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079-200-046
`\-Tr Warr e• Ambrose Permit�� 4k0-79P(util. ,M `. e I e c . Q -%� - z6d GAS ;a - 7- -»-d-A t 7 Chaise Dr. 46 Orovill10-19 ^t�pcQ ru 6" b IV a-_mzp- . • Z00' 04G7 SUPPORT STRUCT 43 HQ. lyh ' COMPACTION TEST Q. A70 contr: Loyd's Elec., ville Permit #1684-79E(elec. & and lige) NEW QWNE RU & MARGA G Contr : Hilton's Mob, 1� o %r SEr PEr mit °0158-8OMHI IS0,� contr: Anderson Awning & MHsS-er Chico Permit #5325-8O:B=(new' carport & deck/ MH) ou-07u, PERMIT#98-1378 GRAEFF, Russel Final 2667 Chaise Dr., Oroville $-11-q$ Cont: Sierra Pacific MHS Inc Conv Deck -to Sunroom/MH--_-_.,\ 00"ab 01-1605 GRAEFF, RUSSEL 2667 CHAISE DR. OROVILL CONT: UNK RE ROOF r I I 036-780-046 01-1605 GRAEFF, RUSSEL LLE 2667 CHAISE DR. OROV17 CONT: UNK RE ROOF (Rev. 12/96) i - COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT 01-1605 PERMIT NO. ASSESSOR PARCEL NUMBER 0.36-780-046 ZONING BUILDING PERMIT OWNER[���++ SS TELE+P�HONE ?"� SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 2667 CHAISE DR., QR(WT1J,Fi sq 840. CONTRACTOR'S NAME NA TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 840 .00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee. $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2667 dT Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISIONS NAME PARCEL rAP • F PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY k Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK I New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation O Other O -R" WICWP Describe Work: _ Gas piping system 1 - 5 outlets 15.00 Building sewer' 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE t i ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. .+. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. O 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWE1LNq OCCUP. s0 OR ADDNS. ( 6 ACC. BLDS. 3.5QFT. NEW CONST. MULTl•OUTLET NON•RESID. @7.50 POWER APPARATUS 6 SINGLE OUTLET CIR. 20@ 1.00OWNER-BUILDER Ex. Occu- . OUTLET OR FDRUREs BAL o .so OED Aa OR5.00 Ex. Occup. Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the, of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) .. ^El/ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the /wor ers' compensation provisions of section 3700 of the labor Code, I shall forthwith co ply withpthose provisions. / % �% �� / / — X .�/./-!i �/,/ /"' /.d�/,� Date ,(� -., Signature of Applichnt - VowneiG❑ Contractor O Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 43.00 HAz. D FEES IMP , • FLOOD „- CDF ,... PARCEL .- PO HD s ISSUE This permit is hereby issued under the applicable provisions in the Butte County Code and/or Resolutions to do work indicated above for which>fees have been paid. By //509920� )", Date 26-28-2001 PERMIT EXPIRES ON 26-28-2002 Date Receipt No. /V-21. 00 WHITE-D.D.S.-B.D. CANARY-fSSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Ir /' M•- ti- r -.-�.ry.`^�s"e- t�1�.Y'FT+..d4N�. (3'F. ✓"` rr.x '."io-'i�`fiy. "r-w► `�`.�r. lA ' 4 ;~4' • COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT. SERVICES 411 Main Street • Chico, CA • (530),891-2751 t 7 County Center Drive • Oroville, CA • (530) -538-7541 , CORRECTION NOTICE G�(1-f�. ' OWNER _ PERMIT NO. f. A routine inspection indicates that the following violations of butte county Ordinances exist at they above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation; please contact this office immediately. Date f J Inspector REV 10/92 ds�a is - .Ix FOR BUILDING DIVISION. USE: A lr4 Receipt Information: Number: 3 S a Date: Issued To: Fr. 0 f ss Amount: Fees Retained: Processing Fee: $ Bldg Filing Fee: $ Plbg Filing Feer $ Elec Filing Fee: $ Mech Filing Fee: Energy P/C Fee: Plan Check Fee: Inspection Fee: SRA Fee: Total Amount Retained COUNTY OF -BUTTE Oroville, Califomia GENERAL CLAIM CLAIMANT: ADDRESS: 2667 CHAISE DR. CITY & STATE: OROVILLE CA 95966 DATE OF CLAIM: 7/30/01 IMPORTANT: • SUBMIT CLAIM Tn nFPAswru=m-r' ocrnu� ciu��.,.,�..... SEE INSTRUCTIONS DATE --- .-...-.. 119. 1116./%WIVG,7 DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELA ' F ' RSG UN KEVERSE SIDE AMOUNT 43. 0( TnTAT, AMOUNT -PAID: TOTAL AMOUNT RETAINED: 0 43. 0( TOTAL 1 43.)0 I, the undersigned, declare under penalty of perjury that the services or articles claim stated. Qdlv been Performed or del ered, and that this claim is true and correct a Dated this 3L (lr:�' I day of : C 20,_(,, at 0 ( , Calif/' 17f --A. Lata CIWma4/M I, the undersigned, hereby certify that, to the best of my knowledge, the services or rticles specified a have performed or delivered and that there Is a Budget Appropriation [ j or Specific Board Approval [ j (Check one) for the sam . Dated this 30 day of JULY, 20 016t OROVIUE , Calif. De rt t Head or Authortzed De Dept. Code 440-002 Exp. Code _ 4210500 PAYABLE FROM__ BUILDING P MITS Dept. Code Exp. Code PAYABLE FROM Dept Code • Code PAYABLE FROM DO NOT WRITE BELOW THIS UNE - AUDITOR'S USE ONLY FUNI FUNI FUN DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. REFUND CLAIM APPLICATION CLAIMANT'S NAME MAILING ADDRESS ASSESSOR PARCEL #: RECEIPT NUMBERS, Request �4efVnd of fens paid on thq 9bove receipt numt er(s) for the following reasons: Please refund any applicable fees in the following categories: (Check those. categories which you wish to have refunded.) y,4 Building Permit Fees ( ) Sheriff Fees t( ) SRA Fees (CDF Fire Planning) Disposition of Plans: ( ) Plans returned to me at counter ( ) Urban Area Fees ( ) Please mail plans to me at above address. ( ) Please dispose of plans. SIGNATUF W PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 APPLICATION AND PERMIT 01-1605 PERMIT NO. ASSESSOR PARCEL NUMBER 036-780-046 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION - OWNER'S MAILING ADDRESS 2667 CHAISE DR., 01ROVITI.E. CA 99966 14sq 840. CONTRACTOR'S NAME NA TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 841.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RE—ROOF W/com-p Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W=T_1 1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ZOOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46. 00 CCU000A NEW CONST. DWEWNG OCCUP. DWE200ALLING OR ADDNS. ( & ACC. BLDS. so SO 3.50FT, NEW gESID. MULT., CIRLUT 97.50 POWER APPARgrUS 8 SING.. E OtlTLET CIR. Ex. Occup. OUTLET OR FIXTURES BA2L @' 00 L p .SO FIXI Ex. Occup..OUTLETS q� D,oEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE i WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' co pensation laws of California, and agree that if I should become subject to the or rs' compensatio provisions of section 3700 of the Labor Code, I shall ort ith co ply. ith ose provisi ns. X Date �� _ Signalure of Applic Ow r ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation , PERMIT FE1= $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 43.00 HAZ. I D. FEES IMP I FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indiodued eb ve for whic ee ave �,� By L PERMIT EXPIRES ON 6-28-2002 the applicable provisions Resolutions to do work been paid. Date 6-28-20D.1 ate ReceiptNo. 325029 00 WHITE-D.D.S.-B.D. CANARY- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 ano materials for construction of the proposed property improvement: YES[ ] NO 2. I HAVE( HAVE NOT[ ] signed an application for a building permit for the proposed w rk. 3. I have contracted with . the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. - 4. I plan to provide portions of this work, but I have hired the following person • to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: . PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: 119 . _., J-- x NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before . we are permitted to issue the permit. OVER Dear Property Owner: An application for a building permit has been. submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed bi . property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of CalIifornia and to have a business license from the city or county. Theyj are also required by law to put their license number on all permits for which they apply. ' If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials -and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal, Governments as an employer and you are. subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial - Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained. by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form �so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. S Michail C. Vieka, Manager, Building NOTE: This Owner -Builder Information is required by Section 19830 of the California OVER and Safety Code... I i7 "o PERMIT NO. 540-79P PERMIT EXPIRES' ��/� /�� OWNER WARREN T. AMBROSE 'CONTR. owner. k,'LbCATION (A.P. 8-12-46 2646 Monte Vista Ave, Space 46, Oro L I I Temp. Power Pole & Called PG&E 11 'Temp. Elec. Serv. 91 / d111V I? • rnailed PG&E �464C Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature),O" . __. _ _...... COUNTY OF BUTTI DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE , OROVIL.LE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California- Administrative Code, Title 25, Chapter 5, under permit number 57�0> a' -for the following location: Owner Owners Address Mobilehome Mfg. _IY461-ew»1-4Z Model 22 462,41 Year Insignia No. �> " Serial No. 1f�Yr It is hereby certified for occupancy at the above described location and may be occupied. Date Director otrruurblicc Works dam: By ff � THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. Main Idg. Foo 'n s Stem II Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio ' Footings isonry Walls Reinf. Steel Brown Finish Interior Latl Dooa.. Closer MOBILEHOI Water Piping OB% Water Piping �o DATE COUNTY OF BUTTE T DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING F ewall ' Soil Piping Pakpets 1st Floor Rest om Finish 2nd Floor Windo4 3rd Floor Siding .-To out Roof SheAbing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for physically handicap ed Conformance of ex. structure Appliances Gas PipingTest Temp. as Final Sanitation FIRE ACE Final ELECTRICAL Rough Fixtures SPRINK Final Subpanels MECHANICAL Grd. Fault Pr. Heating Service ' Cooling Temp. Pole Ducts Under rouni Ventilation Permanent Final Final LITIES ... Elec. Service Z 7,70 Elec. Pedestal Sewer ! -7 Gas Piping TALL TI N ............ Support 777 77 7. Elec. Continuity (®1770 Drainage V O Gas Piping REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) MOBILEHOME INSTALLATION 'INSPECTION CHECK LIST 1. Is the mobilehome located wit required separation from lot lines and buildings and generally conform to plot plan? Yes VNo_ 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes// No 3. Are footings and supports properly sized, spaced, and braced asp aroved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes?_ ' 4. Is the mobilehome level? (Sec. 5088) Yes_l,,/No_ 5. If more an a single.unit, are crossover connections properly installed? (Sec. 5088) Yes_ Noe 6. Water A. Is fl �e connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yeso_ B. Test -,Does water piping withstand working pressure or 50 lbs. air test? Yes Z--IdB Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No_ 7. Wastes and Drains A. Is connection made with Schedule.40 DWV and have flex connectors at each end? Yes ?/ No B. Does it have minimum 4" per foot slope and is it properly supported? Yes rho_ C. Are any leaks detected in drainage system after running 3- allons of water through each fixture including washing machine standpipe? .Yes_ No_ p� If coach is not State of California approved, does station have required trap and vent? / Yes No 8.` Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4'! minimum mobilehome connector of more than 6 ft. long? Note: All piping is to be at least as large as the mobile ome gas line inlet without reductions other than the mobilehome connector, Yes No_ B. Test OK as per following procedure? Yes4z L 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air,test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz,-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop, 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. � ANO C. Are all appliance vents properly installed. Yes_ .9. Electrical A. Is service large enough to provide adequate amperage -to mobile' (must equal rating of mobilehome with a minimum of 100 amp) and other -'facilities -on lot, i.e., water pumps, garage, cabana, etc.? Yes c14o_ B. Is there proper clearances around panels? Yes__,�O= C. Is ower supply cord or feeder assembly properly fused? Yes P PP D. Is continuity test satisfactory as per the following procedure?I Yes 1. De -energize electrical wiring systemwof the mobilehome at the pedestal, 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "Ion" position, 4. Connect one lead of a test instrument to the mobilehome grounding conductor and ome supply conductor,. �ncluding neutral. apply the other lead to each mobileh carrying metal parts of the mobilehome (aluminum siding;. gas line, 5. All non-current,Y g water line), including fixtures and'appliances, shall be tested for continuity from such equipment and'the grounding,conductor> 6: Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the'site service equipment. A further continuity test shall then be made between the;grounding electrode and the chassis -of the mobilehome. Upon.satisfactory completion o,f the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for -water and sanitation? 11. If everything okay, sign off'card and tag services.. MOBILEHOME DATA Manufacturer and/or Namestyle� Length Width Vehicle Serial No. State Identification No. Additional Information or,Comments:, f J. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO T 7 County Center Drive - Oroville, California�95965 -'Telephone 916/534-454 APPLICATION AND PERMIT I ASSESSOYARCEL NUMBER, r LIP ZONING BUILDING ERMIT FJE OWNER ra / ,p n TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILI GADDRES / CO T% OR'S NAM EL'JP F C TOR'S MAILING ADD ESS clan CONST U TION LENDER -2dp UNKNOWN Fireplace. Total Valuation $ LEND R'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking FeeAA -I $ eo Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS I PLUMBING PERMIT Filing Fee 3.00 a Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeg Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New❑ .Addition❑ Remodel❑ Utilities❑ Installation(' Other Describe work: / Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 1300V OR LESS 100 AMP OR LESS 5•00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELING OR ADONS. ( ACCLBLOGS.CCUP.&), 20 sq ft 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 Professinns_Code and my license is in full force a d effect. a� fJj License No `� r 6 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) El 1, 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 NON.CONSTF; RESID BRANCH CIRCUITS) 2.50 ea ITS NEW CONSTR POWER APPARATUS &) NON.RESI D. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES BAL 0 BALeI°a FIXED APPLES. OR Ex. Occup.(OUTLETS (RESI D.) EA:1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. r*,f 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. Heating Cooling Hood 2.00 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 s id County in c nsequence of the granting of this permit. X Date ��`�✓ff Signature of A plicant — Owner ❑ Contractor [2 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 $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PA/RCE PD PD HD seuE This permit.is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR O UBLIC y By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 1129 i Receipt NO.—_7 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ` BUTTE -COUNTY -DEPARTMENT OF. PUBLIC WORKS 7 County Center Drive, Oroville, CA. w PHONE: '534=4541 , MOBILEHOME'INSTALLATION'SHEET 1. Owner's � name: ySS��/ C2e77 2. Installer's name:��o%/�S' %��•�P �Of/'%(� sPi'"(/rC 3. Is the site currently under permit? Yes / ✓/, No (If yes, furnish permit number 540- ?� ) OR A/ Is the site an existing site? Yes / / No . (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (if no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- % o o Amps 6. What is the mobilehome site service rating? --------------------- Amp S. 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------=------------------------ Yes No /4 - (if yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ----=----------------- 3 C (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? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas. or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA Mobilehome If other than 'single wide,. Mfr. , , . Year Width- (ft.) Box Length_ �, •(ft )_ Taga . (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured.after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) 1 Single 1. Wood either pressure treated or X-y® foundation grade.. (in.) (in.) 2. Other.(specify) . Center support Center support locations* footing sizes Supports (check one). (in.) 3h o l: Concrete block. j v ------------ 0 2: Other (specify) (ft.)(in.) .(.in.) (in.) 4 -tagalong .or Expando,: . show support details. (ft.)(in. ) (in.) (in.) x To -- Typical Support . (in. (in.) Pooting Size "- (_ -- Max. Pier Spacing %( x 3 Max. Overhang. t(f (in.) (in.) t.) (in. BUTTE COUNTY. iUILDING DEPARTMEN7 Apr�ovEo *If center piere/are Other than drawn above, d,/j .draw in--locat 9n§,.* spacing, and dimensions. _. �: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 4r 7 County Center Drive - Oroville, California 95965 Telephone: 534=4541 APPLICATION AND PERMIT aU111UilIC ICple5elllaUveS UI me uumity ul outte tu enter upon ine above-mentioned property for inspection purposes. .— �"y ' Date/—,3 �77O Signature of Permitee or Agent Receipt No. C6 --z/ /-g> 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. I ECT OF PU IC WORKS 44 6 BY Date/7forp Building permit expires Date �" Q BUILDING Owner �— SQ. FT. OCC. BUILDING VALUATION Mailing Address 3' J . Contractor Mailing Address Fireplace Total Valuation e Tlephone No. Permit Fee Building Address �( 'Frig Plan Checking Fee&/or Penalty ermit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 -:!;.Oo Each Trao 1.50 Repair drainage or vent piping 1.50 P. o. ��'��--�� noanning Water piping 1.50 /(),06Zon Each gas water heater or vent 1.50 AA s S, iI Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 p •6d A Parking Plans Parcel Declarati n Parcel Map 60' /W Improvements Each additional outlet .30 Building sewer 5.00 /0•00 Bldg. lens Rec'dPar A royal PIG Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ -- .$ 33 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST.OR ADDNS. AC CLBLDGS.CCUP. 4) 20sgft C CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: %� NEW RESID,CONSTMBRA..OUTLET NON -REBID � BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS O. NON•RESID. `SINGLE OUTLET CIR. Ex. Occur){OUTLETS OR FIXTIiRES 5 L ,2 Ex. OCCU FIXED APPLNS. OR Occup.(RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL' No. @ 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 $ o�L TOTAL PERMIT FEE $ OQ aU111UilIC ICple5elllaUveS UI me uumity ul outte tu enter upon ine above-mentioned property for inspection purposes. .— �"y ' Date/—,3 �77O Signature of Permitee or Agent Receipt No. C6 --z/ /-g> 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. I ECT OF PU IC WORKS 44 6 BY Date/7forp Building permit expires Date �" Q COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 lKj �' �'.. Telephone: 534-4541 d- APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. %� Date f i1/di� Signature of Permitee or Agent Receipt No. IV 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. I EC 0 OF P LIC WORKS ll Y Date d `7 Building permit expires Date BUILDING Owner iP .D.0 SQ. FT. OCC. BUILDING VALUATION Mailing Address '3 1 q<-- "I I A , Telephone No. r, Contractor �� 6 Mailing Address V � Fireplace Total Valuation ✓1�C! Telephone No. Permit Fee Building Address b ` 14 � - r� Plan Checking Fee &/or Penalty - Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1,50 A. P. No. .� �Z— y-� Zo ing Punning Water piping 1.50 Each gas water heater or vent 1.50 F es Sa"hat a Fire Dept. Fire Zone 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 �'a..4c'd BIdV R Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ � Z, ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Main service 100 AMP ORV OR LESS5.00�� Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50 , r� r cp a y (i Main service. OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1,00 NEW OR ADDNST %ACCLBLOGS.LING CCUP 4) 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of:Ex. NEW RESID. /MRANCH CIRCUITS) NON-RESID, 1 BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. `SINGLE OUTLET CIR, Ex. Occur){OUTLETS OR FIXTURES B L@; OCCU FIXED APPLS. OR OUTLETS (RESID•) EA) 2.00 p•�N Temporary service 10.00 Mobile Home Facilities 15.00 1',� c--�'-� License No. 2 -,?4 . !✓ Classification ef-/0 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ I FEEPERMIT FILING FEE $3,00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE Z authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. %� Date f i1/di� Signature of Permitee or Agent Receipt No. IV 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. I EC 0 OF P LIC WORKS ll Y Date d `7 Building permit expires Date 'NOTE:—,r �er�k!" ` r'nship Shall :Be in Practices ' accordance with, Pconmze ood and -of a quality proscribed for the Specified use in ft a //e k/ Uniform Building, Plumbing & Machanical Codes a /6 • //Z w _ /6'i% the Ncitional Electrical Code. JAL _01 11 utilit� con ections shall be k.. f n / 3 .7 { located Within.a t. outside the. rear , t i rd section off. he mobile hocn me: . t. bi homee left roads side of the mobile h Y CO P M<f< GO TO N C � • N t d , 1 I � . � k. 1 I h � hl. 0 :I v N� . I h The Setback shall be 5 . f o side pro line end 26 -ft. fr .� centerline of . tie roar! I , pernvutti Ig. , % 3 3 I \ r,fum of a 2 f ecive Overhang b _ out of all e t n 'rely h \ eats` \.. —' \ .. �NI �on,z F •) ) � 6UiTE COUNTY. Phis set pf plans and mp�i4mors MUST be n cept on the job at all times and it is unlawful to I. 3UILDING DEPARTMER) make any changes .or alterations on same without -4 ,(� written permisson from the Department of Pubiir ) APPROVED , Works, County of Butte. y ` Telephone 533-2000 North Burbank Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965 229-80 DISTRICT APPROVAL AND VERIFICATION.OF INSPECTION BUILDING SEWERS This verification form must be submitted to the Butte County Department of Public Works Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building Oran Occupancy Permit, a copy of this verification form, signed off by North Burbank Public Utility District, must be submitted to Butte County. Applicant: RUSSELL D. & MARGARET GRAEFF Applicant Address: 1832 16TH STREET, OROVILLE, CA 95965 Applicant Phone No.: 533-6103 Property Location(s): 2667 CHAISE DRIVE CARRIAGE MANOR, LOT #46 A. P. No. (s): 008-12-0-046 Fees Paid: ALL FEES UNPAID AS OF 10/8/80 TO BE PAID AT CLOSE OF ESCROW BY MID VALLEY TITLE & ESCROW CO. Application for service approved: OCTOBER 8, 1980 North Burbank Public Utility District - Inspection(s) made and successful test(s) observed: Location: Date: By: North Burbank Public Utility District release to close permit: Date: By: H RESIDENTIAL PERMIT NO. _ 036-780-046 PERMIT#�98-1378 GRAEFF, Russel PERMIT EXPIRI -_2667 Chaise Dr., Oroville �. Cont: Sierra Pacific'MHS-Inc OWNER Conv Deck to Sunroom/MH CONTR. ASSESSOR PARCEL ;LOCATION r % P) -r:j n 1 CHECKED SRA BY FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E_ Temp. Elec. Service k" Called PG&E Temp. Gas Service Called PG&E / JOB FINALED (Date) Signature V=OK 0 = Not OK Not A '=Not Readyble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s DECW, COYERS, CARPORTS, GARAGES lana OK except #'s 1. Zoning Requirements - Setbacks - Easements Card B-1 Date Card B-1 2. Soils; Special MH Support Sketch Card B-1 Date Card B-1 3. Sewer, Location-Test-Fall-Q�Concrete MOBILE HOME INSTALLATION (Plans) OK except #'s 4. Water, Location -Test -Easement Needed (Sketch) 1. Zoning Requirements- Setbacks Easements 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 2. Footings; Size -Spacing -Marriage Line 6. Gas; Location-TestaMrap; / /'Vft. / /Nat. or/ /"L"tt./ /LPG 3. Gas; MH Test-DemandVak -Connector 7. Well Clearance 8 Disconnect 4. Electricity; MH Test-Crossowrs-Breakers-Clearances 8. Utility Clearance i rr V116CELLANE - Date DECW, COYERS, CARPORTS, GARAGES lana OK except #'s 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-DemandVak -Connector 4. Electricity; MH Test-Crossowrs-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 Date _ 8. Gas and Electricity Tagged Date 9. Tie Downs -Type -Installation Cert. Date 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed i rr V116CELLANE - Date DECW, COYERS, CARPORTS, GARAGES lana OK except #'s g uirements-Setbacks-Easements !12266s; Soils-Size-DepthSpacing-Connectors-Steel . Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood A ., osts-Beams-Rttrs.-Connectors S .-Rf .-Bracin . Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; i s -Doors 7. Elec ' Sils- orsStuds-Rttrs-Trusses id' iling VeneerStucco-Mesh 1 ; Shthg-Roofing tf Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date _ /� - 94% Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GA 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal wX-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 Test4Nater Supply Test- 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK - = Not Applicable = Not Ready . RESIDENTIAL (Single '& Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / • )"Ftg. Depth ' Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-RfV. Ties -Perlin -roll Brac: Truss-Shting.-Rfng. 48. Fireplace Ties or Type kFlue-Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52.; Property Line Firewall &Openings 53. Ext. Doors -One Y -Check Garage 3rd Story, 2 Exits 54. Stairs; Width-HeadroomRise-Run-landing-Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls Windows Date Card B-1 I Date Card B-1 Date Card B-1 ; I Date :Pard B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelidht Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove. Cleaiance-Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meeh. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection i 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 82. Following Instld./Drive O,Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No W. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg'Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect„Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I.' Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 1 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. 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: 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /" Ftg. Depth ' 4. Ftg. Porches & Decks; Soils -Steel-/ /" Ftg. Depth tY 5. Stemwalls, Main;, Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped " 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped , 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. ' UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test. 12. Electric Underground 13: • Pienums & Ducts; Clearance -Material -Support -Ins. . 14. GirdersSills-Anchor Bolts -Joists Vents -Clippies' 15. Access & Ventilation 16. Insulation , Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access . 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date '_ ELECTRICAL (Permit) OK except #'s - 23. Fixture & Transformer Clearance -Ins. Protection �- 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Bites & No. of Conductors Stapled r 26. Romex I stalled Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meth. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #a 35. A.C. Ducts Insulation & Suppoit 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-RfV. Ties -Perlin -roll Brac: Truss-Shting.-Rfng. 48. Fireplace Ties or Type kFlue-Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52.; Property Line Firewall &Openings 53. Ext. Doors -One Y -Check Garage 3rd Story, 2 Exits 54. Stairs; Width-HeadroomRise-Run-landing-Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls Windows Date Card B-1 I Date Card B-1 Date Card B-1 ; I Date :Pard B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelidht Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove. Cleaiance-Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meeh. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection i 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 82. Following Instld./Drive O,Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No W. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg'Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect„Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I.' Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 1 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. 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: ' COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 R IT NO. (Rev.12/96) APPLICATION AND PERMIT ` �- � ASSESSOR PARQEL NUMBER V -•1J'� O: -O© ZONING BUILDING PERMIT OWNER ^ = E kA e TELEPHONE/ D (u' SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRALTO 'S NAME e. p , 49,0 V le TELEPHONE CONI ORS MAID ADDRESS K1 CONSTRUCTION LENDER X) ^ Fireplace Fireplace . LENDER'S MAILING ADDRESS J/ Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ 0 ARCHITECT OR ENGINEERS MAW s Plan CheckingFee $ BUILDING ADDRESS {� Q� I Energy Plan Checking Fee $ 0 re) U i he GQ . PERMIT FEE $ , LOT NO. SUBD l� IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 3..00 Water piping 5.00 Each as water heater or vent —15. 00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑®Installation ❑ Other ell--Buildin Describe Work: Qn l F , I`.(`' '� Q��jj(/ 00 Gas piping Sys 1- 5 0 15.00 sewer 15.00 Mobile Ho S I G I W 1 @20.00 PERMIT FEE s ELECTRICAL PERMIT Fling Fee 20.00 Main Service noon oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full once and effect. b n ' / License Class C Lic. No. / `7 ,�® 'f OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I. as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 2 -1 -have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carr rand policy number are: Carrier ELuV Policy Number 64'�) - /Q — (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall ith comply with those provisions. X� Date �__ Signature of Applicant - ❑ Owner 0-t:ORRSctor ❑•-Agent An OSHA permit is required for excavations over 60" deep and demolit* or construction of structures over 3 stories in eight. TO Main Service To 46.00 NEW CONST. DWELLOCCUCUP. O. EE ACC. 3 � ORoNST. ( IBUDS.TLETNEW M NON-RESID. RANCH CIRCUITS 97.50 POWER APPARATUS 8 SINGLE OUfLEi LIR. Ex. Occup. OUTLET OR FIXTURES 2L@''0° BA @ .50 Ex. Occup. OUTELEOTS (R . E,. 5.00 Temporary Service 23.00 Mobile Home F cilities 20.00 Misc. Wir' 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation , PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. -e- D. FEES IMP �- FLOOD o - COF PARCEL PD HD ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date O PERMIT EXPIRES ON Receipt No.aLW4 4 WHITE-D.D.S.-B.D. CANAR -ASSESSOR 1. 1 PINK-INSPEC OR GOLDENROD-APPLICANT(Dato 0)DV #-"` l t)4�5 -:A' 1371 t• - a ;A4CO&XTY OF BUTTE DEPARTMENT OF DEVELOP.MLNT SERVICES - BUILDING DIVISION '7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 • 4 PERMIT APPLICATION DATA SHEET OWNER:0-5-K-a ASSESSOR PAR ER: D _ Proposed Building Use: Building Inspector. Date: At time of permit application, I was dvised the following data must be submitted prior to permit race ing and/or issuance: Date Received By ❑ 1. All items have been submitted .------------------------------------------------------------------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- ❑6. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. -=' ------------------------------------------- 118. Hazardous Material Form. --------------------------------------------------------------------------------- ❑ 9. Manufactured HgLme da nand installation instructions including Tie Down Specifications. --------- Feesof $ GG�f ly(�v� ---------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------------------------------------------------------- 1112. ------------------------------------------------------ ❑12. California Department of Forestry plan approval/fees. ----------------------------------------------- ❑ 13. Flood elevation certificate.------------------------------------------------------------------------- -. ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to�occupancy). ---------------------------- 1120. Pre -inspection for required. Request to Building Inspector on 112 1. Contractor's license information: (Number, Name Style, Classification). ---------------------- ------------- 1122. Workers' Compensation carrier and policy number.---------------------------------------------------------- 1123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). 024. Letter of signature authorization. -------------------------I----------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ----------- 026. Letter of intent on building use. -------------------------------------------- 027. Manufactured Home utility clearance. ------------------------------------- (Date) ❑ 28. Existing violations and/or expired permits. ----------------------------------------------------- ----------------- �729 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ ---- / P/ .Other: m�en you issue ermit, process as follows ail to owner, ❑ ail to actor. G Telephone -I� and hold for pickup at office. ❑ Deliver with inspector. , Applicant: Date.: S/ Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: , Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above requireddata ¢,� , 13mail, 13 Building Division counter, by Date: Plans reviewed by: Date: IIh� piw by: - Date: ; r Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. by: Date: Yellow Copy - Department of Development Services, Building Division. MOW -;�`214--�4_-:5 -V, 1377 a Deck Plan for Russell Graeff 2667 Chase Or Oroville, CA 95966 1-1/2" Sq Aluminum Tubing Posts @ 48" ac, securely fastened to deck 44 DF Stringers w/4 -8d TN. to el post or PC44 44" 84" 204" - RECEIVED 44 OF. Posts @ 48" o.c. w/4 -8d T.N. to pier block 1x4 DF Bracing k w/2x 1V41063 ).3/31/99 C 1V lid [9 48/24 T&G Plywood " 19 @ 6" O.E. @ panel ?s, 12" ac. in field All lumber shall be DF Standard or better AUG 0 3 1998 BUTTE COUNTY BUILDING DIVISION M Jul -29-98 07:27A Deck Plan for Russell Graeff 2667 Chase or Oroville, fA 95966 1-1/2" Sq Aluminum Tubing "- its @40 ac., securely ;tend to deck 44 OF Stringers w/4 -8d T.N. to ei post or PC" 4'-0" i - 20=0" .01 44 OF Posts @ 48" ac. v/4 -8d T.N. to pier block 1x4 OF Bracing CQ! 48/24 W Plywood "'►d @ 6" at @ pane! ?s, 12" or in field All lumber shall be OF Standard or better BUTTE COUNTY RUILDING DE AI5TIVi�-NII Pier block w/2x insert CQ! 48/24 W Plywood "'►d @ 6" at @ pane! ?s, 12" or in field All lumber shall be OF Standard or better BUTTE COUNTY RUILDING DE AI5TIVi�-NII PERMIT NO. 5325-80B PERMIT EXPIRES- OWNER XPIRES OWNER Russell Graeff CONTR. Anderson Awning & MH Serv., Chicp ASSESSOR PARCEL 8-12-46 LOCATION 2667 Chaise Dr., lot 46, Oroville Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E/ Temp. Gas Service Calle&E i JOB INALED (Date) Signature } V = PK 0 = Not OK ' = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's• Date DECKS COVERS, CARPORTS, ETC. -(Plans) OK except N's - 1. Zoning Requirements -Setbacks -Easements oning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ ootings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails %-4 -ftod Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ PV'ft./ /"Nat.or/ /"L"ft./ /"LPG arports; Windows -Doors 7. Utility Clearance _ 7. Elec. Card -BI Date Card -BI Date Card -BI Datel7 /r Card -BI Date ' Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date If f Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date 1 V = OK 0 = Not OK t - = Not Applicable RESIDENTIAL (Sing~re and Duplex) * = Not Ready Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall &.Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story,.2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service :Test 11. 12. 13. Electric; Underground Plenums & Ducts; Clearance-Material-Support=Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -Bl- Date Date Card -BI Date FINAL (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. uip. Listed for Location Plb., Elec. &Mech. Equip. Listed q 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 72. Insulation -Foam -Looked in Attic ❑Yes 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 73. Guard Rails &Deck Construction -Post Caps, 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or A1, Insulated Neutral ❑Yes ❑No Service -Riser Conductors & Ground -Main Disconnect 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish! 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light 77, A.C. Unit; Disconnect =Clrnces-Brkr. & Cond. Size -115V Outlet 78, Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing _ 80. Exterior Elec. Trim; G,.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except it's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing _ 39. Draft Stop in Walls (rat proof) _ 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. Header & Beam -Size & Bearing 42. 43. 44. _ Hangers -Post Caps -Anchors -Connectors Cln_g. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng,-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles __4_5. 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47, Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS_ PERMIT NO. ' 7 County Center Drive - Oroville, California 95965 - Telbphone 9'16/534-45 1 C� APPLICATION AND PERMIT A IV ASSESSOR PARCEL NUMBER ZONING UILDING PE OWN -ER c?- TELEPHONE_&0 SQ. FT. OCC. BUILDING ALUATION OWNER'S MAILING DDRESS C2 61 7r� A owl !/ N7 ACTOR' ATELE PHONE CONTRACTOR'S MAILING ADDRES Q 6 ox CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation LENDER'S MAILING ADDRESS Al d Permit Fee ARCHITECT OR ENGINEER ��-c LICENSE NO. IIE Plan Checking Fee $ Penalty AR ITE,CT OR ENGINEER'S LING ADDRES '� 5 � �� / Permit fee $ BUILDING ADDRESS • DY PLUMBING PERMIT Filing Fee 3.00 Each Trap x'2.00 Repair drainage or vent piping :2400 Water piping LOT NO. y% SUBDIVISION NAME I PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ ,Mobilehome LTA,/Other SPECIFY Building sewer Lawn sprinkler system 2.00 ,. TYPE OF WORK New ❑ Addition e emodel ❑ Utii�lities ❑st Ilation❑ Other ❑ Describe work: V — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service jp0 AMP OR1 OR LESS5.00 Main service ADD'L 100 AMP 2.50 ((EA. NEW CONST.' DWELLING OR ADONS. ACC. BLDGS.CCUP.&) 20 sq ft 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. 37x%g1 Classification L_(0/ ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEWCONSTF1 ULTI.OUTLET NON . RES ID BRANCH CIRC ITS 2.50 ea NEW CONSTR. POWER APPARATUS &\ NON-RESID. SINGLE OUTLET CIR; / -Ex. OCcup(OUTLETS OR FIXTURES 50@� BAL@10C IXED PLNS R Ex. Occup.(OUT LETS (RESID IEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Li;_l 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 FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgmentp, costs, and expenses which may in any way accrue ence of the granting of this permit. against said Co qty=4011L_ X Date 1S 2 S-'0 Signature. ;of Applicant — Owner El 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 $ Land Development Fee $ I Val TOTAL PERMIT FEE $ �. Occul, GROUP tJ �"7 TYPE OF CONST. J1A1ICr PD V HD SS E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI CTOR-OF UBLIC By PERMIT EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 4ZI c���� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT J��r "T,1 Ip t • 1 A .'r V' 6[l / 's is sefos-amd kept on the job at all"ti make any changes or alt wrifi7en permission from NOTE.—All Materials & Workmanship Shall Be in lie Works, Count df B Accordance with Recogni-7 of a duality prescribed fo the Specified use in the Uniflorm Building, Plumbing Mechanical Codes and the National Elactrical CoY. 0 . 9) N A*A4J4.&- and ons 1� L 3 I A W v ms MUST be is unlawful to same without meat of Pub. ; 13AC.IL F9,W t -A ©F WEST � i bs .PSP - 10 -30-0 V / A setf#ck of 5 ft. I the, �9 i property Mines and setbadt of 50ft. from Ae road centerline shall be clear of structures or equipment except f r� ft. eav overhang 417411, BUTTE 5 � BUILDlNG DEPARTMENT APPROVED �3 gp-yyl P s AV 'ell rw Post -it® Fax Note 7671 Date paoyesh. To �X iron. d .•,., � � �' Co./Dept. 0 Co. Phone # Phone # Fax kg-aR r l 17 Fax # Post -it® Fax Note 7671 Date paoyesh. 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