HomeMy WebLinkAbout028-380-011DONALD CAMPBELL
wls Or.o-Bangpr_Hwy. app 2 so. <
S F
P-'e"i i it 2000-73P,E ,
(utilft ies for mobile home)
A.P. 28-3'-100
STRANG, Clifton E.
W/S Oro -Bangor Hwy., 300' f,, �_�wydes
Flat Rd., Oro. (JY
CONTR: Oro Pump & Elec., rov' le
Permit 2041-74P,E (Util. or MH)
28-38-11
FHTL•,-U VAN METER
W/S Oro -angor Hwy, 4 mi S Swedes Flat Rc-
Permit#2078-85:P, E (util, MH)
ELEC S -.X� A- ; _ „
GAS LPG �°
SUPPORT STRUCTURE REQ A-6
COMPACTION TEST REQ /-Ci
�►� 41
- 28-38-11 a
Contr: Mob-tle Home Center
Permits 2880-85MHI
ed -
28 -38-11
IPermit#2554-86E(replace fireod/<ampge ele
rimer) �1 W .7/OBD
3
28-38-11
ertificate of Compliance
JA,. w..
I
I
E.H. USE ONLY
is Plot PI= AttwW x
Floor Plea Attached %
Seat to B.D.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Loc on 0 AP#
Plan Approved for: Sewage Disposal X Water Supply: Public Private Well
Clearance for, 3 bedroo m , bile hom Other
Hold final for:
Final clearance O.K. for:
Environmental Health
R/92
�— l.(>— 17
Date
W
,LAuN� Q 4/
,PDO Af
Environmental Health
FEB 2 6 1997
7 court► Center Drive
oro�iie, ca
APPPOVEU
Butte County
Envirc//nr-jental
Health
-- A
------- Signature,. .
i.
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370 _
NoT -r seA L- F_
Environmental Heath
FEB 2 6 1997
7 County Center Drive
Oro ille, Ca
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Butte Courcy
Environmental Hnith
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370 _
NoT -r seA L- F_
Environmental Heath
FEB 2 6 1997
7 County Center Drive
Oro ille, Ca
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Butte Courcy
Environmental Hnith
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LAND DEVELOPMENT
BUILDING1,EENV1 . E ,i�, ' T ERMIT CLEARANCE Building Permit No.
OWNERS,''. "
NAME: }. NUMBER: Or�R " 4PC� �O
mri-r MST NAMH FIRST
COUNTY ZONING A5 +
DESIGNATION: / FLOOD ZONE: FLOOD MAP:
APPROVED, ' CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL:
PARCEL CREATION BY DEEDS OR MAP
DEED INFORMATION: n /l Q
DATE OF CREATION: Z Z f 7 9 DEED REFERENCE: 1, y 1, U ! � r � �fy
/ A/,a L" o ,;c/n r l onJS
LEGAL ACCESS PROVIDED: ✓ YES NO LEGAL ACCESS REQUIRED: YES NO
COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO
COMMENTS/CONDITIONS:
MAP INFORMATION:
DATE OF RECORDING LOT,
BOOK PAGE
COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT
PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW:
A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements.
CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERWISE NOTED.
X1. Maintain a 50 ft. building setback from centerline of road. _
2. Maintain a ft.building setback from right-of-way/centerline of
3. Comply with Zoning code for building setback from road.
4. Maintain a 100 ft. leachfield setback from all existing wells.
5. Maintain a ft. leachfield setback from
_ 6. Pay water tender fees in the amount of $ to Battalion Number
Meet the Fire Safe Regulations of Butte County and P.R.C. 4290.
8. Connect to a public water supply.
9. Connect to a public sewer system.
of the Butte County Fire Department.
_ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National
Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile
homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department
specifications, serves the parcel.
_ 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $
12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below)
13. -Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010.
14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $
: �. -- - as stated
in the Oroville Area Traffic Mitigation Fee Agreement. Payment
to be made to dre Ph mkg Divisiw-
15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic
safety: Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3
requirements of the Uniform Building Code.
16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors.
X 17. Pay school impact mitigation fees.
X 18. A development, impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter. 3, Article II of the Butte
County Code.
_ 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California
Clean Air Act of 1988 as amended.
_ 20. If any cultural resources are encountered' during ground disturbing activities, all work shall cease in the area of the find
pending examination of the site by a professional archaeologist. This person would then be able to assess the site
significance and suggest appropriate mitigation measures.
21.
22.-
23.
24.-
25. - -
26.
AIO iN310d013AN ONbI
3LIXIS 30 AiNf100
1661 � 0 NVW
a31113M
LD 7/96
CAW PS I \FORMS. KIBLDGPERM.CLR
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9 er 76
COUNTY OF BUTTE — DIRTMENT OF PUBLIC WORKS
7 County Center Drive — Orovrl California 95965
R Telephone: 5,
APPLICATIOND PERMIT
v
auuIV[ Icv iopicaeinauvaa vi Lilt! Vuuniy ui DUtte to enter upUn tree
above-mentioned property for inspection purposes.
F
Signature of Permitee or Agent
/ I
Date
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By
Date
BUILDING
Owner
SQ. FT. OCC. BUILDING
VALUATION
Mai I i ng Address + ,
Telephone No.
Fireplace
Contractor
Total Valuation
Mai I i ng Address +
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
$
Building Address f
PLUMBING
No.1
@
FEE
PERMIT FILING FEE J$2.00
. r
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.
�-
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fees
W_.C,'
Sanitation
FireDept.
FireZone
Use Permit
Building sewer j j 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
Bldg. Plans Recd
Parcel -Approval
Plans'Approval
Permit Fee
$
$ 77
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures bal�dzo
Receps., switches & fix outlets bo
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F. A. Furn. Motor
1.00
Evap, cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump +t P. :
/
Mobil Home Facilities 5.00
'
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$ f
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
❑ permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$
auuIV[ Icv iopicaeinauvaa vi Lilt! Vuuniy ui DUtte to enter upUn tree
above-mentioned property for inspection purposes.
F
Signature of Permitee or Agent
/ I
Date
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By
Date
.THE METHOD OF DIVISION OF PROPERTY IN THIS AREA
IS BEING .REFERRED TO THE BOARD OF SUPERVISORS
FOR POSSIBLE SUBMISSION TO .THE DISTRICT,ATTORNEY
.- AND STATE REAL ESTATE COMNISSION FOR REVIEW AND
r APPROPRIATE ACTION.
it r
COUNTY OF BUTTE - I bEPARTMENT OF PUBLIC WORK
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
BUILDING
Owner �l `
SQ. FT. OCC. BUILDING VALUATION
Mailing Address 3 "15-12 c—
ER0 man A) ._-
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
$
Building Address j,�} OR _
PLUMBING
No.1
@
FEE
PERMIT FILING FEE $2.00
pa
l Id4
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
p
Each gas water heater or vent 1.50
A. P. No. ,Z 8' 3,Z. - / 00
Zonl ng
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
FSanitation
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
Op
EQA Parking
Plans
Parcel
Declaration
Parcel Ma p
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
Plan�'d I
Parcel -7 p-proval
IansYMpp a
Permit Fee
$
NEW [JADDITION ❑ UTILITIES OTHER E]ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
3.co
Main service incl. 1 meter
C; a
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Range, Cook -top or Oven 1.00
S _
Water Heater or Space Heater
1.00
Light fixtures bal�?0
Receps., switches & fix outlets
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
f State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. lisp. or D.W. 1.00
Air conditioner or heat pump
Water pump / 4,F,jb
Mobil Home Facilities 5.00
, pp
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$ % sE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Wor men's Compensation Insurance.
LJ"certify that in the performance of the work for which this
p'ermit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.1
@ I
FEEPERMIT
FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$ 22
J
authorizer resentatives of the County tte to enter upon the
above -me i ned pr pe in do ses.
X Date 6 d /7— 3
Signature of ermitee Age
Receipt No. 16 gaze
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF P BLIC WORKS
By Dated --i Z- -7
Building permit expires Date `:, :1:;....�..L-
PERMIT NO.
P
E
! M
r
E
MH UTIL.
PERMIT NO. 2041_74P,E
PERMIT EXPIRES
OWNER Clifeon E. Strang
CONTR. Oroville Pump
LOCATION (A.P. 28-32-100
w/side Oro Bangor Hwy 300' S/ Swedes
Flat Road, Oroville
y
Temp. Power Pole
Called PG&E
Temp. Elec. S orv.
Called PG&E
Temp. Gas Ser.v.
Called PG&E
JOB
FINALED
(Date)
(Signature)
' r
COUNTY OF BUTTE - DEPARTMENT 61F PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer 62.10—v — %--
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
A pliances
Carport
Footings
Conformance of ez.
structure
Gas Piping & Testr—
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service_
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE
REMARKS OR CORRECTIONS
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC KS
4 7~County Center Drive — Oroville, California 95965
Tel eplone: 5514-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
t Date - - ;
Signature of P rmitee or Agent
Receipt No. /Z ZZ SI,
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR F PUBLIC WORKS
By Date 6 -f Z--
uilding permit expires Date .............. "7J
BUILDING
Owner �','-
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
O A?D C'
Telephone No.
33.2 03
Fireplace
Contractor Q DU G y Ppow
Total Valuation
Mailing Address �� O k �, 7
Permit Fee
Plan Checking Fee &/or Penalty
nO
Telephone No.
Permit Fee
$
$
Building Address — d U1 9,02
PLUMBING
No.
@
FEE
PERMIT FILING FEE $2.00
O S
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. — 3 —6, f Q
Act A(la
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
F
San ire Dept.
Fire Zone
Use Permit
Building sewer 5.00
r�
J EQA
Parking
Plans
Parcel
Declaration
Parcel Ma p
60' R/W
Improvements
p
Lawn sprinkler system 2.00
BI Ids ec'dr'rw
Parcel Approval Plans pproval
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILITIES 0--' OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
,?r0�
Main service incl. 1 metermeo
3 0
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home Q Others ❑
Range, Cook -top or Oven 1.00
r MIA/ 1 "i_c° 0A_
Water Heater or Space Heater
1.00
Light fixtures b20 0_2T
Receps., switches & fix outlets 2.(x25
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style
a�``/� l��Y-�l�
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
i
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No..2S/1r600 Classification—Ar!
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
MECHANICAL
No.
@
FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE
$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
t Date - - ;
Signature of P rmitee or Agent
Receipt No. /Z ZZ SI,
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR F PUBLIC WORKS
By Date 6 -f Z--
uilding permit expires Date .............. "7J
C14ccs /�P j
v
1
O,x1r1(. V DIVA' 4
6 _r
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r,,+ja,,_;' .4
o * MEssAGE A
V
TO--------------------------------------------------------------------------------------
DATE-------------------------------------------- TIME .------------- -------------
o VVHiL.E YOU W RE OUT o
MR - - - - - ---------------=--'------------------------------------------------------
OF' ------ ---------------'----- —= ------------------------------
PHONE
--------------------------PHONE NO I-----------------------------------------------------==-_=--------
T lephoned
-------Telephoned - - - - p Please Cill - - - \`p
Called to See You - - 0, Will Call Again - - p'
MESSAGE: ------------------------------------------------------------------------
The Setba�K shall be 5 ft. from
the side property'fine and 50 ft. from `
the centerline of the road, permitting
a maximum of a 2 ft, eave overhang.
i
0
A II utility . connections sha I be
located within 4 ft, outside th rear
third section of the mobi e ho
on the left (road) side of th me
home, obi le
Septic system a
t o be as per
Butte Count
9uir ements.` Y Heal Dept Re-
f
chis set of plans and specifications MUST be
kept on the job at all times and it is unlawful to
malce-any changes or*alterations on same without
written permisson from the Department of Public
Works, County of Butte.
I
�UTTE COUNTY
BUILDING DEPARTMENT ' `I
APPROVED
ACJ
l7
{
PERMIT N0. '� 7st-S25P F (Tgj�
PERMIT -EXPIRES
l
OWNER PHILLIP VAN METER
CONTR. owner
ASSESSOR PARCEL 28-38-11
LOCATION W/S Oro Bangor Hwy, 4 mi S Swedes
Flat Rd. Oroville
Z
Temp. Power Pole
Called PG&E
Temp. Elec, Servh
Called PG&E
()e[t Temp. Gas Service _i
1O 117 v
Called PG&&E_
r
I
i JOB FINALED (Date)
e.
Signature
z
'J = 'OK
0 = Not OK
— = Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILYWOME UTILITIES (Plans) OK except #'s
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
ing Requirements—Setbacks—Easements
1. Zoning Requirements—Setbacks—.Easements
Oatfs; Special MH Support—Sketch
2, Footings; Size—Depth—Spacing—Connectors
. S ocation—Test—Fall-C/0—Concrete
3, Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
ater; Location—Test—Easement Needed (Sketch)
4. Wood Awn.; Posts— Beams—Rftrs.—Con nec.—Shthg.—Rfg.—Bracing
Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
Gas; L orrTest—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ 'LPG
6. Carports; Windows—Doors
tility Clearance
7, Elec.
Card -BI
Date C a Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date f (> `/ S Card -BI Date
Card -BI
Date Card -BI Date
Date
MOBI OME IN ALLATION (Plans) OK except N's
. Zoni.g Requirements—Setbacks—Easements
Date
POOLS (Plans) OK except N's
1, Setbacks—Easements
. Footings; Size—Spacing—Marriage Line
A-19—As; MH Test—Demand—valve—Connector
Elect,icity; MH Test—Crossovers—Breakers—Clearances
i
j
2. Soils; Compaction—Structure Stability
3, Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4. Elec.; Receptacles and Lighting; Distances—GFI
5 rai MH Test—Fall—Flex Connector
j
5. Elec.; Pool Lighting; 15 volts—GFI
ater; MH Test—Regulator—Connector
6, Elec.; Enclosures; Conduit Entries—Terminals—Listed
7 and Sewer Connected— /0 to Grade—HD Approval
j
7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
Ga nd Electricity T gged
I
II
8, Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghrg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
Itzits; Insp.—Sketch
ert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B -I
Date - 0 and -BI Date
(Card -BI
Date Card -BI Date
Card B- Date• 1— —%Card -BI Date
I jCard-BI
Date Card -BI Date
1
J � OK, r
0 = Not OK • '
- = Not Applicable RESIDENTIAL (Single and Duplex)
Not Ready
Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings
2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.Ftg., Porches & Decks; Soils -Steel- / /" Ftg. 1
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
6. Stemwalls, Garage; Steel -B lockouts -Wrapped -S lab
7. Piers -Fireplace Ftg.-Steel
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
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
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
15. Water Pipe; Test & Anchors -Nail Protection
33.
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
17.
Shower Pan; Test, First Floor -Tub Access
39.
18.
Test Tub & Shower, 2nd Floor -Tub Access
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
19. Gas Pipe; Size & Anchors
Header & Beam -Size & Bearing
42.
43.
44.
45.
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Sh_thng_.-Rfng_._
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
ELECTRICAL (Permit) OK except q's
58.
20.
Fixture & Transformer Clearance -Ins. Protection
59.
21.
Elec. Receptacles Spacing -Lights & Switches at Doors
60.
22.
Size Boxes & No. of Conductors -Stapled
61.
62.
23.
Romex Installed Close to Edge of Studs & C.J.
63.
24.
25.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
2 Appliance Circuits in Kitchen & Conductor Size
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes E3 No
28.
29.
Service -Riser Conductors & Ground -Main Disconnect
Equip. Clearances; Panels-Motors-Mech. Equip.
30.
Clothes Closet Lioht-Shower Liaht
Card B -I
Date Card -BI Date
Card B -I Date Card -BI Date
Date MECHANICAL (Permit) OK except N's
31. A.C. Ducts; Insulation & Support
32.
Vent Fan; Exhaust above Insulation
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date FRAMING(Plans) OK except #'s
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
43.
44.
45.
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Sh_thng_.-Rfng_._
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
64. Elec. Outlets at Wood Panel; Int. & Ext.
65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66. Elec. Outlets & Receptacles at Kit. Counter
67. Garage Fire Door; Swing -Landing -Closer
68. A.C. Duct in Garage -Damper
69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meeh. Protection
70. Plb., Elec. & Mech. Equip. Listed for Location
71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
72. Insulation -Foam -Looked in Attic E3 Yes
73. Guard Rails & Deck Construction -Post Caps
74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
76. Stucco; Brown -Finish
77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
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
83. Corrections from Previous Inspections
84. Gas Test -Meters Tagged; Gas -Electric
85. Water & Sewer Connected -C/O to Grade -HD Approval
86. Energy Compliance Certificate -Other Certificates
Iard-BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Comments at Final:
(NOTE:Anentrymust be made each time youvisit jobsite)
51.
52.
53.
54.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing -Veneer
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
Glazing Area -Glass Protection -Skylights -Plastic
55.
Shear Walls; Nailing -Bolts
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
57.
Smoke Detector
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meeh. Protection
59.
Bedroom Exiting
60.
G.F.I. & Bath Fixtures & Tub Access
61.
62.
Elec. Trim & Subpanel; Breaker Sizes -Labels
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64. Elec. Outlets at Wood Panel; Int. & Ext.
65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66. Elec. Outlets & Receptacles at Kit. Counter
67. Garage Fire Door; Swing -Landing -Closer
68. A.C. Duct in Garage -Damper
69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meeh. Protection
70. Plb., Elec. & Mech. Equip. Listed for Location
71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
72. Insulation -Foam -Looked in Attic E3 Yes
73. Guard Rails & Deck Construction -Post Caps
74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
76. Stucco; Brown -Finish
77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
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
83. Corrections from Previous Inspections
84. Gas Test -Meters Tagged; Gas -Electric
85. Water & Sewer Connected -C/O to Grade -HD Approval
86. Energy Compliance Certificate -Other Certificates
Iard-BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Comments at Final:
(NOTE:Anentrymust be made each time youvisit jobsite)
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE rf
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
it OROVILLE, CALIFORNIA — 534-4541
} PERMIT NO..�
rr;^�wr t r
Address or location of mobilehome U S M f't0n ► AtAP4- S 5-"l
Owner's name
Owner's address _R 4� ` 1'C
F
Insignia or hud number
Manufacturer's name l.11 a n
x
Serial number of-V.-I.N. •� U 'T >1 Year of manufacture
ial Approving Installation
IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME-INSTALLATION
ACCEPTANCE SHA`CL 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.
COUNTY OF BUTTE `
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
VNER - PERMIT 0.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
m2}}nr n• .-4 AAM -1 ..1 ........ .......--4 •L:..
Inspector flv Date l ��
✓ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESS24 POC BER`
CPA—
ZD NG
BUILDING PERMIT
OWNE
TELEPHONE
SO. FT. OCC. BUILDING v%1.w9TInNv
O 'S MAI ING RESS
CON A TO SNAM
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNo�yea
✓
Total Valuation $
Filing Fee
$
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ rl dph
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING AD RESS
W T a
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
t
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5,00
USE OF STRUCTURE
SF [:1 Duplex ❑ Mobilehome Other SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home Nfl 411F10.00
ea
TYPE OF WORK
New Addition ❑ del[] Utiliti I� Installation❑ Other E]
Describe work:_r6:6 _
Permit Fee
$ OF06
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00 Q�
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LIC NSE 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
❑ 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)
ontract-
[� I, as the owner, am exclusively contracting with licensed contract-
ors.(Sec. 7044)
ors.
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&`
OR AODNS, ( ACC. BLDGS. /21/2 2sq ft
NEW CONSTR. MULTI -OUTLET
NON.RESID 2,50 ea
BRANCH CIRC ITS
/POWER APPARATUS 6
(SINGLE OUTLET CIR. /
EX, OCCup(OUTLETS OR FIXTURES 20®50t
.1, ALO 30C.
Ex. OCCUp. OUTLETS P(RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 D
Misc. IYirin g 15.00
Permit Fee $ S
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.
shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 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 County of
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 liabiliti s, ju gments, cost and expenses which may in any way accrue
against C ty in con nce of the nting of this permit.
4. ��_��'
X Date
Signature of pIi ant — Ownerk 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 X $
occUP.
CONST.TrPE
I FLOOD
ARC
PD
No I uE,
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
BY
PERM EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date',t��—f6
u
Receipt No. ! o "T Q 3
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
AFFIDAVIT. OF COMPLIANCE
WITH COUNTY.ORDINANCE 2277.
...(ADDITIONAL DWELLING IN
SINGLE FAMILY RESIDENTIAL ZONES)
NOTE -,—All Materials & Workmanship Shall Be in
Accordance with Recognized Good Practices and
of a quality prescribed for the Specified use in the
Uniform Building, Plumbing & Mechanical Codes and
the National Electrical Code.
This set of plans and specifications MUST be
kept on the iob at all times and it is unlawful to
make any changes or alterations on same without
written permission from the Department of Publk
Works, County_ of Butte,
Utility connections shall be within
4 ft. of the mobilehome, either
directly behind or within the rear
half of the roadside (left) of the
mobilehome. A setback of 5 ft. from the
0 property lines and a setback
5 of . from the road
U' F� centerline shall be clear of
structures or equipment except
for a 2 ft. eave overhang.
i
A permit will be required for the
indaWion. of the mobilehome.
20 76-8
BUTTE COUNTY
BUILDING DEPAR MENT
D
Yt
I ?j N tUU«U;)
• GF u)TTE 00014TY.Cf�L1F0RNIA
Return ,to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT AT THE REOUEST OF
FOR RESIDENTIAL DEVELOPMENT
PAM SHS
Section 26-8.1 of the Butte County Code requires this acknowledgements AUG 19 All 11' 14
be recorded prior to issuance of a building permit.
The property described herein is Adjacent to land or included ELEANOR P�. BECi�E~i
within an area zoned for agricultural purposes; and residents of t&JJ RK -RECORDER EE -,f
property may be subject to inconveniences or discomfort arising from 85-2506
the use of agricultural.cheemicals, 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 dust,
smoke, noise, and .odor. Butte County has established agricultural zones which have as a
priority use,for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm operations.
All that real property situate in the County of Butte, State of California, described
as follows:
voKf��` o � fL40e; /�Q c ��4s�
q
l �Psf�o y el -��� ®row►-l/� - fj �,�. C®� �-�� °a �- .
�ioy off' `� �i�ry G®v•y T�-f �e. /J ��j�c� a a�Q �g5 /�d �y 744 4T�i�e
�e lfee,- �dcr o -,/'die x-`41 c'/P0ffe 971-0'e- oT A(W e, f
Date: r // PROPERTY OWNERS:
4
State of �4'f ) On this the day of &14 1/JT , 19 e/ before
SS. me, the undersigned Notary Public, personally appeared
County of ���e )
a 12- v4vv,,tnf,/2_
/ / Personally known to me. f( Proved to me on the basis
TT of satisfactory evidence.
OFFICIAL SEAL to be the person(s) whose name(k4--_ subsc bed to
G,. DANIEL F. HUNT the within instrument and ackn wdged a
NOTARY PUBLIC CALIFORNIA
PRINCIPAL OFFICE executed the same for the pur oses they i cont i d,
TF" BUTTE COUNTY IN WITNESS WHEREOF, I hereunt s,1 t my an and o is al seal.
MV COMMISSION EXPIRES OCT. 1, 1986
I ,
Kota{y Publ
Present A.P. No.�t
i
AP #
OWNER V a M e F er
PERMIT -74s – f—
MH UTIL.CLEARANCE DATE
INSPECTOR ,
ELECTRIC
GAS
Support
Struc.
Compaction
Test Re .
ervice
size
Other
Load
Type
Pipe
Size
Length
YES NO
YES NO
ICP(I
3/�
2 0
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS I b.
Y 7 County Center Drive-.Provillc!, C?lifornia 95965 - Telephone 916/534-4541 --��
` APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
Z O;T G
BUILDING PERMIT
O ERTEL
og
PHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
S 8 o V. 5--/oo
CONTR,tICTOR•S AM
o ,I?. /;vc-
TELEPHONE
3 a�
CONTR CTO •S MAILING A RESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO. SUBDIVISION NAME PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
1 5.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10.00 e
TYPE OF WORK r-�
❑ Iti litie ❑ Installation g/Other❑
New El Addition ❑ RemoM1111W
Describe work: dV` h,;; �}-, c�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. (/ DWELLING OCCUP.&
OR ADDNS. l ACC. BLDGS.
1
2/20SgIt
CONTRACTORS LICENSE LAW
I declare r penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions ode and m license is in full fo ce d effect.
License No. Classification "-�
El 1, as the owner, or my employees with wages as their so a 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 R. U TI -OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTR. (POWER APPARATUS &�
NON -R ESID. SINGLE OUTLET CIR.
20@50a
Ex. Occup OR FIXTURES BAL@30
Ex. Occup. OUTLETS FIXED P(RESID.)REA./ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
\rte I have placed on file with the County of Butte Building Department
/j�J a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereb a orize representatives of the Countyot
Butte to enter upon the above-mentioned pr erty for inspection purposes.
I also agree to save, indem ify and keep rmless the County of Butte against
all liab' ' ' e s, costs, penses which may in any way accrue
a ' st said Cou co enceof the granting of this permit.
X Date
a A plicant — O ner ❑ Contractor W Agent ❑
An OSHA permit is required for excavations over 54" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $ Q
occuP. GROUP
TYPE OF CONST.
PARCEL
PD
MD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
PE IT XPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date /o- 7 —ps"
7 -Boto
Receipt No. INNBy
WHITE-D.P.W.• YELLOW-ASSESSOR(PINK-INSPECTOR, GOLDENROD -APPLICANT
r
MOBILEHOME SUPPORT DATA
If other than single wide,
Mobilehome Mfr. A/ fid / ! �.°� furnish Setup Model No. Year
)Jidth__./o_(ft.) Box Length (ft.) Tagalong or Expando Size—4p—ft. x 19 ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
mobilehome unless otherwise specified. ,
` Footings (check one)
S ingla
,► n :
(in.) (in.)
�1. Wood either.
pressure treated or
foundation grade.;
2. Other: (specify)
Supports (check one)
Concrete block.
E] •2: Other (specify)
(in.) (in.)
Center support
locations*
Center support
footing sizes
(in.)
show support details.
(in.) (in.)
�1. Wood either.
pressure treated or
foundation grade.;
2. Other: (specify)
Supports (check one)
Concrete block.
E] •2: Other (specify)
4 ---Tagalong or Expando,'
show support details.
(in.) (in.)
Typical Support
(in.) (in.)
Footing Size
(in.) (in.)
(� --
Max. Pier Spacing
��
--
Max. Overhang
(ft.) (in.)
(in.) (in.)
(ft.)(in..)
Q,
��BQ-8S
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
than drawn.above,
*If center piers are
other
draw in locations,
spacing,. and dimensions.
BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name:
2. Installer's name: ��� �� /,�/TT C 4ze- .4,,,1��
3. Is the site currently under permit? Yet / v/ No
(If yes, furnish permit number 2e- 3 A- !! ) OR
Is the site an existing site? Yes / v/ No
(If yes, furnish two (2) plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leash fields and
clear of.all setbacks and easements? Yes /tom/' No
( If no, clarify )
5. What is the mobilehome electrical rating? ----------------------- le� U _ Amps
6. What is the mobilehome site service rating? --------------------- ,� o o Amps
7.. What is the mobilehome site circuit breaker rating? ------------- :�i: U Amps
8. Is there any other electric load to be' -served by the mobilehome
siteservice? --------------------------------------------------- Yes L._L No
(If yes, identify the load and size: (Load)
iAmPs)
9. What is the mobilehome site gas pipe size? ----------------------
10. What is the type of gas service? ------------------------------ Natural /% LPG
Ljj-
0
11. What is the gas pipe length from meter or tank to the mobilehome? ���,.,'�(ft.)
12. What is the mobilehome gas demand? ---------------------------- (BTU)
(This information not required if pipe length less than 6 ft. on natural gas
or less than 50 ft. on LPG.)
.. ...y w.• .yew IMS......A71� ' -tiA�3'r/�iVFl Wif ilwF'1�1r•
Si fW
Permit#2554-86E
Phillip Van Meter
Oro Bangor Hwy
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, t aliforn;,a 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR -PARCEL NUMBE j
ZONING ,"`
BUILDING PERMIT
OWNERf /' , ,
% 110 .. ,. ,., ► 1r- I 1`
TELEPHONE
S0, FT. OCG`, BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S; NAME Y '
I /< < l �I c� ✓ a 'i'
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDI/ G.AD DR /r( — f���riA4v' 1 rtJ l Gv/, %.
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
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 I S I G JW I
10.00ea
TYPE OF WORK
New ❑ Addition ❑ ' Remodei ❑ Utilities ❑ Installation[] Other l�-I
Describe work: f i% P ! t) r
I ( /
(� /� t .,l f J \ �, ,,
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS100.
1AMP OR LESS
1000 /
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
® I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS
r
and Professions Code and my license is in full force and effect.
rf d
License No. S3. 7 Classification 4-.,
❑ 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 OCCUP.tr) '/zQsgft
OR ADDNS. 1 ACC, BLDGS.
NEWCONSTRMULTI-OUTLET 2,50 ea
NON .RESID BRANCH CIRC ITS
POWER APPARATUS .&)
SINGLE OUTLET CIR.
zoeeot
Ex, OCCUp OUTLETS OR FIXTURES eALO30
FIXED
Ex. Occup. OUTLETS ((RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
® I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 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 County of
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 L t l,_r`,/.� ,% j, _��� f ��'
'`A AA Date
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 $
occUP,
CONST.TYPE
I FLOOD
PARCEL
PD
ND
S9UE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been aid.
p
/DIRECTOR OF PUBLIC WORKS
r
By / f/ Date
PERMIT EXPIRES Date
Receipt No. L11
WHITE -D. r. W.. YELLOW -A58 C930 R, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, £aliforrl.a 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO
ASSE 7 ARCE MBER /
r
ZONI _
BUILDING PERMIT'
DINIVA i !
1 _
TEL PHONE
SQ. FT. OCC. BUILDING VALUATION
OWNE 'S MAIL G ADDRES �/�
Y /A
CO T T NAME
Co
TELEPHONE
CONTRAC OR MAILI G ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDI ADDRF.$S
r -Pa n
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
kinr
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
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 S I G I W
10.00ea
TYPE OF WORK
New Addition❑ Remo ei❑ Utilitie ❑ Instal ion❑ Other
Describe work: —
�Q0 y If
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$
and Professions Code and my license is in full �l force and effect.
License No. ` 13 9 7 Classification `��/y
❑ 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. I!
( DWELLING OCCUP.) y2�sgft
OR ADDNS. 1 ACC. BLDGS.
NEW CONSTR. ULTI.OUTLET 2,50 ea
NON.RESID BRANCH CIRCUITS)
(POWER APPARATUS 6)
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 2SOC
AL
BALD 30
FIXED
Ex. Occup. OUTLETS PR
(RESID,)EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
15.00 /
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
again said C my i;Zne e of the granting of this pe mit.
X Date
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 $on
�5�
OCCUP.
CONST.TYPC
I
I FLOOD
PARCEL
PD
HD
Is E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
IR 0 OF PU LI
B
P MIEXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
DateORKS
_
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
LAND OF I\ATURAL VV(:AL1'1;
DEPARTMENT OF. PUBLIC WORKS
�7
WILLIAM (Bill) CHEFF, Director
7 COUNTY CENTER DRIVE • ORO LIFORNIA 95965
Telephone: (916) = 533-7206
RONALD D. McELROY
Deputy Director
-December 14, 1987
-Phillip E. & Carol Van Meter RE: AP 28-38-11
6126 Oro Bangor Hwy. Certificate:of Compliance
Oroville, CA 95965
Dear Mr. & Mrs. Van Meter:
Enclosed please find the Certificate of Compliance which was issued
by the Butte Codnty Department of Public Works and recorded on
November 30, 1987,- under Document Number 87-43758 in the office of
the Butte County Recorder.
If you have any questions regarding this matter, please contact this
office.
Very truly yours,
William Cheff
Director of Public Works
J.
hn Mendonsa
Assistant Director
JM/kk
attachment
cc:C TMilding-Departmend
Environmental Health Department
.Landman
RETURN TO:
Public Works
Land Development Section
87-43%58
CERTIFICATE OF COMPLIANCE
Issued t o : PHILLIP E. & CAROL VAN METER
6126 Oro Bangor Hwy.
Oroville, CA 95965
I
This Certificate of Compliance is hereby issued by the County of Butte to
certify that the land division which created the parcel of property
identified below complies with the applicable provisions of the Subdivision
Map Act and of Chapter 20 of the Butte County.Code.
1. Property Location: on the west side of Oro Bangor Hwy. approx. L
2000 ft. south of Swedes Flat Road. Pages
2. Assessor's Parcel Number: 28-38-11
Description: All that certain property located in the County of Butte,
State of California, more particularly described as follows:
The North half of the South half of the North half of the Northeast quarter of Section 8,
Township 18 North, Range 5 East, M.D.B. & M., lying Westerly of the Oroville-Bangor
County Road.
EXCEPTING THEREFROM the Westerly 300 feet thereof. Said property being a portion of
"Aiken Loan Tract No. 1", which map was filed in the office of the Recorder of the
County of Butte, State of California, September 11, 1928 in Book 8 of Maps, at pages
43A and 44A.
Issuance of. this Certificate is conditional upon the following conditions
which have been imposed pursuant to the Butte County Cbde--Chapter 20-161
and Government Code, Section.66499.35 (b), to protect the public health
and public safety:
NONE .
LD 1400
,11.1
RBUF C(Q� RECOR�OUBNTY
PUBLIC WORKS
IS87 NOV 30 AM 11: 10
CANDACE J. GRUBBS
CLERK -RECORDER FEE �NO FEE
County of Butte
Subdivi,,sion Violation Committee
- END OF DOCUMENT
BD OF DOCUMENT'
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR RCEL MBER ZO NG
r
BUILDING PERMIT
OWNE? TLELEPHONE
A_R9 _6OWN
SO. FT. OCC. BUILDING VALUATION
E�SSMAILINGDDRESS (
T
CONTR CTOR'S NAME TELEPHONE
L
CONTRACTOR'S MAILING ADDRESS
qq
— 28-38-11'�
Permit#2079=85MHI 5
Issued
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ d^
26
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDIr,LG ADDR
a.
Permit fee
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
ry
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
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 S I G I W
10.00 ea
TYPE OF WORK ^/
New ❑ [e Addition Remodel ❑ Utilities [:1Installationp? Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
I6001
r -
OR LESS
Main service 100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS L CENSE LAW
I declare under penalty of perjury (check one):
F1 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
Fl 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.p I
OR AODNS. ( ACC. SLOGS. /20sgit
NEW CONSTR MULTI -OUTLET 2,50 ea
NON.RESID BRANCH CRC ITS
/POWER APPAIRATUS e
\SINGLE OUTLET CIR.
Ex. Occu 20 ® 50c
p OUTLETS OR FIXTURES eAL@30
FIXED
Ex. OCCUp. P
OUTLETS (RESID )REA.7 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
0/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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to sa e, indemnify and keep harmless the County of Butte against
all liabilitie ments, costs and expenses which may in any way accrue
against s y in consequ ce of the g nting of this permit.
yThis
X Date / —,,�
Sig ature of/"miplIcant — Owner Contractor I]Agent Elwork
An OSHA pis required for excavations over 5'0" deep and demolition or construct-
an of structures oveer/3 stories in height.
Mobile Home Installation Fee $ ,
Energy Inspection Fee $
TOTAL PERMIT FEE $ O ,
occUP.
CONST.TYPE
FLOOD
PARCEL
PD
No
ISSUE
permit is hereby issued under
sions of the Butte County Code and/or
indicated above for which
DIRECTOR OF PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. mcl �S
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
r'
COUNTY OF BUTTE - DEPARTMENT 'O.F PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSER REELMBER'
i
11
ZOryNG
r
s
BUILDING PERMIT
O WNE11 , 6��
v AAi � t
TELE PHO /3q
SQ. FT. OCC. BUILDING VALUATION
OWNE 'S MAILING 71 DDRESS \
'T -- ` " tl- - r
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
r
CONSTRUCTION LENDER
UNKNOWN.—Total
Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
V 1\
LICENSE NO.
Plan Checking Fee
$ vv
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDI G DDRE
l�
, oar a�a�
Permit fee
$ �, Q
PLUMBING PERMIT
Filing Fee 10.00
1 4 �_OdP(
Each Trap
2.00
Or -o
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Water piping
5.00
Each qas water heater or vent
5.00
- USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehomegao"'Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK [e
New ❑ Addition[A Remodel ❑ Utilities ❑ Installation[ Other E]Permit
Describe work: 'aCh—��
Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
C - / V '
001 OR LESS
Main service 100 AMP OR LESS
100 --AMP
10•00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license Is In full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
R1.1I, 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.8d ,/Z�Sgft
OR ADONIS. ACC. BLDGS. y
NEW CONSTR. MULTI -OUTLET 2,50 ea
NON.RESID BRANCH CRC,
RC ITS
POWER APPARATUS 6
%SINGLE OUTLET CIR.
Ex. OCCU 20®50C
p OUTLETS OR FIXTURES eAL030
FIXED APPLNS.
Ex. Occup. OUTLETS (RESID.)REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. byirin 15.00
9
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.
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.
MECHANICAL PERMIT
FiIingFee 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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to sa e, indemnify and keep harmless the County of Butte against
all liabilitie ments, costs, and expenses which may in any way accrue
against s y in consequ nce of the g nting of this permit.
_-
X Date .0 '
Sig4ture of d�A' plicant - Owner Contractor E]Agent❑
An OSHA p/rmit 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 $ O
OCCUP•
CONST.TYPEJ
I FLOOD
PARCEL
PD
ND
ssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. �Nq �
WNIT!-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR• GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR P- RC�AN,' UMBER'
(FF..��
ZC%'lNG�
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS 4
R 15 -, -a D r- C)
CONTRA'CTOR'S NAME
l t V11� U►,�.6
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
P
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING AADDRESS
� ^�',',,•(� (y,
\_�.)V !tel � 01 ! �/l � � 41
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Ju
�
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome[e'o"'Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00ea
TYPE OF WORK /
New ❑ Addition [J Remodel ❑ Uti lities ❑ Installation LeOther ❑
Describe work: _
6
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
OR LESS
Main service 6001 600 AMP OR LESS
100
10.00
Main service EA. ADD'L 600 AMP
2.50
--"'CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F -1I 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
El 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)
9"'l, 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.A+\ yz�sgft
OR ADONS. 1 ACC. BLDGS. /
NEW CONSTR. MULTI -OUTLET 2.50 ea.
NON.RESID BRANCH CIRC ITS
(POWER APPARATUS eI
SINGLE OUTLET CIR.
EX. OCCUp(OUTLETS OR FIXTURES SAL030¢
200990
FIXED
Ex. Occup. OUTLETS P(RESID )LISIS REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
FT�� shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 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 County of
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; j,i6g"i ents, costs, and expenses which may in any way accrue
against salad` i+%t"y in consequence of the4inting of this permit.
ii��f /"�,�
X ��! ?"'_ Date (/
g p � Contractor Agent
Si Zure of ir:ant — Owner ❑ ❑
An OSHA permit Is required for excavations over 5'0" deep and demolition or construct-
ion of structures overrstories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE $ 7 ,
OCCUP.
CONST.TYPEJ
I FLOOD
PARCEL
PD
No
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. '/�T/n►JT 9q
WHITE-D.P.W., YELLOW -ASSESSOR PINK -INSPECTOR. GOLDENROD -APPLICANT
I
w COUNTY OF BUTTE - DEPARTMENT O;F PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovil le,'California 95965 • .Telephone 916/534-4541 2�//l
APPLICATION AND PERMIT
ASSESSOR P RCEL MBE �"
ZO NG�
s
BUILDING PERMIT
OWNER ►` f' \t,Z
TELEPHONE
SO. FT. OCC, BUILDING VALUATION
OWNER'S MAILING ADDRESS t
R5 -'i 6 /D-0 r
CONTRACTOR'S NAME \/
1�^ l
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS'
Permit Fee
$
ARCHITECT OR ENGINEER
t
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUIL�DI`NGDDRES � (}
o
Permit fee
$ Q
PLUMBING PERMIT
Filing Fee 10.00
�/LI 1My � f ��� � I � i
Each Trap
2.00
OSolar
or heat pump water heater
20.00
LOT NO. SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ MobilehomeQ"Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK �,/
New ❑ Addition[]. Remodel[:]Utilities ❑ installation[B Other ❑
Describe work: Y
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
(
4 57
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
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. l ACC. BLDGS. /20sgft
NEW CONSTR MULTI -OUTLET 2,50 ea
NON•RESID BRANCH CIRC ITS
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES 200500
eAL030
FIXED APPLNS. R \\
EX. Occup. OUTLETS IIRESID )EA.7 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
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
1 certify that I have read this application and state that the above information:
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to sa e, indemnify and keep harmless the County of Butte against
all liabilities j,• gments, costs, and expenses which may in any way accrue
against s i.d y in consequ nce of the g Onting of this permit.
X Date
/ ❑ 9 El
Signature of, plicant — Owner Contractor Agent
An OSHA p rmit is required for excavations over 5'0" deep and demolition or COnstrucI-
ion of structures over sstttorrie(ss in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE $ �f
occuP.
CONST.TYPE
IFLOODIPARCrLI
PD
HD
ssuE
This permit is hereby issued under
sions of the Butte County Code and/or
indicated above for which
DIRECTOR OF PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been aid.
p
WORKS
Date
//3
"T_
Receipt No. l T �1 '3
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 ='TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
Permit No..^�/�
OWNER V. �� l/G vl (� I ✓- - A. P..Noc�'7':)I_�
Proposed Building Use
Permit Fee Based Upon: Complete Contract Price - DPW Valuation
Other (Explain)
Building Inspector .., .� Date PAQ
At time of permit application, I was advised thevfollowing 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. . . . . . . . . . .
3. Complete plans in duplicate./triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
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. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ )
15Xmprovements may be required. . . . . . . . . . . .
16 Mobilehome Installation Data. . . . . . . . •....
17. Pre -Inspection for RequiredPre-Inspec. request to
. Building, Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Other
When you issue the permit, process as follows: Mai l to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w.
/inspector.
Other
(Date)
Appi
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No. A.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail er
By Date
Plans checked by.
Plans approved by
Other:
Copy—DPW
Date
Date
PROM -;uumy of butre
�e�t. o u is or
— 7 Cp my Center Drly
'lroville, California
TO Mr. Phillip -Van Meter
Rt 5, Box 5100
Oroville, CA 95965
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
NOTICE
Post job card In a safe, conspicuous place. Do not remove
until all required Inspections are made and building Is
approved for occupancy. Plans must be available on job.
A. P. No. 28-38-11
Owner
PHILLIP VAN METER
Contractor owner
Permit No,
2079-85MHI
Expires
PERMITTEE MUST CALL
FOR FOLLOWING INSPECTIONS:
INSPECTION DATE INSPECTOR
Footings
Underground Conduits
Do Not Pour Concrete Until Above Signed
Underfloor Plumbin
Underfloor Electrical
Underfloor Mechanical
Underfloor Framing
Underfloor Piers
Do Not Install Floor or Slab Until Above Signed
Rough Plumbing
Rough Electrical
Rough Mechanical
Framing
Do Not Cover Until Above Signed
Fireplace Footing
Fireplace Throat
Do Not Continue Fireplace Until Above Signed
Stucco Lath
Scratch and Brown
Do Not Cover Until Above Signed
DO NOT OCCUPY BUILDING
UNTIL ALL THE ABOVE IS SIGNED AND
BUILDING IS APPROVED FOR OCCUPANCY
MH Utilities Approval
MH Installation
DO NOT OCCUPY MOBILEHOME
UNTIL ABOVE IS SIGNED AND MOBILEHOME
IS APPROVED FOR OCCUPANCY
Temporary Gas
Temporary Electric
CHICO - 196 Memorial Way - 891-2751
OROVILLE - 7 County Center Dr. - 534-4541
PARADISE - 747 Elliott Road - 872-2961, Ext. 57