HomeMy WebLinkAbout028-260-065L
2842
J 28-26-65
ROB OMER
87 Los Ve - les, COMER, Robert
111%, SLI Bangor
Permit#1197 (uti�p MH) r.1 87 Los Verjeles Rd" Bangor
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ROB
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p 13S,
SUPPORT STRUCTURE REQ
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P" 6
OM.PMTION TEST REQ-
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Perifinit #37 -86MIR-�(inslall MH)
ISSU
028-260-065 02-116
COMER, ROBERT 6AO
87 LOS VERJELES RD.,
CONT: D & D HOME
I
MHU 2ND DWELLING
ELECTRIC ' n
GAS LINE_ LIQ -- .,35
COMPACTION TEST REQ
SUPPORT STRUCT REQ
�028-260-065 02-1167
E
COMER, ROBERT �Q.D
87 LOS VERIELES RD., B
'OME
CONT: D & D HOME
MHI 2N') DWELLING
71 a am R;—�a � I,
NOTES
I
_ RESIDENTIAL ✓f G �-
02
8-260-065- - '02-1166
PERMIT N0. i COMER, ROBERT
187 LOS VER.IELES RD., BANGOR �
CONT: D & D HOME
' MHU 2" DWELLING
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS -
VERIFY
USE PERMIT CONDITIONS _
SUB -STANDARD HOUSING LETTER
OFFICE COPY i
Address
'
S712- 0e)
G AS
Meter By
Da��
ELECTRIC
Meter By
Date
JOB FINALED
Signature
FLEETWOOD HOMES OF CALIFORNIA, INC.
18 N. PIONEER AVE.
PO BOX 1308
WOODLAND, CA. 95776 ,,, MC# 17
Date of Manufacture HUD label No.(s)
PFS764606
PFS764607
Manufacturer's Serial Number(s) and Model Unit Designation
SUNCREST 3522L
CAFL217A25685-SC12
CAFL217B25685-SC12
Design Approval by (D.A.P.I.A.) PFS
CORP. _
This manufactured home is designed to comply with
the federal manufactured home
construction and safety standards in force at time of manufacture.
(For additional information consult owner's manual.)
The factory installed equipment includes:
"U"
Equipment Manufacturer
Model Designation
For Heating COLEMAN
DGAT070
For Cooking WHIRLPOOL
SF3020
Water Heater RHEEM
21130T
Smoke Detector RIDDE
1275E
Microwave/Hood WHIRLPOOL
MR6150
HOME CONSTRUCTED FOR X ZONE I ZONE II ZONE III EXP. "D"
This home has not been designed for the higher wind pressure and anchoring provisions required for
ocean/coastal areas and should not be located within 1500' of the coastline in Wind Zones II and III,
unless the home and its anchoring and foundation system have been designed for the increased
requirements specified for Exposure D in ANSI/ASCE 7 - 88.
This home has ( ) has not (X) been equipped with storm shutters or other protective coverings for
windows and exterior door openings. For homes designed to be located in Wind Zones II and III,
which have not been provided with shutters or equivalent covering devices, it is strongly recommended
that the home be made ready to be equipped with these devices in accordance with the method
recommended in manufacturers printed instructions.
Design roof load zone map:
11
_ North 40 psf X South 20 psf
X Middle 30 psf Other psf
9
COMFORT HEATING
This manufactured home has been thermally insulated to conform with the requirements of the federal
manufactured home construction and safety standards for all locations within Uo value Zone
1,2 . (See map at bottom)
Heating equipment manufacturer and model (See list at left).
The listed heating equipment has the capacity to maintain an average 70 degrees Fahrenheit
temperature in this home at outdoor temperatures of — 4 7 degrees Fahrenheit
To maximize furnace operating economy, and to conserve energy, it is recommended that this home
be installed where the outdoor winter design temperature (97 %%) is not higher than —12
degrees Fahrenheit.
The above information has been calculated assuming a maximum wind velocity of 15 mph at standard
atmospheric pressure.
COMFORT COOLING
Air conditioner provided at factory (Alternate 1)
Air conditioner manufacturer and model (see list at left).
Certified capacity B.T.U./hour in accordance with the appropriate air conditioning and
refrigeration institute standards.
The central air conditioning system provided in this home has been sized assuring an orientation of
the front (hitch end) of the home facing . On this basis the system is designed to
Maintain an indoor temperature of 75°F when outdoor temperatures are °F dry bulb and
°F wet bulb.
The temperature to which this home can be cooled will change depending upon the amount of
exposure of the windows of this home to the sun's radiant heat. Therefore, the home's heal gains will
vary dependent upon its orientation to the sun and any permanent shading provided. Information
concerning the calculation of cooling loads at various locations, window exposures and shadings are
provided in Chapter 22 of the 1989 edition of the ASHRAE Handbook of Fundamentals.
Information necessary to calculate cooling loads at various locations and orientations is provided in the
special comfort cooling information provided with this home.
Air conditioner not provided at factory (Alternate ll)
The air distribution system of this home is suitable for the installation of central air conditioning.
The supply air distribution system installed in this home is sized for a manufactured home central air
conditioning system of up to 7 0 , 2 U 0 B.T.U. /hr. rated capacity which are certified in accordance
with the appropriate air conditioning and refrigeration institute standards, when the air circulators of
such air conditioners are rated at 0.3 inch water column static pressure or greater for the cooling air
delivered to the manufactured home supply air duct system.
Information necessary to calculate cooling loads at various locations and orientations is provided in the
special comfort cooling information provided with this manufactured home.
To determine the required capacity of equipment to cool a home efficiently and economically, a cooling
load (heat gain) calculation is required. The cooling load is dependent on the orientation, location and
the structure of the home. Central air conditioners operate most efficiently and provide the greatest
comfort when their capacity closely approximates the calculated cooling load. Each home's air
conditioner should be sized in accordance with Chapter 22 of the American Society of Heating,
Refrigerating and Air Conditioning Engineers (ASHRAE) Handbook of Fundamentals 1989 edition,
once the location and orientation are known.
INFORMATION PROVIDED BY THE MANUFACTURER
NECESSARY TO CALCULATE SENSIBLE HEAT GAIN
Walls (without windows and doors) ....................................
"U"
09
Ceiling and roofs of light color .........................................
"U"
-04
Ceilings and roofs of dark color .......................................
"U"
.04
Floors........................................................................
"U"
.09
Air ducts in floor...........................................................
"U"
.09
Air duds in ceiling.........................................................
"U"
NA
Air duds installed outside the home .................................
"U"
.25
The following are the duct areas in this home:
Air ducts in floor........................................................... 100 sq. ft.
Air ducts in ceiling.......................................................... NA sq. ft.
Air ducts outside the home ............................................... 56.5 sq. ft.
U/O VALUE ZONE MAP
)NES U•VALUES
0 0.116
2
® 0.096
3
= 0.079
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MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION — COUNTY CENTER DRIVE
OROVILLE, CA 95965 — PHONE (530) 538-7541
APN:r� L
'2
PERMIT NO.:
Owner's Name: i'")
a ij t �_ - .--��.- d (V C:
,
Owners Address:
MoV6home Manufacturer:
(( f •_•-fes'
Year of Manufacture:
� �
Serial Number or V.I.N.:`
SC
Insignia or HUD Number:
(4
Official approving installation:
Date:
/.
If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This
form shall not be used when the mobilehome is installed on a foundation system.
513B White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor
- -� . .- '�. � ..•:-..--.•w-.:�^n..�-•�,.+,-,-•-•-`-.,.�..-.,,,�,,,,•.rr,^1♦',•,.�".,,,.. •r-. .�- ' ��,�.t...ww � �`-t�,�"vwr.7..(�-.+..."Y"�syR�r'Y-,^.^a�.rr
0
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION - COUNTY CENTER DRIVE
OROVILLE, CA 95965 - PHONE (530) 538-7541
APN:
6 0 S�
PERMIT NO.:
,�
7
-2—
Owners Name:
Owners Address: j
Mobilehome Manufacturer:
Year of Manufacture:
Serial Number. or.V.1.N.:
` ( ' R `� ` ,mac L., -j :._..
Insignia or HUD Number:
:; -,rf�
-
, F • - - ..� , _ .
Official approving installation:
Date:
If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This
form shall not be used when the mobilehome is installed on a foundation system.
513B White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor
/= OK
0 = Not OK
- = Not Applicable MOBILE HOMES
= Not Ready
Date MOBIL OME UTILITIES (Plans) OK except fi's
1 on' g Requirements -Setbacks -Easements
2. oils; Special MH Support Sketch
ewer; Location -Test -Fall -C/O -Concrete
r; Location -Test -Easement Needed (Sketch)
Electricity; Location-Clearances-Grnd-/! Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L'ft.
/ ' Nat. or/ /"L"ft.a /'LPG
e learance & Discorinect
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 ti's
Zoning Requirements -Setbacks -Easements
>-Io—otings; Size -Spacing -Marriage Line
3.jergs; MH Test -Demand -Valve -Connector
ye -Electricity; MH Test -Crossovers -Breakers -Clearances
5 rain; MH Test -Fall -Flex Connector
Wat MH Test -Regulator -Connector
71saw and Sewer Connected -C/O to Grade -HD Approval
Cert.
/ j' 11-. Cert. of Occupancy
1 . Permanent Foundation Only; License Decal
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 q'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- Bea ms- Rftrs.-Connectors
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
FINAL (Plans) OK except ft'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.
Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J = OK
0 = Not OK
- = Not Applicable = Not Ready
RESIDENTIAL (;
Date
Card B-1 Date Card B-1
Underfloor (Plans) OK except #'s
FRAMING (Permit) OK except #'s
1.
Zoning-Setbacks-Easements-Flood-Slope
41.
2.
Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth
Bearing Walls over Girders & Floor Nailing
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth
44.
4.
Ftg., Porches & Decks; Soils-Steel-/ r Ftg. Depth
Headers & Beams -Size & Bearing
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 3' -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
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
Card B-1 Date Card B-1
Date
Ext. Steps -Door & Sidelight Protection -Landings
PLUMBING (Permit) OK except #'s
64.
17.
Water Htr.; Vent-Access-Combustion Air Baffle
65.
18.
Water Pipe; Test & Anchor-Nail Protection
66.
19.
D.W.V.; Test Fittings & Anchor-Nail Protection
67.
20.
Shower Pan; Test, First Floor-Tub Access
68.
21.
Test Tub & Shower, Second Floor-Tub Access
69.
22.
Gas Pipe; Sixe & Anchors
70.
Fireplace or Stove, Clearance -Hearth
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Elec. Outlets & Receptacles at Kit. Counter
23.
Fixture & Transformer Clearance-Ins. Protection
Garage Fire Door; Swing -Landing -Closure
24.
Elec. Receptacles Spacing-Lights & Switches at Doors
A.C. Duct in Garage -Damper
25.
Size Boxes & No. of Conductors Stapled
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
26.
Romex Installed Close to Edge of Studs & C.J.
Plb., Elec. & Mech. Equip. Listed for Location
27.
Equip. Ground made up w/Mech Fasteners-Bond Gas & Water
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Insulation -Foam -Looked in Attic
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
Guard Rails & Deck Construction -Post Caps
30.
Range Circle / / ga Cu or AI-Oven Circ. / / ga Cu or Al
Insulated Neutral Q Yes Q No
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
31.
Service-Riser Conductors & Ground Main Disconnect
Clearance Looked under Floor Q Yes
32.
Equip. Clearances Panels-Motors-Mech. Equip.
Following Instld./Drive J Yes J NoMalks :) Yes :1 No/Planters 7 Yes J No
33.
Clothes Closet Light-Shower Light-Spa Light
Stucco Brown -Finish
34.
Smoke Detector
A.C. Unit Disconnect, Electrical -Plumbing
85.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
87.
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace-Vent Access-Comb. Air-Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
93.
Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
40.
Sits Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
"ingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass 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 J Yes J NoMalks :) Yes :1 No/Planters 7 Yes J 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 - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
t 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P RMyT NO.
(Rev. 12/96) APPLICATION AND PERMIT A a
ASSESSOR PARCEL NUMBER
098-960-065
ZONING
BUILDING PERMIT
OWNER
COMER ROBERT
TELEPHONE
679-2309
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
P.O. BOX 35 BANGOR CA 95914
CONTRACTOR'S NAME
d & D HOMES
TELEPHONE
532-3301
CONTRACTORS MAIUNG ADDRESS
2243 featbt-r river blyd, nrnxrJ11t-. ca 95966
CONSTRUCTION LENDER
Fireplace
LENDER'S MaUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filin Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $ 23.0
BUILRIe� ADDRESS
2S/ IAS �� FS RD. BANGOR
Energy Plan Checking Fee $
$
PERMIT FEE $ 43.0
LAT NO.
SUBDNISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: MM 2nd DWELI NG
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home @20.00 60, 00
PERMIT FEE $ 80.00
ELECTRICAL PERMIT Fling Fee 20.00
Main Service 200AORLESS 23.00 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect. �/ �^-
License Class 01 q� Lic. No. 7 O J 1
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. ( DW:
ACC. S.3.50FT.
"NOON-REESID. MULTI -OUTLET CIRCUITS @7,50
POWER APPARATUS
8 SINGLE OUTLET CIR.
20 @ 1.00
Ex. Occup. OUTLET OR FOCrURES SAL @ .so
TED APPLNS. OR S.00
TED
Ex. Occup.. oL RESID. EA
Temporary Service 23.00
Mobile Home Facilities 20.00 20.00
Misc. Wiring23.00
PERMIT FEE $ 63.00
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 ompensation insurance carrier and policy number are:
CarrierOLU—Spm-3'-�
Policy Number n 11 O0 1 U 10<4
(The above sections need not be completed if the per it is for work of a valuation
of one hundred dollars ($100) or less.)
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
worke compensatio rovisions of section 3700 of the Labor Code, I shall
forth i compl it os pro ' S.
[�
X ate 7 b
Signa ure of Applicant Owner ❑Contractor ❑ Agen
An OSHA permit is re ' ed for excavations over 5'0" deep and emolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
EE $ 166.
HAZ.
—
p. FEES IMP FLOOD F p pp SUE
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.
B �. Date
PERMIT EXPIRES ON
we
Receipt No.
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 P RMIT NO
=iev' 1'2/96) APPLICATION AND PERMIT - r
.SES,GRPARGELNUMaER L �°""°U_ 7
BUILDINGPERMIT
OWNER Ll TEUPNONE SO. FT. OCC. BUILDING VALUATION
OWNERS WAILI ADORE If
CONTRACTOR S NAME y��
CONTRACTORS AMR, (AOORESS_ _
CONS rRUCT.ON LEND O'7(—rjTf—if7—
LE;:OER S M/NUNG ADDRESS
ARCHITECT OR ENGINEER
AaCNITECT OR ENGINEERS MAIUNG AOORESS
awLD04G AOORESS
&Z
LICENSE NO
IDT NO. I SUSONSIONSNAME �G � PARCEL IMP
USEOFSTRUCTURE AC
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
TYPE OF WORK
New O Addition ❑ Remodel ❑ Utilities O Installation O Other ❑
Describe Work: f �! /l �gLy/ 1 /LGJ,c/ L6P2,;3
X" 102,�Z_*�
*PERA T FEE PA10 s f
SRI
SHERIFF
OTM s
Al 0VN'T RECEIVED S
TO hJT fNT+O COMhJTlR
Receipt No.
WHITE -O.O.S.•S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Total Valuatlon Is
Fling Fee 1 $
Permit Fee I b
Plan Checking Fee b
Energy Plan Checking Fee b
b
PERMIT FEE $
PLUMBING PERMIT I
Each Trap
Solar or heat pump water heater
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Building sewer
Mobile Home �I I
Fling Feel
0!
23.00i
15.00,
1 5 0 0�
15.001
15.00;
@20.00'
20.00
Fling Fee 20.00
?300r �_-
46.00!
3.5¢50' —..
R.
@7.50;
Ex. Occup. OUn,ET OR FIXTURES
PERMIT FEE 1 S
ELECTRICAL
PERMIT I
Main Service
°0°'r OR. LessLESS
Mobile Home Facilities
200A
Main .Service (
200A TO IOOOA )
NEW CONST.
DWELLING OCCUP.
OR AOONS.
A ACC. RMS. I
Fling Feel
0!
23.00i
15.00,
1 5 0 0�
15.001
15.00;
@20.00'
20.00
Fling Fee 20.00
?300r �_-
46.00!
3.5¢50' —..
R.
@7.50;
Ex. Occup. OUn,ET OR FIXTURES
I 20 � "' i
gA� So
Fl71E0 APPLNS. OR
Ex. Occup. I
OtmETs REsiO. EA
I 5.00 _
Temporary Service
23.00;
Mobile Home Facilities
j 20.00' 0
Misc. Wirinq
I 23.00'
PERMIT FEE = 7 f. ad
MECHANICAL PERMIT I Fling Fee 1 20.00
CoolingI I
Hood 6.501 _
Ventilation 1
PERMIT FEE I S
Mobile Home Installation Fee b _
Energy Inspection Fee b
°C CONST.
=TOrALF $
IIAz. 1 0. FEES 11WO I Coi CEl i ND 65LE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
M
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISI.ON4�
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140` r `'
PERMIT APPLICATION DATA SHEET
G
OWNER: Com krz i W46W T ASSESSOR PARCEL NUMBER 0 0 -�-~ D�
Proposed Building Use: (/�//� o�i1'O �GvL2�/N,� ��/t G�C anter Technician:�W_Date: l
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
❑ 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 2. 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!
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line informatio,n `) loor Plan, (D Tie down� or
foundation plans, all in duplicate.y
❑ .. M�tal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C Elevation views in triplicate.
i(b�'loor plans in triplicate. All of these must be stamped and wet-si ng ed 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 returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot plan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings.........................................................
❑ 11. Detalhed Accessory Building Form filled out by the owner .....................................
E!. 1.2a-rHaWdous Material Form...............................................................................
Remai
' g items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
F4. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
❑ 15 tatement of Intent for Non -heated and A/C Buildings .............................................
tk16.` and plot plan approval from the Environmental Health Department in
❑ City, of Chico Plumbing permit .........................//.......................... ,.
California Department of Forestry plan approval I�paid. Sent by:
❑ 19. Planning approval for (A) Use: Oak (B)Parking: (C) Parcel Check:
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................''%
❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior t9oe upancy
❑ 22. Pre -Inspection for required ................
❑ 23. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
Q 26. Letter of Signature authorization....................................................................
ecorded copy of Agricultural Acknowledgment Statement ....................................
Manufactured home utility clearance...............................................................
❑ 29. Existing violations and/or expired permits.........................................................
❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Le al Owner, ❑ Check to H.C.D. $
1. Other: a
.12 X4
When issued Telephone and hold for pickup
I have been i ormed the a 6ve� a equirements for obtaining a buildingQper . it.
Applicant: Date: / 2_._,
1. Index permit appli atio or the above items numbered: Z(O Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, Date: `
Plans reviewed by: Date: Plans approved by: Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: - Date:
Yellow: Building Division
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
Cbyrcyl— SCHEDULE OF FEES DUE ,\
OWNER A.P. #
PROPOSED BUILDING USE kA ` DATE
RECEIPT # DATE REC.
1. BUILDING PERMIT FEES
Balance Due ....................... $
Additional Fees Due ................. $
Additional Fees Due ................. $
vised Plan Checking Fee .............$
b
2. SCHOOL DISTRICT FEES
(paid at District Office) (Available after Plan Check)
3. SHERIFF FEES (paid at Building Division)
Residential ...................... 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)
Pj:�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 applicatio was advised the above fees are required to be paid prior to issuance of the building permit. These fees
may be changed during th p checkin roce
APPLICANT '
DATE
Pursuant to Government Co a Secti20, 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. 6100)
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
` (One form per Building)
School District y�(J� Building Department No.
A.P. Number V��"l, Qj Jurisdiction: City County
Property Owner
Property Location/A(
Subdivision
052-ooy.,,
r Lot No.
r
f
Residential Development Sq. Footage /
No of Living MoIle Home Addition/ *Supplemental to (Group R)
Units Installation Conversion Permit #
'(No foundation inspection):
Sq. Footage
(Including Exterior
Roofed Areas)
Date
(Floor Plans reviewed by School District Personnel)
District Identification No. i 020142.
ClroVt (U., Ukio (\ "'l(School District certifies that
(Applicant)
7D �-i; ISS 9.23
(Street Address) (� (Phone Number)
��� v, \ 1994—
(City)
6
has complied with the requirements of Resolution No.
representing
School District F
Paid by Check #
square feet. r
I l L7l]i))� Remarks:
(State)
(Zip Code)
,v � — Cb by payment of $ 2GDG, l o
AB 2926 $
FULL MITIGATION $
Date
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the 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.xis (10/98)dmm
,f' -AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95%5
COPY of Document Recorded
05 -Jun -2002 2002-0029100
Has not been compared with
original
BUTTE COUNTY RECORDER
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment
property described herein is adjacent to land or included within an area zoned forrecordeagricultural n r to issuanrp of purposesbuilding pens o The
f this
property may be subject to inconveniences or discomfort from the use of agriculturlchemicals, including, but not limited to
herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation,
plowing, spraying, pruning, and harvesting which occasionally generate
agricultural purposes and residents within said zones and on adjacent dust,
l ro �o�� noise, and odor. Butte County has established
or discomfort from normal, necessary farm operations. P P rty should be prepared to accept such inconvenience
All that real property situate in the County of Butte, State of California, described as follows:
.�l:�l✓ Ari T(�C..t-��� L..��� �SC.
Date l 30 - 2,0() z PROPERTY OWNERS:
State of California )
County of $SZ-}- )
OnO 2-a0 ' before me, Y. FORD, Notary Public
personauy appeared ��-H"::'
F{e. C„ r� 11
ersonally
known o w
me (or proved to r vn the pasts of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within
instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that b
his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the
instrument.
WITNESS my hand and official seal
Signature
Seal:
ow
. FORD
A.'q 1198886
UC-CALIFORN►AA.P. # Q 2. 2 p OTY OF 6�UM �rn act, 18, 2002 4
ENGINEERING
SURVEYING
PLANNING
86-14740
!
220 GRAND AVENUE
OROVILLE, CA. 95965
(916) 533-2068
May 6, 1.986
LEGAL DESCrIPTION FOR
GIFT DZFD
HERBERT COMER TO ROBzrT COMER
t**ttt*t*tt*tt**tttttttttttttttttttttttttttttttttt*ttttttttttttttt.
All that real property situated in the southeast quarter of the
northwest quarter and in the northeast quarter of the southwest
quarter of Section 27, Township 18 North, Range 5;,East, M.D.M.,
Butte County, California and being a portion of Lotp 48, 51, and
52, according to that certain map entitled "Offici-Ql Map of the
Town of Bangor" as recorded in Book 7, Maps at'°.Page 77, Butte
County Recorder's Office and being more particularly described
as follows: !;
Exactly 5.00 acres, lying northerly of Lost;'Verjeles
Road, as same existed on November 3, 1;980 and
northwesterly of the following described line;',
C'onQnencina at the southwest corner of that certain parcel
of land as described in deed to Samual C. Malicoat et.ux.
as filed for record in Book 2035, Butte County'Official
Records, at Page 3.84, said corner being designated in
said deed as "a point in the center of a stone fence"
and also being thG TUE POINT OF BEGINNING for;.the herein
described line; thence N 27'35' E, along t.he:.easterly
line of said Malicoat parcel and along said stone fence,
602.84 feet to an angle in said fence] thence:
N 62046' E, 487.04 feet, to a point in the north -south
centerline of said Section 27, said point being in the
westerly line of that certain parcel of land as!described
in deed to Edward Robert Neiland as recorded::.Feb. 23,
1927 in Book 218, Butte County Deeds, at Page 148 and
the end of the described line. The northwesterly.boundary
of this 5.00 acres is to be parallel with the
southeasterly boundary which is the same as the
heretofore described line, and said northwesterly
boundary .Lines are to extend southwesterly,;`parallel
with said southeasterly boundary, to Los Verjeles Road
and northeasterly, parallel with said southeasterly
i
is
--7— _.
W11. I. IAM J!, �,,1 U[)1', IUIIN I) I,. 11 It I'�I X11 I I Il `,(1N KI NNI I11
LI-nll :.N 111
C-�
66-;:14140
boundary, to the noir.t-south centerline of said Section
27. The exact dimensions of s:,id northwesterly, boundary
being as shown on that certain Record of Sur -:c as filed
for record in Book 78, Maps at Page 54.
SUBJECT TO AND RESERVING THEREFROM a non-exclusive right-ef-way
for road and public utilities over a strip of land 60.00 feet
in width, lying southerly of, parallel with, and adjacent to the
northwesterly boundary of the above described 5::00 a„re parcel
of land.
END OF DESCRIPTION
♦**�********tr*tr*,►,r**,r*,►,r,t,r*s.►*,►*,r,►*r,►**a*�w*,r*t*r,rtrr*+r,r.�,►,►,rt,►,►ri*
NOTE: Refer this legal description to your
company before incorporation into any legal
PREPARED BY:
John D. Chriso erson, L.S.
G.D.A., Engin ring 6 Surveying
DD$23 86-500, Re 80-141
attorney or title
document.
0 tAND
��t1 oCHRISTC. `U'
Z• r• I
4K No. 4208
OF CAO. '•, ,�
i!
757
7—
PERMIT NO.
PERMIT EXPIRES ` v 7
OWNER ROBERT COMER
CONTR. Owner
ASSESSOR PARCEL 28'26-65
LOCATION 87 Los"Verjeles Rd, Bangor
OFFICE COPY
,G
Address
GAS Dater
Meter BY /l Dat�'��.,• .
ELECTRIC �/
Meter BY
Temp. Power P_:��
OFFICE COPY
Called ---
Address
Temp. Elec. Se ".%:..�.,
Called PG!':rGAS
0
Meter By -(!ate `
ELECTRIC
Temp. Gas Seri.^Meter By Date
Cal led PG8 ., — r
JOB FINALED (Date) Q f— ff C )
Signature
1 1
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE CALIFORNIA — 534-4541
PERMIT N0.
(7 11
-Address or location of mjo�bilehome
�.jjt 1��h1PG7�
~'Owner's name e�j�
J Owner's address t r7 )`LS6 OA t
"Insignia or hud number
r Manufacturer's name j-4—TC%
Serial number of V.
I.N. hYear of manufacture)l(1 i- r K7
(Official pproving Installation) (Date)
I^. I
IF THE MOBILEHOME IS MOVED OR�RELOCATED, THE MOBILEHOME INSTALLATION
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
513B
White - Owner, Yellow - Installer, Pink - D.P.W.
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA — 534-4541
PERMIT
.Address or location of mobilehome�
Owner's name
Owner's address 15? F7
I —
!Insignia or hud number
W 00 ,� r
Manufacturer's name �� f� p
Serial number f V.. I o Year of manufacture' 12_
i
(Official Approvin Installation
e)
.h
5
IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOi1dE INSTALLATION
'.ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
d
513B White - Owner, Yellow - Installer, Pink - D.P.W.
J_ = OK
0 Not OK
— = Not Applicable
= Not Ready
MOBILEHOMES
MISCELLANEOUS
Date MOBIL ME UTILITIES (Plans) OK except #'s
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
. Zonin Requirements—Setbacks—Easements
C -801-1s; Special MH Support—Sketch
1. Zoning Requirements—Setbacks—Easements _
2. Footings; Size—Depth—Spacing—Connectors
. Sewer; Location—Test—Fall-C/0—Concrete
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
ater Local i on— Test— Easegient Needed (Sketch)
4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
ectricity; Loc a . —CI rances—Grnd.— Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
Gas; Locatio s!M./ /"L"ft./ /"Nat. or/CV"L"ft./ P11LPG
6. Carports; Windows—Doors
7. Utility Clearance
7. Elec.
--
C -BI at Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Date BILEHOME INSTALLATION (Plans) OK except #'s
Date
POOLS (Plans) OK except #'s
Zoning Requirements—Setbacks—Easements
1. Setbacks—Easements
2. F otings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
s; MH Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4, lectricity; MH Test—Crossovers—Breakers—Clearances
4. Elec.; Receptacles and Lighting; Distances—GFI
grain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
Water; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
Jplater and Sewer Connected—C/0 to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
!fzas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
9. Exits; Insp.—Sketch
0. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B -I Dat T� Card -BI Date
Card -BI
Date Card -BI Date
Card B -I Date Card -BI Date
Card -BI
Date Card -BI Date
I
A
V'°= OK i-
0 = Not OK
- = Not Applicable RESIDENTIAL (Single and Duplex)
= Not Ready
Date
UNDERFLOOR Plans OK except N's
Date
FRAMING (Continued)
1.
Zoning requirements-Setbacks_Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec.,Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.-
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg;, Porches & Decks; Soils -Steel- / /'' Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5.
Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Sid ing=Nailing-Veneer
6. Stemwalls, Garage;,Stee1-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9.
Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
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 N's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
57.
Smoke Detector
_
14.
15.
Water Ht.; Vent -Access -Combustion Air
Water Pipe; Test & Anchors -Nail Protection
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meeh. Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
_
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
_
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
_
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except N's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meth. Protection
-
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
--
23.
Romex Installed Close to Edge of Studs & C.J.
72.
Insulation -Foam -Looked in Attic ❑Yes
24.
25.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
2 Appliance Circuits in Kitchen & Conductor Size
73.
Guard Rails & Deck Construction -Post Caps
74.
Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
27.
_
28_.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ._,Yes :1 No
Service -Riser Conductors & Ground -Main Disconnect
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
Card B -I
Card B -I
_
30.
Clothes Closet Light -Shower Light
--
Date _ Card BI Date _
Date Card -BI Date
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
Ventilation throughout House
82.
Glass Protection
Date
MECHANICAL (Permit) OK.except,#'s
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
_
Card -BI
Card -BI
31,
32.
33.
34
35.
A.C. Ducts_ Insulation & Support _ _
Vent Fan: -Exhaust above Insulation _ _ _
Condensate Drain & Overflow: Size & Grade
Furnace -Vent; Access -Comb. Air -Return Air Vent_ -_115V outlet
Attic Access & Platform if Furnace in Attic
- --
Date Card -BI _ Date
Date Card -BI Date
85.
Water & Sewer Connected -C/O to Grade -HD Approval
86,
Energy Compliance Certificate -Other Certificates
--
-
Card -BI
Date Card -BI Date
Card -BI
(late Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except q's
Comments
at Final:
3_6.
37.
38.
39.
40.
Sills; Proper Material & Anchors__
Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor-Nailing--
loorNailing_39. Draft Stop in Walls (rat proof)
Fire Stops: Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
45.
46.
47.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Ring.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hg_t. & Dimensions
Garage Fire Protection Framing
_
_
(NOTE: Anentry must be made each time you visit job site)
r'
J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
X
ASSESS OOd�ARC L NUMBER ZONI G
BUILDING PERMIT
Dw L TEL P NE
D �
SO. FT. OCC.1 BUILDING VALUATION
OW R'S AIL1,8 ADDRESS
a
CO ACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CON UCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ -�.—
LENDER'S MAILING ADDRESS
Permit Fee
$
ARC I ECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ODRESS o '� Q
Permit fee
$ /
PLUMBING PERMIT
Filing Fee 10.00
d
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
MAP
T
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome� Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home
0.00 ea
TYPE OF WORK
New❑ Addition❑ Remodel Utilities Installation El Other E]
Describe work: /`
Permit Fee
$ ('
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 f ®�
Main service EA. ADD'L 100 AMP
2.50 X149
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
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 CONST. DWELLING OCCUP.&) ,
OR ADDNS. ACC. BLOGS. /20sgft
NEW CONSTR. ULTI.OUTLET
NO N.RESID BRANCH CRC" I 2,50 ea
RC TS
POWER APPARATUS &)
SINGLE OUTLET CIR. )
EX, Occup(OUTLETS OR FIXTURES eZAL@AL03030
FIXED APPLNS. OR
EX. OCCUp. OUTLETS IRESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 D
Misc. byirin 15.00
g e%.
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said Count in consequence of the granting of this permit.
X Date Sy- J9- - Pk
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE 94,S
OccuP.
CONST*TYPEJ
I
I FLOoO
ARc
IDM
Issue
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
—n2
PEP/dT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date .5-1y-
Receipt No.
WHITE-D.P.W., YELLOW-ASSE3SOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
��,������\c��p/ �`9 ^����r` � 4 °' ''��' ^'~' /!'A`
. .
.
COUNTY OF BUTTE - DEPARTMEN3rL1C WORKS - BUILDING
7COUNTY CENTER DRIVE - OR NIA 95965 ' TELEPHONE: 916/534, 1
PERK8Yl[ APPLICATION DATA SHEET permit No. ---
Proposed Building Use
Permit Fee Based Upon: —Complete Contract Price __-______DPW Valuation
Ot
Building |nopoo{mv Date
At time o permi*t application, I was advised the following data must be submitted prior to permit processing
11 items have been submitted. . . . .
Plot plans in
4. Complete engineered plans and oa|ca. . , . . . , ... . '
' --_--- 5. Plans with Energy Design Compliance Statement , , . , . .
S. CUGD ^Faan Paid'' Stamp on Floor Plan . . ' , , . .n o -Heated and AC Buildings.
` ^
Letter of signature authorization.
Sanitation approval from—(o L/%o L) Hea*1th Dept.
1 Planning approval for (A) Use: — (B) Parking:—
Certificate of Workmen's Compensation Insurance . . . . . .
/Confractor's License Information (no., name style,, classif.)
-
-
Owner-Builder Verification (Given to mwne/LJ' Mai| to mmnerLJ)
.. '
_1S, Improvements may be required. . , , . , , , ,
--___16, �nbi|ehome Installation Data. , . , . . . . , . , , '
, p"~/"sp°�request m Pre-Inspection for Required- Building Inspector
-
'
. 7XTelephoneVr-
~
. and hold for pickup at �of(ico. -_----��De|iver iw/inopectoc
-_----
Other
App\ioant Date '
Copy of plans sent —Health Oopt,, Fire Dapt', Other Date
During the plan checking prnoess, the following data must be submitted prior to permit issuance.
(For required items not checked above| i
.. Index permit for _-.'- Items No.
2, Additional items required:
'
(Contractor, Designer,/ gwn was advised of above required data b ephone —Mail — Other
Plans checked by Dat
Plans approved by Datj
Other:
'
' '�N�� �
Copy—DPW '~-
/
is
I
0
n
TO: Building Department
FROM: Driveway Permit Section
RE: Driveway Clearance
�0 6er-� Come,-
owner
omerowner
7 �o S 1re,, e t1e.:
location
AP#
Driveway permit _ ?82 %— C has been issued for the above property.
number
signature date
To:
From: .:�'..nvironmental. IJIe,,I.ILh
Subject: Sanitation
9441, t_" - � U_ J -L%?_ZJ.,J,6-"
O!vn e r LoVation
Plan Approved for:
xq:lter
'Hold final for:
Final clearance O.K. for:
Clearance for 3 lbedrocnr, mobile homC. Otir i^
:supply
witer supply
Sanitarian Date
I
COUNTY OF BUTTE - Departmedt of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -.builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property, improvement (yes or no) X -P
2. 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 Contractors 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 Contractors 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
v
/i
Signed:
4
Property Owner
Social Security Number b�
Date
r�
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue kthe permit.
00
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 6 � � `I
O
FOR RESIDENTIAL DEVELOPMENT RECORDED IC TY . RECORDS
• OF BU?tE.COyNTY.CALIFORNIA
• AT THE REQUEST OF
Section 26-8.1 of the Butte County Code requires this acknowledgement
be recorded prior to issuance of- a building permit.
gs-1440o 1986 MAY -6 PM 4'. 24
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of thisM.
property may be subject to inconveniences or discomfort arising from ELEANOR CORD ,KER
the use of agricultural chemicals, including, but not limited to herbici es�,��pesticides,REE_......
and fertilizers; and from the pursuit of agricultural operations including, but not limited
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate.dust
smoke, noise, and odor. Butte County has established agricultural zones which have as a Pages
priority use for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm operations.
All that real property situate in the County of Butte, State of California, described
as follows:
Date: 5-,6,786
State of California )
SS
County of .Butte )
, Rs Q Dij OR It FMOU00-063mci
�m
e; (:k�:.. ;:;:' � r•.�:•�;;,,: r�'.i�3_tC-�.�i�eR?via
My Cor. MiG8i::n E.rpiies Mach 5, 9990 d
61 i
Gam- ! Z_�; 7 2;Pi Di
6 00
PROPERTY OWNERS:
On this the 6th day of May , 19 86 , before
me, the undersigned Notary Public, personally appeared
Herbert'H, Coiner and Lillian T, Comer
r
Ll Personally known to me. /X/ Proved to me,on=the basis
of satisfactory evidence.
to be the person(s) whose aame(s) they subscribed to
the within instrument and acknowledged that' they
executed the same for the purposes therein contained.
IN WITNESS -WHEREOF, I hereunto set my hand and official seal.
Present A.P. No. _ CFR -46 -Z's—
END OF DOCUMENT
rr
6 6- 1 7
Cl/R
� S
ENGINEERING � !°
o ' �p 220 GRAND AVENUE
SURVEYING o OROVILLE, CA. 95965
PLANNING /
(916) •533-2068
May 6, 1986
LEGAL DESCRIPTION FOR
GIFT DEED
HERBERT COMER TO ROBERT COMER
All that real property situated in the southeast quarter of the
northwest quarter and in the northeast quarter of the southwest
quarter of Section 27, Township 18 North, Range 5 East; M.D.M.,
Butte County, California and being a portion of Lots 48, 51, and
52, according to that certain map entitled "Official Map of. the
Town_ of Bangor" as recorded in Book 7, Maps at Page 77, Butte
County Recorder's Office and being more particularly described
as follows:
Exactly 5.00 acres, lying northerly of Los Verjeles
Road, as same existed on November .3, 1980 and
northwesterly of the following described line;
Commencing at the southwest corner of that certain parcel
of land as described in deed to Samual C. Malicoat et.ux.
as filed for record in Book 2035, Butte County Official
Records, at.•4Page 184, said corner being designated in
said deed as "a point in the center of a stone fence"
and also being the TRUE POINT OF BEGINNING for the herein
described line; thence N 27°35' E, along the easterly
line of said Malicoat parcel and along said stone fence,
602.84 feet to an angle in said fence; thence
N 62046' E, 487.04 feet, to a point in the north -south
centerline of said Section 27, -"said point being in the
westerly line of that certain parcel of land as described
in deed to Edward Robert' Neiland as recorded Feb. 23,
1927 in Hook 218, Butte County Deeds, at Page 148 and
the end of the described line. The northwesterly boundary
of this 5.00 acres is to be parallel with the
southeasterly'boundary which is the same as the
heretofore described line, and said northwesterly
boundary lines are to extend southwesterly, parallel
with said southeasterly boundary, to Los Verjeles Road
and northeasterly, parallel with said southeasterly
WILLIAM W. GEDDIS
opl dac
®ri ,aa/ Si de -
"HN D. CHRISTOFFERSON
KENNETH C. LENHARDT
b-147401
boundary, to the north -south centerline of said Section
27. The exact dimensions of said northwesterly boundary
being as shown on that certain Record of Survey as filed
for record in Book 78, Maps at Page 54.
SUBJECT TO" AND RESERVING THEREFROM a non-exclusive right-of-way
for .road and public utilities over a strip of land 60.00 feet
in width, lying southerly of; parallel with, and adjacent to the
northwesterly boundary of the above described 5.00 acre parcel
of land.
END OF DESCRIPTION
NOTE: Refer. this legal description to your attorney or title
company before incorporation into any legal document.
PREPARED BY:
SAND .SU �
r0F� 1
John D. -Ch
riso. erson, L.S. ~ _
G.D.A. , Engin ring & Sur.veying CD
No. 4203 ,
DD#23 86-500, Re 80-141
�TF0 CAv�`%,
AP, #
OWNER
PERMIT
MH UTIL.CLEARANCE DATE
INSPECTOR
ELECTRIC
GAS
Support
Sttuc.
Compaction
Test -Req..
Service
Size
Other
Load
Type
Pipe
Size
Length
YES NO
.YES NO
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
17 County Center Drive - Oroville,-Califorriia 95965 - Telephone 916/534-4541
APPLICATION AND' PERMIT
r
3� PERMIT N
r1 QO
ASS6¢ R PARC L NU " R
(/`J
ZONIN
BUILDING PERM
OWN
o t o r
TELEPHO E
SO. FT. OCC.BUILDIN UATION
OW 'S MAILINQ ADDRESSAwn r)CONT
ACTOR'S NAME
% e v
TELEPHONE
CO RACTOR'S MAILING ADDRESS
Fireplace
CON RUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARG I ECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ �
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS �l / -
(�f( /•/1(-/•'
Permit fee
$ S�
PLUMBING PERMIT
Fi ling Fee 10.00
Each Trap
2.00
�+
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PfACEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex[] MobilehomeVI Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home Is G W
10.00 ea
TYPE OF WORK
New ❑ Addition[:J- Re o el �jti),ij� Instal lation Other ❑
Describe work: _LDf/` �i //�—„
Permit Fee
$
Contractor
ELECTRICAL PERMIT
'Filing Fee 1 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$
and Professions Code and my license is In full force and effect.
License No. Classification
�I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUPM
OR ADDNS. ( ACC. BLDGS. /
, iosgft
NEW CONST R.MULTI-OUTLET
NON, ESID BRANCH CRC ITS
2,50 ea
POWER APPAIRATUS
(SINGLE OUTLET CIR.
EX. OCcup�OUTLETS OR FIXTURES
SALO 09 j
DAL030
Ex. Occup. OUT OUTLETS P(RESID )D APLNS.REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. �yirin 9
15.00
Permit Fee
$
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
�f Consent to Self -Insure.
L ' 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.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X `a,�►� Date �S�
Signature of Applicant - Owner P" Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures 2ver.3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ P0. 0®
OCcu P.
CONST*TYPEJ
FLOOD PAR F,�
✓
PD
ND
IS9
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
BY
PER EXPIRES Date_
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date/Z-«- jA
Receipt No.
WHITE-D.P.W.. YELLOW-ASSf3SOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
j COUNTY OF BUTTE - DEPARTMENTJgF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
Permit No. _
OWNER►� �m ✓� . P o.
Proposed Building Use Building Inspector Date l�
i
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate./triplicate, signed by preparer of plans.
3. Complete plans in duplicate./triplicate, signed, by preparer of plans,
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept. . .
11. Planning approval for (A) Use: ' (B) Parking:-
12.
arking: 12, Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif,)
14, Owner -Builder Verification (Given to owner0, Mail to owner 0 ),
W46. Improvements may be required. , Mobilehome Installation Data. . . . . . . . . . ..Pre-Inspec. request to (Date)
. Pre -Inspection for Required, guildin Ins ector
18. Recorded copy of Agricultural Acknowledgment Statement,
19. Driveway Permit.
20. Plot plan approval from city of
21.
22.
Whe you issue the r it, proce s as follows: Mail to owner, Mail to contractor.
MTelephone ✓�l� nd hold for pickup at ffice, Deliver w/inspector.
Other
Applicant Date /S" W
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date
Contractor, designer, owner, was advised of above required data by—phone —mal l_counter b`y, date
Plans checked by Date Plans approved by r>Date
Sets of plans on hold in File cabinet AP folder
- t
Copy—DPW
— Flours: 10:00 a.m. - 3:00 p.m.
J Ir
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) AA% G 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 Contractors 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 Contractors 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 OwnerGk2,
Social SecurityNumber
Date %Z - ,S-
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
MOBILEROME SUPPORT DATA
If`oiher than single wide, G 9
Mobilehome Mfr. LT Q b 060' furnish Setup Model No. Year
Width /Z ft.) Box Length &177a (ft.)' Tagalong or Expando Size ft. x ft.
On'all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
FOOTINGS (check one)[211. Wood -pressure treated or foundation grade. ❑ 2. Other (specify)
SUPPORTS (check one)Di. Concrete block. n2. Other (specify)
Pier Footing Sizes -and Locations
SINGLE -WIDE i MULTI -WIDE
� Main Beams
------ — -- ---- Lin
—.— 0 Line 2
Main Beams —
j — — — — — — — — — — —
� Line 2
Line 1
Tag or Triple
Line 1 Piers:
Size -Min. ------------
Spacing -Max
-----------Spacing-Max .,�ic-------
From Ends -Max. -------
Line 2 Piers:
Size-Min-------------
Spacing-Max ----------
From Ends -Max .-------
Line 3 Roof Loads:
Size -Min. -----------,-
Location (From Front)
Line 1 Oueninju:
Size -Mid- ------------------ „x u
Each Side of Openings
With Width Over ---------
Line 3 Piers: (Under Bearing Wall Only)
Size -Min.------------------ N „
Spacing -Max .---------------
From Endo -Max .-------------
Line 4 Piers:
Size -Min -------------
'k "
Spacing -Max.--------- ,-
From Ends -Max.--
Line 5 Roof Loads:
Size -Min -------------
Location (From Front)
Size -Min .------------------
Spacing -Max.---------------- �_ u
From Ends -Max.------------- '- "
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's Name: ala/txl G'�,,t� lre
2. Installer's Name: dd'/l�� �y If /Z
3. Is the site currently under permit? Yes No F]
(If yes, furnish permit number ��. 9% ' V lP ) OR
Is the site an existing site? Yes F] No
(If yes, furnish two plot plans.)
4. Will the. mobilehome be located at least 5 ft. away from septic, tank and leach
fields and clear of all setbacks and easements? Yes No 1-1
(If no, clarify
P,
5. What is the mobilehome electrical rating? --------------- Amps
6. What is the mobilehome site service rating? -------- --- U4 Amps
7. What is the mobilehome site circuit breaker rating? ----- Amps
8. Is there any other electric load to be served by the
mobilehome site service? -------------------------------- Yes No F
(If yes, identify the load and size: (Load) (Amps)
9. What is the mobilehome site gas pipe size? -------------- 31 (in.)
10. What is the type of gas service? --=---------------- Natural El LPG
11. What is the gas pipe length from meter or tank to the
mobilehome?--------------------------------------------- Z� _G� (ft.)
BUTTE COUNTY
� 12. What is the mobilehome gas demand?---------------RR-��-��-��--nn-- pp�� -(BTU)
*(This information not required if pipe .lengtTi"l�s�� rV&rf'LR�nN�
natural gas or less than_50 ft. on LPG.) APPROVED
NOTE -,All 'MateriOls & Workmcra;jip S:100 be 11,
Accordance wifh Recognized Good Practices and
Of a quality prescribed for the Specified use in the
Uniform Building, Plumbing & Mechanical Codesand
#he National sechieW Codg.
This set of plans an3 specifications MUST 6.
kept on the job of all times and it is unlawful to
make any changes or alterations on some without
written pe"viwion from the Deportment of Pubic
Works, County of Sulfa.
NO
RAteA4 40r- 644aevx
78 .,Sy
Uvility 66nnt.tions shall be Withth
4 Pt. -.Of " -Mibbilehome, tither
.d,wt,,L* b6NAA -& within the !W
half of ih-e roadside tft% bt0%
mobitAWW
11
0
t97 -s6
BUTTE COUNTY
4511, J BUILDING DEPARTMENT
Los Vrtfi1FLEY RD
APPROVED
PPROVED
WELL
A setback of 5 ft from the
property tines and;a ss*a&
of 50ft. from the road
centerline shall be dear of
structures or equipment emq*
14
for a'2 ft. eave overhang.
&L&K OF: ILL F--AS*-*SNU
P;f E4
SE 44
HOUCE to LE k1l - LAMR
W"
4 -L
----J
11'X,6o' MogjLIE I fili JJJiWrd &w
4-
SEPTIC TANK
A permit 'D be required for ft
installation of the mobilehorne.
tv
Cn
of
I
11
0
t97 -s6
BUTTE COUNTY
4511, J BUILDING DEPARTMENT
Los Vrtfi1FLEY RD
APPROVED
PPROVED
A. P. #___6
OWNER Cols-,-
UAPERMIT
PERMIT# O Z -
MH UTIL. CLEARA CE DATE
INSPECTO
ELECTRIC
GAS
SUPPORT
STRUCTURE
COMPACTION
TEST REGI.
SERVICE
OTHER
PIPE
YES
NO
YES
INO
SIZE
LOAD
TYPE
SIZE
LENGTH
FFG
l
X
�v
CDF FIRE SAFE REQUIREMENTS
" -6 � - 0 )_ --ff 4 e5l — 4Wt_46e_'
AP# PERMIT # NAME
Under authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and are made a part of this permit.
These requirements are minimums and will be superseded by Butte County
local regulations which equal or exceed these standards. Field
inspections will be made by the Butte County Building Department for
compliance.
(�] 1272.00 Maintenance of Defensible Space. To ensure continued
maintenance of properties in conformance with these
standards and measures and to assure continued avail-
ability, access and utilization of the defensible space
provided for in these standards, annual maintenance
must be provide for by the land owner.
Driveway Standards
1273.02 Surface. All driveway surfaces and structures (bridges,
1273.07 culverts and other apparteaant structures which supple-
ment the roadway bed or shoulders) shall provide unob-
structed access to conventional drive vehicles, includ-
ing sedans and fire apparatus weighing up to 40,000
pounds.
[ 1273.03 Grade. Not to exceed 16 percent unless paved.
1273.04 Driveway Radius
1. No roadway shall have a horizontal inside radius of
I curvature of less than 50 feet and additional sur-
face width of 4 feet shall be added to curves of 50-
100 feet radius; 2 feet to those from 100-200 feet.
2. The length of vertical curves in roadways exclusive
of gutters, ditches and drainage structures designed
to hold or divert water shall be not less than 100
feet.
1273.05 Turnarounds. If required, will have a minimum turning
radius of 40 feet from the center of the road.
�[] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30
I' feet long with a minimum 25 foot taper on each end.
[�1 1270.10 Width. All driveways shall provide a minimum 10 foot
traffic lane and unobstructed vertical clearance of 15
feet along its entire length.
Page 1 of ? .
ZL —L S_
-- (Cb 6M 6a,
AP # PERMIT # NAME
[j 1273.10 Turnouts. Driveways exceeding 150 feet in length, but
\\ less than 800 feet in length, shall provide a turnout
near the midpoint of the driveway. Where a driveway
exceeds 800 feet, turnouts shall be provided no more
than 400 feet apart.
[ 1273.10 Turnaround. A turnaround shall be provided at all
building sites on driveways over 300 feet in length and
shall be within 50 feet of the building.
1273.11 Gates
[ 1. Gate entrances shall be at least two feet wider than
the roadway it serves.
[ 2. The gates must be located at least 30 feet from the
roadway and shall open to allow a vehicle to stop
without obstructing traffic on that roadway.
[ 3. Where a one-way road with a single traffic lane
provides entrance, a 50 foot turning radius shall be
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
1. All parcels 1 acre aid larger shall provide a mini-
mum 30 foot setback for buildings and accessory
buildings from 411 property lines and/or the center
of the road.
[ 2. For parcels less than 1 acre, local jurisdiction
shall provide for the same practical effect. See
Other Requirements below.
[�1 1276.02 Disposal of Vegetation and Fuels. Disposal, including
chipping, burying, burning or removal to a landfill site
approved by the local jurisdiction, of flammable
vegetation and fuels caused by site development and
construction, road and driveway construction and fuel
modification shall be completed prior to completion of
road construction )r fi:ial inspection of a building
permit.
Page 2 of 3
AP # PERMIT # NAME
Other Requirements
[ ] If Building Setback is 15 to 30 Feet:
- Class A or B roof
- Enclosed eaves
[ ] If Building Setback is Less Than 15 Feet
Choose any 3 of the following:
- Metal or no doors on side toward property line with insuffi-
cient setback
- Class A or B roof with enclosed eaves
- Interior automatic sprinkler system per NFPA 13D
- Glass area not to exceed 10% of wall area toward property
line with insufficient setback
- Siding from the following list:
Stucco - 3 coat
Hardi-Board or Plank
Masonry
Masonry veneer
Metal
Other Butte County Fire Department approved materials
s, IL4-0 1---
Date
4,1
Page 3 of 3
gnature
i
�o
LZ
RJ; -C&A -0 o F-
78 - ,5 y
I
I
I
I
—► WELL
I
� N
1_
ny E.,6— _
SEQNS�y .h- 7 f: S•c'i:vv_il: .Fis.9tiE
modiLf
O 0 ` SEPTIC TANK ,
I
I
AND Et�u�T�NTs
U�ReB Cf �' ND
All- STR SHAD- y.: CLF E SODS A
3 ' 10 pi/ER1�`NCSS FT. FRS
Or o�. i ERr( LINES AriD
AS SA�a� +Ep►R P 6NE SHALL '
10 ROADE3C
CE ,
URES AND EQUIE�Cf
STRUM HAND
o I A2FT•EAO
1�
\ 1 I
I
I
PLANNING DIVISION- BUILDING PLAN APPROVAL
/kS•49' Use: d K . Date•
V Los Vi:RJFLFS RD
Parking: Landscaping:__
Other•
t3UTTE COUN i
-AUILDING DEP
0 v
0
\10
o
REVIE'vNED BY
BUTTE CO. FIRE DEPT.
CALIF. DEPT.' ' ®f FORESTRY
approved as submifted
approved with conditions
WELL
Date
IN
P;y E',-_ '61
sEavrsL I
"--12'x60M06JLC
O SEPTI! TANK
�4
ALL STRUCTURES AMD EQUIPMENT INCLUDING
LL 10 OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS.
z A SET BACK CF FT. FROM THE SIDE AND
Fr. FROM THE REAR PROPERTY LINES AND
R E HALL BE
FT. FROM TKE ROAD CEMTERI-W S
CLEAP OF EQUIPMENT EXCEPT
cOR A 2 FT. E -AYE OVERHANG.,
V Los 0--WFLEY RD
n CDC'
T
ZO'd
„1 k 44
Mobilehomc Manufacturer:
If other than single wide, fattish Seto Manufacture Year: `i�
Width: (ft,) Length: Z R Model Number: `3 �- L Z L -
On all mobilehomes manufacture )a} Tagalong or
Slze (ft.) x
installation manual and Structural7, 1973, furnish manufacturer's
EQDUML setup sheets.
Wood pressure treated or foundation grade[I-TOther:
Concrete block[ T*Other:
Provide Tie Down Specifications for allMobilehomes:
MNCLZ WMZ Pler Foottngs Sizes sad A-IJ"Uon
Line 1
Lia. 2 MULTI-Wroz
Line 2 .......1�{a+a $�aay....................................... ticel2
Lice 1 ... ............................................
e2
L64 3
•................................. Man &ams ........................................ Lice 2
Line 2
• �-_._ Lino 1
....................... ..
�[ or Triple � �-
......... 4
Line 1 Piers:
Size minimum:
Spacing maximum:
From ends -maximum.
Line 2 Piers:
Size minimum:
Spacing maximum: G x
From ends -maximum. a
Line 3 Roof Loads:
Size minimum Z
Location (from front): oy o3`' ��"�`
Line S Roof Loads:
Size minimum:
Location (from front):
Line 1 Openings
Size minimum:
Each side of openings
with width over:
Line 4 Piers:
Size minimum:
Spacing maximum:
From ends -maximum ,
y,c3o Z4ir3c
U vk:R "�e✓1IVG
,. vwner•s Name: �,n 'n >,
2. Assessor"
sParcel Number:c
3. Installer's Name \'
4. Is the site currently under permit? Yes o
5. Is the site an existing site? Yes( j No[ j (If yes, furnish two plot plans).
6. What is the electrical rating of the mobilehoin' -D
Arfipere,3.
7. What is the mobUe' home site circuit breaker rating?Amperes:
8. What is the electrical rating of the mobilehome site?1
Amperes.
9. Is the main service remote from the mobilehome site? Yes
the rating? ( ] Nol4jf•it is, what is ,
Amperes. ,
10. Is,there any other electric load to be served by the mobilehome site electrics •r
(i.e. well, garage etc.)? YeS( j No service
( ] If yes, please identify the load and size:
a) The mobile home site: �
Load -
Amperes -
b) The main service: .
Load- '
Amperes -
11. Type of gas service at mobilehome site: Natural[
12. Size : of as pipe at the mobilehome site from
Ankinches. the meter or
• 3
13. What is the gas pipe length from the meter or tank to the mobilehome?l6 ft.
14. ( )
What is the mobilehome gas demand?
'(This information is not required if the pipe length is less than 6 feet on natural
less than 50 feet on propane). gas or
P.�CESS THIS PE —
.MiT A.PPi T['s�rrn�r
May 1995
T O d 8.S
W/ T n
own
FLE OOD Suncrest Series
• Model 3522L
52'-0'
0
23'-6"
2 Bedrooms - 2 Baths • 1,222 Square Feet
et lh-A a
I
OM
WALK-IN
MAIN BEAM FOOTING CONFIGURATIONS AND SPACING
12 WIDE - MULTIPLE SECTIONS
,
a Roof MAXIMUM MAIN BEAM FOOTING SPACING (In Feet)
Live Sgl. Pad Footing Dbl. Pad Footing Triple Pad Footing
SECTION 'A'
in
,
8'
10'
12'
8'
10'
12'12'
I
{
Main Beam Size
CO
SECTION , '
20
3'-6'
h�
+--- +----- �•--•+•----�----i.:
-+'
SPACING
VARIES
SECTION 'C'
8'
SEE TABLE
'
a"
■ MAIN BEAM FOOTINGS
These tables determine the footing pad configuration and
footing spacing along the main beams of the section(s).
Refer to pages 13 and 14 for footing pad configuration details
Review the table that indicates the footing type you are
going to use.'
Refer to page 17 for the procedure on using the tables.
2 X 12 X 24" WOOD FOOTINGS
a Roof MAXIMUM MAIN BEAM FOOTING SPACING (In Feet)
Live Sgl. Pad Footing Dbl. Pad Footing Triple Pad Footing
U LoadMain Beam Size Main Beam Size Main Beam Size
(psf)
in
Triple. Pad Footing
8'
10'
12'
8'
10'
12'12'
Main Beam Size
Main Beam Size
CO
1000
20
3'-6'
3'-6'
3'-6'
7'
7'
7'
8'
10'
11'
20
40
3'
3'
3'
6'-6'
6'-6'
6'-6'
8'
9'-6'
9'-6'
30
3'
2'-6'
2'-6'
2'-6'
5'-6'
5'-6'
5'-6'
8'
8'-6'
8'-6'
1500
20
30
5'-6'
5'-6'
6-6'
8'
10'
11'
8'
10'
12'
20
5'
4'-6'
4'-6'
4'-6'
8'
9'-6'
9'-6'
8'
10'
12-
30
40
4'
4'
4'
8'
8'-6'
8'-6'
8'
10'
12'
2000
20
30
7'
6'-6'
7'
6'-6'
7'
6'-6'
8'
8'
10'
10'
12'
12'
8'
8'
10'
10'
12'
12'
20
40
5'-6'
5'-6'
5'-6'
8'
10'
11'-6'
8'
10'
12'
3000
20
30
8'
8'
10'
9'-6'
11'
9'-6'
8'
8'
10'
10'
12'
12'
8'
8'
10'
10'
12'
12'
40
40
8'
8'-6'
8'-6'
8'
10,
12,
8'
11'
12'
4000
20
30
1 8'
10'
12'
8'
10'
12'
8'
—lQLJ
10'
12'
30
40
8'
10'
12'
8'
10'
12'
8'
10'
12'
40
8'
8'
10'
11'-6'
8'
10'
12'
8'
12'
20
8" X 16" X 4" CONCRETE FOOTINGS
a
Roof
MAXIMUM MAIN BEAM FOOTING SPACING (In Feet)
Dbl. Pad Footing
Triple. Pad Footing
Two Dbl Pad Ftng.
y
Live
a
Load
p S
Main Beam Size
Main Beam Size
Main Beam Size
CO
b
C/)8'
8'
10'
12'
8'
10'
12'
8'
10'
12-
12
20
3'-6'
3'-6'
3'-6'
5'
5'
5'
7'
7'
7-
1000
30
3'
3'
3'
4'-6'
4'-6'
4'-6'
6'
6'
6-
1.
40
2'-6'
2'-6'
2'-6'
4'
4'
4'
5'-6'
5'-6'
5--6-
1.
20
5'
5'
5'
7'-6'
7'-6'
7'-6'
8'
10'
10'
1500
30
4'-6'
4'-6'
4'-6'
6'-6'
6'-6'
6'-6'
8'
9'
9'
1;
40
4'
4'
4'
6'
6'
6'
8'
8'
8-
1;
20
7'
7'
7'
8'
10'
10'
8'
10'
12'
2000
30
6'
6'
6'
8'
9'
9'
8'
10'
12'
12
40
5'-6'
V-6'
5'-6'
8'
8'
8'
8'
10'
11'
12
12
20
8'
10'
10
8'
10'
12'
8'
10'
12'
3000
30
8'
9'
9'
8'
10'
12'
8'
10'
12'
12
40
8'
8'
8'
8'
10'
12'
8'
10'
12'
20
8'
10'
12'
8'
10'
12'
8'
10'
12'
4000
30
8'
10'
12'
8'
10'
12'
g'
1
10'
12'
40
8'
10'
10'-6'
8'
10'
12'
8'
10'
12'
16" X 16" X 4" CONCRETE FOOTINGS
is
Roof
MAXIMUM MAIN
BEAM FOOTING SPACING (In Feet;
y
Live
Sgl. Pad Footing
Dbl. Pad Footing
Two Dbl Pad Ftr
V g
Load
(psf)
Main Beam Size
Main Beam Size
Main Beam Siz
b
C/)8'
10'
12'
8'
10'
12'
8'
10'
12
1000
20
3'-6'
3'-6'
3'-6'
7'
7'
7'
8'
10'
1;
30
3'
3'
3'
6'
6'
6'
8'
10'
1.
40
2'-6'
2'-6'
2'-6'
6-6'
5'-6'
5'-6'
8'
10'
1.
1500
20
30
5'
4'-6'
5'
4'-6'
5'
4'-6'
8'
8'
10'
9'
10'
9'
8'
10'
1;
40
4'
4'
4'
8'
8'
8'
8'
10'
1;
2000
20
30
7'
6'
7'
6'
7'
6'
8'
8'
10'
10'
12'
12'
8'
8'
10'
1;
40
5'-6'
5'-6'
5'-6'
8'
10'
11'
8'
10'
10'
1
1;
3000
20
30
8'
8'
10'
9'
10'
9'
8'
8'
10'
12'
8'
10'
12
8'
8'
8'
8'
10'
10'
12'
12'
8'
8'
10'
10'
12
12
40L40
OO4000
20
30
8'
8'
10'
10 '
12'
12'
8'
8'
10'
10'
12'
12'
8'
8'
10'
10'
12
12
40
8'
10'
10'-6'
8'
10'
12'
8'
10'
12
4
f -EAT TAP_ P_CZPT C
=OCR -
10P
1 �.J EGRESS
I `rte
BEDROOM
104.3 SQ. Fr..
BATH
E J 0
BEDROOM
180.2 SQ. FT_
0
' i i I
I O II OPT:_
P Ipl2..._Cp7.
±ALL'-opT.
CIR. 29
CIR_ 30
0
DEN
132.3 SQ. FT.
I
KITCHEN
! N 4-
5 02;0
DINING AREA 1
80.0 SQ. *T.
"u 21
1-1�
OPT_
----® 0
i LIVING ROOM
1
280.4 SQ_ FT.
j OPT. FIREPLACE
t
1
O EGRESS
OI O U O
18'-8" 12'-0" 21 '-4"
A 0
26'-0"
NOTES:
1) This Pooi%jon mqy� ,6e' 'tsurlt a�s
exact miLar image a u tC�e fengt j
and/or Width rt4�INDOW
'
IL / DOOR SCHEDULE
V
:;. V
_;
2x5 Pte. I Z�s ?ER ` ; 201LL ? OgD.L
Eo
RECE?T.�SEE ELECT. ECS.j � ELECT. PNL. BOX
SW,TCH Q 5X10 AIR REG.
LIGHT FIXTURE AIR SUPPLY14
(1) THERMOSTAT ® COLING RFGSTER
® EXHAUST & CLULING FAN Q SHEARWALL
� S110KE D>=TE';;TO:Z SUPPORT POST
® DOOR BELL TRAus. RAe-,. MRN AIR GRILLlscAi-Ii�l6.-1,-0
��
It m IE
uAeX. H-. -17; TZ<
�-
of
1
CD
CTI
i {moi :�1 '' Ie,
3
;{
CP
I
O
1 s l 9'-C' ; 32
IZjIG-�' O I
-
SUNCREST
3522L
z
DAM -2-22-99 e 11'-9' x52'-4'
—
m
o
LO
m
-
W�
f ' i dicetes 2' Bm crirg is Required
a>
C,Ai�
LIATIO!c;
�I
FRaoi
LOADS M . Err. t1r XZ'
=>
I
$-
{IBS) ; C TIRIB IP1Ff
LW
3
o' -o'
4801,
8
9'-0' ; 32
16'-3'
16'-5'
940D
2B
le' 9 8
aff
o0
37'-6"
37'-B'
9201)
3g
'B' -0'I 8
o
52'-0'
32'-4"
4501)
4
9'-6' 32
B
Y)
F Indicates 2' Bearing is Required
C c rvl
o
m
0
axe
TI ��= �✓s
x
0
cr,
w
CD
-.
_ -
-
CD
.p.
N
- -
CTI
ENT
LLJ Z
L
W
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RECE?T.�SEE ELECT. ECS.j � ELECT. PNL. BOX
SW,TCH Q 5X10 AIR REG.
LIGHT FIXTURE AIR SUPPLY14
(1) THERMOSTAT ® COLING RFGSTER
® EXHAUST & CLULING FAN Q SHEARWALL
� S110KE D>=TE';;TO:Z SUPPORT POST
® DOOR BELL TRAus. RAe-,. MRN AIR GRILLlscAi-Ii�l6.-1,-0
��
It m IE
WOODLAND '# 17
FLOOR PLpN
30#
�-
of
1
CD
CTI
-
_
CS A j j'-9' x S2' -O'
-
SUNCREST
3522L
REV.
A
DAM -2-22-99 e 11'-9' x52'-4'
—
-
I
0
c
D
Z
4
f
a
4
Wcz CcEnclumazacsCRUMNIQ122
C fir` Y Y Y Y C O C C C Y Y Y 1! Y
e
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a
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Oji
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to z at
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x
y
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1 a
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t�7
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FOR: CENTRAL PIERS, INC.
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GEOTECHNICAL CONSULTANTS
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284 N. THORNE
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FOR: CENTRAL PIERS, INC.
THARP &ASSOCIATES, INC.
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GEOTECHNICAL CONSULTANTS
284 N. THORNE
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FRESNO, CA. 93706
(559) 268-0828
Site Assessments •Foundation Engineering 0 Construction Monitoring
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[ANCHOR PIER -ENGINEERED TIEDOWN SYSTEM
347 SPRECKELS DRIVE, APTOS, CA. 95003 (831) 662-8590
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMT N0.
62S4 1
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to
house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not
be a place of human habitation or a place of employment where agricultural products are processed, treated,
or packaged, nor shall it be a place used by the public.
R NO./
ASSES OVAEI�
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ZONING
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PHONE NO.
6 17,
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V142
OWNS S A99RESS
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LOCATION OF BUIL91NG ' / _ e S a /
f� DS y r G'r D Y
USE OF BY}DING / /
SIZE OF STRUCTURE
SO. FT.
X �' =
TYPE OF CONSTRUCTION:
WOOD FRAME _�(_STEEL CONCRETE —OTHER (Specify)
TYPE OF S DING //
6e),o � d 37' Cer d
ROOF COVERING
eG�i
R TYPE
7i/i'7 - a-
ESTIMATED COSTOFCONSTRUCTION
$
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as follo s:
�( x
FRONT ` — SIDES REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet
from a mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and
a mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated above and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect at that time and before occupancy.
Date
7 s"
Permit Fee - $25.00
Receipt No. �(4 a
Signature of Owner
The above described AG Building is exempt from a building permit.
White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant
FL71 PALP.D. ROOFING ISSU
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Director of Public Works
• By 07;"- 6� Date %- 2 L—g
ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME
TO: Robert Comer
FROM: Fred Davis, Interim Director, Development Services
DATE: May 1, 2002 File#ADM 02-23
PURPOSE: Administrative Permit for Robert Comer on APN# 028-260-065 for a temporary second
dwelling to be located at 87 Los Verjeles Road, Bangor area, on property zoned U
(Unclassified).
PERMIT REQUIREMENTS: Approval for a temporary second dwelling is subject to the following requirements:
A mobile home certified under the 1974 National Mobile Home Construction and Safety Standards Act.
Occupancy of the mobile home shall be limited to Herbert Comer. An affidavit attesting to the relationship of
the involved parties was submitted with the permit application.
2. No rent is to be charged to the occupant of the mobile home.
3. The temporary mobile must meet the requirements of the Butte County Environmental Health Department for
domestic water supply and sewage disposal. The granting of this permit does not remove the requirement of
obtaining the appropriate permits from other Divisions, Departments, or Districts.
4. The siting of the mobile home shall be exempt from the site requirements of the residential zoning district,
,except as required by Butte County Code Chapter 24, and the Butt County Code Chapter 28A.
5. The mobile home is declared to be a temporary use on the property, accessory to the primary unit, and shall not
be placed on a permanent foundation. Additionally, a temporary mobile home shall not be permitted on a lot
or parcel where there is an approved Second Unit.
The permit shall be granted for a term of two years. Extensions of the term for the permit, not exceeding one
year for each extension, may be granted if the application for the extension is filed, with the Planning Division,
within 60 calendar days prior to the date of expiration.
7. The mobile home shall be vacated upon expiration, or revocation, of the Permit and removed within one hundred
twenty (120) days after expiration of the Permit. If it is not removed within one hundred twenty (120) days, the
County shall remove said mobile home and store it at the owner's expense.
8. The Permit may be revoked if any of the terms or conditions of the Permit are violated or if any acts or omissions
of the permittee in.connection with the use authorized by said Permit constitute a public nuisance.
The applicant must maintain a bond or deposit in the amount of $1,500 for a single -wide mobile home or $2,000
for a double -wide mobile home. j
>4�1-e-j/ 1 � 5� 2 2 -
Permittee
Permittee Signature
Date
c2
NOTE:—All Malencls rx .'�1ur;;m�.r
Accordance wifh Recognized Good Practices and
of a quality prescribed fo�`fhe Specified use in the
Uniform Building, Plumbing & Mechanical Codes and
As National Electrical Code.
This set of plans and specifications MUST be
kept on the io6 at all times and it is unlawful to
mo4e any c6nnges or alterations on soiree without
written permission from the Department of Pu6k
Works, County of Butte, .. •
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FA
Uglily mnnectiorrs shall Ir,-- Vvilhtn
A 14. M liyt mobileAomt% either
ciir ,ct�y :.tt'hitld Or within the 1�br
half -af %c roadside {lilf� b�4ht;
mobilohiUM .
—� WELL A setback of 5 ft. from the
properly lines and a setba&
of 5011. from the road
I centerline shall be clear of
• structures or equipment except
~ For a 2 ft. Pave overhanq. i
I •'
I CACAL of ALL F--ASrc.*6vTS
��fi:•♦� � S£�vlS'ZJ ti�•nE
vet .t
I mor
I i ���' 11960' M09JLC to SIE &VALhd A)W ..�
❑ I sEPT11 TANK
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A permit wili be tegwred for ibN
installation of f1le mul0el,ome.
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4— The
APPROVED
I Development Plan
3 I DATE -MAY - 9 M07
a I USE PERMIT'. VARIANCE ...__
4, I
MINOR;U P. �ADM.PERMIT
PLANNING COMMISS.
t
I DIRECTOR OF
>; DEVELOPMENT SERVICES
�7 Los VrRJ'LF_s RD
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APR 3 0 2002
BUTTE COUNTY
119�-$6
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
D
V
1�
May 9, 2002
Robert Comer
P.O. Box 326
Bangor, CA 95914
CERTIFIED MAIL
Re: Administrative Permit
APN# 028-260-065
Mr. Comer:
BEAUTY
7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7601
FAX: (530)538-7785
Enclosed is your validated Administrative Permit No. ADM 02-23 to allow a temporary mobile
home on property zoned U (Unclassified). The property is located at P.O. Box 326, Bangor, CA
95914.
Should you have any questions regarding this matter, please contact this office between 8:00 a.m.
and 4:00 p.m., Monday through Friday.
Sincerely,
Diane Lewellen
Office Assistant III
Enc.
cc: Land Development Division (G)
✓building Division (Y)
Environmental Health (P)
Department of Forestry (Gid)
n
ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME
TO: Robert Comer
FROM: Fred Davis, Interim Director, Development Services
DATE: May 1, 2002 File#ADM 02-23
PURPOSE: Administrative Permit for Robert Comer on APN# 028-260-065 for a temporary second
dwelling to be located at 87 Los Verjeles Road, Bangor area, on property zoned U
(Unclassified).
PERMMIT REQUIREMENTS: Approval for a temporary second dwelling is subject to the following requirements:
A mobile home certified under the 1974 National Mobile Home Construction and Safety Standards Act..
Occupancy of the mobile home shall be limited to Herbert Comer. An affidavit attesting to the relationship of
the involved parties was submitted with the permit application.
2. No rent is to be charged to the occupant of the mobile home.
3. The temporary mobile must meet the requirements of the Butte County Environmental Health Department for
domestic water supply and sewage disposal. The granting of this permit does not remove the requirement of
obtaining the appropriate permits from other Divisions, Departments, or Districts.
4
8 -
The siting of the mobile home shall be exempt from the site requirements of the residential zoning district,
except as required by Butte County Code Chapter 24, and the Butt County Code Chapter 28A.
The mobile home is declared to be a temporary use on the property; accessory to the primary unit, and shall not
be placed on a permanent foundation. Additionally, a temporary mobile home shall not be permitted on a lot
or parcel where there is an approved Second Unit.
The permit shall be granted for a term of two years. Extensions of the term for the permit, not exceeding one
year for each extension, may be granted if the application for the extension is filed, with the Planning Division,
within 60 calendar days prior to the date of expiration.
The mobile home shall be vacated upon expiration, or revocation, of the Permit and removed within one hundred
twenty (120) days after expiration of the Permit. If it is not removed within one hundred twenty (120) days, the
County shall remove said mobile home and store it at the owner's expense.
The Permit may be revoked if any of the terms or conditions of the Permit are violated or if any acts or omissions
of the permittee in connection with the use authorized by said Permit constitute a public nuisance.
The applicant must maintain a bond or deposit in the amount of $1,500 for a single -wide mobile home or $2,000
for a double -wide mobile home.
Permittee Signature Date
c2
1
NOTE:—All Malericls &'v;uramc.r.�;;r Siud1 au ,,,
Accordance with Recognized Good Practices and
of °qualify prescribed for tho Socifiad use in the
Uniform Building, Plumbing & Mechanical Codes and
the Nafionol 8ectrical Code.
This set of plans and specificntions MUST be '
kept on the iob at all limas and it n unlawful to '
male any chnnges or alterations on saine without '
written permission from the Deportment of Public '
Works, County of Butts. /
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Utility r'onnections shall be Viilhrn
A i1. hf life mobileAome, either
directly 1.,ehind or within the IL%br
half of %e roadsideO2f� bfRha
rr,abilol!'011 ,
APPROVED
MAY D$vjWent Plan
DATE
USE PERMIT VARIANCE
' MINOR U.P. ADM.PERMIT _LZ,
_--
,
_11LANNING COMMISS.
L/-'
DIRECTOR OF
DEVELOPMENT SERVICES
A setback of 5 it. from the
property lines and a selbad-
of 5011. from the road
centerline shall be dear of
structures or equipment excepo
for a 2 ft. rave overhanq. i
r;M&L of ALL r-ASrcAv6A43
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6rtwl.'ri, A I",
It'
--
I ---Witco'
MoBJLE to BIL &VALrd )Vjw
f EPTLC TANK
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A permit will be taq,urod Iw iha
installation of the mobilahome.
::1
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?1 Los VrRJrLFs RD
BUTTE COUNTY
BUILDING DEPA2TMEN r
APPROVED
iY:S.�t�MH!'JA�sc>'K30iN•Mw">'iFa 7'Ysa+'.A�•
028-260-065 02-1167
COMER, ROBERT
87 LOS VERJELES RD.'BANGOR
CONT: D & D HOME ,
MH] 2ND. DWELLING
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iY:S.�t�MH!'JA�sc>'K30iN•Mw">'iFa 7'Ysa+'.A�•
028-260-065 02-1167
COMER, ROBERT
87 LOS VERJELES RD.'BANGOR
CONT: D & D HOME ,
MH] 2ND. DWELLING
x.
�• " COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
" 0 -7,County Center Drive III Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT11��
ASSEWE� N4 UMBE�
GW/1'JVl
ZONING
BUILDING PERMIT
OWNER v ,M
I `I
TELEPHONE
SO. FT, OCC. BUILDING VALUATION
OWNERS MAIUNG AbORESS
P.O. WX 35o BANGOR, CA 95"A
CONTRACTOR'S NAME
D
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
3 FEA= RIM PUD MINME. CA 95%6
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE N0.
—Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 23.00
BUILDING ADDRESS
87 IM Y am Pa.
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 43.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome 91 Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑
Describe Work: 411 2ND SLUM M,
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
800VOR LESS
Main Service zo.A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is ilij full force and effect.
r r' C
License Class C - Lic. No. 7 f
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compens4tion laws of California, and agree that if I should become subject to the
worker ''compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions. /
_
Xl� ".- .'�.._ Date 2.
Signature of Applicant' -'O Owner ❑ Contractor ❑ Agertt
An OSHA permit 1;,reuired for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO
46.00
CCU000A
NEW CONST. DWEWNO OCCUP. SO
OR ADDNS. ( a ACC. S.3.5¢FT:
NOI�FREOSIDT. MULTI -OUTLET @7,50
POWER APPARATUS
8 SINGLE OUTLET CIR.
20 @ 1.00
Ex. Occup. OUTLET OR FIXTURES BAL @ .50
Ex. Occup. ourLFIXEEDTSA RE=.GFRa 5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $ • uiLl
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 143.00
HAZ.
D. FEES IMP
FLOOD
COf
PARCEL
PD
HD
x
ISSUE
X
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
s
By . -
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Dated_
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Dale
ReceiptNo.15�1a' �`�1b iYi
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 J 277T
(Rev.12/96) APPLICATION AND PERMIT
"EMPM—' 5
ZONING
BUILDING PERMIT
OWNER ":4A r►
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
P.O. WX. CA 95914
CONTRACTOR'S NAME
D & D HOMES
TELEPHONE
1532-3301
CONTRACTORS MAIUNG ADDRESS
2243 FFAITM RIVER BLVD, GROVILLE, CA 95966
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
UCENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$ 23.00
BUILDING ADDRESS
87 TAS VMJELES RD. BANGOR
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 43.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome 04 Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑
Describe Work: lir 2ND DWELLING
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00,
Mobile Home I S I G W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 200A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license isiAp full and effect. �1 p
License Class Lic. No. ! 0 ��
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
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
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCOUP.
OR ADDNS. ( 8 ACC. BLD S.
SO
3.50FT.
NON-REOSID. MULTI.RANCHOUTLETCU.
97,50
APsrWER APPARATUS
OCCU OUTLET OR FIXTURES�L
�',�
Ex. Occup. oFlunETSPA IESIESo)EA
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 FEt
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compens on laws of California, and agree that if I should become subject to the
worker compensation provisions of section 3700 of the Labor Code, I shall
forth compll tho provisions.
C
X _ Date / 6 Z _
Signature of Applic - ❑ Owner ❑ Contractor ❑ Age
An OSHA permit jp4quired for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 143.00
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
I PD
I HD
I ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
10
By /V!
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
r, Q�
Date G
D fe
Receipt No.393469 $143-00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PER It NO
-tev 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 0��� ZONING BUILDINGPERMIT
OWNERCC t 't T TE °NE �D SO. FT. OCC. BUILDING VALUATION
OWNER4 UNO ADDRESS -- ---
__ _%/D� ;,x -
CONTRACTOR r �C
COCTOR S NAME �� C:_ TELEPHONE
COrRRACTCRS MAIU ADORE sr r l I
COnS TAUCTiON LENDER ---
NLinOERS "UNG ADOAESS Fireplace
Q_ Total Valuatlon $
APCmrTECT OR ENGINEER
ARCHITECT OR ENGINEERS MAILING ADDRESS
BUILDING ADDRESS 1OJ
�r
Lor NO. I SUBDNlSIONSNAME
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
LICENSE NO Filing Fee
Permit Fee
Plan Checking F
Energy Plan Ch
TYPE OF WORK
\ew ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation
�❑ Other ❑
Describe Work: 1 `�
M.
*PERAIT FEE PAID
5 R
SHERIFF
OTHER
AAOVN'T RECEMb
MAP PLUMBING
Each Trap
Solar or heat pum
Water piping
•aeeorr rx,M.ak 353�1� �-
` TO IN IVT INTO tOMFVTlR
S
S
$
ig Fee S
S
PERMIT FEE S
water heater
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Building sewer
Mobile Home I S I G I W
PERMIT FEE I S
ELECTRICAL PERMIT800v
I
Main Service 200Aoog OR LESS
ZOR LESS
Main Service 200A TO 1000A
NEW CONST. DWELLING OCCUP.
OR ADONS. L A= RI nC I
%%2 0 0
1�
iling Feel 20.00
7.001
23.001
15.00;
15.001.
15.001
15.00:;
@20.00'
Fling Fee; 20.00
I-
23.00,
4�---
3.5cS.j _..
_ FT.;
@7.50;
Ex. OCCU OUTLET OR F1XTVRES
I 10 W 1.00
SAL. , 50
Ex. Occup. onxvnErs E0 APREBII'SD.°EL
I I 5.00, _
Temporary Service
23.00:
Mobile Home Facilities
j 20.00
Misc. Wiring
23.00;
PERMIT FEE I S
MECHANICAL PER
Heatina
Filina Fee 1 20 00
Hood 6.50
Ventilation i
I
PERMIT FEE I S
Mobile Home Installation Fee I $ OQ
Energy Inspection Fee I S
°`G CONST. TYPE TOTAL FEE $
ZZ. 10. FEES I IMP I FLOOD I COF PARCEL 10 HD : SsLE
-%_ r -r
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By
Receipt No. PERMIT EXPIRES ON
WHITE •O.O.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD•APPLICANT
Date
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEEV
OWNER: CA, CR ASSESSOR PARCEL NUMBER `�� ` 065�
Proposed Building Use: Mf /"T • Counter Technician: A-V Date: 5 I
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
PVI.. Plot plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 2. 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!
❑ 5. Energy compliance design and supporting documentation in duplicate.
Manufactured homes: (,j?lData sheets and installation instructions, (Ii Marriage line information, (CTFloor Plan, (DTTie down or
f6undation plans, all in duplicate. '
❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All ofthese must be stamped and wet -signed by the engineer.
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Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 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 ......................................
❑ 12. Hazardous Material Form..............................................................................._
❑ 13. Other
maining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
Fees as shown on the attached Schedule of Fees Due Sheet ......................................
Statement of Intent for Non -heated and A/C Buildings ...................
n tation and plot plan approval from the Environmental Health Department in 0122
4 r
C1 ity of Chico Plumbing permit.................................................:....................: fits 4 `ji
alifornia Department of Forestry plan approval paid. Sent by: :.....................
❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
0,2 1. 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 ...... ........:..............
......
..........
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
Ketter of Signature authorization....................................................................
ecorded copy of Agricultural Acknowledgment Statement ....................................
anufactured home utility clearance................................................................
xisting violations and/or expired permits.........................................................
❑ 30. I ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. (Other:
When issued Telephone and hold for pickup.
I have been informed
ments for obtaining a buCildin pe
V 7
1. Index permit application for the'above ' ms numbered: `
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 reI,viewed by: i Date:
Structural reviewed by: Date:
Note transfer by: Date:
Plan Check Letter
❑ phone, ❑ mail, ❑ counter, by Date:
❑ phone, 0 mail, ❑ counter b Date-
_ Plans approved by:y9 L_—Date:
_Structural approved by: Date:
Yellow: Building Division