HomeMy WebLinkAbout028-400-02328-40-23
`. SHA' FRED_ GOODFNOUGH
43 Bangor B ngor �qQ'
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WARD �iPatrlcia
43 'Ba'n' g or Trail,• ngorxs . t = R,' u
.•„ ,, , ,,.k':' " .;'� x e�Y s1�-,
(gas'PiPing/)
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Pe mit#2592-90Ba`xd
(decks '&
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7
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RESIDENTIAL
1
28-40-23 2592-90B
WARD, Patricia
43 Bangor Trail, Bangor
(decks and stairs/MH)
LXpI
JOB FINALE
Signature
J=OK
0 = Not OK
-=Not Applicable MOBILE HOMES `
Not Ready rl
Date MOBILE HOME UTILITIES (Plans) OK except Irs
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/0 Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / / L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date KS, POVERS, CARPORTS, GARAGES, Plans OK except #'s
. 1 Hing Requirements -Setbacks -Easements
2. Footin oils -Size -Depth -Spacing -Connectors -Steel
ecks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs-Coonectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B- Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
'8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Pane Iboards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
O=Not OK
-=Not Applicable RESIDENTIAL (�
• = Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2 Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth
1
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
i
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
S. Stemwalls, Main; Steel -Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
_
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent -Access -Combustion Air -Baffle
t
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
i19.
Shower Pan; Test, First Floor -Tub Access
i
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
_
ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
_
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / gAaw. or AI-A.C. Wire Size / / ga.
Cu or At
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral O Yes 0 No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
1
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
•
38. Attic Access & Platform if Furnance in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except #'s
39. Sils. Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearinq
(NOTE: An entry must be mad
�Iiigle & Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Ong. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Undertlr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic.
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
67.'Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic 0 Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor O Yes
80. Following instld.; Drive ❑ Yes 0 No; Walks O Yes O No;
Planters ❑ Yes 0 No
81. Stucco; Brown -Finish
82. A.C. Unit: Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
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:
e each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 259 90
APPLICATION AND -PERMIT
ASSESSOR PARCEL NUMBER
78-40-23
ZONING
A5 I
BUILDING PERMIT
OWNER
Patricia Ward
TELEPHONE
692-2276
SO. FT. OCC, BUILDING VALUATION
264 1320
OWNER'S MAILING ADDRESS
P.O.B x 14 Ban or 95914
CONTRACTOR'S N AME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 23.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 15.00
Energy Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
43 Bangor Trail
Permit fee
$ 48.00
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Bangor
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❑ MobilehomeEX Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00e
TYPE OF WORK
New❑ Addition Remodel❑ Utilities❑ Installation❑ Other❑
Describe work: 2 decks and stairs
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORSLESS
10.00
Main service EA. ADD -L too AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
T/IFIXED
jY�`[til 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-
ontract-
ors.
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. /DWELLING occuP.&`
OR ACDNS. L ACC. BLDGS. /
2/z¢sgft
NEW CONSTR. ULTI.OUTLET
NO N.R ESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS e
SINGLE OUTLET CIR.
Ex. OCCU OUTLETS OR FIXTURES
P
20®50C
9ALe 30
APPLNS. OR
EX. OCCUp. OUTLETS IRESIO.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
g
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
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.
Contractor
MECHANICAL PERMIT
FiIingFee 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 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 Ii ilitieS, judgments, costs, and expenses which may in any way accrue
again t aid Coun�y in con equenc of the granting of this permi
%� Date '
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over S'0" deep and demo ition construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONSTTYPE
TOTAL F .00
HAZ
CUA
PARK
s
P
P
Issu
This permit is hereby issued under
Sions of the Butte County Code and/or
work indicated abov for which fees
OI R OF V IC
By 8
PERMIT EXPIRES e
the applicable provi-
resolutions to do
have been paid.
WORKS
Receipt No. 70438
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
TO Buildina Department"'
FROM: Environmental Health
SUBJECT: Sanitation Clearance
CR a-3
PCJ r L C—C ek�,
Owner Locati n AP#
Plan Approved for: Sewage Disposal ��_ Water Supply
Fold final for: Water Supply
Final clearance O.R. for: Water Supply
Clearance for bedroom mobile home. Other
NOTE * * *
Sanitarian
Dat
1
V Q
— COUNTI� OF BUTTE = DEPARTMENT OFIPUBLIC WORKS - BUILDING 6iii BION
;A t 1
7 COUNTY CENTER DRIVE - OROtE;�C`�ALIFOfiN�FA�a5985 - Tf=LE-pHONL 916/5304641 /
PERMIT APPLICATION DATA SHEET
OWNER
-Proposed Building Use
D
Permit No.
A. P. NCh2 qo �y
Building Inspector--4eDate-
At time of permit application, I was advis4the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED'
1. All items have been submitted . ....................................
(2-2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 0
3. Complete plans in duplicate/triplicate, signed by preparer. of plans Ma q ()
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome irista_Ilation data including manufacturer's installation
instructions.......................................................
-10. Fees of $ ........................ ;
N. Chico Urban Area fees paid......7..................................
12. Park fees paid ....................................................
School District fees paid .............
WSanitation approval from .
. O2-� Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-inspec.request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
f 22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
Whe�nu
VIssue the—permit, gro.�ce s as follows: Mail caner. Mail to contractor.
i^ Telephone /�i L and hold for pickup at office. Deliver w/inspector.
Other '
Applicant Datea��
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent _Health Dept. Fire Dept. Other Date By.
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, own , was advised of above required data by—phone —mal l—counter by date
Plans checked by J DatePlans approved by Date
Sets of plans on hold in File cabinet AP folder " k
Copy—DPW
COUNTY OF .BUTTE ~ Department or Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538_75041
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) ((.0
}� 2. I (have/have not) signed an applicat:Lon 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 Owner
Social Security Number
Date
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.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND'PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
—2Ve r 2-3
ZONIN
S
BUILDING PERMIT
OWNER W�
T �aRN
r.9
SO. FT. OCC. BUILDING VALUATION
OWNER'S IjetNG DRESS O`
CONTRAJy�(OR/'S
A CONTR2X TELEP ON
CONTRACTOR'S MAILING ADDRESS
-
Fireplace
CONSTRUCTION LENDER
UNKNOWN
C
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 10 00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee �' (J
I
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$ -
Penalty
$
BUILDING ADDR
Permit fee t 0-V
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
Solar or heat pump water heater
20.00
LOT N
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5,00
USE OF STRUCTURE
SF [I Duplex❑ Mobilehome Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S FGTW
10.00e
TYPE OF WORK
New 1] Addition Remodel❑ Utitilities Installation❑ Other ❑
Describe work: ^ G —7
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 OR AMP
10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under p
provisions of Cha t. 9, Div. 3 of the Bushes$
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)
El 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
Main service EA. ADD'L 100 AMP
2.50
NEW CONST.(DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
, /z¢sgft
NEW CONSTR.MULTI-OUTLET
NON.RESID BRANCH CIRCUITS)
2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS PR FIXTURES
20®e0t
eALO 30
FIXED APP LHS. OR
Ex. Occup. OUTLETS (RESID.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
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.
E] 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.
F1 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.
Contractor
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 Count of
Butte to enter upon the above-mentioned property for inspection purposes. y
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 Oate
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
'
occ
CONST TYPE
f
TOTAL EE
HAZ
CUA PARK
SCHL
FLD
PAR
PD
HD ISSUE
This permit is nereby issued under
sions or the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. 70 4-3 SK
WHITE-O.P.W.. YELLOW-ASSE3300. PINK -INSPECTOR. GOLDENROD -APPLICANT
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TYP/CAL. RF,5/)1.WT11;1
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 538-7541
12"x 12" PIER S
' 4^x
DF" -2 DECKItJ G (ALT)
-IYs" T4G PLYWCUD CC EXT: /
IN
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-TDP VIEW
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MOBILE HOME
OR DELI--_�
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TYP/CAL. RF,5/)1.WT11;1
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 538-7541
' MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541^•
17 PERMIT NO.JS�
Address or location of mobilehome
Owner's name
Owner's address
Insignia or hud number
Manufacturer's name—
Seri-al number of V.I.N,
\4;
a
j `
A
ng�I,n-s a lotion
Year of manufacture
(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.
5138 White - Owner, Yellow - Installer, Pink - D.P.W.
RESIDENTIAL 5
"y 28-40-23
2591-90MHI
WARD, Patricia
43 Bangor Trail, Bangor
(installation/MH)
f/a/9i
{ OFFICE COPY
Address
P
E
I �
i
JOB FINALE
Signature
J=OK
O = Not OK
Not
NotReadyable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except k's
1. Zoning Requirements -Setbacks -Easements
2 Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / / L" ft.
/ "Nat. or/ /" L"ft./ /"LPG
7. Utility Clearance I
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1 G
Date MOBILEHOME INSTALLATION (Plans) OK except N's I
6ninq_0equirements-Setbacks Easements j
oo Ings; Size, -Spacing- Marriage Line
3�Las; MH —Demand—valve—connector j
4. Electricity; MH Test -Crossovers -Breakers -Clearances j
(__,b!Drgin; MH Test -Fall -Flex Connector 1
w Test -Regulator -Connector
er and Sewer Connected -C/O to Grade -HD Approval
Gas and Electricity Tagged I
Exits; Insp -Sketch
Cert. of Occupancv
Date, Card B- ' j Date Card B-1
Dat Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except k's
1. Zoning Requirements -Setbacks -Easements
2 Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Rooting
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2 Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
'8. Elec.; Grounding; Equip, w/5' Circulating Equip. -Pool Lghtg
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
V OK
O = blot OK
-{'Not Applicable RESIDENTIAL (;
= Not Ready
Date
UNDERFLOOR (Plans) OK except it's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel- Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
_
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except It's
16. Water Htr.; Vent -Access -Combustion Air -Baffle
-
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
_
21. Gas Pipe; Size & Anchors
Date
Card B-1 Date Card B-1
Date
_
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except It's
_
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / gal or AI-A.C. Wire Size / / ga.
Cu or At
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes 0 No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except it's
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date J Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except s's
39. Sils. Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearinq
(NOTE: An entry must be mac
,higle ,g Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic.
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except fi's
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
67.'Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd -Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive O Yes ❑ No; Walks O Yes ❑ No;
Planters 11 Yes 13 No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HO Approval
91. Energy Compliance Certificate -Other Certificates
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-'
Comments at Final:
e each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
AA
ASSESSOR PARCEL NUMBER
28-40-23
ZONING
A-5
BUILDING PER
9T
ER Oi�i�TRICIA WARD 9X
TEL,klog76
�yJ LL
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
P.O. Box14 Ban or Ca 95914
CONTRACTOR'SNAME
TELEPHONE
owner
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 1000
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
,$'
19.00
Energy Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
43 Bangor Trail Bangor
Permit fee
$ 25.00
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT N,O.
1
SUBDIVISIQ.t�IO011l
NI
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
SF ❑ Duplex❑ Mobilehome❑ Other
Mobile Home I S I G JW 1
0.00e
' SPECIFY
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Permit Fee
$
Describe work: 29M MHI existing site _
Contractor
600 AV /',I
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 p
provisions of Cha t. 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-
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
NEW CONSTR MULTI -OUTLET
NON.RESID BRANCH CIRC ITS
(POWER APPARATUS el
SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES
FIXED APLNS.
EX. Occup. OUTLETS (RESID )REAJ
,
2/20sgIt
2.50 ea
20@50S
a AL@ 30
2.00
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)
Temporary service
Mobile Home Facilities
Misc. �yirin g
10.00
15.00
15.00
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
Contractor
I declare under penalty of perjury (check one):
MECHANICAL PERMIT
FiIingFee 10.00
❑ The permit is for $100.00 (valuation) or less.
Heating
❑ 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.
Cooling
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.
Hood
Ventilation
Permit Fee
Contractor
3,00
$
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County Ot
Butte to enter upon the above-mentioned property for inspection purposes.
I
Aaae to save, indemnify and keep harmless the County of Butte against
es, judgments, costs, and expenses which may in any way accrue
County in conse ence of t granting of this per 't.
Mobile Home Installation Fee
Energy Inspection Fee
occ CONST TYPE
TOTAL FEE $
HAz CUA PARKscHl, FPAq,d
— — -- � '�
$
$ 70.00
Dat
Signature of Applicant — Owner Contractor ❑ Agent ❑
This permit is nereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
DIRECTOR OF PUBLIC WORKS
Receipt No. 70438
By
Dated
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
PER EXPIRES Date—�
- (.
TO Building Department
FROM: Environmental -Health
SUBJECT: Sanitation Clearance
e
_ -pad �i�._ rac 7,f�- Ifo - Z3
Owner Location AP#
Plan Approved for: Sewage Disposal Wate
Fold final for: mater Supply
Final clearance O.R. for: Water Supply
Clearance for Zbedroo mobile home. Other
NOTE e A/�/ a414
s u
Sanitarian. Date
TO: Building Department ..
FROM: Encroachment Permit Section
RE: 'Driveway Clearance
owner loca ion AP #
Driveway permit /149"-e A2.� has been issued for the above property.
n b ,p 7 C r®a�
2
—
7 ,;- �o
date
sign re
�.„ .N--4 'h..r a""'ti.^s,-`l"3f. _.'4:n.�.J.,`-r'��,-..'V-✓'`ri..t'H�-rr...^.`.'*_.�sr':"i.„Yi�i�+'��..:;i.. ..
COUNTY OF BUTTE-yDEPARTMENT-OF PUBLIC WORKS -BUILDING DIVISION
7 COUNTY CE TERsDRYVEOD IL -t -E, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PEftT APPLICATION DATA SHEET
Permit No.
OWNER PATd2 C 1 w, /D. No. 2� '�v
Proposed Building Use ¢ Building Inspector Date 7 o�lv
1
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance
DATE RECEIVED " APPROVED,,
�All items have been submitted. ........
2. Plot plans in !&pal;aUW4tjp,1_ic_atV, signed by preparer of plans........olqeq
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form .......................................... `
6. Energy Design Compliance and supporting documentation ......... `
7. Statement of Intent for Non -Heated and AC Buildings .............. -
Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions....................................................... 96
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees aid s
3. Q �� 6y paid ...... 3" 2- 9 w
4. Sanitation approval from C/ + Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required . Pre-Inspec. re nest to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27. 9
When y issue the permit rr� *e as follows: Maier. Mail to contractor.
Telephone (O G4 and hold for pickup at office. Deliver w/inspector.
Other n
en, 1104 -VA
Copy,of-Haz-Mat form sent Health Dept. Fire Dept. ----Air Pollution Date
Copy of plans sent _Health Dept. Fire Dept. Other Date By
The following data must be submitted pri
1. Index permit for above items No.
2. Additional items required:
permit issuance: (Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by_phone---nall—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone _mail_counte b date /r,
Plans checked by Date Plans approved by Date 8-!
Sets of plans on hold in File cabinet AP folder
Copy—DPW
/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
�j 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
NBER
Z%o - 2 -:E5
GUNTHArJf O -R'S MAILING
CONSTRUCTION LENDER
LENDER'S MAILING ADDF
ARCHITECT OR ENGINEE
A
BUILDING AD
LOT NO
NGINEER'S MAILING ADD
UBDIVISION NAME
dV
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome❑ Other
D
HO
NOWN
N
PARCEL MAP
SPECIFY
TYPE OF WORK
New ❑ Ad i i Remodel ❑ Utilities ❑ Installation Other ❑
Describe ��� S ! 7 -
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and 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)
❑ 1, as the owner, am exclusively contracting with licensed contract-
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 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.
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 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.
Receipt No.� "S-:> X
WRITE-D.P.W., TCLLOW-ASsC33OR. PINK -INSPECTOR. GOLDENROD -APPLICANT
PERMIT NO.
BUILDING PERMIT
SO. FT. OCC. BUILDING VALUATION
ELECTRICAL PERMIT
7.
V OR L
Main service TOO AMP ORSLESS
10.00
Main service EA. ADD'L too AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADONS, ACC. BLDGS.
,
/:2sgft
Fireplace
2.50 ea
Total Valuation $
Filing Fee
$ 10.00
Permit Fee
$
Plan Checking Fee
$
Energy Plan Checking Fee
$
Penalty
$
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
Solar or heat pump water heater
20.00
Water piping
5,00
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I IS I W I
1 110-00e
I Permit Fee S
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00.
V OR L
Main service TOO AMP ORSLESS
10.00
Main service EA. ADD'L too AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADONS, ACC. BLDGS.
,
/:2sgft
NEW CONSTR ULTI.OUTLET
NON.RESIO BRANCH CIRC ITS
2.50 ea
POWER APPARATUS 61
l SINGLE OUTLET CIR.
EX. OCCUp(OUTLETS PR FIXTURES
20@50t
e ALO 30
EX. Occup. OUTLETS (RESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ ;
Contractor
_MECHANICAL PERMIT I FilingFee I 10.00
Heating
Cooling
Hood 3.00
Ventilation
Permit Fee $
Contractor
Mobile Home Installation Fee $
Energy Inspection Fee g
OCC I CONST TYPE
TOTAL FEE $ �Or�"
HA2 CUA j PARK SCHL FLD l PAR PD HD j ISSUE
This permit is nereby issued under the applicable provi-
sions or the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
COUNTY OF BUT TEV- bepartment of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538_7541
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 thi.s 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)
X2. I (have/have not) signed an applicat:Lon for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the pro -posed
construction:
Name
Address
Phone Contractors License No.
City
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
Sign
Social Security Number
Date
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.
f RECCR-DEG BUTTE COUN PY
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT OFFICIAL RECORDS aj,�)
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code requires this acknowledgement R SHOWN._
be recorded prior to issuance of a building permit. I $7 MAR 10 Ali 11: 19
87— 904'7
The property described herein is adjacent to land or included CANDACE J•GRUBBS
within an area zoned for agricultural purposes, and residents of this CLERlt-RCOIZbE_
property may be subject to inconveniences or discomfort arising from
the use of agricultural chemicals, 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:
SEE ATTACHED LEGAL DESCRIPTION
This document is being recorded to correct the legal description in that certain
Agricultural Statement of Acknowledgement For Residential Development recorded
February 5, 1987 under Serial No. 87-4983, Butte County Official Records.
Date: March A987 PROPERTY OWNERS:
FRED A. GOODENOUGH SHARON L. GOODENOUGH /
State of California )
County of Butte )
On this the 10th day of March , 19_ 87, before
SS. me, the undersigned Notary Public, personally appeared
FRED A GOODENOUGH and SHARON L GOODENOUGH-
L
/ Personally known to me. /17 Proved tb me on the basis
of satisfactory evidence.
to be the person(s) whose names) are subscribed to
season man ■■■■■■■■■■■■■■ILthe within instrument and acknowledged that they
'a executed the same for the purposes therein contained.
■ PENN) L. CATES IN WITNESS WHEREOF, nto set hand and official seal.
■
■ NOTARY PUBLIC -CALIFORNIA ■ , .
■ `® Butte County ■
■ my Commission Expires OCL 19, 19W
■
Notary Public
Present A.P. No. Q
DESCRIPTION:
All that certain real property situate in the County of Butte,
State of California, described as follows:
PARCEL I•
Parcel 1, as shown on that certain Map entitled, "WOODHILL RANCH
SUBDIVISION", which Map was filed in the Office of. the Recorder
of the Couhty of Butte, State of California, on September 2,
1983, in Book 91 of Maps, at Pages 54 and 55.
RESERVING THEREFROM non-exclusive easements for ingress and
egress and for public utilities over Bangor Trail, as shown on
the above described Map.
PARCEL II•
Non-exclusive easements for ingress and egress and for public
utilities over Woodhill Drive, Diablo View Drive and Bangor
Trail, as shown on that certain Map entitled, "WOODHILL RANCH
SUBDIVISION", which Map was filed in the Office of the Recorder
of the County of Butte, State of California, on September 2,
1983, in Book 91 of Maps, at Pages 54 and 55.
EXCEPTING THEREFROM all that certain property lying within the
bounds of Parcel I, above.
Page 4
Y
DESCRIPTION:
All that certain real property situate in the County of Butte,
State of California, described as follows:
PARCEL I•
Parcel 1, as shown on that certain Map entitled, "WOODHILL RANCH
SUBDIVISION", which Map was filed in the Office of. the Recorder
of the Couhty of Butte, State of California, on September 2,
1983, in Book 91 of Maps, at Pages 54 and 55.
RESERVING THEREFROM non-exclusive easements for ingress and
egress and for public utilities over Bangor Trail, as shown on
the above described Map.
PARCEL II•
Non-exclusive easements for ingress and egress and for public
utilities over Woodhill Drive, Diablo View Drive and Bangor
Trail, as shown on that certain Map entitled, "WOODHILL RANCH
SUBDIVISION", which Map was filed in the Office of the Recorder
of the County of Butte, State of California, on September 2,
1983, in Book 91 of Maps, at Pages 54 and 55.
EXCEPTING THEREFROM all that certain property lying within the
bounds of Parcel I, above.
Page 4
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form per Building)
A.P. Number. �� 0� Buildia-g Department No.
School District 0 City Founty Jurisdiction
Property Owner
i
Project Location/Address 3 Poolfl6 O/L. f4 L�,
Subdivision Lot Number
Residential Development:
Sq. Footage 1 Q
a-0
# of Living MHI Addition (Group R)
Units
Commercial/Industrial: a Sq. Footage
New Addition (Including Exterior
Roofed Areas)
r f Yr U-14 .2 D
Buildi ,, epartment Representative Date
(Floor Plans reviewed by School District Personnel)
District Id No. (p 9 10 0 4 1
School District certifies that
I Ad 2.4 _t_1 L7 Oc_
(App 'cant •(Phon Number)
�� 12 ;ame)
, o.
(Street/Address)
\�
(C ' ty ) ( State (Zip Code )
has complied with the requirements of Res n No.
by t payment of $ r1 prese ing square
feet.
Schoo,y DistrNict Xepresentative Date
`PAID BY CHECK NO. REMARKS
BANK NO
PAID BY CASH J
C
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
f
,
All
i
+ +
f
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-- � - I-
----
-
-
-
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-
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rip. miokow s wa
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Ao
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA
PHONE: 538-7541
MOBILEHOME INSTALLATION SHEET
1. Owner's Name;�r� �a
2. Installer's Name:
3. Is the site currently
Yes
®
IZ,
What is the
under permit?
rating? ---------------
Amps
6.
No
mobilehome site
service rating? -------------
(If yes, furnish permit number
7.
)
OR
circuit breaker rating?
Is the site an existing site? .
Yes
No
(If yes, furnish two plot plans.)
8.
Is there any
other electric
load to be served by the
4. Will the mobilehome be located at least
5 ft. away
from
septic
tank and leach
and clear of all setbacks and easements?
Yes
I
No
Lfields
(If no, clarify
5.
What is the
mobilehome electrical
rating? ---------------
Amps
6.
What is the
mobilehome site
service rating? -------------
C;�90O Amps
7.
What is the
mobilehome site
circuit breaker rating?
----- Amps
� 0
8.
Is there any
other electric
load to be served by the
site --------------------------------
nmobilehome
�
service?
Yes No
(If yes,
identify the
load and size:
(Load) (Amps)
1c
9.
What is the
mobilehome site
gas.pipe size? --------------
(in.)
10.
What is the
type of gas service?
-------------------
--
. I
Natural LPG
-11.
What is the
gas pipe length
from meter or tank to the
mobilehome?
---------------------------------------------
��( (ft.)
* 12.
What is the
mobilehome gas
demand? -------------- --------
-- (BTU) .
*(This
information not
required if pipe length
less than 6 ft. on�
-- .-.natural
gas or less
than 50 ft. on LPG.)
r
;iUILDING DEPARTMEN?.
E
MOBILEHOME SUPPORT DATA
If other than single wide,
Mobilehome Mfr. /, furnish Setup Model No.
Width(ft.) Box Length�/o (ft.) Tagalong or Expando Size
Year
: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)
El1. Wood -pressure treated or foundation grade. ❑ 2. Other (specify)
SUPPORTS (check one) FIX Concrete block.a 2. Other (specify)
Pier Footing Sizes and Locations
SINGLE -WIDE MULTI -WIDE
Ling r Line 1
..
_ — _ ._ — _ — _ _ - Line
Mair. BeaTs�
— — — — — Main Beams
�... Line 1
7LIne
Line
Tag or Triple
(Anp 4
Line 1 Piers:
Size-Min-------------
Spacing-Max -
-----------
Spacing-Max. ---------
From Ends -Max .-------
Line 2 Piers:
Size-Min.------------
Spacing-Max -
--------Spacing-Max- ------_--
From Ends -Max .------- �_ 0
Line 3 Roof Loads:
Size -Min ------------- x „
Location (From Front) _
Line -4- Piers
Size -Min .------------
'k '
Spacing=Max.--------- ,
From Ends -Max .------- „
Line 5 Roof Wads:
Size -Min -------------
Location (From Front)
Line 1 Openings:
Size -Min. ---
L
Each Side of Openings
With Width Over ---------
Line 3 Piers: (Under Bearing Wall Only)
Size -Min -------------------
"x
Spacing -Max.--------------- „
/ From Ends -Max .-------------
o n a++"X 3D" ads at Cs a c_►'l
„x ,k :r "x „x
e 5 Piers: (Under Bearing 'Walls Unly)
SYze-Min-------------------
Spacing -Max----------------
From Ends -Max.-------------
"x "x "r 'tx 'k "x "x "x
WILDING DEPARIMBJ
4PPROVtD
3�3
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
2590-20
ASSESSOR PARCEL NUMBER
28-40-23
ZONING
AS IBUILDING
PERMI
OWNER
Patricia Ward
TELEPHONE
679-2276
$Q. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
P.O. Box 14, Bangor, CA 95914
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
41 O
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
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
SF ❑ Duplex❑ Mobilehomeg Other
Mobile Home I S I G JW I
10-00ea 10,00
SPECIFY
TYPE OF WORK
New❑ Addition El Remodel El Utilities XLH Installation❑ Other ❑
Permit Fee minimum
$ 25.00
Describe work: Gas pli i no fnr existing si YP _
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 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-
NEW CONST.(tr
DWELLING OCCUP.
NEW CONSDO.STR.A ULTCC.BI-OUTLET
NON-RESID BRANCH CIRC ITS
POWER APPARATUS tr
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
Ex. Occup. OUTLETS ED AP(RESID )LNS.KEA.;
,
2/2¢sgft
2.50 ea
20@506
BAL@ 30
2.00
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)
Temporary service
Mobile Home Facilities
Wiring
g
10.00
15.00Misc.
15.00
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
Contractor
I declare under penalty of perjury (check one):
MECHANICAL PERMIT
Filing Fee 10.00
❑ The permit is for $100.00 (valuation) or less.
Heating
❑ 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.
Cooling
g
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.
Hood
Ventilation
Permit Fee
Contractor
3.00
$
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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liab 'ties, judgments, costs and expenses which may in any way accrue
again s id County in consequen a of the nting of this per '
Dat 10
Signature of Applicant — Owner Contractor ❑ Agent EVI V17
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC CONSTTYPE
TOTAL FEE $
95-00
HAZ I CUA I PARK sCHL FLD I PAR PO HO I ISSUE
This permit is nereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
DIRECTOA OF PUBLIC
WORKS
Receipt No. 70438
By
Date fit,?
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
PE T EXPIRES Date _
--I—'?
COUNTY OF BUTTE o DEP A T_MENi OP'I_UBLIC WORKS o BUILDING DIVISION
COUNTY CENTER bpIVB = O U VI -LE, CALIF6gNIA ®6465 - TCLEP ONE, ®i®/63®=7641 j
PERMIT APPLICATION DATA SHEET
Permit No.—
OWNER
o. OWNER P#7_9 1 C l A ✓J w A OT;�
Proposed Building Use to/ IJ (9 Building Inspector Date 7/,2 d°
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. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ...............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13. School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-inspec.request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner 0) ..... —9y e _
4. Recorded copy of Agricultural Acknowledgment Statement .........
Ler f�igna ure auJ�i asyon./.'r .....�............. / Q
26.
27.
When
issue the ,p_er�it, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w.
/inspector.
Other _
Applicant&ZzLe��2*,(9(0
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent _Health Dept. Fire Dept. Other Date By.
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
Contractor, designer, ow r, was advised of above required data by—phone —mal l—counter by
Plans checked by (R- Date 7-3/ 90 Plans approved by
Sets of plans on hold in
Copy—DPW
File cabinet AP folder
..date
date
Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ZONING
OWNER'S MAILING ADDRESS-�—
CONTRACTOR'S NAME
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER
ARCHITECT OR ENGINEER'S MAILING ADORES
BUILDING ADDRESS
T NO. I SUBDIVISION NAME
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome Other
TYPE OF WORK
New] Additio ❑ o el ❑ U i ities
Describe work:
t
7C 1 C r 0
H
UN
N
PARCEL MAP
SPECIFY
Instal lation El Other ❑
. I
PERMIT NO.
BUILDING PERMIT
SO. FT. OCC. BUILDING VALUATION
ouiming sewer
Mobile Home
Permit Fee
Contractor
ELECTRICAL PERMIT
Main service 600V OR LESS
100 AMP OR LESS
Main service EA ADO -L 100 AMP
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under p
provisions of Cha t. 9, Div. 3 of the BuslneSS
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.EI\
OR ADDNS. ACC. SLOGS. /
----------------
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS PR FIXTURES
FIXED AP PLNS. OR
EX. OCCUp. OUTLETS IRESID.1 EA.)
Temporary service
Mobile Home Facilities
Misc. Wiring
Date_
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
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.
Fireplace
MECHANICAL PERMIT
Heating
Total Valuation $
Cooling
Hood
Filing Fee
$
1000
Permit Fee
$
Energy Inspection Fee
occ coNsrfY
Plan Checking Fee
$
Energy Plan Checking Fee
$
Penalty
$
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
Solar. or heat pump water heater
20.00
Water piping
5.00
Each qas water heater or vent
5.00 j
Gas piping system 1 - 5 outlets
5.00
ouiming sewer
Mobile Home
Permit Fee
Contractor
ELECTRICAL PERMIT
Main service 600V OR LESS
100 AMP OR LESS
Main service EA ADO -L 100 AMP
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under p
provisions of Cha t. 9, Div. 3 of the BuslneSS
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.EI\
OR ADDNS. ACC. SLOGS. /
NEW CONST R ULT LOUT LET
NON-RESID BRANCH CIRC ITS
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS PR FIXTURES
FIXED AP PLNS. OR
EX. OCCUp. OUTLETS IRESID.1 EA.)
Temporary service
Mobile Home Facilities
Misc. Wiring
Date_
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
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.
Contractor
MECHANICAL PERMIT
Heating
Cooling
Hood
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
Butte to e t
Mobile Home Installation Fee
Energy Inspection Fee
occ coNsrfY
5.00
10.00e O, 0(
$
Filing Fee 10.00
10.00
2.50
n er upon the above-mentioned property for Inspection purposes. Pe
I also agree to save, indemnify and keep harmless the County of Butte against TOTAL FEE $ 7, 5 If
all liabilities, judgments, costs, and expenses which may in any way accrue HA2 c PARK SCHL FLD PAR Po HD Issue
against said County in consequence of the granting of this permit.
X DateThis permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ work indicated above for which fees have been paid.
An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS
ion of structures over 3 stories in height.
Receipt No.
���1 ��
By
WKITC-O.P.W.:
YELLOW-ASSCSSO , PINK -INSPECTOR, GOLDENROD -APPLICANT
PERMIT EXPIRES
Date_
Date
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
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.
k1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I av ave not) __�/�(
(hJ signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
constru on:
Name -T 1
Address is/ 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 I 1 11 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 , — j Address Phone Type of Work
Signed:
Prope
Soc is
Date
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.
COMPLAINANT
ADDRESS:
PHONE NUMBER:
OTHER COMMENTS:
`
gs
LL
Aull
I
11111
Nil
7 77
`
PE'AMIT NO. 318-87P E MH
PERMIT EXPIRES c9,/� F9
OWNER SHARON & FRED GOODENOUGH
CONTR. owner
ASSESSOR PARCEL 28-40-23
LOCATION 43 Bangor Trail, Bangor
OFFICE COPY
i
AI
I
GD�te�
MWe BY
Temp. P
ELECTRIC D`ie�'��-�
Meter By
Call ---
Temp. Elec. Service
Callei
Temp. Gas
Cal lei
JOB FINA
Signal
V = OK
0 = Not OK
— = Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
Zoning Requirements—Setbacks—Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements—Setbacks—Easements
Soils; Special MH Support—Sketch
_
2. Footings; Size—Depth—Spacing—Connectors
ewer; Location—Test—Fall-C/0— oncrete
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
4. r; Local ion— Test— Eas nt Needed (Sketch)
4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
. Electricity; Location—Clearances—Grnd.— Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures—
olumns—Connections—Splice—Decal—Enclosuresest—Wrap:/
est—Wrap: //"L" ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows—Doors
7. Utility Clearance
_.
7. Elec.
Card -B
Datea5,--l8-0 Card -BI Date i
Card -BI
Date Card -BI Date
Card -BI It
Da4-V=&7 Card -BI Date
Card -BI
Date Card -BI Date
Date
BILEHOME INSTALLATION (Plans) OK except k's
Date
POOLS (Plans) OK except k's
1. Zoning Requirements—Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
3. Gas; MH Test—Demand—Valve—Connector
1. Setbacks—Easements
2. Soils; Compaction—Structure Stability
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4. Electricity; MH Test—Crossovers—Breakers—Clearances
5. Drain; MH Test—Fall—Flex Connector
4, Elec.; Receptacles and Lighting; Distances—GFI
5. Elec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/0 to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
B. Gas and Electricity Tagged
9. Exits; Insp.—Sketch
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
1
a
V = OK
0 = Not OK
= Not Applicable
= Not. Ready RESIDENTIAL (Single and Duplex)
�k ,
Date
UNDERFLOOR (Plans) OK except H's
1.
Zoning requirements -Setbacks -Easements
Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
__2.
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
-
4.
Ftg., Porches & Decks; Soils -Steel- / /'' Fig. Depth
5.
Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
6.
Ste_mwalls, Garage; Steel-Blockouts-Wrapped-Slab
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
DateCard-BI Date
Card -BI
Date Card -BI Date
Date
PLUMBING (Permit) OK except N's
14.
Water Ht.: Vent -Access -Combustion Air
'
15.
Water Pipe: Test & Anchors -Nail Protection
16.
D.W.V.: Test-Ftings & Anchors -Nail Protection
17.
Shower Pan: Test, First Floor -Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
19.
Gas Pipe: Size & Anchors
Gard -BI
Date _ Card -BI Date
Card -BI
Date Card -BI Date
Date
ELECTRICAL (Permit) OK except q's
20.
Fixture & Transformer Clearance -Ins. Protection
21.
Elec. Receptacles Spacing -Lights & Switches at Doors
22.
Size Boxes & No. of Conductors -Stapled
23•
_
Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
25.
2 Appliance Circuits in Kitchen & C_onductor Size
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes -No
28.
Service -Riser Conductors & Ground -Main Disconnect
29.
Equip. Clearances: Panels-Motors-_Mech. Equip.
30.
Clothes Closet Light -Shower Light
Card B -I
Date Card -Bi Date
Card B -I
Date Card -BI Date
Date
MECHANICAL (Permit) OK except N's
31.
A.G. 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 q's
36.
Sills, Proper Material & Anchors
37.
Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop to Walls (rat proof)
40.
Fire Stops Furred Ceilin s -Stairs -Chases -Tub
_ -- -
41
-
Header & Beam -Size & Bearing
42.
Hanger's -Post Caps -Anchors -Connectors
43.
Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
44.
Fireplace Ties or Type A Flue -Fireplace Throat
FRAMING (Continued)
48. Property Line Firewall & Openings
49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
51. Plywood on Roof Overhang -Attic Vents -Rafter Outrigg,
52. Siding -Nailing -Veneer
53. Stucco. Mesh -Drip Screed-Fdn. Vents-Underflr. Access
54. Glazing Area -Glass Protection -Skylights -Plastic
55. Shear Walls: Nailing -Bolts
card -til Date Gard -BI • Date
Gard -BI Date Card -BI Date
Gard -BI Date Card -131 Date
Date FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Land
57. Smoke Detector
58. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meeh. Protection
59. Bedroom Exit
11 60. G.F.I. & Bath Fixtures & Tub Access
11 61. Elec. Trim & Subpanel; Breaker Sizes -Labels
II 62. Stairs & Rails
63. Fireplace or Stove; Clearances -Hearth
64. Elec. Outlets at Wood Panel; Int. & Ext.
tis. 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. Pib., Elec. & Mech. Equip. Listed for Location
71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
72. Insulation -Foam -Looked in Attic ❑Yes
73. Guard Rails & Deck Construction -Post Caps
74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
75. Following instld.: Drive C 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 7 est -Meters Tagged; Gas -Electric
85. Water & Sewer Connected -C/O to Grade -HD Approval
86. Energy Compliance Certificate -Other Certificates
Gard -BI Date Card -BI Date
Card -BI Oate Card -81 Date
Card -BI Date Card -BI Date
Com tents at Final:
45. Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles
46. Bdrm. Windows of Exiting Doors -Sill Hgt. & Dimensions
47. Garage Fire Protection Framing
(NOTE An entry must be made each lune you visit jobsite)
COUNTY OF BUTTE - DEPARTMENT O.F PUBLIC WORKS
7 County Center Drive - Oroville, California 96965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT N0.
ASSESSOR 'ARCS NUMBS
ZONI
BUILDING PERMIT
OWNEFF
TELEPHONE
SQ. FT. OCC, BUILDING VALUATION
OR'S MAILING ADDRESS
Q, d a
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
$
Filing Fee
$
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
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT N .
SUBDIVISION NAME
PAXICEL MAP
�S
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
Building sewer1p_
Mobile Home S G W
M0_00eaQ.
4
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities" Installation❑ Other ❑
Describe work:
Permit Fee
$ Q
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1ODv OR LESS 100
AMP OR LESS
10.00 ) e
Main service EA. AOD'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)
❑ 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..
) h¢sgft
New
CCONSTR.(A MULTI -OUTLET
NON.RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES 2AL@
eL03030
FIXED APPLES. OR
EX. Occup. OUTLETS (REST D,) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 S
Misc. Wiring 15.00
g
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 s id County in consequence of the granting of this permit.
X !,7
Signature of Applicant — Owner ❑ Ca rector ❑ 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 $ , U
occuP,
CONST.TYPEJ
I F71
PARCEL
PD
H
1390
This permit is hereby issued under
sions of the Butte County Code and/or
w I icated or for which
CTOR OF PUBLIC
By_
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
�r �c
Date
Receipt No.
�����
WHITE-D.P.W., YELLOW-ASSf3SOR, PINK -INSPECTOR, aoLDENROD-APPLICANT
-COUNTY OF BUTTE - DEPARTMENT OF. PUBEIrC'WORKS -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CfY`L�M JIMA 95965 - TELEPHONE: 916%5344541
PERMIT APPLICATIO DATA SHEET
^' Permit No.
OWNER �///2-'I CCX�'�C�YI�1 . No.
Proposed.Building Use LAG( iZf �`� /� 9iii'Iding Inspector Date
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.
2.
3.
4.
5.
6.
7
8.
9.
0.
11.
12.
—15.
16.
17.
PP/19.
20.
21.
22.
All items have been submitted. . . . . . . . . . . .
Plot plans in duplicate./triplicate, signed by preparer of plans. .
Complete plans in duplicate. /triplicate, signed by preparer of plans.
Complete engineered plans and calcs, with wet signature on plans.
Plans with Energy Design Compliance Statement. . . . . .
CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . .
Statement of Intent for Non -Heated and AC Buildings.
Fees of $ . . . . . . . .
Letter of signature authoriz/altion.. . . . . . .
Sanitation approval from ... li Health Dept. . .
Planning approval for (A) Use: (B) Parking:
Certificate of Workmen's Compensation Insurance. . . . . .
Contractor's License Information (no., name sty e, classif.)
Owner -Builder Verification (Given to ownerLJ�', Mail to owner ❑ ),
Improvements may be required. . . . . . . . . . . .
Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec.request to (Date)
Pre -Inspection for Required. Building Inspector
Recorded copy of Agricultural Acknowledgment Statement. a ��
Driveway Permit.
Plot plan approval from city of
i I to owner, Mai I to contractor. �)
Telephone and hold for pickup at—off ice, Deliver w/inspector.
Other f
When you issue the permit, process as follows
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—nalI—counter by date
Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
r
— Flours: 10:00 a.m. - 3:00 p.m.
Copy—DPW
TO Buildinv Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
U Gz{ / --
Owner Location AP#
Plan Approved for:
Hold final for:
Sewage Disposal
Final clearance O.R. for:
Clearance for 45�l bedroo mobile ome. Other
NOTE * * *
Water Supply
Water Supply
Water Supply
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.
01 I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) Wo
GI (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.
I plan to provide portions of this work, but I have hired the following person
to-coor 'na e, s pervi and provide the major work:
Name
w...
ssI I 5t4( lea ( M City
Phone 7-7i t7 6 Montractors License No. r, ,»...--
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 Owner _4a
Social Security Number
Date *A —,f-- r7
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.
200' X.3 3i1 'D!?.,
QwoLy V3
1
180' This set bf plan9 and specifications MUST be
kept on the job at all times and it is unlawful to
hout
make any changes or alterrtions on same wit
written permission from the Department o bile
Works, County of Butte
160' A setback-
-- .'-'w er of 5 ft: from the
-_ t 4 prop ty lines and;a setback -
T , 1 /; -
- f of
• — 1 l - - i.,, a 50ft, frohthe'road
rj.t/
ev , r--
i`centerline shall be clear of _
1:40' _ : + - -- x -i V- -{ J �; - }i_ structures or equipment excep# -
i A1`Lkrf�i r� ' ' �+- � for a 2
ft, eave overhang.
120'
-�
�ea Utility connections shall be wlthin
_ -r 4 -ft. of the mobilehome, either
t directly behind or within the rear
half
100' _fi_ _ _ ... - _ of the
f
i
80'
i
I
NOTE -,Ail Materials Workmanship Shall 16 M
I Accordance with Recognized Good Practices and
of a quality prescribed for the Specified use in the
60' %� Uniform Building, Plumbing & Machanical Codes arW
N " t the National Electrical Code,
40' `
20' 1
t
.40' 60' 80' 100'
1, .
000"7 !
R NI
D 71GY.
IPPR D
3i��g7yT,"'I: YJ160'
120' 140'
This set of plans, and specifications MUST be
kept on the job of-all,times and it is unlawful to
make any charxges or alterations on same without
written 'permission frtrrri-the Department of. Public-
Works,
ublicWorks, County of . Butte.
W.
NOTE. .-A i Materials & Workmanship Shall ve M
Accordar►ce with Redo nixed Gao ,
rt3 T-oij ccik� t e� � Practteos
Unif=orm Building, Plumbing &Machan c0I use In the
the National Electrical Code. Coda and
200' T• 34AOe;rDIL
PD�
f
1809
- _• .••-. • ,.. Fes;, ;,,, -.
160'
...... ;:, _ A setback of 5. ft. -from' 6';fhe ;
I_
propertylines and a s®#(aeck
of 50ft. fro m'the 'road 7�%�l�'.'.
- ' - 1 - , + 0. U t✓ ; i 'centerline shall be clear.bfi
i40'-: ` -- _ -� _ +-� ✓ 111+ ^; structures or equipment:except
2t.ave;-overhart�gr-'
+ tit
y
120' ' _-.�- .--_,._. ._.. _�_.-. .._�.... . �-•--f- .. ;..� -1-• -
'- _ lea _ �•--- i- -. ; .:j ._
Utility, connections shall be withlln
100'` ' -� ` - 4 ft. `of the mob-`ilehome, elthbr
directly behind or withln the rail?
half of the
mobile! ore, '(RAVE%. ZR%%u4%_
60'
40'
20'
.40' 60'
En
co
BUILDING DEPARTNA,r-
APPROV.
31�-8♦7 T
80' 100'
,y
x_120' 140'