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HomeMy WebLinkAbout078-270-015L. DONOHUE 0 Knoll I Wp: itj erm pgo 6 e, E rr7 H L. DONOHUE DP7 �P*-:?/ z �Aw ' Knoll Wpy, Oroville Permit#90 P',E( til, MH) -7 E L E (C: .100 Afi r. S :,A SUPPOAT STRUCTURE RE COMPACTION TEST REO A proxQ 0 noo 0 CORDON BLEVINS C tr. e ontr: Cepsp erc�pdio NH Ser MH rm_tj I/ P' e rm 3i t,, -86MHI/g 86) ILS s J7— i � ©Q _ . room Yo j .id • i PERMIT NO. 905-86P E MH PERMIT EXPIRES t u OWNER HULL L:: D0N0HUE CONTR. owner ASSESSOR PARCEL 36-074-14 LOCATION 2294 Oak Knoll Way. Oroville OFFICE COPY Address Temp. Po Called GAS Meter By— ,. - Date % Temp. Ele ELECTRIC Meter By Date Cal lei Temp. Gas Service m . , Called PG&E JOB FINALED (Date) Si� i w I JOK { O = Not OK 1 = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements—Setbacks—'Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N.'s 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 3. Sewer; Location—Test—Fall-C/0—Concrete 2. Footings; Size—Depth—Spacing—Connectors 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails Water; ocation—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing ectricity; Location—Clearances—Grnd.—/ t)mA p—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 Card -BI Date Date MOBILE OME INSTALLATION (Plans) OK except N's Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's o ing Requirements—Setbacks—Easements 1. Setbacks—Easements 9-1footipgs; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 219y, MH Test—Demand—Valve—Conriector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining. 1pefricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI Dr ; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI Wat r; MH t—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed r and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater �aS and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip. -Pool Lghig. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit E Insp.—Sketch 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 C \1 �v P�Z6__V \10 J = OK O = Nirt OX = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except N's Date FRAMING (Continued) 1. Zoning requirements -Setbacks --Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 51.. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 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/0 -Sewer Test 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service 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 Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except ff'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; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting _ 17. Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. _Shower Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails _ 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. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection _ 21. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes 25. 26. 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 73. 74. Guard Rails & Deck Construction -Post Caps Fdn. Vents & Crawl '-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 27 28. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral Yes DNo Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances: Panels-Motors-Mech. Equip. 75, Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - - Card B-1 Card B -I Date 30. Clothes Closet Light -Shower Light -- -- - ---- - - Date _ _ Card -BI - Date _ Date Card -BI Date MECHANICAL (Perrr,it) OK except N's 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 81. Ventilation throughout House 82, Glass Protection 83. 84. Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric Card -BI Card -BI 31, 32. 33. 34. 35. A.C. Ducts_ Insulation & Support _ _ Vent Fan: Exhaust above Insulation _ -- - Condensate_ Drain & Overflow; Size & Grade----,- rade___34. Furnace -Vent: Access -Comb. Air -Return Air Vent_ -115V outlet Attic Access & Platform if Furnace in Attic - - Date Card -BI _ Date Date Card -BI Date 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date _ Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's 3_6. Sills; Proper Material & Anchors 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & F_loor Nailing 39. Draft Stop in Walls (rat proof) 40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41 Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. 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 Comments at Final: _ (ItOT E: An en try mus I be made each time you visit Iobsite) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. Address or location of mobilehome Owner's name Owner's address Insignia or hud number Manufacturer's name Serial number of V.I.N. Year of manufacture (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE 10� ! 4241 1 vI., s t o OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. ` 7 County Center Drive - Oroville, Cali-fornia'95965 - Telephone 916/534-4541 05 APPLICATION AND PERMIT ASSESS R PARCEL NUMBER ZONIN BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4/O 0*4 16A0D1-(— LJR p� CONTRACTORSNAME ow IV!�^^ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS "©ni TZ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 1,516D Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS pyJ a— Penalty $ BUILDING ADDRESS �2 IR 941 /�K 1,6!(16LL t,J Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 h Solar or heat pump water heater 20.00 LOT NO SUBD I ON N E l2 a PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 0.00 ea TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities,®, Installation❑ Other ❑ Describe work: Permit Fee $ L(,8 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8OOv OR LESS 100 AMP OR LESS 10.00 00 Main service EA. ADD'L 100 AMP Main 2.500 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. 1 ` License No. Classification 0 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) Q I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. (DWELLING OCCUP.d+\ yz¢sgft OR ADDNS. ACC. BLDGS. / NEW NON•RESID R. BRANCH MULTI-OUTLET 2.50 ea 5CTUS POWER APPARAI e (SINGLE OUTLET CIR. EX. OCcup(OUTLETS OR FIXTURES 20050S eALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.I EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 accrueJ against said County in consequence of the granting of this permit. ��� /' X / Date v Signature of Applicani — Owner Contractor F1Agen 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.TTPE F o PARC ND IssuE PD ✓ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC -AR OF PUBLIC � By PER IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date LLAo��- Receipt No.7 WHITE-O.r.W..YELLOW-ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT . r .L , � s. ,i' c � ♦. w COUNTY OF BUTTE - DEPARTMENT,,.017,P1IBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,5,,,C F RNIA 95965 - TELEPHONE: 916%534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER z>0,VC/`'.FC./ ( N ` A. P. No. Proposed Building Use hit 44 � Permit Fee Based Upon: Complete Contract Price j%� DPW Valuation Other (Explain) Building Inspector Date 6 At time of permit application, I was advised the following data must be submitted prior to permit processing and./or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2.. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . 5. Plans with Energy Design Compliance Statement. 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 90� �'ter of signature authorizat/jn.t ion approval from A` ePU1 Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data.. . . . . Pre -Inspection for y,, •Pre-Inspec. request to *; p Required, Building Inspector (Date) 17. Pre -Ins __O Recorde fyA r Acknowledgment Statem nt . 19. Other ���onetruction approval requirbd prior to occupancy'. When you issue the permit, process as follows: Mail to owner. Mail to contractor. ✓ Telephone J'aS3 and hold for pickup at office. Deliver w/inspector. Other r Applicant 0ate Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by A A , _Date Plans approved by -Date _r_I fig 7 Other Copy—DPW Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL.DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. S6-°211668 '.*F-- I : ii-4UcS7 {•F 7Ah 1--( SHOVIrr! 1"'66 APR 15 Ail 10. 28 The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this ELEXNti R i'i. LiEi.Hk property may be subject to inconveniences of discomfort arising from CLERK -RECORDER FEE, the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, - smoke, noise, and odor. Butte County has established agricultural zones which have as a r priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal,p necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Se, CT/ an 6, % WAIS h %/� 9 /lig r -r/) l�� I✓�,lt y, Ft2-S.— /'1�1DM 8vTre C 6 j) hTy) p l- u C, k %� S' S h o PV A/ 0,)'t Th C,1-, FAi A/ A/)A,'o R v NA /3')7T�- G -hT,Tl-C P N)• P o V �., C, e c N )v) -4p JV./9S fl k F- D i N .The- 0/u/ ��_.. - . = R ll n 7'h L G v () Af U I✓ ,� L r`/"� r .tom, r�r S rA yTe 0'r e a /✓ l� f� i ?� Date : State -of California County of . Butte PROPERTY . •. On this the 15th! day of April , 19 86 , before SS. me, the undersigned Notary Public, personally appeared Hull L. Donohue and Marie Donohue Personally known to me. /X/ Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) are subscribed to the within instrument and acknowledged that they executed the same for the purposes therein contained.' IN WITNESS WHEREOF, I hereunto set my hand and official seal. OFFICIAL SEAL DEBRA J. RAYOME • NOTARY PUBLIC — CALIFORNIA BUTTE COUNTY My [ammnsion expires May 27. 1989 NO t y Public '4S Present A.P. No. 3L -./- �—r Telephone 533.2000 North Burbank Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965 19-86 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the Butte County Department of Public Works - Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by North Burbank Public Utility District, must be submitted to Butte County. Applicant: HULL & MARIE DONOHUE Applicant Address: 2410 Oak Knoll Way, Oroville Applicant Phone No.: 533-4555 Property Location(s). 2294 Oak Knoll Way, Oroville 95966 Villa Verona Subdivision A. P. No. (s): 036-07-4-014-0 Fees Paid: $250.00 NBPUD Connection Fee & $900.00 SC -OR Regional Fa Charge Application for service approved. North Burbank April 15, 1986 Public Utility District Inspection(s) made and successful test(s) observed: Location: Date: By: North Burbank Public Utility District release to close permit: Date: By: COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no)),/(2 2. I (have/have not) signed an application for a building permit for the proposed work. 3.. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have.hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: p� Property Owner✓�%ric� Social Security Number �� Date ! NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be'completed and returned to our office before we are per- mitted to issue the permit. A . ........ . .77, V-7 j v-6 R -d i Row c. iSITE R -d L I am o 11m- s. -0 Oat K ­:I Way 8-- A ­ Clint— RO rla It Ln I M.. A— & 44'GOR I VAW"t Orj 1 :1 IN W. 4 /WE................ > Ik4h, N -Utility'connectio 4 ft. of the mobi directly behind -C 4. half mobilehome. A/setback of 5 ft. fro t Ww""°""Vimr. , property lines and tb o . tn1.n 1111n,5 11 of 50ft. from the r centerline shall be clear of LOCATION MAP 7 --struetures-or-equipment-excep-i- — -.0— — — 17 04 H 14M 0 L L WAV E.457 r 3317 ?' (11-5 ROAD) . ......... t war ee»i dl be reqwired- for the id the mobileliome. AUST BELS RRI ill l� ces aid e in the ides and BUTTE .COUNTY BUILDING DEPARTMEN' APPROVED CIO:r - V& A 9 U. b OWNER PERMIT ' lk.. L6� MH UTIL.CLEARA E DATE INSPECTOR _ ELECTRIC GAS Support Struc. Compaction lTest.Req. Service Size -Other Loads Type Pipe Size Length YES NO YES NO !DOv X\ ,- aJ COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS PERMIT 7 County Center Drive - Oroville, California -95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER -36 —40 � � � ZONIN BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME G�e�4AJe2cw ePl�ie TELEPHONE CONTRACTOR'S MAILING ADDRESS 1,5-5 K9 %44'x`4 :S> ` Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 (� Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL A Water piping 5.00 Each gas 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 �0-00ea Mobile Home S I G I W TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationDR/lOther ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 'i -l -,CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 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.%��% Z 2g� Classification G' �� — ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.tk OR ADDNS. ( ACC. BLDGS. , /20sgft NEW CONSTR. U TI.OUTLET .2.50 ea NON-RESID BRANCH CIRCUITS) (POWER APPARATUS a) SINGLE OUTLET CIR. 00500 - Ex. Occup(OUTLETS OR FIXTURES 2AL@30 °ALoso Ex. Occup. FIXED AS L. SID )R EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 91 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 iconsequence of the granting of this permit. X � ��� 8/ Date �p Signature of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPrJ IFLOOOIPARCELI PD I ND 1990E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OR OF PUBLIC By. PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS _ �/ Date 7" �, a� '�%—i ol — R Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE - DEPARTMEN¢T..OF=PUB•6IC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLErCA, LtFRNIA 95965 TELEPHONE: 916%5541 PERMIT APPLICATION DATA SHEET % Permit No. ( Oa -0y D Y1 A. P. No. is Proposed Building Use '/ iv Permit Fee Based Upon: Complete Contract Price DPW Valuation Other ( ain) Building Inspector Date At time of pe it application, I was advised the following data must be submitted prior to permit processing and/or iss ance: DATE RECEIVED APPROVED All items.have been submitted. . . . . . . . . . . . 2., Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/tri.plicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . 17. Pre -Ins ection for Required- BuildingPre-Insp request to (Dote) p q Building Inspector 18. Recorded �O yAQ P rg.t tc �urV Acknowledgment Statement . 19. Other �ttM1 I onstruction approval required prior to occupancy) When you issue thea it o ass as follows: MaiI Ao,wnner. Mail to contractor. Telephone O-,' and hold for pickup at office. Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Ii Date �S— Other: Copy—DPW BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroyille, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: An -11 2. Installer's name: de.- / 3. Is the site currently under permit? Yes :/Z7 No (If yes, furnish permit number 0,7 OR, t 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 11-K No ( If no, clarify ) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) �yy --80C BUTTE COUNTY BUILDING DEPARTMENT APPROVED 5. :What is the mobilehome electrical rating? ----------------------- l66 Amps 6. What is the mobilehome site service rating? --------------------- 2,00 Amps 7.. What is the mobilehome site circuit breaker rating? ------------- 164 Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ----------------------- in. 10. What is the type of gas service? ----------------------------- Natural R' LPG / /< 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) �yy --80C BUTTE COUNTY BUILDING DEPARTMENT APPROVED MOBILEHOME SUPPORT DATA L.AAe—cX_-, . If -other than single wide, Mobilehome Mfr. o furnish'Setup Model No. %� Year Z.Z Width (ft.) Box Length_,5�7_(ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Single (ft.)(in:) Center support locations* (ft.)(in.) (it.)(in.) L�o // I (ft.)(in.) 16-6' b or,, *If center piers are -other than"`drawn above, `draw in -locations, spacing, and dimensions. Footings (check one) 1. Wood either pressure treated or foundation grade. F] 2. Other: (specify) Supports (check one) Concrete block. .2: Other.. (specify) Tagalong or Expando,' show support details. -- Typical Support Footing Size -- Max. Pier Spacing -- Max. Overhang