 'It PERMIT NO. 2448-84B,P,E,M PERMIT EXPIRES OWNER LAWRENCE HAMMONS CONTR.. Valley Drywall ASSESSOR PARCEL 36-29.1-66 LOCATION E/S Custer Ln; 1300'S Kusel Rd, Palermo i r N Temp. Power Pole Called PG&E ` Temp. Elec. Service i fi Called PG&E �u Temp. Gas Service I" i` Cal led PG&E C/ JOB FINALED (Date) Signature` Jjc- = OK = Not OK = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready , { ,� Date UNDERFLOOR Plans OK except #'s _Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 10. Water Pipe; Test-Anchors-Regulator-Seryice Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 56. Ext. Steps -Door & Sidelight Protection- andings 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. A' -Connector- In Garage; Above Floor -Ducts -Me . Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub ccess 18. 19. Tes:. Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Brea er Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clear nces-Hearth 64. Elec. Outlets at Wood P nel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appiianc , Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Rec ptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; ing-Landing-Closer 68. A.C. Duct in Gar a -Dam er 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents Clearance -Comb. Air-Connector-P.R.V.- In Garage; Abo a Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size B es & No. of Conductors -Stapled 70. Plb., Elec. & ech. Equip. Listed for Location 23. Rom Installed Close to Edge of Studs & C.J. 71. Elec. Rep cles in Garage; (G.F.I.)-Romex Protec. 24. E ip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulati noam-Looked in Attic C-] Yes 25. Appliance Circuits in Kitchen &Conductor Size Guard &Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. & Crawl Hole Door -Drainage & Wood -Earth Clearance Lookednder Floor ❑ Yes 2r Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes 0 N 75. Follow)fig instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes []No; Plant4s ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stuc o; Brown -Finish 29.Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.9. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. V nts Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. ater Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 8 . Ventilation throughout House Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 2. Glass Protection 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING Plans OK except N's 36. 37. 38. Sills; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing 4 A 01 119Y' 39. Draft Stop in Walls (rat proof) 91 1Z U 40. 41. Fire Stops; Furred Ceilings -Stairs -Chases -Tub Heacer &Beam -Size &Bearing (71 AW A-4 CA.AA9:140 20 (71 42. Hangers -Post Caps -Anchors -Connectors ^ 43. 44. 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Sh_thng.-Rfn_g_. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. 47. Bdrrr. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing " (NOT E: An entry must be made each time you visit jcKsite) El J=OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -.Easements 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Locatiorr-Test-Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE - DEPARTMENT OF.PUBLIC WORKS * 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATON AND PERMIT P RMIT NO� ASSESSOR PARCEL NUMBER a ``aa ZONI G . BUILDING PERMIT OWN1` l - TEL .PH�NjE ,SOS FT. OCC, BUILDING VAL —T`ibN r OWNER'S MAILING ADDRESSr(\ 1 ' T CO TR CT "S ME TELEPHONE S�3 r C ONTRAC OR'S M (LING ADDRESS T Fireplace CONSTRUCTION LENDER 01y'. UNKNOWN Total Valuation $ Filin g Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ Penalty L $ ^ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ti BUILDING DDRE s i Q ` PLUMBING PERMIT FilingFee 10.00 Si N Cl Each Trap 2.00 /0,0o Solar Water Heater 20.00 - Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 ^ Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE / SF E3 Duplex❑ ❑ MobilehomeOther SPECIFY Building sewer 5.00 Mob* le Home S G I W 1 10.00 e TYPE OF WORK New ❑ Addition Remodel F-1Uti lities ❑ Installatio ❑ Other .Ni Descri work: tiL I� S Permit Fee $ Contractor 0,007 ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 %brD Main service EA. ADD'L 100 AMP 2.50 NEW OR ADDNST (ACC LBLDGS.NSDWELING C 21/20Sq ft / CONTRACTORS LICENSE LAW I declare ugder 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 .apd effect. 2 �J. � License No,Aq /Q©� 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR u TI-QUTLE 2,50 ea NO N.RESID BRANCH CIRCUITS NEW CONSTR. (POWER APPARATUS & NON.RESID. 1 SINGLE OUTLET CIR. 20050e Ex. Occup(O OR FIXTURES BAL030 IXEDTS FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 'DY\ 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 0 onsent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating 'D Cooling I,010 Hood 3.00 r®� Ventilation Permit Fee $ Contractor D , 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any wa accrue against id County in consequent f the granting of this perm' . i r,t�L-o�r�_ .271 l�l�l�t ate 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 h 'ght. Mobile Home Installation Fee $ 1 r W TOTAL PERMI EE OCCUP. GROUP I TYPE OF CONST.JrJ`1-A;:TD t xl�� This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR ELIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date_ Receipt No. 4 L WHITE-D.P.W., A5� O PINK -INS CTOR, GOLDENROD -APPLICANT i Ay 4 r AM .fir r y ✓ ap f I V=OK 0 = Not OK -=Not Applicable Not Ready MOBILE HOMES ' = -Date/Initials MOBILE HOME UTILITIES (Pians) OK except k'a 1. Zoning Requirements -Setbacks -Easements 2. Solis; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/0 Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / P'Vft. / P'Nat. or/ P L" ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test-Demand4alve-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/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9..Exits; Inap-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DEC RS CARPORTS GARAGES Plans OK except #'a `5 1. Zoning -Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Connectors Shthg :Rig: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric ( Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh t hof; Shthg-Roofing . f___ -14 -Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except N'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 B. 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-PaneIboa rds-Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'a 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' 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.; Fell -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -teat 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'a 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Neff Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plana) OK except #'s 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walla 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/Initials FRAMING (Continued) 45.--Hangers-Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brec-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Graft 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 Wells; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plana) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yea 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yea ❑ No; Planters ❑ Yea ❑ 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 Comments at Final: COUNTY OF BUTTE - DEPARTP'-ENT OF PUBLIC WORKS 7 County Center•Drive - Oroville, Calirforitia 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT PERMIT NO. 9 ✓(/ ASSESSOR PARCEL N MB R 036-291-066 ZONING M-1 BUILDING PERMIT OWNER Mae Elms TELEPHONE SO. FT. OCC. BUILDING VALUATION C 3744.00 OWNER'S MAILING ADDRESS 6291 Custer lane, Oroville 95965 CONTRACTOR'SNAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ ,3744.00 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $52.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $26.25 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $93.75 PLUMBING PERMIT Filing Fee 15.00 6291 Custer Lane Oroville Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF EX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New u Addition L_X Remodel ❑ Utilitieso Installation❑ Other ❑ Describe work: Covered Deck Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 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 3.6Qsq.ft. OR ADDN5. ACC. MULTI -OUTLET NEW CON5TRESID, RANCH CIRCUIT@ 5,00 NON -R ESID BRANCH CIRC ITS POWER APPARATUS & SINGLE OUTLET CIR. I Ex. Occup( OUTLETS OR FIXTURES 20 761 FIXED APLNS. EX. OCCUp. OUTLETS PRESID )REA.� 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 FiIIng Fee 15.00 Heating Cooling g 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 County in consequence of the granting of this per it. �Bclli/�Lvr�i X 4.`o Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA ion of structures over r 3gstories oin height ions over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 93.75 HAz 1 DFEES I IMP FLOO CDF L.PARCEL PO FID ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been pa d. D OF PUBLIC WORKS By ate PERMIT EXPIRES Receipt NO. 143450 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUN7YOF BUTTE - DEPARTMENTOF aDEV, E1OPMENT SERVICES - BUILQNVG DIVISION tea•' �' ,s.�....._•.�--•, 7 COUNTY CENTER DRIVE - OROVILLE, CALIFOkNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLI ZATION DATASHEET OWNER A. P. o. 036 Proposed Building Use Building Inspector Date �--3 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED 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 $ t ........................................ . 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees......................... Flood elevation letter (100 year flood by Calf rnia Engineer...... . Sanitation and plot plan approval Health Department. ........... 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. ........... 19. briyewaY Permit (construction approval required prior to occu ancY)'s• -inpf"npeatio; eyu�e2a. Pre . to Building lne�co. (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 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 . ..................................................... 33. 34. When you issue the permit, process s follows: Mail o owner. Mail to contractor. Telephone , and hold for pickup at office. Deliver with inspector. Other Parcel Creation ���`� �O✓� Acreage Applicant (� Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. ire Dept. Other Date ? By The.following data must be submitte p ' r to ermit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: h Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by Date Contractor, desigher, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPAP[TMENT OF PUBLIC WORKS PERMIT NO. / 7 County Center Drive - Orovill,e,`California 95965 - Telephone 916'538-7541 APPLICATION AND °PERMIT ASS SSO AR NU NUMB R Z°NIG i BUILDING PERMIT OWN TELEPHONE S0. FT. • OCC. BUILDING VALUATION OWNER'S MAILING OR 6 �4r ES e e - TI CON .ACTOR'S NAME Jr IAJ nc-r' TELEPHONE I CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENOER UNKNOWN Total Valuation $ Filing Fee $ 15,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILD G ADDRESS rM Permit fee PLUMBING PERMIT Filing Fee 15.00 Each Trap I 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [K, Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer_ __TS 15.00 Mobile Home TG W @ 15.00 TYPE OF WORK New E7 AdditionK Remode Utilities Insta lation[ Other ❑ Describe work: -1�,�_II�1 �C_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 20rTO 1000AI 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 IIJJ 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) ElI, 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. eLDcs. // 3.6Q sq.tt. NON -RES O R. BRANCH CIRCUITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES L_ 76d 0 46d FIXEj� Ex. Occup. OU LETS IRESID iR EA.1 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 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 Signature of Applicant — Owner C1 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL F $ MAZ 0FEE5 I IMP I FLOOD A COF I PARCEL PO NO 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 Date Receipt No. -� , r 1 wNIT[-O.P.W.. 7[LLOw-A]![]lOR. PINK -INSPECTOR. GOLD[NPOD-APPLICANT COUNTY OF BUTTE - Department ,of Public Works 7.County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has-been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued .until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (Hs or no) 2. I have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4: I plan to provide portions -of this work, .but I.have hired -the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors Lioense'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- ,(rc- �• ��5� Social S curity Number Date ,4� 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. RESIDENTIAL a . 036-291-066 PERMIT#95-3051 { iELMS, Mae i 6291 Custer Ln., Oroville Open Deck Around Doughboy Pool 9S -3o VI . r JOB FINALED (Date) Signature V=OK 0 = Not OK '=Not t able NoReady 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) MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES(Plans) OK except #'s 1. Zo ing Requirements -Setbacks -Easements ngs; SoilsSize-Dep"pacing-ConnectorsSteel .17 3 ecks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / tVtL /. /Nat. or/ / L"ft./ /LPG 7. Well Clearance 8, Disconnect 8. Utility Clearance Date d B-1Date Card B-1 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/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs-Type4nstallation Cert. 10. Exits; Insp.-Sketch 11. Certof Occupancy ' Date Card B-1 Date Card B-1 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. Zo ing Requirements -Setbacks -Easements ngs; SoilsSize-Dep"pacing-ConnectorsSteel .17 3 ecks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10yR6of; Shthg-Roofing ai 1. Ext.; Steps -Doors -Landings Date d B-1Date Card B-1 Date c Card B-1 V 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, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/Y-Circulating Equip. -Heater 8. Elec.; Grounding; Equip, w/3 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 (; ' = Date UNDERFLOOR (Plans) OK except rr'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-Wra pped 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 it'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 w'Mech. Fastners-Bond Gas & Water ------------------------------------------------ - ... ... _. 27. 2 Appliance Circuts in Kitchen & Conductor Size,GFI --------------------------- - -------------... --- --- .. 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size I ga. Cu or At - - ----- `---------- --------I....... ........... .. 29. Range Circ. ga. Cu or AI -Oven Circ. r r 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-1Date Card B-1 --------------- - - -. ..... ......... ...........-- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a'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 it Furnance in Attic ------ ------ Date Card B-1 Date Card, B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except u s 39. Sils. Proper Material & Anchors _. ... .. - ... ... . . ... ... ... 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ...... ... ... .. .. - --..... ... ... 41. Bearing Walls over Girders & Floor Nailing 42 Draft Stop in Walls (rat proof) .. - ...... ...... -- . .. ...... ... .._ 43. Fire Stops. Furred Ceilngs-Stairs-Chases-Tub --------------- ....... ......_ .. 44. Headers & Beam -Size & Bearing iiingle & Duplex) Date FRAMING (Continued) - 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-.Rftr. ties-Purlin-roof Bra c-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-DripScreed-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 .. - ---------- -----7 ------- - ------- -_ -_ - Date ------------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except a's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector -------------- -------------------------------- - - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection --------------------------------- 64. Bedroom Exiting 65 G.F.I. & Bath Fixtures & Tub Access -Spa ... -- ---- .. - - ---------------- ------ 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ...------------------ ---------- 67. Stags & 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 ------------------------------71 Elec. Outlets & Receptacles at Kit. Counter . ... ... ... ... . -- . ---- -- . ----------------- ------ --- 72. Garage Fire Door: Swing -Landing -Closer ...... ... . ....... .------------------------ -- 73. A.C. Duct in Garage -Damper .... .....-. --------------------------- 74. -------------- Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. 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 instid.: 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. Receptacte- Underground _._.. -------------------------------� 86 Ventilation Throughout House 87 Glass Protection I - - ------------------ 88 Corrections from Previous Inspections 89 Gas Test -Meters Tagged: Gas -Electric ..__ . _------------------------------ 90 Water & Sewer Connected -CIO to Grade -HD Approval 91 Energy Compliance Cert hcate-Other Certificates - ---- -------------------------- Date Card B-1 Date Card B-1 -------------------- -- - --- ---- - ----- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVIS N 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL' NL MBER 036-291-066 ZONING Mi BUILDING PERMIT OWNER rgAE ELMSe' '6208 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 6291 CUSTER LN OROVILLE, 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILIVG ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ACDRESS Filing Fee $ 20.00 Permit Fee $ 41.00 ARCHITECT OR ENGINEER NONE UCENSE NO. Plan Checking Fee $ ' Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 6291 CUSTER LN PERMITFEE S8765 ' OROVILLE] PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other OPEN DECK SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New EX Additbn ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Wor<: _(AROUND DOUGHBOY POOL) Mobile Home I S I G W 1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 2 0:0 0 Main Service / a OR LESS 2ooA OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law ff r the following reason: Lg' I, as own=_r of the property, or my employees with wages as their sole compensation, will do tTe work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 8 POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 O +•� BAL 0.50 Ex. Occup. OUTLETS (AES . OR ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL Filing g Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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' compersation laws of California, and agree that if I should become subject to the workers compensation provisions of section 3700 of the Labor Code, I shalt forthwith comply with those provisions. �P o� -- 3 — 9 5 X`- 3 � - C� ______ Date __ Signature of Applicant - IyOwner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures ever 3 stories in height. Mobile Home Installation Fee is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 87.65 HA2. D. FEES IMP FLOOD CDF PARCEL PD HD S 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 ate / PERMITEXPIRESON ® l0 I (Date ReceiptNo. 190495 WHITE-D.D.S.-B D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE -DEPARTMENT OF LDEVELOPMENT SERVICES - BUILDING VISION Aa. I a 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 5 -7541 PERMIT APPLICATION DATA SHEET OWNER 4a e PlmS A. P. o.034-091-(064 Proposed Building Use. n c Building Inspector Date ZI2 bla 7,9T - 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. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13 Flood elevation letter (100 year flood by California Engineer ................... - 14. 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. ........... 19. Driveway permit (construction approval required prior to occupancy). .. .. ... . 20. Pre -inspection for Pre -Inspection request p 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 intent on building use . ......................................... +� 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . .....................:................... A- 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 �''�� 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 prior to permit issuance: (C 1. Index permit for above items No. 2. Additional items required: checked above). 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 _ mail Counter by _ Date Plans checked by Date Plans approved by of Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works E.H. USE ONLY r ... Plat Plan AmcLad Floor Plan AmcW' Sent to B.D. Cl `- / L TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Clearance for bedroom mobile home. Other Water Supply: Public Private Well Ds?"c, R -,�- 6,0-r /J-, q Hold final for: a Final clearance O.K. for: NOTE: v 7 Environmental Health Specialist Date Q/01) MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1: Is the mobilehome located wi h required separation from lot lines and buildings and generally conform to.plot,plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Ye SX No 3. Are footings and supports properly sized, spaced, and braced as per approved plans?, (Note s possible variation ati'spring shackles.) (Sec, 5082 & 5083) Yes No 4. Is tre mobilehome level? (Sec. 5088) Yes Xl No .5. I.f ++��� p--i��� unnections properly installed? (Sec. 5088) Yes No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Ye sNc 77 B: Test Does water piping withstand working pressure or.50 lbs, air test? Yes No C. B - s not State o ia­approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and' have flex connectors at each end? YesNo' A7 B. Dees it have minimum k" per foot slope- and is it properly supported? Yes No C. A_e any leaks detected in drainage system after- un ing 3 -gallons of water through each fixture including washing machine standpipe? Y s No D. I= cCoach a e o a a rove does station have required trap and vent? Yes No 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 mobil home gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes 0 4e 1. Open all appliance connector valves. .2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum'8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are 411 appliance vents properly installed? Yes No 9. Electrical A. " Is service large enough to provide adequate amperage to mobilehome (must equal rating of mobilehome with a minimum QQf�� 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes! No B. Is there proper clearancesaroundpanels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedu e? Yes_ No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test. instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current., carrying metal parts of the mobilehome (aluminum siding, gas line, water line) ,.including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder.assembly conductors. shall be connected to the site service equipment. A further continuity test .shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA - Manufacturer and/or Namestyle � �� r Length 1—v--- Width�2� ' Vehicle Serial No. State Ident if icat ion No. I Additional.Informati.on or Comments: *'-38J3-�T6P,E PERMIT NO. PERMIT EXPIRES OWNER Lawrence G. Hammans CONTR. owner LOCATION (A.P. 36-291-66 } 4 E/S Custer Ln.,app.1300'S.of Kusel Rd., Pale�rmc r e w� a J Temp'. Power Pole Called PG&E Temp. Elec. Serv. Z Called PG&E p Temp. Gas Serv. Ca1'I ed QAU /FOINALED 6116)[717 (Date) z �2A (Signal e) i i V ) d Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS i e�� O VATen7y ��st I's form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD `° BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall SolI Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor • Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Pi Ing, Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. forphysically handica ed Conformance of ex. structure Appliances Gas Piping Temp. Gas & Test Slab Final Sanitation Patio .. FIREPLACE Final Footings '"�•„ Footing ELECTRICAL Masonry Walls "', Throat Rough Reinf. Steel Final Fixtums" Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS i e�� O VATen7y ��st I's form each time you visit the job site.) �:.4ERMIT NO.� PERMIT EXPIRES Lawrence G. Hammons j�OWNER `CONTR. Holmes Mobile Home Serv., Oroville u LOCATION (A.P. 36-291-66 6291 Custer Lane, Palermo . P Temp. Power Pole Called PG&E Temp.Eled Serv, Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED ;COUNTY OF, BUTTE, — DEPARTMENT OF PUBLIC WORKS _ BUILDING INSPECTION RECORD BUILDING _ BUILDING.(Cont'd) PLUMBING Setback F I rewa I I Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor - Stemwal i Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures ' '4 Footings Garage Vents Water Htr. StemwaII - Insulation Heaters Slab Prov: for ph sically Appliances Carport handica ed Gas Pipinq & Test Footings', Conformance of ex.structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final. Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam -FIRE SPRINKLERS Motors Framing Test Water Htr. I Stucco Final Sub anels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent I Door Closer Final Final MOBILEHOMEUTILITIES -------------------Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping E OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS M (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive '-- Orovifle, California 95965 • Telephone: 634-4541 APPLICATION AND PERMIT ;7 BUILDING Owner /,� SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Contractor o L �j, piy13 _ZXUi Gc2- Maili Address Telephone No. Fireplace Total Valuation Permit Fee a •, O Building Address _ U Plan Checking Fee&/or Penalty Permit Fee ►�— PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 ,-„ /,G L,4 Repair drainage or vent piping 1.50 A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 WAG. "TuFire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 BIS Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 OR ADDNSNEW // CONST. ACCDWELBL GS.LING CCUP. S) 20Sgft 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 -/_L NEW RESID.CONSTBRANCO C R T NON-RESID, ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 84 NON-RESID. SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES) 50@250 BAL@1 FIXED APPLNSOSty) EX. Occup.(OUTLETS (RESID.) REA) Z•QO Temporary service 10.00//�- Mobile Home Facilities 15.00 License No. c���,/ Classification C—�/ 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 California. MECHANICAL No. @ FEE PERMIT FILING FEE $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 authorize representatives of the County of Butte to enter upon the above -men ned operty fori tion purposes. �( X Date Si nature of Permit a Agent Receipt No. S ljJ) White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Land Development Fee $ TOTAL PERMIT FEE $ Sb This permit is hereby issued under the applicable provisions of t4oBINte County Code and/or resolutions to do work indicated ve or whi fees have been paid. OF PUBLIC WORKS Date Building permit expires Date ,.� A �,OW!, OFIUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oro viIIe, California 95965 1. Telephone: 534-4541 APPLICATION AND PERMIT Owner �A Rs. x-14 JU& kokJos Mailing Address Telephone No. ContractorF-5 kkwaiLrsc Mai I i ng Address 3141 IL' 14 Le O OV �e /'�, � Telephone K5401 Building Address b 41 a0S-re,e, L-Ptic A. P. No. 66 Zoning & Planning San' Fire Dept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 0' R/W Improvements Plans Declaration P P Bldg. PI s Recd F Parcel A rolal Plans Approval NEW- ADDITION ❑ UTILITIES ❑ OTHER ❑ 12 X 7 &d.00 .0— ev,S f CAVI Single Family ❑ Duplex ❑ Mobil Home Others ❑ 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: Macs ikD,sluE Af)u.G L 1 d- ii License No. 3�113 1 Classification 1 ❑ I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. �I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. F -1I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. p X Date Signature of Permitee or Agent Receipt No. J gswt-7� White-D.P.W. — YeIF'ow-Assessor — Pink -Inspector — Goldenrod -Applicant _ BUILDING SO. FT/ I OCC. I BUILDI Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee BAL @1FIXED ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD -L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. OR ADONS, DWELLING OCCUP. 4 ACC, BLDGS. NEW CONSTR. Nn N.RF51o. (MULTI -OUTLET \ BRANCH CIRCUITS LUATION $3.00 1.50 1.50 1.50 1,50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 FEE FEE Ex. OCCUD(OUTLETS OR FIXT11RE5 BAL @1FIXED ALNSI EX. OCCUp.(OUTLETSP(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirina 6.25 Permit Fee MECHANICAL PERMIT FILING FEE Heating Cooling $ $3.00 Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P LIC WORKS By Date Building permit expires Date I --'CJ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' s 7 County Center Drive — Oroville, California 95965 Telephonla! 534-4541 77 APPLICATION AND PERMIT vVJ autnonze representatives or the county OT butte to enter upon the above-mentioned property for inspection purposes. X �2�7v%YLO7f� Date Signot re of ermitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date BUILDING Owner 9RM.M&ns SO. FT. OCC. BUILDING VALUATION Mailing Address %I R4-- rho L,3 Telephone No. -3-3 9 3b Fireplace Contractor Total Valuation Mailing Address V VV Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address APLUMBING No. @ FEE PERMIT FILING FEE $3.00 0 CLEach Trap 1.50 Repair drainage or vent piping 1,50 Water piping 1.50 affftft y� alio Each gas water heater or vent 1.50 / A. P. No. —� — (0 s Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. . Sanitation FireDept. Fire Zone Use Permit Building sewer 5.00 EOA Parking P�lans�l9� /! el Parte Map 60' R/W I Improvements Lawn sprinkler system 2.00 Bldg. PIc�SKec'd Parcel Approval Pions Approval Permit Fee $ o $J3 Tc NEW V2 -'ADDITION ❑ UTILITIES Q�OTHER EJ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 10ov OR LESS 5.00 S 100 AMP OR LESS Main service EA. ADD -L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home 5e Others ❑ Main service VER 600V 10 0 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 00 SQ. FT. MINIMUM NEW CONST. DWELLING OCCUP. & OR ADONS. ACC. BLDGS. 20sgft NEW .CONSTR. ( NONRESID. BRANCH CIRCUITS) 2.50ea FOR MOBILES NEW US CONSTPO ER NON -RES ID R (SINGLE OUTLETTCIR.& 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)50 @251 104 Ex. Occup. FIXED APPLNS. OR p.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Mist. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. �y I certify that in the performance of the work for which this " permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby �1 TOTAL PERMIT EE $ autnonze representatives or the county OT butte to enter upon the above-mentioned property for inspection purposes. X �2�7v%YLO7f� Date Signot re of ermitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Valley Dry Wall Service ADDRESS: P.O. Box 271 CITY & STATE:: Palermo, CA. 95968 IMPORTANT: September 27, 1977 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 Cannot'issue permit for second dwelling due to zoning. Receipt #168271 - AP 36-291-66) F Plumbing permit fee ----- $33.00 viectrieal permit fee . 50 Land Development fee $25.00 TOTAL REFUND DUE -------- $83.50 $83.50 TOTAL $83.50 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Datedthis ................................. day of ............................. 19....... at................................. Calif..................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget AppropriationO or Specific Board Approval F-1 (Check one) for the same. Dated this 27th.,,.....,.. day of ......,,,,Sept. ly 77 at 0rovi11e Calif. Department Head or Authorized Deputy Dept. Exp. Code Code PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD• SUB. 0BJ. CLAIM N0. INVOICE N0. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. INSTRUCTIONS to CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure.. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. t' •S. j PERMIT NO. — . � PERMIT EXPIRES -C A(I/D OWNER FMANTTFT, FT MR CONTR. Mnhi1P hnmP.Centar ASSESSOR PARCEL 36-291-66 6291 Custer LAne, Oroville LOCATION j t Temp. Power Pole . Called PG&E— Temp. Elec. Service { Called PG&E _ Temp. Gas Se Called PG JOB FINALEO Signature f i . = OK 0 = Not OK*"'. ; r+� f. MOBILE HOMES MISCELLANEOUS = Not Readyiable Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DEC S,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements oning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location-Test-Fall-C/O:Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- S hg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -81 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -131 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements-Setbacks-EasementsCard-B1 Date/BZ and -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -131 Date Card -81 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction-Structure..Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness- & Gas and Electricity Tagged Dead Men -Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Card -B1 Date Card -B1 Date Boxes -Enclosures -Panel boards -Ins. to Main in Conduit Card -B1 Date Card -131 Date A. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -B1, Date Card -131 Date Card -131 Date E I ' = VK 0 = Not OK Applicable - =Not Applicable RESIDENTIAL` (Single and Duplex) = Not Roady Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. De 3. Ftg., Garage; Soils -Steel-/ P' Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Del 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kc, uts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 Date Card -131 Date Card -131 Date Card -61 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -B1 Date Card -81 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 47. FireplacetTies or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49, Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & 72. Garage Fire Door; 73. A.C. Duct in Gera, at Kit. Counter 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb.. Elec. & Mech. EoUID. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes Planters ❑ Yes ❑ No Si. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -81 Date Card -B1 Date Card -81 Date Card -81 Date Card -81 Date Card -131 Date Comments at Final: COUNTY OF BUTTE, — .9EPARTMEN'T`OF-15UBLIC WORKS ` 7 County Center Drivb — ()roville, California 95965 , Telephone:7 534-4541 � / APPLICATION AND PERMIT M I/ �au�tnor�ize�&qntaiiVeS-OT a uounty of t:surte to enter upon the rop �o inspection p .poses. Date`s natur,{yP'P'ermitee or Agent Receipt No.r0.%x 4 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Bur ding permit expires Date G ��' BUILDING OwnerSQ. Q GcJ � C7, 6/1°i o FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor, < r'Ll1 Total Valuation CZ Mailing Address ` /j �u Permit Fee Plan Checking Fee &/orPenalty ® /� Te�e�hone No 1 Permit Fee $ $ Building Address PLUMBING No.1 FEE PERMIT FILING FEE $3.00 f Zr f3Q S 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 a Z Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F 5erriiaticr� Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldgs Recd Parcel royal PI pproval Permit Fee $ $ NEW [:]ADDITION ❑ UTILITIES ❑ OTHER,® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 r AW100V 6 d �' C / O� OR LESS Main service 100 AMP OR LESS 5.00 ., Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home Others ❑ Main service OOEAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ADWECCLBLDGSCCUP. &) 22sgft NEW CONSTR. (MULTI.OUTLET NON•RESID. BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. CCNTRACTORS LICENSE LAW I am licensed .(nder the provisions of Chapter 9, Div. 3, of the State of Califoonia Business & Professions Code un er the name styl t� 7J_/4c 49A �s Ex. Occup(OUTLETS OR FIXTURES)50 @25� 101 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 rr �, Mobile Home Facilities 15.00 License NoOW/fO Classification Misc. Wiring 6.25 ❑ I am exempt f-om the Contractors License Laws of the State of California. Permit Fee $ $ WORKUIEN'S COMPENSATION INSURANCE 1 am aware of tt-e provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. SCI I have placed on file with the County of Butte a certificate of Wor men's 03ompensation Insurance. Ify that in the performance of the work for which this permit is is3ued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE- PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood -4-2,001 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree,to-,pomply to all County Ordinances and State Laws relating`to btA lding construction, and hereby TOTAL PERMIT FEE $ O t:/� �au�tnor�ize�&qntaiiVeS-OT a uounty of t:surte to enter upon the rop �o inspection p .poses. Date`s natur,{yP'P'ermitee or Agent Receipt No.r0.%x 4 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Bur ding permit expires Date G ��' BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: �'��9/NM0AJX 2. Installer's name: - 99696U 3. 3. Is the site currently under permit? Yes / / No (If yes, furnish permit numbe-r ) 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 ftaw'y from septic tank and leach fields and clear of all setbacks and easements? Yes / / No (If no, clarify ) 5. What is the mobilehome electrical rating? ---------------------- /U d Amps 6. What is the mobilehome site service rating?'--------------------- 2go Amps 7. What is the mobilehome site circuit breaker rating? ------------- - 'Amps 8. Is there any other electric load to be serve3.by the mobilehome site service? ----------------------------- ------ Yes / / No (If yes) identify the load and size: (Load) ) g pipe ?---------------------- ° 9. What is the mobilehome site as i e size. �' 3�(in.) 10. What is the type of gas service? ---------------------------- Natural,/ / LPG / 11. What is the.gas pipe length from meter or tank to the mobile ome? (ft.) 12. What is the mobilehome gas demand? ------------------------ ----- (BTU) (This information not required if pipe length less th 6 ft. on natural as or less than ; 50 •ft ,-on LPG.) �` MOBIZEWME, SUPPORT DATA 7/ d y Mobilehome Mfr.. 0_&AC Setup Model No. 71 Year/171 Width 074 (ft.) Length y (ft.) Exp2ndo Size t.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 the County of Butte). a. SJ�n le. (check.one) ......... Wood :either , pressure treated or Center Center Support ': : :': fdn.`grade.:, Support FootingSizes Locations (in.) 2 -::Concrete pada 3.:. Other, in.(in. in. Supports (check one / 7 1.'Concrete block - rj5= 8 '' 2. Concrete piers (in. (in.) .. :..:.. 3. Steel piers .. . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . Other, specify. .... ......... . a•/x Typical Support Footing Size in. �n. in. .3o .(in.) (in.) ... ..... ...... . 17 Max. Pier. s- Spacing ft. ln. i ayx. (in.)(in.)' I Max. I t - t� Overhang *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DF PA RTMNT APPROVED r BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET Y -S21. . Owner's name: Zfi Ui ), �,(M� 11,914MA./V—s- 2. . Installer's name: 3. Is the site currently under permit? Yes 7/ No ( If yes, furnish permit numbe-r ) OR Is the site an existing.site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least5 ft. away from septic tank and leach fields and clear -of all \setbacks and easements? Yes No (If no, clarify ) (This information not required if pipe length less than 6 ft. on natural gas or fess than 50 T �,' f. •,.� �, CZYf z'-r��.�, -il) V 5. What is the mobilehome electrical rating? ----------------------- h Amps T 6. What is the mobilehome site service rating? ----------------------- Amps 7. What is the mobilehome site circuit breaker rating? ----------- --_6 d Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- No / / (If yes, identify the load and size: (Load) i (Amps) t 9. What is the mobilehome site gas pipe size?----------------------//� (in.) 10. `What is the type of gas service? ----------------------------- Natural / / ` LPG 11. What is 'the ,gas pipe length from meter or tank to the mobilehome? (ft'.) � f2 :What is; the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or fess than 50 T �,' f. •,.� �, CZYf z'-r��.�, -il) V MOBILEHOME SUPPORT DATA Mobilehome Mfr. Setup Model No. Year Width _�(ft.) Length �%_ (ft.) -Expando Size 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 the County of Butte). . Sin le —� .... i , 1. Wood either pressure treated or i enter Center.Supp rt fd4.`grade.: S pport Footing Si s Lo ations (in.) /,2. -Concrete pad. x .. 3. Other, -specify in.kin.)( n. Supports (check one) 7)7/�1. Concrete block 2. Concrete piers, (ft) (in-(in.)(in.) .. ..... - .. . 3. Steel piers .......... .. Other, . / 4er, specify / . i .... ....... Typical Support ` Footing Size n.) (in.) ` ... .... . Max. Pier. . Spacing in. In xA (in.) (•) 4 I ( Max. I e - In � b — - erhang-----� - -�--- I — Z 6 � a t3 es YJ71::�_ Footings-(check.one) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DEPARTMENT APPROVED 4Lr. 1.11.. if everything okay, sign off card and t<., services. DATA Manufacturer and/or NAmestyle Length 100 Widti, Vehicle Serial No. State Identification No, A ,.ddLtional Information or- Comments: 9. Electrical_ A. is service large. enoitgl. to provide adequate amperage to mobiloliame (must cqual'rating, of mobilehome kjitlk a -.:lin.h::um of 100 amp) and other facilities on lot, i.e. , water pumps, ,ara-Ze, cabana, efc.'? Ye6_KNO Yes_J��No_ B. is ther�� proper clearances around panels? vNo C. Is power supply cord or feeder assembly properly fused? Yes D. Is cont-inuity test satisfactory as per the following procedure? Yes r/N0 1. De=energ-Lze electrical wiring system of -the mobilehome at the pedestal. 2. llake:sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. 3witch.all breakers and switches in the mobilehome to the "on" position. 4. Connect one­4.:7.,ad.of a test instrLIMPnt to the mobilehome grounding --conductor and rciob-L."Letio-frLe SaPPlY COri'LiCLOr, ud ing ne the c illel uLra' y e oulef 4ye o -ach 5. All non-durrent, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment a nd the grounding conductor.. * 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall. be connected to the site service equipment. A further continuity te:,-L shall then be made between the grounding electr6de and the chassis of the mobilehome. sat -i.sf ac Lory completion of the electrical tests, th. e lot or site ser -vice equipment may be approved for energizing. C; T,; 1. job card s: Lf�­cied by ilealth Departmeat for water and sanitation? 1.11.. if everything okay, sign off card and t<., services. DATA Manufacturer and/or NAmestyle Length 100 Widti, Vehicle Serial No. State Identification No, A ,.ddLtional Information or- Comments: �" tiUB1i l,liU:tG IIVS7'ALL'1'I'1Oid.1NSPECTION CHECK L•1ST 1. Is the. mobilehome located wi1:.1i required separation from lot lines and buildings and generally conform to plot plan?. Yes 0 2. noes the mc,bil.ehome have require -d clearances above ground? (Sec.5085) Yes 3. Are footings and supports properly sized, spaced, and braced a r approved plans? (Note ` , possible variation at spring shackles.) (Sec, 5082 & 5083) YesNo 4. Is the mobilehome level.? (Sec. 5088) Yes &No+ 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 5. Water. A. Is f;l,'Xi_ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes V/ No' B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes 6--1140 C. Backflow - If coach is not State of Caliproved, does station have backflow device and pressure -relief valve? Yes No — PA 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and.have-flex connectors at each end? Yes_k""�No_ B. Does i.t have minimum per foot slope and is it properly supported? Yeses' No C. Are any leaks detected in drainage system after runningallons of water through each fixture including washing machine standpipe? Yes_ No V D. If coach is not Stat o ifornia approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas siipply 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 mobi.lelome.gas line inlet without reductions other than the mobilehome connector. Yes fir// No B. Test OK as per following procedure? YesNo 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without. drop. 4. Connect: gas meter to mobilehome with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes V No N COUNTY OF BUTTE — DEPAP�T OF PUBLIC WORKS 7 County Center Drive — 6rovilte, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County oT t3utte to enter upon the above -m tioned property for inspecti0 purposes. 17 's� Signature of Permitee Agent Receipt No. 1�q 2 4!�, ;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 O.FiPUBLIC WORKS ZI Dateing permit expires Date y-'3—% BUILDING Owner ORRdA"J ,�/ SQ. FT. OCC. BUILDING VALUATION Mailing Address V A"71 2 M Telephone No. Fireplace Contractor �g Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address U STeot PLUMBING No. @ FEE PERMIT FILING FEE $3.00 B J 0 KUS4EL lec) d Each Trap 1.50 Repair drainage or vent piping 1.50 r Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. / (9 � Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees I W.C. Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements— provements Lawn sprinkler system 2.00 I$ dy. Plans Recd I Parcel ApkKaI Plans pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES❑ OTHER,® ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 _ 9"-4- Main service 600v OR LESS 100 AMP Oft LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 ® Duplex ❑ Mobil Single Family Home ® Others ❑ Main service OVER 600v 25.00 +oo AMP OR Main service EA. ADD'L 100 AMP 1.00 0 AM NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 2�Sgft NEWCONSTR. MULTI -OUTLET NON .RESID. BRANCH CIRCUITS) 12.50ea NEW CONSTPOWER 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) BgL@too (FIXED Ex. QCCU FIXED APPLNS. OR (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 $ $ 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 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 1 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 $ authorize representatives of the County oT t3utte to enter upon the above -m tioned property for inspecti0 purposes. 17 's� Signature of Permitee Agent Receipt No. 1�q 2 4!�, ;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 O.FiPUBLIC WORKS ZI Dateing permit expires Date y-'3—% COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center DriJe—­Uroville, California 95965 %����� r/y� Telephone: 534-4541 y APPLICATION AND PERMIT A q1_,,, Signature of Permi�te/egor 4gent /� Receipt No. 3 % / / BY Date—� 3 �_ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant wilding permit expires Date 7-137 BUILDING Owner Z XkVl?LIVC�' SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address ©� (3)(- X 271 '/v� Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building AddressL`� p� ��E2 LN, ���Q PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ,00 C7C� 5�0 , of-- /1,rL15, : L R6. Each Trap 1.50 &10Repair G� drainage or.vent piping 1.50 Water piping 1x69 M teach gas water heater or vent 1.50 Ott%'Q Vperw;eafie t 8 A. P. No. .3 G 66 'r/lf7� Zonin Gas piping system 1 - 5 outlets 1.50. a,0 Each additional outlet .30 FV I Wrc;.t� Sa t on FireDept. FireZone Use Permit Building sewer 5.86• (, EQA Parking Plans Parcelarcel Declaration Ma P 60 R/W Im r p ovements Lawn sprinkler system 2.00 Bldg. Plan Recd Parcel Approval Plans pproval Permit Fee $ d j.. OC NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3,00 30 Main service 600V OR LESS 5.00 0 100 AMP OR LESS S Main service EA. ADD'L 100 AMP 2.50 (I Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 -illi , YT. R1N0MUM �'�% r�,�+ NEW OCCUP, &) 2�sgft OR A.D.S. ( ACCLBLDGLING NEW NON-RESID R ( MUL BRANCH CIRCUITS) 2.50ea qq, FFSS FM MOBI &J 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 style of: Ex. Occup(OUTLETS OR FIXTURES) BA�@1 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 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 2 S ,S $ 2 3 5 WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this 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. @ 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 authorize representatives of the Cou y of Butte to enter upon the above -m tioned property for inspe i n purposes. y / X to " 7- '/ ki TOTAL PERMIT FEE 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 pai . DIRECTOR OF P LIC WORKS Signature of Permi�te/egor 4gent /� Receipt No. 3 % / / BY Date—� 3 �_ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant wilding permit expires Date 7-137 W4 COUNTY OF BUTTE - DEPARTMENT 0F 7 County Center Drive - Oroville, California 95965 - PUBLIC WORKS Telephone: 916/538-7541 �- APPLICATION -AND PERMIT rff rud/leffiRrl-, ASSES O ARCEL NUMBER - �- a - 20N1 BUILDING PERMIT O ER Inn 4V_w9_`( Elwes S uv TELEPH NE 53y-6oZUQ� SQ. FT. OCC. BUILDING VALUATION NER:S MAIL NG AD RESS G:a I ��,s� ev- 1 CONTRACT R'S NAME- 1))01311,k7 rrr TELEPHONE CONTRACTOR''MAILING ADDRESS)) �J 6212 U Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex i] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100Do OR ORLESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare nder penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BUSInesS and Professions de and my license is in full force and effect. License No. �C / Classification ;!— / ❑ as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. I DWELLING OCCUP. SI ,/22Sgft OR ADDNS. % ACC. BLOGS. NEWCONSTR U TI.OUTLET ITS 2,50 ea NON REL.BRA CH CIRC POWER APPARATUS 6 (SINGLE OUTLET CIR. I Ex. OCcup(OUTLETS OR FIXTURES ZO®SOC e AL9 30 FIXED APLNS Ex. OCCUp. OUTLETS P(RESID.)REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ®- I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C, laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating ' Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. 1 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,Igeep harmless the County of Butte against all liabilities, jud�rrlents, Jcosts, and expenses which may in any way accrue against said Count In consequence of the granting of this permit. X _�-`_ �/ Date Signature of Applicant- (Owner❑ Contractor Agent El An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ oCCUP. CONST.TYPE SCHOOL PLDaD Re�c v Po ND This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated abov for which fees have been paid. OR PUBLIC WORKS 07 By 7-D/�ate PERMIT EXPIRES Date ' �+ Receipt No. WNITE-D.P.W., TELLOW-ASS!»OR, PIN -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF -BUTTE - DEPARTMENT ORPUBLIC WORKS - BUILDING DIVISION r• V 7 COUNTY CENTER DRIVE - OROVILtE CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET ---- i'1 t n t Permit No. _ OWNER Proposed Building Use A. P. No. uilding Inspector �A-If� Date At time of permit application, I was advised th following data must be submitted prior to permit processing and/or issuance: � DATE RECEIVED APPROVED 1 +rAll items have been_su.bro,'Itted..................................... 2. Plot plans in duVrf atpjar' licate, signed by preparer of plans........ 3. Complete pl As In duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... Pre-Inspec. request to 19. Pre -Inspection for required ...... Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded py of Agricultural Acknowledgment Statement ............ _,4t Le tter sigUture authorizatiori ..... D ..................... I ......... . When you issue the permit, process as follows: Mai to owner. Mail to contractor. Other , ;n _e�and hold for pickup at office. Deliver w/inspector. Other Appli L_1C1 ��tir� Date,-/ ` 32 Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--nail—counter by date Contractor, designer, owner, was advised of above required data by —phone _maII—counter b date Plans checked by Date Plans aDDroved by Date 1 Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS i7 County Center Drive, Oroville, CA 95965 PHONE: '916-534-4541 DATE. August 9. 1984 Lawrence Hamaons RE: Building Permit Application #2448-84 P.O. Box 271 Palermo, CA 95.968 A. P. # 36-291-66 With reference to the above subject: R1 Attached is Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs X Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER X/ We needthe following information: Permit application signed and completed where indicated with all copies returned. X rees,of $ 368.40 payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or'check exemption statement. Contractor's License'Law information or check exemption statement. R Complete plans in duplicate including plot plans. AS NOTED ON TYPICAL Plot plans in PLAN SHEET ENCLOSED. Structural details in Complete plans and calcs in by -registered engineer or -architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red.- X Sanitation approval from Butte'County Health Department at: 196 Memorial Way, Chico X .7 County Center Dr., Oroville, Skyway & Elliott Rd., Paradise X Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for single family in M1 zone Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER Should you have any questions concerning the above, please contact this office. JFG/aj Yours very truly, William Cheff Director of Public Works .F. Glander Chief Building Inspector PERMIT NO. 748-81B PERMIT EXPIRES /la! Y OWNER Lawrence Hammons CONTR. Owner ASSESSOR PARCEL 36-291-66 LOCATION 6291 Custer Lane, Oroville h Temp. Power Pole Called PG&E ` Temp. Elec. Service y Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) a, Signature = OK = Not OK = Not Applicable = Not Ready , RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except H's Date FRAMING (Continued) oning requirements-Setbacks-Easements -49.-Eroperty Line Firewall & Openings -.Z.., F , Main; Soils -Steel -EI c. Grnd.- / /" Ftg. Depth 40, -Ext. Doors -One 3' -Check Garage -3rd story, 2 exits tg., Garage; Soils -St' - //Z,/" Ftg. Depth -6Q,-6tairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4- Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 4--6temwalls, Main; Steel-Blockouts-Wrapped-Slab . Siding -Nailing -Veneer aeoSternwalls, Garage;-BIockouts-Wrapped -93-$tucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access ..7. -,Piers -Fireplace Ftg.-Steel -5T.-Glazing Area -Glass Protection -Skylights -Plastic --8,--D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test -65. Shear Walls; Nailing -Bolts `9 --Gas Pipe; Size -Anchors -46--Water Pipe; Test -Anchors -Regulator -Service Test 44- Electric; Underground 42. Planums & Ducts; Clearance -Material -Support -Ins. air Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI ' Date and -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date `Z Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (P rmit) 0 except q's 57. Smoke Detector _ 14. Water Ht.;Vent- ccess-Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe;\Te5f & Anchors -Nail Protection 16. D.W.V.; Tes ttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; est, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access , 2nd Floor -Tub Access 18. Test Tub &h wer,-? 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; ize & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth j j 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Per it OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Trans rmer learance-Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacl Sp ting -Lights &Switches at Doors 22. Size Boxes & No o Conductors -Stapled 70. Plb., Elec. &Mech. Equip. Listed for Location 23. Romex Installed Mose to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground m e up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes73. 25. 2 Appliance Cir u is in Kitchen &Conductor Size Guard Rails &Deck Construction -Post Caps _ 26. Subfeed Wire Sze I / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ./ / a. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Ne tral Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes 0 N 28. Service-Ri54r Cond ctors & Ground -Main Disconnect 76. 77, Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cord. Size -115V Outlet 29. Equip. Cle, rances; nels-Motors-Mech. Equip. 30. Clothes CI'oset Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Per OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Ins tion & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; ExhdA above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Dr in V Overflow; Size & Grade 34. Furnace-Ve ; Ac ess-Comb. Air -Return Air Vent -115V outlet 35. Attic Accesi & Pla form if Furnace in Attic Card -BI Date Card -BI Date Card -BI __ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAM NG(Plans) OK except q's Comments at Final: 6 s; Proper Material & Anchors _ - . Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 49 --Bearing Walls over Girders & Floor Nailing _ .O9" Draft Stop in Walls (rat proof) 40' Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ �-Header & Beam -Size & Bearing ngers-Post Caps -Anchors -Connectors 4 Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfnq. _ A4. -Fireplace Ties or Type A Flue -Fireplace Throat _ -- - Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4.- Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions -arage .47! Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) = OK = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater S. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes- Eno losures- Pane lboards-Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date ' COUNTY 01klv UTTE - DEIPAPiTMENT OF PUBLIC WORKS P R T N 7 County Centere - Oroville„California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT n fSSESSO PARCEL M Eg (p—ZW/11? lO Zpy,I /� /l/j LDING PERMIT oyrNARR JpC ^ ^ L HONE SO. FT. OCC. BUILDING VALUATION `Oo OWNER'S MAILING ADDRESS �E- O' ox 2- / / p / / I- (.. e- _` O 64 959 86 CONTRACTOR'S NAME / /s �W E)e— TELEPH NE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER - UNKNOWN Total Valuation Is .00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ,QO ARCHITECT OR ENGINEE LICENSE NO. Plan Checking Fee $ 2.2,00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 70 .O d BUI}V /DDDR E,��S7EIa GANG, 1/V�/4/ / C. PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other G moi= Apv- T)C'� SPECIFY I. Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Addition❑ Remodel❑ Utilities F1 Installation[] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR001 OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.EI\ OR ADDNS. ACC. BLDGS. I 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Q 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 9-'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 CONSTR -OUTLET 2.5Oea NON.RESID BRANCH CIRC ITS NEW CONSTR. I POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. / Ex. OcCUp OUTLETS OR FIXTURES 50 @ 25 (FIXED APPLNS: OR Ex. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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. shall not employ any person in any manner so as to beccme 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. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 s 'd County in cons quence of the granting of this permit. C� XDate 13/ Signature of AID icant = Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0” deep and demolition or construct- ion of structures ov r 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 7 .Od OcCUP. GROUP j 1 TYPE OF CONST. V A1 I PARCEL PD I No v V 1 ISSUE ,/ v This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF RUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS _/0 ­?/ Dat CJ/0�' Receipt No. ff o z WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BL=.r. - DEPAR'Tti1ENT OF DEVELOPNIEN'T SERVICES, BUILDING DIVISION Caunc7 Cancer Oriva. orovilie CA 95965 Phone: 93.6-538-7542 DORTHY MAE ELMS 6291 CUSTER LANE OROVILLE CA 95965 RE: PERMIT APPLNS- POOL AND.. -CARP0RT 036=29-1=066 :. M _ With reference to the above subject: Attached is: Application for permit Building Plans Engineered Calculations Owner -Builder Verification Fm DATE: 8/14/96 Mobilehome Utilities Installation Sheet Mobilehome Installation Information -Sheet Typical Plan Sheet List of Codes.Enforced We need the following information prior to permit processing and/or issuance': Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans.. Complete plans; 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of.S , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) by California Engineer. % COC,�TY OF 3L=P- - DE?.-kRTyOE`(T OF DEVELOP^/(E.`(T SERVICES, BUELDING DMIMCF( czunv, cancer cr_ve, orvvilLa CA 95965 ?hand: 916-53a-75.41 ' DORTHY MAE ELMS - 6291 CUSTER LANE OROVILLE CA 95965 RE: PERMIT APPLNS. POOL AND CARPORT DATE: 8/14/96 A.P. 036-29-1-066 With reference to the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans � Mobilehome Installation Information Sheer, Engineered CalculationsTypical Plan Sheet Owner -Builder Verification Fm List of Codes.Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returnee, Plot plans, 3/4 sets, signed by preparer of plans.. Complete plans; 3/4 sets, signed by preparer of plans. Engineered plans and talcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of S payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) by California Engineer. =sanitation and plot plan approval nRnvILLE Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley.. Planning approval for Land Develc cent (a) 1-=rcvements (b) Drainage. Driveway per -nit (apprevalof ccnstructicn required prior to occupancy). Contractor's license information (No. Name Stvle, Class) or exemption statement. Cart-ficate cf, ricrkma^s Cc=ensatic^ =ns ra ce. Owner -Bu-;--- i -der Verifcation Form. .. Recorded C. �6ckn cwle— genenz: . t3ceme Latter of sicnature au't crization. Coov of recorded deed of parcel creacion and 60' riche of way to a public road. Letter of intent en. building use. Mobilehome utility clearance. Documentation of lecal access. Documentation. of 50;r su:^divisien developed or (a) Road improvements completed an-- (b) n_(b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans In accordance with changes marked in red. Copy of recorded 60' right-of-way to a public road. Othe--: TO AVOID CODE ENFORCEMENT, PLEASE OBTAIN THE ABOVE ITEM AS SOON AS POSSIBLE x Should you have any questions concerning the above, please contact DONNA SPERLING of this office. Y rs very tr, ly, Micrfael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection RESIDENTIAL 036-291-066 PERMIT#95-3050 i e ELMS, Mae f 6291 Custer Ln., Oroville P New Carport n - i i t �9 • e� i h� f 1 L � 4 i JOB, FINALED (Date) ,$ig ature V=OK 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 0 = Not OK 6. Gas; Location -Test -Wrap; / /Vft. / /Nat. or/ /'L°ft./ /LPG Not •=NotReaady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch Date 3. Sewer, Location -Test -Fall -C/O -Concrete Date 4. Water, Location -Test -Easement Needed (Sketch) MISCELLANEOUS Date' DECKS, COVERS, CARPORTS, GARAGES(Plans) OK except #'s i'ng Requirements -Setbacks -Easements tings; soilsSize-Depth-Spacing-Connectors-Steel 3. necks- Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. gym. Awn.; Columns -Connections -Splice -Decal -Enclosures Carports; Windows -Doors 7. Elec 'c' nng.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B Date Card B-1 Date % 5 - 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, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/9 Circulating Equip. -Pool LBhtg. 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 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /Vft. / /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; Sipe -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/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 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 i'ng Requirements -Setbacks -Easements tings; soilsSize-Depth-Spacing-Connectors-Steel 3. necks- Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. gym. Awn.; Columns -Connections -Splice -Decal -Enclosures Carports; Windows -Doors 7. Elec 'c' nng.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B Date Card B-1 Date % 5 - 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, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/9 Circulating Equip. -Pool LBhtg. 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 = Date UNDERFLOOR (Plans) OK except k's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-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 n'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 #'s 22. Fixture & Transformer Clearance -Ins. -Protection --------------- - -- ---- ------------ ---- - - - ------------------------- 23. ----------------------- 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. Fasiners-Bond Gas & Water ---------- ------------------------------------- --- _ .. _ ------ --- --- -- 27. 2 Appliance Circuts in Kitchen & Conductor Size,GFI ----- - ------------------------------------- ............. ... ... 28. Subfeed Wire Size ga. Cu or AI -A.0 Wire Sze , ga Cu or At -------------- --- --------------- - - --- - ................ .. 29. Range Circ. r , ga. Cu or AI -Oven Circ. ga Cu or At Insulated Neutral ❑ Yes ❑ No ---------- -- - --------------------------- --------------- .. 30 Service -Riser Conductors & Ground -Main D sconnect ....................................... ----- '----- .......... ....... . 31. Equip Clearances Panels-Motors-Mech. Equip. -------------- --- -- - ..... _ ..._..._... ------ - ... - 32 Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector ------------------------------- -------- -- ......... . Date Card B-1Date Card B-1 ------------.. ..------ ......... ... . ......---- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ;I'S 34. A C. Ducts Insulation & Support ----------------------_------I ....... ... ... - ..... .. 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 4 s _ 39 Sils. Proper Material & Anchors 40 Walls Studs -Nailing. Spacing & Braang-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 I ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors _ 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. ----------------- ---------- ------ 47. -- Fireplace Ties or Type A Flue -Fireplace Throat clearance -------- -- --- -- 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing ----------------------------------- 51. Property Line Firewall & Openings 52. Ext. Doors -One 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. 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 ---------------------------------Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except a's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ----- ---------------------------------------- - - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ----------------------------------- 64. - -------------64. Bedroom Exiting 65 G.F.I. & Bath Fixtures & Tub Access -Spa ------ --- - - --- ----------------------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ---- --- ------------------------------ 67. Stags & Rails . ... --------- ----------------------- 68. Fireplace or Stove: Clearances -Hearth .. ... .._.. ------------------------------ 69 Elec. Outlets at Wood Panel: Int. & Ext. . - - - _ - - ------------------ -------- -- ---------- 70. Kit.Ftxt. & Appliance: Grnd.-Air Gap -Cooking Clearance ------------------------------------ -- -- 71 Elec. Outlets & Receptacles at Kit. Counter . ... ... ... ........ - - -- ------------------------ 72. Garage Fire Door: Swing -Landing -Closer ------ -------------------------------- ------ ----- 73. A.C. Duct in Garage -Damper .. _ ... ............ -. ---------------------------------- 74. Wtr Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection . --- --------------------------------- ----- 75. Plb.. Elec. & Mech. Equip. Listed for Location - ---------------------------------- 76. -- - -------------------------------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection .. .. ----------------------------------------- 7; Insulation -Foam -Looked in Attic ❑ Yes ------------------------------------------- ----- 78. Guard Rads & Deck Construction -Post Caps . ... .._ ..------------------------------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes .. ... ... - ----------------------- 80. Following mstld� 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 -----------------90 Water & Sewer Connected-C'O to Grade -HD Approval --- ----- ---------------- ----- 91 Energy Compliance Certificate -Other Certificates ------------------------- .-- -------------------------------- Date Card B-1 DateCard B-1 .. .--- . .._......--- --------------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE-DEPARTMENTOF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville,*Califor�ia 9:x65 - Telephone (916) 538-7541 IDRMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-291-066 ZONING M1 BUILPINGPERMIT Y OWNER MAE ELMS Ir -16208 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 6291 CUSTER LN OROVILLE, 95965 480 C 6,240.00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE v UNIPIOWN Total Valuation $ LENDER'S MAILING ACDRESS Filing Fee $ 20.00 Permit Fee $ 9U. UU ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 56. 5u ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDINGADDRESS 6291 CUSTER LPI PERMITFEE $ 168. bU OROVILLE PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP _ Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other CARPORT SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New IY Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Mobile Home IS I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service E00V OR LESS ( 200A OR LESS ) 23.00 4- a Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S D.EC ' RATION 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 f r the following reason: '1, 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. ❑ 1, 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 - NEW CONST. DWELLING OCCUR OR NS. ( d ACC. ) SO - 3.5¢ FT. NEW CONST. / MULTI -OUTLET NON-RESID. \ BRANCH CIRCUITS ) @7.50 / 8 POWER APPARATUS l SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FD(TURES) 20 Q I. BAL .5000 Ex. Occup' ( FIXED APPS. OR OW UTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier ECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) VI certify that in the performance of the work for which this permit is issued, 1 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. (� l Date /=��_ _ Signature of Applicant - U; -Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE I TOTAL FEE $ 168.50 AZ. D. FEES _ I P FLOOD CDF PARC PD 0 UE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By tk PERMITEXPIRESON applicable provisions Resolutions to do work been paid. �D7ate /�/ `L�1 ate) Receipt No. 190495 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I .+i.T., -„/iA.�.r. ,1F,.'( .+ , ti'Y'_'.vJ''tii.'w`ti. vfT-r�'i•�1._ ."/.. rv. .. . •1. - ., i..r ,., \, -jCOUNTYOF BUTTE -DEPARTMENT OF DEVELOPWENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL'E, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 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 _ mail Counter by _ Date Plans checked by Date' Plans approved by ���`� Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works PERMIT APPLICATION DATA SHEET OWNER A. P. No. 0 " l ' -?6 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: I DATE RECENED BY 1. 2. 3. All items h been submitted . ......................................... Plot plans se$j, signed by preparer of plans . .......................... Complete plans(I4 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 $,......................................... t 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. 14.' Flood elevation letter (100 year floo by California Engineer. . . Sanitation and plot plan approval s`OtA 2 Health Department. .........•... fD 15. City of Chico plumbing permit. ......................................... . 16. Plot plan and business license approval from City of Biggs/Ghdley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......`..... ' 19. Driveway permit (construction approval required prior t6 occupancy). :..PreaAse 20, o; r�aj est Pre -inspection for ' ."required. . to Building I1spector (Date) 211 Contractor's license information. (No., Name Style, Classification) ..•..........` . . 22. Certificate of Workmans Compensation Insurance. ., ................ 23. Owner -Builder Verification (Given to owner , Mail to owner Z ........... .,.,. 24. Recorded copy of Agricultural Acknowledgement Statement:-•:•- ............. .. 25. Letter of sidihbttire 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. 33. Plan he list. ....... FF ...... �aT ; i C(D u h O lrC' t", ✓'CsS e e W 4 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for cku at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date --?--� 3- 95 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 it of 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 _ mail Counter by _ Date Plans checked by Date' Plans approved by ���`� Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works O.B.- I 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[vr 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: NA1EE ADDRESS PHONE TYPE OF WORK SIGNED: c� PROPERTY OWNER: SOCIAL SECURITY NUMBER: . ftc!! DATE: /.�--/3-95 NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. C -T+i:7 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed' to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. • Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerel . ` ` Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER 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[ J NO[ ]. 2. I HAVE[ pA 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 J 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. S T 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: c PROPERTY OWNER: SOCIAL SECURITY NUMBER: J DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER :G Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: . 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tart withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. if the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a Licensed conLractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincbrel ` Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 0� ~3/.- 2fl- V14 A rou i�f ne inspection i dicates � at t e fa lowino violations of County Ardinnnen exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector_ -Date __ COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (91 6) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE a?6 PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above ad1dress and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please conta:t this office immediately. DECLAMnON REGARDING L01 nF PARCELS I certify that as owner of the property acquired by decd in Volume Page _�Offi-tial Records of Butte County, (AP#�";�p-���� I an requesting permission to build or install'an additional living unit on this property. I will not divide the aforementioned property for sale, lease, rent, or financing unless all applicable land division laws and map requirements are com- plied with. I ars conversant with the present zoning regulations affecting the aforementioned property, and declare that I shall not violate same. I rep esent that the proposed use of.the additional living unit is and that further 1 shall not change this proposed use of the additional living unit unless and until I receive written approval therefor from the County of Butte. I fully understand that pursuant to Chapter 20 of the Butte County Code and £11535 et seq of the Business and Professions Code that if I, in the future, sell, lease or Finance the area on or adjacent to said improvement without fully complying with the applicable laws and ordinances, that I shall be guilty of a misdemeanor and therefore,.subject to the aforesaid.penalties and imprisonment pursuant to law. Further, this statement shall be properly acknowledged and recorded at the request of the County of Butte. nuc 30 2 �� �pilQ1�Y W__ E VI12 Address I 91v t7 so C0A4PA'RARE -- - -- b --.--Oki GIDOD ---------------- - - - - -- W C ENT STATE OF CALIFORNIA ) ss COJNTY OF Butte ) On this 30th day of hip.;ust , 197 77 before me,Mnda F. Wilson _ a Notary Public in and for the County of 33ut t e _ State of California, residing therein, duly commis- sioned and sworn., personally appeared Lawrence G. Ham, ons known to me to be the person whose name is subscribed to the within instrument and acknowledged to me that _he_ executed the same. 11e WITNESS WEREOF I have hereunto set my hand and affixed my official seal in the. Ccunty of Butte the day and year in this certificate first above written. S96-12 LINDA 1. VVi1.1.7O NOTARY PUG! IC . CALIFORNIA MY CC1.t`.!;iS'7; I Ex i .-B OCT. 17. 147E Notary Public fi .i4f ► � 4 9' e�� Th� Setback shall be 5 ft. from the side property line and 50 ft. from the centerline of the road, permitting a maxi- mum of a 2 ft. eave overhang but entirely out of all easements. r This set of plans and specifications MUST be LW on the ink of all times and it is un.lowfi.+l to mate ony chanties .�r elferai•ir..ns on same wi{bout wriffm permission from the Department'of Public Works, County of Butte. All utility connections sha' br located v44bin a ft;, outside the rear third section of t?ie mo6ile home on the left (road) side of the morbile home. BUTTE COUNTY ----- --- - ----�---� --_ _�.� � BUILDING DEPA PTn A -A" JT r. z104r,� APPROVED �§ ,� �, p/�cI Nel✓C � %�7� M Mo N� , a v-- (P 1 t , //o All utility connections shall be located within 4 ft. outside the rear third section of the mobile home on the left (road) side of the mobile home. Septic system and location to be as pper Butte County Health Dept. Re- ro� quirements. zo' M� A411-1 The The Setback shall be 5 ft. side property line and 50 ft. from . Xioorn pe into mit will tion o e� required for fhe the mobilehone. / the centerline of the road a maximum of a 2 ft. overh eave tng BUTTE COUNTY . � BUILDING D PART MEtVT APPROVED chis set of plans MUST ft NOTE:—qp Materials &Workmanship Shall Be C She'' kept on the job at all in Accordance wifi, Recognized Good Practices - and of a quality to it s unlaw�ptil � make any changes or alterations PrWCrtl,A,f for +he Soec;ified use in the Uniform .Bt►'►lcling. PCtrm�•P�a & Machanicr!l C;o-les and tie Nafiorial on sari W written permissoa from tha De �. Works, County p � %# ;M my of Butte_ Electrical C`nde, NOTE: & WO] cordance 0 Pr bed for and th TA. M 9. �-�A rail Betn Aces and use UtIST ba ('0' v e 9A + 1'raaxt3l to set o4 plate 3BOIU4 it is . , �'Wjy'uvdt ,the lob at uill . as O -a SWCOL of vg?do alterSUO �9the DeD �llt lcept On -I,& rges Or ,,eye any ssioll froln, -wTittes, Perini Is /F I l 1 \ I 01,4 N ,T,,, "14 00 16" Qu 0, 4f OK' 0. BuTma- COUNTY �q NN�F yes/O �� ING DEPARTMENT W V H 0 V -E r til - - — - ------------- L -N Thi set of plaais and speciftdollons MMT be kept on theJob at all times and: it is unlawftaboav-\U-� make any changes or alterations on same without --WT ssion from the Department of Pubba Works, o orik's, Cof Butte. Accopa, q 11 Afat, Of '0 tD- nee O'cl ZOO G the uil. OP OOCI Nation E &A9 40ec ti Its b ecl use 44cl '4 e. em —9L� 7,L��— VIE NG IP 0 q1' Jac 41u (, jpBUILDING DEPARTMENT eve -7 -----_�,, i- �' G ') ::3C; This set of plans and specifications MUST be kept on th®.job at all times and it is unlawful to a make any c1lanfes or althrations on same without it�,en a sio frm the ]Department of Public �JpV 3C� 1CB,/Ci0 Of 1 Op Op AIG Sr � �•4� Ty 2 �q �E TURES q0 �?Op S�D� q �. t ..� oL� NO FSC//os S 14 ��'- eb1FNT 'SCC P� o Ekc��r. M+H: All Materials & Workmanship Shan Be'M Accordance with Recognized Good Practices and a Quality Prescribed for the Specified use ;.:. the Uniform Building, Plumbing & Mechanics Codes and the National Electrical Code. p ®AVO . s - - C Hot flan Attached .,t. Hour Plan AILichvd Scut to II. U. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance ma,e, E)eA5 P,15-fe-y- /,Y\ Owner Location Plan Approved for: Sc\%,a,,e Disposal Water Supp y: Public _ for b�droo mobile hom Other i� G Hold final for: 6.. a 4c AP# Private Well � 8/92 COUNTY OF-BUTTiEA DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE- OF OCCUPANCY This mobilehome has been installed in accordance with therequiremegts of the California Administrative Code, Title 25, Chapter 5, under permit � number -2 77�/- 77 for the following location: G6A ��/S7 "e�/A!" , 4MO V t z r)n IS, 147 �C f= r PIS r ,bra i F pi M 1') '1; OwnerA/47 IA4/9/VC.; Owner's Address �t2M45- ' Mobilehome Mfg. f E IQ / V Model 1OaX Z C/ Year Insignia No.0-2-5-470 7/ Serial'1Vo. / --O3' It is hereby certified for occupancy at the above described location and may be occupied. jDirector-of,Publi�ks� Date C/ O �� 1 7 gy ice/ THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED - %.''• J •: � � COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT -SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (91.6),538-7541- 747 Elliott Road, Paradise, CA - (916) 872-6307 14 CORRECTION NOTICE A.' OWNER PERMIT NO. r A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and shpWdlbe corrected. Please notify thisoffice when correction of work is completed. If you h any questions pertaining to this matter, or need additional explanation, please contact thi ffice immediately. < -: C 0- L />4-S PS4e Date/ w Inspector REV 10/92 '-A y Date/ w Inspector REV 10/92 --'-` PERMIT NO. 2879-77B 73,V- �3y(e -?� PERMIT EXPIRES OWNER Lawrence Hammons CONTR. Holmes Mobile Home Serv., Bangor i' LOCATION (A.P. 36—J91-66 ) 6291 Custer Lane, Oroville A � W epi{p' r - t W, Y t Temp. Power Pole Called PG&E Temp. Elec. Serv. /Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signatur COUNTY OF BUTTE'— DEPARTMENTvOF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidina To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for phsically handica ed Conformance of ex. e Appliances Gas Piping &Test Temp. as Slab Final J Sanitation Patio FIREPLACE Final' Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Fi„ai I ci. h.— Oona FIRE SP NKL•ERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES --------------- -- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping M281LEWOME INS ALLATI N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS � v�- .��.-�� � �G_�/��-•��o. Gam• t�� (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ep`rtone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. f7 X QaA&2VVate 70 Si ture of PIrm' (7 _ Receipt No.y�J� 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. DIR T R OF PUBLIC WORKS Da4 1 te/ Building permit expires Date y �L/ `%T BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address -3141Fireplace /�� Total Valuation Tele hone o. s' Permit Fee Building Address Plan Checking Fee /or Penalty Permit Fee l PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each 1.50 raodrainage / ��//l� 6zzot r�P r Repair drainage or vent piping 1.50 / A. P. No. �(D�-� ��^ (� Zoning ng & Planning Water piping 1.50 Each gas water heater or vent 1.50 FeC. ' ani a ion I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1 1.50 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements Provements Each additional outlet .30 Building sewer 5.00 �-� B gfTRlans RecdParcel A proval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER I permit Fee $ $ 8 711✓ -7 % ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER s 25.00 100 AMP O OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELING OR A.D.S. ACCLBLDGS,CCUP. Y) 20 sq ft 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 st le of: y TLET NEW CO ID 1 BRANCH CIRCUITS/ 2.50ea NEW RESID, /BRANCH CIRCUITS) NEW CONSTR. (POWER APPARATUS.8, NON-RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTURES B L�; Ex. QCCU FIXED APPLNS. OR Occup. IRESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. ) ,, � Classification C Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this ❑ piermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. f7 X QaA&2VVate 70 Si ture of PIrm' (7 _ Receipt No.y�J� 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. DIR T R OF PUBLIC WORKS Da4 1 te/ Building permit expires Date y �L/ `%T COUNTY OF TE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive (,)rovilie, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ,--? � 7�1 authorize representatives of the County of Butte to enter upon the above -me 'oned property for inspec ion purposes. Z X Lim► Date ✓ —7 SignJure of Permitee Yr Agent Receipt No. White-D.P.W. — Yellow-Assesso — 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 !,p'"-7_1--77 P, (ding permit expires Date 4-7-/- 7X BUILDING Owner j SQ. FT. OC BUILDING VALUATION ab Mailing Address Telephone No. Fireplace Contractor i inA Total Valuation Mai I i ng Address 0. Permit Fee Plan Checking Fee &/or Penalty T lep ne No. ( �Y Permit Fee $ ®'! Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 446 =5 Each Trap 1.50 8 20i c c. — Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 3 -- I _6 Zoning & Planning Zoning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. Sa on Fire Dept. Fire'Zone Use Permit Parking Pael EQA Plans Declarat' Parcel Map ' R/W Improvem s Building sewer 5.00 Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approva Plans A roval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home EK Others ❑ Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 N NEW CONST. % DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. 2¢sgft \ 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 o : ND LM as ��D r( o ., , Cr VL%C wt-: Ex. Occup(OUTLETs OR FIXTURES)50 @25C 109 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 3911-3 % t Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. "j 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. 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 . ♦ r TOTAL PERMIT FEE$ authorize representatives of the County of Butte to enter upon the above -me 'oned property for inspec ion purposes. Z X Lim► Date ✓ —7 SignJure of Permitee Yr Agent Receipt No. White-D.P.W. — Yellow-Assesso — 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 !,p'"-7_1--77 P, (ding permit expires Date 4-7-/- 7X e CERTIFIED MAIL A LAND :OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965' Telephone: (916) 534-4541 William (Bill), Chef Director July 306 X984 lia"Mme > RE: Permits and.Inspections P.O. -Bux 211(AP N0.2 36-291-66 ) Pa eaw, CA 93968 With reference to the Above.subject,'on JOAO 31* 1984 we.wrote you a letter requesting that you obtain the'required permits and the required inspections from this office for the work you have done.as follows: COnvonad a suago into 110% deo on Your ;amporty located at 6291 cnsttx L"a, ai��caw i. Since both permits and inspections are required by both State and County laws, unless you have obtained the required permits and made arrangements for the required inspections within ten (10) days of the date you receive this letter., the matter will. be referred to the proper authorities for appropriate action. Should you have any questions concerning this matter, please contact us. Yours very truly, W�il.Ifam- Che.'ff Director of Public Works Original Signed by J. F. Glandet J.F. Glander JFG:dd Chief Building Inspector cc: Building Inspector Assessor Jane 11, 1984 1AVIlre}ce fts"ne RE: Building Permit P.O. Sox 271 A.P. #'36-291-66 War -sol CA 93968 With reference to the above subject, we have been advised by one of our building inspectors -that you have not obtained the required permits and inspections from this office for the work you are doing as follows: COUVOCtOd 4 gafag* tat* 11VIOS AkVOO aa- gauic- plopolty loe4t.aid at 6291 I04ater L&IM03, V41411M. Since permits and inspections are required by both State and County laws, please ,,,,\,,,,,,,`contact this office within ten (10) days of the date of this letter,. submit two (2) complete sets of plans, apply for the required permits, and pay the appropriate fees -#s.LuA e 1 ie®a. All work must stop until you obtain these permits and are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Your cooperation.in resolving this matter would certainly be appreciated. Should you have any questions concerning this matter, please contact this office. JFG:aj cc: Building Inspector '► +0MU14 As"OnoR Yours very truly, ftuus $&iff: AetInGbirector o= Public Works Original signed by J. F. Glancler J.F. Glander Chief Building Inspector i I I I • J.. I _~ Ilk- 7 - He LAND ty OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WQRKS. 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534.4541 WILLIAM (Bill) CHEFEr At:M4., Director Jane 11, 1984 1AVIlre}ce fts"ne RE: Building Permit P.O. Sox 271 A.P. #'36-291-66 War -sol CA 93968 With reference to the above subject, we have been advised by one of our building inspectors -that you have not obtained the required permits and inspections from this office for the work you are doing as follows: COUVOCtOd 4 gafag* tat* 11VIOS AkVOO aa- gauic- plopolty loe4t.aid at 6291 I04ater L&IM03, V41411M. Since permits and inspections are required by both State and County laws, please ,,,,\,,,,,,,`contact this office within ten (10) days of the date of this letter,. submit two (2) complete sets of plans, apply for the required permits, and pay the appropriate fees -#s.LuA e 1 ie®a. All work must stop until you obtain these permits and are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Your cooperation.in resolving this matter would certainly be appreciated. Should you have any questions concerning this matter, please contact this office. JFG:aj cc: Building Inspector '► +0MU14 As"OnoR Yours very truly, ftuus $&iff: AetInGbirector o= Public Works Original signed by J. F. Glancler J.F. Glander Chief Building Inspector i I I I -•+K-,- ; - I ,� yl •�� � � � � r.--r.•..�....-�.«.enTw..yw•.a.:-+ '!t •c .:�,� r...y .,... } .,, ` h ,'^ • i �PSETERMIT , . .r .. BUTTE-August.•91984 COUNT PLANNING COMMISSION - If , DATE (Registered mail receipt} PERMIT NO.. _ 10 It ASSESSOR'S PARCEL NO. Pursuant to the. provisions of the',Zoning Ordinance of -the County of Butte and the special conditions 'set forth below: , • •'"'F��,�I��1'r,enGC�• fl33'177lt'l223 ' � • - . - • . • ti t y NAME is hereby granted a Use Permit .in accordance with application filed:'' Sf 8164 to allow residential use. _ n arc -industrial zone .of I•1�1 date cin. prtaperty located On the easy.,'' sid t#[[fad'. C�zs� er line a���rox e l /4 zile, south of Ku l Road. 0ovi ll e. 1i Failure`to comply with the conditions specifies herein as the basis for approval of appli- r 'cation _and' issuance of .Permit, constitutes cause for the revocation mi of said pert in accor: „dance with the procedures set' forth in the. Butte County Zoning Enabling Ordinance. 2. ;Unless otherwise provided for in..a•condition to.a use permit, -all conditions must be com- { ' ':pleted,by the permittee within 12 months of the delivery of, the countersigned permit to the permittee. . it `,, . 3.',Ifany use for which a'use permit has been granted is not established within one year of the date of receipt of the countersigned permit by the permittee, the permit shall become null ands :void and reapplication shall be.required to establish the use. y `•,j,SPECIAL CONDITIONS: L t . s IDepitritment, tn1 a eag d :gip + al`s ste a border perm t '��caitt ;the Butte county of Public- �ilirtalth :- 'Proido im, approved water' supylly•: o3 .1 (hmbr shall mnk occupants aware of high noise levels g'one4 t6d, t y Qerby industi al,useg,; • r All � construction , shall- -bel:done-p!,zr. suari.t to `the rules .mid -rogttlat:ions, of'.thea Building Division of. :the -:Dept:. �f Public —Yorks Apel ca�xt trust .f1Isa oin ly wfth:`all� other .3�p ic_able' Stato and; - `.� 0 local', statt>tes._'ordiiaaficesj',and xigulat ons- • `� ��4� - • !. 4 , • .• .•• . - •. • • • + � - • „+••' ^Y'' �' �{+f 1 - � 1. ' •• '`s '•, .. • •i • i'+k hereby declare under penalty of.perjury that I• have'readt the foregoing conditions, , ' j }that they 'are 'in fact the conditions which were imposed. upon the .granting -;of this use, 31 permit; and that I agree to abide fully by said conditions: _' '� -''Dated: � � •. _; �. 1 Applicant j 4 NOTE Issuance of thls Use Permitdoes'not waive requirement of obtaining•Building,, . y :and. Health Department, permits' before starting construction, nor does it waive any other requirements }'4: <<CC: Health, Department Department of'Public Works (2) ' rA Fire Department r r ` , Chairman of Planning Commission " .z+• f Owner: Addres 0-78- Oq0 - Ol�_, _�,4 M-) BUTTE COUNTY DEPARTMENT OF PUBLI ORKS _51e .et!/'lt i SPECIAL INSPECTION REPORT o Date of Inspec Inspector' / Tenant • �- Building Location: Type of Inspection requested: 1. Housing ".'2. Financing 4. Other (specify) Present use of, A. Sanitation (Housin 1. Water closet: / /13. Change of Occupancy to 2.-avatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: _ 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12,-• Connection to water supply: - 13`. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: D. Plumbing I. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give.complete description): 2. What action taken (give complete description 3. What action recommended: A. Information only - file. 7-B. Hold for ten days, then write letter. %% C. Write letter. / / D. Other: Ilk FAP- PQa(1(oc-;.5 Tme -7� t-76 'EUROPE PC .45 C H ILD"Z EN OF URop 18 wdlor pniritts 113�8 S � J1,93.4 c 1 u d U:aa n 'Piarre and 91 f [Fira-me,, EEfffj(j-,,,io l6f lspaln,, Jaina « 'And-rvej d -f !RdlanX, iRramz S 'of Austria igrAU of arwe:d2na �ofjj la�lan,d.. 111-nna (6f �;�eraa-py.. df EPLORERS )so � I 1 1 one. J Q �� �� s �s �� eel �mS to ex ©SC orifi I -S ion e 6- 4 Ly W 14 : y 'Th set a, plans and specifications e,�_ , NOTE: =Atl Materials &Worm ship Shall Bek� the 'ob at all times i iunlawful.t - , elm p In Q 'Accordance with Recognize od Practices and ma` ' any c ,anges or alter tions on same with- of a quality prescribed for th Specified use in the out } bitten ermiss)0 frv, i the Depa tmenfi l Uniform Building, Plumbing & . my cr tte./, - and t g� g �Ilechanical Co � / - ��TO r he National Electrical Cole' o lei CoHR x'�E Ip�lti0. QJC' 19SPe- W, r-0. VEw FY AVEQUacY . I PROV(DT W"VED VERs (L AMADEQi ATE COMBUSTION C) r ,� c� KIi . _ A M FOR HEATER &/OR W, H.. 2t Door?- M W_,_.�VETS VEN W'; 3 'AND U TE COMBUSTIOgil AIR FC'IR, H I'6R &/OR W. H. SF o a� MVrnE WEU+. � LW I N4 12' 00 _ _ vs. "riuorrwl , r. _. Ji P. E CPROV" Q7 C-0- 12.96EX, P. Install . oke tector per code. BUTTE COUNTY BUILDING DEPARTMENT 3 f e y 1 c ' - �I— E D kj- �. Ml�x• SIU. 44616WT-. PODVI �. 2 P�DRCX W IIJDOW To MEeT OS h S GCT Return to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT Building Division FOR RESIDENTIAL DEVELOPMENT Section 26-8 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 inconveniences 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 agricultural zones which have as a priority use for produc- tive agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: PROPERTY OWNERS: State of California ) County of ) On before me, personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature Seal: A.P. S. b9ala OLA Aa e eil WL et)'014 nd o® l C-� s s 6L �f �a s v V GC 1 1 C- a S f� 6 C a✓ or y I S � V'© Wl 6�. w� � � s l�0 JA, ICI A e 1 A v�oc�d l 16J4(is y e4 /yx 1 t ' ' - •� .. moi. ��. ' • � m O tia�h , Q. .. �G?t.1IR,�b It1PO1�MJ�TiOti1 \ I LOCA E AL , STKUGTU IZ.ES. O T 02 pIZOV I pE- bIMEJ\151o1JS OF O S-MLtCTuMS5 1 -rte P.L.I. PW10r- NOF.TH INOICArOtZ, i' o. LOCATM...IZOAD IZ./w - g 1h1DICA.j SCALE- IPi ALL TO E5M USI: 4L;IOE cI.�LY It..i Pp-F-rp&%CZINcl PL-p.r.16- C� CO U I,. o P BLJTM VSVELOpmEIrT SERVICS BU I LOIQC3 01N/I 510 1 i 25 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance I'lui 111:1 Auurhed Flour I'Iun AtLich.d^ Scut to 11. U. M ae. E65 rx5fe-r 4YA Owner Location Plan Approved for: Sewage Disposal _�— Water Supp y: Public for bedroo mobile hom Other �x G Hold final for: Final clearance O.K. for: NOTE: ,-kL4. r" 36— iV`((! 6 AP// Private Well [/ n Environmental( fealth Specialist 8/92 It hativrence G. Hammons E/S Custer Ln.,app.1300'S.of Kusel Rd., Palermo . ` Permit80-76P,E(util. ,MH)I HLEC. S �1 GAS S OR STRUCTURE REQ,) /UO COMPACTION TEST REQ. Ard 36-291-66 Permit IK306'-76MFrI 36-291-66 caner., Oroville Trailer Sales, Oro. Permit #2774-77MHI Issued 77 36-291-66 contr:Holmes Mobile Home Serv., Bangor Permit #2W9-77B(new awning,/MVA rmi�j #4493-t)7P�, utij_.4A6/ JM'�*PAWIONTI PM 4A DCWREP /71 SO VOWJQ36-291-66 Contr: HolmeskM S r, Oroville. Permit #7342-78B(1st, renewal/ 2$-79-77) 36-291-66 Contr, olmes MH Ser, Oroville Permit#7-78B(new awn extol b1H Contr. Holme Ser, Bangor Permit# -80B 1st ( renewal/7346- 78) ing extension :Pr i garage) 936 -z91 -O66 ELANUEL ELMS 35-291-65 91 Custer Lane,'Oroville ContR: Mobile home Center �� 7 Permit#409-89B(reinstall ning/MH) 036-29-1-066 93-2028 B ELMS, MAE 6291 CUSTER, OROVILLE COV DECK/SF . ""m" dERMIT N0. 2879-77B 73,V- 7or �3414, -7Fr f' PERMIT EXPIRES r OWNER Lawrence Hammons CONTR. Holmes Mobile Home Servo, Bangor LOCATION (A.P. 36-91-66 6291 Custer Lane, Oroville I t Temp. Power Pole Called PG&E J p. Elea Serv. Called PG&E p. Gas Serv. Called PG&E ALED (Date) l (Signatur COUNTY OF BUTTE DEPARTMENT,,OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidin To out Slab Roof SheathingWater PI In Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr: StemwaI l Insulation Heaters Slab Carport Footings Prov. for physically handica lied Conformance of ex. e Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Relnf: Steel Final Fixtures Bond FIRE SP NKLERS Motors Framing Test water Htr_ Mesh MECHAN AL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION -------------- Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) I COUNTY OF BUTTE --D ARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT auuwllcc representatives oI the County DI Butte to enter upon the above-mentioned property for inspection purposes. X ate ?� Si at�r��rm Receipt No. as 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. DIFt-F-JFTQR OF PUBLIC WORKS 9 WAr10I� Building permit expires Date _/' >/LLT?%— BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Tele hone Io Total Valuation Permit Fee Building Address Plan Checking Fee /or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 ��rP Each 1.50 Repairr draraDinage drainage or vent piping 1,50 A. P. No. `��pr�.L!'�'r (!7Zonin 8 PlanningWater piping 1.50 Each gas water heater or vent 1.50 Fe anS ` 7lon I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 ���� B 5-r ans Recd Parcel Appro=val Plans Approvol Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER 19 Permit Fee $ $ ze 8 -7 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 100V OR 000 AMP OR LESS 5.00 Main service EA. ADD -L 100 AMP 2.50 Main service OVER 600V 00 AMP OR LESS 25.00 - Main service EA. ADD'L 100 AMP 1.00NEW CONST. ( OR ADONS. ACCLBLOGS.LING CCUP. B� 2�sgft 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 of: J NEW RoNsrR MULTI.O T NON .R ESID BRANCH C, CIRCUITS 2.50efl NEW CONSTR POWER APPARATUS 6 NON.RESID. SINGLE OUTLET CIR. EX. Occur). (OUTLETS OR FIXTURES gA0 � style Ex. OCCU P•FIXED APPLNS. OR �OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 A _ / License Na Classification L _ (� 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 o- the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of Workmeres 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 FEEPERMIT FILING FEE $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 Land Development Fee $ TOTAL PERMIT FEE is ._ auuwllcc representatives oI the County DI Butte to enter upon the above-mentioned property for inspection purposes. X ate ?� Si at�r��rm Receipt No. as 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. DIFt-F-JFTQR OF PUBLIC WORKS 9 WAr10I� Building permit expires Date _/' >/LLT?%— `COUNTY OF LTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -me 'one d property for inspec ion purposes. x Datew/ —7 Signdfure of Permiteer Agent Receipt No. White-D.P.W. — Yellnw-Ascoecn L — r,.lae.....a_A....I�.n..♦ 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 4o --7_i-77 �6�ldina permit expires Date 6'2/_ %�r BUILDING Owner &LigewrXAW1;Y4AJ.5 SO. FT. OC BUILDING VALUATION . d'0 Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Q , I Permit Fee Plan Checking Fee&/or Penalty T lep ne N A Permit Fee $ �7 Building Address PLUMBING No• @ FEE PERMIT FILING FEE $3.00 pa, l Each Trap 1.50 B�y f lL er Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. — jZ _6 Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 Fees W. a on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Pa Ing Plans D' Pa el parcel Ma Parcel pm R/W ImproveLawn s sprinkler system 2.00 Bldg. Plans Recd Parcel Approv I Plans A roval Permit Fee $ $ NEW KL ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600v OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Single Family ❑ Duplex ❑ Mobil Home fK Others ❑ Main service EA. ADD'L 100 AMP 1.00 tj NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC, BLDGS. 20sq ft 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 StylFIXED o : Me Lam_ �� t(� �()��� Ex. Occup(OUTLETS OR FIXTURES) m.a BAL.1 APPLNS, OR Ex. Occup.(OUTLETs (RESID,1 EA) •2;00 Temporary service 10.00 Mobile Home Facilities 15.00 License No._����.J 7 % 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 California. MECHANICAL No.1 @ I FEEPERMIT FILING FEE 1$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 $ authorize representatives of the County of Butte to enter upon the above -me 'one d property for inspec ion purposes. x Datew/ —7 Signdfure of Permiteer Agent Receipt No. White-D.P.W. — Yellnw-Ascoecn L — r,.lae.....a_A....I�.n..♦ 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 4o --7_i-77 �6�ldina permit expires Date 6'2/_ %�r Since,both permits and inspections are required by -both State and County laws, unless you have obtained the required permits and made arrangements for the required inspections within ten "(10) days of the date you receive this letter:, the matter will. be referred -to the proper authorities for appropriate action. Should you have any questions concerning this matter, please contact us. Yours very truly, William-: Chef:£ Director of Public Works Or;gtntil Signed 'bp J. F. Glanda JFG:dd cc: Building Inspector ° OtOVU10 Assessor J.F. Glander Chief Building Inspector T.F - -}` - LAND 'OF NATURAL WEALTH AND DEPARTMENT OF PUBLIC WORKS BEAUTY 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965' Telephone:' (916) 534-4541 William' (BJ' �)• Cheff Director 4 ** J47 39 i s, "4 CERTIFIED MAIL RE: Permits and.Inspections P.Q. abs Z (AP N0. 944=0, CA . "0" o 1W.mamas: With reference to the Above.subject,,on Jam 1t*Igo we .wrote you a letter requesting that you obtain the required permits and the required -inspections from this office for the work you have done as follows- coAver"d a $AAAA law I&QIDS AM AA; PDX 8 T" Lima Since,both permits and inspections are required by -both State and County laws, unless you have obtained the required permits and made arrangements for the required inspections within ten "(10) days of the date you receive this letter:, the matter will. be referred -to the proper authorities for appropriate action. Should you have any questions concerning this matter, please contact us. Yours very truly, William-: Chef:£ Director of Public Works Or;gtntil Signed 'bp J. F. Glanda JFG:dd cc: Building Inspector ° OtOVU10 Assessor J.F. Glander Chief Building Inspector LAND t.. all "mow: Matte �'ouniy OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WQRKS. 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 WILLIAM (gill) CHEF6 A:rt Director Nuns U t 19; RE: Building Permit A. P. #�9+6� With reference to the above subject, we have been advised by one of our building inspectors that you have not obtained the required permits and inspections from this office for the work you are. doing as follows: �> >� a gas" tato I 141me area on- propway ioca g. 6291 test Uses ftboo. Since permits and inspections are required by both State and County laws,.please this office within ten (10) days of the date of this letter,; submit two (2) complete sets of plans, apply for the required permits, and pay the appropriate fees v , All work must stop until you obtain these permits and are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Your cooperation.in resolving this matter would certainly be appreciated. Should you have any questions concerning this matter; please contact this.office. JFG:aj cc: Building Inspector + lb Visor Yours very truly, 1=;" A190firector of- Public Works Original signed by J. F. Glander J.F. Glander Chief Building Inspector i it i I Owner: Addres Tenant: BUTTE COUNTY DEPARTMENT OF PUBLI ORKS S2 _eVX SPECIAL INSPECTION REPORT o A. P. 4� G.Y� - a 9% " Date of Inspec �q Inspector Building Location:__ Q, Type of Inspection requested: 1. Housing / / 2. Financing / /'3. Change of Occupancy to 4. Other (specify) Present use of building: " til A. Sanitation (Housing) 1. Water closet: 2.' Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water. to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12'*-` Connection fo water,supply. 13�. Rubbish 'and garbage facilities: 14'. Comments B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. 'Service . and ground: 2. Receptacles: 3. Fusing: 4. Comments: D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater:. 3> Gas heating vents: 4.. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give.complete description): D _ e/J__`-T Dom` �__• ._ 2...WhAt action taken.(give complete description : U 3. What action recommended: / A. Information only - file. UF4�B. Hold for..'ten days, then write' letter. C. Write letter. �. D. Other: i WAo ,I BUTTE COUNP .6 oil this set o pans an specifications Mt I . ? `� kept on the job at all times -nd it is -�n' make any changes or alt: rations on s�mtr Works, County of Butte. qv �t G r A i WAo ,I BUTTE COUNP .6 oil this set o pans an specifications Mt I . ? `� kept on the job at all times -nd it is -�n' make any changes or alt: rations on s�mtr Works, County of Butte. qv �t G r