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079-200-015
Warren T. Ambrose 674 2646 Monte Vista Ave.. 9-D—.#151 Orovill17 — Permit It -509- 791?�u i elec.} f -Lv-a GAS 114' SUPPORT STRUCTURE REQ. COMPACTION. TEST REQ to contr-. Lloyd's Elec. 0�oille Permit #1653-79E(elec. & yard light/ MH) RON 0, ON 0 6 a 74 Phe n Way,-..Orovil.le Contr: J * C7��rlenching & Const, Chico .Permit#344�-85p, util ELEC A. 51�MH)relocate W�Q, sr GAS -N47 1 ",;,51 F -i SUPPORT STR REQ "Cl ap COMPACTION TEST RE.,� Contr: R V Stavern erinit, �1-85MHHI" Iss 'P6f ffift#3543=85W;F(ft-64- Per t# A -16B new porches/MH) 6 ME MM ME mo Imm W I J 1 J -PERMIT NO. - E PERMIT EXPIRES- OWNER XPIRES OWNER RON 0T,gQN CONTR. Owner ASSESSOR PARCEL 2674 Phaeton Way, Oroville 1 LOCATION 36-78-15 i s , ( 1 Llql'74ar . 0 j F' I " i s ! I i r F Temp. Power Pole 1 Called PG&E - 1 [ Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) Signature n J = OK 0 = Not OK - = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except p's 1. Zoning Requirements -Setbacks -.Easements 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 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/ .P'L'It./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except ft's 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 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 7. Water and Sewer Connected -C/0 to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.: Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card B-1 Date Card -Bt Date Card -81 Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date . J =.OK; r "'"-'O'_ Not OK Not Applicable Not Ready RESIDENTIAL (Single and Duplex) � = Date UNDERF R Plans OK exce t#'s Date FRAMIN Continued j 1. oning reg uirements-Setbacks-Easements all & Openings g., in; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 4 xt. Doors -One 3' -Check Garage -3rd story, 2 exits 3 g., Garage; Soils -Steel- / Ftg. Depth Headroom -Rise -Run -Landing -Fire Protection Ot•flgs-Pa es & Decks; Soils -Steel- / /" Ftg. Depth In: Steel-Blockouts-Wrapped-Slab . Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer. I temwalls, Garage; Steel-Blockouts-Wrapped- - Ft .-Steel _ ^' 5 54._ Screed-Fdn. Vents-Underflr. Access - s Protection -Skylights -Plastic 8. Q.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. ng-Boltsi 9. Gas Pipe; Size -Anchors j 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. j 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -B Date �. Card -BI Date - Card -BI Card -BI Date Card -BI Date Date Card -81 Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's Card -BI Date _ Card -BI Date Date LUMBING (Permit) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings 57 - 14. Water Ht.; Vent -Access -Combustion Air 58, `-rune-; VeHIs 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 17. Shower Pan; Test, First Floor -Tub Access 6 ub Access K61..Elec. Trim & Subpanel; Breaker Sizes -Labels 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors a.-3-S.a+*e-&Ra S- j 63. earahces-Hearth Card -BI Date Card -BI Date 6 65 s a Wood Panel; Int. & Ext. "i'F" • ° 'we; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66tiee-.-Gu tetes-& Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67-Gerege-Fife-Door; Swing -Landing -Closer ga-Damper 20. Fixture & Transformer Clearance -Ins. Protection 6 Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection , 21. Elec. Receptacles Spacing -Lights &Switches at Doors t e Boxes & No. of Conductors -Stapled 70• at-�-Mech. Equip,'. Listed for cation o x Installed Close to Edge of Studs & C.J. _1. Elec. Receptacles in Garage; R e o ec 4 quip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72 _ ked�in Attic ❑Ye 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. struct1on- Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74• Door -Drainage & Wood -Earth Clearance Looked under Floor EJ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes ❑No 5. FD 1.omdLQ_uL% id..- ripe i es No; Walks s No; Plan es o ❑ �e ❑ 28. Service -Riser Conductors & Ground -Main Disconnect 7 l 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, ct--elinces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. g.,Appliance-Firepl.-Clearance to Opn s. 79. lectrical, Plumbing 80• E eceptacIe-Underground Card B -I Date Card -BI Date 81. 82. VPntitaHna_t.reughuUMouse on_ .I Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except q's Corrections from Previous Inspections 84. Gas - ;Gas -Electric 31. A.C. Ducts; Insulation & Support 85. er onnected4 C/0 to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation gg• ertificate-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 i j Card -B Date - Card -BI Date Card -BI Date Card -BI' Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except Vs ills; Proper Material & Anchors Comments at Final: 3f,-Wai!9Studs-Nailing, Spacing & Bracing -Plates -Sound e7'Girders & Floor Nailing (rat proof) 40. Bilin s -Stairs -Chases -Tub 4#. --Header & Beam -Size & Bearing Han ers- ps-Anchors-Connectors j Cing. Joist-Rftr. Ties-Purlin-_Roof Brac.-ru s' g.-_Rfnp. _ 44. es or Type A Flue -Fireplace Thr 45. isAccess; Size & Romex Protection -Draft Stop -Ins. Baffles 46. 13drnt-'PSIMTffo__w_ or Exiting Doors -Sill Hgt. & Dimensions otection Framing i COUNTY.OF. BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville;.Calit&nia 95965 - Telephone 916/534-4541 1/ APPLICATION AND PERMIT • PERMIT NO.� — C ASSESSOR PARCEL NUMBER ZQNING 144 114-e_ BUILDING PERMIT OWNER TELEPHONE FT. OCC. BUILDING VALUATION �SQ. OWNER'S MAILING ADDRESS I -'-o ..? (7 -2 E iaN w /4-A I-'- CONTRACTOR'S� NAME A TELEPHONE CONTRACTOR'S�MAI LING ADDRESS Q/J lz-- Fireplace _ CONSTRUCTION LENDER UNKNOWN Tota) Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT QR -ENGINEER AfC)AJ (2— LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - `J Permit fee $ 3, 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 gas water heater or vent 5.00 USE OF STRUCTURE ! SF ❑ Duplex❑ Mobilehome�& Other 6AraY6 f" SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G I W 0.00ea TYPE OF WORK New•& Addition❑ Remodel❑ Utilities❑ Installation❑ Other[] Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP V OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification [� I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCC e�` , OR ADONS. ( ACC. BLDGS. /_ � I /4sgft NEW RESIO, RANCH CIRCUITS) 2,50 ea NON•RESID BRANCH CIRC ITS ' POWER APPARATUS Q (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2ALO 30 eLe EX. Occup. OUT LETS (RESID,)REA.FIXED APPLNS. � 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyirin 15.00 9 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. 5L1e71 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 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 liabili 'es, judgments, costs, and expenses which may in any way accrue against d County in consequence of the granting of this permit. X �— Date_�� L_ �.�� Signature of Applicant — Owner V 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 OCCu P. CONST.TYPC I JF7PARCEL Po I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R P BLIC By PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /-A-'�'✓ Receipt No.��%-5--6 WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE LVI PARTMENT�OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/53 - PERMIT APPI- 1IUN DATA SHEET v F Permit No. �- OWNER �� QL.Sa� a A. P. No. 36 28' /J Proposed Building Use .6/4R Permit Fee Based Upon: Complete Contract Price/DPW Valuation Other (Explain) mn Building Inspector Lem` `�--- Date At time of permit application, I was advised the following data must be submitted prior to permit processing andJor 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. State Energy Forms No. 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.) � .r Owner -Builder Verification (Given to owner0, Mail to owner[]) 1Q 11-719E;_' Improvements may be required. . . . . . . . . . . . 16. Mob i lehome Installation Data. . . . . . . . •Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector > 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Other DRIVEWAY PERMIT & CONSTRUCTION APPROVAL REQUIRED. PRIOR TO OCCUPANCY When you issue the permit, process as and' follows: Mail to owner. Mail to contractor. Telephone ,533—��� 61d for pickup at D/tO office. Deliver w./inspector. Other_ 5-3-2,0&93 hie, Applicant��.-.--��� LIZ 1��,- 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 Date Z!!ki_T nr Other: Copy—DPW r I. / r T, + PERMIT NO. / 274-86B PERMIT EXPIRES fi OWNER RONAT.T) W- ()T.Cl1N CONTR. nwnar t ASSESSOR PARCEL _ 16-78-15 LOCATION '2674 Phaetnn T)r _ nrnpjl 1 a I t . a Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service I Called PG&E JOB FINALED (Date) —5 Signature r = ox Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date �'� DECKS, COVERS, CARPORTS, ETC. (Plans) OK except a's oning Requirements—Setbacks—Easements _ 2. Soils; Special MH Support—Sketch 2. Foot in s Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concreteecks ' ers and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) ood 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. t 1ate, Card -BI Date Card -BI Date d -B and -BI Date Card -BI Date Card -BI Date Card -B Date and -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DOLS (Plans) OK except N's Setbacks—Easements " 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 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 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—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-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date J = OK ' O = Not OK = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) � Date _ UNDERFLOOR Plans OK except N's Date FRAMING (Continued) I 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 Fig. -Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe;, Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. I 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 N's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents-ClearanceComb. 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 I - 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tlub Access _ _ _ 18. Test Tub & Shower, 2nd Floor -Tub Access 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 19. Gas Pipe; Size & Anchors _ 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grn8.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter - - Date ELECTRICAL Permit OK except #'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. 72. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic F] Yes _ 23. Romex Installed Close to Edge of Studs & C.J. -- 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, r-, Insulated Neutral ,-Yes El No Service -Riser Conductors & Ground -Main Disconnect 75. 76. Following instld.: Drive E] Yes ❑ No; Walks ED Yes C] No; Planters ❑Yes [J -No I Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - -30_ Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. - - Card B -I Card B -I ----.---- --. Date -_ Card BI Date - Date Card -BI Date 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim: G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection I Date -_ MECHANICAL (Permit) OK except N's 31_ A.C. Ducts: Insulation & Support 32. Vent -Fan; Exhaust above Insulation - _- 33. Condensate Drain & Overflow; Size & Grade 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected-C%O to Grade -HD Approval 86• Energy Compliance Certificate -Other Certificates _ Card -BI Card -BI 34. 35. Furnace -Vent Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic --- _- - Date Card -B1_____ Date - Date Card -BI Date i Card -BI Date Card -B1 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date _ FRAMING(Plans) OK except N'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) 40._Fire Stops: Furred Ceilings -Stairs -Chases -Tub Comments at Final: 41_ 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cling. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng -Ring. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt._& Dimensions _ Garage Fire Protection Framing -I (NOTE: Anentrymust be made each time youvisit jobsite) .' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND* PERMIT PERMI NO. ASS `JJR =N7 G BUILDING PERMIT OwPR TELE HONE SQ. FT. OCC. BUILDING VALUATION OW AILI ADD S / r �o ;lc NT ACTOR'S NAM NX i� TELEPHONE CON RACTOR'S MAILING ADDRESS Fireplace CON RUCTION LENDER UNKNOWN Total Valuation $ Flling Feb $ 10.00 LEND 'S MAILING ADDRESS- Permit Fee $ AR ITECT OR ENGINEER 604- LICENSE NO. Plan Checking Fee - $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 4 Penalty $ Oil BUILDING ADDRESS Permit fee $ - PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ` Solar or heat pump water heater 20.00 LOT NO. - 1,5 SUBDIVISION NAME AAWOR' PARCEL MAP Water piping 5.00 Each gas 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 S G W 10.00 ea TYPE OF WORK New Addition Pmodel Utilities Insta lation❑ Other ❑ Describe work:. of&lAes Permlt'Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SS 10000 AMP V OR ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. License No. Classification LIN 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ACDNS. ( ACC. BLOGS. , /22sgft NEW CONSTR.MULTI-OUTLET 2,50 ea NON•RESID BRANCH CIRC ITS /POWER APPARATUS 6 (SINGLE OUTLET CIS. / Ex. OCCUp(OUTLETS OR FIXTURES 20050t DAL@30 FIXED APPLNS. OR EX. QCCUp. OUTLETS IRESIO.1 EAJ 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. ❑ 1 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. I also agree t save, indemnify and keep harmless the County of Butte against all liabiIi , judgments, costs, and expenses which may in any way accrue against i aunt in on eque ce granting of this permit. %� Date _Li �b Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. CONST*TYPEJ I I FLDo ARCS PD HD ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT F PUBLIC BY PEROf EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS 7Date 9'— FL Tetreover �13 Receipt No. J © 7 e WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT v4 i."-0�6�A s .7.r ...•r.;. y :),r}.. as ah' .�, x..t =rs -. ,._ .a ., . , .. _ r 7" • . _ COUNTY OF BUTTE - DEPARTMENT OF OUBLIC WORKS - BUILDING DIVISION -7 COUNTY CENTER DRIVE - OROVILLE4f-, ; I�774RNIA 95965 -- TELEPHONE: 916/534-4541 , a(L4 i PERMIT APPLICATION DATA SHEET OWNER domaij," o l s" 0 in -.. - Permit No. Proposed Building Use Y o rr_tIF S Z Permit Fee Based Upon: Complete Contract Price DPW Valuation Ot r Iain) 14 /� Building Inspector Date J At time of ermit application, I was advised the following data must be submitted prior to permit processing and./or ' suance: 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 $ . . . . . . . . 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 -Inspection for Required- BuildingPre-InspIn request to (Dote) P q Building Inspector 18. .Lvh'�� Recorde f r I Acknowledgment Statement . 19. Other ��� Construction approval required prior to occupancy) When you issue the permit, process as follows: Mai,lrrt��o owner. Mail to contractor. Telephone J Jd 06!�3and hold for pickup at office. Deliver w/inspector. Other r Applicant�--Date J-~` c, 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: f (Contractor, Designer, Owner) was advised of above required data by Telephone./ Mail Other By Date Plans checked by Date Plans approved by 'Date 2_ Other Copy—DPW I 9 l PERMIT NO. /n 34¢7--85P,E(MH) PERMIT EXPIRES Z V/ OWNER RON QT.S(1N CONTR. JC Trenching & Const. ASSESSOR PARCEL 36-78-15 LOCATION 2674 Phaeton.Way, Oroville c f i i Temp.. Power Pole . --.-�-- — _ Called PG&E ._ OFFICE COPY Temp. Elec. Servs Address Called PG&E GAS ,,S Dates y" —��• Temp. Gas Service Meter By----t ELECTRIC pata�'�d✓ Meter By Called PG&E_ _ JOB FINALED (Date) Signature A 17 J —,OK 0 = Not OK = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILE ME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s oning Requirements—Setbacks—Easements upport—Sket .h 1. Zoning Requirements—Setbacks—.Easements 2. Footings; Size—Depth—Spacing—Connectors ewer; Location—T —F -Co ete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails a Loc n—T —Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing lectricity; L n'—Clearances—G nd.ZW Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 05�1%s; Location—Test—Wrap:/ "L"ft./ 'Nat.or/ /"L"ft./ /"LPG i 6. Carports; Windows—Doors Utility Clearance 7. Elec. I i Card -BI Date Card -BI Date Card-BIQO Date — Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBI OME INSTALLATION (Plans) OK except Lt's Date POOLS (Plans) OK except #'s mg Requirements—Setbacks—Easements 1. Setbacks—Easements . F ngs; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability A'G_W,H Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Elec.; Receptacles and Lighting; Distances—GFI . E icity; MH Test—Crossovers—Breakers—Clearances Drain—,MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI at , MH Test—Regulator—Connector at and Sewer Connected—C/0 to Grade—HD Approval j 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater as Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit Insp.—Sketch Cert. of Occupancy j 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test i C B -I Date Card -BI Date i Card -BI Date Card -BI Date Card B -I Date Card -BI Date ! Card -BI Date Card -BI Date r V -e OK • 0 = Not OK = Not Applicable * =Not Ready RESIDENiIAC (Single and Duplex) �• Date UNDERFLOOR Plans OK exce t#'s,. Date FRAMING (Continued) 1.. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main;•,SoiIs- Steel -Elec.:Grnd.- / /" Ftg. Depth 3,,.•Ftg., Garage; Soils -Steel-./.,•:./,': Ftg.-Depth 4.,,Ftg., Porches•& Decks; Soils -Steel --.G• ' /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 49. Ext. Doors -One 3' -Check Garage -3rd -story, 2 exits 50. Stairs; Width-Headroom;-Rise-Ru_n-Landing-Fire Protection 51. Plywood on Roof Overhang-Attic_Vents-Rafter Outriggers 52. Siding -Nailing -Veneer - 6. _Stemwalls, Garage; Steel-Blockouts-Wrapped=Slab 7. Piers -Fireplace Ft .-Steelf '53. 54. 55. -Stucco Mesh=Drip Screed-Fdn. Vents-Underflr, Access Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts j ..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 + -' 12. Plenums &•Ducts; Clearance -Material -Support -Ins. j _ -:•t 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -81 Card -BI Date Card -BI Date Date 'Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except I's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 15._ Water Pipe; Test & Anchors -Nail Protection 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector- In Garage; Above Floor, -Ducts -Meth. 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 Fixturesj& Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails j 19. Gas Pipe; Size & Anchors 63. Fireplace or Stove; Clearances -Hearth Card -BI Date _• Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. 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 #'s 67. Garage Fire Door; Swirig-Landing-Closer 68. A.C. Duct in Gara a -t. mer - 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection70. 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71, Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72• Insulation -Foam -Looked in Attic ❑Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. 74. Guard Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral []Yes (:]No 75. Followinginstld.: Drive ❑ Yes ❑ No; Walks ❑Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors &Ground -Main Disconnect 76. Stucco; Brown -Finish 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light 77. A.C. Unit; Disconnect; Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plug.-Appliance-Firepl.-Clearance to Opn s. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B-1 Date Card -BI Date 81. .82. Ventilation throughoutjHouse Glass Protection 1 Card B -I Date Card -81 Date Date MECHANICAL (Permit) OK except #'s 31. A.C. Ducts; Insulation & Support 32. Vent Fan; Exhaust above Insulation. 83. 84. Corrections from Previous Inspections Gas Test -Meters Tagbed; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates 33. 34. Condensate Drain & Overflow; Size & Grade Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet i i 35. Attic Access & Platform if Furnace in Attic I Card -BI Date j Card -81 Date Card -BI Date Card -BI Date Card -BI Date I Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING Plans OK except #'s 36. Sills; Proper Material & Anchors j 37. 38. 39. 40. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub I 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors I 43. 44. Cing. Joist-Rflr. Ties-Purlin-Roof Brac.-Truss-S_hthnq.-_Rf_nq_._ _ 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 j I (NOTE:Anentrymust be made each time youvisit jobsite) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE ' OROVILLE, CALIFORNIA — 534-4541 t -' PERMIT N0. �'`-7�✓- F"� Address or locationofmobilehome Owner's name Owner's address <rl P" Insignia or hud number C_f �� :,:?"7 -Manufacturer's name Serial number of-V.I.N. �� // Year of manufacture (Official Approv'r`640nst6llotion) (Date)'"' IF THE MOBILEHOME IS MOVED OR RrEbCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID.- THIS FORM SHALL NOT BE USED WHEN THE `- MOBILEHOME'IS-INSTALLED ON A FOUNDATION SYSTEM: �� 5136.. White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.' '7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 % APPLICATION AND PERMIT ASS SS OR PAR.CFlNUMBER ZON1 C -1 -BUILDING PERMIT OW E 0 TELEPHONE SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS CONT AC„TOR'S NAME /r t7a C.,1 TELEPHONE CONT ACTOR'S MAILING A R ^ - �5 (� ,v/ Fireplace CONS UCTION LEN ER UNKNOWN Total Valuation - $ Flling Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARC I ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ \"9 V PLUMBING PERMIT Filing Fee 10.00 �— Each Trap 2.00 Oro vz'/ Solar or heat pump water heater 20.00 LOT NO. I _ _ SUBDI SION NAME% ►^I^ �( PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 U E OF STRUCTURE SF ElDuplex[]MobilehomeFV Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilitiesm Installation[] Other ❑ Describe work' e Ca� - f ` ` Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 10. Main service EA. ADD'L 100 AMP 2.50 1_ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): [� I am licensed under provisidns of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. R?g66 I Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP., yd 2/zQsgft DCONSTRA NEW UL•TBI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20050Q SALO 30 Ex. Occup. OUTLETS ((RESID.)FIXED APPLNS. REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 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 ydu become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 liabilities, judgments, costs, and expenses which may in any way accrue agains said ounty in c sequence of the granting of this permit. qq _ X Date %� 3`p5 Si tore of Ap icant - Owner* Contractor 11 - Agent r_1 A OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3storiess in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occu P.CONST.TTPCJ FLOOq PARCEL PD HDJ S7all This permit is hereby issued under sions of the Butte. County Code and/or work indicated above for which DIREC OF PUBLIC By PER IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date G-�� /7--/.,— e� Receipt No. 157/6 // WHITC-D. P. W., YELLOW-ASSESSCR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT A ZSOR PAR EL NU ER GJ'/!/D �. ZONI BUILDING PERMIT OW RTELEPHONE d Y7 SQ. FT. OCC.1 BUILDING VALUATION OWNER'S AILI G ADDRESS CO RA T R'S NA TELEPHONE CO A TOR'S Mg1�ING ADD ESS �J ki wQ / 6- Fireplace CO TRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ AR ITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ©0 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ion E Permit fee ` $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 V Solar or heat pump water heater 20.00 LOT NO. SUBDIVISI N NAME PARCEL MAP (� Ir IrlA r Water piping ' 5.00 Each qas water heater or vent 5.00 USE F STRUCTURE SF ❑ Duplex[] MobilehomerV Other VV SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW • 10.00 ea TYPE OF WORK New ❑ Addition ❑ R7odelA Utilities[] Installation Otter ❑ Describe work: ✓ , t c o— �R Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main SBfVICe 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 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. 3� I� 7� Classification C- �, Fl 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.8d OR AODNS. ACC. BLDGS. 21/20sq ft NEW CONSTR. u T'.OUTLET NON•RESID BRANCH CIRCUITS) 2,50 ea POWER APPARATUS 6 SINGLE OUTLET CIR. / Ex. OCCUp\OUTLETS OR FIXTURES 20®500 .5AL@ 30 FIXED EX. Occup. OUTLETS P(RESID ILNS RE A.) 2.00 Temporary service 10.00, Mobile Home Facilities 15.00 Misc. Iyirin g 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. Eq__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. 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 conse ence of the granting of this permit. X� �U Date �2–q – 8` �/ Signature of Applicant — Owner ❑ Contractor [ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -D ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ �0 00 occuP. CONST.TYPc I I FLOOD PARCEL I PD 1 ND 1 ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees CTO F PUBLIC C �' PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No.By � WHITE-D. P. W., YELLOW-A98l330 R, PINK -INSPECTOR, GOLDENROD -APPLICANT = 4.. .AP OWNER PEmrr 3 114 — MH UTIL.CLEARANCE DATE. INSPECTOR ELECTRIC GAS Support Struc. Compaction. Test Re . ervice size Other Load T _ e Pipe Size Lenjzth YES NO YES NO A fVal 7� i1 jr 1. Owner's name: 2. Installer's na BUTTE COUNTY. DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,.Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit?_ Yes No (If yes, furnish permit number 3 q Y-% - e,6- ) OR. ;i } 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 • 1 ( If no, clarify ) ( ) 5. What is the mobilehome electrical rating? Amp 6. What is the mobilehome site service --------------------- rating?O Amps 7.. What is the mobilehome site circuit breaker rating? ------------- '' O 0 (,,Amps 8. Is there any other electric load to be'served by the mobilehome siteservice? --------------------------------------------------- Yes 7 No. (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 Tt'T_ LPG/ / 11. What r 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.) CwNI-t RUILDING D ? p t /1 P• i AP -MOB ILEHOME -SUPYUHT MIA If'other than single wide, ` Mobilehome Mfr. furnish Setup Model No' , Year 19 86 'g jdidth Z �_(ft.) �::Tagalon Box Length', (ft-.)'- or E ando Size. ^ xP ' — ft. =ft. (SHOW SUPPORT DETAILS BELOW) I On all mobilehomes manufactured after'October 7, 1973; furnish manufacturer's installation manual and structural setup sheets ,(if note on file"iAth: the County of Butte) . All center supports measured from front of { mobileho6e unless otherwis_ a -specified. Footinea (check one) Single .r �1. Wood either pressure treated or foundation grade. (ft.)(in:) (in.) (in.) ❑ Other:,(specify) Center support Center support sizes Supvorta,;(check one) locations* footing (in.) 1: •� Concrete block. o x •2: Other-Japecify) (in.) (in.) E--�agal;ong 'or Expando,' show support details. (ft.)(ia.) (iri:) in. , 12 x 3 0 -- Typical Support (in. (in.) Footing Size ,. law Max. Pier Spacing (ftj(in.) f S FtMax. Overhang (ft.) (in.) (in:) I (in:) (ft.)(in..) f *If center piers are.other,.than drawn..above, .draw.in.aocations, -spacing,, and dimensions. .y ' w Telephone 533.2000 North Burbank Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965 68'86 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 Oran Occupancy Permit, a copy of this verification form, signed off by North Burbank Public Utility'District, must be submitted to Butte County. Applicant: Applicant Address: Applicant Phone No.: RONALD W. & MARY L. 9LSON 2674 Phaeton Drive, Orovlle, CA 95966- Property 5966 Property Location(s): 2674 Phaeton Drive A. P. No. (s): Fees Paid: Carriage Manor - Lot 15 36-78-15 All Fees Paid. Application for service approved: / December 4, 1985 North Burbank Public Utility, District Inspection(s) made and successful test(s) observed: Location: Date: North Burbank Public Utility District release to close permit: Date: By: '\OTE: --AN itSc�;e:�ic;!; P,� ,;',`,,r�;- r -1-; �� �I r, .r rye. Be . '!n e Use in �, �jnro>rl L,u1 Q'rc! i=1u l;irr ?< � achcrl, a! Codes e and 4 -he Notional. Electrical -Code. he . Setb c'a sl:a1` be 5 It. f-oin d - I :o pope -Hy 01:Te o'. c 2 tt. eche overl,ca �g.but entire oma., r�r` cEi •euseme .Utility connections shall be within 4 ft. of the mobilehome, either directly behind or within the rear halfreadoi�lr.Elj of the. mobilehome. A permit will be required for the installation of the mobilehome. at. plans and specitications N%W)l 0t cent on the job at ail; times and it is unlay.'-ul ?c 'make any changes or a!teraiions on same writ,',oul written permisson from the .Department of Puhl:, Works, County :of Butte. — 3447 85 BUTTE COUNTY BUILDING DEPARTMENT APPROVED �� NOTE:.—/•SII 'Materials & Workmanship Shall Be In, Accardc+nce with Recocini'ed Goad prnctices and of a quality:. prescribed for +he Specified use in the Uniform Building; Plumbing & .Machanical Codes and �fhe National Electrical Code. Q v IQ N, I The Setback shall be 5 ft'. from t'ri I side property line and 3'91; - from the centerline of the road,.permifti►iy a m0xi . WI mum of a 2 ft. eave overhang but entirel I y curt ,of all -easements. al / O a 4 V�. fhis . set. of plans and specitications MUS 1 bt xept on the job .at all times and it is unlaiwful to qmake any changes or alterations on same without written permisson' from the Department of Puhli, Works, County of Butte. RECCADE01N OFFICIAL RECORDS Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT OF BUTTE COUNTY, CALIFORNIA FOR RESIDENTIAL DEVELOPMENT ATTFEREOUESTOF PARr(SHOWN Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 11985 DEC -4 AM 11: 22 The property described herein is adjacent to land or included ELEA11OR M. DE=CP;ri; within an area zoned for agricultural purposes, and residents of th3ftERK-RECORDER FEE property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbici es, 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 productive agricultural purposes, and residents within said zones and on agE adjacent property should be prepared to accept .such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lot 15, as shown on that which Map was recorded in County of Butte, State of Book 66.of Maps, at page Date: December 4, 1985 State of California ) County of Butte ) certain map entitled, "CARRIAGE MANOR", the office of the Recorder of the California, on October 26, 1978 in 49. PROPE93Y OWNERS: On this the 4th day o SS. me, the undersigned Notary N UNDA F. WIL O4, NOTARY PUBLIC -CALIFORNIA 9 \ ;? Butle C:oun!y 5 My Commission Expires Jan. 20. 1958 11 *drags®o■aa�so®®oo®®fa®a®wr�e� Present A.P. No. 8-12-15 � son souise ulson December 1985 , before Public, personally appeared Ronald W. Olson and Mary Louise Olson Personally known to me. /X/ Proved to me on the basis of,satisfactory evidence. to be the person(s) whose names) , 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. Notary Public Linda F. Wilson 9 4 _ OF p„ 509-79p Y PERMIT EXPIRES V? /* Warren T. Ambrose OWNER CONTR. owner 'LOCATION (A.P, $-12-15 2646 Monte Vista Ave., Sp.#15, Oroville . F • I r • f Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E ' Temp. Gas Serv. Called PG&E JOB 4 FINALED • (Date) f , (Signature) " - 1, COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSO-117ION RECORD BUILDING BUILDING (Cont'd) PLUMBING S back FlxewaII Soil Piping For s Parlivets 1st Floor Ma Bldg. Restr om Finish 2nd Floor Fo tins Windo 3rd Floor Ste all Sidina To out Slab Roof Shea61no Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwal I Insulation Heaters Slab Prov. for phsical Appliances handica edy Carport Conformance of ex. Gas Piping &Test Footings structure Temp, Gas Slab Final Sanitation Patio FIRE! ACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLEh 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 MOBILEHOMEUTILITIES------------------ Elec. Service 4) Elec. Pedestal O �� Water Piping ":9 'T-0 Sewer Gas Piping :d OBILEHO EINSTALLA1ION--------------Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS O I` _ a � 0 (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 — Oroyille,,California 95965 Telephone: 534-4541 APPLICATION AND PERMIT autnonze representatives or the uounty or tsutte to enter upon the above-mentioned property for inspection purposes. X �r"��� Date — V-7 7 Signature of Permitee or Agent Receipt No. I � 4 .;L 7 6 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. Date A - Building permitr i BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I ing Address 3r, -;t- / �;— Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address oT7 �� Plan ng Fee&or Penalty Permit Fee l PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 (gyp Each Trap 1.50 p-— �" Repair drainage or vent piping 1.50 A. P. No.08'—/�—��r Zbnfn 8 anning Water piping 1.50 0.00 Each gas water heater or vent 1.50 "Fies SU 1 FireDept. 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 O. UO Bldg. ons Recd Porcel roval ' Pl�wk Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIESS OTHER ❑ permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00V OR LE Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Hom\eQ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELLING OCCUP. Y) p�sgft OR ADDNS. `ACC. BLDGS. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y NEW CONSTR BRANCHCIR-OUTLET NON-RESID (MULTI BRANCH CIRCUITS) 2.50ea NEWCONSTR. POWER APPARATUS & NON •RESID. (SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTURES 50@250 BAL@101 Ex. Occup.(FIXED APPLNS. OR 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 $ $ 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. RI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ ;t5 —' TOTAL PERMIT FEE $ �0 autnonze representatives or the uounty or tsutte to enter upon the above-mentioned property for inspection purposes. X �r"��� Date — V-7 7 Signature of Permitee or Agent Receipt No. I � 4 .;L 7 6 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. Date A - Building permitr i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Owv.ille,, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. J X o.+</�Jlr.✓ Date SlIgnature offPP(eerrmitee or Agent Receipt No. /U n 7�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. /.l DIRECATO-R OF PUBLIC WORKS /NOW Building permit expires Date —3 7- BUILDING Owner ( SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address ;,6 o Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee &/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 J -e5 Repair drainage or vent piping 1.50 •''�"a A. P. No. ���/ `i ing 8 nning . Water piping 1.50 Each gas water heater or vent 1,50 Foes] W. . 1aer;ri4at i Fire Dept. Fire Zone Use Permit Gas'piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach Declaration I Parcel Map 60' R/W I Improvements additional outlet .30 Building sewer 5.00 Btd4--R4A _%JJ*sJ I Parcel Approval I 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 7 . Qr � Main service OVER s0ov 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % ACCLBL GS.OCC up- Y� 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 st le of: %� i1 NEW CONSTR % BRANIMULTCH CII T NON.RESI D, `BRANCH CIRCUITS 12.50ea NEW CONSTR. (POWER APPARATUS 9 NON-RESID. SINGLE OUTLET CIR. Ex. OCCUO(OUTLETS OR FIXT11RES g L Ex. CCU FIXED APPLNS. OR O p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 — License No. 2— Classification G Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE t 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. E3,1 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. J X o.+</�Jlr.✓ Date SlIgnature offPP(eerrmitee or Agent Receipt No. /U n 7�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. /.l DIRECATO-R OF PUBLIC WORKS /NOW Building permit expires Date —3 7- NOTE:—All 1vMnterivls Wori;rnnnshin Shryll Be in Accordance, with . Re-!r,nnr ed Gond Pmi--ices and of a quality pre�cr or khe Snecifierl use in the Uniform Building,- Plum',ina . & M- o' chanical Codes and Qthe National Electrical Code. v the Setback shall. be 5 ft. from the Me property line and 36 ft- from the :enterline of the road, permiffing a maxi- rr3um of a 2 ft..eave overhang but entirely out of all easements. NI 4 All utility connections shall br located within 4 ft. outside the rear third section of the mobile home on the left (road.) side of the mobile home. X9'99 i SV3 w,il be requireci roe stauat(on of the. mobilehome. �-�• --�r� � . J I V,I / l .or LZ L '[5 finis set of plans and specifications MUbl be Q kept on the job at all times and it is unlawful to make any changes or alterations on same without written permisson from the Department of Publl. Works, County of ButtP. .. 56q -7i bU FTE COUNTY BUILDING DEPARTMENT APPROVED i AP�� ✓—lZlS OWNER L), s. e-.. . PERMIT # D �% MH UT IL . CLEARANCE DATE l V INSPECTOR ELE TRIC GAS Support Compaction Service Other Pipe St c. Test e . Size Load Type Size —Length YES NO YES NO