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079-200-077
FA ! en T. Ambrose 2637 Brou ham Dr. S Oroville Permit 571-79P(util.,MH) ELEC . GABS SUPPORT ST COMPACTION TES contr, , ' Loyd's Elec`. , ' ro .1 ' Permit #1715-79E(elec. ar ligh SIH) Contr,: Jo Dor emus h' _S.a Permit 65-80MHI I s s ue —�� R' am 637"Broug am' r' . ;�Or6vf contr• Heritage Const., Oroville Permit #4790-80B(new carport, cov.deck, screen .room & open deck/MH) 1 contr: Northstate Alum..,. Chico - Permit #3652=81B(new awning/MH) �•" ` ,;664=90B i GOMEZ, Ramon 2637 Broughain'-Drive �10rovill'e (carport/MH) 12 - .t: =l sir. ;•-. `.."* -}:� C;^ sror 4.97-1264 B� �BOYERhar1es • ._. =„t �� ' ` .2637 `Brou 'h' -Dr,,'-,0-rovi e (new carport)MH PP, 0 / 9 `—CO - Ov77 1 1 } 5 � f ' ;. f 1 1. 1 1 + I 1 1• + I en T. Ambrose 2637 Brou ham Dr. S Oroville Permit 571-79P(util.,MH) ELEC . GABS SUPPORT ST COMPACTION TES contr, , ' Loyd's Elec`. , ' ro .1 ' Permit #1715-79E(elec. ar ligh SIH) Contr,: Jo Dor emus h' _S.a Permit 65-80MHI I s s ue —�� R' am 637"Broug am' r' . ;�Or6vf contr• Heritage Const., Oroville Permit #4790-80B(new carport, cov.deck, screen .room & open deck/MH) 1 contr: Northstate Alum..,. Chico - Permit #3652=81B(new awning/MH) �•" ` ,;664=90B i GOMEZ, Ramon 2637 Broughain'-Drive �10rovill'e (carport/MH) 12 - .t: =l sir. ;•-. `.."* -}:� C;^ sror 4.97-1264 B� �BOYERhar1es • ._. =„t �� ' ` .2637 `Brou 'h' -Dr,,'-,0-rovi e (new carport)MH PP, 0 / 9 `—CO - Ov77 �T � RESIDENTIAL 1 036-78-0-077 97-1264 B BOYER, Charles 2637 Brougham Dr, Oroville (new carport)MH ` PERMIT NO. PERMIT EXPIRES OWNER CONTR. i. ASSESSOR PARCEL LOCATION 71��2i �r i. 4 t Temp. Power Pole e� Called PG&E H Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature 1 j 'V=OK O = Not OK Not '=Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Card B-1 Date Card B-1 / Card B-1 Q.� Date Card B-1 POOLS (Plans) 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-FallC/OConcrete MOBILE HOME INSTALLATION (Plans) OK except #'s 4. Water, Location -Test -Easement Needed (Sketch) 1. Zoning Requirements- Setbacks Easements 5. Electricity; LocationClearances-Gmd-/ /Amp -Concrete 2. Footings; Size -Spacing -Marriage Line 6. Gas; Location -Test -Wrap; / PUL / /NaL or/ ttlt/ /LPG 3. Gas; MH Test-DemanclWale-Connector 7. Well Clearance 8 Disconnect 4. Electricity; MH TestCrossowm-BreakersClearances 8. Utility Clearance M.ISCIELLANEOUS Date DECK3� 60VEF�S, CARPOR GARAGES (Plane OK except #'s l equirementsSetbacks-Easements d 2!Footings; SoilsSize-DepthSpacingConnectorsSteel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rttrs:-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -.Enclosures' 6. Carports; Windows -Doors T"EIeC4ILr� Wls- rsS%de-R - cusses �Sr�lag; Nailing -Veneer -Stucco -Mesh *'Roof* Shthg-Roofing 11. Ext.; Steps Doors -Lendings 12. Braced WaII,Panels Date Date Q Data Card B-1 Date Card B-1 / Card B-1 Q.� Date Card B-1 POOLS (Plans) 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-DemanclWale-Connector 4. Electricity; MH TestCrossowm-BreakersClearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation CerL 10. Exits; Insp.-Sketch Date 11. Cert of Occupancy Date 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 M.ISCIELLANEOUS Date DECK3� 60VEF�S, CARPOR GARAGES (Plane OK except #'s l equirementsSetbacks-Easements d 2!Footings; SoilsSize-DepthSpacingConnectorsSteel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rttrs:-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -.Enclosures' 6. Carports; Windows -Doors T"EIeC4ILr� Wls- rsS%de-R - cusses �Sr�lag; Nailing -Veneer -Stucco -Mesh *'Roof* Shthg-Roofing 11. Ext.; Steps Doors -Lendings 12. Braced WaII,Panels Date Date Q Data Card B-1 Date Card B-1 / Card B-1 Q.� Date Card B-1 POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pod Structure; SteelConnections-Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pod Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 =NK " O = NotOK � . RESIDENTIAL (Single & Duplex) - " = Not Applical"a Not Ready Date UNDERFLOOR (Pleas) OK except #'s 1. ZgningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / C Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /° Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ P Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main;,Steel-Blockouts-Wrapped Bdnn. Windows or Exiting Doors -Sill Hgt & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6a. Hold Downs and Special Anchors . 52. Property Line Firewall & Openings 7. Slab, Steel -Wrapped Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 8. Piers -Fireplace Ftq.Steel 54. 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. Girders. -Sills -Anchor Bolts.loists Vents-Crippies 15. Access & Ventilation 61. 16. Insulation 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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 Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meeh. Protection 21. Test Tub & Shower, Second Floor -Tub Access Bedroom Exiting 22. Gas Pipe; Sae & Anchors G.F.I. & Bath Fixtures & Tub Access -Spa 68. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets at Wood Panel, Int. & Ext. 23. Fixture & Transformer Clearance -Ins. Protection Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 24. Elec. Receptacles Spacing -Lights & Switches at Doors Elec. Outlets & Recepticales at Kit. Counter 25. Size Boxes & No. of Conductors Stapled Garage Fire Door; Swing -Landing -Closure 26. Romex Installed Close to Edge of Studs & C.J. A.C. Duct in Garage -Damper 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meeh. Protection 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meeh. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Stucco Brown -Finish 84. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #k Exterior Elec. Trim, G.F.I. Receptacle -Underground 35. A.C. Ducts Insulation & Support 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 93. Energy Compliance Certificate -Other Certificates Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Date FRAMING (Plans) OK except #s Card B-1 Date Card B-1 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 Rftr Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdnn. Windows or Exiting Doors -Sill Hgt & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -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 ProtectonSkylights-Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. 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 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meeh. 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, Clearance -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 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. 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 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/0 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: J COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 7 /4E�iT, talo. (Rev. 12/96) APPLICATION AND PERMIT // •�(/ ASSESSOR PARCEL NUMBER 036-780-077 ZONING PUD BUILDING PERMIT —75` OWNER CHARLES BO TELEPHONE SO. FT. OCC. BUILDING VALUATION 612 C 7,956.00 OWNERS MAILING ADDRESS 2637 BR CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER NONE Fireplace LENDER'S MAIUNG ADDRESS Total Valuation is ARCHITECT OR ENGINEER NONE LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 99.00 ARCHITECT OR ENGINEERS MAILING ADDRESS - Plan Checking Fee $ 64,35 BUILDING ADDRESS 2637 BROUGHAM DR Energy Plan Checking Fee $ OROYTTIE., 95966 $ PERMIT FEE $ 183.35 LOT NO. S UBDNIS ION'S NAME PARCEL MAP • PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome M Other CARPORT SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition IN Remodel ❑ Utilities ❑ Installation ❑ Other ❑ 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 $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AORLESS 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.P License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: XI, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 6 Acc. BUDS. 3.5¢psGT. NEW CONSUTLEr NON-RESID.T. MULTI.Ocl c @7.50 OWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FDRURES Ex. Occup.BAL 20 Q 1.00 .so Ex. Occup. ouTEiETs RESIo)EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 , Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith c ply with those provisions. /A Q --�� �Q� A X (� , Date � Signature of Applicant - ❑ Owns yP ❑Contractor ❑ Agent An OSHA permit is required for excle(vations Over _60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOT FEE $ 183.35 HAZ. D. FEES P FLOOD CDF p CE pD HD ISS This permit is hereby issued under in the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. 1.-,7 D e 5h7 2—) 1,9< Def. Receipt No. 222424 —. % 4 WHITE-D.D.S.-B.D. CANARY-ASSESSORIP/NK-INSPECTOR GOLDEN R APPLICANT .COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICA TION DA TA SHEET OWNER: le-S,AQ V& CASSESSOR PARCEL Proposed Building Use: Building Inspector: Date: At time of permit application, I wak advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ./1. All items have been submitted.------------------------------------------------------------------------------------ ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------' ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. 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.------------------------------------------------ 1:18. ----------------------------------------------'❑8. Hazardous Material Form.--------------------------------------------------------------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications. ------------------ A%. Fees of $ ----------------- ------------------------------------------------------------------- El 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 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.----------------------------------------------------------------------------------- �5 ❑ 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. ----------------------- 1119. ---------------------- ❑19. Encroachment Permit for driveway (construction approval prior to occupancy). -------------------------- ❑20. Pre -inspection for required Request to Building Inspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------• ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑ 24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑30. Other: ------- When you issue the pa t,rocessas follows 11 Mail to owner, ❑Mail to co actor. Telephone S ��.5^ d� and hold for pickup at 0 V i //eoffice. ❑ Deliver with inspector. Applicant: _6Date: / J me i Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: a 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 required data by ❑ phone, ❑ mail, ❑ Buildin ivision counter, by Date: Plans reviewed by: Date: Plans approved by: Date: - Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division: .B.-1 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES $, NO ❑ 2. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. 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. 1 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: PROPERTYOWNER: A4 QZ— ;�d SOCIAL SECURITY NUMBER: 0 DATE: / 7 c 12 1� t° 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 O.E.-4 OWNER BUILDER INFORMATION I 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 parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 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. ♦ 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. ♦ 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. ♦ 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 "owner builder" 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. +MagerC,2uii1diirng /LU� Va, C.B.O. Inspection NOTE. This Oivner-Builder Information is required by Section 19830 of the California Health and Safety Code. OVER WESTERN -WOODS TEL.:916-343-5821 'a Jul 30,97' 9:47 No -012 P.01 Bell Certificate of Conformance Certificate 43957 THE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES -.that the structural wood products identified below and marked with a collective mark of. American -Wood Systems (AWS). were manufactured in accordance with the specifications indicated below. ' { ANSI Standard Al90.1.1992, for Structural Glued Laminated•Timber O 0 —Proof loaded end Joints Job Noma WESTERN WOODS . CHICO, CA �. Job Location Customer's Order No. 60594 fate 06-13;-97 57--7522 h4far's Order No Signa' u ri t Technical Director CompanThle y amette Ind. Vaughn, Oregon 0613-97 Address Date_ _ IT IS HEREBY CERTIFIED that the structural glued laminated timber. production of the above- named manufacturer which carries a collective mark of American Wood Systems. (AWS) Is subject to regular audit by American Wood Systems; such audit consisting. of the inspection with reasonable frequency of the manufacturing process, with adequate sampling to verify the quality of glulam construction and the adequacy of glue bond.' o. v by - - Thomas G, Williamson -EX00utive Vice President - 3 �.�'�2�. /� r�.�i s .— Ute. [.�Q�f • q tin 2 I � • � � � = � C� �, s. c�.s � � � 0 •Ca2.� (� � �vk�: --I -Z . �) � .►may �E �Q�� / �� w 2.-7 W54 u 3 f cr r -�. N-. Gv� a C� ► Dc ROY lY Y .-fi wEr"I -71 o.q9 OK FeA X313 l goo -7/66,V,Q-z A - we - t -2e 3 -2, IC) -2. h\jyn.0 (Ts(- I 4 CS7 IVj 1-7 Aj WS 'Fl _ 3 47� SF . X41 lz �c LLT 20CL �) F k. b 2 /19 tt-r-e-x . ra iLi/L. CL l N , .a RESIDENTIAL 36-78-77 664-90B I GOMEZ, Ramon j 2637 Brougham Drive, Oroville I (carport/MH) JOB FINALI Signature J=OK O=Not OK - = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P'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 MISCELLAN OUS i. 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.-Connectors Shthg.-Rfg.-Bracing 5. AlgK.. Awn.; Columns -Connections -Splice -Decal -Enclosures arports; Windows -Doors 7. E!peUic �Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Si hig; Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date_ Card B-1 Date Card B-1 Date Card B-1 Z 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-PaneIboards- 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 V OK O = No?OK =Not Applicable 'r- Not Ready RESIDENTIAL (Single & Duplex) Date UND FLOOR Plans OK except #'s Date FRAMING (Continued) Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors tg., Main; Soils-Elec th 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 3. Fig., 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. Stemwalls, Main; Steel -Bloc kouts-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 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 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 O 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 0 No; Walks 13 Yes 0 No; Planters 13 Yes 11 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 C6UNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT J PERMIT NO. ASSESSOR PARCEL NUMBER 36-78-77 ZONING PAC BUILDING PERMIT OWNER Ramon Gomez TELEPHONE 534-323 SQ. FT. OCC. BUILDING VALUATION 400 coy 4,000 OWNER'S MAILING ADDRESS 2637 Brou ham Dr. Oroville 5966 CONTRACTOR'SN ME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER none UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 44.50 ARCHITECT OR ENGINEER none LICENSE NO. Plan Checking Fee $ 22.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Brougham Dr. Permit fee $ , 76-792637 PLUMBING PERMIT Filing Fee 10.00 Each Trap % 2.00 Oroville Solar or heat pump water heater 20.00 LOT NO.SUBn! 77 NAME �- �. IC �'�tr 2 PAIVISION C L MAP yC Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF F1 Duplex[] Mobilehome®X Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 0.00e TYPE OF WORK New ❑ Addition g Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: CARPORT. _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason oR ADDNST ( DWELLING GSCCUP.&\ 2'h ¢sq ft r NEW CONSTR MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea /POWER APPARATUS &1 (SINGLE OUTLET CIS. Ex. OCCUp(OUTLETS OR FIXTURES 20®80¢ aAL®30 Ex. Occup. OUTLETSED PRESID 1REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating CcoIing Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against I liabilities, judgments, costs, and expenses which may in any way accrue ag 1 t said nt in cor(�equence of the granting of this pe mit. (yam yb� Date ature of App�,i.ean�- caner Contractor E]Agent❑ HA permit 9-s—ryu'Ired for excavations over 5'0" deep and demolition or construct- ructures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 76.75 HAz CUA PARK SCHL FLD 1 PA .%z PD D HD ,HO ISSUE , ✓ 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. DIRECT OF PUBLIC WORKS By l Date 3 - ! 3.• �� PE T EXPIRES Date '-r- SQoQn LLOW-A58[$SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r --.t .. ►.iT--..-.cw�.�-v.r7 r-'�.+nvvRfvir-..-F..C..,"`qig".�'iTx�7l+c+-`�7.�,�►.Y`FP'ji"�"' T 'R�'i'�»`"i _rtr.. COUNTY OF BUTTE - DEPARTMI`NT QDF ,PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER �(�[(/--�JJN�C� A. P..No. _36"7�i`"%� Proposed Building Use (.7-4%2,100 Building Inspector Date Ae of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: At 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 .............. 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 ❑) ..... 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. Telephone and hold for pickup at _office. Deliver w/inspector. Other A 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_mail_counter by ..date Contractor, designer, owner, was advised of above required data by -phone -ma il-counter by date Plans checked by ',- 84,tL_Date - - a Plans. approved by .f A.6 % Date 3- /z- !co Sets of plans on hold in . File cabinet AP folder Copy -DPW U COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Orovil.le, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity.to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and mate ials for construction of the proposed property improvement .(yes or no) 2. I have/have notes si ned 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 4. Address City Phone Contractors License No. I plan to provide to coordinate, su Name Address Phone portions of this work, but I have hired the following person e,rvise, and provide the major work: Contractors License No. 5. I will provide some of the wo"c persons to provide the work ind Name Address . City but I have contracted (hired) the following fated : Signed: Property Own e Social Sec rit,Y, umber Date O �� C1 -Q Phone Type of Work 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. Arv1oN C�Ez \ 9,-f PH. 15-3-11 -SO?937 r� u% Z/�+'/L 77 - Provide alb bracing. Qoy ►��' S 10'.S T< R� NOTE:—,All Materials & Workmanship StWI Be M /Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codec and pthe National Electrical Code. This set of plans and specifications MUST be i 69pon the job at all times and it ip unlawful to awke any changes or alterations on same without written permission from the.f5epartment of Public Works, County of Butte. G BUILDI ii COUNTY G DEPARTMENT ROVE D �I� GA n o 8 d d V JN3l UUVd3a JNICI-I nG AUNnoo 3-unS A setback of S ft. from the property lines and a setback �� — of . from the road centerline shall be clear of structures or equipment except for a 2', t.,eave overhang. 1. N �o I� s �2 "ov�R�An�— i �r al 14 d �P P �/K� Burma COUNTY - BL ILDING DEPARTMENT lz� ���NAPPROvED 46 PCS. SIZE LENGTH OESCRIPRON + X �w x i fl X X 0 x 20M r i 571-79P PERMIT N0. 1F PERMIT EXPIRES Warren,T. Ambrose OWNER CONTR. owner 8-12-77 LOCATION (A.P. ) 2646 Monte Vista Ave.-, Sp.#77, Oroville ` r v� z Temp. Power Pole Called PG&E ,;,"Temp. Elec. Serv. ZS � )�I Called PG&E Temp. Gas Sery Z t Called RG&E J&B oar) ALED ! `� ( (Date) (Signature 6 FE COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING / aegOaCK FI wall it Piping Fo s Par ets st Floor M n Bldg. Restr m Finish 2 Floor otin s Window 3r loor St wall Sidin To ou Sla Roof Sheat Water P& -ng Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically C n for ed Conformance of ex. structure Appliances Gas Piping & Tes Temp. as Slab Final Sanitation Patio IREPL E Final Footin s Footina ELfECT CAL Masonry Walls X Throat Rough Relnf. Steel Final Fixtures Bond Bea!i FIRE SPRINKLERS Motors Framing it Test Water Htr- ICAL Nd Grd. Falfit Pn Servl TeAp. Pole InPrior Lath ntilation/Permanent or Closer anal inal MOBILEHOMEUTILITIES----------•------- Elec. Service Elec. Pedesta Water Piping Z 11sr g-0 Sewer — - 9 Gas Piping MOBILEH IN ST LLA ION - - - - - - - - - - - - - Support Elec. Continuity Water Piping L S D Drainage Gas Piping DATE REMARKS OR CORRECTIONS Z � IJ t Ott, (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE t. DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, 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 for the following location: Owner Owner's Address Mobilehome Mfg. Model Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By rf, .I - THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. MOBILEHOME��INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with dquired separation from lot,lines and buildings and generally conform to plot plan? Yes.�No_ 2. Does the mobilehome have required clearances above. ground? (Sec.5085) Yes_ 3. Are•footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec*. 5050.82 & 5083) Yes- No 4. Is the mobilehome level? (Sec. 5088) Yes ✓ No_ 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) . Yes No 6. Water 'A. Is flexi e connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yeses_ o_ B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yeses No— Backflow o_Backflow -.If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains 1. A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes 0— B. Does it have minimum 4" per foot slope and is ,it properly supported? Yes , o C. Are any leaks detected in drainage system after running 3 -gal ns of water through•each fixture including washing machine standpipe? Yes_ No If coach isnot 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 not 'ore than 6 ft. long? Note: All piping is to be at'least as large as the mobileho gas line inlet without reductions other .than the mobilehome. connector. Yes o— , B. Test OK as per following procedure? Ye No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test,for 10 min, without drop. 4. Connect gas meter to mobilehome with connector, turn 6 .-19'as, test connections with soapy water. C. Are all appliance vents properly installed? Yes o 9: Electrical A. Is service large enough to provide dequate amperage -to mobilehome (must equa", "*rating of mobilehome with a minimum of 100 mp) and other facilities'on lot; i.e., water pumps, garage, cabana, etc.? Ye o_ B. Is there proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes 0— D. Is continuity test satisfactory as per the following procedure? Yes '_�O 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of .a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namest`y`le Length_ Width �- 7 Vehicle Serial No.-� State Identification No. Additional Information or Comments: COUNTY OF BUTTE — ' DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ..I+... .....a.— , u— v..—y vi vua-ac W crawl UPUII uIV above-mentiorje 4roperty for inspection purposes. gnature/of Permitee or pt No. ). P. W. Date 6l ellow-Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butteu ty Code and/or resolutions to do work indicated above f whi h fees have been paid IREOrO LIC WORKS --04� Building permit expires Date BUILDING Owner Z 20 r i SO. FT. OCC. BUILDING VALUATION Ct l Mailing Address U — nn� Tele hone No. Contractor —� - _ ` Mailing Address L, Fireplace Total Valuation T ;I,ephone No. Permit Fee Building Address Plan Checking Fee Vor Penalty Permit Fee ' AA1,4141-41 I'VL.VAI PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 45 Repair drainage or vent piping 1:50 A. P. No. Z nin1,lP'l/�a'nning Water piping 1.50 Each gas water heater or vent 1.50 F Saai=taierf• I Fire Dept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EOA Parking Pla Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Bldg. PI n",Rec'd Parcel A royal Plans JI Proval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑J OTHER ®'-- Permit Fee $ /H IL PEW — ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Single Family Duplex Mobil Home Others ❑ P ❑ ❑ Main service 600V OR LESS ' 10o AMP 5.00 -L 00 ALES Main service E4. ADD100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % ACCLBL GS,LING CCUP. 9) •ZP,Sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: AP F-44 12 5 NEN RESID. BRANCH CIRCUITS) NON RESID. BRANCH CIRCUITS 2.50ea NEW CONST. POWER APPARATUS &, NON.RRESID. SINGLE OUTLET CIR. 50 EX. OCCUD(OUTLETS OR FIXTIIR(ES BAL Ex. Occu FIXED APPLNS. OR P• -OUTLETS (RESID.) EA� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 3( :=:!24 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. MI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑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 the Workmen's Compensation Laws of California. MECHANICAL !NoA @ FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby 50va $ 00 TOTAL PERMIT FEE $070 ..I+... .....a.— , u— v..—y vi vua-ac W crawl UPUII uIV above-mentiorje 4roperty for inspection purposes. gnature/of Permitee or pt No. ). P. W. Date 6l ellow-Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butteu ty Code and/or resolutions to do work indicated above f whi h fees have been paid IREOrO LIC WORKS --04� Building permit expires Date MOBILEHOMR.SUPRORT DATA If other -than single wide, Mobile -home Mfr.�T it//� �d� furnish Setup Model No. 'Year. Width(ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturers installation manual and structural setup sheets (if not on file with the County of Butte). n U All eenter supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single [N�1. Wood either A ressu t t d (ft.)(in.) (in.) (in.) Center support Center support locations* footing sizes (in.) % x (in.) (in.) in. in. (ft.)I (in.) *If center- piers are other than drawn above,. draw in -locations, spacing, and dimensions. p re rea e . o foundation grade. 2. Other (specify) Supports (check one) 1, Concrete block. E] 2: Other (specify) <--Tagalong or Expando, show support details. ZV X,; --'Typical Support in.) (in.) Footing Size �—�-� --,Max. Pier Spacing (ft.) (in.) L—L—vJ -- Max. Overhang t3urrE COUNTY =BUILDING DEPARTMEN. APPROVED �Z BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET c 1. Owner's name: 19f . T: A92 SIP Q = 2. Installer's name: t 3. Is the site currently under permit? Yes No (If yes, furnish permit number ) OR Is.the site an existing site? Yes /Z; No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away rom septic tank and leach fields and i clear of all setbacks and easements? Yes / / No (If no, clarify ) ( ) 5. What is the mobilehome electrical rating? ----------------------- �� Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- 2�= Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes / / No / / (If yes, identify the load and size: . (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 3f (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? ------------------------------ (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG:) (BTU) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center DrivEl — -Oroville, California 95965 i Telephone: 534-4541 APPLICATION AND PERMIT � BUILDING Owner iJ� SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address(p ® G '� CW Plan Checking Fee&/or Penalty Permit Fee ? PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 Repair drainage or vent piping 1.50 P. NO. 7 Z6ni g ""r§" Water piping 1.50 Each gas water heater or vent 1.50 s S 9UPI Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 16 EQA Parking Plans Parcel Declaratio Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. \PPbns Recd Parcel roval Plan 4pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ 3 -- .$ 3 3 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LESS Main service 100 AMP OR LESS 5•�� Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD -L. 100 AMP 2.50 Main service OVER e 25.00 100 AMP O OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST'( DWELING OOR ADDNS. ACCLBLDGS.CCUP. Y� 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: NEW CONSTR BRANCHCIR-OUTLET NON.RESID BRANCH CIRCUITS 12.50ea NEW CONSTR. POWER APPARATUS 8 NON-RESID. (SINGLE OUTLET CIR. Ex. Occuo{OUTLETS OR FIXTIIRES) 50@@ BAL@1 FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 gI 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. (p1 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 $;z TOTAL PERMIT FEE $ SF .UL IIV11Le IGFlICJCIIL0LIVCb UI L1Ie %,UU[ILy UI DULLU tU enter UNUH the above-mentioned property for inspection purposes. XA4e Date %-7/ %f Signature of Permittee or Agent / Receipt No. / U2, 7b 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 abov . o which fees have been paid. jl I EC _ F PUB IC WOR -c 7/"7 KS ate Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orbville, 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. Date .3-0)4 Signature of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pi k -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. Z-) r-DIREGTOR OF PUBLIC WORKS Da Tuilding permit expiresDate BUILDING Owner 0 SQ. FT. OCC. BUILDING VALUATION Mai I ing Address' I4 Telephone No. s3 -8 Contractor r - y� O V Mailing Address r Fireplace Total Valuation lj Telephone No. Permit Fee Building Address v —' Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE /_11-1177 PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. N . 7 Z ning(;'ftlanning Water piping 1.50 Each gas water heater or vent 1.50 1`41els Te.1 St+era I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel I Declaration I Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 B I d Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0 Permit Fee $ $ L[ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 -� Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex Mobi•I Home Others 9 Y ❑ P ❑ ❑ Main service EA. ADO'L 100 AMP 2.50 , C � e- f- 7/- (( Main service OVER 600v 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONSDWELING OR ADDNST ( ACCLBLDGSCCUP. 7i) 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: i"'17 TLET NEW CONSTR BRANCH CIRCUITS) NON-RESID � BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIPES 5 L� Ex. Occup. (OUT LETSP(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No, '2 Classification 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. j� I have placed on file with the County. of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL ;No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee Is TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date .3-0)4 Signature of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pi k -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. Z-) r-DIREGTOR OF PUBLIC WORKS Da Tuilding permit expiresDate ,Telephone 533.2000 North Burbank -Public, Utility District ` "k s 1960 Elgin Street ORO.VILLE, CALIFORNIA 95965 191-80 DISTRICT APPROVAL AND . , . VERIFICATION OF INSPECTION ' BUILDING SEWERS• This verification form must be,,submitted toy the Butte County Department of Public Works - Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to"final approval•by-Butte.County of'a Building or an'Occupancy Permit, a copy of this verification form, signed•,off by North Burbank Public- Utility District, ' must be submitted. to Butte County: Applicant- RAMON"GOMEZ. sR_ ' Applicant Address: ''2637 BROUGHAM DRIVE, OROVILLE,. -CA 95965 Applicant Phone No.. F Property Location(s):.. 2637 BROUGHAM DRIVE' • CARRIAGE MANOR . - LOT 77 A. P. No (s):, •008-124-077-0 ' Fees Paid:-- ALL FEES UNPAID -AS OF -8/18/80 -TO BE PAID -WHEN ESCROW CLOSES BY MID 'VALLEY TITLE ANDrESCROW COMPANY Application for service approved: ' t •8/18/80 North''Burbank ; �' Public Utility District Inspection(s) made and successful tests) observed: • Location: Date:' ' North Burbank Public Utility -District release -to close permit: Date: By: ;{ ; . APPLICATION FOR SEWER CONNECTION AND SERVICE FROM NORTH BURBANK PUBLIC UTILITY DISTRICT - CONNECTION PERMIT / - hereinafter referred to as "Applican, being the propert owner or owner's agent desiring sewer .service, hereby requests the North Burbank Public Utility District, hereinafter referred to'as "Dis- trict" to connect Applicant's sewage disposal line to the North Burbank Public Util- ity District's Sanitary Sewer System and to provide sewerage service. Location of property:.v�� A. P. No. Subdivision e In District ❑ Out of District Kind of Service ,0' Residential ❑ Rental & Residence ❑ Duplex. ❑ Apartment ❑ Industrial ❑ Commercial Remarks M Lot 7 % .Block Number of E.D.U's. this permit Multiplication factor Monthly charges * Connection fee * SC -OR Facility charges Total amount payable this permit Service to be in accordance with the conditions hereinafter set forth and the ordinances and rules and regulations adopted, or to be adopted, by the Board of Directors of District, all of which applicant agrees to abide by and fully .perform, Applicant Agrees to pay for such service at rates and charges as established by the District from time to time, Connection fees and Facility charges may be refunded in case of inability to build. Signature of Applicant Mailing Add -fess -of Applicant i -3 3 4 5 J Phone No. Name of Owner if not Applicant Mailing Address of Owner Phone No. CONDITIONS OF ACCEPTANCE OF SEWERAGE SERVICE 1. The District, its officers or employees, shall not.be liable for damages to persons or property occasioned through -the installation of any sewer connection, or sewer service provided for by District. 2. In accepting this application District does not hold itself liable to the Applicant for failure to perform any of the obligations imposed upon it or assumed by it under this application if such failure shall be caused by accident, Act of God, fire, strikes, riots, war, lack of capacity in SC -OR sewage disposal plant or Dis- trict lines to handle the sewage or any other cause beyond the reasonable control of the District. 3. District will not be'liable for and Applicant shall hold District free and harmless from damages resulting from interruptions in service or stoppage in lines and District assumes no liability .for damages to persons or property occasioned through defective sewer lines, meters or other facilities. 4.. All service lines connected to District's sewer mains shall conform in all respects to District's specifications. Installation shall be made at the sole cost and expense of the Applicant with actual connection to District's main by District forces, All work to be inspected and approved by District. 5. Applicants are informed that it is necessary to secure permits from the _ County prior to doing work within County rights-of-way'v said work to be bonded. w _ 6. Work under this permit is to be performed and approved within one year of the date shown below, Renewal of permit after one year requires payment -of any in- crease in connection fees and/or SC -OR Facility charges. 7. District verification form must be issued simultaineously with this permit. Payment on above application.,required prior to final inspection. Payment received by cash (l check.[ -1 $ Date By NORTH BUR ANK PUBLIC 7UTIITY DISTRICT By u- v Date .Z / y Permit No.,z2/ - } * Payable in the amount current at time payment is made. ze sires PZ.1,u COT_ NOT M-4errnls & Workmanship Shall Be in-' Accordance with R�ronni„ed Good Practices - i/2 W I of a quality nresrr-k,."•I for +he' Soecified use' i e Uniform Builclin , Plum�inq & Machanica, ' q Codes nd�q' ,Q ___• —fh 70.c> i�Jr1^yC,sW .. _ •_-___-__.. st r y r ty I t101'I .. .. .. ay .d'Y`s 4c.`•k $x x'' r ✓ t .I III CO _ - Ut n + t w la=aced.witk{in..4.. aha Y R. •vy�Y Htrr,�y :s�,``"7tKad2 fi' # 3A '.r -- i c3u#srde �e--rear ..-- f z r � zs �� • tM�rd section - ---— - -... the left:{..o d) M ray e mo6�1eim� . 3 -- (' e-qf-'t'r�e mobs e Qe.~ C WAY ...... _.-._ ._.,. ._-_ ..- tA'.-s�TE6C•l C+xcail.'dn/+%5 w"H3Ks'9__. ...tet ... A• . F{ ..._ . _. _-.. ..y .. y,F?y,� yb'S-- �a ->• - - --_ --- .. ... . .- :.;.[•:?.x::<:;:.�..::r:,>^.>,.,,. .......�.. •s a. <,.#.: Y r ,,, r =— — ... _ . \ stn - _—._------..__.---- — I. -._ _ .- ------ -_ - • F iix "fi.IBM ::... r';..d,::. o,,,:.,...;:.,:zooaw^,«xrxz>o+:::t<wYaa>Ye.;<: _..- ... _ - ___.. _ .v.;.::::Sac,si :Y: .,.:).::: u. :.:,::A:::: cs..:;^f:v.n.,n.,:...r..3y,:;1X:):(:Yt,r.� c:C.,+,,�. i..,n... �.. .,: .s::.+sY„i�: �v,.,..u.::.;,.:,,Y.,...: y:ir:.t:;y:ciik9 ;r”VA ..ee ..Aw v3:°'s:^.: "31:x' S3`'s v::. '40:;. �..;., :.:.. b..:ra`in�c�',S.Y'S:::Y:it'3^..ira::;cH.;<. - -• v ”: I s►de p erty line and f cera eAir Q.-cf .thd road; Fer it, i - - - '- - - - I \\ el�ve'o� erh ng b - . 5� _.-._ out of .easements: �s ? y z _._._- _ Y \ I - I FRO�c/T torr. co,�,u�;�:.._ .. may. o I nis set of plans and specifications MUS-rSg"- F ` BUTrE COUNTY; Rept on the job ata times and r`F 91 d „I o j make any changes or alterations on same without ARTM �, BUILDINGDEP �/� written permisson from the Department of Public - - - Works, County of S.S. /`!l7/cl — : A-PPROVE•)J PERMIT NO. 4790-80B `. .. PERMIT-EXPIRES- OWNER' ERMIT`EXPIRES OWNER' Ramon Gomez CONTR. - Heritage Const., Oroville ASSESSOR PARCEL 8-12-77 LOCATION 2637 Brougham Dr., Oroville 5 = OK = Not OK = Not Applicable RESIDENTIAL4Singte and Duplex) = Not Ready Date UNDERFLOOR Plans OK except N's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -B lockouts -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. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 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 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except N's 66. Elec. Outlets & Receptacles at Kit. Counter 67, Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 72. Insulation -Foam -Looked in Attic E] 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 At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ;_.,;Yes :1 No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. 77. Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet _ 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30_ Clothes Closet Light -Shower Light 78. 79. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing Card B -I Card B -I - _Date Card -BI Date Date Card -BI Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric _ 31. 32. 33. A.C. Ducts; Insulation & Support _ Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Card -BI 34. 35. Furnace-Vent_Access-Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Date Card -BI _ _Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date _ Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. 37. 38. 39. 40. Sills; Proper Material & Anchors Walls; Studs -Nailing, Spacing _& Bracing -_Plates_ -Sound Bearing Walls over Girders &_ Floor -Nailing _ ______ _ Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Rom_ex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hat. & Dimensions Garage Fire Protection Framing _ (NOTE:Anentrymust be made each time youvisit jobsite) JOK O = Not OK - = Not Applicable * = Not Ready MOBILEHOMESMISCELLANEOUS' t Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, VERS, CARPORTS, ETC. (Plans) OK except H's ning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch WIF ngs; Size—Depth—Spacing—Connectors 3$ X}��i2A`� 3. Sewer; Location—Test—Fall-C/0—Concrete Dec s; Girders and/or Joists—Decking—Bracing—Stairs—Rails ^ 4. Water; Location—Test—Easement Needed (Sketch) ood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Locatioh—Clearances—Grnd.—/ / Amp—Concrete*iJ�—fi�u _ ry Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Locatiort—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG arports; Windows—Doors• 7. Utility Clearance _ V.+E1ec. 17 Card -BI Date Card -BI Date Card-BIW,Date / 3 C-) Card -BI Date Card -BI Date Card -BI Date Card-BI�4j Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except p's 1. Zoning Requirements—Setbacks—Easements Date POOLS (P lansl OX 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— Enc losures— Pane lboards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date ..Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK 7 County Center Drive - Oroville, California 95965 - Telephone 916/53 -4541 4. APPLICATION AND PERMIT PE IT NO. `L NUMBER ASSES ORr PAF�•�.:I r `-� " I G BUILDING PE is / 1 ! IIIJJJ OWN TELEPHONE . OCC. BUILDIING VALUAT ON YSQ. L11J OWNE MAILING ADDRESS y CON ACTOR NAME 1 ITELEPHONE '•X « CONTRACTOR'S MAI G ADDRESS tttyyy (� �f. - —. C ONSTRUC TIO L DER UNY NO WNN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ --- ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ •� Penalty $ ARCHITECT OR ENGINEER'S MAILING ADD ESS Permit fee $ --� BUILDING ADDRESS V r PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO.SUBDI VISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ZAddition Remodel❑ Utiliti s Installation❑ Other❑ Describe work: S Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service i$o AMP ORLESS5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ACDNS. ACC. BLDGS. 22 sq it CONTRACTORS LICENSE LAW I declary6nder penalty of perjury (check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Pce se and my license is in full forc and effect. ( License No. 1 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 CONSTR ULTI-OUTLET NON.RESID. BRANCH CIRC ITS 2.50 ea NEW CONSTR POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. so @ 250ice Ex. Occup(OUTLETS OR FIXTURES BAL@tOt FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. �f' LTJ 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 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 al ilities, judgments, costs nd expenses which may in any way accrue ag ins t aid County in rise q aniing_of this permit. �P �/ �. Q"0 X Date / u n ure of plicant — Owner C ractor ElAgent Pa-_ n 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. V Al PARCEL PDE ISS This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO PUBLIC By PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 77 Z Receipt No. 6r 9�l WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Shal! Be M �lorkrransh" �,��ctice'' and ater� use and Codefi e pTE�an r1 G„ � och AGGO e5 �!a ; sj e, o{ a qucali�a ;ding. C �}ni�orrn �'� E1ec{r�ca the Notwnal 0 A setback Property, °f 5 ft. from t t4 Of 5 / lines and a setk 50 -Ft fromh e Centerline shall road be clear o structures ore for a 2 ft. save ov�rhant e" • ng. �--o-a lot ago 1% sped4 n� C C, - o�eu� a O\\ 'c sON VA o °� or -, N\,,eoePa Nhe �o�ge^s�eocn�e. eP a04 o k a`�cnvco\y %440, 7 ?o -bb BUM COUNTY BUILDING MPARTKO-41 APPR®4dE 4. ' t.....- T•i: _- o...c.._..._- ,.,?y,w,r,.,M�a.....__....:_.....,s,,,n,,,,..,,.,r,M,,...___.•4rw.c.Awao. d . _ r- —•-• •--"'�'—. I , 1 17e�{�.� s t 7-4 i f 1.` f % .`` ��yq RUM COUNTY M BUILDING DEPA,RT{V N I APPROVED t. .. �� I • CL LLj CL elf a % � . � __ _ - - t —_� F � r t f •'• 'i_ ttt YAC' �c lt.�f 1114 /r� h 4ev vo f / Top rail to be 36 in. high wlfh Top rail -to be4F in. high with intermediate rails to be not intermediate rails to be not ? over 9 in. "apart. over 9 -in, apart. to Qr a J, y F � .�7fG'� �'�'. L ^ C:� z e, i. �`r``"'' �• ...-..:ti,..,..-.fir jt_,_,_�� _• fl .ri =_t_. �_a�,. TtT,1�_i, j��' C.� r a e9tel bra ice!:.-�, C'% 9' � 'P =� PfaVice. adequate ra fn t' s -.- .. .. -- .. [ .e.` jrv'=.... �. ?ter 6� i�l �G _ __ - - - - _ •.- . Im MOIIIENONE ACCESSORY AVIIDINO OR'STRUCTURF NFAIiH AND SAfF1Y CODE. DIVISION 1]. PARI ] - APPROVED SL']:f<i i0 CORR[CilONS NOTED " d..y mal I•m reeu me.n'ol'•yp <,•Wa S,oNR 1•.bn•� ° ........ N.... 1 -c- ........ . ynl:lOrnb :� dC hD. I m DrvISION or coDEs o sl ND�RDs • By�CFIIL� �' !�� Date .._� _ SPA 1,10...__ZE—�2 This Plan Approval Expires. JAN =8190 { • i BEAM MODELS E ' 4 I -BEAM MODEL. SCHEDULE OPEN ':I -BEAM MODEL ENCLOSED MA'X. ROOF PANEL MAXIMUMBASE PLATE' I' :BASE PLATE' ODEL'LgN ..•.w•. (TRI• iFL_AT"POST SPACING POST SIZES g ANCHORS ;FOOTING (POST SIZES Ig ANCHORS FOO—TANG STEFT - I Im MOIIIENONE ACCESSORY AVIIDINO OR'STRUCTURF NFAIiH AND SAfF1Y CODE. DIVISION 1]. PARI ] - APPROVED SL']:f<i i0 CORR[CilONS NOTED " d..y mal I•m reeu me.n'ol'•yp <,•Wa S,oNR 1•.bn•� ° ........ N.... 1 -c- ........ . ynl:lOrnb :� dC hD. I m DrvISION or coDEs o sl ND�RDs • By�CFIIL� �' !�� Date .._� _ SPA 1,10...__ZE—�2 This Plan Approval Expires. JAN =8190 { • i BEAM MODELS E ' 4 I -BEAM MODEL. SCHEDULE OPEN ':I -BEAM MODEL ENCLOSED MA'X. ROOF PANEL MAXIMUMBASE PLATE' I' :BASE PLATE' ODEL'LgN ..•.w•. (TRI• iFL_AT"POST SPACING POST SIZES g ANCHORS ;FOOTING (POST SIZES Ig ANCHORS FOO—TANG STEFT - BEAM MOD€LS ?' , _ COVER C, �� I- BEAM MODELS • �T6TAL �f 'N J'JQ....000"neoJ' �e•.e•. /k'rS/.f'♦.oStq'+N• j• 9Yp...2 BSO• G•1BE00_EORSfT -..i•S :fly!, I ••ii S) /NEO r .O/8' LO/B•' .OlA�: IO SO♦ d"J4• a./B2f�tJ:?• �B'we_1}"'/. �t �_' _ _Jo"JQ../B• � m=•�l)'it7�0= EMBELLiPpRxfT 3�/O'SQ.ag9 •i. PARK ADDRESS— DDRESS. �•. �I IS... 'I. (20=28? 4Y/�+•011 •t/LCO• /OLIO%Et•W/•m 111 J0•rR!" w/S'O+,rJf l/?'O�• lsiSEL1LIFOR•VT 4/0�37..,y!I. DINER IA OWNER •• I ��• - I'�`J ,I J•.sQ.w.aoo•.T•-s• _e•.s!'g•'7`�F_/.._ r=B sp.r�B' _1+,s17...�f+.eco' fM61ELAEo/LZf'r_'3b"sq_r,y'• Ela AMS /pt 0, .O/B' 0/8 "'r.Oz# _ 1tf0• JJiQ.,r JBT1 •w lcl• .B•wBLlt•' B !•0.101 riB' q �r.[9TJS,dO'• fiM4ELiL1EO fC:iT .i •!Q.%B''. . MtAIKr DISIM PER j AUJIl1LA COSPACTIONfVVM' 41' RE A RIO ASSOCIATION 44) TITLE 25, STATE OF CALIFORLIA 6. 3' MARE POSTS 510118E GRADE 'C' STEEL IV (OEQRA`M WITH A.S.T.M: AWf: (C) it m1FR ,TM [RESENTS SHALL 20:301 4j5•ew.o0t"=/zro• .rosrowJYM�/•I rl na./e• 4J�t�r./tro' EM6Eac�.�wsT iV�sp./e� . OSiail)M : IOff LIVE LO'YF10 P.S.F., HORIZONTAL 41010 P.S.F. 'ANIONN LIPLIFT•10 P.S.F. NOTE: HORIZONTAL HE IN QXFORYJ(E WITH A.S.T.M. A35 M MAIL j 1' I I I 3!A'i.r ./e3 •w9'1• •i /O}/O•+K,w w�y0 ' !'{=SQ../e' _3 S4_+_,?f �B�O• FI/BEGLYO 01:17 ' 36 _/0 "+i 7 Al lnwR IN DMAr) WIN SOI SIN! E PAINTED WITH -JONES Dv e- TIN: -OCH 32-15 MINT DI Sm- � .. l wJGfQAM. /Z(011 /T •I> I •O/B•: O/B•' .024' L}=0• x111 MC O• EMeEOAtO AXfT 4C!fq.wV• I I' Zos 32 Y'q .• '/r'1/t}Nr•Wr 4 f !'ssq.4f• I % 4 0 001_1 /Y EO Al. FAS]Ef16 ME TO E ALVAN12FD. CADNIIM MTED, STAINLESS STEEL OR 20444 MUH7M; FOR SIZE MO SFX116 OF FAVTM, SEE DETAILS. (A) S�M TWO PETAL SIDE PLATES N EE: HEX HEAD, POE71-DtIVLM WITH )P&FTb FOIQ INTU LLY WIN i - ( i --- 4sf1A+.scut'=/t =o• EMBcoaEowJT 4�a'Jq../i• II 1 1.•i'SQ •. /Q7S'w YP1 B•• - EEO_0U0 F100 1' I BotO.ocO''• X/O1J'7T— req DIVISION OP. M'PRIM 63A WITH MINDUI RLL -0)T VALVES: 3A• DIA X 3-10' MINIMA CO'UETE 0XV-1250 LBS. 013 10. SNL MY E AMY WOLEAL SOIL DR EEDIIR M @ERCT FILL EXCEPT LOOSEQR DFA\IC TYPES. SOIL VALVES TO BELOOD wMIH : O,E• "9"-t"• �-O•+/OL•—it'"�Y� _EEMMBA �f O/B•I ,030'J1 v- ,J4c40''SSQQ.+r/B•' . P.S.I. OR ETTSIL �� ll, POST MY E INTO aOETE FOOTING AS SIM IN SECTION, IN RACE OF Wa PLATE C0; EC_11CN FER DRAIL (13). • '14AW0O17w.1..!.21•lf'i'•L. 22k3Z '-'l]i7 EMBEOLL�O snJs 4{O•Jp. r,E!• I ( FOX ENGINEERING -INC. ' �3•Jg+_AB�3!"121013!"12101!?" i/O"w/�}��?3!"12101° I !:!Q•1.Yt'•Bf0' EMBEOGEPD AafT .!k!f¢rb• - +' 4�b+.12•=p'O• EMBEmE0R7Sr so'styr/e•• jI OF CALIFORNIA MOBILE HOME AWNING- FnEESTANDING AS Manufactured B : d6FAM' /G s0• ^Il '.024 .1.036'1.0351 E AIQ=G• r (2'/'+ 31 f 4(/','bw. T00'w /S �O• .EMBFQOrO P44T ; Jf!Tpw/B' .' 4'.}'4r,T/YS•'/2F0' EMBFOAEO P057 416nS409r . . L'L= I UNITED DURALUME I jj •iu .. ''I !s!p.=./BTJ'IF 012' /r /Z •i /j•"''/, '0 J:1•lp.rb" j. J•Ja•.?T're*O' FSIBE00.rO i�:'T ". !L'JQ•w/B• • /BAO• (`^/7 l). .030•;q i E ti O + -'�-- 4o1_rY•w/0•-a� MBEOQEO R7ST 4E0•JQ_re• i (ZGw 32') 4Y'Ow./20L/Z=0" EMeEODEO PONT 51X5*14V• 4Jt°®r.317'+/t'-0• EMBEDAED /bJ7 IL•Jq.rN• CALIFORNIA 9261 I {', . i II 1 '-. 9JQ.w./B7f%J✓-2' �EMBEDAtO /L'IfT I JE�p.+/B" q'F 4=•?O ',r 8101 E}fBE00FO ~r I) .9ca" '4/1.3'--rb* N•!=B"•Jpw/Q' -SBSAM /0A8' J) `! .0.18•I. I - I 44110=.18/'+/0=o' EMBEOOmo.-wr 4�'�1•/Gf1L/l=0' rMBE110E0 sasT i!=ro'sq,•b• 4+ „)• ,,-37 •/250' ZwwiozL CST_, r0'514+,Ay+ 7 - l I HEREBY MflONE OF THIS . STTAXWDI PLDRDANIM WITH STEFT - ORWI16. "a NO. SPARE SiE PMOL."" . APPRIM B!: TDANT'S WOE . PARK ADDRESS— DDRESS. DINER IA OWNER . PARC MVM: • . . MtAIKr DISIM PER j AUJIl1LA COSPACTIONfVVM' 41' RE A RIO ASSOCIATION 44) TITLE 25, STATE OF CALIFORLIA 6. 3' MARE POSTS 510118E GRADE 'C' STEEL IV (OEQRA`M WITH A.S.T.M: AWf: (C) it m1FR ,TM [RESENTS SHALL - . OSiail)M : IOff LIVE LO'YF10 P.S.F., HORIZONTAL 41010 P.S.F. 'ANIONN LIPLIFT•10 P.S.F. NOTE: HORIZONTAL HE IN QXFORYJ(E WITH A.S.T.M. A35 M MAIL WINO 9A L APPLIES iO 2 TM R(LELIED AREA OFALL RMIS CF OE FACE ff .AKOYi IF Tel OR SSS ATEA IF ENCLOSED. 7 Al lnwR IN DMAr) WIN SOI SIN! E PAINTED WITH -JONES Dv e- TIN: -OCH 32-15 MINT DI Sm- � .. l %. tlllllHA WEIGHT OFFOOILYS AFC1.5 TIMES THE IPLIFT. S. k4lY .yEl.+►L G4*11 ' VeA/TS /A/ CONTACT hV/TN EARTH SHA44 BE 0AL vgn/i1E0 OR Al. FAS]Ef16 ME TO E ALVAN12FD. CADNIIM MTED, STAINLESS STEEL OR 20444 MUH7M; FOR SIZE MO SFX116 OF FAVTM, SEE DETAILS. (A) S�M TWO PETAL SIDE PLATES N EE: HEX HEAD, POE71-DtIVLM WITH )P&FTb FOIQ INTU LLY WIN i 9, Il11fnY MIK 1D E BY 4411E OF 1:2-1/1:34/1 (CEM(f, SAID, GRAVED WATFW@i'CI PATIO 9M11 HOE fX® 7-1/2 9. HEAD. •(B) CDCfETE A'6OR Rdis S!gLL BERED HEAD' SELF-DLILLIN S ANC ORS, A3CP, AS MYFACIIRD BY iTT FMIlL13 DRILL ATER PER SAOK 19rt: OTFIESSIVE SrFE" OF D7Q070MSMLI EE 2,0111) P. S. r. OR EEM NI "Y' 1 . 6gLLp6 OF OF @ w DIVISION OP. M'PRIM 63A WITH MINDUI RLL -0)T VALVES: 3A• DIA X 3-10' MINIMA CO'UETE 0XV-1250 LBS. 013 10. SNL MY E AMY WOLEAL SOIL DR EEDIIR M @ERCT FILL EXCEPT LOOSEQR DFA\IC TYPES. SOIL VALVES TO BELOOD �. P.S.I. OR ETTSIL .5. STEEL SPECIFICATIONS: (A) ALL MOO 1LEE POSTS S ALL E FECIANICAL 7181.43, OHMIC WELD WITH MINIMA YIELD 78116, ll, POST MY E INTO aOETE FOOTING AS SIM IN SECTION, IN RACE OF Wa PLATE C0; EC_11CN FER DRAIL (13). • POINT ff j6 K.S.I. (ASTM A36) OR AFflOEED ®AL. - - FOX ENGINEERING -INC. ' "'•°''•Y'STATE n OF CALIFORNIA MOBILE HOME AWNING- FnEESTANDING AS Manufactured B : /r ,;,77-100:31 E JAMES M. FOX. STRUCTURAL' ENGINEER JAMES G. FOX. CIVIL 'tf••a••� y AANc•a.ron u,w . L'L= 10 psf UNITED DURALUME I ENGINEER I-' 450 MANHATTAN AVE. P1h(714772- FULLERTON. 2 OF 2 1010 ♦rcccn..N- •o. DowNe:: cAl. n.' ••f.•as.' CALIFORNIA 9261 sNan In AL NN- ALLO r.YOO# - Vi? - t 1 vv//v • •-(-• 2 p .A wr. 17 o%R aAa s' as rw -- .r 4 I � I "---------- �— ---- su1 ,/cr: ��,t� x/J ILO t, I . zo• / root • / Bd' z.?o^' i BO 2.10 �'---�- �.ag'----/.o I ..00• L �.00• *.oO' wao', .0.00,i_oo• r�—AcuM•A'N/, _ ;00 r,QfAM 3"x 12" 'W" PANEL 0 21/2"'x 24" TRI PANEL S-yE,M Qclf rl / Irt JfB otT4/L AILGbM•.K10Y J%004 vie. alB. � •c C• SM 3 (_ �� Z �, /t ! U 21/4" x E ATQ�7A/LS /J!"o. c. 6a.I.L•Nr rc_ a���..,xvv� r{?' 3" /'/' 3" 'A C, SPL/C 5 � sc .oro• ♦ .oz4•`t,/• a • sa,a,,,,,o cf Pda l i I + + % sr 1• 3' /-/' 8' GO• PlO•SAM .MODELS, w iNI //zaorAv I + ♦�+ + cc:, cArt z vA i z !e- + + I + + ses ca�.o..rue srr - � M.'fRF OGYfI .wlucA 'C-'12 PftC44 RoIlfTrmed Aui^. L tm ux Extruded AuuAwwGcwve-Tlr _ ®_DECORATIVE PANEL j0 SPLICES - FASCIAS ELEVATION g� SF/�� ILSE� UE lA'.b � • GO¢ ' I/'• /./fes • 'VO [ /t / N/A J .V BSI . EfGV MOB/LSN4ME AAI{LN,� ON. .MM•/MUM J~ PJ ar/Gkc � �� ~ Ar7ACNu 0 T ERE'7O, NA Y/S//CE LOC/7JiD�16 .WC Z-IrAN AwagE(s p^ CONT. 'I•SFCT•..026•' I .r ;,, 1/// •IG+►NroMr. .(MJ,OsO.�I-GN'JbG,e), I I B67GfA,(-O4ryC'r I, N •/ O .W oGAT'. iwNiPJi,tOnLvPNilaJ1/o70s.YMvS1rWWA /.N�oAC 1"n.CFeIl!T�,.LLw' nry � I �cc t/oS-M. FJLN u Ar I Q i AL[ s-frFA.. II � � i SNJLl BEALLGN• '� ' : ALtor G01G/-rYi rro. J Harr e.¢..cce•rEc TN220LKN/gr7 © R. F FASCIA w/SQUAB POST OO R. F FASCIA w/ROUND POST ®EXT. FASCIA w/SQUARE POST O I- BEAM w/ SQUARE POST J. O' ', M' � 1 2.26• I 2-2 4'ic' ova, c. dID/glax- p !+ J./L• PAN RO%MNQ B•, Standard 3' Bracket opo' (StBel)' • • + �AtarMA1 ci. t0� A•S•7. M.AJG J7L, , I I 3" Sq. Post Round Pos /^^• A4t. 6R.•.oE."C'4'feEL_ a.S.T.M• 4--,.' + Dttcc/ r(� Gte Rollformed � ' �I .OIS' r2��.., N• f.�/ fJNg � p 2k`•G /FG A7 P.W4 I l IC I _ �_ /,ta •„ POST PROFIT FS PnST- RRACKFTS I�d,Q9q P SIDF i'�� SOL/GL 1'SEE A'L p� .7Y'/�SF� A/G ; }5 y t:'T/•370':25 N t/oS-M. FJLN u Ar I Q i AL[ s-frFA.. II � � i SNJLl BEALLGN• '� ' : ALtor G01G/-rYi rro. J Harr e.¢..cce•rEc TN220LKN/gr7 © R. F FASCIA w/SQUAB POST OO R. F FASCIA w/ROUND POST ®EXT. FASCIA w/SQUARE POST O I- BEAM w/ SQUARE POST J. O' ', M' � 1 2.26• I 2-2 4'ic' ova, c. dID/glax- p !+ J./L• PAN RO%MNQ B•, Standard 3' Bracket opo' (StBel)' • • + �AtarMA1 ci. t0� A•S•7. M.AJG J7L, , I I 3" Sq. Post Round Pos /^^• A4t. 6R.•.oE."C'4'feEL_ a.S.T.M• 4--,.' + ice. / rG/A!gL 4PADC� �i--"• _�L74C,tE7E Jt�O UNT 1 oti<G aar e..cc t �- /N N FEId g."' O•r9 Garr VlEI✓invSrlEL J/ZE JEE .ScNBOL/Lf, � ��•-! .A 7' ONLY• SECTION A r)nneN� 7J - SPI 1( -FS - T - RFANIS ♦1♦ 1 rl• /t OXt — j B6Mf + + SPG/rE5/yLY 1+ 4- BEAM _ MODELS Dttcc/ r(� Gte Rollformed Extruded GENEc Non 4 i.:-. Struct. Stl-. Tube A•.S•TN. A•JG.JTL I I ,oG!/wtACt_V •Alt2 acaz. AL(or G06�-Tj _ �_ /,ta •„ POST PROFIT FS PnST- RRACKFTS I�d,Q9q P SIDF FASCIA CONN fl3 POST BASF PI ATF-, ice. / rG/A!gL 4PADC� �i--"• _�L74C,tE7E Jt�O UNT 1 oti<G aar e..cc t �- /N N FEId g."' O•r9 Garr VlEI✓invSrlEL J/ZE JEE .ScNBOL/Lf, � ��•-! .A 7' ONLY• SECTION A r)nneN� 7J - SPI 1( -FS - T - RFANIS ♦1♦ 1 rl• /t OXt — j B6Mf + + SPG/rE5/yLY 1+ 4- BEAM _ MODELS �" i9 o,� F FOX ENGINEERING INC. JAMES M. FO%, STRUCTURAL ENGINEER JAMES G. FO%. CIVIL ENGINEER .ow r.�...... • oow"cr. c.ur. �e� iiia STATE OF CALIFORNIA MOBILE mOME Awt,ar,•�- -•EESi l.'u.'„� UN ED DURALUM�tUP d a I '145 MANHATTAN AV Ph.. F% FULIERTON CALIFC°NIG 192631 --'•�C31 _ �_ /,ta •„ , I _ n `• �• Lp> .n l IF ,2 -•may PERMIT NO. 3652-81B PERMIT EXPIRES OWNER Raymond Gomez CONTR. Northstate Alum.,Chico ASSESSOR PARCEL 8-12-77 LOCATION 2637 Brougham Dr., lot 77, r Carriage Manor, OroviUe . •I a r s Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E --3- JOB'FINALED (Date) Signature O = Not'OK t` = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except H's Date DECKS COVERS, CARPORTS, ETC. (P ns) OK except #'s 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch' oning Requirements—Setbacks—Easements 7e"footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4 Wood 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete Mosts—Beams—Rftrs.—Connec.—Shthg.—Rfg.=Bracing uColyrtffis—Con ons—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 7. Utility Clearance 5. Carports; Windows—Doors- 7. Elec. Card -BI Date Card -BI Date C d -BI Date /4P_Card-BI Date Card -BI Date Card -BI Date Card -BI , Date gq•Card-BI Date Date MOBILEHOME INSTALLATION (Plans) OK except q's 1. Zoning Requirements—Setbacks—Easements 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 4. Electricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4• Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O 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— Enc losures— Pane lboards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date I a = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Fig., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. 8. Piers -Fireplace Ftg.-Steel D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. 12. Electric; Underground Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except k'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. 15. Water Ht.; Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. 17. D.W.V.; Test-Fttngs & Anchors -Nail Protection Shower Pan; Test, First Floor -Tub Access 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access _ 18. 19. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. 72. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic El Yes 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen &Conductor Size 73. Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive [I Yes E] No; Walks ED Yes E] No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -131 Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except N's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic ---- Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors 37. Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. _Walls; 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 Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. 46. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgl. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) • t t COUNTY OF BUTTE - DEPARTMEfy.T OF PUBLIC WORKS PERMIT NO. T.County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIOWAND PERMIT A,1 ASSESSOR PARCEL NUMBERZOt//! 008 120 077 0 r BUI ING PERMIT OWNER d Gomez TELEPHONE 534. 3239 SQ. T. I OCC. BUILDING VALVA ION Ala OWN, 'S MAILING ADDRESS' 2637Brou am Oroville Ca. CONTRACTOR'S AME Northstate Aluminum TELEPHONE 3437956 — ' CONTRACTOR'S MAILING ADDRESS 3029—A Esplanade, ,Chico CONSTRUCTION LENDER V UNKNOWN Fireplace Total Valuation $ Q Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ /0.00 ARCHITECT OR ENGINEERLICEN654 Gord on Plan Checking Fee $ /0.00 $ fRelPenalty ARCHITECT OR EN EER MAILING ADDRESS 1525 U St., Sacramento, Ca. Permit fee $ "30,00 BUILDING ADDRESS - Carriage Manor, 2637 Brougham, Oroville Ca. 95965 PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT N .sus /7r,�rl-��.6 Iv�O�Ti;_� LMAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeEN Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New � Addition Remodel [—IUtilities[:1Installation ❑ Other ❑ to Describe work: 51 x 141 R., awning Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.51) OR ADDNS. % ACC. BLDGS. 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 Professions Code and my. license is in full force and effect. License No. 2740OR Classification B-1 ❑ I, as the owner, or my employees with wages as their sole compe'n- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONSTR-OUTLET 2.50 ea NOIJ.R ESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS !\\ NON-RESID. (SINGLE OUTLET CIR. ( Ex. Occup OUTLETS OR FIXTURES a �� FITLEXED APPLNS. OR Ex. Occup. (o UTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. FE] 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 3.00 Ventilation permit Fee $ Coniractc�r , y� 1 ,•,Z,�1„ 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 buildingto construction, cnherebyrepresentatives nesof Buttoter pothe above-menoed 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 agais d GouTty i consequence of th granting of this permit. X VoliVr a e 1}iminum Date 923,81 Signature of Appli nt — Owner ❑ Contractor ❑ Agent �� An OSHA permit is required for excavotions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. M^ iwMlIllaTlation° Fee", ra $ TOTALr'P6RMIT Firl'yL $ -3,0.040 OCCU . GROUP TYPE OF CONST. (� PARCEL ✓ PD ND 1SS. E E% This phi l gips itfere`f� iss"Miunder sions of ,!heaButtexCobhty'Xode and/or work indicated above for which DIRECT OF PUBLIC By PEPOWT E PtRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /'z9,?� .r Receipt No. � WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT *Mfm do 0"10 QMW 0 Amnvo t t• c° c, t t• CITY OF DEPARTMENT OF BUII`DIN(j'& SAFETY PLOT PLAN C---. /� -2 / - I V1 N DATE: -� 4-1. 1 ?�-") — A 6e IF04 BUILDING PERMIT NO. q0 6\5 I& .'JeA P/L kep+ IP/L � glAl of ttig alia o1?C'1;'1jddk'16'n1 )IN f� 1,0 df dil �F66% O'MA 4 It L at el4oaflo'ns an sat ;tom thb 00POAM61 S, C�Ilnlj of DU06- MOBILE HOME P/L' I A g&&& rtterlina of shelf beeNo9f except for a 3 'M iv. ew P/ L 7 STREET: ,EWI No. Name of Street Address: Name of Tenant: Brand Name: 1441ir=-'n;0UHTy State Approval State Model #t Chi Installer: ;T L" U Address: PVVM'?hon"err2 �Y Describe Work to be Done: I C -) C— -, c.;. Cost: $ We, the undersigned, hereby approve the installation of the above structure and agree that the information furnished herein is correct and in accordance with all applicable provisions of.. the Health and Safety Code and Related Rules of the State of California Tenanix -pa-rk Si nature Si t via � .: . N• �s`.. P �': Qui ;U' '. l 1 �,� S'1• Nt,�., �.•.. Al. Md�.�*'�,�'�{1�` ,,•'• +�j1��.�f,r''' (�1y��,• Ai s'f+':�e '1.1;��i�•1' :j;; �:':��::�• .�N,,�;��!??a'l,hk�.r; �:• .• ,' / fir• / w�l,.. . �� {� '� ,; �,' � �' •?� � . v. " ; ' l . . - xr ! �> �,-" � "r : � ��� ♦t,��jy�'t �I �!�� Y�!,y+r 1 . 4�[ .� 4 ,yy��"��Q�'! �*.,.'. � L�''�. x A 'S. i ur o , .�:7�, a ��:r •Z � ., - ..__.� � � w �•• �o a V R 0[, ��� �p ., i '" ' ��^ �� ;` • Mijo a w�i ;gyma r . i A R rb 4�ui• 8� w t1b � � � � ;. • e^ �^t� � .fit � — I � �•' `4'" 14 41 + �"�� � A � i =.s �� �iz��'=:s�a at=�=i4• _� � 3jii�•�r•stci ,�� •�' � �'�� •t MFI YJ 63yc �i is cit it i - .1► �.t b tb A Z = r t. 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