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079-390-050
A. P. 0 57C) I STREE 4391 Fobthill 0 'ovill�e Permit 566-74B,P epai e- , model) r ' NEW OWNER LOT BLOCK ' {-- SUBDIV. - BRUCE SPANGLER 4.391 Foothill lvd. Orovil� TYPE OF '' SUED RIE M A RFK S• PERMIT , PERMIT NO: PL;'ANIN0. DATE ISSUED Contr : Waibel AC Inc. Permit ##5551 '76E,M (ele furr,l y Contr: Roster Job's Electric Permit #5549-78E (temp ser for,% r power of freezer) Qh 1 1 9 V - r ' /^ Permit ��S 8-78P,E(t;pil. ,MH) � - ELEC. ® S GAS . ;:T N • SUPPORT STRUCTURE REQ, d -•• • COMP gTION TEST REQ. NO y . - - . - - - -1--kms-1 ! p�� 9 - • - - . , �-- contr: The Oaks @ Lake Oroville Permit #6226-78.MH Issued z j PERMIT DESIGNATION: B-BUILDING E-ELECTRICAL U-USE PERMIT HM-HOUSE'MOVING P-PLUMBING TV-RADIO-TV ANTENNA V-VARIANCE EP-ENCROACHMENT DEPARTMENT OF T-TRAILER S/W-SIDEWALK NOTICE S-SIGN PERMIT D- DEMOLITION BUILDING AND SAFETY 600.1 D-mi r M U) xi m m y sp D T T r D• 2 n m Ol C C Q S 2 3 4 Z C 3 m m A m y Q 2 O 2 y Q T m S 3 i C 3 mA tll PERMIT O O m Q o m U1 C O A � r O m v -DI v 3 0 y mm T m 0 y 0 y 00D y m m 2 u Q Q Z rn In Z C D 3 li Q m D i Di D m Q i m i Q i Q i m i Q _y Q m -I ni i Q v - Z -i Q tmi� a m m m O m m m m a y_ m m m Q i O1 O m fA m Q v m D Q D D i m FORMS, m an m y Q 0 FOUNDATION v D i m REINFORCING m m D-mi r M U) xi m m y sp D T T r D• 2 n m Ol C C Q S 2 3 4 Z C 3 m m A tll PERMIT O m Q o m U1 C O A � r O m v Q v 3 0 y mm T y 0 y 0 y 00D m m 2 u Q Z Z rn In Z C D 3 li Q m D i Di D m Q i m i Q i Q i Q i Q _y Q m -I ni i Q v - Z -i Q tmi� m m m m m m m m m 1-0 III y_ m m m Q O1 O m v m D Q D m FORMS, an m m D y*D m PERMIT O m o m U1 C A � r O m v Q v 3 0 y 0y T y 0 y 0 y 00D m 2 u to Z Z rn In Z C D 3 li Q m D Di D i Q i m i Q i Q i Q i Q iD m -I ni i Q i - Z -i Q tmi� m m m m m m m m 1-0 III m m m O1 v D .i m FORMS, an .Q 0 FOUNDATION D i m REINFORCING .m Q v STEEL m FRAMING Ul Q INTERIOR D m m LATH y Q v EXTERIOR -DI m PERMIT NUMBER O y v y v y 0 y 0y v y 0 y 0 y 00D D D D D D D D D Di D i Q i O i Q i Q i Q i Q iD Q -I ni i Q i Q Q -i Q m m m m m m m m 1-0 III m m m LOCATION. FORMS, FOUNDATION REINFORCING STEEL FRAMING INTERIOR LATH EXTERIOR LATH INTERIOR PLASTER EXTERIOR PLASTER CONCRETE BLOCK GARAGE FIREWALL FIREPLACE FINAL 1 PERMIT NO. 5488-78P,E fi ' PERMIT EXPIRES! OWNER Bruce Spangler t { CONTR. owner y. LOCATION (A.P. 36-32-8 ) 4391 Foothill Blvd., Oroville I I it i • Z�f r r a F+ . f' ,Y Temp. Power Pole r r Called PG&E Temp. Elea Se '"i Called PG&E Cp. GBS Serv. " l Called PG&E JOB Z FINALED O—t3 (Date) ./ (Signature) Setback orms Main Bldg. Footings temwaI I Slab Carport Footin Slab Patio Footin isonry We Stucco Mesl e Scrd or Lath Water Piping MOBS Water Piping PATE COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUIL ING INSPECTION RECORD BUILDING BUILDING (Cont'd) firewall I SON PLUMBING PArapets 13t Floor Re room Finish 2n loor Wind ws 3rd FXpor Siding To out Roof Sh athing Water Pip,19 Roofing Sewer Fdn. Vents Fixtures Garage Vent Water Htr. Insulation Heaters Prov. for physl lly. handicapped Conformance of ex structure Appliances Gas Piping & Test Temp. Gas Final A Sanitation FIR PLACE Final Footing N Eli Throat Rough Final Fixtures TR MECHANICAL X Grd. FalPt Prot. Heal(na Servi Co Zing TgAp. Pole cts nder round entilation Permanent Final anal rILITIES------------------ Elec. Service WO ZP I f,7WAElec. Pedestal- 1 Sewer Gas Piping 0'-'V,1 . 0- .7� S A L TI N - - - - - - - - - - - - - -Support Elec. Continuity Drainage Gas Piping REMARKS OR CORRECTIONS �� ono- � i� ��?7"`'7" • 1�� l (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE 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/O ! '" for the following location: Owner Owner's Address7/ Mobilehome Mfg Z2`:' f °' Model ?�� F ' 7 Year Insignia No. 27-7 ;W �1 �D , pi ,-� :1�! Serial No. y` ' It is hereby certified for occupancy at the above described location and may be occupied. Director.of Public Works Date THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - OWner,"Yellow - Installer, Pink - D.P.W. q MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome locatedL11 required 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_ No 3. Are footings and supports properly sized, spaced, and braced as pew --approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ No 4. Is the mobilehome level? (Sec. 5088) Yes_ No 5. If mp/ than a single unit, are crossover connections properly installed? (Sec. 5088) Yes 1100 No 6. Water / A. Is `f�xible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes- No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes_ No C. Backflow - If coach is not State of Calif approved, does station have backflow device and pressure -relief valve? Yes_ No_ ,/ 7. Wastes and Drains "\. A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes_ No B. Does it have minimum 4" per foot slope and is it properly supported? Yes Iveo C. Are any leaks detected in drainage system after runnin�gallons of water through each fixture including washing machine st ndpipe? Yes Noz D. If coach is not State of Califorroved, does station have required trap and vent? Yes No P. 8" Gas.Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connect not more than 6 ft. long? Note: All piping is to be at least as large as the mobi�ehome gas line inlet with 't reductions other than the mobilehome connector. Yes No B. .Test OK as per following procedure Yes_ 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 mobilehon�e.with connector, turn on gas, test connections with .soapy water. C. Are all appliance vents properly installed? Yesl No C_ 9 Jrq�st.Via- 1 .. . 9 . Electrical ------ A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum o 0 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes— No B. Is there proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes_ No D. Is continuity test satisfactory as per the following procedure? Yes ' No 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/. UL'�" ` / Manufacturer and/or Namestyle vf� Length (/ Widthqr �`rL� i Vehicle Serial No. –r State Identification No. 0 % ' G ? [2-- Additional Information or Comments: S � I! COUNTY OF BUTTE — , DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel�ephone:'534-4541 APPLICATION AND PERMIT aUn IUl 1&v Itlt/ItlJtllllaLIVtlJ UI Intl LrUUIILY UI DUILV tU enter upun the above-mentioned . operty for inspection purposes. i ADate Signature of er ee or nt w IF -Ter o. 249 (r� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE OR OF P LIC WORKS BY /Date ILZg permit expires Date BUILDING Owner &9U&E -�;-'PAAJK LE -Z SQ. FT. OCC. BUILDING VALUATION Mailing Address 1q39/�OOT/>�/LL 91-11/�D, /LV VTC/(/ 0/ / / �7 �/J }, (J n� v /tom , Contractor aG(f /v Mailing Address Fireplace - Total Valuation Telephone No. Permit Fee Building Address 39/ (,[� %1L v � Planng Fee&/or Penalty Permit t Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00r00 Each Trap 1.50 / � rig xgrification Only] !L� Repair drainage or vent piping 1.50 A. P. No. �— 3 g — Zoning & Planning Water piping 1.50 0,00 Each gas water heater or vent 1.50 F461 fte Sa ( ion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 %0i00 EQA Parking Parcel Plans Declaration Parcel p 60' R/W I Improve nts Each additional outlet .30 Building sewer 5.00 ,OO Bldg. ans Rec'd Parcel Approval Plans A� proval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ �- Permit Fee $ 3,00 $ 33 ,J l/T/L/V-6S 4Qe1,W— TD aPLAGE 66(aI&D ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 3,00 100 AMP OR LESS 5.00 Main service 600V OR LESSS,aO Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50 ar,S`D 5500SQ.FT.. MINIUM FOR M0�3;i F$ Main service OVER s 25.00 100 AMPOR OR LESS Main servi ce EA. ADD'L 100 AMP 1.00 OR ADDNS. ACCLBLOGS.CCUP. S) 2¢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 $t le of: Y NEW RESID,CONSTBRANCH CIR T NON -REBID � BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 8 NON•RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES 6 L 1 � Ex. QCCU FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00100 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ 1 certify that i have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ $� C aUn IUl 1&v Itlt/ItlJtllllaLIVtlJ UI Intl LrUUIILY UI DUILV tU enter upun the above-mentioned . operty for inspection purposes. i ADate Signature of er ee or nt w IF -Ter o. 249 (r� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE OR OF P LIC WORKS BY /Date ILZg permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO s 7 County Center Drive - 5 le, California 95965 Telephone: 534-434-4541 APPLICATION AND PERMIT BUILDING Owner �C ��� SQ. FT. OCC. BUILDING VALUATION Mailing Address l Telephone No. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO s 7 County Center Drive - 5 le, California 95965 Telephone: 534-434-4541 APPLICATION AND PERMIT QUl11VIIG�i IGFlICJ C11lGUVUa UI 1110 %aUU1ILy UI OULLU lU CIIICf UJJU11 LIM: above-mentioned property for inspection purposes. �/ pate /0 - /-7 - ?O Signature of Per`m�itee or AgenJ Receipt No. 4 ,� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO P BLIC WORKS BY Date Buil—� Z _7 Building permit expires Date BUILDING Owner �C ��� SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor /�S ,0/-."9/ ,-H /[fie �%QON•G� Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address r - - - Plan Checking Fee&/or Penalty Permit Fee --L( PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. �--« Z Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F UW7tiOn Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA I Parking Plans I Parcel D laration Parcel Ma P 60' R/W Improvements P Each additional outlet .30 Building sewer 5.00 Bldg. c'd I Parcel Aal Plan pproval Lawn sprinkler system 2.00 NEWL❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ / p 6 / C //,o /-.1 e � -XR ��/9 /oN ELECTRICAL No. @ FEE j 5-,q �- PERMIT FILING FEE $3.00 Main service 100v OR LESS 100 AMP OR LESS 5•00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 6 00V25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING O OR ADONST ( ACCLBLOGS.CCUP. s) 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 /V)/•Yf'<e LET NEW RESID,CONSTMU LTI.OU CIRCUITS) NON -REBID BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS a NON -RES,D. SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTIIRES 5 L 250 1@ Ex. QCCU FIXED APPLNSOR P• OUTLETS (RESI.D.) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 f License No..3 3 / � Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for W kmen's Compensation. ave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No -1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ C9 < QUl11VIIG�i IGFlICJ C11lGUVUa UI 1110 %aUU1ILy UI OULLU lU CIIICf UJJU11 LIM: above-mentioned property for inspection purposes. �/ pate /0 - /-7 - ?O Signature of Per`m�itee or AgenJ Receipt No. 4 ,� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO P BLIC WORKS BY Date Buil—� Z _7 Building permit expires Date 'f3 � ( �.-r 4 ; /l i4ll utility connections shall located within 4 ft, outs: I be -}ow .�.� Aird section of the mor home on the left (roa home, d) side of three mobile jiCe I MJF} The 101t. Setback shall be 5 ft. from the sideproperty line and 50 ft. from. the centerline of the road, permitting a maxi - um of a 2 ft. eave overhang but entirely 'a t of all easements. ,Y NOTE:—All Material's & Workmanship Shall ge ,n Accordance wrth Recognized Good Practices and '7 , �""-'of a quality prescribed for the S�A�;f;, • • r�i F3-'Td�ngd,use in the n •g� M` ec— h nical Codes and the National Electrical Code. This set of plans and specifications MUST be kept on the job at all times and 4 is unlawf4l fl. n make eny changes or ai;erations on same wit wriffen permission from the Department of- �ub. lic Works. County of Butte. a required for the Inst , of he mobilehome. r Septic system and location of TO be as. p , Butte County Health Dept. Re. quirements. o36-3- o X BUTTE COUNTY BUILDING DEPARTMEN1 APPROVED 19 V, y s: r BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: �%� U e '0'a i1/ 2. Installer's name: ��� Ui/���� A 7` 3. Is the site currently under permit? Yes /1// No (If yes, furnish permit number .) OR Is the site an existing site? Yes / / No /`T (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. a_way from septic tank and leach fields and clear of all setbacks and easements? Yes / ✓/ayNo ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- / d Amps 6. What is the mobilehome site service rating? --------------------- / 7 Amps 7. What is the mobilehome site circuit breaker rating? ------------- d Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 114 (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 7 / 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if.pipe length less than 6 ft. on natural gas or less than 50 ft:ron"LPG:) r I y M0 -ITT-EHOME SUPPORT DATA % / If other -than single wide, Mobilehome Mfr. (��4/hN �/�/ S ]� furnish Setup Model No.,ki:?l — ear % Width_ (ft.) Box Length (ft.) Tagalong or Expando Size / D ft. x 3 ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. 10 a (ft.)(in;) Center support locations* 6 0 (ft.)(in.) (ft.) (in.) 13 S 9 (ft.)(in.) 49-- (ft.)I (in.) 2 3a (in.) (in.) Center support footing' sizes (in.) x � (in.) (in.) 13x l (in.) (in.) (in.) (in.) x.�� (in.)I (in.) Footings (check one) Single EP/1. Wood either Apressure treated or foundation grade. *If center piers are other than drawn above, draw in locations, spacing, and dimensions. 2. Other (specify) Supports (check one) LrJ l• Concrete block. F1 2. Other (specify) 4 ---Tagalong or Expando, show support details. Z x3 G -- Typical Support in.) (in.) Footing Size (ft.)(in.) -- Max. Pier Spacing b --'Max. Overhang BUTTE COUNTY BUILDING DEPARTMENT APPROVED Owner Mailing Address .rte COUNTY •OF BUTTE _ DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 %TelephonF'. 534-4541 ga /� APPLICATION AND PERMIT Z BUILDING j sem' SQ. FT. OCC. BUILDI VALUATION I. _X) &I—el Telephone No. Fireplace Contractor` �i Total Valuation �-�` Mailing Address / Mile v`) -Permit F '•` Plan Che i g F /or Penalty ) Tel ho a tom. `. Permit Fee , Building Address "t j MBING No. @ FEE RE.4M1 ING FEE $3.00 Ea(txrjv j 1.50 RWirtainage or vent pi •ng 1.50 W t iping 1.50 gas water heater ve 1.50 ^1 © A. P. No. s piping system 1 - 5 is 1.50 d— 6 oning & Plannin ach additional outlet .30 ? 0111 F Fire Dept. Fire Zone se Permit wilding sewer 5 EQA Parking Parcel Parcel Ma 60' R/W Im ov Plans Declaration p wn sprinkler sy .00 Bldg. Plops Recd Parcel AjrrC�l Plan r I P rmit Fee $ ELE RI I o. @ NEW ADDITION UTILITIES OT FEE PERMIT ING FEE $3.00 ain service 00V OR LESS lli�^71 100 AMP OR LE 5.00 M 'n service EA. ADD'L 100 AMP 2.50 Single Family Duplex Mobil Mal S 100 AMP 6 OR ESS 25.00 Ome Others M In s4vice EA. ADD'L 1 0 AMP 1.00 1 O D NST ( ACCLBDWELILDG P. 9 22sgft i NE ONS R ;MULTI.O TLET NO RESID. ( BRANC CIRCUITS) 2.50ea NE CONST (POWER PPARATUS & •RESID. SINGLE UTLET CIR. CONTRACTORS LICENS AW I am licensed under the provisions C a er 9, Div. 3, of e State of California Business &Prof io Code under the a Ex. Occup(OUTL S OR FIXTURES) @yQ BAL@1 Sty o ' to / _ �{J 1, J FIX APPLNS. OR Ex. Occup. (OUT TS (RESID) EA) 2.00 Temporary sere/ca 10.00 Mobile Home Faciliti s 15.00 Misc. Wiring 6.25 License No. � C ssification 6V2A F] I am exempt from the Contract r L' ense Laws of the Stat f Califomia. Permit Fee $ WORKMEN'S P SATION I URA CE MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 I am aware of the provisions of ection3700 of he I' ornia Labor Heating Code which requires every em oyer to be insu d s alnst liability for Workmen's Compensation. �I have placed on file wi the County of Butte a certificate.of Cooling Workmen's Compensatio Insurance. I certify that in the erforma e t ork for which this Ventilation permit is issued I sh I not emp any son in any manner Hood 2.00 so as to become subject to the Work n's C mpensation Laws of California. Permit Fee $ $ I certify that I have r d this applicatio and state that the above information is correc . I agree to comp) to all County Ordinances and State Laws r ating to building construction, and hereby TOTAL PERMIT FEE abov -me 66ned pr perty for ins W n purposes. Date / y Si atu f Perm�iitee or Agent Receipt No. / V ��N White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the ap licable provisions of the Butte County Code and/or resolutionso do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC W RKS By Date Building permit expires Date PF.RMTT APPT.TCATTON WORM gHF.F.T Zoning Permit fee based upon: 1. Complete contract price. 2. Partial contract price (explain). 3. DPW Valuation (show): Permit No. A. P. No.' - 3 Approved Not approved At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: Date received 1. All items have been submitted. =------------------------- 2. Plot plans in du licate tri licate ----------- -------T-- 3. Complete plans in duplicate/triplicate. ----------------- 4. Complete engineered plans and talcs. -------------------- 5. Fees of $ -----------------T-- 6. Letter of signature authorization. ---------------------- 7. Sanitation approval. ---------------------------------- 8. Planning approval for 9. Workmen's Compensation Insurance Certificate. ----------- 10. Contractors license information. ------------------------ 11. Parcel declaration, recorded copy. ---------------------- 12. Access declaration. ------------------------------------- 13. Aunt Minnie information. -------------------------------- 14. Deed of access, recorded copy. -------------------------- 15. Deed of parcel creation, recorded copy. ----------------- 16. Parcel map,. recording data. ----------------------------- 17. Pre -inspection request for -- 18. Improveme s - plans required & DPW approval. ----------- Other - -- ��►► p- - By Datp �Y �O Bldg. Inspector During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items above and in addition the following: 2. Applicant advised by Telephone Mail Other 3. Plans checked by Date,,46 4. Plans approved by Date When permit'is issued, process as follows: 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone "Zil"? and hold for pickup @ office. 5. Other Before permit issuance, all of the following items must be signed -or marked NA: 1. Zoning use 2.' Legal parcel 3. Envir.Health - Date Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works - Date Not ic:e Sent A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C. Other 6. Other Agencies - Date Plans Sent A. Fire Dept. B. Other t p BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. I PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owners name: 2. Installer's name: !,1191, /22 "A 3. Is the site currently under permit? Yes bed No (If yes, furnish permit number )"" OR Is the site an existing site? Yes,/ No / (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all.setbacks and easements? Yes No :n . (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? ------------- _� %�\ Amps 8. Is there any other electric load,to be served by the mobilehome siteservice? --------------------------------------------------- Yes,Aw No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ------------ ------- 10. What is the type of gas service? ----------------------------- Natural / / LPG 1574- 11. 11. What is the gas pipe length from meter or tank to the mobilehome? - (ft.) 12. :What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) :n . A% ti MOB ILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. ��(�� • furnish.Setup Model No... Year �� Width (ft.) Box Length MoD (ft.) Tagalong or Expando Size _-0—ft. x� ft. SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October- 7, 1973; furnish manufacturer's installiation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from frofit of • mobilehome unless otherwise specified. h �y Footings (check one) Single I Yr 1. Wood either E & pressure treated c —��'� foundation grade. (ft.)(in.) (in.) (in.) 2. Other (specify) Center support Center support Supports (check one) locations* footing sizes (in.) 1: Concrete block. i X 2. Other (specify) (ft.)(in.) (in.) (in.) �--Tagalong or Expando, show support details. (ft.)(in.) (4.) .(in.) ix.x Q -- Typical Support (in.) (in.) Footing Size .�iWw1r xvD (ft.)(in.) (in.) (in.) r �' -- Max. Pier Spacing -- x sy -- Max. Overhang (ft.)I (in.) (in.) (in.) (ft.)(in.) BUTTE COUi4-ry BUILDING DEPARTMENI APPROVED *If center piers are other than drawn above, draw in locations, spacing, and dimensions. a-- `lam 9i �r BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. 1 PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET o 1. Owner's name: L= 2. Installer s name: 3. Is the site currently under permit? - Yes No (If yes, -furnish permit. 'number ) OR Is the site an existing site? Yes 1 No / (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank,and leach fields and, clear of all setbacks and easements? Yes /T No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What" is the mobilehome site service rating.Amp s- 7.- What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is -there any other electric load to be served by the mobilehome (This information not required if pipe length less than 6 ft. on natural gas or less than'50 ft. -on LPG.) siteservice? --------------------------------------------------- Yes No (If yes, identify the load and size: ,/i '/%/'� (Load) Q (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- e (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? -tom" (ft.) 12. :What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than'50 ft. -on LPG.) y MOB ILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. %l�- � i/ furnish ,Setup Model No. _ 742el�}3' Year Width (ft.) Box Length 6)(0 (ft.) Tagalong or Expando Size ' ft. x—r=�'-:— ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after Octobc17 7, 1973; furnish manufacturer's installhtion manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) (ft.1)(in.) I (in'.) (in.) Center shipport locat'ons* (ft.1)(in.) (ft.)I(in.) (ft.)I(in.) (ft.) (in.) Center support footing sizes (in.) (in.) (in.) (in.) (in.) cR A10 (i .) (in.) jN/X,-W1 ( in. )I (in.) Single 2r 1. Wood either pressure treated c ` foundation grade. 2. Other (specify) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Supports (check one) l: Concrete block. 2. Other (specify) Tagalong or Expando, show support details. ,190, x_- -- Typical Support in.) (in.) Footing Size '' - Max. Pier Spacing (ft.)(in.) - f _*,.$1 -- Max. Overhang (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED a' Sao L w,� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Tel eph'one: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. t Xa Zl_ ? Date r SignatureafPer tee or Agent Receipt No. /gQ`�a� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. rr � D-tREGTOfi OF PUBLIC WORKS By Date Building permit expires Date BUILDING Owner 8RllCE P4 AJC,LCk+ SO'. FT. OCC. BUILDING VALUATION Mai I ing Address Telephone No. Contractor R0 &6,2 t 13 ,j EL EC rk r (_ Mailing Address P. b. 1")Ox / (p Fireplace Total Valuation �w f(l"l� 1 G /( Jr / p K y`� 1S�'L Telephone No. -�i��i� Permit Fee Building Address fr GTNILL &vo, Plan Checking Fee &/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 D'/ t �PcVIU G Repair drainage or vent piping 1.50 A. P. No. 3p - 3 2,-Zoni ng & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W,•C`: Sar>istation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 13ldgt--P1_a § Reed Parcel_Aperoval I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑� Permit Fee $ $ -Irla SE'k Ul( E ire, k- powr 4 r ELECTRICAL No.1 @ FEE Q26E EEK , C 46"E BOA/EQ PERMIT FILING FEE $3.00 3,60 00V OR L Main service 100 AMP ORSLESS 5.00 S-ou Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADO'L 100 AMP 2.50 �,SV Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST t ACCLBLDGS,LING OCCUP. 4) 22 sq ft 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 Y le of: 'X1�`�'j✓^t9 /`W!C NEW CONSTR BRANCH CIRCUITS) NON.RESID ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &11 NON.RESID. SINGLE OUTLET CIR, Ex. OCCUP(OUTLETS OR FIXTIIRES g L 1 � x. ccu FIXED APPLNS. OR EO P• OUTLETS (RESI D.) EA� 2•00 Temporary service 10.00 /,9,00 Mobile Home Facilities 15.00 License No. Classification () Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ to, -SU MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑sl'certify that in the performance of the work for which this permit is Issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. t Xa Zl_ ? Date r SignatureafPer tee or Agent Receipt No. /gQ`�a� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. rr � D-tREGTOfi OF PUBLIC WORKS By Date Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 s Tel ep,�one:53'4-4541 APPLICATION AND PERMIT / Owner t3nv6,C '5�'aA-Al at-6p— Mailing Address Contractor RO&C-P, \Joss Eb6ul&C, Mailing Address Pik. )sOx /Z(p plcrgv/-L C- c4 Building Address 113fl 5'9'7 r',007—Witi, SZAI D. I"VILL6 e No. A. P. No.36-3Z $ Zoning & Planning gt`ete�s I %,(5_ Se"4191*0ft Fire Dept. Fire Zone Use Permit EQA I Parking I Parcel Parcel Ma 60' R/W I Improvements Plans Declaration P p ovements BIs e d I Parcel Approval I Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER _rJ5/V - IS-E2y, c e , :EE zge , 1 6 Single Family ❑ Duplex ❑ Mobil Home ❑ Others 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: jl�Bw o License No. 3S y9 9f Classification C /a I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 Cal i forni a. 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. X /l .-t 9_/ Date Signefure of Per tee or Agent Receipt No. ` o9'943 White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant _ BUILDING SQ. FT. I OCC. I BUILDING VALUATION Fireplace BAL 11p l Total Valuation 2.00 Permit Fee @ Plan Checking Fee &/or Penalty PERMIT FILING FEE Permit Fee i00 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee BAL 11p l $ 2.00 ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 i00 Main service 100 AMP ORSLESS 5.00 S;QO Main service EA. AOD'L 100 AMP 2.50 �;yd Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % ACCLBLDGS,LING OCCUP. Si 20sgft NEW CONSTR. NnN-RRSIn_ MULTI -OUTLET (BRANCH CIRCUITS) 2.50ea Ex. OCCUDjOUTLETS OR FIXTURES BAL 11p l FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 OFbO Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ �Qa MECHANICAL NO -i @ FEE PERMIT FILING FEE $3.00 Heating I Cooling Ventilation Hood 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE is.20 0 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above �fr which fees have been paid. RE T OF PUBLIC WORKS IV/BYCYTPITJ& Date Building permit expires Date !� 431/ t 2 M-1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — UroviIle, California 95965 ' Telephone: 534-4541 APPLICATION AND PERMIT auurunce reNresentauves or the county of tsutte to enter upon me above-mentioned property for inspection purposes. X Date Signature of Permitee,or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee _ Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees . W,e-. I Saltttation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. PlansR.er'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,• ", 600V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family E]Duplex❑ Mobil Home [J Others ❑ Main service OVER 100 LESS 25.00 100 AMP EA. ADD -1- 100 AMP 1.00 - 1 Main serviceNEW CONST./ LING OR ADDNS. ( DWEACCLBLDGS.CCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. 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: Y Ex. OCcU (-21¢ P OUTLETS OR FIXTURES ) gqL 104 FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 " Mobile Home Facilities 15.00 Li License No. q^. �":'' Classification> Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ,7 WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued 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 tea" Cooling Ventilation Hood 2.00 Permit Fee $ $ r 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 TOTAL PERMIT FEE $ , r auurunce reNresentauves or the county of tsutte to enter upon me above-mentioned property for inspection purposes. X Date Signature of Permitee,or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Driv-- Qrovi Ile, California 95965 Telephone: 53,4-4541 APPLICATION AND PERMIT .44 UUL orrce representatives of the bounty or Butte to enter upon the above-mentioned property for inspection purposes. X ate Signature of PermiteoAgQe'nt Receipt No. ��4z? o White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Eau permit expires Date /y/45 BUILDING Owner SQ. FT. OCC. BUILDING VA ATION Mai I ing Address Telephone No. Fireplace Contractor / y� Total Valuation - Mailing Address Permit Fee PI an Checki ng Fee &/or Penalty 1 - Telephone o. Permit Fee Building Address jv, PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 -d—ti-11i 62 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. - 32--6 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W 'tatisa Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel' Declaration Parcel Ma P 60 R/W Improvements P Lawn sprinkler system 2.00 Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0 ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 j) Main service 100 AMP OR0V OR LESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 ' NEW CONST. DWELLING OCCUP. & OR ADONS. ACC. BLDGS. ) 2¢sgft NEW CONSTR. MULTI.OUTLET NON.RESID. BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name /� st 0 / (/ (/ > Ex. Occup(OUTLETS OR FIXTURES)@L25t BAL@1 Ex. Occup ( FIXED APPLES• OR OUTLETS (RESID,) EA) 2.00 � Temporary service 10.00 17 Mobile Home Facilities 15.00 �r --2 O License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ i-' 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. I certify that in the performance of the work for which this FJ 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 '�Jl, 00 Heating � Cooling Ventilation Hood 2.00 Permit Fee $ $ G 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 TOTAL PERMIT FEE $ Q UUL orrce representatives of the bounty or Butte to enter upon the above-mentioned property for inspection purposes. X ate Signature of PermiteoAgQe'nt Receipt No. ��4z? o White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Eau permit expires Date /y/45 c COUNTY OF BUTTE DEPT. OF PUBLIC WORKS D T 0 Fe"PR Y 0C 1 R' o 1976 { AM 7i8i9i1011121 PIV i I I i i3ig��i6 STATE OF CALI;'ORNIA 1' M ' "'`' - M " •, RESOURCES AGENCY �-- i• f• V _ - DEPARTMENT OF CONSERVATION DIVISION OF FORESTRY BLOCK I. IDENTIFICATION �, �1 g F I R E E P Q R T " L'� E7 • d'. A. FIRE NUMBER: .1 92- . _ C. RANGER UNIT: ,: , Z/ OIL/ E. ZONE OF ORIGIN: ... F. SIZE CLASS: A`� B. NAME OF FIRE: 1 �r6f i•. _ D. DATE FIRE STARTED: "'+ ! `"4 / 1J - G. FIRE CLASS: BLOCK II. CAUSE BLOCK III. LOCATION OF ORIGIN — A. GENERAL B. A. CAUSE Y FUEL TYPE: D. SPECIFIC 1 KNOWN FIRE ON ARRIVAL . 1. SIZE: SPOT—ACRES. (FOREST FIRES ONLY) 2, OISTANCK FROM HEAD OF FIRETOORIGIN FY. • 1 SKETCH TOTAL AREA BURNED - •- B. CAUSE LOGICAL CAUSAL LOCAL BLOCK VI. WEATHER' KNOWN - C. AGENT NON -LOCAL LOGICAL A. ESTIMATED WIND ON ARRIVAL: VELOCITY: DIRECTIONA,/ 11 XXXXX .,` 1 I NON 1 xxxxx D. FALSE ALARM xxxxx E. PERMIT ESCAPE ' F. PERMIT BLOCK III. LOCATION OF ORIGIN — A. A4 b SECTION TWP. , RGE.L� & M B. FIRE STARTED ONAN C. FUEL TYPE: D. PROTECTION JURISDICTION E. F. FIRE ON ARRIVAL . 1. SIZE: SPOT—ACRES. (FOREST FIRES ONLY) 2, OISTANCK FROM HEAD OF FIRETOORIGIN FY. • 1 SKETCH TOTAL AREA BURNED - •- BLOCK VI. WEATHER' A. ESTIMATED WIND ON ARRIVAL: VELOCITY: DIRECTIONA,/ 11 XXXXX .,` 1 I xxxxx B. TEMPERATURE: RELATIVE HUMIDITY: FUEL MOISTURE: WIND DIRECTION: WIND VELOCITY: xxxxx i xxxxx xxxxx xxxxx TOTAL xxxxxXx xxxxx i 1 C. FORIMT PRODUCT{ ' 1 SCALE: i"= MILEI9I C. FROM: STATION BLOCK V. AREA BURNED VEGETATIVE TYPE ACRES BLOCK VII. REMARKS AN] OWNe-P- i. ft�(AtC 5PAN� TOTAL AREA BLOCK VIII. SIGNATURES A. ORIGINAL REPORT BY_��� -` ay"'� •a ,,; _ NAMH F4, Ie•egl TITLH BLOCK IV. DAMAGE A. NON -FOREST IMPROVEMENT® NO. UNITS DAMAGE — ' DAMAGE OF FIRE S 5200,0 F. ESTIMATED 4 TOTAL XXXXXXX XXXXX 1 I B. FOREST IMPROVEMENT$ I 1 I xxxxx xxxxx i xxxxx xxxxx xxxxx TOTAL xxxxxXx xxxxx i 1 C. FORIMT PRODUCT{ ' 1 1 I ' TOTAL xxxxxxx XXXxX 1 I I I I I I I D. FOREST AND OTHER VEGETATION I 1 1 1 I I 1 TOTAL Xxxxxxx XXXXX GRAND TOTAL (A -B -C -D) DAMAGES S (}�(� )/OR OWNER(S) tX'p ZLb - - ,�l1S E. ESTIMATED WATERSHED — ' DAMAGE OF FIRE .. -. e F. ESTIMATED RECREATION LOSS GER OR ASSOC..4 �fRANGER'S SIGNATURE NAME ITLi 6 oso BLOCK IX. RECORD OF .ACTION ON FIRE ' A. ELAPSED TIMES ITEM - Mo. III DAY TIME ITEM HOUR! MI' 1. TIME FIRE STARTED r Q q o DISCOVERY (I.1) TIME - ; 2. FIRE DISCOVERED MY (MAMEI (� 'r' AT ILOCAnoNI (T-i"j A A 9. FIRST REPORT MY (NAME) AT (LOCATION) �/ o O ;06 - '?3-• _ _�,.. 4. SECOND REPORT MY INAME I AT ILOCATION I J.j REPORT RE►ORTTIME (3-2) �+• FIR[ REPORTED �IC.�U :✓� �✓D CF-QVILLE k _, cl,,c, DISPATCH t� ,� AT TO NAME TITLE LOCATION /e GETAWAY TIME / 7- (t•S) (-) �tT��� ALt I` WAS FIRST ON 6. OFFICER. CREW OR PATLOCATION WAY TO FIRE ��� ATTACK TIME (T t) 1R��LrtMAN //O r3r' / ' U-, r b ' FIRST SUPPR[SSIONt4, .LD—";:! AND/OR CREW L. CONTROL TIME t 7. WORK ■[GUN NY NAME TITLE NAME O � It•7) eJ S. FIRE UNDER CONTROL MO►•U►TIME7-1 If-tl S. WORK FINISHED AND LAST MAN LEFT FIRE "' % Li S. OVERHEAD ACTIVITY (ALL MIN NOT ASSIGNED TO REGULAR CREW DUTY) ,. ORGANI• 4. LOCATION 6• DISPATCHED 6. ARRIVED 7. RET. NOME O. MAN-HOUR!! i. NAME 2. TITLE =AVON HOME MASE CNAROEARII DATE TIM[ DATE TIME DATE TIME . _—_L _ S - �'', t �'� �•� Oar alp - Z'S 0 SL �- ;Ai TOTAL OVERHEAD TIME 1 1 C. CREW ACTIVITY (ORGANIZED CR[W[ONLY) 1. CREW NAME 2. ORGANI- 3. La" PROM 4. NO. D. ZATION (LOCATION0 OP Me" DIS►ATCNEO 6. AMR. FIRE DATE TINE DATE TIME 7 MILES S. RET. HOME TO FIRE DATE TIME 6 MAN-HOURS CNARGEAIL )L ri A S7A , -aw QYN - ; (. 6 C _ —25 - o I ;06 - '?3-• _ _�,.. D 1 Cla. t ! in.tet [`G0 .- i -R k _, cl,,c, t� ,� 7 • n TOTAL CREW MAN -MOS. D. VOLUNTARY LAROR (NOT PAID) NO. OF MEN: MAN-HOURS E. PAID PICK-UP LABOR (ON TIME SLIP) NO. OF MEN: —� MAN -HOURS -•---•-•---•-•--•TOTAL MAN-HOURS EXPENDED 16 -C -D -E) L. t BLOCK X. VEHICLE SUMMARY A. TY►[ [. ORGANI. IATION C. NO; D. TOTAL MIL[! E. ►UM►ING OR WORK- ING NOURt Id 1 J �I /0 1�Q 4 i G ill I - '?3-• _ _�,.. D 1 BLOCK XI. REMARKS: ST'S Lk C. Y -U �c QPt C. �� N W' V a r t > r r•' j A w �` PERMIT NUMBER - B 566-74B, P I P E PERMIT EXPIRES OSS raC �-/s 'OWNER George Daniel �CONTR: Owner LOCATION (A.P. 36-32-8 4391 Foothill Blvd., Oro. of f _ Zoning Foundation Rgh. Plumbing Rein. Steel Framing Wtr. Htr. Firewall ELECTRIC Temporary 7� Final COUNTY OF BUTTE Department of Public Works BUILDING INSPECTION RECORD Setback Piers & Girders _ Bond Beam Gas Piping & Test Plmg. Topout Furnace Garage Vents GAS Temporary Final Forms Fireplace Lath & Plaster_ Found. Vents _ Rough Elec. Kitchen Vent Sanitation & Water BUILDING Cert. of Occup. _ Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE a—• DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ephorfe: 534-4541 APPLICATION AND PERMIT auuiuiice reptesenfdUves of the County or Butte to enter upon the above-mentioned property for inspection purposes. X r Date�`�a� Signature of er itee or nt Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS B)� , Date Building permit expires Date...... .''.... .....7.s5...... BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address !A� �.� X 1v Telephone No. Fireplace Contractor ,_ Total Valuation Mailing Address` C{ Permit Fee Plan Checking Fee &/or Penalty elephone No. Permit Fee $ $ Building AddressPLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. NPL. 3 6,-�3 .2Zonin g 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 W415 . Sem tattUf Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma 60' R/W P Im rovements P Lawn sprinkler system 2.00 Bldg. Plo5s.pmpp I Parcel Approval I Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00CF(Z i �/►� V — Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less)more than 12 Q Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater o Space Heater j 1.00 25 Light fixtures bal 410 -rC3 C R O)s:, svQtes & fix_jlets b v Q. 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: ZZ X %l 16_ //1 Hood, Ex: FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump 11* Water pump Mobil Home Facilities 5.00 CX1_1*4Zoe [� Temp. Power Pole 5.00 7., License No�C C7v� ClCllassification ���� Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. a e placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 MECHANICAL No. si @F EE PERMIT FILING FEE -' $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ auuiuiice reptesenfdUves of the County or Butte to enter upon the above-mentioned property for inspection purposes. X r Date�`�a� Signature of er itee or nt Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS B)� , Date Building permit expires Date...... .''.... .....7.s5...... COUNTY OF BUTTE •A= DEPARTMENT OF PUBLIC WOR 7 County Center Drive — Orovi lie, California 95965 Tel epholie: 5n4--`4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X t• Date Signal of Permitee or Agent Receipt No. T White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Z— ilding permit expires Date `........... BUILDING Owner SQ. FT. OCCJ BUILDING VALUATION Mailing Address Telephone No. �7 Contractor Fireplace tion Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 AD Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. N — Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes W Sa 'on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking I Parcel Parcel Ma Plan s Declaration p 60' R/W Improvements p Lawn sprinkler system 2.00 Bld Rec � P�P�cel Approval Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 c G /! Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex E]Mobil Home EJ Others [I Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 1301(610. Receps., switches & fix outlets 205 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I' agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ C authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X t• Date Signal of Permitee or Agent Receipt No. T White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Z— ilding permit expires Date `...........