HomeMy WebLinkAbout028-400-027i
28-40-27
LTER W. DOUGHERTY. s
S oodhill Dr, Bangor n
_ Contr: __ �au�cJ a �e�+ `-;
A.�
Permit #1 -87P E
(util-�„N�II
ELECTRIC �ii' � "- ZO
GAS
CCM -ACT I )N. TEAT ,RE _
SUPPORT STRUCf'URE R
i
28-40-27
Contr: P augherty.t-
Perm' 636-87P(gas piping)MH
28-40-27.
ermt92080-87B; E'("riew
V& 5 �.�y 28-4 ,27- i
Centr-: - .}.
Permit #1126-87MHI"( tall, ) =j '
ISSUED
i
• I 4 `i
F
CLAIMANT:
ADDRESS:
a� Xuue
OROVILLE, CALIFORNIA
GENERAL CLAIM
Walter W. Dougherty
55 Woodhill Dr., P.O. Box 292
CITY & STATE: Bangor, CA 95914 IMPORTANT:
August 26, 1987 SEE INSTRUCTIONS
DATE OF CLAIM: g ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
I AMOUNT
Owner has decided not to do work. (Bldg Permit Appin. #2080-87B,E,
Receipt #87228, dated 6/24/87, A.P. #28-40-27).
Building permit fees paid ---------------------- $112.75
Retain tiling tee-----------------
Retain plan checking fee---------- 114.25
Amount retains ------------------------------
Refunddue ----------------------------------------------- $68.50
permit fees paid --------------------
Retain filing fee------------------------------ 10.00
Refund due ----------------------------------------------- $13.20
TOTAL REFUND DUE----------------------------------------- $81.70
$81.
70
TOTAL
$81.
70
I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, a-ndjtkgt this
claim is true and correct as stated.
XDated this ..�. g7............ day of , 19....... a ................................ Calif
. ....... ............ ........... .. ...
Signature laim ant
1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de-
livered and that there is a Budget Appropriation O or Specific Board Approval ❑ (Check one) he same.
Dated this 26th Au ust 87 Oroville
................................... day of .......... g............... 19....... et .............................. , Calif. ....... ... ... ......
partment Head or Authoriz eputy
od`'
CCode440-002 E:°' 4710700 Const. Permits
............................................ Code ................................................ PAYABLE FROM .............................
..... .....
DO NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY
DEPT. B SUB. 'ROJ. SUB. OBJ. I CLAIM NO. I INV. NO. I INV. DATE I ENCUMB. GROSS AMT.
vJ/
`COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION. AND PERMIT
PERMIT NO.
ASSESSOR PA NUM •ER _
C12 7
ZONI
BUILDING PERMIT
OW ER
TEL PHONE
S0. FT. OCC. BUILDING VALU ION
O WNE$'S MAI LINGMOCZ a2O
ar
CONTRACTOR'S NAM TELEPHONE
W
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
$ 3 el a
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS_,.
5 v
Permit fee
$ 5
PLUMBING PERMIT
Filing Fee 10.00
IV
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-2 Other %6g4 -p—
61 SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G W
0.00 ea
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ❑ installation[] Other ❑
Describe work: %1� o�
Permit Fee
$
Contractor
ELECTRICAL PERMITFiling
Fee 10.00
Main service eoov 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
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.(ti\ '/z¢sgft
OR AODNS. ` ACC. BLDGS. I
NEW CONSTR.ULTI.OUTLET 2.50 ea
NON-RESID BRANCH CIRC ITS
(POWER APPARATUS 61
SINGLE OUTLET CIR.
i0 ®,Oa
EX. OCCUp OUTLETS OR FIXTURES .-ALO 30
FIXED APPLNS. OR \
EX. Occup. OUTLETS (RESID.) EA.J 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ Q
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
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all Iia il'ties, judgments, costs, and expenses which may in any way accrue
again ii Un n cons en a of the granting of this permit.
/_ ^� �
X Date (f�
Signature oficant – OW er Contractor ❑ Agent ❑
An OSHA permit is required for excava ions 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 $ 2
RP*J
0 , T PE
I F tj
PAR
:4-rl[ I,
This permit is hereby issued under
sions of the Butte County. Code and/or
work in ted above for which
1 C OR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
ss .♦ rya.. „ , i, ,y. A u.r t. ;'.,�; -!(C ,,, ` ji.r , ti V, ;h ',/ - .1*,•p , i ;� 4. } ..! S �vt � +-'
n COUNTY OF BUTTE - DEPARTMENT„OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, IiAL`t*6IA 95965 - TELEPHONE: 916/534=4541
Ile
PERMIT APPLIOATI DATA SHEET
J ', Permit No.
OWNER C,C�a � � b U 5� h r } A. P. No. 06F- �0_ -27
Proposed Building Use / ,59tv, Building Inspector Date to1a
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
j 1. All items have been submitted. . . . . . . . . . . .
d; 2. Plot plans in duplicate./triplicate, signed by preparer of plans. ,
3. Complete plans in duplicate./triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD I Fees Paid'' Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
�i9. Letter of signature author ?igt I on. .
— 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 ❑ ),
_15. Improvements may be required. . . . . . . . . .
16. Mobi lehome Installation Data.
Re wired, Pre-Inspec. request to (Date)
17. Pre -Inspection for q Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21.
22.
When you issue the permit, process as follows: Mail to owner, Mail to contractor.
Telephone and hold for pickup at—off ice, Deliver w/inspector.
Other
Appl ica a_-�_-�Date b_� d
Copy of pians sent 1 Health Dept., Fire Dept., Other Date
The following data must be submitted prior to peVj issuance: (Circle -new item not checked above).
1. Index permit for above items No.
2. Additional items required:
� / �• � "rte �`"'�
Contractor, designer, owner, was advised of above required data by_phone---naiI—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 NDate
Sets of plans on hold in File cabinet AP folder
— Flours: 10:00 a.m. - 3:00 p.m.
Copy—DPW
P
TO Building Department
FROM: -` Environmental Health
SUBJECT:- Sanitation Clearance
• �� 4 o ��
Owner Location. AP#
Plan Approved for: Sewage Disposal _—� Water Supply
Hold final for:\
Water Supply
Final clearance O.K. for: Water Supply _
Clearance for _ _ _ bedroom mobile home. Other
NOTE * * *
Sanitarian
Date
COUNTY OF BUTTE - Departm ht 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.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) y �S
2. Iave have not) _ signed an application for a building permit
for t e 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: n
Property Owner fit/
Social Security Number
Date b
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 pexK-
mitted to issue the permit.
f�
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIV
c 'a OROVILLE, CALIFORNIA — 534-4541
PERMLT. NO /
Address or location of bil
/
Owner's name
Owner's address
IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
513B White - Owner, Yellow - Installer, Pink - D.P.W
' COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
R
PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
t/7 -
Inspector a-26 Date
4 COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211', Ext. 70'
7 County Center Drive, OroviIle — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION NOTICE-�
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector 06=41tl- Date zx�dAz
d�
PERMIT NO.
PERMIT EXPIRES
OWNER WALTER DOUGHER Y y`
CONTR. Kaufman Homes
ASSESSOR PARCEL 28-40-27
LOCATION 55 Woodhill Dr., Bangor
s,
OFFICE COPY
Address
GAS l
Meter By Date 1
ELECTRIC 1
Meter By Date
Temp. Power Pole
OFF//F//ICE COPY
Called PG&E Address ,,rr�� S /U/f �iC� LJ/`
Temp. Elec. Servie
•G -AS-
Called PG&E Muer By Date
ELECTRIC
Meter By Date
Temp. Gas Service k
i
Called PG&E
JOB FINAL
Signal►
iewnR .gmgT
qmuT
- - _.........'4)a sngi2
/•t V
J - OK v'
Not OK
O = Not Applicable MOBILEHOMES'"'_ "r1I`�. {'' �" ,�'``��'"' �'" MISCELLANEOUS
= Not Ready
DateOBILEHOME
UTILITIES (Plans) OK except N's -t-.-
Date - DECKS,'COVERS, CARPORTS, -ETC. (Plans) OK'exeepi k's --
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements _
.-Soils; Special MH Support-Sketchi'
2. Footings; Size -Depth -Spacing -Connectors
Sewer; Location=Test-Fall-C/O=Concrete I
T
3., Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
Water; Location -Test -Easement Needed (Sketch) _
4. Wood Aw'n:; Posts-Beams-Rftrs.-Connec.=Shing.-Rfg.-Bracing
ecfricity; Location-Clearances-Grnd.- / Amp -Concrete
5. Alum. 'Awn.; Columns-Connect'ions-Splice-Decal=Ericlosures
Gas; Location -Test -Wrap:/ ("L"fL/ /•'Nat. or/ "L"ft./ "LPG
6. Carports; Windows -Doors
Utility Clearance
7. Elec. r r—
Card-BIM_Date
D g�/; Card -BI Date
Card -BI
Date Card -BI Date rt'
Card -BI
D e ' ' Card -BI Date
Card -BI
Date Card-BIQ n Date c
Date
MOBI HOME)NSTALLATION (Plans) OK except q's
Date
POOLS (Plans) OK except N's
-
Z 26itig'Requirements-Setbacks-Easements --
1. Setbacks -Easements!
F tings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
MH Test -Demand -Valve -Connector
-
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining---
ec-icity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
in; MH Test -Fall -Flex Connector
-5. Elea; Pool Lighting; 15 votts-GFI=
er•,MH Ties t=Regulator-Connector ''
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
t rand Sewer Connected -C/0 to Grade -HD Approval "
7• Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater,
-
sand Electricity Tagged
8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghig.
Boxes- Enc losures- Pane Iboards-Ins. to'Main in Conduit t
zits; Insp.-Sketch
Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-
Date and -Bt' Date S
Card -BI
Date _ Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date -- _ -
pro• . .•,nr.*
Y
dm .-i
r nl57,
', t..,,e •^ .. Ian, ,
n, J
i
J = OK
0 = Not OK
- = Not Applicable
;� = Not Really `° RESIDENTIAL' (Sing'le and Duplex)
Date UNDERFLOOR (Plans) OK except N's
1. Zoning requirements -Setbacks -Easements
2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /•' Ftg. Dept
3. Fig., Garage; Soils -Steel- / /" Fig. Depth
4.- Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Stemwalls, Main; Steel -B lockouts -Wrapped -Slab
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
7. Piers -Fireplace Ftg.-Steel
8: D.W.V.: Fall -Fittings -Test -2 way -C/0 -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
Card -BI
Date Card -BI Date
Date PLUMBING (Permit) OK except f/'s
14.
Water Ht.; Vent -Access -Combustion Air
15.
Water Pipe; Test & Anchors -Nail Protection
- 16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
17.
Shower Pan; Test, First Floor -Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
19.
Gas Pipe; Size & Anchors
FRAMING (Continued)
48. Property Line Firewall & Openings
49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
50. Stairs; Width-Headroom-Rise=Ruh-Landing-Fire Protection
51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
52. Siding -Nailing -Veneer
53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access •
54. Glazing Area -Glass Protect ion-Skylights-Plast i
Card -BI
c
55. SheariWalls; Nailing -Bolts
Date Card -BI Date
_
Card -BI
- -
Date Card -BI Date
Date Card -BI Date
Card -BI _ Date Card -BI Date
Date
ELECTRICAL Permit OK except Ws
Card -BI
20.
Date Card -BI Date'
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except q's
56. Ext. Steps -Door & Sidelight Protection -Landings
-
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
-
59.
Bedroom Exiting
,&
Romex Installed Close to Edge of Studs & C.J.
60.
G.F.I. & Bath Fixtures & Tub Access
24.
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
62.
Stairs & Rails
-
63.
Fireplace or Stove: Clearances -Hearth
Subleed Wire Size r- /_ga. Cu or Al-A.C. Wire Size / / ga. Cu or Al
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
-
Date Card -BI Date
_
Card -BI
- -
Date Card -BI Date
Date Card -BI Date
Card -BI _ Date Card -BI Date
Date
ELECTRICAL Permit OK except Ws
_ -
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 & Conductor Size
-
26.
Subleed Wire Size r- /_ga. Cu or Al-A.C. Wire Size / / ga. Cu or Al
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI,
-
-- --- -- - -- - - - - - -
44.
Insulated Neutral .Yes
-
_28.
-,,,No--
Service -Riser Conductors & Ground -Main Disconnect_
-
_--
29.
Equip. Clearances Panels-Motors-•Mech. Equip. -
30.
Clothes Closet Light -Shower Light _
-
Card B-1
Date Card -BI Date
-
Card B -I
Date Card -BI Date
-
Date
MECHANICAL (Permit) OK except q's
-
31.
A.C. Ducts. Iiisulation & Support
-
32.
Vent Fan; Exhaust above Insulation
-
33.
Condensate Drain & Overflow. Size & Grade
-
_-
34.
_
Furnace -Vent: Access -Comb. Air -Rel urn Air Vent -115V ou_oet
-'
35.
Attic Access & Platform it Furnace in Attic
Oto. 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 ❑ 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 E] 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
Card -BI
Date Card -BI Date
_
Card -BI Date Card -BI Date
Card -BI
- -
Date Card -BI Date
_
Card -BI _ Date Card -BI Date
Card -BI Date Card -BI Date
Date FRAMING(Plans) OK except rs
Comments at Final:
36.
Sills; Proper Material & Anchors
37.
Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39.
Diafl Slop in Walls (rat proof)
40.
Fire Stops: Furred Ceilings -Stairs -Chases -Tub
41
Header & Beam -Size & Bearing
42.
Hangers -Poll Caps -Anchors -Connectors
43.
Cing. Joist-Rfu. Ties -Pullin -Roof Brae.-Truss-Shthnq.-Ring.
-- --- -- - -- - - - - - -
44.
Fueplace Ties of Type A Flue -Fireplace Throat
- - --
45.
Attic Access, Size &Romex Protection -Draft Stop -Ins. Battles
_--
46.
Bdrin. Windows of Exiting Doors -Sill Hgt. & Dimensions
47.
i;aiaye Fite rnaacuon Fr+m:ag
`f
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO'
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 5^
APPLICATION AND "PERMIT
ASSESS9R PARCEL NUMBER
y _(/ —�
ZONING
�j
BUILDING PERMIT
OWNER/},/ /,/
TELEPHONE
SO. FT. DCC. BUILDING
VALUATION
OWNER'S MAI -LING ADDRESS
vK .% 5 A
CONTRACT 0 R'S NAME 'f�� TELEPHONE
G7h 6197 7—0�
CONTRACTOR'S MAILINGA DR 55
7
fC-14 I/
Fireplace
ON TRUC ON L DER
t er�
UNKNOWN
Total Valuation $
FilingFee
$
EN ER' M LING ADDR SS 4
l/^1 (•I�-• (/p
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ S
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
A
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
X27 h
Solar or heat pump water heater
20.00
LOT NOISION
SUBDIV N kME
l��j i CC
!�'✓
PARCEL M
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 rSJ G
10.00ea
TYPE OF WORK
New❑ Addition❑ Remode�D Utilitiff Installatiln❑ Other F]
Describe work: V -a V f I �t�d 1It 1-
Permit Fee
$ _30-
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR
10.00
0
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under enalt of perjury
p y p er 1 y (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
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.al ,
OR ADDNS. ( ACC. SLOGS. / /20sgft
NEW CONSTR. MULTI -OUTLET 2,50 ea
NON.RESID BRANCH CIRCUITS)
POWER APPARATUS .&)
SINGLE OUTLET CIR .
/ OUTLETS OR FIXTURES
EO20®50t
x. ccup\eAL®3o
Ex. Occup. ou LETS P(RESID )REA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
9 15.00
Permit Fee $ " 12-0
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
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
S
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
agai t said County in nse ence of the granting of this permit.
X _ -
Date
Signature of Appli t - d. ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 33 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
Occu P.
CONST.TYP[
I
I o
PAR CE
PD
ND Issu ir
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By //�-
PE EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Dated /� CjP�
Receipt No. �w 7 %%/
WNITE-O.P. W., 7ELL0 W-ASSES90R, PINK -INSPECTOR. GOLDENROD -APPLICANT
TO Buildina Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
wner Location AP#
Plan Approved for: Sewage Disposal _ Water Supply
Hold final for: Water Supply
Final clearance O.K. for:
Clearance for _3 bedroom mobil home. Other
NOTE * * *
Sanitarian
Water Supply
ate
COUNTY OF BUTTE - DEPARTMENT•,OF 'PUB is WORKS - BUILDING:DIViISION
7 COUNTY CENTER DRIVE - OROVILLE, C4L)F_QFV,VIA 95965 - TELEPHONE: 916/534-4541
r
PERMIT APPLICATION DATA SHEET a ,
Permit No.
OWNER
Proposed Building Use
A. P. No. g
Building Inspector
-;(0 —.2 7
Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and1or issuance:
DATE RECEIVED APPROVED
1.
2.
All items have been submitted. .
Plot plans in duplicate./triplicatesigned by preparer of plans.
3.
Complete plans in duplicate./triplicate, signed y preparer of plans.
4.
Complete engineered plans and calcs, with wet signature on plans.
5.
Plans with Energy Design Compliance Statement. . . . . .
6.
CUSD ''Fees Paid'' Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8.
Fees of $ . . . . . , . ,
9.
iek
Letter of signature authorization. . . . . . . . . .
Sanitation approval from ���' �1P Health Dept.
11.
Planning approval for (A) Use: (B) Parking:
_.
�z
Certificate of Workmen's Compensation lnsurance.S?� &moi. -
-� —�
X13.
Contractor's License Information (no., name style, classif.)
14.
Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ),
_15.
Improvements may be required. . . . . . . . . . . .
-
16.
Mobilehome Installation Data. . . . . . . . . .
1 .
�/
Pre-Inspec.
Pre -Inspection for Required. Building Inspector
Recorded copy of Agricultural Acknowledgment Statement.
request to (Dote)
19.
Driveway Permit.
20.
Plot plan approval from city of
21.
22.
,
/5�✓` w
When you issue the permit, process as follows: Mail to owner, —Mail Vo contractor.
Telephone and hold for pickup at—off ice, Deliver w/inspector.
Other
'J)W_,O�J,654�Date*
Applicant .
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--mai 11—counter by date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by4, date
Plans checked by
Sets of plans on hold in
Copy—DPW
Date Plans approved by
File cabinet AP folder
— Flours: 10:00 a.m. - 3:00 p.m.
10
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965 PHONE:(916)5184541.
Walter W. Dougherty
3337 Woodhaven Ln.
Concord, CA 94519
With reference to the above subject:
Attached is:
ME:Building Permit Applications #1125-87
&1126-87
A.P. # 28-40-27
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced
OTHER Agricultural Statement of Acknowledgement
We need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
X Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check exemption statement.
Complete plans in , including plot plans.
Plot plans in
Structural details in
Complete plans and calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section (DPW).
sets of plans in accordance with the changes marked in red.
Sanitation approval from Butte County Health Department at:
196 Memorial Way, Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7 County Center Drive,
Oroville, for
Completed Owner -Builder Verification form.
Recorded copy of deed showing
X Recorded copy of agricultural acknowledgement statement.
X OTHER 1) Driveway permit form the Department of Public Works - Road Department,
2) ADDlications for mobilehome utilities and mobilehome installations have bee4
set on a permanent foundation sustem. If this is to occur, then a different application
will be required, engineered foundation plans will be necessary, and other information
must be submitted. Contact our office to clear up this problem. Thank gnu.
Should you have any questions concerning the above, please contact this office.
JFG/aj
MV
, Yours very truly,
William Cheff
Director of Public Works
.F. Glander
Chief Building Inspector
2q19-101
This set of plans and specification MUST bE
kept on the job at all times and it is unlawful +o
make any changes or alterations on me without
Written permission from the Depart ent of Public
Works, County of Butte.
A setback of 5 ft. from the
property lines and a setback
of 50ft. from the road
centerline shall be clear of
structures or equipment except
for a 2 ft. eave overhang.
NOTE: All Materials & Workmanship Shall J(g
Accord nce with Recognized Good Practices i
of a quality prescribed for the Specified use In
Unifo Building, Plumbing & Machanical Cods 4
.40 alloW Electrical Code.
Utility connections shall be within
4 ft. of the mobilehome, either
directly behind or within the rear
half °tA'"e! -0.of the
mobilehome.
,�-, 0 (0 �q (!-",
BUILDING DEPARTMEN"
'APPROVED
II2S'-�7
e7
-*eturn to DPW AGRICULTURAL STATEMENT Of ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT 01"F11 ;AI_ IREC P,DS BY
Section 26-8.1 of the Butte County Code requires this acknowledgement `'/tri rl' ;i;1OWj1j
be recorded prior to issuance of a building permit. 87••.1611921 (lj HAY -$ F'il 3 40
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of this a' �'`�'L N,, B
property may be subject to inconveniences or discomfort arising from CLERK-nEC01?DERFEE
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 P4
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:
,1 L� � (j�c� %�-i�'-JZ�' ,-L� ` GvL� YIO��zJ�/ �7/� .SGL°.P-Q�-v� C_•t.-rL2'i/�a!L!Pi •-
✓6
Date: 4/8/87 PROPERTY} OWNERS:
'WALTER W. DOUGHER,T.Y SHIRLEY/ . DOUGHERTY ( �
State of California
County of
Butte
On'this the 8th day of April , 19 87 , before
SS. me, the undersigned Notary Public, personally appeared
Walter W. Dougherty & Shirley A. Dougherty
®■■asA®■ame®�®am■■■■■■■®■®� Personally known to me. Proved to"me on the basis
■ ,- >, of satisfactory evidence.
■ i ; DEBORAH A. DAVIS ■
to be the persons) whose bame(s) arP subscr ed to
NOTARY PUBLIC -CALIFORNIA m the within instrument and acknowledged that thpW
Butte County ■ g
My Commission Expires April 30. 1990 a executed the same for the pu poses therein contained.
■ N WITNESS WHEREOF I her un o set m
®e■®■m®■■■■■a■0o®■■1e®■■s13ea� y hand and al seal.
Notary Public
Present A.P. No. 28- 40-27 DEBORAH A. DAVIS
DESCRIPTION:
All that certain real property situate in the County of Butte,
State of California, described as follows:
PARCEL I•
Parcel 5, 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.
RESERVING THEREFROM non-exclusive easements for ingress and
egress and for public utilities over Woodhill Drive and Diablo
View Drive, as shown on the above described Map.
ALSO RESERVING THEREFROM that certain 20 foot easement for
driveway and public utility purposes as described on the above
Map.
PARCEL II•
Non-exclusive easements for. ingress and" egress and for public
utilities over Woodhill Dtive, 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.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT 1,
ASSESS R PARCEL NUMBER
ZONIVF
BUILDING PERMIT
owN RTELEPHONE
`may
SO. FT. OCC. BUILDING VALUATION
WNER'S MAILING AD RESS 'n
CONT C O SNA
14
TELEPHONE
CO TR C O 'S MAILIN A E I _II +,
Fireplace lace
CONSTRUCTION LENDER
UNKNOWN
A�
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
c /
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PAR L MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ MobilehomeX Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I SrGJ W
0.00 ea , v
TYPE OF WORK
Re
New ❑ Addition ❑ odel ❑ U • ities ❑ Installation❑ Other
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6101 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):
❑ 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
r_1 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-
Y ors.(Sec. 7044)
ors.
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.IY ,
OR AODNS. ( ACC. BLDGS. 2/2¢sgft
NEW CONSTR ULTI.OUTLET 2.50 ea NON-RESID BRANCH CIRCUITS)
(POWER APPARATUS e1
SINGLE OUTLET CIR. I
Ex. Occup(OUTLETS OR FIXTURES 200500
DALO 30
FIXED PK
Ex. Occup. OUTLETS (RESID IEA.) 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
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
E
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 s i Co ty in sequenc granting of this permit.
X Date r�
Signature of App -can, — O ner ❑ Contractor 1:1 Agent ❑
An OSHA permit is required for excavations over S'Q" deep and demolition or construct-
ion of structures over 33 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ D
occu P.
CONST.TYPE
--f—FLOOD
PARCEL
PD
I ND
I ISSUE
This permit is hereby issued under
sions of the Butte County. Code and/or
work Indic d above for which
DIRE PUB
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
ORKS
Date
Receipt No. (J
WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
I
AP #4,2 02 Z
OWNER / c
PERMIT "# //-,2. L—
MH UTIL.CLEARANCE DATE
INSPECTOR
ELECTRIC
GAS
Support
Struc.
Compaction
iTest.Req.
Service
Size
Other
Load
Type
Pipe
Size
Length
YESI N01
YES NO
zoo
, �
),s°
_3F
c5(/
. k
1\
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 0Z61
IT
7 County Center Drive - Oroville, Ga),iforni,a 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL 14jUMBER
ZONAG
''vvy�----
BUILDING PERMIT
OWNER TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
O W N E S IL 1G/A DDR
S-5-�`--Cc..Z�77
SW
CONTRA R'S NAME T EPHONE
3P
O�
CONT A OR S MAILING ADDRESS
34
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
$
Q
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
5'5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
Gas piping system 1 - 5 outlets
5.00
SF ❑ Duplex[] Mobilehomeg Other
Building sewer
5.00
SPECIFY
Mobile Home S I G I W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallatiQnXl Other ❑
Permit Fee
$
Describe work:` �(Ji%Li�Es 9iyz'JlcG �,�_
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
10.00
Qo
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
NEW CONST. ( DWELLING OCCUP.$d
(
/20sgft
I declare under penalty of perjury
p y p l y (check one):
OR ADDNS. ACC. SLOGS.
NEW CONSTR. ULTI.OUTLET
2.50 ea
E�'l am licensed under provisions of Chapt. 9, Div. 3 of the Business
NON-RESID BRANCH CIRCUITS)
POWER APPARATUS s
(SINGLE )
and Professions Code and my license is in fo force and effect.
OUTLET CIR.
Ex. Occup(OUTLETS
License No. ��� Classification �,Z
OR FIXTURES
020@50 3
5AL0
AL&
F-1 I, as the owner, or my employees with wages as their sole compen-
Ex. Occup. OUTLETS ((RESID )D APPLNS.REA.)
2.00
sation, will do the work,and the structure is not intended or offered
Temporary service
10.00
for sale. (Sec. 7044)
Mobile Home Facilities
15.00
❑ i, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
Misc. 6yirin g
15.00
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
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
ES, --f shall not employ any person in any manner so as to become subject
Hood
3.00
to the W. C. laws of California.
Ventilation
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
permit Fee
$
provisions or this permit shall be deemed revoked.
Contractor
I certify that I have read this application and state that the above information
Mobile Home Installation Fee
$
is correct. I agree to comply to all County Ordinances and State Laws relating
Energy Inspection Fee
$
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
TOTAL PERMIT FEE
$ 7000
I also agree to save, indemnify and keep harmless the County of Butte against
occ up.CONST.TYPE�11o.SCEL.J PD 99UE
all liabilities, judgments, costs, and expenses which may in any way accrue
\
against said County in consequ nce of the granting of this permit.
(! �`
X V ° "'` —� +
This permit is hereby issued under
the applicable provi-
Date
sioof the Butte County. Code and/or resolutions to do
Signature of Applicant — Owner ElContr or� Agent Elrk
ndicatedove for which
fees have been paid.
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
t CTOR OF PUBLIC WORKS
ion of structures over 3 stories in height.
Receipt No.Date
WHITE-D.P.W., YELLOW-ASSE390R PINK -INSPECTOR. GOLDENROD -APPLICANT
PERMIT EXPIRES Date
p/wc
,..� ,„n, +f✓�. Rc' ucj ,,..rest : ,ra. kt n+ r az• y : .. ?.l:. t7s.+f ..�. . c ! a !3 t •41F
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,* L� F(6FfNIA 95965 - TELEPHONE: 916/5,344544
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER A. P. No. 2 — 2
Proposed Building Use %ZI%f Building Inspector Date I �7
L /
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate./triplicate, signed by preparer of plans. ,
3. Complete plans in duplicate./triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . .
6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. .. .
10. Sanitation approval from Health Dept.
-111. Planning approval for (A) Use: (B) Parking:
Certificate of Workmen's Compensation Insurance. . . . . .
Contractor's License Information (no., name style, classif.) ,
14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ).
15. Improvements may be required. . . . . . . . . . . .
Mobilehome Installation Data. . . . . . .
Pre-Inspec. request to (Date)
17. Pre -Inspection for Required. 1301ding In,
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21.
22. U ''—� ✓�
When you issue the permit, process as follows: `Mail to owner, Mail to contractor.
Telephone and hold for pickup at—off ice, Deliver w/inspector.
Other G
Applicant Date /f. a
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---naiI—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 b to
Sets of plans on hold in File cabinet AP folder
— Flours: 10:00 a.m. - 3:00 p.m.
Copy—DPW
1. Owner's Name:
2. Installer's Nam
3. Is the site currently under permit? Yes No u
(If yes, furnish permit number (o- C -o 1 ) OR
Is the site an existing site?- Yes F-1 No
[�—
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS ,
7 County Center Drive, Oroville, CA
PHONE: 538-7541
MOBILEHOME INSTALLATION SHEET
(If yes, furnish two plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach
fields and clear of all setbacks and easements? Yes 1:4 No
(If no, clarify
5. What is the mobilehome electrical rating? --------------- f Q 6 Amps
6. What is the mobilehome site service rating? ------------- Z 6 O Amps
7. What is the mobilehome site circuit breaker rating? ----- ti Amps
8. Is there any other electric load to be served by the
mobilehome site service? -------------------------------- Yes No El
(If yes, identify the load and size: (_(Load) (Amps)
9. What is the mobilehome site gas pipe size? ------ --- -----
G T (in.)
10. What is the type of gas service? -------- ----.---,Natural El LPG a
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. )V/�G _V A setback of 5 ft. from the
JI --property lines and a setback
of 50ft. from the road
BUILDING ®EPARTMENIcenterline shall be clear of
structures or equipment,bXCW
+, P P Q 0 V E Ir, for a 2 ft. eave overhang.
MOBILEHOMB SUPPORT DATA
If other than single wide, I g
Mobilehome Mfr. &2cfAJfurnish Setup Model No. &1-- Q d Z Year ` 1
Width 3 1 (ft.) ox Length $ G (ft.) Tagalong or Expando Size t 0 ft. x —76 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).
FO(YrINGS (check one) . Wood -pressure treated or foundation.grade.2. Other (specify)
SUPPORTS (check one)Concrete block.a 2. Other (specify)
Pier Footing Sizes and Locations
SINGLE -WIDE
MULTI -WIDE
i l'�
Line I
Ito
ine 2
"x
— — — — — — — — — —
Main Beams
- Line 2
Line Z
_
— — — _. _ _ _ — — — _
Line 3
— — — � Main Beams
s -Line
Tag or Triple
Line 1
r
Line 1 Piers: Line 1 Openings:
Size -Min. ------------
Size -Min. ------------------
"x x,
Spacing -Max. Each Side of Openings
Fnan Ends -Max. ------- '_ " With Width Over --------- "
Line '1 Piers:
Size -Min. ------------
Spacing -Max. ---------
From Ends -Max.
line 3 fi,u,f loads:
Size-Min-------------
L)Cation (From Front)
Linc 4 Piers: T Line 5 Piers: (Under Bearing Walls Only)
Siz.•-Min------------- k Size -Min ------------------- Ell
SpacJog-Max ---------- .� Spacing -Max. ---------------From Enda-Max.------- �� From Ends -Max.-------------
Linc 5 Roof mads:
Size -Mill --------------
Line 3 Piers: (Under Bearing Wall Only)
Size -Min. ------------------x ..
Spacing -Max- --------------- r
From Ends -Max.------------- ._
t location (From Front)
11 Z y"x�
"x�"
"x-"' "x
"x
"x 1.
t location (From Front)
"x
"x
'�x "x
"x 1.
u'• ?7
`'"� ,--•- KAUFHAN t•AR0A0 HOME SYSTEHS,IN
4006L Lux—. LIVE P.L.F,
N0. 8� j SIZE 5',-r'1J LOAO:2 Les. ^�
0
FlMeWMANJtACTUM ' K-', MOt MOWU HOMES AtOlAAC ADOMONAL SUPPORTS AT 1[AAltO . tOtNTi ' ALONO TN [ GEMT[RLKi. 4
HO(lWM ING ,` STS SHE SUI►CRIS 11ACxt1 INtt HAVE A CAPACITY THAT RM WILL " OAT TME AIOO[ TEAM LOADS. c a.
0 X
THt CMAAT. N06US THC AIOOC ICAA LEAO t IK ►domos ; t THt LOCATIONS FOR FCOTINOS t SU►POIITS ;` N ro _AT ICA��
OCT 101985
O VAAiCVtAsm GONOItIONIRO =KO THE CEIt?tALINt. tNt tl2[ Of fOOTNOf AAS S►+Owft IN SO NCHti FOR p o -� (D s
Q a. A SUr►OAT PISA =MOULD .It StLECTEO FDR. tACM LOCATION MOICATtO FOR YOUR NOOCL , tMi .. 'a
a� AtACity OR �It =U PM? FICA •SMALL It C61JAL TO OR ORtATtA TMAI M ►OtJMOt AEOUACD IN `o 4.-- �a C v
Q_ YHt �AIDOC RAM LOADS C& IMK ON TME CNAAT a .
0 E-cro
FOR ADDITIONAL FOOTIFM, AEOUTAcmtKTt ASPER TO Trit HONE IMMLA:MON MANUAL ., Y ; •0 0 0
` • AS NOTE � .. • . ... ...... .. • ' ... � �:
�-
N tom,
SPAN 10' SPAN 9 SPAN a SPAN 7 .j,•. SPAN 6 SPAN S SPAN L '� SPAN 0- SPAN 2. �.SPAN�
K J 1 N 0 F
• • TYPICAL MULTI- WIDE N081LE HONE.
- -4 *2- 1 A o
• . RIDGE _BEAN LOADS WITH PIERS L 'FOOTING- RE6utREWI:NT9 .
SPAN • 10
SPAN 9
SPAN' a
SPAN 7
SPAN 6
SPAN S
SPAN I
SPAN )
SPAN 2
SPAN 1
LENGTH
• . RIDGE _BEAN LOADS WITH PIERS L 'FOOTING- RE6utREWI:NT9 .
A setback of 5 ft. from the
property lines and a setback
of 50ft. from the road
centerline shall be clear of
structures or equipment except
for a 2 ft. eave overhang.
This set of plans and spec14ations MUST be
kept on the job at all times a d it is unlawful to
make any changes or alterati ns on same without
written permission from the epartment of Public
Works, County of Butte.
NOTE:—All Materials & Workmanship Shall B
Accordant with Recognized Good. Pracilee: and
of a quali . prescr;bed for the Specified use In th®
Uniform ild;ng, Rlum6ing & Mach 1c' COe� and
lM N al Electrical Code.
S od fl C",
•
4 wrrhin
�� t
directly behind or within
h8li{ r ,
�•46kj of the
mobilehome.
e
xc.-
-t,4,j,��