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Home My WebLink About079-200-023L Warren T. Ambrose F 6 aon -IT" %q 20 0 O2�._ 17; - a x ["i�Permit #51/-7yP(util.,MH) ELEC. 0ZW19M 10 1 GAS / - / -,ttR SUPPRT STRUCTURE REQ. COMPACTION TEST REQ. I V contr : Loyd's fs�l' ec . , Or "11le Permit #1661-79E(elec.& yard light/ MH) HERBERT & AMANDEE HENDERSHO ContR: Executive Homes Permit#3466-89MHI(existing sitLs) Issued -Contr: Sierra Mobile Ser Permit#3721-89B(new carport)MH '-1257-90B ° HENDERSHOT, Herb e t 2643.Phaeton Dr,. O Ville (open deck/MH) ,Permit#3681-90B (b -pen deck-/ Pormit#404_�OB (awning/NIH) • A .6 ) I/ f. 0 i 0 RESIC EkTIAL 36-78-23 '4 _f 3681-90B� HENDERSHOT, Herbert 2643 Phaeton Dr:, Oroville f(open deck/MH) t .:gym 'A v=Ok - O=NotOK -� Not Applicable Not Ready MOBILE HOMES ' = Date MOBILE HOME UTILITIES (Plans) OK except Vs " 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECE, COVERS, CARPORTS, GARAGES, Plans OK except #'s Z 'ng Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric rmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date and B-1 Date Card B-1 Date Card B -i Date Card B-1 Date P OLS Plans OK except k's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip, w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK - = Not Applicable ' = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) _ 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalis, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic. 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples,, 59. Insulation-Walls=Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 i Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 1 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes I ❑ No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation &Support 84. Water Well; Discorinect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim'; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from f?revious Inspections 89. Gas Test -Meters Tugged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card 8-1- 39. Sils, Proper Material & Anchors Date Card B-1 j Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE • DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO.. a� ASSESSOR PARCEL NUMBER 36-78-23 ZONING BUILDING PERMIT OWNER Hendershot, Herbert TELEPHONE S0. FT. OCC. BUILDING VALUATION 200 deck 1000.00 OWNER'S MAILING ADDRESS 2643 Phaeton Dr., Oroville CONTRACTOR'S NAME Owner TELEPHONE _ CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 20.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 10.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2643 Phaeton Dr., Oroville Permit fee $ 40.75 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 I G I W10.00e TYPE OF WORK New ❑ Addition g Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: open deck (39 x 32) (16 x 4) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service jp0 AMP ORV OR LESS10.00 Main service EA. ADD•L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑I am licensed under p provisions Of Cha t. 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 r 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 ADDNS. ACC. BLDGS. 2,/z¢sgft NEW CONSTR. ULTI.OUT LET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS b SINGLE OUTLET CIR. Ex. Occu o Occup(OUTLETS OR FIXTURES 20 Q 50a ALO 30C FIXED APLNS Ex. Occup. OUT ETS PIRESID IREA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 9 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 o Consent to Self -Insure. Eal I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling 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 liabil' 'es, judgments costs, and expenses which may in any way accrue agai _s/ad County i con e u "nce of he gra in of this ermi . 1 X Date — G Signature of Applicant — OwnerImo, Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct-DVEOrRFUBLIC ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE 40.75 PARK scHL FL P P HD Issut ^- This permit is nereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. WORKS By. �, /' D to ZS PERMIT EXPIRES Date �✓ Receipt No. 74184 ($40.75) WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT r; " OONTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965- TELEPHONE: 916/538-7541 • PERMIT APPLICATION DATA SHEET / ` • ` Permit No. �e- OWNER f� �—�2�+ ..�/S �$�.� A. P. No. !36�_ 79 Z3 Proposed Building Use �oe`Building Inspector .r�r5 Date /D ~-2,>— "l�4 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. .................... M2. Plot plans in triplicate, signed by preparer of plans........ zg,& Complete plans inIca triplicate, preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions........................................................ 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... o.. 13 School District fees paid ..............- 14. Sanitation approval from _ . Health Department �-- 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. -Pre-Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner 0). ' 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Ne Telephone 533- Z22_- _and hold for pickup at Q&JAffice. Deliver w/inspector. Other �-Z:::;h " 21 Applicants Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent _Health Dept. Fire Dept. Other Date By The following -data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: 4 � y. d 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_mall_coVnter by date Plans checked by Date Plans approved by �// Date h)&15A)_ Sets of plans on hold in File cabinet AP folder Copy—DPW 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. @ I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone ..Contractors License No. 5. I will provide some of the work but I have.contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social S7r7't Num er _ Date:C 2— / 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. This set of plans and specifications MUST be kept on the job at all times and.it is unlawful to NOTE: --All Materials � Wor I make any changes or alterations on same witlF Accordance with Recognized °nsip S 09 Be in I out written permission from the Department of of a calif 9 red Good PrrJ ices and quality, y prescribed for the S eci ed a in the Publicwnrtes. rnunt,:/ nt g►�tt U"iforrti Building. Plurnbin $ �o Nits!`iuncst Electrical Code, Mam al es and k 1• WL T. 164 BUTTE COUNTY BUILD-ING DEPARTMENTAPPRn �. A.. fo RESIDENTIAL 36-78-23 404.4=:90B ,a .: ENDERSHOTT, Herber't 02643 Phaeton Dr,0. vil<Te[(H ontr: Sierra MH Service, (awning/MH) 34��. r . l 3 f r If t f e JOB FINALI Signature v=dK , O = Not OK Not =Not Ready MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric rmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing i 11. Ext.; Steps -Doors -Landings Date i Card B- Date Card B-1 Date"k Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Pane Iboards- 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 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. 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- Dame nd-Valve-Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric rmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing i 11. Ext.; Steps -Doors -Landings Date i Card B- Date Card B-1 Date"k Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Pane Iboards- 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 (E ' = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-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. Gas Pipe; Size -Anchors 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. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'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 B71 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. 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 / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes O No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'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 Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearinq (NOTE: An entry must be mac A ifngle & 'D.uppex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pullin -roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall 8 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 I 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic. 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'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 1 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 Penel; 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-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked underi Floor 0 Yes 80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 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 1 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I.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 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: e each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 _ APPOCATION AND PERMIT ASSESSOR PARCEL NUMBER 36-78-23 ZONING PAC BUILDING PERMIT OWNER Herbert Hendershott TELEPHONE SO. FT. OCC. BUILDING VALUATION 24 COV 2,496 OWNER'S MAILING ADDRESS 2643 Phaeton Dr. Oroville 95966 CONTRACTOR'S NAME Sierra Mobile Home Service TELEPHONE 877-8575 CONTRACTOR'S MAILING ADDRESS 8965 Skyway, Paradise 95969 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 3(8.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 19.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS 2643 Phaeton Dr. Oroville Permit fee $ 67.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME lCarriage Manor Estates PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome(a Other - SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S G W 10.00e TYPE OF WORK New ❑ AdditionXD Remodel ❑ Utilities ❑ Instal lation ❑ Other ❑ Describe work: Install awning . Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service ;o0O AMP ORSLESS 10.00. Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW. I declare under penalty of perjury (check one): r� i am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code qd my license Is In full f rce and effect. License License No. � %03 Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will.do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST..DWELLING OCCUP.& OR ADDNS.( ACC. BLDGS. , 2A¢sgft NEW CONSTR. ULTI.OUTLET . NONRESID BRANCH CIRCITS 12.50 ea POWER APPARATUS IN SINGLE OUTLET CIR. EX. Occup( OUTLETS. OR FIXTURES P( 1.20050t 2AL BOG FIXED APPLNS Ex. Occup. OUTLETS ((RESID )REA.) 1 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): 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. 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.saiid County in consequence of the granting of this per it.71 X (,J-1 —=— y� �n,�� C�0 , 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 height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ . 7 SCHL XPtllPD 1 IE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DI C R OF UBLIC By "�I PERMIT EXPIRES ate I ir../ the applicable provi- resolutions to do have been paid. WORKS D to 6i AD O Receipt No. 84519 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r,:E-w,.�nr•t��,i„�GC t "' tip - COUNTY OF'$U'TTIS - DEPARTMENT.OF PUBLIC WORKS - BUILDING,DIVISION 7 COUNTY CENTER DRIVE s6110VIErCALIFORNIA 95965 - TELEPHONE: 916/538-7541, PERMIT APPLICATION DATA SHEET / r .. Permit No. OWNER Ij A. P. No. 3,- 799— Oa -3. Proposed Building Use --AW ��-��"r�� BuiIding4lnspector 7 Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED �1. All items have been submitted . ........................ ......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. � Fe 14. Sanitation approval from _ lHealth Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land 'Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. V_ Telephone ��-g5�and hold for pickup at 04'D office. Deliver w./inspector. Other .,/ Applicant X_6j/1- /_� .Date 1112 -CI -70 Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date Contractor, designer, owner, was advised of above required da by_phone_mall_ ounter by date •d Plans checked by Date ans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW This set of plans and specifications M iU�T be kept on the job at all times and it is unlatful.tc make any changes or alterations on same Iwith- out written permission from the Department of t Public Works, County of Butte. I - - � s'� NOTE.. -AD Materials & Workman"*' X-ASTiWe Accordance with Recognized Good pra acesBeb - D F K of a quality prescribed for the Specified LUse in the j ` Uniform Building, Plumbing & Mechanical dos and the National Electrical Code. :. I i N A setback of 5 ft. from the . property lines and a setback of - - - ac1 50 ft. from the road t centerline shall be clear of structures or equipment except - - for a 2 ft. eave overhang. AAA I _. L'GF�e- C� Lam- EasEr,.+Eu1S , v ON ioto RON.. PIP v .5 /, F� :icc 1 �A \ F,Y!!YY 3• G 5+ r � 1 pE_$I.F.Z =e m ( p - •R, Ps,s t A w T AA 31(7 MIA AA(( �? ��' IIS •.!5 �F „t ." F � R ; F �- � € '. t1�1 • dpi 1 rok i L a AS i t lilt vj�V(�i- (4a - - i•• �.. S1j:e�9�_ Y S ' 4 —4 VIA ..r• � _i" N1J �1 re 7 S • ,4 a r o � $ C i< a 4 a c ,..•s•s:a... � i�aa;' I$ r F! 1z{ SSc Og � f� F A^•' � I�i 11 '£=gy4Fi �e �p o � 0 = 3 'aSrGa'!t::�1ii i t:.:S='FItF .r1:-►: ri "11 ii Z rail:! r � •. .i t � rn ate. RESIDENTIAL 36-78-23 1257=90B-�T 1 HENDERSHOT, Herbert 2643 Phaeton Dr, Oroville (open deck/MH),. y JOB FINALE Signature J=OK O = Not OK Not = Not Ready MOBILE 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) S. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / f L" ft. / /"Nat. or/ /"L"ft./ /"LPG Clearance Date Card B-1 Date Card B-1 Date . Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS COVERS, CARPORTS, GARAGES Plans OK except #'s >.-toning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs :Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric mg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/, C 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, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Pane I boards- Ins. to Main in Conduit - 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4 O O=Not OK - = Not Applicable RESIDENTIAL (Single =Not Ready - RESIDENTIAL N �7 Duplex) �e Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning=Setbacks- Ease ments-Flood-Slope ' 45. Hangers -Post Caps -Anchors -Connectors , 2. Ftg., Main; Soils-Elec. Grnd.-/. /'' Ftg. Depth 46. Cing. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel -Flet. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg'. Depth . 48. Attic Access; Size &Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped- i • 49. Bdrm. Windows or Exiting Doors -Sill Hgt. &Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors _ 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test , 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic, 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14.•Girders-Sills-Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ' Date Card B-1 Date Card B-1 .Date PLUMBING (Permit) OK except #'s Date Card B-1 Date += Card B-1 16. Water Htr.; Vent -Access -Combustion. Air -Baffle Date . FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61: Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector V 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date - Card B-1 Date Card B-1 67. Stairs & Rails A Date, ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors ,70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of. Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu'or At 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 11 Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive 0 Yes C1 No; Walks 0 Yes 13 No; Planters 11 Yes 0 No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House ' 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1- -_ 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. �� T ASSESSOR PARCEL NUMBER 36-78-23 ZONING PUD BUILDING PERMIT OWNER Herbert Hendershot TELEPHONE 533-7221 SO. FT. 0CC.J BUILDING VALUATION 65 325 OWNER'S MAILING ADDRESS 2643 Phaeton Dr. Oroville 95966 CONTRACTOR'S NAME - owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 25 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2643 Phaeton Dr. Permit fee $ 35-00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Oroville Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME QqrrJape Manor4///,�-l/i/!^� PQ.RC EL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeEN Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10.00e TYPE OF WORK New ❑ Addition)E Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: ()I) Pn derk _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main Service EA, ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare der 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 ' 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.6 New CONSTR.(A ) h¢sgft ULTI ODUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS .&) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@50C e ALO 30 FIXED APP LHS. OR Ex. Occup. OUTLETS IRESID.) EA. 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,94 Consent to Self -Insure. shall not employ any person in any manner so as to become subject ��---Il4 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 agai sai County in nse uence f theganting of this permit. X Date . U Signature of Applicant — Owner Contractor ❑ Agentn An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 35. 0 E��J HAz CUA �- PARK SCHL PAP PD HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees IR TOR PUBLIC ByDate PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS ..7 _ Receipt No. 64173 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT k COUNTY OF BUTTE`- DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION . s^' 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 k: PERMIT APPLICATION DATA SHEET Permit No. OWNER _ �� T NEIVDIEde S140T A. P..No. 3 6 - 73 —6)3 Proposed Building Use 0 sr e Building Inspector c_ Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ f 2. Plot plans in duplicate/.triplicate, signed by preparer of plans ........ t 3. Complete plans in-duplicate/triplicate, signed by preparer.of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and suppprting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9: Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ...... ............................................ 13. �` School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW f� 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) -21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. _I-, Telephone�;_2_3=:2,2aj and hold for pickup at C1420 office. Deliver w./inspector. nthar Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent _Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_-nail counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW 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 andrrterials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an applic tion for a building permit for the proposed work. 3. I have contracted with the following person'(firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Se 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. i ria:and specifications MUST be All times and it is unlawful to iiy h ..ges ar alterations on same without writ..gR permits 0m.from the Department of Public Works; Co of.. ht0'PE•--,4'�z�feri~ �s'�'T!:�'�'nsl'�p shall Be in Accordanco wl11i R --: -c:� ;'rca�, and �l't@ �1'}IOr1Gt �::L::G'�1.1C ��• -.. i�i..o�, tfaa ;�h � c,�it�e� -s't-t'g-►ink •,fi r cli 'ctas or ciiwret"cros on so" •�i�ea perer►iss� -tl� �� c NOTE:— All Materials & Workmanship Shall 1394M Accordance with Recognized Good Practices and. _.:.. . of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes the National Electrical CodAn Y,6q,3 - �klll!ivat lines and a setback Hine shall be clear of 2 ft. eave overhang. 4 - Dry Ct /� 7 X71- 36-78-23 3466-89MHI HENDERSHOT, Herbert & Amandee ` 2643 Phaeton Way, Oroville Contr: Executive Homes I•(MHI/existing site) PE' PERMIT EXPIRES 9 d OWNER CONTR. ASSESSOR PARCEL LOCATION Temp. Power Pole Called PG&E --'22 /� Temp. Elec. Service Called PG&E Temp. Gar Service Called PG&E JOBFINALED (Date) Signature = OK 0 = Not OK = Not Readyable MOBILE HOMES - MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except # 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/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.- 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete Shthg.-Rfg.-Bracing 6. Gas; Location -Test -Wrap: / /% "ft. ! 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosure / /"Nat. or/ P'L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utilitv Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -81 Date Card -B1 Date. 11. Ext.; Steps -Doors -Landings Date MOB HOME INSTALLATION (Plans) OK except #'s I Zog Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date ings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date G H Test -Demand -Valve -Connector . I I5 ty; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s r ' -, MH Test -Fall -Flex Connector 1. Setbacks -Easements r; M Test -Regulator -Connector 2. Soils; Compaction -Structure Stability Olf-VatIF-and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - and Electricity Tagged Dead Men -Lining E • e lnsp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 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 Card-BDat — and -B1 Date 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtc Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card- Date Card -B1 Date i 9. Health Department Approval I 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date. Card -B1 Date 4 i I i Card -131 Date Card -B1 Date = Vrl 0 = Not Not Applicable RESIDENTIAL. (Single and Duplex - =• = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Fig.. Main; Soils-Steel-Elec.•Grnd.-/ , /" Ftg. Depth 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel-/• /"Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-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 -81 Date Card -131 Date Card -B1 Date Card -B1 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 -81 Date Card -81 Date Card -81 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 -B1 Date Card -81 Date Card -81 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 -81 Date Card -B1 Date Card -B1 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. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffl& 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls,-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -81 Date Card -131 Date Card -81 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door& Sidelight Protection=Landings 62. Smoke Detectori 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 & Suopanel; Breaker Sizes -Labels 67. Stairs & Rails I 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 Dooi,; 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-Mech. Protection 75. Plb., Elec. & Mech. Equip: 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 Caps 79. Fdn. Vents & Crawl Hole Door -Drainage.& Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes O No; Walks ❑ Yes ❑ Nc Planters ❑ Yes j❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to ODeninas. I • 84. Water Well: Discohnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection .1 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 Card -81 Date 'Card -Bl Date Card -81 Date Card -81 Date Card -B1 Date Card -131 Date Comments at Final: i nkv --j- MOBILEHOME -MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. !E Address or location of mobilehome �^ '' -�--�%��/•i 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. 5136 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY 0'F BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Calif6rnia'95365 - Telephone: 916/538-7541 APPLICATION AND,PERMIT PERMIT N/0. ASSESSOR PARCEL NUMBER 4 4 • — Q, 3 ZONIN ^ (�/� BUILDING PERMIT OWNER - to T' - ,v A&d11,,v� TELEPHONE 133 ~ 2 S0. FT. OCC. BUILDING VALUATI OWNER'S MAILINNGG ADDRESS ` CON TRAC TOR'S NAME CO?,RA TELEPHONE CT R'S MAILING A D D RE SS �?d — L/;/►i ,OL' rl7i/e 0 Fireplace CONSTRUCTION LENDER I UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEERLICENSE No. Plan Checking Fee $ �JC' ARCHITECT OR ENGINEER'S MAILING ADDRESS 'Energy Plan Checking Fee ,$ Penalty $ BUILDING ADDRESS on Permit fee $ ^ D PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Al2 14 6 -e !!! �,Z/ -L I Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ DuplexRMobilehome❑ Other SPECIFY Gas piping system 1 - 5.outlets 5.00 Building sewer 5.00 Mobile Home S I G I IN 0.00ea TYPE OF WORK �,/ New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation g? Other ❑ Describe work: _ J!:,P— / -' i Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service sooV OR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and Professions Code and my license is in full force and effect. License No. �(i .,Z Ci Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sat ion, 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.a OR ADONS. ACC. BLDGS. ,hQsq ft NEW CONSTRU TI -OUTLET NON-RESID BRANCM CIRC ITS 2.50 ea APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCU OUTLETS OR FIXTURES 20®sot P(SALO 30 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID,) EA.) 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. - F2-1,,Ahave 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 penult 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 liabilOE i ' judg ents, costs, and enses which may in any way accrue oeoe. agains �i Cou in onsequ n o e granting of this permit. Date �U /dam (� Signature Applica - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit s 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, CON ST.TYPE SCHOOL FLo D P EL I 38 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IRE TO F PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS DateWNITE-D.P.W,. /0<P7--F(9 Receipt No. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT f COUNTY OWNER OF BUTTE": DEPARTMENT O�'PUBLIC WORKS - BUILDING Olvlslnm '7 COUNTY CENTER DRIVE,- OROVILLE, CALi 6RMA 96965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No Proposed Building Use ,z42V Building Inspector At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ ¢, 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . A. P. No. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... .. 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12.' Park fees paid .................................................... 13. �14. SchoolD'strict fees paid .............. - Sanitation approval from / � /J 1) � Health Department b f - 5. City of Chico plumbing permit .............. '....................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) `Parking: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner 0;'Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Telephoneand hold for pickup at eke CO office Other Appli Mail to contractor. _Deliver w/inspector. Date O —/Yl -��' Copy of plans sent Health Dept., Fire Dept., ' Ofher-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_maiI—counter by Contractor, designer, owner, was advised of above required data by—phone _maiI—counterjypy Plans checked Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder _ .date• — date j Date ,/0 PERMIT NO: 67-89 Lake Oroville Area Public Utility District 1960 Elgin street OROVILLE, CALIFORNIA 95966 533-2000 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 Lake Oroville Area Public Utility District, must be submitted to Butte County. Date: October 10, 1989 Applicant: HERBERT -C. HENDERSHOT (Executive Mobile) Applicant Address: Applicant Phone No.: Property Location (s): A. P. No. (s): Fees due: P.O. Box 83, Berry Creek, CA 95916 533-7221 2643 Phaeton Drive, Oroville', CA 95966 Carriage Manor Subd., Lot 23 36-78-23 ALL FEES PAID Application for service approves LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: By: Date: Lake Oroville Area Public Utility District release to close permit: Date: By: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET -...... 1. Owner's Name: /L.��G%1 S /Cf ✓ 2. Installer's Name: L'�'�7�I-A y, 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 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 j r /. 6.- What --is the mobilehome site service rating?------------- c2o 0 Amps 7 .. What.is.the mobilehome site circuit breaker rating? �r�(}' ----- �� 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) (Amps) 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.) .*'12. What is the mobilehome gas _demand? U) - *(This information not required if pipe length less than 6 ft4 natural gas -or less than 50 ft. on LPG.) a w MOBILEHONE SUPPORT DATA If othei"than single wide, Mobilehome Mfr.A�7740-Q furnish Setup Model NO. Year -, j67 0 V Width (ft. Box Length'- (ft.) Tagalong or Expando Size ft. x ft. Onall mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation ma . nual and structural setup sheets (if not on file with the County of Butte). FOOTINGS Wood -pressure treated❑2. other (specify) (check one) 01 - or foundation grade. SUPPORTS (check one) Concrete block. El 2. other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Line 1 i.,ne Main Beams Line 2 — — — — — — — — Main Beams n — — — — — — — — Lin e Tag or Triple > tiny 4 4r ine 1 Line 1 Piers%:.-.' Line 1 Openings: , - Size -Min S iz 51. Size -Min. ---- Openings - ------ Spacing -Max. 7 -------- _ 914 Each Side of With Width'Ove ----------- L—L—A From Ends -Max.------- Line 2 Piers - Size -Min - ------------ Spacing-Max ---------- From Ends -Max. ------- Line 3 Roof Loads: Size -Min. ------ ----- Ph - Location (From Front). FO Line 4 Piers: Size -Min.------------ k „ Spacing-Max ize-Min------------- Spacing-Max---------- From Ends -Max. ------- Line :) KooL W...; Size -Min.------------ 1 I 1..; fi.`. •. [Dcaci'on_i,(Pr` ize-Min------------- [Dcacio;_i,(Prom Front) V. Line 3 Piers: (Undir Bearing Wall Only) Size -Min.------------------ „Y Spacing-Max. ize-Min------------------- Spacing-Max.--J----------- From Ends -Max. J ----------- Line----------- Line 5 Piers: (Und'er Bearing Walls Only) Size -Min -------- I ----------- Spacing -Max ---------------- IFrom Enda-Max.-I----------- -X ,x ---- i!xi Retc,rn Lo DPW .9 -.3,8j 54 .c AGRICULTURAL STATEIII,nT Off' ACKNU- ;i�lf��t' , 'yr ^ � r .,;,� FOR RF.SIDF.NTiAL nI;VEI.OPiNEiv': , j Sect i.on 26-8. l cif Lhe BULte ' County Code requires Lh'is acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or :included within an area zoned 89-038254 Rec Fee for agr:ic.u.l.Lural purposes, and residents Total . 5;?00': �•. of this property may be subject t'incon_ Recorded ` ; _ veniences or discomfort arising from the Official Records use of agricultural chemicals, including, I County of ` t but not limited to herbicides, pesticides, and lerL.i.1i vers; Butte DIDU1l�LL TITLE CO:: ; . and from the pursuit 1 Candace J . Grubbs I � r:• of agricultural operations including,Recorder g P, but not limited to cultivation, plowing, 8:OOam 4 -Oct -89 jj spraying, pruning, and harvesting which —' occasionally generate dust, smoke, noise, and Lura] zones which have odor. Butte County has esL61z1.ishe!cl ;igric•III as a priority use for productive within sa i.d zones and on adjacent agricu]Lural purposes, .Ind re•vident:: property should be prepared to accept or disconform from normal, necessary .farm operations. such i nc nnvc n i c me All that. real property situate in the County follows: of "Butte, State of California, tlesurihc•d :I>; Lot 23, as shown on that certain man entitled, "Carrias�e manor, a planned unit development", which man was recorded in the office of the recorder of the County of Butte,; State of California, on October "26 , • 1978 , in book 66 ' of mans,' at pane (s) 48 and 49. Date: September 28, 1989 t PROP TY OWNERSi State of California) On this the 28thc day of • September' , 19 89 hefury me, SS. the undersigned Notary Public, personally appeared County of Butte ) Herbert C. Hendershot OFFICIAL SEAL ❑ Personally known to me. x❑ Proved to me on the basis LOU ANN MARIE RUPP m : NOTARYPUBLIC-CALIFORNIA of satisfactory evidence. BUTTE COUNTY to be the persons) whose name(s) is MY COMM. EXP. JULY 27,1990 subscribed to the within instrument and acknowledged that, he _! executed the same for the purposes therein contained, IN WI'I'NI,tiS WHEREOF, I hereunto set my hand and official seal.. Present A.P. No. 36-78-23 Nota y Publi. END 4F;?ppuWNT 3466-89 3721-89B PER MIT NO. PERMIT EXPIRES �� 1�9 b OWNER '-HERBERT HENDERSHOT CONTR. Sierra Mobile ASSESSOR PARCELXXXSj$XHHX 36-98-23 LOCATION 2643 Phaeton Dr. ORoville r - Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Calle JOB FIN, Sigm - OK 0=Not OK ' = Not Readiyab- MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECK VERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements oning Requirements -Setbacks -Easements 2. Soils: Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 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.- Shth g. -Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG um. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. _ 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -81 Date 10. Roof; Shthg-Roofing Card -81 Date Card -131 Date 11. Ext.; Steps -Doors -Landings T PI OK #' Date MOBILEHOME INSTALLA ION ( ans) except s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line - I 3. Gas; MH Test -Demand -Valve -Connector 4. MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector - 6. Water; MH Test -Regulator -Connector Card -B Date` 2 ward -B1 Date Card -B1 Dater Card -81 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/0 to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - 8. 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 - Card -131 Date Card -81 Date _. 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit -- Card -131 Date Card -81 Date 9. Health Department Approval 10. Plumb.; Cir. Test-Wat& Supply Test ;_ . _ _:_ Card -B1 Date Card -B? Date _._ Card -81 Date Card -81 Date • Y 4 0 = Not OK ;:,..;A - = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers- Post ';Caps -Anchors -Connectors 2. Fig., Main; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 46. Ong. Joist-Rftr. Ties- Purl in -Roof Brac.-Truss-Shthng.-Rfng 3. Ftg., Garage; Soils -Steel-/ /" Fig. Depth 47. Fireplace Ties. or Type A Flue -Fireplace Throat Clearance 4. Fig., Porches & Decks; Soils -Steel-/ /"Fig. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffle 5. Stemwalls, Main; Steel -BI ockouts-Wrapped 49. Bd'rm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts=Wrapped 50. Garage Fire Protection Framing 7..Slab; Steel -Wrapped 51. Property LinelFirewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext: Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh ;Drip Screed -Fd. Vents-Underfir. Access _ 13. Plenums & Ducts; Clearance- Mate rial-Supprt-Ins. 57. Glazing Area -;Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear.Walls; Nailing -Bolts 15. Insulation 59.Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -81 Date j Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date l Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OX except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detecior 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath (Fixtures & Tub Access -Spa - -- 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -131 Date - •67. Stairs & Railsl • - Card -B1 Date Card -131 _ Date 68. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 69. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture &Transformer Clearance -Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 71. Elec. Outlets l& Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 72. garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 73. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 74. Wtr. Htr.; Vents -Clearance -Comb. In Garage; Above Floor-Mech. Protection Air-Connector-P.R.V.- 27. 2 Appliance Circuts in Kitchen &Conductor Size/G.F.I. 75. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76, Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga..Cu or AI -Oven Circ. / / ga.. Cu or Al. Insulated Neutral Yes No 77. Insulation -Foam -looked in Attic ❑Yes 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents BICrawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes O Nol Planters ❑Yes ❑ No 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 81. Stucco; Brown -Finish Card -B1 Date Card -B1 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -81 Date 83. Vents Above ;Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. I ' Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec! Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 88. Corrections from Previous Inpections -outlet 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -131 Date Card -B1 Date 92. Roofing Certificate Card -81 Date Card -81 Date Card -B1 Date l Card -B1 Date Card -131 Date Card -81 Date Date FRAMING (Plans) OK except #'s Card -81 Date l Card -81 Date 39. Sills, Proper Material & Anchors Comments at Final: l 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound I 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 COUNTY,OF•BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. Californiall6965 =-telephone: 916/538-7541 APP4ICATION AND PERMIT 3 E�/RM IT N. ASSESSOR_E.CEL NUMBER e - - ZO NG BUILDING PERMIT OWNER Herbert Hendershot TELEPHONE 533-7221 SQ.FT. OCC. BUILDING VA ATI OWER'S MAILING ADDRESS ..243 Wheaton Drive, Oroville, CA 95966 CONTRACTOR'S NAME Sierra Mobile Service & Sly. T H -75 CA9�C,u5SkywayParadise, CA 95969 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 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 D Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 D Solar or heat pump water heater 20.00 L 0 1 kLO. SUBDIVISION NAME P �" (V 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 I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation[] Other ❑ Describe work: Install 10 t 4" X 49T51? aluminum carport. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ® I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professiqn Co(k and my license is in full6f�rce and effect. fL�� J3 GG License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.e� yz¢sgft OR ADONS. ACC. BLDGS. NEW CONSTR TI -OUTLET 2.50 ea NON.RESID .BRA C CIRC ITS /POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCUp�OUTLETS OR FIXTURES 200500 °ALoso FIXED APLN5. Ex. OCCUp. OUTLETS P(RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 ` Permit Fee $ Contractor 1 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 Perrnit 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. tsave,keex harmless thef Butte against all liabilities, gagree mentsindemnifycostand which County against said County in co sequ nce of the granting of this permit Y y X Date ue Signature of Applicant — Owner ❑ Contractor -M 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 44 OCCUP. CONST.TYPE __[scHOOL FLOOD A✓L / ND Is; This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By. PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date %7— `/" 7— V Receipt No. WNITE-D.P.W.. YELLOW-ASBE530R. PINK -INSPECTOR. GOLDENROD -APPLICANT t � 3 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. { 4. Complete engineered plans and calcs, with wet signature on plans .: 5. Hazardous Material Form ................................... ... . 6. Energy Design Compliance and supporting documentation-:.'..... 7. Statement'of Intent for -Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions.................. ........... :........................ ... . 10. Fees of $ :.,..,,., 11. Chico` Urban Area -fees paid :........... f" -"? �:.1.............. 12. Park fees paid ............... 13. School District fees paid .... ........ . 14. Sanitation approval from Health Department 15. City of Chico plumbing permit. . 16. PIot.plan and business license approval from City of (see City for other requirements)" 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .... . 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. Wh n you issue the permit, process as follows: Mail to wner. Mail to contractor. Telephone. ?,S'Z. and hold for pickup at office. Deliver w/inspector. Other Applicant Date 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: ,Con r, designer, owner, was advised of above required data by-4e"phone_-nail counter by�-s'date /7' 17 Contractor, designer, owner, was advised of above required data by—phone —ma il—counter by date Plans checked by.—-- Date,z/_—�Z Plans approved by Sets of plans on hold in . File cabinet AP folder Copy—DPW Date � ------ � •--1. (�...�.��... 1� t �, � � {k.�. �'sr �T' 1 ,'' ��f ,�: (�i ��"�_'•, r,, .=PERMIT N0. 517-79P PERMIT EXPIRES 'OWNER WARREN T. AMBROSE �CONTR. owner LOCATION.(A.P. B-12-23 2646 Monte Vista Ave, Orovi116 f3pace 23 s 9 1 S Y 1 1 a 1 i F . 1 - {!t I - i t ( Temp. Power Pole 6 Called PG&E 1 Temp. Elec. Serv. Cal led'PG&E 1 Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) C • f r. 1• 'COUNTY OF BUTTE. - DEPARTMENT�OF PUBLIC WORKS BUILDING INSPECTION RECORD -BUILDING BUILDING (Cont'd) PLUMBING SeAkack kRoofSh!e Soil Piping Form - 1st Floor Mai Bldg. Finish 2nd Floor Fo ins 3rd Floor Stem all To out Slab hin Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Garage Vents Water Htr. StemwaII Insulation Heaters ' Slab Prov. for physica Appliances Car oit handica ed p Conformance of ex. Gas PI in &Test Footings structure Temp. Gas Slab Final Sanitation Patio FIREP ACE Final Footings Footing' ootin ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPR*I'NKLEfk 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 Closer11— Final Final MOBILEHOME UTILITIES Elec- Service ` Elec. Pedestal Y14, Water Piping = l " l C-�> Sewer Gas Piping 1 EHOME INSTALLATION - - - - - - - - - - - - - -Support Elec. Continuity Water Piping Drainage Gas Piping DTE REMARKS OR CORRECTIONS . \3 ,k, (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DE!' RTMENT 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-mentioned property for inspection purposes. ie Date/— 31— / Signature of Permmiitee or Agent Receipt No. 1 6.2 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 DIRECTib6bOF PUaL4C WORKS Building permit expires Date BUILDING Owner —^ SQ. FT. OCC. BUILDING VALUATION Mailing Address 32,?9lF— Tel tLo=e No. Contractor ..fi(g-K,(/L.. Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address 6 ®u,� Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE 'Z3 PERMIT FILING FEE $3.00 Each TraD 1.50 �Ld--- Repair drainage or vent piping 1.50 A. P. o. — Z°"i"y a � g Water piping 1.50 0• t>0 Each gas water heater or vent 1.50 ` `Fes i Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 pd E Parking Plans ParcelEach Declaration I Parcel Map 1 60' R/W Improvements additional outlet .30 Building sewer 5.00 d, 06 Bldg. Ions Recd Parcel A 'royal Plans pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ -- .$ 33 — ELECTRICAL No.1 @ 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 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. ACCLBL GS.LING CCUP. 4\ •zP Sq ft I 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:Ex. NEW CONSTR. BRANCMULTI.OUTL T NEW CO ID ( BRANCH CIRCUITS 12.50eal NEW CONSTR POWER APPARATUS B NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIPES B L0; Occup.(FIXED APPLWS-. OUT OUTLETS ((RESID )REA) 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 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 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL N0.1 @ 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 $S�' �Q authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ie Date/— 31— / Signature of Permmiitee or Agent Receipt No. 1 6.2 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 DIRECTib6bOF PUaL4C WORKS Building permit expires Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 •f ,Telephone: 534-4541 APPLICATION AND PERMIT (� Code which requires every employer to be Insured against liability for Workmen's Compensation. Er 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. 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. n �L J X G�`�- �- Date .3-.:27-7_q 6)gnature of Permitee or Agent Receipt No. TT White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ 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. DIREC' , TO/P OF PUBLIC WORKS % Date3'-1)- Building permit expires Date �" Z?_ BUILDING Owner tee. �� SQ. FT. OCC. BUILDING VALUATION Mailing Address F 57 !^� Telephone No. Contractor Or / Mailing Address /�o 2ta Fireplace Total Valuation Telephone No. Permit Fee Building Address �� .b �� CLv�� Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE '2 J PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 �-+ �� :�3 A. P. No. jj Zori g ning Water piping 1.50 Each gas water heater or vent 1.50 F s SwMatie>} I FireDept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Btdg�R4oms—Rec Parcel A raval PIons Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 800V OR LESS 100 AMP OR LESS 5.0o J Single Family ❑ Duplex ❑ Mobil Home.. Others ❑ Main service EA. ADD'L 100 AMP 2.50 .03- 2.03a- Main service OVER 600V Main100 AMP OR LESS 25.00 Main service// EA. ADD•L 100 AMP 1.00 NEW OR ADONST \ CONST.DWELLING4' BLDGS.CCUP. � 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 style of: NEW CONSTR MULTI -OUTLET 1 NON•RESID BRANCH CIRCUITS/ 2.50ea NEW CONSTR. (POWER APPARATUS.6 NON-RESID. `SINGLE OUTLET CIR. Ex. Occuo{OUTLETS OR FIXTIIRES B L@; I Ex. OCcu FIXED APPLES. OR P• ( FXED AS (RESID,) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. %ZF0,',(,'�_?✓ 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 MECHANICAL No @ FEEPERMIT FILING FEE J$3.00 Heating Code which requires every employer to be Insured against liability for Workmen's Compensation. Er 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. 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. n �L J X G�`�- �- Date .3-.:27-7_q 6)gnature of Permitee or Agent Receipt No. TT White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ 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. DIREC' , TO/P OF PUBLIC WORKS % Date3'-1)- Building permit expires Date �" Z?_ ---3.0 3.0 Doc r------- 0 v e X,/ dz Aj 71V v-) Max. Rise Run Rail rn8a9,F--e,,.1 Tc�q, to tc*. max. t01emr:e-e betweep largest & SMIest rise/mM —Jo " 5 4 r21 I /- 6 1 IS, 1� -4 r- "I -T. �,- i 46? c1j,:zz'-'f �01751 W, ti L ri Run mea, max. t largest & Ffte Run I toe tO toe. pnoe between 111GSt dsoinin. 13UTTE COUNTY BUILDING DEPARTMENT A P P P 0 V 7 cm:"> 7! ELI - Max. Rise Run Rail rn8a9,F--e,,.1 Tc�q, to tc*. max. t01emr:e-e betweep largest & SMIest rise/mM —Jo " 5 4 r21 I /- 6 1 IS, 1� -4 r- "I -T. �,- i 46? c1j,:zz'-'f �01751 W, ti L ri Run mea, max. t largest & Ffte Run I toe tO toe. pnoe between 111GSt dsoinin. 13UTTE COUNTY BUILDING DEPARTMENT A P P P 0 V 7 cm:"> 7! "1 c 1051(-puf51G1!") of a I}s- I{YP�1 lees• .0'V. AP1.r2• R .t- • q "7 JZ ooM."A'.,Dt,•N,,,ji ft"..tP tom 18'STRUCTURAL PANEL. , a� I�ISTRUCTURAL PNNQC �°r'r•�''e^([6h+►F."I'AfNw• Pal wKUAzI MM TIDO► 1.•"14. A*, M (AEYM•>10o6-NJ!/j afT111Mlzy I+M 2W./+.JT.41o66 MMIW I W. DIRt Mn[Wf. aD allla r'OG AeI I�Ir+.aM �(NVMAYN )00►•H )91) rOG. raw NR\+1M rw nrrl61tn ul/ �'alw',LE•I•�L*''►) Ls - RI [PLIC[ to NOTE 11 IILNI I1/ /3-•li Sn° Ot 1/10• 61111, rnnl IN S., I,I J KIM* 12. OR 9- U.C. it, lhlce Fns •nr Sf ISYS IN210[ orIf MCA 0. C. .N•RIUN. R.el-16 111. T lit Fit, - JI•Q �� l 1 9' O.C. ICM I .0-4.�LJr1]6�� 0•1 ICE. -tJ IUU[CUaw1I.r111 FILL.11 Tom,•• .0 "Ll"doirOCAVION '$1.1✓II10n1 Pnllfl L•. EXTRUDED HEADER W I SPLICE DETAILI 1 - 8►LI w r-X-TRUDED-HE-ADER"Ae CAl W uu61_[oAl-.Ly 10I,ON IN M AH CO.At• B( II\• BOLI N1.0[a B(A.IAC -C-E °1 •I.fnt BN• 0. [. 14.1.1 PLACE UA. Y06D 411 �• rcR.' SOL 10 4000 "A" a[ YSt00Yl INV1R", "IA°EA DECORATIVE FACIA ,(It -1/R' SOLTS OR t-11, Snt L -am I.C. MERCER t -1/r' SOLT$ BEARING SEAT -HEADER SEAM _ NOTE: PLACE COLUMN At SNOYN AT END OF HINDER B[it OFTAIL "A" A• "EAGER Show" Y•/•A- HEROER S►. "TL F '-- /3-•li Sn° Ot 1/10• 61111, rnnl IN S., I,I J -•n •1u/D 100 ;nL L 2/(ACR IDI w u On 116111 12. OR 9- U.C. • •nr Sf ISYS .e I 0. C. •RML IUprlrO NFnMr �- •e5n5 12. O.C. `y ,�5. a0' li' 116 9' O.C. . 70o3•Ir1G IUU[CUaw1I.r111 FILL.11 123• S1-1 ICE. IICnI In 1f M•n11 1111. nllnlullll( Snll bEAR '$1.1✓II10n1 Pnllfl L•. SEEt1e. pB7' IrI. M NI MIP. ,• 1111.11 COLUMN 10 C01rt.EI[ FOR [RTIAC G.B r. altll•Yl nitS I41rnv1 n 11'•761;1. n51nN-'fe U: L.r1T, 3111.E __)1 _ / 101. /3a. I1. nR3 n CN(X[E e.P•.I. INYn lC"NIC/ 01 COV[[ /Mll[ AOJRC[NT TO [CYE ICNT ►13[62 - I1� t1•.11 -��-- Ll Sn3 01 1/Y• � Prll if IMC., SIUI Or iI1 11 F.. .le 3"e 1011; cm uDn4 PI4 ,Mrr fl nun. ! / 1 .enl llln [nr1N, 1.:11111 Ya 10 bl :TRIM lSa. LRl1. Il R1l4 CIIANIIEL S• 11a L 1 1:161 . llvlla 10 Yl c r -Ir G M• IM 111 -1/t• .E ROTI f011ME011EADER 'LIE ( r (x11 nl r ._ft 1.66' r ir.It n( S �I.�,{ n .67• • 1_ ]- ].IP• ROLL FORMED HEADER-B� e. s• I T i t• 1!1 MITER BEAM (µVK 106146) IALLMIIMBE 2006•N391) "LICE ePll LOCATION , 101.1.11 SNAIL •[ •1SIV f' 101'0. C. - 'SIbYG 111t ILL Am I •.DLJ• T .r. mom ILINDnE S;QE FACIA MANGER Y ALUM ALT. COL. ATTACH TO BOT TO. OF T 2-1/N' BOLTS TIER OUGM MTER SERA - _ U/2-1/\• BOLTS -k _..•N-} FLANGE HANGER Borron FLANGE ULTAI 1011 m [u u1 Or AC,nIU IF f0 e[UINI1PNL t"j P- pn ZOCII.�L.RIT 11C[0 AI -m lNn -«- eluNu u¢ 1a PLAN FOf1t➢'nD ,.COIu;R srmomurPsul utta- �IwN �s ft- l�aL- CHAN'IEL CON14ECTCR (► IAL 1461 -TU ISll.c n�ellt"Mp n, Intl •Y"` nl 1t. nal .]s• c.Ar I• SAS 6-. -•n •1u/D 100 ;nL L 2/(ACR IDI w u On 116111 12. OR 9- U.C. • •nr Sf ISYS .e I 0. C. I!x' :0UnIMUI6[i-UPL'ISuI �- •e5n5 12. O.C. `y ,�5. a0' • e, o!. f1P •. n.YC lUtnl IRNiI . 70o3•Ir1G IUU[CUaw1I.r111 FILL.11 123• •. It! In 1f M•n11 1111. nllnlullll( Snll bEAR -us[ [0161X3 ICING PION 10' PROJECTION SEEt1e. pB7' IrI. n IY e..IL' NLun. )00]-PA.. OEC09R1I V( PLRII. PAIAIO COLUMN 10 C01rt.EI[ FOR [RTIAC G.B r. altll•Yl nitS I41rnv1 n 11'•761;1. n51nN-'fe U: L.r1T, 3111.E __)1 :ILL. bol IL In b[ ."In 1 1.7 / 101. /3a. 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[. 1 I 11 .tS• . 1�.-COLUMN TYSE ItMCAL IO/AFB 10112-4 S1 NOTE• MINIMUI LLMCTN YNIN ENCLO9EE0 SMALL BE SIRUCIURq I"L 1 . 1 _ 2.V% PROJECT IOM, 8/ICTAL INSTRUCT IONS .7pr• ,t. ae• 1. 1 •7••• `• rfCANNECTIDN ••e. o:•• YNEN fKYLICNT PANELS ARE USED: A. FOR Y Mlt % ►ANEIt/tNl'LICNT LENCTN. ALTERNATE CALUI I r , . 3N v10JE C 11 ON I B. FOR 1 iRYlIG11T PANEL/ t' STRUCTURAL - [ 1/[• .0 - -- PANEL L[NCTM• B.IN PR�JECTIOM. 1• o.c. TwN /CE COt..'+tN .,. C. FOR 1. S[YL TONT MME[/t-1 STRUCTURAL 1tt1NTl.•l r.1rLIDIgp Chi -PEI (• PAN[Lt LE I. tK 1ROJGCTION. TN f CLOSED 8[E NOTECLOSE0 NOTE 11LOU. ,GTN LINEN Me. CL OS EO RLL NOT BE LESS I. OJECTION TYPICAL ALL STRUCTURE B. t TUBI COLUMNS 1; NEDUL 'o on ALT. Y Tu r COLUMN. 1, ITIiiO " ' .: COL Dw \Nr MOOD COLO.Nt•-.-� e" 0 AWNING F• NOTES COLUMNS MAY BE ATTACHED FOR F�FAL,IA COMCGETE STEMS -IN'000D"CORD ITS ONNEIE HEADERS *A,6 AND' .AND I "ND "ARO°ED BY THE ENFORCEMENT C CONCRETE FOOTING SAFETY NOTLI "I[NI"Un L SN[C[TN BTRKI. 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