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Home My WebLink About047-430-008 (2)`- r: � ��-43-05 41 MA ARET UNDERHILL �') - SIDING AND R R /W/0 PERMITS s1s Keefer Lane, 4 mi. E of H 99, v /7 - Y30 _ - 9/26/95 k3hico--------- ��► �,- 't, s Permit# 19 u�• , ) +� 6�r 6'%L EL . / �0 '75� v 6 - 75 SUPPORT STRUCTURE REQ. Yt o �l S COMAACTION TEST REQ. -YLc ' Per t 7 I's ss d e mi i. I Issued -- Contr: Carrell"-Bros, Chico 4 Permit##983-79MHI(existing site) Issued I 047-430-008 PE IT&95-2092 GREGOIRE, John 4325 Keefer Rd. , Chico I��g Cont; Four Seasons Roofing II( Reroof/SF 047-430-008 PE IT#95-2388 _.,t GREGOIRE,-Jon I + 4325 Keefer Rd,, Chico Cont: Dyrk Posey-- y New Slider,Siding,Cov Patio. & Shower/SF 047=430-008 `PERMIT#95-2454 GREGOIRE, JOHN ✓�� 4325 KEEFER RD. „ CHICO' J/ CONT; AIR/CON ENERGY, • /�/ /9 s REPLACE EXAVAC/SF I 4 ' i { i _ r r •� COUNTY OF BUTTE .i BUILDING DIVISION ` DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Croville, CA - (916) 538-7541 1 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER U PERMIT NO A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, Date 6-1 qs' Inspector �/ &ae� REV 10/92 ez, 47-430-008,, ;=PERMIT#95=2454--;,�+,e �GREGOIRE;r Joli'n .{ `3';' ,ten`s 4325kKeefer Rd .Chico Cont,�l'Air/Con Energy `, ��s ��;,ell•�„ y �+dy�i ;Replace? Ex HVAC /SF n, s>r•� '�' r-' 4 J � 10T, t r p Y l y's'3�""a"'�"+if'�%:��7Y:v.'�'0''p+��F,ii�'Y'''.�i�'$�`'�'�,"� � 'i�¢':,ar ^--+c•�"(° r��ir COUNTY OF BUTTE -DEPARTMENTOF DEVELOPMENT SERVICES-BUILDINGD I ISON ` 7 County Center Drive - Oroville,. California 95965 - Telephone (9'16) 5 -7541 PERMIT No. APPLICATION AND PERMIT-" S El ASSESSOR PARCEL NUMBER ZONING R BUILDING PERMIT OWNER 1 - Ta9+IONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE ibv5- A CONTRACTORS MAILING RESS Fireplace CONSTRUCTION LENDER V UNI(JOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHfTECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBONISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE SF ® Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: _M CE UK UISTMNG HVAC WNEW �dS= 95-2092) Mobile Home I S I G W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main Service EOOV OR LESS ( 2ooA OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class 30 Lic. No. A 31 2 tSM I OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR SO. OR AOON ( a ACC. BLDS. ) 3.5¢ FT. NEW CONST. ST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 WER ( d SSINGL APPARATUS ) INGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) BAL 20 @ I.00 so Ex. Occup. (OUTLETS (RES D.)EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor 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' compensatJ-on insurance arrier and policy number are: Carrier S -fit f - r- tFy� MECHANICAL PERMIT Filing Fee 20.00 Heating IS." -15.00 Cooling 1 15.00 15.00 Hood 6.50 Ventilation PERMITFEE $ 50.000 Contractor Policy Number 1.31 !?4 XS,. ��' (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) V,certifythat 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 COrnply with those provisions. .*. � X _ Date Signature of Applicant - ❑ Owner C3•Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Ry c cQfJ�T. TYPE TOTAL FEE $ 50.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do indicated above for which fees have been paid. r B �'J �c%" Date y PERMITEXPIRESON /Q- 3-/ (Date) work Receipt No. / 66, Q(y' I WHITE-D.D.S.-B.D. CANARY -A ESSOR PINK -INSPECTOR GOLDENROD;APPLICANT 047-430-008 PERMIT#95-2454 GREGO IRE, John.- 4325 Keefer Re , Chico � Cont; Air/Con Energy Replace Ex HVAC/SF A COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING D SION 7 County..Center Drive - Oroville, California 95965 - Telephone (916) 5 - 541 PERMIT NO. APPLICATION AND PERMIT 9��'a- ASSESSOR PARCEL NUMBER 047-430-008 ZONING SRI BUILDING PERMIT OWNER JOHN GREGOIRE TELEPHHONE 895-1545 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS . CONTRACTOR'S NAME TELEPHONE X65-36"7 CONTRACTORS MAILING AODRESS (w Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER ./ LICENSE NO. 7 n ARCHITECT OR ENGINEERS MAILING ADDRESS / � BUILDINGADDRESS 4399 KEEFER LOT NO. SUBDN5 ,S NAME PARCEL MAP Plan Checking Fee $ Energy Plan Checking Fee $ Penalty $ PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 Solar or heat pump water heater 23,00 USE OF STRUCTURE SF M Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: _REPLACE XXXX EXISTING HVAC W/NEW 95-2092> Mobile Home I S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service OOOV OR LESS ( zooA OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION 1 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. 3 Z I License Class 20 Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR SO, OR ADDNS. ( 8 ACC. BLDS. ) 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (&SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) B20 @ 1.500 EX. Occup. OUTLEEDTS �RESID. )Ea ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I 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 arrier and policy number are: Carrier $'f4 bC ,F�x MECHANICAL PERMIT Filing Fee 20.00 Heating 1 15.00 15.00 Cooling 1 15.00 15.00 Hood 6.50 Ventilation PERMITFEE S 00 Contractor Policy Number 131 9L 2,5—y 1 (The above sections need not be completed if the permit is for work of a valuation �f one hundred dollars ($100) or less.) CY 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. ^ X _ Date I — Signature of Applicant - ❑ Owner 0 -Contractor ❑ Agent OSHA permit required for excavations over 5'0" deep and demolition or construction of of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ Q Cp{*ST TYPE pN� TOTAL FEE $ 50.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE 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. / y1 BY l Date U 3 r/S— PERMITEXPIRESON IL 3 - /qjXO (pate) ReceiptNo. I JB. 00 WHITE-D.D.S.-B.D. CANARY -A ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER Q ZONING j J 1 BUILDING PERMIT °N'"E g95;Ei a SO. FT. OCC. BUILDING VALUATI OWNERS MAILING ADDRESS - 13 5 atq ' CONTRACTOR'S NAME TEIEPIgNE , ' CONTRACTORS MAULING ADDRESS Fireplace CONSTRUCTION LENDER UN WN Total Valuation is LENDER'S MAIUNG ADDRESS Fling Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking ee $ Penalty $ BUILDINGADDRESSoC n i� ) PERMITFEE $ PLUMBING PERMIT FI' g Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTAUCTURE SF X Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or venV 15.00 Gas piping system 1 - 5 ou ets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work:`At -W Mobile Home S I !MW @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filin ee 20:00 n Main Service OOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I 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 NEW CONST. DWEWNG OCCUP. OR ADONS. ( 8 ACC. BWS. ) SO, 3.5¢ FT. NEW CONST. MULTI.OUTLET NON-RESIO. ( BRANCH CIRCUITS ) 97.50 ( 8 SINGPGWELER APPARATUS OUTLET CIS. ) Ex. Occup. (OUTLET OR focruREs 20@ I.00 SAL .w EX. Occup. OU xTLEEOTS (AESIo.� ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Fling Fee 20.00 Heating j$'Up j5-,00 Cooling $,l�D Seo ' Hood 6.50 Ventilation PERMITFEE $ ro. B lJ Contractor 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is �p /`c cgN�h.�TrPE IYD. _ TOTAL FEE $ " 0 .Ob HAZ.. FEES IMP I FLOOD I CDF PARCEL I PD I HD I ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,r ._,�r,+�y.r►•r.t:....r.-'-v-('w'•"+�az6[�'s`.y'4�id'fR.n3�Iffig CIJJIG!.,�.�,,.it f. J 047-430-008 PERMIT#95-2092, �. .GREGOIRE, John • 4325 '•Keefer Rd.,, Chico s Cont; Four Seasons Roofing Reroof/SF t .r . 1 91 Al t' COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, Cafifarnia X95965 - Telephone (916) 538-754PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING SR1 BUILDI . PERMIT OWN GEREGOIRE MEIN 89 "154 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1350E LASSEN AVE,; 80 - 1G011TRACTOR'S NAME- /� 1 1 , 1y� JQ TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNI MOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 29.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee - $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS E L 4325 R;nEFcR RB, CI1IC0 PERMITFEE $ 49.00 i �` �/ 1 PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LAT No. SUBDIVISION'S NAME I PARCEL.MAP Solar or heat p mp water heater 23.00 y USEOFSTRUCTURE SF Ek Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: REROOF 19 2/3 SO COIF Mobile Home I S I G W @20'00 PERMITFEE s Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service ( 800V OR LESS 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 ,{ 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.Ex. 7J License Class f ?q Lic. No. �ir% � / 3 �- "is' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BUDS. ) SO . 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET US Occup. ( OUTLET OR FIXTURES ) 20 BAL Q° 1.00 , .50 FIXED APPWS. OR EX. OCCUp, (OUTLETS (RESID.) EA.) 5_0,0 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number �Z— �C!— r ! 1 (The above sections need not be completed if the permit is for'work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation la of California, and agree that if I should become subject to the workers' com - asa ion rovisi6n)l,& secUbn 3700 of the Labor Code, I shall forthwith cwn y with those rovlsi ns. �' % X Z / _ Date 1 Signre o uf 6pV1iC t - ,Qw) er j on aa0orr IDAg nt An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in.hefght. MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ OCC R3 CONST. TYPE VN TOTAL FEE $ 49.00 HAZ. 1 D. FEES I IMP I FLOOD CDF PARCEL PD 7 ISSUE 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. y1 Byn h /-nl�(t-4-� Date 8 x S - PERMITEXPIRESON (Date) Receipt No. al (J�� f� 3d I WHITE-D.D.S.-B.D. CANARY -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Ell COUNTY OF BUTTE -DEPARTMENT OFD f-,LOPMENTSERVICES-BUILDINGDIVIS N 7 County Center Drive - Oroville, Galircla nla 95965 -Telephone (916) 538-754 _�RMIT�No. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 7— ZONING SR1 BUILDI G PERMIT OWNER GREGOIRE JOHN TELEPHONE 895-1545 SO, Fr, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1350 E LASSEN AVE, 1 2 1153.80 RACTOR'S NAM KnCOA::i 6=4 TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace - CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 29.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 4325 KEEFER RD, CHICO PERMITFEE S 49.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDNISION'SNAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF QX Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IN Describe Work: REROOF 19 2/3 SQ COMP Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service EOOV OR LESS ( 20oA OR LESS ) 23.00 Main Service ( 200A TO L000A ) 46.00 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,(s and my license is in full force and effect. License Class /'1 65-76 7 3 �^�� Lic. No. �� OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. SO, OR ( & ACC. BLDS. ) 3.5¢ FT. CNS. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 SOWER APPARATUSOUTLET ICIC . ) Occup. (OUTLET OR FIXTURES) 2a ®+ 50 BAL � FIXED APPWS. OR EX. Occup. OUTLETS (RESID.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I 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 7 Policy Number 272- Lf — (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation la of Califorandaat if I should become subject to theorkers' com tion ron 3700 of the Labor Code, I shall forthw' c y ith thos X Date o Sign ur ofApplican - ❑ Owne ❑Agent An O A permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ OCC R3 CONST. TYPE VN TOTAL FEE $ 49.00 HA2. D. FEES IMP FLOOD CDF PARCEL Po HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY Date �� PERMITEXPIRESON �� (Date) Receipt No. � .6700 3� • ®U WHITE-D.D.S.•B. D. CANARY -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �MH Util. PERMIT NO. 191445P,E' P �i L E M ,MH UTIL. ,iPERMIT NO. PERMIT EXPIRES. ;OWNER Margaret Underhill ) =-'CON TR. 1l ,'LOCATION (A.P. 47-26-47 ) �r +�{ s1s Keefer Rd.,,44 mi. E. of Hwy 99,, Chico 11 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Iled PG&E B �..� PNALED (Date) (Signatur 8 �MH Util. PERMIT NO. 191445P,E' P �i L E M ,MH UTIL. ,iPERMIT NO. PERMIT EXPIRES. ;OWNER Margaret Underhill ) =-'CON TR. 1l ,'LOCATION (A.P. 47-26-47 ) �r +�{ s1s Keefer Rd.,,44 mi. E. of Hwy 99,, Chico 11 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Iled PG&E B �..� PNALED (Date) (Signatur DATE REMARKS OR CORRECTIONS -IF , �.� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUIL--DING INSPECTION RECORD ' BUILDING B LDINGi(Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor -- Footings Windows - 3rd Floor Stemwall Siding ^" To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. -----------4 StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test �> Temp. Gas Slab Final Sanitation Patio FIREPLACE Final L Footings Footing ELECTRICAL Masonry Walls Throat Rough c� Reinf. Steel Final Fixtures Bond Beam - FIRE SPRINKLERS Motors �— Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICA Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door'Closer Final Final DATE REMARKS OR CORRECTIONS -IF , �.� COUNTY OF BUTTE D *%*"TAENT OF PUBLIC WORKSV 7 COUNTY CENTER DRIVE EPA OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the re5uirements of the California A. inistrative Code, Title 25, Chapter .5, un er permit 9/?�—for the following location: number Owner Owner's Address Mobilehome Mfg. Model,"11)� Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director qf/Public Works, Date L By ZTHIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RIELOCATEDr TO Building Department FROM Environmental Health RE.: Sewage and/or Water Clearance C; FFR LCC t-. T ION . _ A o P# i Has been approved for SE', --AGE DISPOSAL f V!ATF.R SUPPLY/ J ` PERMIT NO. 1829-78MHI 3 PERMIT EXPIRES) OWNER MARGARET UNDERHILL 'CONTR. owner LOCATION (A.P. 47-26-47 ). VS Keefer -Lane, mi. E of Hwy 99E , * Chico f. ti Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) ' (Signature) "'�COQNTY OF BUTTE —DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) I PLUMBING setDack Firewall Soil Piping Forms " -Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers °' Roofing �''C- Sewer Garage Fdn. Vents Fixtures Footin s Stemwal l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handica ed Conformance of ex. structure Appliances Gas Piping& Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Motors T Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts - Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping I Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS - (NOTE: An entry must be made on this form each time you visit the job site.) MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes o 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes_ No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes— No 4. Is the mobilehome level? (Sec. 5088) Yes_ No 5. If more than single unit,:are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes_ NoZ B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes_ No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ NolU,�— 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes4"�No B. Does it have minimum ' per jpot slope and is it p o,e',rly supported? Yes' ,,,--No Sr a • R, C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? 'Yes-, _ No�� . D. If coach is not State of California approved,."does station have required trap and vent? Yes= No 11% . 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/'4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mob ome gas.line inlet without reductions other than the mobilehome connector. Yes t No B. Test OK as per following procedure? Yes�o 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 connectturn on.gas,....test connections.with soapy water. C. Are all appliance vents properly installed? Yes/No- ",l 9. Electrical 4 .• - A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes�.✓Rfo_ B. Is there proper clearances around panels? Yes: No NoDC. Is power supply cord.or feeder assembly properly fused? Yesk----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_ 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 Namestyle AXII�A/J Length Width Vehicle Serial No. State Identification No, or Additional Information or Comments: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WO. 7 County Center Drive — ,Oroville, California 95965 Tel dphone: 534-4541 APPLICATION AND PERMIT L' authorize representatives of the County of Butte to enter upon the above -mentioned -property for inspection purposes. X a e Sign 0610 f Permitee or Agent Receipt No. Z�_/®/ 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 BLIC WORKS By Date ilding permit expires Date BUILDING OwnerLC %L Al SQ. FT. OCC. BUILDING VALUATION Mailing Address ��°• f Telephone N Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee P I an Checking Fee &/or Penal ty Telephone No. Permit Fee Building Address js PLUMBING No. @ FEE PERMIT FILING FEE $3.00 U / r—�c lkeRepair Each Trap 1.50 -4t drainage or vent piping 1.50 Water piping 4-9 Each gas water heater or vent 1.50 A. P. No. .117—p2� — /�` ZoZ Gas piping system 1 - 5 outlets 9-59 Each additional outlet .30 F,,.%- a ion FireDept. Fire Zone Use Permit Building sewer &.4)9-rn EQA Parking �%i Parcel Map Plans 60' R/W Improvements Lawn sprinkler system 2.00 c%� .Plans Recd Parcel pproval `�F'lans Approval Permit Fee $33.040.$ 33 NEW ❑ ADDITION ❑ UTILITIES N OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3•9>0 Main service incl. 1 meter . ip0 Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) _ Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b l (61 200 11 Receps., switches &fix outlets 02 al 0 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. d i sp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities +-e9 JS ®p 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 $ 97 pp $ a d( WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is.correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ « authorize representatives of the County of Butte to enter upon the above -mentioned -property for inspection purposes. X a e Sign 0610 f Permitee or Agent Receipt No. Z�_/®/ 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 BLIC WORKS By Date ilding permit expires Date V I , CA A E/.c a. /1 4 9syz6 %A permit will 6e required for fRig Wfallafion Of the 'r;obileh. ' ' it -7 to be as per Co'unty Health Dept. Re. '5;u;remcnfs. �t C�i�gc'� ��5� ru ID set of P)6 r, 11704e 4 The - "'ritt, Q/7y C6 /OL at el�l PL all -wo"i"L -""O"7!q'0S aet. SoC /SS- oplot) f, 5y. Q/7(ySr04117fY 1)7 '017 of 8, the ofte. 'Dep- S oil aof o" I f, 41 60�_ 0 Cy";�?7017'f,01* 44; 4- 6UTTE COUNTY .BUILDING D�PARTMEN' APPROVED > R Pro 0 The ffldg4efback sholl be 5 ff. from the side property fine and So ff. from 4!-' centerline of Ab road, permiff;n IV a maxi 9 Muln of c'2 ff. eave overhang. CL C P r DECLARATION REGARDING LOTS'M PARCELS I certify that as owner of the property acquired by deed in i Yoau;az �'%. nage / 7,7,,7 Official Records of Butte County, (AP. i` Oq7 6- 0-0117_0 ), I on requesting permission to build or install f an additional living unit on this property. I will not divide the afore- zaentioned property ,for sale, lease, rent, or financing, unless all ---app licabl?' land -division -3.a„s-and'map -requirements are complied-with. I am conversant with the present zoning regulations affecting the aforementioned property, and declare that I shall not violate. same, I .:.represent tnat.the proposed use of the additional living unit is " and -that, further I-shall-not--change this proposed- use -of -the--additional . living unit unless and until'I receive written approval. therefor fro,s .the County of Butte. ` I c fully . understand that .pursuant to Chapter 20 of the Butte County . Code and §11535 et seq of-the Business and Professions Code that if I, in the future, sell, lease, or finance the area on or adjacent to said improve-ne!nt without fully complying with the applicable laws and-- ordinances, ,..that I shall be-guilty of a• `misdemeanor and therefore, subject to the aforesaid penalties.and imprisonment pursuant to,law. Further, -this statement -shall -be--properly -acknowledged and 'recorded at -the request ---of -_the •-County:_of.-.Butte. u: 13. 2 2.11 . ..++��®®r� ��,, Date 29 I V a7 STE:!' OF CAL IFbc.'i_iA ) -• _ __._ _ COU �:;1 y OF BUTTE S a On this 14th_ day p f May. 197. 5, before ,M e' ' _ DORIS LAUGHLIN r, a Notary public A. an:' . � Corgi �� A moo: t; a`y Butte , State of California, residing; therein, duly co::, 1L:S510PDL1C and zi o-rn, personally appeared MARGARET G. UNDERHILL _ _ ':ao7jn to me to be the per. sora ;:;lose nal„t: is >L'��:cr� b��`l to the Within instr.unerit azl:l acnowledge to ne that S Fiz executed the sare. I'1; WIT.NE-SS . ,f!I LOr' I have herLunto s 1--my hand .and affixed n}• __.�7 �,�liCal�aatbu�'.y�e ,;ak a asth�dt ies61lpunC y OI _ Butte the -dtay EinU year in -Eh s. . is 1 � «L.9tt'tfl_{r"r i.5IC,�,�:f01!)MDV� r/r:1-i !Cil. ,t . :� Ni}[qny Nti •' _- r,iFOkIilA � //J s C� Chi•- GUTTe G /L�_ . s L faiy �UA7fl1iJa+Or, Expires July 9, 1978 G.� Nuta9: tsrs:asa:tttcetstt:eaett ai J ��l : 'x , ..,...._..__ . t a:attastuaatgill taeit/ 1. l.Ji..l.=... ... .-._._. ___,..,.___.-._._..,,..�_e.,._---^�•- COUNTY OF',BUT1 E — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroviile, 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. X X Signat 611 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 ff which fees have been paid. / 1� U(REOrA OF POBLIC WORKS l .. / BUILDING Owner S.Q. FT. OCC. BUILDING VALUATION Mailing Address , Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address -s Plan Checking Fee&/or Penalty Permit Fee i PLUMBING No.1 @ I FEE ( ' PERMIT FILING FEE J$3.00 Each Trap 1,50 Repair drainage or vent piping 1.50 A. P. o. 1 7 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 es Saokelien Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking sans I Parcel Declaration Parcel Ma P 60' R/W Im rovements P Each additional outlet .30 Building sewer 5.00 dg. Plans Recd P a r c e rov*1 Ions Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Single Family Du lex Mobil Home Others 9 Y ❑ P ❑ ❑ Main service 600v OR LESS 100 AMP LESS 5.00 -L Main service EA. ADD'L 100 AMP 2.50 Main service OVER e00v 25.00 100 AMP OR LESS Main service EA. ADD -L 100 AMP 1.00 NEW OR ADDNST %ACC`BLDGSCCUPLING , s) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CO I T � BRANCH CIRCUITS) 2.50ea NEW RESID. BRANCH CIRCUITS) NEW CONSTR. (POWER APPARATUS a NON-RESID, SINGLE OUTLET CIR. 6, 250 Ex. OCCUD(OUTLErs OR FIXTIilaES 6 L 1 � Ex. QCCU /I FIXED APPLNS, OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 110.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 (=I xempt 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. 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 No.J @ 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 L �41 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X X Signat 611 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 ff which fees have been paid. / 1� U(REOrA OF POBLIC WORKS l .. / BUTTE COUNTY DEPARTt•iENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHO?F.: 534-154' MOB ILEHOME I`:S! ALLAT ION SHEET 1. Ocaner' s name: 2. Installer's name: 3. Is the site currently under permit? Fes /1_/ No./ /. . (If yes, furnish permit number 1 » .5.. � �/ `/ —7' 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 / (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? ------------- _jyv 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?-----------=-----------�,,% 10 .What is the type of gas service? ------------------------------ Natural / / LPG / ✓J~ II. What is the 'gas pipe length from meter or tank to the mobilehome? %!J (ft.) What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pip` length less than6 ft, on natural gas' or less than 50 ft. on LPG.) �� ! 0 4`/�7. BUTTE COUN-1Y BUILDING DEPARTMENT ,71ff, Z APPROVED �� :�iy.yLeiicmn Mfr. -111 Setup Model No. Year Width 0 (ft.) Length _-5 (ft,) E :pando Size ft.xft. (Draw 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).. Single t--� Footings--(check.one Wood' s tV / r or Center Center Support I / _/ :.de Support" Footing Sizes �� Locations• (in.) 2. .Concrete ad. P 3. Other,. specify TI . F3_n.� in. f� . (� Supports (check one 6i3 fi R J i+/ 1.. Concrete block .41 i l . X / / 2. Concrete piers. 3 / / 3, Steed piers 4l - 7_7 4.. 'Other, spQ^if -7 '-� Typical . Support . I v 4� Footing Size. =� gin, i i.... , _. ; _ .._ _ --_ =-(ern'•:)-{gin.) ....L..... ' - i�X,�� jW�' .. . _ i ..... Max Sp . Pier. �acing = REI �Iax, BUTTE COUNTY .0-erhan,g -~- - " BUILDING -DEPARTMEN .,If 'center piers are other than drawn; above, P P R4( V E draw in .locations, spacing , and d'.l-:ensions.. F�,./'. _:_r?, :.r- ,? •+ �w l'"?cz OU17- COUNTY WLE)ING PEPARTMENT APP -ROVED. 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 ements of the Californi ' a Administrative Code , Title 25, Chapter 5'. permit numbei-.,�`,� for the following location: 7- Owner--/L.�-/` Owner's Address Mobilehome Mfg. Model Year h' Insignia No. Serial No. It is hereby certified f or occupancy at the above described location and may be occupied. Director of , Public Works/ Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. ` RMIT N0. 983-79MHI PERMIT EXPIRES OWNER MARC;ARFT TTNnFRHTT.T. CONTR. Carrell Bros, Chico LOCATION (A.P. 47-25-41 ) SIS Keefer R app 3/10 mi. E of Hwy 99 Chico a { e i L Temp. Power Pole Called PG&E 1 Temp.lea Serv. CP led PG&E i Tem Gas Serv. Called PG&E J B INALED (Date) ' /,,-� (Sig a re COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaI I Insulation Heaters Slab Prov. for ph sically Appliances handicaped Carport Conformance of ex. Gas PipingTest Footings structure Temp. Gas .Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer I Final Final MOBILEHOME UTILITIES ----------•------- Elec. Service,,,,, Elec. Pedestal Water Piping Sewer Gas Piping r BI E ME INSTAL LATION-------Support Elec. Continuity .e Water Piping ` Drainage o Gas Piping DATE. E KS OR COR TIONS A� 1p 3' (NOTE: An entry must be made on this form each time you visit the job site.) MOBILEHOME INSTALLATION :INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and bui14ings 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 per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 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 flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No ' B. Test - Does water piping withstand workingpressure or 50 lbs. air test?.Yes No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum '" per foot slope and is it properly supported? Yes_ No' C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe?,.Yes No D. If coach is not State of California approved; does station have required trap and vent? Yes- No 8. Cjas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without 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 mobilehome.with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No 9. Electrical A. Is service large enough to provide adequateamperage-to mobilehome (must equal rating of mobilehome with a minimum of 100 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 Manufacturer and/or Namestyle Length Width Vehicle Serial No. State Identification No. Additional Information or Comments: 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS- ,,� t7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT a+u anVll�c —1— Ill tl 6 VI UIC. VUIIlyIV1 oultc tV OIIIOI UPV11 UItV above-ment' n d p perty for i pecti n pure X Date Signature ;rfgrmitee or Agent Receipt No. ((ooh 19L& 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 f hich fees have been paid. C _ PUB IC WORKS Date - ✓�j Building permit expires Date ''O v U vo BUILDING Owner & % 9C --F aaG-2/fJ&t, SQ. FT. OCC. BUILDING VALUATION Mailing Address �j-, ox 54? -e) ghone�� Contractor Mailing Address o(/2 Fireplace Total Valuation t . G/IL (.� G%� � � •' �p� Permit Fee Building Address .5)5 ��E�E2 %LD. �/� Plan Checking Fee&/or Penalty Permit Fee 3//0 M/• 1� • 0 P #WY PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 // / /� A. P. No. `�7 L�`T 4-7-24( Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F We`S Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Pi4ns ParcelEach Declaration I Parcel Map I 60' R/W Improvement additional outlet .30 Building sewer 5.00 Bldg. Pk/ns Recd Parcel Ap o pl./s Proval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE . PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP LESS 5.00 Single Family Duplex Mobil Home Others g y ❑ p ❑ � ❑ -L Main service E4. ADD'L 100 AMP 2.50 Main service OVER 600 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST.( DWELLING 0 OR ADDNS. ACC. BLDGSCCUP. Y) 2¢sgft CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professio Code under the name style of: �e� NEW CONSTR /BRANCH CIR T NON.RESID, `BRANCH CIRCUITS) 2.50ea NEWCONSTR POWER APPARATUS 8 NON .RESID. (SINGLE OUTLET CIR, 250 Ex. Occuo(OUTLETS OR FIXTIIRES BAL10 0V FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 3A 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. EJ 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 comp) to all County Ordinances State Lawseqating to buil g onstruction, and hereby Al$ A H-/ $ 30 ac TOTAL PERMIT FEE $ O 0.15and a+u anVll�c —1— Ill tl 6 VI UIC. VUIIlyIV1 oultc tV OIIIOI UPV11 UItV above-ment' n d p perty for i pecti n pure X Date Signature ;rfgrmitee or Agent Receipt No. ((ooh 19L& 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 f hich fees have been paid. C _ PUB IC WORKS Date - ✓�j Building permit expires Date ''O v U vo TE - j3UTDEPAR MEN 1.�,) COUNTY OF I UCO � 'r -0%:iile. 7 Count,,Centey D[ive Teiephone: 534 APPLICATIO . A T 13UILDING r ---------- ..Icor --------------- Mailing Address. tA Building AddrEl 1 'tit, d A. P. No. J, ECA P,: p r) — NEW 1' X" ----------- Ir T X: Single F I a Stai'.n sem. stye � 0 0 M v rn .-4 w r rL z M BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541' MOBILEHOME INSTALLATION SHEET 1. Owner's name: zLi dgl,,-hd/. All- P-42 2, 4r4C1� 2. Installer's name: 3. Is the site currently under permit? Yew No (If yes, furnish permit number X91 iS , R. Is the site an existing site? Yes // No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify ) ( ) 5. What is the mobilehome electrical rating? -------------.---------- Amps 6. What is the mobilehome site 'service rating? --------------------- /D 0 Amps 7. What is the mobilehome.site circuit breaker rating? ------------- 5_0 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? ---------------=------ ��Lj (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG./ / 11. What is the gas'pipe.length'from-meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? --------------=--------------- (BTU) (This information not required if pipe length less than 6 ft. on' natural 'gas or less than 50 ft. on LPG.) MOB ILEHOME SUrrrO ti- DATA ,,/ If other'than single wide, Mobilehome Mfr. /7 Q- ah&t J Q furnish Setup Model No. Year l97t') Width /c (ft.) Box Lengthe� eQ (ft.) Tagalong or-Expando Size �� ft, x — ft. (SHOW SUPPORT DETAILS BE)LOW) On all mobilehomes manufactured a?ter October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from -.front of mobilehome unless otherwise specified. Footings (check one) Single ( 1. Wood either l`� pressure treated or A foundation grade. x 2. Other (specify) (ft. (in: (in.) (in.) ❑ Center s port Center sup or locatio s'^ footing s'zes Supports (check one) (in.) 1. Concrete block. x ❑ 2. Other (specify) (ft.).(in. F—Tagalong or Expando, show support details. (in.) (in.) Typical Support (in.) (in.) Footing Size (ft. (in.) (in.)n.) �i -- Max. Pier Spacing, (ft.)(in.) (ft.)I (in.) (in.) (in.) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. -- Max. Overhang (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT' APPROVED MOBILEHOME INSTALLATION INSPECTION CHECK LIST J 4• 1) ."Is the mobilehome located with 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 per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 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 flexible 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 California approved, does station have .'backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B: Does it have minimum 4" per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No D.- If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents. A. Connector - is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome.gas line inlet without 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 mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No 9. Electrical�. A. Is service large enough to provide adequate amp 6rage to mobilehome (must equal rating �If mobilehome with a minimum -of 100 amp) and other facilities cin 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 rn.obilehome 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.assemb'ly 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 Namestyle Length Width Vehicle Serial No. State Identification No. Additional.Informati.on or Comments: 1 ,' , COUNTY •OF BUTTE DEPARTMENT. OF PUBLIC WORKS 7 7 County Center Drive — Oroville, California 95965 e Telephone: 534-4541 APPLICATION AND PERMIT , auururrce tepresentauves ur ure t,uunty ui tsutte to enter upon ine above-mentioned property for inspection purposes., 1 /Signature of Permitee or Agent' ' Receipt Nop White-D.P.W. -Yellow-Assessor — Pink -Inspector — Goldenrod -Applicant 4 - 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 Pl'JBL'•IC WORKS • gy p— .i'—YL� V Date 17 Building -permit expires Date BUILDING Owner/� X41—, �eZe, .• l /f'1��.�/y%�'� SO. FT. OCC. BUILDING VALUATION Mailing Address• , /' / •' Telephone No. I Fireplace Contractor el(!� r_" AI �=- �, Total Valuation Mailing Address ' Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building AddressJ^�+��F�E�� -` �� PLUMBING No. @ FEE 1 PERMIT FILING FEE $3.00 /� ��//,C,QS% Q fR f//J� �[ -Each Trap 1.50 ' ` ,eras / /" Repair drainage or vent piping 1.50 Water piping 1.50 v 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' ' WiC.' i' ,Sanitation 'Fire Dept. Fire Zone Use Permit- Building sewer 5.00 EOA Parking Parking Parcel Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system '2.00 -Bldg.,P,lcns'Rec d") ! / Parcel Approvol Plans Approval Permit Fee $ �+ NEW ❑ ADDITION-_❑r�,UXIL-ITIES❑ _ , OTHER n^� /Sj�11_/ 101V 7—je)4/ �E/�/�y/ 7 � ELECTRICAL No. @ " FEE - QP,ERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 (12 or less) (more than 12) Single Famlly Q Duplex ❑ • Mobi I Home .0 Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures10 b 2 Receps., switches & fix outlets 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 y� ❑ 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 7/4C,7 -.00G G ,.D,�"/O oV 0 TOTAL` PERMIT FEE auururrce tepresentauves ur ure t,uunty ui tsutte to enter upon ine above-mentioned property for inspection purposes., 1 /Signature of Permitee or Agent' ' Receipt Nop White-D.P.W. -Yellow-Assessor — Pink -Inspector — Goldenrod -Applicant 4 - 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 Pl'JBL'•IC WORKS • gy p— .i'—YL� V Date 17 Building -permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W KS r 7 County Center Drive — Oroville, California 95965 S"9 � 75 Telephone: 534-4541 APPLICATION AND PERMIT vZ 39 © J O • u;�Zllng va[e – . ii Receipt No. / �-7 White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant permit expires Date BUILDING Owner JGC SQ. FT. OCC. BUILDING VALUATION Mailing Address � Tale one No �C -Z Fireplace Contractor Al l Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address S' CLc E�ZAZ PLUMBING No.1 FEE PERMIT FILING FEE $3.00 eV !U 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 F 6e 4tetion Fire Dept. Fire Zone I Use Permit Building sewer 5.00 EQA Parking - ans Parcel Declaration Parcel Ma P 60' R/W Im roveme P Lawn sprinkler system 2.00 Parcel Apleoval Plans pproval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) – Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b Receps., switches & fix outlets lu (01 2b 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 $ $77 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. ❑1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. �( I certify that in the performance of the work for which this x y „ 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X to d1%ic�D � � Sig e.of Permitee or Agent TOTAL PERMIT FEE $ 3C6 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 P LIC WORKS o. J2_ y —. vZ 39 © J O • u;�Zllng va[e – . ii Receipt No. / �-7 White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant permit expires Date 1. Owner's name: - BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET _ L 2. Installer's name: 3. Is the site currently under permit? Yes /`/ No (If yes, furnish permit number 1`�q/2% 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 /l// No (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------=------------ 7� d Amps. 7. What is the mobilehome site circuit breaker rating? -------------- !> Amps. 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural 7—/ LPG 7 11. What is the gas pipe length from meter or tank to the mobilehoine? (ft,) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOME 5U YYOK•f DAYA Mobilehome Mfr. ��,2.�o Setup Model No. Year Width _�(ft.) Length .. -5 (ft.)-Expando Size ft.x AR_ ft. (Draw 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). SFootings -(check.one) mom rows 4 / or Cerit�_,�«^^'Center S pport Support F,00.tin�izes Locations� j 2. Concrete pad. ' 3. Other,`specifyCfkin.) :�.lin. I Supports (check one) 1. Concrete block I I x 1 T_/ 2. Concrete piers 3. Steel piers 4. specify Other, spe ' fy ,. I � Typical Support noting Size in. in. ,( in.) (in.) .I y Max. Pier. Spacing Ut.Aln.) �.- ., (in.) (in.) Max. ( _ 2�v Overhang *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY rl "I.D►NG DEPARTMENT APPROVED RESIDENTIAL a 047-430-008 PERMIT#95-2388 GREGOIRE, Jon 4325 Keefer Rd., Chico Cont: Dyrk Posey NewrSlider,Siding,Cov Patio &Shower/SF �.h JOB FINALED (Date) / Signature a 4 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) S. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /" L" ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date 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 -Bea ms-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, 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 -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'J=OK O=Not OK _ Not Applicable RESIDENTIAL' (Single & Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit).OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection -- 18. D_W.V.: Test -Fittings & Anchor -Nail Protection---- - 19. Shower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access ______ - 21. Gas Pipe: Size & Anchors ----------------------------------------------------------------------- - Date Card B-1 Date .Card B-1 -------------------- --------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection ------ ------- ---- ----------------- ------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------- ------ - - - ------------- 24. Size Boxes & No. of Conductors -Stapled - ----------------------------- - - ------------------------ 25 Romex Installed Close to Edge of Studs & C.J. -----------------------------------------------------------•- - 26. Equip. Ground made up wrMech. Fastners-Bond Gas & Water ---------------------------------------------------------•------------------------ 2T 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size r I ga. Cu or AI-A.C. Wire Size ga. Cu or At ----------- ------------------- --- ----------------------------------29. Range Circ. r , ga. Cu or AI -Oven Circ. r / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ----------- --------------------------------------------- 30._ Service -Riser Conductors & Ground -Main Disconnect ----------- ---------------------------------------------- 31. --------------------- --31. Equip Clearances Panels-Motors-Mech. Equip. ----------------------------•-------------------------------------- ------•----- 32. Clothes Closet Light -Shower Light -Spa Light 33 Smoke Detector --------------------------------------------------------------------------------- --------------- - -- --- --- ----- .----------------------------------------------------- Date ----------------------------------------------- Date Card B-1Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ;i's 34. A.C. Ducts Insulation & Support --------------------------------------- I -------------------- ----- ------- --------- 35. Vent Fan: Exhaust above insulation -------- -------------- ----- ------------------- ---- - --- - - - -- 36. Conclensate Dram & Overflow. Size & Grade - --------------------------- ..__... _. ._...._._ 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet - -- ------ --- ---------- ....--- 38 Attic Access -& Platform it Furnance in Attic ---- -- -- ---- - --- .._._._. _ _. ...._......-- - Date CardB-1 Date Card -6- I Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except vr's 39 Sits. Proper Material & Anchors 40. Walls Studs -Na ling. Spacing & Bracing -Plates -Sound .. ... .. ....__._. -------------- 41 ----- -----_41 Bearing Walls over Girders & Fluor Nailing 42. Draft Stop n Walls fiat proof) ... ... ._ ... - - 43 Fire Stops. Furred Ceilings -Stairs -Chases -Tub --------- --- -- 44 Headers & Bram-Size & Beann Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer_ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access -- ---------- _ 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date _ _ _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings - ---------- 62. Smoke Detector ------------------------ - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65.-G.-F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ------------------------ 67. Stairs & Rails ----------- ---- - --- -- ------------ - 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel Int. & Ext. ---------- 70. Kit Fixt_& Appliance; Grnd_Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter ----------------------- -- 72. Garage Fire Door: Swing -Landing -Closer ------------ ------------------------- - 73. A.C. Duct in Garage -Damper ------------------------------ 74. - - ----------------- 74. Wir. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb. Elec. & Mech. Equip Listed for Location ------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection -------------------------------------- 7;-.- Insulation -Foam -Looked in Attic ❑ Yes ------------------------------------------- 78._ Guard Rails & Deck Construction -Post Caps --------------------------------- 79 Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ .. -------------------------- 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No .-------------------------------------- --- 81. Stucco: Brown -Finish ------- - - --- - -------------------------------------- ---- -- 82. A.C. Unit: Disconnect. Electrical, Plumbing 83. Vents Above Roof: Plbg -Appliance-Fireplace.-Clearance to Openings - - - - - -- -- -- --- --------------------- - - - - - ---- 84 ----------------------------84 Water Well: Disconnect. Electrical, Plumbing ------- ----------------------- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground ......... _ ... -- -- ---...----- ------------------------------- a6 Ventilation Throughout House .. ... .. ----------------------------------------- 87. ---------------------------------------87. Glass Protection --- --------------- ------------------------------- - 88. Corrections from Previous Inspections ------ ------- --- -- --- ----------------------------------- ----------------- - 89. Gas Test -Meters Tagged: Gas -Electric __ .. - -- ------------------------------ 90. Water & Sewer Connected -C O to Grade -HD Approval _ 91. Energy Compliance Ceruficate_Other Certificates --- .... .. ....... ... .. _.. _ - - - ---- ------------------ DateCard B -I Date - Card B_1 - ---- - --. ...--------------------------- - Date Card 8-1 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) 538-7541 PERMIT O. APPLICATION AND PERMIT - `s-7) ASSES SORPARCELNUMBER 0 — — ZONING SR1 BUILDING PERMIT OWNER GIREGOIRE., JON TELEPHONE 891-8865 SO. FT. OCC. BUILDING VALUATI' — OWNERS MAILING ADDRESS 2607 TAKE WEST DR, CHTIC0 180 C 2,340 (),000 VkT.- 6,000 CONTRACTOR'S NAME POSEYDYRK TELEPHONE CONTRACTORS MAILING ADDRESS R, CHICO 95996 Fireplace CONSTRUCTION LENDER UNIOJOWN Total Valuation $ 8,340 LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 108.00 ARCHrrECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 70.-20 ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ - ao BUILDING ADDRESS 4325 YEEFER RD CHICO PERMITFEE $B PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF 00 Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW SLIDER DOOR, REPLACE 3/4 SHOUSE SIDING FLOOR JOIST UNDER TUB, & REPLACE W/TUB—SHOWER CO 1B Mobile Home IS I GI W @20.00 PERMITFEE $ x•7.00 Contractor . ELECTRICAL PERMIT Filino Fee 20.'00 COVERED PATIO, AS BUILT. Main Service ( Zoon 0"-23.00 mss ) Main Service ( 200A TO 1000A ) 46.00 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 i full force and effect. License Class Lic. No. ? -7 0Ex. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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 NEW CONST. DWELLING OCCUR so, OR ADDNS. ( 8 ACC. BLDS. ) 3.5¢ FT. NEW CONST. MULTI- OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (8 SINGLE OUTLET CIR. ) ) O 00 Occup. (OUTLET OR FIXTURES 2 BAL SO . Ex. Occup. OUT ELETS ARES D.�R ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 4— PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I 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 Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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 hwith cc y with ose provisions. Q, X _ _ Date _ / 7i(�� _ Signat e o App Ican r ❑ Contractor ❑ Agent An OSHA p r it is required fo65 cavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ ot�Sm�Z�-g�p0 HA2. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date RESON (date) Receipt No. Z —4d'-PERMITEX WHITE-D.D.S.-B.D. CANARY -ASSES R PIN - SPECTOR OL ENROD-APPLICANT Fm A S ®P•%'$'" Pi'. F OLEAR OF • FOFR A 2 FT. i Q E$ AND EOUIPW UR C� OF ALL EASEMEW& SI4ALLSE �. FROM TWE SIDE AND OF �-- LINES AND 7 TME E�EAM P1�OP HL NE SHA OtR TME RCjAD CENT MUCTURES AND EQUIPMENT d svE OVE�ANQ' t t 0 lAis. set -of on thePlans o b at all flc ar l /ftion c" Intv'a APPROVFnl " sPecificati rnes and it i n MUST 6 Iterations on avvfu to ro'n tie O sarne wit e.ePartinern of i 4 1 -Z5 .. ........ .. C, BUTTE COUNTY BUILDING DEPARTMENT APPROVED U'a 0 432-S i C.>61 I \ f SA400 47- COUNTY OF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER&44�1 A. P. NOX)9-7- X13(3 008 Proposed Building Use Building Inspector Date 6 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. . 3. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Pa> — v 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). obilandn installation instructions, 2 sets. Vimpact lmanufacturer's ees of $ / 71 43 71 fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees. .JFlood elevation letter (100 year floo) by California Engineer. sanitation and plot plan approval Health Department. City of Chico plumbing permit. 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -inspection for required. 21. Contractor's license information. (No., Name Style, Classification). 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner �. 24. Recorded copy of Agricultural Acknowledgement Statement. 25. Letter of signature authorization. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. 27. Letter of intent on building use. 28. Mobilehome utility clearance. 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permits. 32. Plan check list. 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 3 934o I I A and hold for pickup at C�� office. Deliver with inspector. Other Applicant EXPIRATION OF AP ,TION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application; plans and fees will be required. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from the date of fee payment on permits not issued, and one yearfrom the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees fpr work plan checked and other department costs are not refundable. All Oriqinal - Applicant COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT APPLICATION AND PERMIT ASSESSOR PARCE1. NUMBER D ., 0 0 ZONING B U I LD I N G P ER M IT OWNER O-1 t "O®�J SO. FT. j OCC. I BUILDING VALUATION OWNER'S MA UNG 5000 �.�.�� • � 000 I 0-00 mo -loo Vak 4 6.000.ob CONTRACTOR'S nE TELE NONE 3Ll3 Gt TR CONACTORS MAAJ ADORES 5-C{ Z I I Fireplace I I CONSTRUCTION LENOEA UNq+OWN Total Valuation I $ LENOEA'S MNUP40 ADDRESS Fling Fee Permit Fee I $ ,b d ARCrIREC'. OR ENG+NEEA LICENSE NO. Plan Checking Fee I $ ARCMrECT OR IENGwEEAs MAIUNG ADDRESS Energy Plan Checking Fee I S Penalty I $ BUILDINGADORESS 3a .. PEAMITFEE I S ,Q(� PLUMBING PERMIT l Fii Fee i 20.0C Each Trap 7.00 j Lor NO. i SUBONISIONSNAME I PARCEL MAP Solar or heat pump water heater I j 23,00 j USEOFSTRUCTURE SFDuolex ❑ Mobilehome ❑ Other SPEC:Fv Water piping I I 15.00 j Each gas water heater or ve I I 15.00 j Gas piping system 1 - 5 o tlets I j i5.00 I Building sewer I I 15.00 I TYPE OF WORK New C] Addition ❑ Remodel C3 Utilities C3Installation❑ Other C3I Describe Work: CJUUo L AA"6 Mobile HomeI S G i W I j. j C 20.00 I PERMITTEE j S Contrac:or ELECTRICAL PER MIT I Fii Fee I 20.00 L.JJ:°°A Main Service ( ao°v oA LESS ) I OA LESS I 23.00 Main Service ( xo°A To i000A ) I 46.00 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 force and effeeeffect.C License Class Llc. No. OWNER-$UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: C] 1. as owner ofthe property, or my employees with wages as their sale compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the. property, am exclusively contracting with licensed contractors to construct the project ❑ I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance. as required by Section 3700 of the Labor Cade. for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I Certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to became subject to workers' compensation laws of California. and agree hat if I should became sublet: to the workers' camoensatlon provisions of sec:;on 3700 of the Labor Code. I shall forthwith comply with those provisions. NEW COT DLLI OR AD .IONSWENG OCC P. SO,� Ns ( a ACC. sLDs. ) ( 3.5C FT. i NEW CONST MULTI. OU rLET NON-RE5IO. ( BAANCM CIAcuirs I I @7.50 I �OWF' APPAAArus ( d SINGLE OUTLET ) . I I I Ex. Occup. ( OUTLET OAF ES ) aAl !O j I L ly) t.W j EX. Occup. FIXEDxED APP OR O (auTLETs ; slo.I EA) I 5.00 I Temporary Service I 23.00 I Mobile Home Facies j I 20.00 I Mist. Wiring I 1 23.00 PEAMITFEE S Contractor MECHANICAL PERMIT j Fling Fee j 20.00 Heating I I I Cooling Hood I j 6.50 i Ventilation j I PERMITFEE S Contractor Mobile Home Installation Fee I $ Energy Inspection Fee j $ OCC ' CO PE �- � l��1 /� TOTALFEE S ' GT • vO M°� HD • ssL=_ I 0 FEES i IMP I FLOOD i COF PAACEL PO i j I I This permit is hereby Issued under the appiicacle provisions of the Butte County Code and/or Resolutions to do wcrx f jE.K. USBQ e'{ Plot Plan AthcLad iTl - Floor Plan AM -A -A Scotto B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location APAP Plan Approved for: Sewage Disposal Water Supply: Public Private Well _kZ Clearance for a -home: -Other /o X «� ✓QnQj Hold final for: Final clearance O.K. for: Environmental 8/92 Specialist /VVI/ 4 Lf Date 916 345 5879 10/30/95 11:33 $916 345 5879 I 1 DOMENIC'S SEPTIC SERVICE Cailtomts Uo. No. 831383 P.O. Box 999 OuRMNM, CAUFORMAosm8 (9i 6) 346.1885 ENICS SEPTIC I In AP?ROVED CALCULATED By DATE =a ty Butte COunealth H � Environm ental - pat v ------- S1gn re �C � ,�; 'jiiC ENICS SEPTIC CIN O � J, 5 I SHEET NO. OF R'.[�INOJI! C.11t� /O 27-+ 'cii'ra1• CALCULATED By DATE CHECKED 9V DATE SCALE •,y �C � ,�; 'jiiC Val rQ �:v'(i { :r I CIN O � J, 5 I Val rQ �:v'(i { >1r • i d •.i1r!�*1.� ,(*111 - � yl .�� Vi '�1 •',t f .,�TI M Complainant Address: ,. _ ._.,.._�..._, . __ .M..._..... �_._. .. PhMne Number: 66WComments:.. - 1 .. :. ...... ..... .1 Budding Inspector must draa► a plot plan with all buildings and violations: Additional comments from Building Inspector: OVER COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751, 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE•, OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, Ktv luluz ERHILL MAREF QND �"'' 3` �ico-------- s-Keefer Ilne 1 E of Hwy 99.1 Jim ..... . . . . . �-ermit# 19A. -75- E•ZZOD q&&& &L�G�, �f F t 76- GY ar- SUppOFa STRUCTURE REQ.*YLZ COMUCTION TEST REQ 4-7�law&7 0 _ 4r, ssued A;[ Contr:.Car e I" -Bros, Chico ,7Permit#983-79MHI(existing site) Issue Q� -c9X -_Z I 047-430-008 PERMIT#95-2092 GREGOIRE, John 4325 Keefer Rd., Chico Cont; Four Seasons Roofing Reroof/SF 11 4 1 4 r , , . .. %-...-I v L4 H. -IE. M.D. fi I� 47-43 \ I; Lai cc 4T-46 I Pm 0 9;83 -- II cr 00,4 \ 5/ PM52 82?1 V� = 2 11, ?10� ` 6 33 �i ,•,�� j .. I e 00 \� / U=�Z1i a ®c�.�^� .Z_ 1.96AC tea+ `� !� d� `p o 9.05AC �� , 0 /65.97 I70 159.49 !�r .5/. 17 170 / T 7 �4e /0 0 e 23 a, 2 21 >�a 8 �0 38.20 10. IO.OTAC o\5 `x524 4I I374� % y� PM I13 -85Z A., / o�/•9By6� `j2 0 .� /.23T 1.13 ! l.0 / IIC 1./3t�L' �. 1./3ACN / :. 1 :D /3 `g 2 `� /f / PM 107- 32 m �. 0/.09 /5 / l70 - • - ` PM l/9- 463 0 ! /.15�R X652 `J�n 27 2 I7tQ I 1 dI yy � it -- -- cm why/ �Ae 4+i 15 299 �\ 2 p /.10 ` �111 2 � Q N (4d. � `N N 1+ ' 01 # i /7Nll�I� a i 9.85 AC g2 (453 ` 65, .>•L54 p / /.05AC L05AC /.33AC �. ----1 .. I• a�\ 3.08AC 2 �� Ac X. ,6786 212.86 O I r a a 537.86 R = 440 14 �� 26 y r (m� SI/0-T5 a 4.o0AC /4 32 2.i,;S3 �3 2, 101 219.6 (1k (9ffi �� 20' 89. G 33 � •L O 6 � �J7 m d0 �6 yB LOBAC q _ jl l 1 w 1(0 .46 9.81 AC �p0 3./2AC p.ti `CSD 4s ? `�v. Ibc I r' � • �0i 22 A0 9� 3'O J 3.20AC wm 93,85 / �� c ch 2/ LOT 7 - _ .�\ . Z �. O .s mp 3.37AC 5 Je.a ads ` 05 2a 4 2.89 Il l2 47-44 �A.77AC 142.23 346.77 &W4 y spa 186.29. 94.08AC 0b�yoi 206.41 O 3442.70 CARRIAGE ESTATES SUB., 1/2 M.O.R. 24/27 9-22./988 4T-44 Assessor's Mop No.47-43 I LOT 7, KOHLHOFF AND GACKSTETTER LANDS= 7M.O.R.35, 6-26-1911 \ ~ LOTS 1,2 a 3, HOLMES TRACT, 6 M.O.R. 36, 5-7 /9/0. County of Butte, Calif. fi REVISED: e -goCZ y ..