HomeMy WebLinkAbout026-090-034--owl
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_..26-0-
9�3'�
Perkins & No.ENGASSE_R Villa Ave.,_ _ Palermo
^ontr : Acro-Lume, Orovi lle
Permit ##5817-7 B(reins all 2
awnings/MH)
---
e vin J. Engasser, Sr.
NW corof North Villa & Perkins
Ave. , Oro�19
ille _ _,- _
Permit �,E47-81P E (ut it . ,MH)
ELEC . 5-/3Z 2R
GAS 5-/3-8Z A1,4T. `i'5,4/PR097-
SUPPORT STRUCTURE REQ.
_ COMPACTION_TEST_ REQS!°^ jj2
-
26-A9-
Contr: Mobil- Home Center
Permit oro-82MHI
Iss J—f�-79'
1 026-090-034 99-1839
ENGASSER, MELVIN & PATRICIA
2086 NORTH VILLA, PAL ��
dCONTR:', OWNER cam-
MH.ON PERM FND, EX SITE
02&-'090';034- 03-0441
ENGASSER, MELVIN ;.
X2086 NORTH VILLA, PALERMO
NEW S N'v,P_ .. F. LY
t 026-090-034 8
-- ENGASSER,-MELVIN --
2086 NORTH VILLA AVE, P _ ` p
Cont: OWNER [
NEW SF -REPLACES BP03-04
r
0
3
NOTES
RESIDENTIAL
t _
PERMIT NO. _ 026-090-034 04-1908
ENGASSER; \-1ELVIN
2086 NORTH VILLA AVE, PALERMO
Cont: OWNER
NEW SF -REPLACES BP03-0441
33 6, 1-7 7 7
,f
SPECIAL CONDITIONS
' CHECKED
BY
SRA
t FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
r
SPECIAL INSPECTION ITEMS
}' VERIFY
r
USE PERMIT CONDITIONS
f
SUB -STANDARD HOUSING LETTER
{ OFFICE COPY
►, Ib
• �t � Address �,t( i
1 '
10'94 / y r 0114 jon l e2,,,o
GAS N/E
I r Meter. By Date av
� ELECTRIC
Meter By Date
4 JOB FINALED (Date) V�
- ', Signature
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive t' Oroville, CAe (530) 538-7541
TOLL FREE (530) 891-2751
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 notice this office when correction of work is +'
completed. If,you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
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Gwv► t rl S alt)
'M�
COUNTY OF,BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
�S�SSe (0�-l�o�
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 call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
4,0,j,C)eo Az1 et'rA , t r$ T O C,
Date _34 Z a� Inspector l /�" — C A& ;
REV 4/05 Phone # es 3 6 -�,
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
Read the instructions on pages 1- 7.
O.M.B. No. 3067-0077
Expires December 31, 2005
SECTION A - PROPERTY OWNER INFORMATION p()earikeGorii'Use ` <'
BUILDING OWNER'S NAME i
................................. t `: ''
G
EN A
PATTY SSER ...............................
BUILDING STREET ADDRESS (Including Apt, UniL Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Goit) fiy t.IPJG .... ern
2086 Nath
Villa
CITY STATE ZIP CODE
Palermo Ca 95968
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
APN 02649-034
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
Resenditial
LATITUDE/LONGrrUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type):
( ##° -##' - ##.##R' or ###.t#####) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE
Butte County 060017 Me I Ca.
B4. MAP AND PANEL
67. FIRM PANEL
163. 0 k(m)
ML.
B9. BASE FLOOD ELEVATION(S)
NUMBER
B5. SUFFIX
B6. FIRM INDEX DATE
EFFECTIVE/REVISED DATE
B8. FLOOD ZONE(S)
(Zane Ail, use depth offloodng)
0060017 0986
C
6"
6$98
AE
162
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe):
B 11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe):
B 12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑ No Designation Date
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construcfion Drawings" ® Building Under CorslructiW ❑ Finished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number 8 (Sept the building diagram most sinVar to I re building for which this certificate is being cornpleted - see pages 6 and 7. If no diagram
aoarately represents the building, provide a sketch or photograph.)
C3. Elevations — Zones Al AW, AE, AH, A (with BFE), VE, V1 A/30, V (with BFE), AR, ARIA ARAE, AR/A1-A30, AR/AH, AR/AO
Complete Iters C3. -a4 below accordng to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in
Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of
Section D or Section G. as appropriate, to document the datum conversion.
Datum Conversion/Corrments
Elevation reference mark used TBM 6 Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No
❑ a) Top of bottom floor (inducing basement or enclosure)
❑ b) Top higher floor
163. 0 k(m)
ML.
m
of nerd
_tL(m)
H
❑ c) Bottom of lowest horizontal structural member (V zones only)
WA . _R(m)
E a
55\' X,
❑ d) Attached garage (top of slab)
WA _tt(m)
w
c)'
a' �.v�
0 e) Lowest elevation of machinery and/or equipment
m
°C •
a No. 4085
servicing the building (Describe in a Comments area)
WA. _R(m)
E
* `_
• 30�� •
O Q Lowest adacent (finished) grade ('LAG)
❑ Highest
161.1 fL(m)
161. 4 R(m)
z' Lm
N
* : Q
��qr '' • • •
g) acjacent (finished) grade (HAG)
... •
F GOQ�\
❑ h) No. of permanent openings (flood vents) within 1 R above ac jacent grade
J
OF C ', .,
❑ Q Total area of all permanent openings (flood vents) in C3.h sq. in. (s4
cm)
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certiy elevation information.
I certify that the information in Sections A, B, and C on this certificate represents my best efforts to Interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIER'S NAME RONALD L GRAVES LICENSE NUMBER PLS 4085
TM.EProfessional Land Surveyor COMPANY NAME Ron Graves
ADDRESS CITY STATE ZIP CODE
563'Nelson Ave. Orovile Ca 95965
SIGIJM d DATE TELEPHONE
� 9-2904 533-9201
FEMA Form 81-31, January 2003 See reverse side for continuation. Replaces all previous editions
BUILDWG STREET ADDRESS (ImkKk g Apt, Unk Suite, ardor Bldg. No.) OR P.O. ROUTE MID BOX N0. g!;
2086
ONath
Villa
CITY STATE ZJP CODE t)AllFj;
Palermo Ca 95968
SECTION D - SURVEYOR, ENGINEER OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) carmunity official, (2) insurance agenVcarpany, and (3) building owner.
COMMENTS
Set 60 penny spike in tree on property Elevation 16205
❑ Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zone AO and Zone A Wf ut BFE), canplete Items El trough E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F,
Section C must be completed.
E1. Building Diagram Number_(Select the baking diagram most similar b the building for which this certificate's being completed– seepages 6 and 7. K no diagram accuratey
represents the building, provide a sketch or photograph)
E2. The bP of the bottom floor (including basement or enclosure) of the building is _ ft(m) _in.(cm) ❑ above or ❑ below (clnedk one) the Highest a4acent grade. (Use
natural grade, if available).
E3. For Budding Diagrams 6.8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the budding is _ to) _in.(c m) above the Highest adjacent
grade. Complete items C3.h and C3.i on front of form.
E4. The bP of the platform of machinery and for egL#nert servicing the building is _ fL(m) _in.(c m) ❑ above or ❑ below (check one) the highest adjacent grade. (Use
natural grade, if available).
E5. For Zone AO or>y: If no flood depth number's available, is the top of the bottom floor elevated in accordanos with the co mumu niVs floodplain management ordinance?
❑ Yes ❑ No ❑ Unknown. The local official must cer* this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized rep resenlatiue who completes Sections A B, C (Iters C3.h and C3.i ony), and E for Zone A (without a FEMA4ssued or community -
issued BFE) or Zone A0 must sign here. The statements in Sections R Q C, and E are correct to the best of my knowledge.
PROPERTY OWNER'S OR OWNERS AUTHOPJ D REP SENTATIVE'S E
.moi nJ L` , - --(Z- l b fq- -�-
AD KESS f) I r ! 7 �n ' ITY SLS_ ZIP CODE
SIGNAlYRE J �/ DATE _ TELEPHONE �' ,•
12K- 3 7�
COMM S `-
❑ Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to adnirrster the cormmuritys floodpain management ordnance can corrplete Sections A B, C (or E), and G of this Elevation
Certificate. Complete the applicable Rem(s) and sign below.
G 1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state
or local law to certify elevation information. (Indicate the source and date of the elevation data in fine Comments area below.)
G2. ❑ A com mu y official completed Section E for a building located in Zone A (without a FEMA -issued or co mmuNty4ssued BFE) or Zone A0.
G3. ❑ The following information (Items G449) is provided for carrnunity floodplain management purposes.
Xe IgZ:TSIIIOf &IW9:�
DATE
G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as -bull lowest floor (including basement) of the building is: — —ft(m) Datum:
G9. BFE or (n Zone AO) depth of flooding at the building sites: _ _ fL(m) Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
14377777,3lT_--�_ 7 I (M-111 1T I 11
FEMA Form 81-31, January 2003 Replaces all previous editions
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net\dds
PERMIT NO.
BP041908
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
Issued Date'' 07/30/2004 APN: 026-090-034-000
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.
Site Address: 2086 NORTH VILLA AVE PAL
License Class: License Number:
•
Map Index:
Date: Contractor.
Description: NSF (2414) COV. AREA (293)
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: ENGASSER MELVIN JACOB & PATRICIA
permit to construct, alter. Improve, demolish, or repair any structure, prior
ANN JT
to its Issuance, also requires the applicant for such permit to file a
signed statement that he or she Is licensed pursuant to the provisions of
2086 N VILLA AVE
the Contractor's State License Law (Chapter 9 commencing with Section
PALERMO, CA
7000) of Division 3 of the Business and Professions Code) or that he or
95968
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
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 (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: ENGASSER MELVIN JACOB & PATRICIA
owner of property who builds or Improves thereon, and who does
ANN JT
such work himself or herself or through his or her own employees.
provided that such improvements are not intended or offered for
sale. If however, the building or Improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.). '
❑ I, as owner of (tie property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' Stale License Law does
not apply to an owner of property who builds or Improves thereon,
and who contracts for such projects with a contractor(s) licensed
Contractor:
pursuant to the Contractors' State License Law.).
❑ 1 am Exempt under Article 3 of the Business and Professions Code
Date: Owner:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penally of perjury one of the following declarations:
License #:
❑ 1 have and will maintain a certificate of consent to self4risure 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
Architect:
required by Section 3700 the Labor Code, for the performance of
Engineer:
g
the work for which this permit is Issued. My workers' compensation
insurance carrier and policy number are:
Carrier.
Policy #:
Total Square Ft: 2707 S.F.
03/1 certify that in the performance of the work for which this permit is
Valuation: $161,598.00
issued. I shall not employ any person in any manner so as to
Census Code:
become subject to the 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 comply with those provisions.
CJ d
Date:
Applicant:
WARNING: Failure to secure workers' compensation coverage Is
� f/0 S f� dm��
'T V /1
unlawful, and shall subject an employer to criminal penalties and one9Z°
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for In Section 3706 of the Labor
code, Interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby Issued under the a2plicable provisions of the Biota County Code e.nrilor
Indicated abo fo which fees have been paid.
I hereby affirm that there is a construction lending. agency for the
Resoluli ns I work
performance of the work for which this permit is Issued (Sec 3097 Clv.)Date:
BY
Name:
.
PERMIT EXPIRES ON: �d ' el S
Address:
in.f.1
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification In accordance with Section 19827.5 of California Health & Safely Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the sub lance any official I or document of Butte County. I hereby
authorize repI lives of BuIt, I to enter upon mentioned property for Inspection urpo e
ntthjee above
74 r7l&yi
Print Name: f' Signature:
/ 1 U
Date:
wrier 13 Contractor O Agent for Owner ❑ Agent for Contractor
J=OK '
0 = Not OK
Not
: NotReadyable
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/0 -Concrete
4.
Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ P' L 'ft.
/ P Nat. or/ P' L "ft./ P 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.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8. Gas and Electricity Tagged
9. Exits
10. License Decals
11. Verify #'s with Office
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, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Caroorts: Windows -Doors
7. Electric
8. Frmq.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
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, Distance-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 Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
= OK
= Not OK
= Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
g., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
a"fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4 -Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
Stemwalls, Main; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. P' rs-Fireplace Ftg.-Steel
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
F, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
ater Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plqawms & Ducts; Clearance -Material -Support -Ins.
140'15i_tders-Sills-Anchor Bolts-Joists-Vents-Crippies
Vr_AcZss & Ventilation
sulation 0 - �-
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLU GING (Permit) OK except #'s
Water Htr.; Vent -Access -Combustion Air Baffle
ater Pipe; Test & Anchor -Nail Protection
1 .W.V.; Test Fittings & Anchor -Nail Protection
2 Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
Date //1, Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELEC RICAL (Permit) OK except #'s
2 Fixture & Transformer Clearance -Ins. Protection
25.,�E1ec. Receptacles Spacing -Lights & Switches at Doors
ize Boxes & No. of Conductors Stapled
P. omex Installed Close to Edge of Studs & C.J.
2 uip. Ground made up w/Mech Fasteners -Bond Gas & Water
2V2 Appliance Circuits in Kitchen & Conductor Size GFI
0. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31,, Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral 0 Yes 0 No
3 Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
Smoke Detect?r
r
Date 1 Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
3 A.C. Ducts Insulation & Support
37.4ent Fan, Exhaust above insulation
8/Condensate Drain & Overflow, Size & Grade
39.11'Furnace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date ' I/A Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRA ING (Permit) OK except #'s
4 4Sills Proper Materials & Anchors
42/Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. 'Bearing Walls over Girders & Floor Nailing
4 Draft Stop in Walls (rat proof)
f. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
416 'Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
481 Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
497 Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection- Draft •Stop -Ins. Baffles
51,: Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
arage Fire Protection Framing -RC Channel
531. Property Line Firewall & Openings
54 Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
5 ,, Stairs; - th-Headroom-Rise-Run-Landing-Fire Protection
Ply od on Roof Overhang -Attic Vents -Rafter Outriggers
1. iding-Nailing Veneer
088. qL
Stucco Mesh -Drip Screed -Fd. Vents- Underflr. Access
5 . Glazing Area -Glass Protection -Skylights -Plastic
60. hear Walls; Nailing -Bo a,'
6 11 nterior/Exteri r Wall Panel 7,
nsulation-Walls-Ceilings
Infiltrati n -Walls -Windows
Date f( 17 Card 1 Date Card B-1
Date Card B-1 Date Card B-1
Date WIL(Plans) OK except #'s
(Se>Kt. Steps -Door & Sidelight Protection -Landings
. Smoke Detector
Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
6 Bedroom Exiting
68: & Bath Fixtures & Tub Access -Spa
69!5ec. Trim & Subpanel, Breaker Sizes & Labels
-q'6--Stairs & Rails
74'Fireplace or Stove, Clearance -Hearth
72-."Elec. Outlets at Wood Panel, Int. & Ext.
TY ly't. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
7 Elec. Outlets & Receptacles at Kit. Counter
-*&.Gtrage Fire Door; Swing -Landing -Closure
36i'C Duct in Garage -Damper
7 tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in ara e; Above Floor-Mech. Protection
7 b.; Elec. & Mech. Equip. Listed for Location
7 Elec. Receptacles in Garage (F.F.I.)-Romex Protection
89!lnsulation- Foam- Looked in Attic
161. 8card Rails & Deck Construction -Post Caps
8 Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
_ Clearance Looked under Floor 0 Yes
F � win Instld./ ' e ErYes Q&Walks 0 Yes o/Planters 0 i7.
.8 Stucco o -Fi sh
C. Unit Disconnect, Electrical -Plumbing
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
r87 -Water Well, Disconnect, Electrical, Plumbing
8�!Exterior Elec. Trim, G.F.I. Receptacle Underground
8 .
e tilation Throughout House
9
Glass Protection
9
Corrections from Previous Inspections
92
as Test -Meters Tagged, Gas -Electric
9 • f 9
Water & Sewer Connected -C/O to Grade -HD Approval
En rgy Compliance Certificate her Ce ificates
9
. Address Posted
96.
Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
INSULATION CERTIFICATE Job Number: `4011:.-
J66.W.fi
&IO-Con't,
r s ructibit :2086:Noft 1
Vi14 Ave ,Palermo .CA
Contractor/Owner Name Job Address (street, city, state)�
....................... . . ....... -, .... ..... .......
....................................................
County - Subdivision Name Let Number
DESCRIPTION OF INSTALLATION
1. ROOF
3. EXTERIOR WALL
Frame
A. Cavity Insulation
Material:
Thickness
j
.. ....................
B. Exterior Foam Sheathing
Material: N .... bi
Thickness
..........................................
4. RAISED FLOOR
Thickness (inches):
...............
5. SLAB FLOOR/PERIMETER
Thickness(inches):
........................................................
Perimeter Insulation Depth
6. FOUNDATION WALL
Material:... .............................................................
Thickness (inches):
...............................................
Brand Name: o h * 1116"'A"C":r ai 't" ".
............. P . . ................. uu:
...................
Thermal Resistance (R -Value):::'::'::::::::::`:
Brand Name::: :4-6fiiis:
..............
Thermal Resistance
.....................................
Brand Name::: :166:M""ft Knauf
Thermal Resistance (R -Value):::::::::::::::-::::::::::
...............................
Brand Name:'::,:::::
....................... ......... .
Thermal Resistance
..................... ......
Brand.. . .......... ........
Thermal Resistance
aloe)::::::':::::::::::':::::::. ...................
DECLARATION
I hereby certify that the above insulation was installed in the building at the above location in conformance with the current
Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the
Certificate of Compli
............ - .... . . ....... ... * .. ......... ..............
:.c
.............................
. ........... .......... Icalrisii ......... i ......
e, where
............. .............................. 11 ............... -
Item Number's SigAature Oil Date I Installing Subcontractor (Co. Name) or
General Contractor (Co. Name) or Owner
Item Number's Signature and Date Installing Subcontractor (Co. Name) or
General Contractor (Co. Name) or Owner
NOTES RESIDENTIAL
,- 026-090-034 99-1839
PERMIT NO. .ENGASSER, MELVIN & PATRICIA--
2086 NORTH VILLA, PALERMO
CONTR: OWNER
MH ON PERM FND, EX SITE
THE HCD FORM 433A FOR THIS MH CANNOT
BE RECORDED UNTIL ONE OF THE'FOLLOWING
HAVE BEEN TURNED IN TO THE BLDG DIV:
� l) L ENSE PLATES) or DECAL jHE
SPECTOR MUST RETRIEVE)
STATEMENT OF FACTS,,ONLY ON I
NEW MH'S)
INSPECTOR TO VERIFY SERIAL & LABEL #'S {
SPECIAL CONDITIONS
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
t
d% vi�v
JOB FINALED (Date)
Signature
CHECKED
BY
✓ = OK
0 = Not OK
Date
- = NotApp)icable MOBILE HOMES
• = Not Ready
1.
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/0 -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; location-Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or / /"L"ft./ PLPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILjrFT ME INSTALLATION (Plans) OK except #'s
1.
Zo_rlinj Requirements -Setbacks -Easements
Foot' s; Size -Spacing -Marriage Line
as; Mt•Demand-Valve-Connector
ectricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain;_MH Test -Fall -Flex Connector
_r,4
-Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/0 to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
1
Cert. ccu ancy
rmanent undation Only; License Decal
Date
Date V
ar B- Date Card B-1
Card B 1 Date Card B-1
C0_jFL
3 �s�
MISCELLANEOUS
Di, -,e! DECKS, COVERS, CARPORTS GARAGES (Plans) OK except A's
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Beams- Rftrs.-Connectors
Shthg.-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sills-Anchors-Studs-Rflrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Liaht Niche
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
V = OK
0 = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (;
Date .
Underfloor (Plans) OK except #'s '
Hangers -Post Caps -Anchors -Connectors
1.
Zoning -Setbacks -Easements -Flood -Slope
Cling. Joist-Rftr. Ties- Purlin-Rolf Brac.-Truss-Shting.-Ring.
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
4.
Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
Garage Fire Protection Framing
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
Property Line Firewall & Openings
6a.
Hold Downs and Special Anchors
Ext. Doors -One X -Check Garage 3rd Story, 2 Exits
7.
Slab, Steel -Wrapped
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
8.
Piers -Fireplace Ftg.-Steel
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
Siding -Nailing Veneer
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
11.
Water Pipe; Test -Anchors -Regulator -Service Test
Glazing Area -Glass Protection -Skylights -Plastic
12.
Electric Underground
Shear Walls; Nailing -Bolts
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
Brace Interior/Exterior Wall Panels
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
Insulation -Walls -Ceilings
15.
Access & Ventilation
Infiltration -Walls -Windows
16.
Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Ext. Steps -Door & Sidelight Protection -Landings
17.
Water Htr.; Vent -Access -Combustion Air Baffle
Smoke Detector
18.
Water Pipe; Test & Anchor -Nail Protection
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
Bedroom Exiting
20.
Shower Pan; Test, First Floor -Tub Access
G.F.I. & Bath Fixtures & Tub Access -Spa
21.
Test Tub & Shower, Second Floor -Tub Access
Elec. Trim & Subpanel, Breaker Sizes & Labels
22.
Gas Pipe; Sixe & Anchors
Stairs & Rails
70.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
72.
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
30.
Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At
Insulated Neutral Q Yes Q No
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
84.
A.C. Unit Disconnect, Electrical -Plumbing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Water Well, Disconnect, Electrical, Plumbing
MECHANICAL (Permit) OK except #'s
87.
35.
A.C. Ducts Insulation & Support
88.
36.
Vent Fan, Exhaust above insulation
89.
37.
Condensate Drain & Overflow, Size & Grade
90.
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
91.
39.
Attic Access & Platform if Furnace in Attic
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Date
FRAMING (Permit) OK except #'s
Date
40.
Sits Proper Materials & Anchors
Card B-1 Date Card B-1
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
jingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties- Purlin-Rolf Brac.-Truss-Shting.-Ring.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One X -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor Q Yes
82.
Following Instld./Drive ] Yes ] NoMalks ] Yes J No/Planters ] Yes ] No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - -t
BUILD_ ING.DIVISION .
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Orovill 'CA • (530) 538-7541
CORRECTION NOTICE
OWNER
IF3�
PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
E—
{' Z. k
. U S
Date ^ �� Inspector
REV 10/92
r
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 MIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 026-090-034
ZONING AR 1
BUILDING PERMIT
OWNER MELVIN & PATRICIA ENGASSER
TE�+"E6978
SO. FT. OCC. BUILDING
VALUATION
12 8 R
67,392
.OWNERS MAILING ADDRESS 2086 NORTH VILLA, PALERMO
CONTRACTOR'S NAME OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
67,392
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
2 0.0 0
Permit Fee 495.50/2 $
247.75
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
23.00
BUILDINGADDRESS 2086 NORTH VILLA, PALERMO
Energy Plan Checking Fee $
$
PERMIT FEE $
29 .75
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome EX Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.0015.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: MH ON PERM FND
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE S
50.00
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 200AORLESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.POWER
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
La�w, %fo the following reason:
V 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.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A To 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( a Acc. sins.
SO
3.5¢x'
NoµRESID MULTI.OUTLET
97,50
APPARATus
6 SINGLE OUTLET CIR.
EX. Occup. OUTLET OR FIXTURES
20 Q 1'50
64L Q .50
Ex. Occup. ounFrs RESID.OEA.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
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 I should become subject to the
orkers' c ensation provisions of section 3700 of the Labor Code, I shall
f with c ly with those provisions.
Al"
X Date
Signature of App ca Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 340.75
HAZ.
D. FEES I�+�'
�— l/
FtooD
_
cDF
P
PD HD ISsu
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.
�f9
By 4A7A� D to
PERMIT EXPIRES ON 3
a1e
ReceiptNo. � 7 3 72 /$340.75
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County'Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NC
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCELNUMaER
ZONING
BUILDING PERMIT
OWNERI
;
TELEPHONE
SO. FT, O C. BUILDING VALUATION
OWNERS MAJ NG /
1 AD/5
,
c..s�
CONTRACTORS NAME
TELEPHONE
CONTRACTORS MALJNG ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation S6 7
(/ 2 --
ARCHITECT OR ENGINEER
ARCHITECT
LICENSE NO.
Filing Fee
S 20.00
Permit Fee 5,10
s�q 12. 2S
ARCHITECT OR ENONEERS MAUNo ADDRESS
Plan Checkin Fee
b
SUILDINGADORESs
Energy Plan Checking Fee
S
S .
PERMIT FEE
= 2 O r]
LOT NO.
SUSONENONS HUM
-
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome<Other
sPEClry
Solar or heat pump water heater
23.00
Water piping
15.00 Ov
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ hes ❑ Installation ❑ Other ❑
Describe Work: /
jL:4bl�_: 13 9rI
Gas piping system 1 - 5 outlets
15.00 ,co
Building sewer
15.00
Mobile Home S G W
020.00
PERMIT FEE
_
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service oa LEss
23.00
-
211
J
- — — --
Main Service low TO 1000A 46.00
NEW CONST. DWELLING ffuP. SO
OR AODNs. A ACC. Stns. 3.5d FT.
NON•RES 0. RANCH MULTFO UTITS @7.50
POWER APPARATUS
8 SNGLE OuIIn.Eri1.ET C0.
OUTLET OR FDrn JRES 20 ® I'00
Ex. OCCU SAL 0 .so
Ex. Occup. ovrtFrsAPPI o,°ENA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEL: S
Mobile Home Installation Fee $
Energy Inspection Fee -5
OCC
CONST. TYPE TOTAL FEES
HAZ.
�. FEES IMP
FLAO
I COF
I PARCEL
I PO
NO 1 9SSLI
This permit is hereby issued under the applicable provisions
of the Butte County Code and7or Resolutions to do work
indicated above for which fees have been paid.
By Date
7 PERMIT EXPIRES ON
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICATION DATA SHEET
1r
OWNER: (/VIEASSESSOR PARCEL NUMBER:�> 2 6- a Q_3 C/
Proposed BuildingUse: Building Inspector: (� Date:
At time of permit application, I was advised the following data must be submitted prior to permit proessing and/or issuance:
Date Received By
❑ 1. All items have been submitted .---------------------------------------------------------------------- ------
❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------
❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.
115. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ---------
❑ 6. Energy Design Compliance and supporting documentation. -------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. -----------------------------------------------
❑ 8. Hazardous Material Form. ---------------------------------------------------------------------------------
❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications ----------
El10. Fees of $ ----------------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule. -------------------------------------------------------
❑ 12. California Department of Forestry plan approval/fees. -----------------------------------------------
❑ 13. Flood elevation certificate.-------------------------------------------------------------------------------
❑ 14. Sanitation and plot plan approval Health Department. -------------------
❑ 15. City of Chico plumbing permit. -----------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ----------------------
❑ 17. Planning approval for (A) Use: (B) Parking: -
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --
1120. Pre -inspection for
required Request to Building Inspector on
❑21. Contractor's license information. (Number, Name Style, Classification). -----------------------------------
0 22. Workers' Compensation carrier and policy number. -----------------------------------------------------------
❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - --------------------------------------
❑24. Letter of signature authorization. --------------------------------------------------------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------------
026. Letter of intent on building use. ----------------------------------------------------------------------------------
❑27. Manufactured Home utility clearance.---------------------------------------------------------------------------
❑ 28. Existing violations and/or expired permits.�----------------------------------------------------- ---------
E130.
---- -
❑29. 0433 A,'�►�ant Deed H. Title, �J'Check to H.C.D $ Z �> M - � 44e,7
❑ 3 0. Other: -------
When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor.
Telephone .�3'1' 6 % 7 6 and hold for pickup at ffice. eliver with inspector.
Applicant 64 Date:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
(Date)
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return 'this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit will
be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of the
proposed property improvement: YESN, NO ].
2. 1 HAVE-e� HAVE NOT[ ] signed an application for a building permit for the
. proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide -portions of this work, but I have hired the following person to
coordinate, supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following.persons to
provide the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY O
SOCIAL SECURITY NUMBER:
DATE: �_ l (_ � /
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
May 1995 2.26
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks' for -you if you do not carry out these obligations, "and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
Sincerely,
Michael C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
May 1995 2.27
ELEVATION CERTIFICATE FMS
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
A1TOf lONt Use of this certificate does not provide a wanner of the flood insurance purchase "iremmt. This form Is used only to
prarMe elevatlom htklrmatlon necessary to ensure compliance with sppticable community Noodptdn management adlnarx" to
determMe file proper Insurance premium rate, and/or to support a request for a Letter of Map Amendment or Review (LOMA or LOM
Instructions for completing this form can be fewnd on tilts following pipes.
SECTION A PROPERTY INFORMATIQN •
suLDW OwKRS N" I ►actor MUMM
e'YAE•T ADDRae9 bye APr., lige, =�ndbr awp. Ak w1 OR P.O. kaoura MJO eOx NUMeta I COMPANY MAIC gf�Lkes .
0
7MA 069CRPTION iLot.nd Mock Nur►tMM NW.)
APH 026-09-034
Gttl� - eTATtt ZIF �•
Palermo CA 4598 ,i_
SECTION R FLOOD INSURANCE RATS MAP (FIRM) INFORMATION
Provide the fokwing from the proper FIRM (See Instnrctbns):
t. C011MUNrrY IRJMtlEFI !. P/1MCi R 9 aNPRDk i. DATE kw: fi1M suoEx &FW420W L 4M AOWrJWATM
rM �M
ubuy I1 U7 ----- -
7. Indicate the eleMetlon datum system used on the FIRM for Base Flood Elevations (BFE): ® NGVD 20 ❑ Other (deacrlbe on ba*
8. For zones A or V. where no BFE Is provided;on the FIRM, and the community has estabashed a BFE for this buildrg eke, Indidte
the community s BFE:I I I I I I.0 fest NGVD (or other FIRM datum-soa'Scey1 n B, item 7).
SECTION C BUILDING ELEVA71OK
1, Using Ow Elevation Certificate irtsltvcGvns, Indicate the diagram number from the d! rad on Pages 5 and 8 that beat
describes the subject building's referenceIOWIe8 .::tail
2(4 FIRM Zones Al -A30. AE, AH. and A (with BFI;). The top of thq re)e io a selected diagram Is at an elevation
of l (3.6j feet NGVD or other FIRM datum -see Secli6p B.. •..�'' qq��
(b). FIRM Zones V1430, VE, and V (with BFE). The bottom of the lowest > rita� til member of the reference level front '
the selected diagram. Is at an elevation of L..LLLU.L iset.wvo-w- ttwr>`tRM dattm-see Section B. Item 71.
(cj. FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram Is LU.0 feet above ❑ or
Below ❑ (check one) the hrgheal grade adjacent to the butkpng.
(d). FIRM Zone AO. The floor uas the reference levet from the serected diagram Is U...1.0 feet above C1or belo
sed w ❑ (d"
one) the highest grade adjacent to the binding. If no flood depth number Is available, Is the bunding's lowest Noor (reference
level) elevated In accordance with the communitys floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown
3. Indicate the elevallon datum system used in detemtlnfng the above reference level elevations: 0 NGVD 29 ❑ Other (describe i
under Comments on Page 2), (NOTE. if the elevo on datum usedln measurtnp the sleyaibm /$dq/ #at Own 9Uf Geed on
ft FMA# jade Sectkn E, Nem 4 then canvwf the elevations to the datum system used on the FIRM and spew the aonvsrSW
Y
equation under Comments on Pape 2)
4. Elevation reference mark used appears on FIRM: ❑ Yes ® No (See Instructiops on Page 4) _ 1
S. The reference level ebvetlon Is based on; ❑ acwaiconstrvctlort ®conalruc:iort drawings
(W TE. Use of cons&Lc6W drawings is only valid if the bulrny,dloes nor yet have the rewence /awl Row In Place. n whfofl '
;caso ft ceyffafi wid dtnlybe wand kr the bufidlrtp duff die onne dtf consWcUon. A post-eamlruclkw Elevation C -Si cats i
1 ' olif be reqLAhed arch cauftedon Is ete.J
8. Via elevai!cn of the lowest grade Inwmedlately adjacant to the building Is: I ! 1 160.Lj feet NGVD (or other FIFW dal WWW
,
' Section 8, ftem 7). ,. F!
SECTION 0: COMMUNITY INFO"tM.
1. W" community ofHdaf responsfble for verffying hukling elevatiom specifies that III* �efererrce,�evgl Indicated C;1lem t I
I b rad the 'lowest poor" as defined In ft community's iloodpialn management ordinanX Itis elevaWWn i'Ih`%'bu( "lowest
'Noor- as donned by the wdlnence Is: I I j f j I.LJ feat NGVD (or otfw.FIRM datura} -see Section 8, Rem 7).
0. Dale of the start of construction or substantial ImImovemerrt
Fr
SECTION 9 CERWMTIOH
This carocadon Is to be signed by a land su"Yor-Ongin0dr, or architect who Is authorized by stateleor alIswt0cGfflty elevao".
Information v*mn the slavatbn hkanallon for Zones AI -MO, AE. AH. A (whh 9M.Vj_V3().VE. and V (wRh OFE) Is required
'Community 011cials who are authort:ed,by local law or.ordInance to Provift kdomv*n. nW also sign ft
ceriffIcation. In ft ca" of Zones AO and A (without a.FEMA K copnw* wgwlcg oMcjGL a property awner. or an
owner's relxesentailve may. Woo sign the,
Pafersoce leveldkqrsms; 6, 7 and 6 - DlWnguI1W*vg Fsatur964 the certifier 19 UnSbIs to certify 10 br9ak&waYhw"4br@&kaiv &Y wall,
wldmro @Ira, locator, of servidnq equWnent area use, wall op@dngs, or unftlshod area Feature(s), then Id ft Features) not
kwkWed In the carlIfIcaWn under Cmffwrdo below. The d1aWw number, Section C, Rom 1, mat BO be arter'S&
1, 1 VW ow jM*vm&$w ft SeSectionsSectionsB and C on trite cerffikaM nWrewts mybeW efforts to kVOMFW MW eta evOlable?.
I undpwardOwl im Abe 8t*&M&ff maybe punishable by Alm or kpdsmMfd wW@f 18U.S.Code, SedkM .. 1001
CERT ERS NAME LICENSE MMMA (crAsk Sena)
- . '-* gonaild L. Graves 2 T_q- anti
IM COAVANY NAME
Professional Land Surveyor 4on"Graynig'And AsUggiates—
ap
Box 98§ CA 95965
I
Q5-10-99
Coples diould be made of this Certificate for: 1) community offtlal, 2) Insurance agenVoompany, and 3) bulkillim owner....•
7 r r.
COMENT&
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3
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4.
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The dWgrwm above Illustrate the points at which ito
Apes Mesaaured at ft 1lop of the Were
,,4",Lid beg
Ewvaftm- for alVZonss shoWd be measured. at the botiom of, m.kwmwUwdichW sbyctu raJ membet
AA
4!
NI
Location of structures &
equipment shall he as shown
& clear -of all easements.
-
M
i
�- 'RWORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COPY of Document Recorded
18 -Feb -2000 2000-0005970
Has not been compared with
original
BUTTE COUNTY RECORDER
I SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section
18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon,
upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the
county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons
thereafter dealing with the real property.
MELVIN J. ENGASSER, JR. & PATRICIA A.
ENGASSER BUTTE COUNTY BUILDING DIVISION
REAL PROPERTY OWNERILESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
PO BOX 257 7 COUNTY CENTER DRIVE
MAILING ADDRESS MAILING ADDRESS
PALERMO, BUTTE, CA 95968-0257 OROVILLE, BUTTE, CA 95965
CIY COUNTY STATE ZIP CITY COUNTY STATE ZIP
2086 NORTH VILLA AVENUE 99-1839 (530)538-7541
INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PERMITNO. TELEPHONE NUMBER
PALERMO, BUTTE, CA 95968 02/14/2000
CITY COUNTY STATE ZIP SIGNATURE OF LOCAL AGENCY OFF IAL DATE
SAME NONE
UNIT OWNER (if also property owner, write 'SAME') DEALER NAME (Lfnot a dealer sale, write 'NONE')
MAILING ADDRESS DEALER LICENSE NO.
a" coo VATS IIP
UNIT DESCRIPTION
FLEETWOOD 1981 STONERIDGE
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER
CAFL2A/BB491703050 52'X 24' CAL229251/2
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #026-090-034
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept
BUILDING PERMIT NUMBER: 99-1839
Address or location of unit: 2086 NORTH VILLA, PALERMO, CA 95968
Legal Description of Real Property: A.P. #026-090-034
SEE ATTACHED
(x) Mobilehome/Manufactured Home
() Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: MELVIN JACOB & PATRICIA ANN ENGASSER
Owner's address: PO BOX 257, PALERMO, CA 95968-0257
INSIGNIA OR HUD NUMBER: CAL229251/2
SERIAL NUMBER OR V.I.N.: CAFL2A/BB491703050
MANUFACTURER'S NAME: FLEETWOOD YEAR: 1981
OFFICIAL APPROVING INSTALLATION:
DATE: .02/14/2000
PHONE: (530) 538-7541
H.C.D. 513C
LEGAL DESCRIPTION
A.P. #026-090-034
All that certain real property situate in the County of Butte, State of California, described as follows:
ALL THAT REAL PROPERTY SITUATED IN SECTION 5, TOWNSHIP 18 NORTH,
RANGE 4 EAST, M.D.B., BUTTE COUNTY, CALIFORNIA, AND BEING A PORTION OF
PALERMO CITRUS TRACT, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP
OF PALERMO CITRUS TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF
THE RECORDER OF THE BUTTE COUNTY RECORDER ON SEPT. 17, 1888, AND MORE
PARTICULARLY DESCRIBED AS FOLLOWS:
THE EAST ONE HALF OF LOT 5, BLOCK 78 OF SAID PALERMO CITRUS TRACT
RMEN RECORDED MAIL TO:
Mr.ra xm. Jake r
2086 N. Villa Ave.
Pale=c. CIL. 95968
MAIL TAX STATEMENTS TO:
Same as above
d
0.-
fi•d. ISM E L T
Srrd b 003pW
---a.
C
R[CORD`-
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14 A 13
CURIO
X•i7I tE
84- 74p.
SPACE ASOVE TWIS LINE row weopwoew= MR
DGMA*NTARY TRANSFER TAX ! 11ofp c 16 -1��
f slp.l�p w M O..Owwbm s www M p awft w'ME: fM
—CL Ibaw o. m.ermwwrlsiNl. �. ww,b,.�
GIFT DEED
IN CONSIDERATION of. w oIp. E w Effllcl ohidl 00 t�� bw b or WINNOW
M v�U J. .�EA 4
5,S ,SR, au0 G �cD�ut A. EivGA$SE(Z.
do I-aby Oe. Yell wd Oalw.p b .
ML-c.UlAI J. E•A1G4SSGR JR A,)D PA7'QjC,A A• PLSZL
14t)3t3A/UD R+vD WF— !aS JYD'k' 'T � ,
Sn o.T Tod prOMW in o. City of A Q
Covlty of �V rrC� _ . Sw of GliforrK dMnLrO s
SEfi ATfAMC7 LCdAL 'L)C:SCKIMLIA).
STAW COUN3Orr�F Q
Vy.\41,
Flo
C\- a
saft CID
blow b III• b b p.•on �_ •.wo• r.. 5��� ANGFIA 0. M+Ib.�.� �
wotw• b a w:e:. .im,,,,.■ M ano.•Ip'p One L' r aa,,'`.c xx in ,,..
�td.O Wv
M �.L h ELTTE away T
MTM[SS ny rrM cir bL ��•'=+til; an.,, TSE/ C)
CA
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- TTf.r w br •rr.Y w•pry wp
MAIL TAX STATEMENTS T na.ol .
AS DIRECTED ABOVc
- A55E5c25 � �c�Z i�
i'
�•�t -
• art ` LJrorJtt Q�w�CiQt�f •� �. •,... Q
�arnk c�
ea-a w.•.4 u
saa
AjfiaW A c.rr.w 4...6– n.— 0r.64 u
arw
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IN 1 *v&*WW 9rM M OW,076 &wa&, CA !1965 !I6/13•-INI rr4� a
12".a
•-L. Q.— u
4M
'
CIVIL ENGINEERS • LAND SURVEYORS r—%dw– u
new
March u, 198
34-"Z
FASiERLY PARI.
All that .real, In ape. situated in Section S; •7oiauMp>IB Jiarth;:it�ge
a-prioc of -the .
1 East, 11.D.11:;; Butte County. California; and bedng:or
Palermo'Citrus Tract, as sham on that certain nap entitled Nap of
Palermo and Subdivision 1 6 2. with Addition to No. 1, of the Paltao
Citrus Tract" which map was recorded in the office of the Butte County
Recorder an Sept. 17. 1888, and more parwcularly described as follows:
The Fast one half of Lot S. Block 78 of said Palermo Citrus Tract.
-
ig
e
o
CD
Q0
STATE OF CALIFORNIA
-DEPARTMENT OF
HOUSING AND COMMUNITY
DEVELOPMENT
A TevnA nLl /.•DA
YROT1. CL nmr
nFCOI NO i &o, r
MANUFACTURER NAME/10
TRADE NAME
MODEL
DOM 001
DFS
SPC EXPIRATION—
FLEETWOOD/9534
STONERIDGE II '
173523060
12/16/81 12/16/81
05/19/82
U SERIAL NUMBER LABEL/INSIGNIA NUMBER
WEIGHT
LENGTH
WIDTH
ISSUED
I SCC
EXEMPT USE
i TYF
1 CAFL2AB491703050 CAL229251
010900
000624
000144
12/10/84
104
SFO
ILP'.
2 CAFL2BB491703050 CAL229252
008500
000624
000144
3
TOTAL
C
FEES
S
PAID:
6
$25.00
A ENGASSER MELVIN JACOB
D OR PATRICIA ANN
0
R PO BX 257
E
s •
s PALERMO CA 95968
E
R ENGASSER MELVIN JACK
E OR PATRICIA ANN
O M
I A PO BX 257
sx
T L
e PALERMO CA 95968
R
e
D
o s .PO BX 257
WI
N T
E, u PALERMO CA 95968
R S
L HEART FED SAV/LN ASSN
E
o'
A PO BX 1248
L
0 AUBURN CA 95603
W DATE: 11/26/84 10:45:00
N
E
R
J
U F
N I
I R
O S
R T
L
I ,
E
N S
H E
O C
L 0
D N
ED
R
IMPORTANT .03-341-00039
THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT.
.x
THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0300016
DUPLICATE COPY
TO BE FILED WITH THE MOBILEHOME
PARK OPERATOR AS REQUIRED BY LAW
-4RECADING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
Recorded
Official Records
CountyBUTTEOf
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
01:49PM 18—Feb-2000
REC FEE .00
CONFORM .00
Shauna
Page 1 of 2
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
i
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section
18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon,
upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the
county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons
thereafter dealing with the real property.
MELVIN J. ENGASSER, JR. & PATRICIA A.
ENGASSER BUTTE COUNTY BUILDING DIVISION
REAL PROPERTY OWNERILESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
PO BOX 257 7 COUNTY CENTER DRIVE
MAILING ADDRESS MAILING ADDRESS
PALERMO, BUTTE, CA 95968-0257 OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP
2086 NORTH VILLA AVENUE 99-1839 (530)538-7541
INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PERMIT NO. TELEPHONE NUMBER
PALERMO, BUTTE, CA 95968 02/14/2000
CITY COUNTY STATE ZIP SIGNATURE OF LOCAL AGENCY OFF IAL DATE
SAME NONE
UNIT OWNER (if also property owner, write "SAME") DEALER NAME (dnot a dealer sale, write "NONE")
MAILING ADDRESS DEALER LICENSE NO
cm coum STATE W
UNIT DESCRIPTION
FLEETWOOD 1981 STONERIDGE
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER
CAFL2A/BB491703050 52'X 24' CAL229251/2
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #026-090-034
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept
it
LEGAL DESCRIPTION
A.P. #026-090-034
All that certain real property situate in the County of Butte, State of California, described as follows:
ALL THAT REAL PROPERTY SITUATED IN SECTION 5, TOWNSHIP 18 NORTH,
RANGE 4 EAST, M.D.B., BUTTE COUNTY, CALIFORNIA, AND BEING A PORTION OF
PALERMO CITRUS TRACT, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP
OF PALERMO CITRUS TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF
THE RECORDER OF THE BUTTE COUNTY RECORDER ON SEPT. 17, 1888, AND MORE
PARTICULARLY DESCRIBED AS FOLLOWS:
THE EAST ONE HALF OF LOT 5, BLOCK 78 OF SAID PALERMO CITRUS TRACT.
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS -717
7 County Center Drive — ,OroviII4, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
ttu 111url LereNresen - ives or the county or butte to enter upon the This permit is hereby issued under the applicable provisions of
above -menti e --
ert for inspection _u.rposes. the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
X Date DIRECTOR OF PUBLIC WORKS
Signature f ermitee or Agent
Receipt No. ,
7 f�3 BY Date
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date
J
BUILDING `
Owner ��7(%r7�.�� �S'�C
SQ. FT. OCC. BUILDING VALUATION
Z-0 O
Mailing Address
6 c/Q
Telephone No.
Fireplace
Contractor
Total Valuation //2®
Mailing Address SCJ 9 L vU
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee , C, e�
1tj
Building Address ��i,v
PLUMBING No. @ FEE
PERMIT FILING FEE $3Y00
-
Z- �/Z,L{o C
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. JNo.
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fes
WWSanitation
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma p
60' R/W
Im rovements
p
Lawn sprinkler system 2.00
Bldg. Plans Rec'd
Parcelpproval
PISKs Approval
Permit Fee $
$
NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No.1 @ 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
r
yx
Water Heater or Space Heater 1.00
Light fixtures -072
Receps., switches & fix outlets
CONTRACTORS LICENSE, LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
ornia Business & Professions Code under the name
style of:
State of7.,� 'r Cz! �/�
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
e io
License NoClassification C, " W
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
j� I have placed on file with the County of Butte a certificate of
��--++ Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit .is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$ i;T®�
ttu 111url LereNresen - ives or the county or butte to enter upon the This permit is hereby issued under the applicable provisions of
above -menti e --
ert for inspection _u.rposes. the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
X Date DIRECTOR OF PUBLIC WORKS
Signature f ermitee or Agent
Receipt No. ,
7 f�3 BY Date
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date
J
aL NOTE:—All Materials & Workmanship Shall Be in
Accordance with Recognized G csnd Practices and
of a quality prescrihed for the Srern;f ed use in the
Uniform Building, Plur binq & Machanical Codes and
the National Electrical Code.
7.a 1
This set of plans -a -�
kept on the job at all times and it is unlawful toe
make any changes or alterations on same without
written permission from fhe rNr-.-,ar#rn; est of Public
Works, County of Bufte.
;.e A-/ jV s
2�
:0e-e—
aG.
P
no
TheTed
tback shall 6e 5 ft. from
the perty line and 50 ft. from
the e of the road, permitting
a mof a 2 ft. eave overhang.
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
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' �.� 2GA3CIA BEAMS \�k3�
1.50 .125 FSr�•145 � � s' .lo;.loy -;t '" ' 6ACK roenuc -_ _� � � T•_ I
ikNaa..
.yep
!� � ..--- FiAc IA SEAM
CC.L• CowMLCT, �
SIM, 711:> C'GJN4T . r• II I
PETAIL EXCEPT /` C.ae_�' G� �.(��I••A .ic\� (2 MII`f• I¢¢FyGE?i
CX -I Pi 1. / ..;��' BI FoR P►�1.
I, IS
CON ECTEc> BY
1.154 I.75. j 2P I .2,25' -+. 2,v _, LT�...75 . - 1 R- 4 aoLrs
M AT. �icao{ - H 9ro aQ Egty�_ y- 1.675 _. T B44 n L I . O VP�p Q69
MAT. 3a�3-Hlro I/. F, 25K51 UL -T, 33 KSI, MATGewto3T5-•055
yP, JOK51.UL-SI. BAKEf7 ENAMBL.. FINISH Y•P• 16K51. ULT, 22 KSI. GaOgTiNv _ :r te // -rT-cam, ���-:'- •-` -! !'
Uf�� �z�fZ •FYJS? FZ�F Pf�IJ�I_ ATTACH- STKIP
In 2-i'� 1/O7b //PR4T® \ // /A
�• --'.. PANES �. 3- •MOIREr//A/N// PANELr�i�6
m 25, X10 5 \ � i \\ Edo 0✓ / / \ -0.
�. L II �•�2V%E KCAL
I ,72 �,�9�f3o�T! '"��`.\ �..� .ALUMINUM
Vl a�.Q STRAP I 1I,' i' . _ a r 24 act :�- . y �QowN9Pou
p^.• � f � .0® /L6r •9-/4�f� 1{Il..hj; ®. ��� A i ;'�`r' IU
LW
en
i� � - e .\`\ •� i Q .� �` -FASCIA 'i��Tl •ll �NSTALL �ERT.®
��ILO�SMS �-:r� „ •y: ;T���• I�.'!� '�\� : �II� :_-�.� I I - � oR�AMEN AL
6063- r6 y ` GOr9-T6 i /a ! yC"! I I
Y•25Ks/ U_ A(:)."--51 PosT56- I n r i ,{ I
icr — Y -26K5/ U -30K51 \W/ Il.: I; I, 'cI! $ r/f
;=fa �G I.� BOX BEANS -SSD IGTRIc MITRE �" r. ,4. �o�eF/
II 1'('dl• 0 .(. Q H36 -PANEL ! �'
.1104;
- Tog-Tro-9 LONG A.wNINC� RAIF- —It& P/4bwatp05cREw5
8- IOMs.x'/�' -/i EA. gI�E roo�L-T(o- •091 •-- a oe_ To PEN f- TRATE !j&F Qin ALTERN, Fa4
� of �PLIc�-�or�A7E SPL-IcE #JO 5�wt.5•
WITHIN 2-O >F AN ..... -IY 12'QG... OR 01 I '-. f•
tNT6RlOji FbsT�. ®.4T ffd ee. 1\ iI_,� BU : CO .USE SoL/OF/LLE
r- ,r0" Ie sr+r, -/ vI R sAr T s a/N 1� 11'
MKIST. M001L-E 1,40M6.v
rLDin� �ARTME EN�r-SAL_ i�TE=S
-
� it � �.- l \ •'� � /vE LQ4G'IOFSF -UPLIFT IO PS F,
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211.�t. 4 tl R.AREA 4W --O PPSLFL EALPEMrNTSTooF erfe FVAcEcE 7a'EFOIDSM•SI--
7 - :�-'-�-'• -;�/�.\ 11--.P/ITHIIJXIV ''-_-10 S•M•S.I 12 AT6RaoVE PROVED AwNiNCs WFi FJdIgZ TO bR0'S AREA IF
2•Ip # GF SIDE OF PANEL. - 9Z PLACE AT LIP EWc=Lo560 WIoPEN MESH 1NroEGT�jG BEEN oR
.' KEMIo./A6LE -7RAN01_4CENTGR TRANSPARENT
%411�6OLT J %AL4MaOSSIF.NPER�uM CoKNST�� MILS.
GODU1NiN SPP�ING MANUAL
A ;� ® 'AG L ANp APPENDIX Tr25 -2A,
-G� - -_.i. GONN�GT. GTA I L� 0 .W ALL FAs,sN 1- Tb BE Zo2 c=AG%-A�.L OTHERS
t� TOgE¢sTA1NLESS,6PLY,CRCAD PLATtP,
U BRACKET -'i 'ac_ Z� �� I 5cAOII-MAY BE ANY NATURAL c,olL OR ME 17.
�jfprio3-Tro'•2 + .f e I p�� ------ SLAB STEEL BEAM �e--PAZT FILL, E'%CEPr L� E ORGwN IG
I "HIC>H ('I( '( - i_I/40�BnLT oK �l I S/. r�7. SIZE 7YPE, Fw/.x cicsaP
wI OEx I h ! 4 010 SM6 I A 59G7riON VIEW pp 7HE Mmpl L E H�)IA6
E �I
SQA20' 8 0 8�-O" FASCIA
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WILL BE REo p, wNEN IN THE ovw I[7J of
THE INSPECTORTHI-WALL 15 11JAoI54QUAT6
7 IN
EACH STALLATION 5HALL BEAR MENTI FICATICN
7-Z"
9
/5QXPL) 7-2 7-2'
�Nc 61vIN6NAME ANP AV DR9s* of
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11 J
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_19' kt 1x22 7=4" 7=4 FA-ICIAJ
MFCsRI MOOS L NGL, DE51GN L,L AND 5TO,
PLAN APPROVAL
GwLy.a/t PAI NT JA
fp
QALL ALLOYS ^fFlc.�nN MAY BE SU65TITUTEf%
mTl•{ER
I
.�
U BRACKET 9
RUST INHIBITING
PRIME.RAI-I-
b
RyrT-..,
I/.gl�yeoLT GR
q- IOSM S•
I t r 0
WIOEx I' ¢'
PEEP
5URFAGES-
r
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SHAMMA-ALSLNA
U1,V/7-.1=0D612gLUME,�-ROLX<75 //VC.
/4505MANNArrAA/A✓E.(7/4)77Q-2680
9RG KET
ENGINEERS
3R7 r -e GL G, 92�
....
�;,111J.THICIL,IN
.TH1s Pnvv4s,.15 -rHa vRcwER7y
OF THE J31` I NEBR ANC MAY
MOB/L. E H0mJF 141-VIVIN5S—._..._
1
!/41.x61AVO
C40V401TION• .
,y
V1I
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4'PHILLIP5 RED
NEA G�ICSO NO 1372)
OR EQUAL MIN!,
-r0gEAPPRC^/EO } IY-
&./ BLi21.
OFFICIAL II
W
375 L6. UPLIFT
G 2TA /ZA'E�( r ,/N( D'
EACH.
f_.
ASTM A916
GONG• FT&. EXIST t=Tv STL. F=T6
SQA20' 8 0 8�-O" FASCIA
r r i 1
WILL BE REo p, wNEN IN THE ovw I[7J of
THE INSPECTORTHI-WALL 15 11JAoI54QUAT6
7 IN
EACH STALLATION 5HALL BEAR MENTI FICATICN
7-Z"
9
/5QXPL) 7-2 7-2'
�Nc 61vIN6NAME ANP AV DR9s* of
_
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MFCsRI MOOS L NGL, DE51GN L,L AND 5TO,
PLAN APPROVAL
® G�- Z"
. /9 5Qx24r G� 2° G-2�
i��..r.
QALL ALLOYS ^fFlc.�nN MAY BE SU65TITUTEf%
mTl•{ER
n moa-• 1Mru.e
_. -- --- '/---
C p
IOI�rI 12 PAN,
pY ALLCr/S WITH EOLlAL. YIELPI
POINT ANp ULTIMATE.
q, EACH AWNING ON EACH FACE of moBILE Ho•ME
rreoveo
SkALL HAVE A SEPARATE PERMIT
SHAMMA-ALSLNA
U1,V/7-.1=0D612gLUME,�-ROLX<75 //VC.
/4505MANNArrAA/A✓E.(7/4)77Q-2680
CONSULTING STRUCTURAL
ENGINEERS
3R7 r -e GL G, 92�
I FUL4ERroN, CAL/FORn//q 9263/
121:1-f—
.TH1s Pnvv4s,.15 -rHa vRcwER7y
OF THE J31` I NEBR ANC MAY
MOB/L. E H0mJF 141-VIVIN5S—._..._
I EIIpi=�
NOT gg!: C -025P OR R6USEo
WITFkA•1T WRIT7R.J•1 Parvn1351GN
cRvoJ,• GKA. ORw%. r4o7.
41E• /o-2a� C /6009 i 14972
APPRorAL
® u -Js -r/
�%r
SPACE NO. SPACE SIZE
STREET
I hereby approve of this structure
in accordance with Dwg
CUSTOMER PLOT PLAN
PARK NAME
TENANT'S NAME PARK ADDRESS
Approved by:
OWNER
or
PARK MGR.
l0?0 ti
PERMIT NO. _
PERMIT EXPIRES AIN 02
OWNER Melvin .T- Engasser, Sr.
CONTR.
w
r
ASSESSOR PARCEL 26-09-9
LOCATION NW cor.of North Villa & Perkins Ave,
Oroville
r
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7�
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s
' 3
Temp. Power Pole
• Called PG&E
Temp. Elec. Service 5— $ 0' 'L—
Called PG&%E
Temp. Gas Ser ice
Called PG&E
JOB FI LED (Date)
40�T-Cz
Signatur
i {
,4
a_..._ "O
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CEN?,ER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OE OCCUPANCY
This mobilehome ;has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 5, under permit
number `P4 7 , for the following location: �. a
"��...- / +tel L-•�'! ae[.�'..A h'��,// J�<�s � ��'?3�1_.::-�,,�
i
Owner
Owner's Address -�' — 5 %
Mobilehome Mfg.0 �� ModeA• f -7— Yearcr'�`Z
Insignia No. A A 9-;-57V' ' _' Serial No.:3
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public�Wot7
Date '�"` B y
J#
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED i
White - Owner, Yellow - Installer, Pink - D.P.W.
^ • r
f
V = OK
0 = Not OK
— =Not ApplicableMOBILEHOMES MISCELLANEOUS
= Not Ready 1.4.4
Date
MOBILEJJOME UTILITIES (P s) OK except N's
Date
DECKS, COVERS, CARPORTS, _-TC. (Plans) . ,xcept n
ning Requirements—Setbacks—Easements
1, Zoning Requirements—Setbacks—Easements
Soils; Special MH Support—Sketch
2. Footings; Size—Depth=Spacing_Connectors
ewer; Location—Test—Fall-C/0—Concrete
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Flails
ater; Location—Test—Easement Needed (Sketch)
4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg. -Bracing__
5. Electricity; Location—Clearances—Grnd. Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enc.us.ies
6. Gas; Loca on—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
7/Utility Clearance
6. Carports; Windows—Doors
7. Elec.
C d -BI
Date 22ard-BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
_
Date Card -Bl Date
Date
MOBILEHOME INSTALLATION ( s) OK except H's
Date
POOLS (Plans) OK except H's
o g Requirements—Setbacks—Easements
1, Setbacks—Easements
Ings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
Gas; MH Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
lectricity; MH Test—Crossovers—Breakers—Clearances
4, Elec.; Receptacles and Lighting; Distances—GFI
r 'n; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
r and Sewer Connected—C/0 to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
Gasand Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghig.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
Exits; Insp.—Sketch
1 Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
C rd B -I
Date �EFard-BI Date
Card -BI
Date Card -BI Date
and B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
o'2-
.552,7 O -Ow -/6
= OK
= Not OK
= Not Applicable
= Not Readv RESIDENTIAL (Single and Duplex)
Date *
UNDERFLOOR Plans OK except N's
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line'Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-BIockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground -
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date" Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except k's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except p's
57.
Smoke Detector
_
14.
Water Ht.; Vent -Access -Combustion Air
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15,
16.
Water Pipe; Test & Anchors -Nail Protection
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
_
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
Date Card -BI Date
ELECTRICAL Permit OK except q's
66.
Elec. Outlets & Receptacles at Kit. Counter
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. &Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23.
24.
Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic E) Yes
Guard Rails & Deck Construction -Post Caps
25. 2 Appliance Circuits in Kitchen &Conductor Size
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive E3 Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes 0 N
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
--
79.
80.
81.
Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Ventilation throughout House
-
Card B-1 Date Card -BI Date
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Permit) OK except H's
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
_
32._
_33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86,
Energy Compliance Certificate -Other Certificates
_
34.
35.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
Card -BI
- - -- -- -.- -- -
- - Date_- Card -BI_ Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date
_
FRAMING(Plans)
36.
37.
38.
38.
39.
40.
OK except k's
Sills; Proper Material & Anchors
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _
Bearing Walls over Girders & Floor Nailing _
Draft Stop in Walls (rat proof) _
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof erac.-Truss-Shthng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
_
45.
Attic Access: Size & R_om_ex Protection -Draft Stop -Ins. Baffles
46.
47.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
., 7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
£j2
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
i
Inspectors ��'{`� Datee��7�'��
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION ANb PERMIT
ASSESSOR PARCEL NUMBER
.214 _ -
ZONING
BU NG PERMIT `
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VAL ON
OWNER'S MAILING ADDR SS
r
CONTRAC R•S NAME
TELEPHONE
CO RACTOR'S MAILING DDRESS
7 1
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADD S
Permit Fee
$
ARCHITECT O NGI NEER
LICENSE NO.
Plan Checking Fee
$101150
Penalty
$
ARCHIT51CT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ , La
BUILDJN9FADDRESS
J►'
PLUMBING PERMIT
Fi ling Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO. SUBDIVISION NAME
PARCEL MAP
Each pas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome -�-J/Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK ,—�
New ❑ Addition ❑ Remodel ❑ Utilities InstallationOther ❑
Describe work: T012 un LH 41—Y f—
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
M
I!�
Main service EA_ ADD•L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.y)
OR ADDNS. ACC. BLDGS.
20 sq ft
CONTRACTORS LICENSE LAW
I declare nder penalty of perjury (check one):
1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No.c 6 1905-
`D`� Classification 0_,
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR OUTLET 2.50 ea
NON-RESID BRA CH CIRC ITS
NEW CONSTR ( POWER APPARATUS D
NON .RESID.SINGLE OUTLET CIR. /
Ex. Occup OUTLETS OR FIXTURES_ a ��
FIXED APPLNS. OR
EX. Occup.(OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
�+ I have placed on file with the County of Butte Building Department
`t a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County•ot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnif and keep harmless the County of Butte against
all liaL040es, Jud me ,cost , and expenses which may in any way accrue
ag st said ou i ns ence of the grantin of this permit.
Date ��` �—
Signature of Applicant Owner
g pp Contractor Agent ❑
An OSHA permit is required for excavations over SO" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $ ,
TOTAL PERMIT FEE $
occuP. GROUP
I TYPE OF CONST.
PARCEL
PD
HD
SS
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
P T EXPIRES Date_
the applicable provi-
resolutions to do
fees have been aid.
p
WORKS
Date
pp
Receipt No. //�/[Ol �
WHITE-D.P.W., YELLOW -ASSESSOR, PI -INSPECTOR, GOLDENROD -APPLICANT
M
r BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 4
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name:
2. Installer's name:
3. Is the site currently under permit? Yet / y/ No
(If yes, furnish permit number ) 0
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 rom septic tank and leach fields and
clear of all setbacks and easements? Yes / / No
( If
no, clarify
)
5. What is
the mobilehome electrical rating? -----------------------
/dim
Amps
6. What is
the mobilehome site service rating?
olsb
Amps
7.. What is
the mobilehome site circuit breaker rating?
/WD
Amps
8. Is there any other electric load to be served by the mobilehome
siteservice? --------------------------------------------------- Yes No
(If yes, identify the load and size: (Load) (Amps)
9. What is the mobilehome site gas pipe size? ----------------------
10. What is the type of gas service? ----------------------------- Natural / p LPG
11. What is the gas pipe length from meter or tank to the mobilehome? (ft.)
12. What is the mobilehome gas demand? -----------------------------= (BTU)
(This information not required if pipe length less than 6 ft. on natural gas
or less than 50 ft. on LPG.)
MOBILEHOME SUPPORT DATA
If' other than single wide,
Mobilehome Mfr.r, furnish Setup Model No. ' 353 13 Year
S12—
Widt Box Length v(ft.) Tagalong or Expando Sizer' ft. x
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturers installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
mobilehome unless otherwise specified.
Single
A n
L�L_1.1J
(ft.)(in;
Center support
locations*
(ft.)(in.)
3q' "
(ft.) (in.)
.5�' o
t. in.
00
(in.) (in.)
Center support
footing sizes
(in.)
CZ) v`Cx�J
(in.) (in.)
(Z) 2�4
(in.) (in.)
in. 3 k in.
/, Z/1
x
K.).) ("
*If center piers are other than drawn above,
'irfl 4....7nnot;nnc ananina_ nn[d tdimPngi_ons-
Fo tin s (check one)
1. Wood either
pressure treated or
foundation grade.
2. Other: ( specify)
Supporta (check one)
1: Concrete block.
E] •2: Other. (specify)
Tagalong or Expando,'
show support details.
V/� -- Typical Support.
(in.) (in.) Footing Size
�� -- Max. Pier Spacing
(ft.)(in.)
-- Max. Overhang .
(ft.)(in.)
/0�jQ_ �Z
6UiTE COUNTt
BUILDING DEPARTMEI:
APPROVED
z/�
z",
COUNTY OF BUTTE - DEPARTME'NT OF PUBLIC WORK PERMIT NO.,,
7 County Center Drive - Oroville, California 95965 - Telephone 916/5 -4541 ,P
APPLICATION AND PERMIT
ASSESSOR PARCEI NUMBER
ZONING
Z
BUILDING PERMIT
OWNER
/1.l 7LIVIAI J533
TELEPHONE
-&&W
S0. FT. OCC. BUILDING LUATION
O W,a R'S MAIL oG ADDRESS
%i
CONTRACTOR'S NAME
NW
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS -
Permit Fee
$ •
ARCHITECT OR ENGINEER
�®��
LICENSE NO.
Plan Checking Fee
$ (J 0a
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILD AC>JDR ES�Aa F_AeA 0
(,R/I /G
PLUMBING PERMIT
Filing Fee 10.00
PL-41A)S 11V C— ,
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
(i0
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
.0C)
USEOF ST3UCTURE
SF ❑ ' Duplex MobilehomeLt— Other
SPECIFY
Building sewer
.0v
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ UtilitiesX Installation El Other ❑
Describe work:
Permit Fee
$ Q,,d
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
Main service EA_ ADD'L 100 AMP
2.50 Z,SV
NEW CONST. /DWELLING OCCUP.y\
OR ADDNS, l ACC. BLDGS. I
2� sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and m license is in full force and effect.
y
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
( I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR MULTI -OUTLET 2.50 ea
NON-RESID BRANCH CIRCUITS)
&)
NEW CONSTF;L POWER NON-RESID. SINGLE OUTLET CIRAPPARATUS . /
(
50 250
Ex. Occup OUTLETS OR FIXTURES BAL@1
IXED APPLNS. OR
EX. Occup.�pUTLETS (RESID,) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 / .C'C-)
Misc. Wiring 7.50
Permit Fee $ ,
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
ISI I shall not employ any person in any manner so as to beccme subject
4�• to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith Comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
S
Contractor
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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against sai C my ' c sequence of the granting of this permit. pJ
X Date����00/
Signot re of Appli an - 0 er® Contractor ❑ Agent ❑
An HA permit i quired for exc vations over 5'0" deep and demolition or construct-
ion o structures over 3 stories iin hheeightt..
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
I PARCEL
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
By
PER EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
� �'-
Receipt No. J o So
WNITE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT
r
ti This set of plans and specifications MUST be
i° kea+ an the iob at nll Vt nes and it is unlawful #o
iY• i M �` n'r'' anv changes or alterations on same without
__j written permission from the Department of Pubic
_-- -- Works, County of Butte.
NOTE -AO Klaferiols I Workmanship. Shall BE
Accordance -with Recognized Good Practices
of ;a quality prescribed for the Specified use in
Uniforin Building, Plumbing & Machanica! Codes
Fhe: National Electrical -Code.
i
t
10'
Utility connections shall be with
-TSG .N�4 ft. of the mobilehome, either
directly behind or within the rea
half of the roadside (left) of the
mobilehome.
A 1c% ®ar — -
` r-- �'„,,5'►R R' permit will be required for fl 'e
installation of the mobileho Z)
J00
t � K
< �2 AC
A7' A o,R $q oN &PdRee r3�r
411,:F7 _ 9/
NWE COUNTY
NUILDING DEPARTMENT
APP0
I,
-A setback of 5 ft. from the
property lines and a setback
of 50ft. from the road
centerline shall be clear of
structures or equipment excO
for a 2/ ft. eave overhang.
J. �A w
W
iICLUKH LV urw
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
,irrIC.AL-
acknowledgement BUTTE COUgry- .;AuF
rki:ORDS REQUL.`.'`.t? Bi
Section 26-8.1of the Bdtte County Code requires this
be recorded 'prior to issuance of a building permit.
g1-35840
The property described herein is adjacent to land or included Nov 6 12 oo N 19R1
within an area zoned for agricultural purposes, and residents of
this property may be subject to inconveniences or discomfort arising CLARK A.t,EL.SQN L-7
i� ECORDER
from the use of agricultural chemicals, including, but not limited t(KeRrRcides, EEE
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and
residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California,
described as follows:
Lot 5, of Block 78 of Subdivision No. 1, of the Palermo Citrus
Tract, as .the same as designated and delineated on that certain
Map entitled, "MAP OF PALERMO AND SUBDIVISIONS'l and 2, WITH.
ADDITION TO NO. 1, of the PALERMO CITRUS TRACT, " which Map
was tecorded in the office of the Recorder of the County of Butte,
State of California, September -17, 1888. ,
P A2ED \NITR
r .NOT coM
PROPERTY
STATE OF CALIFORNIA
COUNTY OF
BUTTE ss.
On November 4. 1981 before me, the undersigned, a Notary Public in and for
said State, personally appeared CHAR VANDERVORT personally known to me
to be the person whose name is subsgribed to the within instrument, as a witness thereto, who being by me duly
sworn, deposed and said: That he resides in BUTTE
that he was present and saw MELVIN J. ENGASSER
personally known to him to be the same person—__ described
in and who executed the said within instrument, as
part-- --thereto, sign, seal and deliver the same and
that the said MELVIN J. ENGASSER
duly acknowledged in the presence of said affiant, that
executed the same, and that he, the said affiant, thereupon at
HE request, subscribed his name as a itness thereto.
WITNESS y n d ffi 'a eal. � �X ,
Signature V
Name (Taped or Printed)
i�.
SEAL
ANGELA D. KELLY
a`OFFICIAL
s ,�
I
' r
NOTARY PUBLIC • CALIFORNIA
PRINCIPAL OFFICE IN
BUTTE COUNTY
MY COMMISSION EXPIRES SEPT. 7, 1482
I
19 ,
C. personally
Le(s)
acknowledged
ie purposes
i
I
Ind and official
(This area for official notarial seal) I
'T "1?'��7it;r', i..' t,.- ,:;D,n�•..."'Jti.E'Ml"^'-Y.f1.Vll.M4�4`�.\+ci1MM
%a �a g /cQV 6 V r
u
County of Butte
Oroville, California
GENERAL CLAIM
CLAIMANT: Patti EngaSSer
ADDRESS: 2086 North Villa
CITY & STATE: Palermo, CA 95968
MArC nr tri AIne• 00114/rid
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY
AMOUNT
Refund Claim - See attached calculation sheet APN: 026-090-034
Permit N6.:03-0441
PAID
RETAINEn
REFUND
Development Services
$ 1,702.30
$ 105.00
$ 1,597.30
SRA
$ -
$ -
$ -
Sheriff
$ -
$ -
$ -
Other:
$ -
$ -
$ -
TOTAL
$ 1,702.30
$ 105.00
$ 1,597.30
...................................
:.. .:.:....
:::. . ..:.:::::
BR Ai f3i?V. T ? ::: ::::
BADGE F :::
........... .
ceGO J 1T::::AL
i ......::.
Development Services
440-001
4210500
$ 1,597.30
SRA
0100
4617240
$
Sheriff
280
1011811
$ -
Other
$ -
TOTAL
$ 1,597.30
$ 1,597.30
I, the undersigned, declare under penalty or perlury trial the services or amcies ciaimea nay�n p iunoeu ui umv u, onu incl ,l—
claim is true and correct as stated.
Dated this 42 day of L r 2004, at 14eMW2L)Calif.
Signature o Claimant
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or
delivered and that there is a Budget Appropriation or Specific Board Approval (Check CM same.
Dated this day of , 2004, at Oroville a
Department Head or Authorized Deputy
Dept. SEE Exp.
Code BREAKDOWN Code PAYABLE FROM FUND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
)EPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT.
Butte County Department of Development Services
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
ADMINISTRATION * BUILDING * GIS * PLANNING
August 13, 2004
Patti .Engasser
2086 North Villa
Palermo, CA 95968 .
RE: Permit No. 03-0441 APN#026-090-034 Owner: Same
On 2/14/2003, a deposit was made in the amount of $602.85, and on 6/13/2003, a deposit
was made in the amount of $1,099.45, of which $105.00 was retained. The remaining
fees will be reimbursed to you. Please sign, date, and return the enclosed claim form to
this office. Once we receive the claim form, we will then process your refund in the
amount of $1,597.30.
Should you have any questions, please contact this office Monday through Friday, 8:00
a.m. to 4:00 p.m., at 538-6869.
Sincerely,,
Q�i�
Diane Lewellen , OA III
Administrative Division
enclosure
03-0441.1tr
CLAIMANT:
ADDRESS:
CITY & STATE:
n&T1= nW rl &INA -
County of Butte
Oroville, California
GENERAL CLAIM
Pat Engasser
2086 North Villa
Palermo, CA 95968
nw vm
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY
AMOUNT
Refund Claim - See attached calculation sheet APN'. 026-090-034
_
.P_.ermit_No.._03-0.4.41__
_-PAID____
—RETAINED--
REFUND—
EFUND_Develo
ment Services
Development
$ 1,702.30
$ 105.00
$ 1,597.30
SRA
$ -
$ -
$ -
Sheriff
$ -
$ -
$ -
Other:
$ -
$ -
$ -
TOTAL
$ 1,702.30
$ 105.00
$ 1,597.30
...............................................
.............
...............................................
.............
:::::::::::::::::::::::::::::::::BRJEA
...............................................
:.:.,.............
:.:. ri...:.. .
................................................
................................................
DO 7c :::':::::::'::'::B�DGE'I`.::
...............
...............
...............
..............
..............................
..............
..............................
:ACCOiJ-NT:::-AMOUN.T::
..............
...............
...............
...............
Development Services
P
440-001
4210500
$ 1,597.30
SRA
0100
4617240
$
Sheriff
280
1011311
$ -
Other
$ -
TOTAL
$ 1,597.30
$ 1,597.30
I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this
claim is true and correct as stated.
Dated this day of , 2004, at Calif.
Signature of Claimant
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or
delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same.
Dated this day of , 2004, at Oroville Calif.
Department Head or Authorized Deputy
Dept. SEE Exp.
Code BREAKDOWN Code PAYABLE FROM FUND
DO NOT WRITE RELf➢W THIS LINE - AUDITOR'S USE ONLY
DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT.
I REFUND CALCULATION SHEET I
CLAIMANT: Patti Engasser
ADDRESS: 2086 North Villa
& STATE: Palermo, CA 95968
OF CLAIM: 07/15/04 APN: 026-090-034
RECEIPT INFORMATION
NUMBER:
DATE:
ISSUED TO:
CHECK #:
AMOUNT:
PERMIT #:
t REFUNDS:
VERIFIED
370106
382041
02/14/2003
06/13/2003
Patti Engasser
Patti Engasser
9984
10178
$602.85
$1,099.45
03-0441
03-0441
Yes No
Yes No
I X
X
I X
I X
DETAIL
BLDG
Buildin
Plumbi
PLAN CHECK
Plan Check
Energy
INSPECTION
Plumbing
Electric
Mechanical
OTHER BLDG
Overcharge
=FUND PROCESS FEE
UILDING TOTAL
SRA - FIRE
Fire $43
SHERIFF - $360
Sheriff
THER NON -BLDG
REFUND BREAKDOWN
Yes I No
1,702.30
440-001 0100 280 Q(��
PAID I RETAIN I REFUND I 471mnn I dA179an I In
11R11 I I , 1
20.00 20.00
20.00
20.00
20.00
20.00
20.00
20.00
23.00
762.00
152.00
107.50
36.50
105.00
$ 1,702.30 1 $ 105.00
$ 1,597.30
CHECK: $1,597.30
DIFFERENCE:
(Should be blank)
APPROVAL
Date Reviewed 0 /15/
Michael V ana
Building Manager
...........
...........
OTHER
$ 1,597.30 $ - $ - $ -
BLDG SRA SHERIFF
440-001 0100 280
4210500 4617240 1011811
0 OTrF0 Butte County Department of Development Services
° Building Division
° °
° 7 County Center Drive
CDUN�y Oroville, CA 95965 (530) 538-7541
REFUND REQUEST APPLICATION
REFUND POLICY - Butte County Code 3-41(t)
1. Refunds can only be made upon written request by the person who paid the fees, whose name is on
t he receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt.
2. The request must be made within two years from the date of fee payments on permits not issued, and two
years from the date of permit issuance for permits issued -if no construction work has been done.
3. Filing fees and plan check fees for work plans checked are not refundable.
_ 4. Fees paid to other County Departments are not covered by this claim
INSTRUCTIONS. Submit this application to Development Services for determination of refundable fees. A claim will be
generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the
Plans for cancelled permits will be disposed of within 10 working days upon submission of a
Request for Refund. If you want the plans, you may pick them un prior to that time.
Q(oi�-ll
Date
E
i
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGD SII
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538- 41 PER IT NO.
(Rev. 12/9'6'
APPL'I ATIONAND.PERMIT
ASSESSOR PARCEL NUMBER 026-090-034
ZONING AR 1
B�KDINGPERMIT
OWNER ENGASSER MELVIN & PATRICIA
TELEPHONE
534-6973
SQ. FT. OCC. BUILDING VALUATION
2414 R 130,356.00
OWNER'S MAILING ADDRESS
2086 N. VILLA PALERMO 95968
293 C 3;809.00
CONTRACTOR'S NAME
OGNER
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
UCENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 762.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 495.30
BUILDINGADDRESS 2086 NORTH VILLA PALERMO 95963
Energy Plan Checking Fee
$ 23,00
$
PERMIT FEE
$ 1300.30
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
11. 7.00 77.00
USEOFSTRUCTURE
SF � Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00 15.00
Each gas water heater or vent
215.00
TYPE OF WORK
New Addition ❑ Remodel ❑ U ilifies ❑ Installation ❑ Other ❑
Describe Work: NFiI �F L•7 11T CA (;�
Gas piping system 1 - 5 outlets
15.00 9.00
Building sewer
15.00 15.00
Mobile Home S G W
920.00
PERMIT FEE
$ 172,00
FLOOD•AE,AE F,0985D
ELECTRICAL PERoM,ITRLEss
Filing Fee 20.00
Main Service zo..OR LESS
23.00 23.0
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 ' full orce and ffect. �S
License Class n 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:
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.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service TO lOooA
46.00so
NEW CONST. DWEWNG OCCUP.
DWE200ALLING
OR ADDNS. a ACC. BLnS.
SO
3.50FT. 04.50
N" N'.RESD MULTiOUTLEr
@7,50
OWELER APPARATUTLETUS
a PSINGOCIR.
EX. OCCU OUTLET OR FDCTUREs
BA0 @ I.50
0
Ex. Occup. .FLED RLNs oR�
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$ 127.50
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
15.00 15.00
Cooling
15.00 15,00
Hood
1 6.50 6.50
Ventilation
n
PERMIT FEE
$ 56.50
Policy Number
(rhe 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'
comp e sation laws o alifornia, and agree that if I should become subject to the
wor r compens tion provisions of section 3700 of the Labor Code, I shall
fo wi omply w ose provisions.
4 �)
X OteC--�
14 gnature of Applica t ❑ wner ❑ Contractor ❑ Agent
An OSHA permit is req red fc# excavations over 60" deep and demolition or construction
of structures over 3 sto ' height.By
Mobile Home Installation Fee
$
Energy Inspection Fee $ 46.0
Occ
IR -3
CONST. TYPE
VIN
TOTAL FEE $ 1702.30
HAZ.
D. FEES
IMP
FLOOD
COF
---
PARCEL PD
H ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicate above for which fees have
a4a
PERMIT EXPIRES ON t1ro2
the applicable provisions
Resolutions to do work
been paid.
'
D to19
Del el
ReceiptNo370106 1602, 85
WHITE-D.D.S.-B.D. CANARY -ASSESSOR P K -INSPECTOR GOLDEN ROD -APPLICANT
D. 0(
COUNTY OF BUTTE
< DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
SCHEDULE OF FEES DUE
OWNER A.P. # 3-G -oqo —a3 I/
PROPOSED BUILDING USE �� DATE z.'
U q a , `'( RECEIPT # DATE REC.
1. BUILDING PERMIT FEE -V
BalanBalance
ce Due ....................... $. `� ^ ( 4s —6
Additional Fees Due ................. $
Additional Fees Due ................. $
Revised Plan Checking Fee .............$
2. S OL DISTRICTIE�ES
( aid t O ce)
3. S F FEES (paid at Building Division)
Resi ential x $360.00 = $
............ Units
Commercial (sq. ft.) ............... x $0.03 = $
Sq. ft.
4. URBAN AREA FEES (paid at Building Division)
Residential ................... —x—=$
# Units Amt.
Commercial (sq. ft.) ............ —x—=$
Sq. ft. Amt.
5. RECREATIONAL DISTRICT FEES
(paid at District Office) (Available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees
may be change duri a plan c c process.
n
APPICANT DA Z A-
�
Pursuant to Government Code Se 020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been
imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned
items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a).
Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner
(Rev. 6/00)
a o RESIDENTIAL PLAN
REVIEW GUIDE
SINGLE FAMILY, DUPLEXAND
nMISCELLANEOUS ONLY
Owner. _ Building Permit Number: ,fi t)VVI
Plans Examiner: L.174dn 5% jo`-On A. P. Number: t) Z(e—LYq n �3
GENERAL:
Zoning requirements — (number of permitted living units).
Plans signed by the designer.
Proper description of work on the application.
Existing violations on the property.
Recorded notice of violation.
Building permit valuation.
PLOT PLAN:
Complete parol size and dimensions.
Setbacks, side vard, easements, etc.
Other buildings or structures.
Grading. fills andior drainage.
Flood hazard.
Special conditions on Parcel Map:
N' ❑ SR a E) Fire Sprinklers C3ffi
Water Tender ❑ Trac and Drainage fees ❑
Federal Aid Roucc and/or Federal Aid Secondary Route setback requirement
Building or utilities across lot lines (Lot merger approval by Butte County Land Development)
FLOOR PLAN:
Plans and specifications drawn to scale with dimensions and of sufficient clarity (UBC section 106.3.3).
10 NO of natural light and 5% of ventilation (Uniform Building Code section 1203).
Escape or rescue windows shall have a minimum net clear openable area of 5.7 square feet TIM miaimrasr net
clear openable height dimension shall be 24". The minimum net clear openable width dimension shall be 2W.
When vvindoa s are provided as a means of escape or rescue, they shall have a finished sill height not more than
4.1" above the flcor (Uniform Building Code section 310.4).
Sk}-lights (Uniform Building Code section 2409 & 2603.7).
Glazing in Hazardous locations (Uniform Building Code section 2406).
oR Habitable space shall have a ailing height of not less than 7 feet 6 inches except as otherwise permitted in this
section. Kitchens, halls, bathrooms and toilet compartments may have a ceiling height of not less than 7 fed
measured to the lowest eroiection from the ceiling (Uniform Building Code section 310.6.1
All habitable rooms except kitchens shall have an area of not less than 70 square feet and not less than 7 fed in
001 any dimension (Uniform Building Code section 310.6.2 & 310.6.3).
.19 GFCI in baths. prage, kitchen, wet bar, and exterior receptacles (NEC 210).
Water heaters %%hich depend on the combustion of fuel shall not be installed in a room used or designed to be
used for sleeping purposes, bathroom. clothes closets or in a closet or other confined space opening IM a bath
r bedroom (Uniform Plumbing Code section 509.0).
Fuel burning equipment shall not be installed in a closet, bathroom or a room readily usable as abe&oom. or in
a room. compartment or alcove opening directly into any of these (Uniform Mechanical Code seetion304.3)-
arsge firewall separation - required on garage side including supporting walls and posts (Unitbtm�8
Code section 302.4 exception #3).
ender no circumstances shall a private garage have any opening into a room used for sleeping purposes
(Uniforn Building Code section 312.4).
Wood stove location - Alcove — URIC section 205 confined space & 223 unconfined space & 304.2).
I Smok.- detectors (Uniform Building Code section 310.9.1).
Pagel of 2
ater closet clearances (Utriform Plumbing Code 408.5).
,bSeShov6tr compartment minimum 1024 sq. i 30" circle (Uniform Plumbing Code 412.7).
n 8
jeBe&ring walls shall be supported on masonry or concrete foundations that shall be of sufficient size to support
all loads (Uniform Building Code section 1806.3).
STRUCTURAL DETAILS:
1. Braced wall panels shall start at not more than 8 feu from each end of a braced wall line. Braced Wall panels
must be in line or offset from each other by not more than 4 feet (UBC section 2320.11.3). Spacing shall not
exceed 34 feet on anter in both the longitudinal and transverse directions (UBC section 2320.4.1_) Braced %%211
lines must be continuous throughout the structure.
2. A California licensed architect of registered engineer must prepare a lateral analysis for the arta- of the building
that do not comply with the Uniform Building Code. This must include the designer's `wet" stamp, signature,
registration number and expiration date on all sheets of plans depicting the designed elements and cover sheen
of calculations.
t.Foundadon
erestory requiring balloon framing and/or engineering.
plans complete enough to construct building (UniformBuilding Code Table 18-I-C�.
oor construction details complete enough to construct building.
evations and wall construction details complete enough to construct building.
oof construction details complete enough to construct building.
replace construction details and calculations if necessary.
arage door header size(s).
orch header size(s).
ypical header size(s).
ud heights.
igh expansive soil — special foundation design required.
inet
g walls requiring design
wallboard nailing inspection required.If the area below the lowest floor is fullyenclosed, than a minimumof two openings are required with a total
area of at least one square inch for every square foot of area enclosed with the bottom of the openings no
more than one foot above grade. Alternatively. certification mai' be provided by a registered professional
engineer or architect that the design Will allow equalization of hydrostatic flood forces on exterior walls.
Building must be designed and anchored to prevent floatation, collapse or lateral movement. Construction
design requirements must be shown on the building plans.
Electric, beating, ventilation, plumbing and air conditioning equipment and other service facilities shall be
-� designed and/or located so as to prevent water from entering or accumulating with the components during
conditions of flooding.
MISCELLATTOUS ITEMS:
[Energy
way details — landings, rise and runt. head clearance, handrails (Uniform Building Code section 1003).
drails (Uniform Building Code section 509).
e or stone veneer (Uniform Building Code section 1403).
rior plaster— weep screeds (Uniform Building Code section 2506.5).
pitch for roof covering (Uniform Building Code Table 15 -B -I & 2,15-D-1 & 2).
insWadon — protection.
alls and stairways (Uniform Building Code section 100.4.3.3.2).
exits on three — story dwellings (Uniform Building Code section 1004.2.3.2).
erfloor access and ventilation (Uniform Building Code section 2306.3 & 2306.7).
access and ventilation (Uniform Building Code section 1505).
d requirements.
design compliance and supporting documentation.
responsible area requirements.
ING PERMIT REQUIREMENTS:
1. ❑ SRA.
2. ❑ Flood elevation certificate.
3. ❑ Fire Spdn)Jcrs required.
4. ❑ Special Inspection requirements.
5. ❑ Use Permit conditions.
6. ❑ Sub -Standard Housing lever.
Pace -- of
NOTES RESIDENTIAL
PERMIT NO 026-090-034 03-0441
ENGASSER;-M.ELVIN -
2086 NORTH VILLA, PALERMO
`s` ' NEW SINGLE FAMILY
SPECIAL CONDITIONS
CHECKED
BY
XS
RA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ. -
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
Pos-�
JOB FINALED (Date)
j`� Signature
i
i
SPECIAL CONDITIONS
CHECKED
BY
XS
RA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ. -
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
Pos-�
JOB FINALED (Date)
j`� Signature
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • OrovEATIONANDPERMIT e, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96)' APP LI
ASSESSOR PARCEL NUMBER 026-090-034
ZONING AR 1
BUILDING PERMIT
OWNER
S GASSER NEWTIV & PATRICIA
TELEPHONE
534.6978
SO. FT. OCC. BUILDING VALUATION
2414 R 1301356.00
OWNERS MAIUNG ADDRESS
2086 N. VILLA PALERHO 95968
293 C 308N.00
CONTRACTORS ��NAAME
06iMU
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
762.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
495.30
BUILDING ADDRESS
2086 NORTH VILA PALERI`f0 95968
Energy Plan Checking Fee _$,.
23.00
$
PERMIT FEE $
1300.30
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF Q Duplex ❑ Mobilehome ❑ Other
A SPECIFY
Each Trap'
7.00 . 00
Solar or heat um water heater
23.00
Water piping
15.00 15.00
Each gas water heater or vent 2
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: aw 'fir td/iNLr GARArw
Gas piping system 1 - 5 outlets
-15.00
Building sewer
15:00 15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE $
172.00
k1=:AE,AE F,0985D
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 2o000V0A ORoR LELESSSS
23.00 23.0(
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 orce and pffect.
License Class 10e Lic. No. �J /yd/{I
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
will do the work, and the structure is not intended or offered for sale.
r❑ I, as owner of the property, or my employees with wages as their sole compensation,
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
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING UP.
OR ADDNS. ( a ASD. �S.
SO
3.5,s" 84.50
NOµH61D MULTI.OLm ET
Qa 7;50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 @ 1'00
BAL @ .SO
Ex. Occup. ouXnFrs RESID.OE0.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
I Misc. Wiring23.00
PERMIT FEE $
127.50
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Fling Fee 20.00
Heating 1
15.00 15.00
Cooling
Hood
6.50
Ventilation
PERMIT FEE S
•
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' compensdfi n provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
-�
e z / �) � _
gnature of Applicant - ❑ '•Owner ❑ Contractor ❑ Agent
An OSHA permit is required fo excavations over 5'0" deep and demolition or construction
of structures over 3 stories•i height. 14
Mobile Home Installation Fee $
Energy Inspection Fee $ 46.00
•
OCC
R3
CONST. TYPE
W4 TOTAL FEE $ 1702.30
HAZ.
/
D. FEES IMP
/
FLOOD
AF
COF
PARCEL
'
PD
HD,
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicate above for which fees have been paid.
-
By Date La.-
PERMIT EXPIRES ON i 62 s� �
I IfDate
ReceiptNo4/UZUb y bOZ.85��j Yi 0 t1 4 0 t,(�� J
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
D. G1
J=OK
0 =• Not OK
MotAppli
. NotReadyble
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Card B-1 Date
1. Zoning Requirements-Setbacks-Easements
Date
2. Soils; Special MH Support Sketch
'
•3. Sewer; Location-Test-Fall-C/0•Concrete
1. Zoning Requirements -Setbacks -Easements
4.. Water; Location-Test-Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd-/4, /Amp-Concrete
6. Gas; Location-Test=Wrap;-/ /" L 'ft.
%., P Nat. or / /" L "ft./ P LPG
3. Blocking
7. Well Clearance & Disconnect
8. Utility Clearance-,
9. Siding; Nailing -Veneer -Stucco -Mesh
5. Electricity; MH Test
10. Roof; Shthg-Roofing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK.except ft
Date
1. Zoning Requirements-Setbacks-Easements
Date
2. Footings; Size-Spacing-Marriage Line
9. Exits '
3. Gas; MH Test-Demand-Valve-Connector
4. Electricity; MH Test-Crossovers-Breakers-Clearances
5. Drain; MH Test-Fall-Flex Connector 1-i
11. Verify #'s with Office
6. Water; MH Test-Regulator-Connector
7. Water and Sewer Connected-C/O to Grade-HD Approval
8. Gas and Electricity Tagged
Card B-1 Date
9. Tie Downs-Type-Installation Cert.
Date
10. Exits;. I nsp. -Sketch
Card B-1
11. Cert. of Occupancy
Date
Card B-1 Date
Card B-1
Date
Card B-1 Date
Card B-1
Date
PERMANENT END SYSTEM (ONLY)
'
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
1. Zoning Requirements -Setbacks -Easements
.
2. Footings; Size -Spacing -Marriage Line
6. Carports; Windows -Doors
3. Blocking
7. Electric
4. Gas; MH Test -Demand -Valve
9. Siding; Nailing -Veneer -Stucco -Mesh
5. Electricity; MH Test
10. Roof; Shthg-Roofing
6. ,.Water; MH•Test .
12. Braced Wall Panels
7. Water and Sewer Connected'
Date
8. Gas and Electricity Tagged'
Date
Card B-1 Date Card B-1
9. Exits '
POOLS (Plans) OK except ft
10. License Decals
11. Verify #'s with Office
Date
Card B-1 Date
Card B-1
Date
Card B-1 Date
Card B-1
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries-Terminals=Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures-Panelboards-Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
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, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Beams-Rftrs-Con nectors
Shthg-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except ft
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries-Terminals=Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures-Panelboards-Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
o = Not OK RESIDENTIAL (.
= Not Applicable
. =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-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall-Fitting-Test-2'Way C/0 -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except #'s
17. Water Hte.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, first Floor -Tub Access'
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
Date Card B-1 ''= Date 'Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All
Insulated Neutral 0 Yes O No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
Date Card B-1 Date Card B-1
Date. Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
jingle.& Duplex)'
Date FRAMING'(Continued) '
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A flue -Fireplace Throat Clearance
50. Attic Access; Size.& Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage'Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings " -
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents=Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. 'Shear. Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels _
62. Insulation -Walls -Ceilings
63. 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
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector -
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech..Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth '
72. Elec. Outlets at Wood Panel; Int. & Ext:
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
_ Clearance Looked under Floor O Yes
83. Following Instld./Drive O Yes O No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/0 to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date _ Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
BUTTE COUNTY '
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE k (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www,buttecounty.netldds
PERMIT NO.
BP041908
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
Issued Date: 07/30/2004 APN: 026-090-034-000
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.
Site Address: 2086 NORTH VILLA AVE PAL
License Class: License Number:
Map Index:
Date: Contractor.
Description: NSF (2414) COV. AREA (293)
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: ENGASSER MELVIN JACOB 8r PATRICIA
permit to construct, alter, improve, demolish, or repair any structure, prior
ANN JT
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
2086 N VILLA AVE
the Contractors State License Law (Chapter 9 commencing with Section
PALERMO, CA
7000) of Division 3 of the Business and Professions Code) or that he or
95968
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
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 (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: ENGASSER MELVIN JACOB & PATRICIA
owner of property who builds or Improves thereon, and who does
ANN JT
such work himself or herself or through his or her own employees,
provided that such. improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
O I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
Contractor:
pursuant to the Contractors' State License Law.).
O I am Exempt under Article 3 of the Business and Professions Code
Date: Owner:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penally of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self4nsure for
License #:
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
O 1 have and will maintain workers' compensation insurance, as
Architect:
required by Section 3700 the Labor Code, for the performance of
Engineer:
9
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier.
Policy#:
Total Square Ft: 2707 S.F.
2-11 certify that in the performance of the work for which this permit is
Valuation: $161,598.00
issued, I shall not employ any person in any manner so as to
Census Code:
become subject to the 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 comply with those provisions.
-30
Date:
1
Applicant: PF
WARNING: Failure to secure workers' compensation coverage is
F14
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
t-1 /� A
Rec-4 4,070 5 0 14mot/n
code, Interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the a livable provisions of the Butte County Coda end/or
I hereby affirm that there is a construction lending agency for the
Resoluti ns to,>do work Indicated abo to which fees have been paid.
///
performance of the work for which this permit is issued (Sec 3097 Civ.)
BY Date: "
Name:
PERMIT EXPIRES ON: �d S
Address:
Date
O 1 hereby certify that the use of this facility shall comply with Sections 25505,'25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification In accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
1 hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter thesubgtanceA any official f or document of Butte County. I hereby
authorize repr tativesofof Butte Co ty to enter upon the above mentioned property for inspection urpo 0
PrintName: I� `1 Jsa� Signature:
r
Date:
Ut-w'ner 0 Contractor 0 Agent for Owner O Agent for Contractor
1�
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
P'PlPMFr APPLICATION DATA IQUFF.T
OWNER: n VG. ASSESSOR PARCEL NUM
Proposed Building Use: I ) Counter Technician:
I em required in order to apply for a permit. All boxes MUST be checked OR marked NA it
1. Site plans, 3 or 4 sets, signed by the preparer of the plans. .
❑ 2. Complete plans, 3 or ,+ sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
fop- 1 5. Letter from Engineer or Architect for truss design review.
1�,.��,✓ 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings
❑ 13. Detached Accessory Building Form filled out by the owner
14. Hazardous Material Form
��N`• / 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.
❑ 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
17. Fire Sprinklers.............................................................................................
18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 19. Soils Report and/or Engineered Foundation required ..................................................
❑/ 20. Erosion Control Plan Required........................................................................ ........
21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑9�e
22. City of Chico Plumbing permit........................................................................
23. California Department of Forestry plan approval ❑ paid. Sent by: .............
O 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check:
�W25. Contact Land Development about _ Improvements, _ Drainage .........................
26. NPDES Form.............................................................................................
o 27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Pre -Inspection for required.......
❑ 29. Contractor's license information. (Number, Name Style, Classification) ...................
30. Worker's Compensation Carrier and Policy Number ..........................................
31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
❑ 32. Letter of Signature authorization............................................................ ....
.....
❑ 33. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 34. Manufactured home utility clearance...............................................................
❑ 35. Existing violations and/or expired permits.. ........
ermits............................
❑ 36. Deed Restriction................................................:........................................
❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
AD 38. Other:
39. Other: 9"J_14C1r1_
When issued Telephone and hold for pickup.
I have
V
d requirements for obtaining a building permit.
Applicant: `+ (4 L--1 I h-
1. Index permit application for the abo a items umbered:
2. Additional items required
Contractor, designer, owner, was advised of the above data by
Contractor, designer, owner, was advised of the above data by
Plans reviewed by: Date:
Structural reviewed by: Date:
Note transfer by: Date:
Date: tQ rt
Plan Check Letter
❑ phone, ❑ mail, ❑ counter, by
❑ phone, ❑ mail, ❑ counter, by
_ Plans approved by:
Structural approved by:
Yellow: Building Division
Date:
Date:
Date
Date:
J. ' ..,.r:.. .�, •"nR y;2fr :.'4 .i:. y..t; .. ..
COUNTY OF QUTTE-DEPARTMENT OF DEVELOPMENT SERVICES-B/8'-2140
ION
! 7 County Center Drive, Oroville, CA 95915'5,2 on (530)538-7541'Fax`(PERMIT APPLICATON DATA SHEET
OWNER: % ASSESSOR PARCEL NUMBE �" Q U - 0
ff
Proposed Building Use: S F Counter Technician: ate:
Items required in or er•to apply for a permit. All boxes MUST be checked OR marked NA in order, to apply. .
. {< ,
IPI.. Plot plans, 3 or 4 sets, signed,�y the preparer of the plans. f
.JV2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations:
4. Engineered truss details and layouts in duplicate. No faxes!
111- 5. Energy compliance design and supporting documentation in duplicate.
6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be
indexed and retu ned to the plan review line-up when required items are received.
—W oc' m Date Rel ived By
1i 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ I � c
❑ 9. Plot plan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings.........................................................
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
0.12. Hazardous Material Form............................................................................... _
❑ 13. Other
r
Remaining items>needed to issue the permit. (May require additional plan review upon receipt of the following items.)
14. Fees as�shown r� � �
i
on the attached Schedule of Fees Due Sheet ...............................
15. Statement of Intent for Non -heated and A/C Buildings .......................................
Sanitation and plot plan approval from the Environmental Health Department in &24D 0
b 17. City of Chico Plumbing permit ........................... :.................. ..............................
❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ..................
❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: r' 't
❑ 20. Contact Land Development about ❑ Improvements, ❑Drainage ...............................
❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection for required ................
❑ 23. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ( i
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 26. Letter of Signature authorization...................................................................70
.
1:9-7. Recorded copy of Agricultural Acknowledgment Statement... -C . It .........................
❑ 28. Manufactured home utility clearance...............................................................
❑ 29. Existing violations and/or expired permits.........................................................
❑ Grant Dee , O M.H. Title Statement ofF.ac_ts 0Letter from Legal Owner, ❑ Check to H.C. . $
1Other: 1 � mUl/�-� M. .4e6n issued Telephone — 6 9 '7k�-u and hold for pickup.
I have beeninfo mr of tfle a ovelitems and requirements for obtaining a building permit.
J,
Applicant:
1. Index permit application for the ab e a items numbere f Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: _
Contractor, designer, owner, was advised of the abgvg dat by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Structural reviewed by: Date: o Structural approved by: Date: !V.30/0
Note transfer by: Date:
Yellow: Buildine Division
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES
OWNER A. P. #
PROPROSED BUILDING USE DATE
RECEIPT # DATE REC.
1. BUILDING PERMIT FEES �� ��� �% %
---Balance Due ..................... $ �i l/ 400SO n7 �X0-0
--- Additional Fees Due........
--- Revised Plan Checking Fee... $
2. SCHOOL DISTRICT FEE -S 11 9 1 1 tl LW J)- A Aj
'fk (paid at School District Office) avai er c
V 1
3. SHERIFF FEES (paid at Building Division)
Residential............ X $360.00 =$
Units
Commercial (sq. ftg.)..... X $0.03 = $ _
Sq.Ftg.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit)..... X = $ _
# Units Amt.
Commercial (Sq. Ftg.).... X = $ _
Sq. Fig. Amt.
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK FEE
$89.00 (paid at Building Division)
8. WATER TENDER FEES BATTALION #
$200.00 (paid at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone
Commercial
10. OTHER_
At time of permit apple
may be changeddurmn
APPLICANT
Zone
plan
X =$
# Units Amt.
X =$
Sq. Fig.,/- Amt.
426-56-3o- 4-e-
above fees are required to be paid prior to issuance of the permit. These fees
Pursuant to Government Code Section 61020, y9A are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval o oject or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
r '
School District
A.P. Number
. r
000 s
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
d '346-urisdiction:,r CltJ
Prope Owner ► GI/e.4 �G/i'/ k
QPr, o LocatioNAddress
Subdivision
Residential Development
Commercial lndustrial
Building Department
---.Building Department No.
County
A /17
LOS NO.
r ..... ................��.: 1 1�
.:. ........ ..... ............i,....,
4 <<
PLiving
��a.�ti J ; .J `�{ � � Sq. Footage
NooMob=AddkioN ., 'Supplemental to (Group R)
Units Installation Conversion PermR #—
*(No foundation inspection):
€...................................................................................................................
0
New Addition
Sq. Footage
(Including Exterior
Roofed Areas)
Date
moor runs reviewea oy acnooi uisinci rersonneu
District Identification No. ► 1 0.16
0rDv t LU" pry School District certifies that
(Applicant)
V; Ilt A -Le", . 1534 - (A-7491
(Street Address) ` IPhone Number)
?ZIGr- 0
(City)
has complied with the, requirements of Resolution No.
representing t A- square feet.
District
(State) (Zip Code)
by payment of $ 51 (0s . g(,e
I AB 2926 $ 1
FULL MITIGATION $ ::J
Date
Paid by Check #Remarks { fL' ��l"1 •�Tit.+�L..
:
Notice: Y u may proiest the imposition of the fees identified above by submitting a written protest to the`D,istrict; �in comptiance wi1tW(-)*1y N
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit 9 timely written protest will prohibit
you from challenging the imposition of the fees in any court action. f
If, subsequent to the School District Representative signing this Butte County Sc � olsdl pact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewedlupndeAhe California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xls (10198)dmm
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
"PLEASE PRINT CLEARLY"
OWNER
r
l w,1 f �r
Name
City
Address
Zip
City
Fax
1
APPLICA T NAME
CONTRACTOR
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Type Const.
Fax
E-mail
Map Book
Lic. #
Class
APPLICA T NAME
ARCH TECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Type Const.
Fax
E-mail
Map Book
State License Number
APPLICA T NAME
Name
Address
City
Sta
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
For office use only:
AP#
Zoning
Flood Zone
E,-' I
SRA
Yes
No
Occ.
LENDING AGENCY
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
A
BP
BIN #
LOCATION
AP#
(�'
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
5 do r )opf Wor
aS
Jl:d�7
Sq. Footage
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: Amount: Bldg
SRA
Receipt #: Sheriff
AW SMIP
te: /'� Other
Total
KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2
REV 6-16-04
SUBMITTAL REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply
for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE
LEGIBLE AND IN INK.
Residential, New, Remodels, Additions, and Accessory Structures:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER!
OR 3 Sets Engineered plans (if required) with wet signature on plans -AND 2 sets of stamped and signed
calculations.
❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 4. Letter from Engineer or Architect for truss design review.
❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to
mobile or modular homes.)
❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7. Detached Accessory Building Form, filled out by the property owner (if required).
❑ 8. Sanitation and site plan approval from the Environmental Health Department.
❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
Mobile, Manufactured, or Modular Homes:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER!
❑ 2. 2 Data sheets and installation instruction manual.
❑ 3. , 2 Marriage line information.
0 4. 2 Floor plans.
0 5. 2 Engineered. Tie Downs or Foundation plans.
❑ 6. Sanitation and site plan approval from the Environmental Health Department.
❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
Commercial, New, Additions and Remodels:
❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
with code analysis.
❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 4. Letter from Engineer or Architect for truss design review.
❑ 5. 2 Energy compliance design and supporting documentation (if required).
❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7. Statement of Intent for Non -heated and A/C (if required).
❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed eg_d b_ the engineer.
❑ 9. Letter of intent.
❑ 10. Hazardous Material Form.
❑ 11. Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530) 538-7541.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04
t '
r
June 6, 2003
Butte County Building Department
7 County Center Drive
Oroville, CA 95965
Re: AP# 026-090-034
The new single-family dwelling construction on this site will replace., the
existing mobile home that we are currently living in. We intend to (and must)
remove this mobile home prior to starting the new construction on this
property.
Sincerely,
Patti A. Engasser
Owner
2086 N.Villa Ave.
Palermo, CA ' 95968
530-534-6978
O.B.- I
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1. I personally plan to provide theAajor labor and materials for construction of the proposed
property imprq�vement : YES f NO El2. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNER:
6q-zi�,����
SOCIAL SECURITY NUMBER:
DATE:
NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit.
OVER
OWNER BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
I
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, lonly under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814. i
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
gNficrely,
el C. Vi ira, C.B.O.
M ger, Building Inspection
NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code
OVER
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
Read the instructions on pages 1- 7.
O.M.B. No. 3067-0077
Expires December 31, 2005
SECTION A -PROPERTY OWNER INFORMATION f Fit.mtYe>«<>
BUILDING OWNER'S NAME r'otuy! NurOxer <>::::>;:_::::
PATTY
ENGASSER
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Gorripai y NAIG N.... ej
( 9 P :::................................................
2086 North
Villa
CITY
STATE
ZIP CODE
Palermo Ca 95968
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
APN 026-09-034
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
Resenditial
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type):
( ##° - ##'- ##.##' or ##.#t✓###) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
81. NFIP COMMUNITY NAME & COMMUNITY NUMBER
B2. COUNTY NAME
B3. STATE
Butte County 060017
Butte
Ca.
B4. MAPAND PANEL
❑ c) Bottom of lowest horizontal structural member (V zones only)
N/A.
B7. FIRM PANEL
' ca
B9. BASE FLOOD ELEVATION(S)
NUMBER
B5. SUFFIX
B6. FIRM INDEX DATE
EFFECTNEIREVISED DATE
B8. FLOOD ZONE(S)
(Zone A0, use depth of flooding)
' . 0060017 0986
C
6-8-98
6$-98
AE
162
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
❑ FIS Profile ® FIRM ❑ Co nmunily Determined ❑ Other (Describe):
1311. Indicate the elevation datum used for the BFE in 139: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe):
612. Is the budding located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑ No Designation Date
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
CI. Building elevations are based on: ❑ Constriction Drawings* ® Building Under Constriction* ❑ Finished Construction
*A new Elevation Certificate will be required when constriction of the budding is complete.
C2. Building Diagram Number 8 (Select the budding diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram
accurately represents the budding, provide a sketch or photograph.)
C3: Elevations — Zones Al -A30, AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR, AR/A, ARAE, ARM -A30, AR/AH, AR/AD
Complete Items C3.-aA below according to the budding diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in
Section B, convert the datum to that used for the BFE. Shand field measurements and datum conversion calculation. Use the space provided or the Comments area of
Section D or Section G, as appropriate, to document the datum conversion.
Datum Conversion(Comrments
Elevation reference mark used TBM 6 Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No
0 a) Top of bottom floor (including basement or enclosure)
163. 0 ft(m)
❑ b) Top of next higher floor
NA.
_k(m)
❑ c) Bottom of lowest horizontal structural member (V zones only)
N/A.
' ca
❑ d) Attached garage (top of slab)
N/A.
_ft(m)
_ft.(m)
E
0 e) Lowest elevation of machinery and/or equipment
u,
servicing the building (Describe in a Comments area)
N/A.
_ft.(m)
E c
O t) Lowest adjacent (finished) grade (LAG)
161.1
ft(m)
z .0
❑ g) Highest adjacent (finished) grade (HAG)
161.
4 ft(m)
0 h) No. of permanent openings (flood vents) within 1 ft above a4acent grade
❑ ) Total area of all permanent openings (flood vents) in C3.h 7 _gZsq. in. (sq.
an)
q,L o...
ID 0.9 0
cc c- ? ¢ No. 4085
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available.
1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIER'S NAME RONALD L GRAVES LICENSE NUMBER PLS 4085
TITLEProfessional Land Surveyor COMPANY NAME Ron Graves
ADDRESS CITY STATE ZIP CODE
563 Nelson Ave. Oroville Ca 95965
SIG7.a , DATE TELEPHONE
9-29-04 533:9201
FEMA Form 81-31, January 2003
See reverse side for continuation.
Replaces all previous editions
BUILDING STREET ADDRESS (Irrdudng Apt., Unci, Suite, andror Bldg. No.) OR P.O. ROUTE AND BOX N0. t'cjriiiiatief
20860North Ulla
CITY STATE ZIP CODE ' Campari mmNr riE er'.............
Palermo
Ca 95968
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenticompany, and (3) building owner.
COMMENTS
Set 60 penny spike in tree on property Elevation 162.05
❑ Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE A0 AND ZONE A (WITHOUT BFE)
For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F,
Section C must be completed.
E1. Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is being completed — see pages 6 and 7. If no diagram accurately
represents the building, provide a sketch or photograph.)
E2. The top of the bottom floor (including basement or enclosure) of the budding is _ fL(m) _in.(c m) ❑ above or ❑ below (check one) the highest adjacent grade. (Use
natural grade, if available).
E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the budding is _ fL(m) _in.(crm) above the highest a jacent
grade. Complete items C3.h and C3.i on front of form.
E4. The top of the platform of machinery andror equipment servicing the budding is _ ft(m) _in.(c m) ❑ above or ❑ below (check one) the highest a4acent grade. (Use
natural grade, if available).
E5. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordnance?
❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The properly owner or owner's authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA -issued or community -
issued BFE) or Zone AO must sign here. The statements in SecUons A, B, C, andE are correct to the best of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
❑ Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordnance to administer the communilys floodplain management ordnance can complete Sections A, B, C (or E), and G of this Elevation
Certificate. Complete the applicable item(s) and sign below.
G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state
or local lawto certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2. ❑ A community official completed Section E for a budding located in Zone A (without a FEMA -issued or comrnunity4ssued BFE) or Zone A0.
G3. ❑ The following information (Items G4 -G9) is provided for ccrrrnundy floodplain management purposes.
DATE CERTIFICATE OF
G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building is: _. _R(m) Datum:
G9. BFE or (in Zone AO) depth of flooring at the building sites: _. _ ft(m) Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
Check here If attachments
FEMA Form 81-31, January 2003 Replaces all previous editions
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
E.H.. USE ONLY
Plot Plan Anechad
Rear Plan Ansdsad--,�—'
Seat to G.D. / /1
Owner Location AP#
Plan Approved for: Sewage Disposal-- Water Supp y: d Public rivate Wel
Clearance for dwelling. Other C�Vt L4,)
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Heann Specialist r Date
8/96
y
October 2, 200
Butte County
Development Services Dept.
Building Division
7 County Center Dr.
Oroville, CA 95965
NO -
RE: . Truss Design, Engasser Residence, APN 026-090-034-000
I have reviewed the truss designs for this project. My review includes
identifying and locating loads -in excess of 3000 pounds. Where inadequate,
foundation elements have been revised to reflect a maximum design bearing
load of 1500 pounds per square foot.
Thank you for your consideration.
Sincerely
Jim rsell, P.E.
NO 60924
qTc C; V l 1.
1
BUTTE
I sl
'VILDING DEPARTMENT
A P P R 0% lyff E D
F7/1
JIM PURSELL
CIVIL ENGINEER
RCE 60924
Date
10/01/02
Job Number
102-06-243
Job Name
Engasser
Assessor Parcel No.
026-090-034-000
Analysis UBC 1997
Dead Loads
Live loads
Roof
Comp
6.0
1/2" plywood
1.5
Framing
5.0
Insulation
1.0
1/2" Gyp
2_5
16.0 psf. 16 psf.
Wall
Stucco
10.0
Framing
3.5
1/2 gyp
2.5
Insulation
1_0
17.0 psf.
Floor
Flooring
3.5
3/4" plywood
2.5
I - joists
2_0
8.0 psf. 40 psf.
Lateral loads
i
Page 1
.AE
Nie C 60924
��cP /zf%a�ay
Wind: Exposure B
P = Ce Cq q I where
Ce = 0.62 @ 15 feet Cq = 0.3 in/ 0.9 out windward roof q = 14.5 psf @ 75 mph
0.67 @ 20 feet 0.7 out leeward roof I = 1
0.72 @ 25 feet 0.8 in windward wall
0.76 @ 30 feet 0.5 out leeward wall
Seismic: V = 2.5 Ca I W / 1.4 R Ce = 0.36, 1=1, R=5.5/4.5
Soil Bearing:
1500 pounds per square foot Friction = 0.35. Lateral bearing = 250 psf/ft.
R
Enaasser
Lateral Analysis
Improtance Factor I = 1
Wall(
Wind
Seismic
Page 4
Roof:
Windward
Leeward
q .
I
P
Roof Weight:
(Coef.) (Coef.x A +
Coef. x A)
(@75)
(lbs)
P(30)=
0.76 0.3 0
0.7 0
14.5
1
= 0
Pitch = Rise:Run Pitch Factor
P(25)=
0.72-0.3 0
0.7 0
. 14.5
1
= 0
5 :
12 = 1.08
P(20)=
0.67 0.3 0
0.7 0
14.5
1
= 0
P(15)=
0.62 0.3 50
0.7 50
14.5
1
= 450
(Pitch factor)x(Area)x(Wt.(psf)) = Wt.(Ib)
1.08 x
670 x 16 = 11613
Wall:
Windward
Leeward
q
I
P
Wall Weight:
(Coef.) (Coef.x A +
Coef. x A)
(@75)
(lbs)
(Area)x(Wt.(psf)) = Wt.(Ib)
P(30)=
0.70 0.8 0
0.5 0
14.5
1
= 0
366 x 18 = 6588 .
P(25)=
0.72 0.8 0
0.5 0
14.5
1
= 0
Soffit Weight:
P(20)=
0.67. 0.8 0
0.5 0
14.5
1
= 0
(Area)x(Wt.(psf)) = Wt -(lb)
P(15)=
0.62 0.8 69
0.5 69
14.5
1
= 806
119 x 10 = 1190
P (Total) 1256 Ca = 0.36 / Total Wt.(Ib)
R=5.5✓ W= 19391
SEISMIC GOVERNS Base Shear Ib)
V=(2.5xCaxIx"!(1.4xR)= 2267
S�.�rY. `ala w D�s�G ti
�5
--5--7-AJ6 P 6t AJZ:,t� '-Ku-Is s T4 7®P
7A3 IL
J.j l GL q pS/"iOC� %��r'. �t1rs`lJ�i I�� 7'<�:-P Qt-JgT�
1 ,4A..;c, HcD*,F,-G.sL-�-
\
N
Enaasser
Lateral Analysis
Improtance Factor I = 1
Wall o
Wind
Roof:
Windward
Leeward
q
I
P
(Coef.) (Coef.x A +
Coef. x A)
(@75)
(lbs)
P(30)=
0.76 0.3 0
0.7 0
14.5
1 =
0
P(25)=
0.72 0.3 0
0.7 0
14.5
1 =
0
P(20)=
0.67 0.3 35
0.7 35
14.5
1 =
340
P(15)=
0.62 0.3 46
0.3 46
14.5
1 =
. 414
Wall:
Windward
Leeward
q
I
P
.
(Coef.) (Coef.x A . +
Coef. x A)
(@75)
(lbs)
P(30)=
0.76 0.8 0
0.5 0
14.5
1 =
0
P(25)=
0.72 0.8 0
0.5 0
14.5
1
= 0
P(20)=
0.67 0.8 0
0.5 0
14.5
1
= 0
P(15)=
0.62 0.8 42
0.5 42
14.5
1
= 491
P (Total) = 1244
SEISMIC GOVERNS
Seismic
Roof Weight:
Pitch = Rise:Run
5 : 12
Page 6
Pitch Factor
= 1.08
(Pitch factor)x(Area)x(Wt.(psf)) = Wt.(Ib)
1.08 x 466 x 16 = 8077
Wall Weight:
(Area)x(Wt.(psf)) = Wt.(lb)
188 x 18 = 3384
Soffit Weight:
(Area)x(Wt.(psf)) = Wt.(Ib)
121 x 10 = 1210
Ca = 0.36,//Total Wt.(lb)
R 45 W =' 12671
Base Shear Ib
V = (2.5 x Ca X I x W)/(1.4 x R) =
ieJol
Pq,.:Ec. Uu i r Sack _ 1 _ I ��r��G-� 9? UQc)
Qjs f RTI�i �� f-9. 1/A&;7" P",S5 ( CC a) APPLI fz.A p -7ALi 1 5 -�
X435 s � y�61a.
ey
Ov�7 ueN i N-�
16D 60
3Lt
X �' � /,t)ALL- O .
Melvin and Patricia Engasser
2086 North Villa
Palermo, CA 95968
Department of Development Services
Building Division
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 (530) 538-2140 FAX
Assessor Parcel Number: 026-090-034
Building Permit Number: 03-0441
Thank you for submitting the revisions for your building project. The plans have been reviewed,
and the plan examiner's comments are listed below.
1. Please provide a current flood elevation certificate form. FEMA will not allow us to accept
the old forms anymore.
If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours
of 1:00 p.m. and 4:00 p.m., Monday through Friday.
Please refer to your Data Sheet for remaining non -plan check items. (You received this form
when you applied for your permit.) The counter staff will answer any questions concerning the
Data Sheet.
Linda Simpson
Plans Examiner
1 of 1
April 22, 2003
Melvin and Patricia Engasser
2086 North Villa
Palermo, CA 95968
Department of Development Services
Building Division
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 (530) 538-2140 FAX
Assessor Parcel Number: 026-090-034
Building Permit Number: 03-0441
Thank you for submitting the plans for your building project. The plans have been reviewed, and
the plan examiner's comments are listed below. Please respond in writing to each item by
completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete
and clear response will expedite the re -check and approval of this project.
NON-STRUCTURAL COMMENTS:
1. Please provide a current flood elevation certificate using the current flood elevation
certificate form. Each building requires its own certificate, and the form that was submitted
has been replaced with a new format.
2. Please have your designer address the flood requirements on the plans. He must show the
flood venting and flood resistant construction below the BFE.
STRUCTURAL COMMENTS:
1. A response modification factor value of 4.5 should be used for stucco shear walls per CBC
Table 16-N. Please revise the structural calculations to reflect the correct R value. The
calculations indicate that seismic controls the design and it appears that the shear walls along
wall line B are not adequate. Please check and revise as necessary.
If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours
of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for
Linda. Philo will answer your structural questions.
Please refer to your Data Sheet for remaining non -plan check items. (You received this form
when you applied for your permit.) The counter staff will answer any questions concerning the
Data Sheet. o
qIL; a Simpson
Plans Examiner
cc: Jim Pursell, P.E.
(Sz�� A�Ivlr
Philo Hunt, P.E.
Plan Check Engineer
loft
F
0
I Zrv�, oD I
e -r,,.
<,
R
O
S
OD
REVIBIONS By
1) O DENOTES WAIL LINE IDENTIFICATION
2) Q DENOTES SHEAR WALL IDEMMCATION y
3) HOLD DOWNS REQUIRE DOUBLE STUDS
4) SHEAR WALL SCHEDULE -
1� STUCCO - EXPANDED METAL, OR WOVEN WIRE LATH AND PORTLAND O O 0
CEMENT PLASTER, 713, WITH NO. 11 GAGE, 112" LANG, 7/16" HEAD, OR i O
' N0.16 GAGE, 7W LEGS AT 6" ON CENTER MAXIMUM
fa5:0"
BP -1 STUCCO • EXPANDED METAL, OR WOVEN WIRE LATH AND PORTLAND
CEMENT PLASTER, V', WITH NO. 11 GAGE, I IX LONG, 7/16" HEAD, OR _ -__ -
No.16 GAGE, 7/8" LEGS AT 6" ON CENTER MAXIMUM- e'! .1 N 9' 111t 21ti Ips yl/te
I N
Ole 41-{. / 0• 141
I I u I 1 t r`_ n 101•G11 Ip1D1/LD
BP -2 fs" GYPSUM WALLBOARD, UNBLOCKED, APPLIED TO 2X FRAMING WITH I -ID & 4- 9 4 4 - l eyrf
5d COOLER OR WALLBOARD NAILS ATT ON CENTER MAXIMUM.`-
5
ALT -BP MINIMUM 3/8"APA RATED PLYWOOD, CC, CD, WITH 8d (0.113 X 2 3B7 ® L•3•e K 401° ISI-:
NAILS ATV ON CENTER MOE NAILED, WON CENTER FIELD NAILED TIS Aa'
ON 2X DOUGLAS FIR FRAMING AT 16" ON CENTER COVERING A 9 e G O O
MINIMUM OF THREE STUD SPACES TWO I2" DIA. ANCHOR BOLTS QO I ( {{
SHALL BE INSTALLED IN ACCORDANCE WITH UBC 1806.6. ANCHOR ■ - 1 I d
BOLTS SHALL BE PLACED AT PANEL QUARTER POINTS. EACH PANEL N I h/rif�� 'Wil
END STUD SHALL HAVE AHOLD DOWN CAPABLE OF PROVIDING AN 11 w1 ` Ib I
r UPLIFT CAPACITY OF 1800 POUNDS.i }
III-£.'Wok1E•aC I
Q SIMPSON STRONG ME STIIDB STRAP TIE HOLDOWN Q$ PHD2-3DS3 - N�j
HOLDOWN WITH SSTB16 ANCKOR BOLT.
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-ALL LUMBER TO BE DOUG. FR OA - -ALL SHELVES TO BH FIXED ° F4 •TLB i114
HEM FDR /2 AND BETTER, STUDS TO } `1111•• �I
BE STUD GRADE OR BBITBR, ..VERIFY SIZE, MODEL, MAKE. s I • M 1 I : i . 1 8'CL'q . VAUL 1 Ili
UNLESS OTHERWISE NOTED. AND LOCATIONS OP APPLIANCES dµ ?Wq 7 C1.4 G GL'IT q
` PRIORTOCABINETCONSTRUCTION c d' s . t(1 h! 1N 610
-ALL HEADERS TO B6 4X12, u 1 11 eJ
UNLESS OTHERWISE NOTED. .VERIPYDIMENSIONS AT01 �I .5 —_ e. �.. 6: -Co 8 1 - _
PRIOR TO CABINET CONSTRWIlON ! a M I'+•�IST N �N N u
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UNLESS OTHERWISE NOTED. -
.-BI.00X AT UPPER CABINET'S_ O i,1 10 - 0
.PROVIDE 18'X24' FOUNDATION =
ACCESS AT EXTERIOR WITHIN 20,•0• d 1 (� `ti 11_ _ J y" I JW ��"•... _
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