HomeMy WebLinkAbout021-320-03321 - 3
Joe Terry
E/S Dewsnup Ave.,app.600'S.of West 'A
Liberty Rd., Gridley
Permit 427-77P,E(uyl.'NH)
LEC
GAS
' SUPPORT STRUCTUREREQ._/USO
s
COMPACTIN TEST RE u
FA:o, A 21-X32-33
Contr: J.B. Mobile Ser, Par, f
Permit ##3849-77MHI
Issued
21 3.�.
Perm't #6436 77B(new covered dec MH) ;
-021-320-033 PERMIT#96-0944
LOUDERMILK, Larry
1152 Dewsnup Ave.,,Gridley
Cont: RB Builders INc .
New Single Family
I'
1 ,
} 021-320-033 Fna� 99-2 62 - f
. F
SORANI, NICHOLAS & KRISTIN
1152 DEWSNUP AVENUE, GRIDLEY ,
CONTR: BOB FICHTER BLDERS
PUMP HOUSE
P
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NOTES
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RESIDENTIAL
' 021-320=033 99-2062
PERMIT NO. SORANI, NICHOLAS & KRISTIN.
1152 DEWSNUP AVENUE, GRLDLEY
CONTR: BOB FICHTER BLDERS
PUMP HOUSE
SPECIAL CONDITIONS
SRA
FLOOD CERTIFICATE REQ. -.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS•
SUB -STANDARD HOUSING LETTER'
JOB FINALED (Dafe)
Signature
CHECKED
BY
--XCOUPATY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT O.
(Rev. 12/96)
`
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
GWNEPICHOLAS AND KRISTIN SORANI
TELEPHONE
SO. FT. OCC. BUILDING VAL T N
208 IT 3,744.00
OWNEJs !!r7ff&UP AVENUE, GRIDLEY 95948
co'IN r9YINTER BLDRS
TELEPHON846E 6611
corrn}�T 'H'A!? TF, GRIDLEY
CONSTRUCTION LENDER
`
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $63-00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
40 95
BUIL.DINGADDRESS
1152 DEWSNUP AVENUE, GRIDLEY
Ener Plan Checking Fee $
Energy g
$
PERMIT FEE $
LAT NO.
SUBDNISIDWS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other PUNPHOUSE
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
NewYQ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
R LES
Main Service 20.AORLESS
23.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in 11 force and effect.
License Class Lic. No. -7 ��
96— OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ I am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier ,.(' � %.mac e�-� .
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
laws of California, and agree that f I should become subject to ther,
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with tho rovisi
�1
/
X Date — z:
Signat a nt - Owner ❑ Contractor ❑Agent
An OSHA per it is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 20aL TO
46.00
CCU000A
NEW CONST. pwELLNo occuP. 3.5�F°. 7.25
(
OR ADDNS.NEW
MULTCOu�TLS.
CONST.
NON-RESID. 97.50
POWER APPARATUS
8 SINGLE 011flET CIR.
20 @ 1.00
Ex. Occup. CUTLET OR FIXTURES BAL @ .50
PPLNS
Ex. Occup. OFA OS q� OR EA.
5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina
23.00
PERMIT FEE $ 27.25
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FES $
Mobile Home Installation Fee $
Energy Inspection Fee $
G
VA-
TOTAL FEE $ 151i20
AHAZV.
S IMP
O O
CDF
P EL
J.PO
HD SUcompensation
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON Z
ate
Receipt No. 274038
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
C&UNT;NOF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION /
7 COUNTY CENTER DRIVE - OROVILLE, CALIF6l21 A 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: 150iro ou, ASSESSOR PARCEL NUMBER: CSI -3 - O3 3
Proposed Building Use: Building 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 By
❑ 1. All iiems have been submitted.
02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ._
❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.--------
115.
-------
❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
116. Energy Design Compliance and supporting documentation. ----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings- ---------------------------------------------------------
❑ 8. Hazardous Material Form- -----------------------------------------------------------------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------
❑ 10. Fees of $ -------------------------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule. -----------------------------------------------------------------
❑ 12. California Department of Forestry plan approval/fees.----------------------------------------- ----------------
❑ 1 . Flood elevation certificate. ----------------- - --- B---V-=-� -------------------------------------------------- - z--
I �
Sanitation and plot plan approva ealth Department. -------------------------------------------`
❑ 15. City of Chico plumbing permit. ----------- .F.
} ❑ 16. Plot plan and business license approval from the City of Biggs. ----------------------------------------------
❑ 17. Planning approval for (A) Use: (B) Parking: --------------------------
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -----------------------
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ----------------------------
0 20.
---------------------------❑20. Pre -inspection for required Request to Building Inspector on (Date)
021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------
0 22. Workers' Compensation carrier and policy number.-------------------------------------�----------------------
❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - --------------------------------------
024. Letter of signature authorization. --------------------------------------------------------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------------
0 26. Letter of intent on building use. ----------------------------------------------------------------------------------
f ❑27. Manufactured Home utility clearance---------------------------------------------------------------------------- - --
028.
❑28. Existing violations and/or expired permits. ----------------------------------------------------------------------
❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .----------------
030.
--------------
❑30. Other: -------
you issue e pertlt, process as follows ❑ Mail to owner, C]Maail to tor.
rtr
Telephone �toand hold for pickup at V"UVo ce Deliver wi in tor.
- Applicant: ate:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department„ ❑ P ution ate: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: ,. Date: By:
4
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required: �.
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by
Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, 13 Building Division counter, by
Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by
Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buildin counter, by
ate:
�W�on
Plans reviewed by: Date: Plans approved by: d(JV Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder._ Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
E.H. USE ONLY
Pi$ han Attached
'�
Floor Plan Attached
1Sant to B.D. /
/
Z06,
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for ding. gther
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist Date
8/96
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
+ 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541PERMIT NO.
(Rev. 12/96) APPLICATION ANO PERMIT ��� �f
ASSESSORPARC.NUMBER ^a� ^ �`
v
�EPNNa./1
BUILDING PERMIT
1�v�-�J ra ,
OWNER ' 1
k
TELNOTNE
SO. FT. OCC. BUILDING VALUATION
OWNERS ►M11NG RE38 r^
I1
CONT CTO S NAME
NE f
l
CONTRACTORS ADDRESS
CONSTRUCTION LENbEA
LENDER'S MAIUNO ADDRESS
Fire lace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENOWEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS r�
O()
Energy Plan Checking Fee $
$ _
PERMIT FEE $
IDT NO.
SUSONISIONSHAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other pwe r l�
T
�-C ��
sPEcFr
Each Trap7.00
Solar or heat um water heater 23.00
Water piping 15.00
Each gas water heater or vent 1 15.00
TYPE OF WORK
New Y Addition ❑ Remodel ❑ UtiMies ❑ Installation ❑
Describe Work:
Other ❑
Gas piping system 1 - 5 outlets 1 15.00
Building sewer 15.00
Mobile Home I S I G I W (920.001 1
PERMIT FEE S
ELECTRICAL PERMITFling Fee 20.00
Main Service 2"oGA OR mss 23.00
-- -- — - —
'
v,3(�'
— — — 1
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLOJO OCCUP. SO n
OR ADDNS. ( 6 ACC. BUDS. 3.50,, !' .S
NEWTCONST MULTFOtJRET
NON-R61D. @7.50
POWER APPARATUS
8 SU10LE OUTLET CIR.
Ex. Occup. OUTLET OR FWTURES 20 ® 1.00
SAL 9 .50
Ex. OCCU MO LN ,O�R,� 5.00
—Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $ .2 S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt S
Mobile Home Installation Fee I S
Energy Inspection Fee I S
DDD
`°NST•"
TOTAL FEES 151,
.
0. FEES
I IMP
I FLOOD
I CDF
PARCEL
I PD
MD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
POW
Uzi
3* -u
M
a ;
d
-woo
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ti' � ' r i
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O
-RESIDENTIAL
-021-320-033
PERMIT#96-0944
LOUDERMILK, Larry
1152 Dewsnup Ave., Gridley
Cont: RB Builders Inc.
New. Single Family
e.
6-0I0 -qb t2o
. lal' /f' A / d
araglp_ e_�&Ay 61t
'7-16--w X'*
JOB FINALED
"oo
Signature
V=OK
O = Not OK
Not '=Not Ready �e • ~MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements - Setbacks - Easements
2. Soils; Special MH Support Sketch
3. Sewer, Location -Test -Fall -C/0 -Concrete
4. Water, Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap; / /'L'ft.
/ /Nat. or/ NL"ft./ /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector `
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Aw
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
11. Zoning Requirements -Setbacks -Easements
2. Footings; SoilsSize-DepthSpacing-Connectors-Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
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, Distance-DFI
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
1
Date Card B-1 Date Card B-1
bate Card B-1 Date Card B-1
*arc OK
O=NG.,OK
= Not Applicable
= Not Ready
RESIDENTIAL (Single & Dup�ex)
Date U ERFLOOR (Plans) OK except M's
1. Zon' -Setbacks-Easements-Flood-Slope
ig_ ain; Soils-Elec. Grnd.-/ " Ftg. Depth
g., Garage; Soils-Steel-Elec. Grnd.- ' Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Ste Is, Main; Steel-Blockouts-Wrapped
to walls, Garage; Steel- Bloc kouts-Wrapped
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. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 f Date Card B-1
Date Card B-1 Date Card B-1
Date PLUM G (Permit) OK except rr's
-- - - 1 . -aIer r.: Vent -Access -Combustion Air -Baffle
--------------------------------------
-----------
r Pipe: Test & Anchor -Nail Protection
--- ---- ---------------------------------------------- ------
WW V : Test -Fittings & Anchor -Nail Protection
----- —1@�SFi an: Test. First Floor -Tub Access
--- - Test T b & Shower. Second Floor -Tub Access
------ - - - - --- -- - -------
----------------------- ---- --- ---- ----
1 s Pipe: Size & Anchors
------------------------------ ------ -----------------------------------------
Date6 Card B-1 Date Card B_1
DateZ2-/1-91 Card B-1 Ili Date Card B-1
Date ELECTRICAL (Permit) OK except Ws
22. Fixture & Transformer Clearance -Ins. Protection
------- ----- - -------------
Elec. Receptacles- Spacing -Lights &--Switches------at--Doors---------
-----------
ize Boxes & No. of Conductors -Stapled
-- - ome nstalled Close to Edge of Studs & C.J.
-- Ground made up wrMech. Fasiners-Bond Gas &- Water
fiance Circuts in Kitchen & Conductor SizerGFI
-- ------ ------------ ------------------------
eed Wire Sizer ga. Cu or AI -A.0 Wire Size ga
�r AI
29
I -Oven GrcW, qa`T=M-At�
-------------- -- Ins d Neutral Yes L
---------- ---------------------------
---------------
� �_ervice-Riser Conductors & Ground -Main Disconnect
---- 3;�Equi Clearances Panels-Motors-Mech. Egwp
a?iCl s Closet Light -Shower Light -Spa L ght
Smoke Detector -
------------------------ ------ ---------- - --------- ---
Date7-'7-�'4 Card B-1 I�- Date Card 8-1
- .-------- --------- ------ ... ... ... ... ..
Date Card B-1 Date Card B-1
Date MECHA ICAL (Permit) OK except Ws
-C. ucts Insulat on & Support
-----r.- _.. .. .
e tt Exhaust above insuIat on
- - 3 onon�JEnsate Drain & Overflow. Size & G ade'
Ot
nce-v t: cess- - urnAir Vent -115 outlet
mess a orm f F r ce m Att c ... . _
---- ---- --- --- --- ..
Date<j� Card B-1 )e#l- Date Card B-1
Date?-//�'jb Card B-1 �f !� Date Card B-1
Date FRAMIN Plans) OK except a's
3- Is. P er Material & Anchors
4 al uds-Naihng. Spacing & Bracing -Plates -Sound
- ..... _..
BeWalls over Girders & Floor Nailing
iI Stop m Walls (rat proof)
Fire ops: Furred Ceilings -Stags -Chases -Tub
AA!fieaders & Beam -Size & Bearing
Date FRAMING (Continued)
H e -Post Caps -Anchors -Connectors
I oast-Rftr. ties -Pu rlin -roof Bra - s tft_11_1—
i lace Ties or Type A Flue -Fireplace roat cle ce
------------ ----- - — —
-- ttic Access: ome Pr io - r ns s
----- -- _Windows or Exiting Doors -Sill Hgt. & Dimensions
40-' arage Fire Protection Framing
Fife -wall & Openings
------------------------- -- -
- - xt. ors -One 3' -Check Garage -3rd Story, 2 Exits
.............. - - th-Headroom -Rise-Run-Landing-Fire Protection
ywo _on Roof Overhang -Attic Vents -Rafter Outriggers
ding -Nailing Veneer
--------- ---------------------------
66__%1v rip Screed -Fd. Vents-Underflr. Access
-------------
------------------ —
lazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls: Nailing -Bolts g '
59. Insula
---------------------------------------------- --
Date j Card B-1 Date' / �lrb Card B-1
Date�, Card B -1{J /4j Date Card B-1
Date FINAL (Plans) OKexcepta's
.........
----- --- -
Ext tees -_Door & Sidelight Protection-Landingstz._
. -
___ Smoke_ Detector —
63. Fury_ �e Vents -Clearance -Comb. Air-Connector-
-,IfnnG�Garage: Above Floor_Ducts-Mech_ Protection
Q-64—Bedro m Exiting- ---
G.F.I ath Fixtures & Tub Access -Spa
lei. Trim & Subpanel: Breaker Sizes-&-tabels
.... ... - - -- --------Rails --------------__ -�...
--------------
d F replac or Stove: Clearances -Hearth
...`.....--- ---------------------------
6 Outlets at Wood Panel: Int. & Ext.
.. - -------------------- ------------
ixt. & Appliance: Grnd.-Air Gap -Cooking Clearance
1 utlets_ & Re_ceptacles at Kit. Counter --- --
Garage Fire Door Swing -Landing -Closer
-
�C. Du t -- Garage -Damper — -----
Wir Htr., Vents -Clearance -Comb. Air-Connector-P.R.V.
Garage: Above Floor -Meth. Protection
/per Elec. & Mech. Equip. Listed for Location
`� 76. Elec. Receptacles in Garage: (G.F.I.)-Romex P tection
- -----
Insulation-Foam-Looked in Attic es
uar Rads & Deck Construction -Post Caps----------------------------------------
__ _
k__.Z9_Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth
arance Looked under Floo - 0 Yes
a0.
Following instld.: Drive No: Walks No;
Planters O Yes 0
. --- --- - ------------- -------------------------------------------
cC6 "Brown -Finish
--------------------- - --- - - ------
--------------------------------
U Disconnect. Electrical. Plumbing
... . ......... . . .-- - - -------------------------
-------
encs Above Root: Plbg.-Appliance-Fireplace.-Clearance to
Open ngs
'.-'t4 Water _. II: -Disconnect. Electrical, Plumbing -- -- -
rior Elec Trim. G F.I. Receptacle -Underground
.. .-- - - ---------------- -- -------------
dation Throughout House
-- ---. ..--------- -----------------------------
d- ass Protection
" ecuons from Previous Inspections- - -- - ---- -
(� {j
89 a :Meters Tagged: Gas -Electric -
90 W & Sewer Connected-CrO to Grade -HD Approval
- -----------------------------
Energy Comphan CerI f ate -Other Certificates
Da and B-1 Date Card B-1
Dal , and B-1 to Card B-1 -----
Da Card B-1 Date Card B-1
Comments at Final
JUL-10 E. IJ EU 0 i :4S Pr9 GF:AMU :'fHLLE`r 9168.528508 P. 01
T. NIE Engineering
3221 Rippey AD. Phone: (916) 652.8665
Loomis, CA 95650 , 1 Fax: (9161.652-85o8
i
July 10th, 1996
Attn: Kevin/Eric
R.B. Builders,Inc.
12.89 Lincoln Way, Suite A
Yuba City, CA 95991
RE: Alternative Holdown (Simpson:HTT22).
Project: Plan 1755/1759, Yuba City, California
Dear Kevin:
In response to your inquiry about an alternative holdown, I
recommend the following:
In general, a -ll Simpson Holdowns such as PAH042, HPAHD22 and
MTT28B can be replaced with Simpson HTT22 Holdown for which
has higher capacity.
It you have any further questions; regarding this matter,
please feel free to contact ime.
Sincerely, Ik
`I
Tinglin Nie, E�
PE
COUNTY OF BUTTE- DEPARTMENT OP DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville,, California 95965 - Telephone (916) 538-7541/-J/PERMIT NO.
APPLICATION AND PERMIT '-T-
ASSESSOR PARCEL NUMBER 21-320-033
ZONING A5
BUILDING PERMIT
OWNER LOUDERMILK
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
1760 R 95,040.00
OWNERS MAILING ADDRESS
426.5 U 7,679.00
CONTRACTOR'S NAME R B BLDRS, INC
T671N5600
115 POR 1,495.00
CONTRACTORS MAILING ADDRESS
1289 A LINCOLN RD YUBA CITY 95991
Fireplace 1 "0" 1,500.00
CONSTRUCTION LENDER
UNMOWN
Total Valuation $ 105,714.00
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 660.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 429.33
Energy Plan Checking Fee
$ 23.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDINGADDRESS
1152 DEWSNUP AVE
PERMITFEE
$ 1132.83
PLUMBING PERMIT
Filing Fee 20.00
GRIDLEY
Each Trap
g 7.00 63.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00 15.00
USEOFSTRUCTURE
SF >� Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00 15.00
Gas piping system 1 - 5 outlets
15.00 15.00
Building sewer
15.00 15.00
TYPE OF WORK
New lA Add'Rion ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: -
Mobile Home I S I GI W I
@20.00
PERMITFEE
g 143.00
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
Main Service 200V OR LELEssSS
aOOA OR
( )
23.00
Main Service ( 200A TO I000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in ful force and effect. // p
License Class Lic. No. SO 9C V
6
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP.
OR ADONS. ( & ACC. BUDS. )
SO.
3.50 FT. 76-53
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
WER
( a SIINGLE OUTLETT CS
IR. )
Ex. Occup. (OUTLET OR FIXTURES)
@ I-50
BAL
FIXED APPLNS. OR
Ex. Occup. ( OUTLETS (RESID.) EA )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$ 119.53
Contractor
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
W"',I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier �jZ2fj-e 'fa --41
Policy Numb' 1 7 a - 5
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comp) with th a provisions.
X Date C
Sign a ofp oicant - Owner ❑ Contractor ❑ Age
An MHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating 115.001
Cooling 15.00
Hood
6.50 6.50
Ventilation 3 4.50 13.50
PERMITFEE
$ 70.00
Contractor
Mobile Home Installation Fee $
Energy Inspection Fee $ 46.00
Occ
CONST. TYPE
TOTAL FEE $ ZZ 1511.36
HA2.
r
I D. FE
IMP
FLOOD
-r
COF
PARCEL PD HD
^.�
U
This permit is hereby issued under the
of the Butte County ode and/or
indic d o for w ich fees have
BY 7 `�
PERMITEXPIRESONReceiptNo.
applicable provisions
Resolutions to do work
been paid.
/
D to
6
(Date)
7 -L /7Q, 03
�6�
WHITE-D.D.S.-B. . CANARY -AS; NK PECTOR GOLDENROD -APPLICANT
`:.'Y"'tw� a'-.t-4.+r-..,f',,.;A,f.'e.�x'.'.:}.,...n.w�..f..5,.dre.�1.'^.;.:;ar. .ice' �^w:s�.ww!N+i(�Miitii "r"'."i..r�y.�.,-.,.:...+rte: :*�";. �•... �. ,
:. Ilk
COUNTYOF BUTTE - DEPARTMENTOSD VELORM ENT, SERVICES -BUILDING DIVISION
4 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)538-7,541
PERMIT APPLICATION DATA SHEET
`OWNER- A. P. No..2.�
Proposed Building Use R" S Building Inspector CO-- Date,,//
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
.4 DATE RECENED BY (•
/bitems have been submitted . ........................................
r . Cot plans, 3/4 sets, signed by preparer of plans. )
omplete plans, 3/4 sets, signed by preparer of plans.
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . .............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
trehorle, and m nuf4cturer's installation instructions, 2 sets. .
ees of $ 7 o c� . 1........................................S~aZ&�ivn-��� i21
mpact fees as shown on attached schedule .............................. .
12. California Department of Forestry plan approval/fees. ....................... .
Flood elevation letter (100 year flood) by California Engineer. .
��,13> Sanitation and plot plan approval Ute' Health Department. . �fS -
15. City of Chico plumbing permit . .........................................
,16 Plot plan and business l cense approval from City of Biggs/Gridley. .............
1n 'L Planning approval fort,( Use: (B) Parking: . .........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). . .
20. Pre -inspection for Pia"�e�ns ecor
p required. . to Building Inspector (Date)
1;. Contractor's license information. (No., Name Style, Classification) . ..............
- ertificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner Mail to owner . ......... .
��14. Recorded copy of Agricultural Acknowledgement Statement . ..................� & 96
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .................................... ..... .
28. Mobilehome utility clearance . .......................................... v.
29. Documentation of legal access . ..................... :.............
.... .
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
19 Plan O-qck list. .........................................
34.
Wkn you issue the permit process as follows: Mail to owner. Mail to contractor.
TelephonZ7/ %66 and hold for pickup at office. Deliver with inspector.
Other
-Parcel Creation,r
Acreage Applicant Date '� G
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date t'
Copy of plans sent Health Dept. Fire Dept. Other Date By a
t The following data must be submitted
1. Index permit for above items No. _
2. Additional items required:
new itofm not checked
Cnnfrartpir designer ,ldwner, was�ddvised oftabove required data by �/ phone _mail Counter by _Date
:tor, designer, owner, was advised of above re to by _✓phone _ mail Co�u�n� e,,r _ Date
Frecked by Y(�-i.�� Date -/3'� Plans approved by �A Date o,:iS
Copy
_ Sets of plans on hold in
Department of Publie-works
'US�s� U B ONLY
Plot Pim At4ched
Plow PLo Amhchodd
Sem to B.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
50 tD t�:� SA,(Le o
�ab�a
Owner Location AP#
Plan Approved for: Sewage Disposal C� Water Supply: Public Private Well
Clearance - for bedroom h er
Hold
O.K.
aim
m AY 7(L
Date
COUNTY OF BUTTE :y
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENTSERVICES
1469 Humboldt Road, Chico, CA - (916j 891-2751
7 County Center Drive, Oroville, CA - (91'6) 538-7541
747 Elliott Road, Paradise, CA - (916).872-6307
CORRECTION NOTICE
l�t7uCIL-09y
OWNER PERMIT NO.
i
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this 4office when correction of work .
is completed. If you haveany questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
N�� ! rofe v a A
Date 1� f" / to Inspector
REV 10/92
,•y4
^` COUNTY OF BUTTE j
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES '_
a
1469'Humboldt Road, Chico, CA - (916).89 V 2751 a.
7 County tenter Drive, Oroville, CA--.(9T.6)r538 :7;641:`
l
`i
747 Elliott Road, Paradise, CA - (91`6) 872-6307'<. � '.
-'
Q
CORRECTION NOTICE --,i....,!._.
� 3
y
F
h
OWNER 'PERI, ITNA:
n
A routine inspection indicates that the following violations of Butte County Ordinances exist.at
the above address and should be corrected. Please notify this office when correction of work"
is completed. If you have any questions pertaining to this matter; or need additional expla—nation, •
this office immediately."
Mcolep(it
A.Z.
• „
�ti
ab
rt!
•W
,•y4
Date 1p Inspector �_wla"t,.�
l
`i
REV 10/92
-'
Q
Installation Certificate: Residential CF -611
Use of this term to satisfy the requirements of the Administrative Code is optional, but the Information must be provided and posted.
s
Permit Number
An installation certificate is required to be posted at the building site prior to the issuance of the occupancy permit. This form
may be used to meet these requirements. All appliance categories listed below are the actual equipment installed. Note that
the efficiency and type of the appliance installed must be equivalent or better than the appliance specified on the Certificate of
Compliance (CF -1R): This certificate (or its equivalent) shall be prepared and signed by the person(s) assuming overall
responsibility for the appliance installation.
I, the undersigned, verify that the equipment listed in the category, above my signature is the actual equipment installed and
that the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. In addition, I have verified that
the equipment is equivalent to or more efficient than the equipment specified on the Certificate of Compliance submitted to
demonstrate compliance with the Energy Efficiency Standards for residential buildings.
HVAC SYSTEMS
Distribution Duct or
Elflclency
Type and Piping
Note: Hydronic boiler information is entered here. Other
hydronic or combined
hydronic equipment is listed under
Water Heating Systems.
Heating Equip. CEC Certified Actual
Distribution
Duct or
Heating Load Heating
Type (furnace, Manul. Make & Efficiency
Type and
Fill
Before Over- Equipment
heatpump,etc. Model Number AFUE etc.
Location
R%lue
Sizing Btuh Capacity Btuh .
/7'IL G Sit /O-�
�Zx
/fid 4n
i,IA-7,vA
Cooling Equip.
Type (air cond.,
heat pump, etc.
CEC Certified
Compressor Unit
Manuf. Make &
Model Number
-5//
Actual
Distribution Duct or
Elflclency
Type and Piping
(SEER)
Location R -Value
The building design -4t loss and desi heat gain rate have been determined using a method specified in Section 150(h) of
the E y ffici y Standard,and re two of the criteria used I79
m sizing e,lect
Signa re Date HVAC Subontractor (Co. Name) or General Contractor or Owner
WATER HEATING SYSTEMS
Energy
Water Heating CEC Cortftled Rated' Tank Factor or
System Type Manui. Make & Input (kW Capacity Recovory
(storage qas, etc.) Modal Number or Btuh) (nallons) EffWe=
S0
Standby'
Los (%)
External
Tank
Insulation
R -Value
1. For smell ger slorsr)e (rated Input s 75,000 9!u:?.r}, eloctric resletance and heat pump wator healorc, list Energy F..=._t�:
For large gae storage water hoalora (rated input > 1-5.000 Sturhr), list Rated Input, Re,;ovory Efficiency and Standby
For Inalentaneoua pas water heaters, list Rated Input and Recovory Efficiency.
For Indtanteneous eteclrle water heater -a, list Rated Input
FAUCETS & SHOWER HEADS.
All faucots and sh^e� orheads installed are listed in the Commission's Directory of Certified Faucets and Showerheads.
purshpn�Ttlle 5�', Pan 6, Subchapter 2, Section 111.
Date
Revised January 1992
Plumbing Suboontractor (Co. Na):e) Genoral Contractor or O.vner
13,
Fax:916-671-0364-,, Aug 15 '96 8:45 P.01
11MO I /ALLH I IUI\l Utti 111-1(—A I t ;page 1 of 4) CF -6R
'Site Address Permit Number
FENESTRATION/GLAZING: t
Manufacturer/13(and Name
Operator
Type (o.g.,
(fixed,
Slidell
R1onu(ectured
Products
labelled. Sito.Built Products
U-vNue (5 # of Ualeuli
CF -1 R valuol2 Panes U•Valuo'
ouantlty
(Oprior>oll
Totol
Square Comments/
Feet Special Features
(GROUP ll►cU�PAof)U�Cy5)
ski
3D
IS
G.
7.
st
t1-
X0
12,
13. _
14,
t5.
' Installer! U -value must be less than or equal to value from CF -111, .1lternatively, installed weighted
aver.:)ge U -value for the total fenestration area is less than or equ�i. to value from CF -114.
1, the undersigned, verify that the felteslralion/glazing lisled shove my sig: ature (1) is the actual fenestration product
installed; (2) is ecluivalenl to or more efficient than that spix:ilied in lie certificate of compliance (Foran CF -110
suhutiltcd for compliance. U•ifi the Energy Lfjicitrruy Slruulrrrds for residen,iad buildings; and (3) the pruduct meets or
cxce.:ds the ahptt,lnia(e rr.iluiramrilts fOr manufactured devices (front Pan G), where applicable.
Item #5Srynature,
(if applicable.)
Iten1 Ns Signatme,^Date
(if applicable)
Item #s Signature, Date
(if applicable)
COPY TO: Building Uewirtment
building Owner at OCCUI)ancy
1Mtalfing Subcontractor (Co, Name) OR
Gener;:,! Contractor ICo, Name) OR Owner
Installi-;g Subcontiactor (CO, Name) OR
Gener-i Contractor (Co. Name) OR Owner
Installi!:g Subcontractor (Co. Name) OR
Genert,.' Contractor (Co. Namel OR Owner
July 1, 1995
AUG -15-96 THU 08:07 AM HAWKINS INDUSTRIES INC
INSULATION CERTIPICATER
r
671 0204
NUMBER AND STREET CITY
o4y
COUNTY SUBDIVISION LOT NUMBER
DESCRIPTION OF INSTALLATION
ROOF:
MATERIAL
THICKNESS(inches).
CEILING:
BRAND NAME
THERMAL RESISTANCE(R-VALUE)
P.04
BATTS OR BLANKET TYPE BA'PTS BRAND NAME CERTA] NI-EED _
THICKNESS(inches) �l THERMAL RESISTANCE(R--VALUE)
LOOSE FILL TYPE FIBERGLASS BRAND NAME INSULSAFE ]TI
CONTRACTOR'S MIN. INSTALLED WT. .330 1b. MINIMUM THICKNESS 7y INCHES
MANUFACTURER'S INSTALLED WT./SQ. FT. ACHIEVE THERMAL RESISTANCE (R=VALUE)-,,/.V_.
EXTERIOR WALL:
MATERIAL 'FIBERGLASS BRAND NAME CERTAINTEED �w
THICKNESS(inches) THERMAL RESISTANCE(R-VALUE)
RAISED FLOOR:
MATERIAL FIBERGLASS
THICKNESS(lnches)
SLAB FLOOR:
MATERIAL
THICKNESS(Inches)
FOUNDATION WALL:
MATERIAL
THICKNESS(inches)
DECLARATION:
BRAND NAME CERTAI NTEED
THERMAL. RE SISTANCE(Et-VALUE)
BRAND NAME
THERMAL RESISTANCE(R-VALUE)
BRAND NAME
THERMAL RESISTANCE(R-VALUE)
I hereby certify that the above insulation was installed in. the building at the above
location in conformance with the current Building Energy standards for new residential
buildings contained in Title 24 of the California Administrative. Code.
-Rb,hu �Ic1e�s 1 ri c�
GENERAL CONTRACTOR(BUILDER)
SIGNATURE AND TITLE
HAWKINS INDUSTRIES, INC.
SONTRACTOR
AA A J, AA a o 1 -SECRETARY
L.rnflX M1 tnr� s vn M'PMr .".
(oSs9u4
LICENSE NUMBER
DATE
622 184
LICENSE NUMBER
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE; OROVILLE CA 95965 TELEPHONE (916) 538-7541
•• ;
PROPOSED BUILDING USE % J Qe
1. SCHOOL DISTRICT FEES
(paid at District Office)
'� SHERIFF FEES (paid at Building Division)
Residential...... x =$
unit amt.
Cc: ercial (sq.ft.). _$
3. URBAN AREA FEES.
(paid at Building Division)
Residential (pet unit).
#units
Commercial (sq.ft.). .
. sq.ft.
x =$
amt.
x =$
amt.
4. RECREATION DISTRICT FEES
. (paid at District Office)
5. THERMALTTO DRAINAGE DISTRICT FEES
$400.00 (paid at Building Division)
6. SRA FIRE INSPECTION AND � PLAN CHECK
$89.00 (paid at Building Division)
7. WATER TENDER FEES
(BATTALION # )
$200.00 (paid at Building Division)
8. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
9. OTHER
A.P. # ZO. 6 33
DATE
REC. # DATE REC
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the
permit.
APPLICANT DATE
�Y� {�ju� lders rs {o
VK UL) 5� �p� 20 a�
Ak OAO-ched +U)o
f I ta5t /AarIC 4o 4o�l, o
�
Pv�r�eerin � ,9-Su�.Q.e
--�-�IJ
i
2-
For
Urgent
Date
, Time.. _41
While You
M
Were Out
Of
Phone
AREA CODE NUMBER EXTENSION
Telephoned ❑
Came To See You L]
Returned Your Call ❑
'Please Call
Will Call Again.❑
Wants To See You ❑
Message
'
I
Signed '
9711 ru ADAMS BUSINESS FORMS
JUAN ,03—S�F� -MON 16:466 GRANL ',ALLEY PRAr•1ING
V= ��90
r —1 b
•• � � , or
d
VH -
t
tcorr
i� VH X
` i`
S gzaoCl for 21-200484-10
^�
�1
•. Exp. 6-3U•c^o 4�
lr
rlAY-29-96 WED 13:33 GRAND ':ALLEY FRAr•1ING 916 652 8508 F'. 01
_ T; N/E Engineering -
3221 R.ippey Rb- Phone: (9'16) 652-8655
Loomis. CA 95650 Fax: (916) 652-8509
May 29th, 1996
R.H. Builders, Inc.
1289 Lincoln Road, Suite #loo
Yuba City, CA 95991
( 916) 671--5600
RE: Correction of Specified Simpson Strap_At Garage Header.
-. --P roject f -Plan P1;-1759 ,
The above referenced. Simpson strap was mistakenly written as
MSTA6224 on Page 16 in the original calculation. The correct
identity for the required strap should be Simpson ST6224. I
apology for any inconvenience caused by this error. Please
also notify Building Department for the correction.
If you have any further questions regarding this matter,
Please feel_ free to contact me.
Sincerely,
Tinglin ? e, Et
" QFC MI Toe
V 1 "•
_Olt, 11F�e
, PE
Permit Applicant: J4rnj koudermlIV, Permit Number. 96
Assessor Parcel Number. Date:
The above referenced building : plans were reviewed by this office. Provide additional
information and/or make revisions to plans, specifications and caku 'ons as follows:
1: l rcc .mss oh _l o-be(ed G 14 CG F
--mss a.C'e.a
Com
4p .6 -e, -e.
2 • I r � • Sh.o-u� 12 � �G� ter �o o � - � fan )cL,be%gi
. 3112 buss M S U
�; �� -lrw�s fcs --'u,v✓� 2 s�-�s Corred- 4-�usse)
re of - l iha CO- C s .
If you wish to discuss any requirements, you may contact me at (916) 538-7541 between 1: 00
P.M. and 1:00 P.M., Monday through Thursday.
r�t
LATERAL &FOUNDATION
CALCULATIONS
FOR
R.B. BUILDERS, INC.
1289 Lincoln Rd., Suite A
Yuba City,' CA 95991
. (916) 671-5600
PROJECT: PLAN PL -1759
LOCATION: YUBA CITY, CALIFORNIA
TOTAL PAGES: 'Al2-
FILE
`oZFILE No.: 960501
DATE: May,'1996
ENGINEER OF RECORD:
WN
s
No. C 0484800
Exp. 630.96\
N lei v %}_
Tinglin Nie, Ph.D., PE
T-N/E Engineering
3221 Rippey Road, Loomis, CA 95650
(916) 652-8655, (916) 652-8508 (Fax)
TABLE OF CONTENTS
SECTION I. DESIGN CRITERIA 3
SECTION II. LATERAL CALCULATIONS 4
(I) GOVERNING LOAD ............................ 4'.
(II) VERTICAL DIAPHRAGMS -- SHEARWALL, ANCHOR
AND HOLDOWN SCHEDULE 4'
(III) HORIZONTAL DIAPHRAGM SHEAR AND CHORD FORCES
..... 17
SECTION III. FOUNDATION ............ ffc�`
(I) CONTINUOUS FOOTINGS .........................
(I.I) CONCRETE SLAB .... .. 9
(III) SQUARE FOOTINGS ....... ....................9
I. DESIGN CRITERIA'
4
(I) Uniform Building Code, 1994;
National Design.Specification, 1991;
ACI 318-89;
Applicable Local Codes.
(II) Soil
Report By: None.
Allowable Foundation Pressure: 1,000 psf
Active: N/A
Passive: 250 pcf
Concrete/Soil Friction: 0.30
(III) Foundation Concrete:
FIC = 2,500 ps.i
(IV) Steel:
Reinforcement: Fy = 40 ksi (#3 bars or smaller)
Fy = 60 ksi (#4 bars or larger)
(V) Design Loads:
Roof T.C. DL =
14
psf
LL =
16
psf
(w/ 125% Duration Factor)
B.C. DL =
6
psf
LL =
10
ps-f
(Non -concurrent w/T.C.LL)
Floor T.C. DL
= l0.psf
LL
= 40
psf
(w/ 100% Duration Factor)
B.C. DL
= 5"
psf
LL
= 10
psf
(Non -concurrent .w/T.C.LL)
(VI) Lateral Load Conditions:
(1) Wind Load:
Basic Wind Speed: 75 mph
Exposure: C
(2) Seismic Design:
Seismic Zone: 3
Importance Factor: 1.0
If. LATERAL CALCULATIONS
GOVERNING LOADS
Horizontal diaphragm ratio approximately ):1. By
inspection, wind load controls in both directions.
<II> WIND LOAD CALCULATIONS
(1) DESIGN WIND.PRESSURE
Basic wind speed = 75 mph
Exposure: C
Wind pressure formula:
P = Ce C qs IW (Formula.18-1, 1994 UBC)
where
1.06 (for h < 15')
1.13 (for 15'< h < 20')
Ce = 1.19 (for ,20'<-h < 25'-
1.23 (for 25'< h < 30')
1.31 (for 30'< h < 40')
Cq = 1.3 ( Method 2, 40'. -or less in height)
qs = 14.5 psf (By interpolation)
I = 1.0
Then,
20.0 psf (for h <„15')
21.3 psf (for 15'< h < 20')
P = 22.4 psf (for 20'< h < 25')
23.2 psf (for 251< h < 301)
24.7 psf (for 301< h < 401)
y9jdl'S -
42> A)I'n 1 `ocaals
f - B ��iec �o/1 : ✓ _ �� X t AIX) X 43 = J2470 #�
97
,P,) -, fret CD>
-B. P ilp- dian xzo _ X600
l � 2
1/= 20 X (� X2)
V, z = 1 X/2WO = 6235
V4-4 = Z x 37S -o = /&qo
VB -B = x (17ko -f 74 92) =
S 63 6
I/c-c = 1 x 742 = 37,M
lad ��t) .�`�y��
/j Il/t>
jr, A).
3�7
Sw2
-A 1890
3�S'
Swz
g- g S 636 l
376
s•w 2
C- C 3 74 lo. 6
3S-,3
sIA) 2
Sw? -Ile
SW 3
C JC(Al anon (CrfiC�c.Q GUa,�G o" J
4-4
�;�� ragrYl Wio 1 S . `g1 t �3AVV
Co<d t4j,
cis. r cit �"
u/ ":
Hp4NP?'2
OMNY22_
lid B-'8
Hor 374 X 1S -x cF= (I -t12 #
MR = S r%1
2
C - _ grl22900 _ jy
T �s
Na
T = y&oX �X
22x3 = 763
a
GIST- 5��Son rlr'1HJ?12
4. ,
Ha(,er SuJ? q� _
�/3 0
503
a (/�"' yrs %'� �/ g . � � /�• C•
4 > 1�orir'o�l L�ap�rayr�
310
3 nO X 43
-l/
oC i
12
3�° X- 43 2 = 6 9 3 3 X !Y
_/73.3
con,,,
1733 S
2xioi-x/33
G4S.� % — /6
p✓er S�tr��,
N
d.
N
N
J
Q
r
o
N
N
3
V
ro
h
0
0
c
e
A
r
III. FOUNDATION
(I) Continuous Footings
TABLE NO.24-A—FOUNDATIONS FOR STUD BEARING WALLS --MINIMUM
REQUIREMENTS' a
NUMeEn OF
FLOORS
suppon+to
eY THE
THICKNESS OF
FOUNDATION WALL
llnehee)
WIDTH OF
FOOTING
(Inelwa)
THICKNCSS
OF FOOTING
(Mehra)
mprN RI(LOW
UN041ITUR91I0
GROUND
SURFACE
uNR
rOUNDATIOMS
CONCRETE MASONRY
(a+elra)
1
F
2
7
IR
24
'Where unusual ennditions or frost conditions are found. footings and foundations shall be
as required in Section 2907 (a).
?The Fround under the floor may he excavated to the elevation of the top of the footing.
3Foundatinns may support a roof in addition to the stipulated number of floors. Foundations
supporting roofs only shall he as required for supporting one floor.
G
Continuous footings confirm to the UBC Table above.
Maximum uniform load on perimeter footing is within the
allowable soil pressure. No calculation is needed.
(II) Concrete Slab
4" thick concrete slab w/ 6X6, 10/10 WWM at.mid way, over
sand over vapor barrier over 2" gravel.
(III) Square Footings
Typical calcultion for the square footing supporting a
concentrated load of
Live = 2,0
Dead = 2., G k
/2 Atha$ a.7
is presented at following page. Sizes and reinforcements
of other square footings are as noted in Foundation Plan.
/O
SQUARE FOOTING DESIGN
FTG -1
LOADING DATA
— 1 —
Dead Load
k:
2.60
Live Load
k:
2.00
Short Term Load
k:
0.00
Seismic Zone
0
Overburden Weight
psf:
0.0
Combining Live & Short Term Loads ?
No
FOOTING DATA
Size (Length & Width)
ft:
2.50
Thickness
.in:
12.00
N of Bars
4
Rebar Size Number
b:
4
Column Dimension
in:
3.5
f'c
psi:
2500
Fy
psi:
40000
Cover over rebar
in:
3.0
Concrete weight
pcf:
145.0
SOIL DATA
Basic Allow Soil Brg Press.
psf:
1000
Short Term Duration Factor
1.33
Ftg. Depth Below Soil
ft:
12.00
CALCULATED FORCES
Maximum Static Soil Pressure
psf:
881.0
Allow Static Soil Pressure
psf:
1000.0
Max. Short Term Soil Pressure
psf:
561.0
Allow Short Term Soil Pressure
psf:
1330.0
1 -Way: Allowable Shear
psi:
100.0
Vu/Phi
psi:
5.6
2 -Way: Allowable Shear
psi:
200.0
Vu/Phi
psi:
19.0
Mn
k -ft :
9.1
Mu/Phi
k -ft:
0.9
REINFORCING
Actual Bar Depth
in:
8.75 .
Min. Allow %% Reinforcing
0.0014
200/Fy
0.0050
Req'd Per Analysis
0.0003
USE.......
%%:
0.0019
Rebar Area Req'd in'/ft:
0.20
Total Area Req'd
in:
0.50
REBAR CHOICES
Quantity of: q4 Bars
4
q5 Bars
3
p6 Bars
2
q7 Bars
2
q8 Bars
2
N9 Bars
2
#10 Bars
1
t10 * d
—Aa
H�craler over �k .
TIMBER JOIST & RAFTER DESIGN
lam
HEADER -11'
DESIGN DATA
1 —
Timber Section
4X14
....Depth
in
11.88
....Width
in
3.50
Le: Unsupp
ft
2.00
Fb- Allow
psi
2800.00 "
Fv- Allow
psi
285.00
Elastic Mod.
ksi
2000.00
Load Duration Factor
1.25
Stress Ratio
->>
: 0.50
CENTER SPAN
Span Length
ft
11.00
Uniform DL
plf
440.00
LL
plf
352.00
RESULTS
Mmax a Cntr
k -in
143.75
1:X -Dist
ft
:% 5.50
REACTIONS
Left: Dead Load
#
2420.00
Live Load
#
1936.00
Right: Dead Load
N
2420.00
Live Load
#
1936.00
STRESSES
Fb.. Allow
psi
:, 3500.00
Fb.. Actual
psi
1746.03
Fv.. Allow
psi
356.25
Fv.. Actual
psi
127.81
DEFLECTIONS
Center... Dead Load
in
-0.148
X -Dist
ft
5.50
DL Ratio
891
Live Load
in':
-0.119
X -Dist
ft
5.50
LL Ratio
1113
Total Defl
in
-0.267
X -Dist
ft
5.50
Ratio
495,
lam
-...�- ...•a.:.r+;rcrsarr n, r r;c�}... K,�,Wy�t�..r'y'31F�"t'�.�R!!�N"l'�F'x'SY'r"i"'--.rte":+.'r+wi'•`.[ 'ne° n'wrn�4+`syr^ ..r� ,vrr.- r ..,
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM`.
(One Form Per Building)
School District " Building Department No.
'•A.P. Number 2. -,�� a Jurisdiction: 0 City County
Property Owner z 1z k--146" % (Z
Property Location/Address 1522— 77�->P �� N
Subdivison
Lot No.
Residential Development0
Sq. Footage % (� 6
No. of Living
MHI
Addition
(Group R)
'
Units�,
�e.
� ;l��;
Commercial/Industrial
0
0
Sq. Footage
'
New
Addition
(Including Exterior
Roofed Areas)
Building D artmentP res ntative
Date /
(Floor Plans reviewed by School District Personnel)
District Identification No.ZA�
School District certifies that V/ t7 AM19
(Appl' ant) !
1i
(Street Address) (Phone Number)
?9/
(City) // (/ (State) (Zip Code)
has complied with the requirements of Resolution No. ��'���� by payment of $ --"
representing �a� square feet.
. /
Paid by Check #
Bank Number
r` Paid by Cash s�
fi•
Remarks:
AB 2926 $
FULL MITIGATION $
Date
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEOA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district)
feeform.wkt (11/94)dmm
- 1 1 I Rec Fee 9.00 ! .
I COP 2.50
Recorded I .Check 11.50
Official Records I
' County .of
And when recorded mail to: Butte I
Building Division Candace. J. Grubbs I
#7 County Center Drive Recorder I '
Oroville, Ca. 95965 .;" 11 :53am 15' -May -96 I PUBL ., XX 2
• ,... .,.' � , �
-�- AGRICULTURAL'STATENfENT OF ACKNOWLEDGMENT y
FOR RESIDENTIAL DEVELOPMENT _ ry
Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building.
permit The
property described herein is adjacent to land or included within an area zoned for agricultural, purposes, and residentsof this
property may be subject. to inconveniences or discomfort. 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 establishes
agricultural purposes and residents within saidzones and on adjacent property should'be prepared to accept such inconvenience'or
discomfort from normal, necessary farm operations.
Alfa w real property situate in the County of Butte; State of California, described as follows:
State of California
County of Sutter
On 5-6-96
before me, J. Hart -
personally appeared Penny •Loudermilk A personally
known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the
within instrument and ack nowledbed to me that he/she/they executed the same in his/her/their authorized capacity(ies), anti
that by his/her/their sidnature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted.
executed the instrument. {
WITNESS my hand and official seal. J. HART
H COMM. # 1075430
NOTARY PUBUC-CAUFORNIA y
Signature AK -11-11, Seal:
Q COUNTY OF BUTTE w
Mr Comm. Expires Oct15,IM
_ Re tiny .
• yr
L ouder�:\ ,
'
A.P.#
L01!194 196-018164
96-018164
D'v J - d 1 6 4 I Rec Fee `
I COP
'Recorde I Ch'ck
Official Reco dsl
County of
t Butte
Candace J. Grubbs I
Recorder
11:52am 15-May-96I„A PUB
�i
9
.r
0 RECORDING REQUESTED BY
BIDWELL TITLE S ESCROW COMPANY
ORDER. 4-143887
AND WHEN RECORDED MAIL TO
89-01457
N„,,,
rMR. 6 MRS. LARRY LOUDERMILK77
1152 Dewsnup Avenue
So"
Gridley, Ca., 95948
aL
89-001457
; Rec Fee 5.00
-
J
Recorded
; DOC 33:00
; Total
. MAIL TAX STATEMENTS TO
Off 1 c 1 a 1 Records
38.00
; -
F_
County of
Nana
Butte
Candace J; Grubbs
B&DW
TITLE CO
A—
Same as above
Recorder
-
8:00am 17 -Jan -89
;
W
L
J
I
VS 1
SPACE ABOVE THIS UNE FOR RECORDER'S USE
AP
021-32-0-033-0
Individual Grant Deed
THIS FORM tnlnufauv ev e....-..
-----� ...-.... �.......... IWMIwn•
The undersigned grantor(s) declare (s1:
Documentary transfer tax is S 33.000 PAID
( X) computed on full value of property conveyed, or
( ) computed on full value less value of liens and encumbrances remaining at time of sale,
X
( and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, JOE TERRY and
FREEDA M. TERRY, his wife
hereby GRANTS) to LARRY LOUDERMILK and PENNY LOUDERMILK,
husband and wife, as Joint Tenants
the following described real property in the
County of Butte , State of California:
Parcel 3, as shown on that certain Map entitled, "Parcel Map being
a portion of Lot 33, Gridley Colony No. 4", which said Map was
recorded in the office of the Recorder of the County of Butte,
State of California, June 22, 1973 in Book 46 of Maps, at page 42.
0
Dated: January 11, 1989
STATE OF CALIFORNIA
COUNTY OF Butte }SS.
on _January 13, 1989 before
me, the undersigned, a Notary Public in and for said State,
personally appeared Joe Terry and Freeda
M. Terry ---------------------
Pcrsarral rkmrwMW-me'or proved to me on the basis of ut-
isfactory evidence to be the person$_whote name s
subso bed to the within instrument and acknowledged
thattney executed the same.
WITNESS my hand and official seal.
Signature
'ORM #STE-De"(Son
Jpu` Terry
Freea erry
OFFICIAL SEAL
LINDA F. WILSON
.,� NOW! PIlPLC - CAUiORN1A
•.{ ItaT�f ::vUnty
1992
(This arca (Of official notarial Sean
TAX STATFIUFNTQ AQ RInoNTen anm.�
"'- END OF DOCUMENT
x;-9 6 - -1-6-5-
96_018i651 Rec Fee 9.00
I COP 2.50
Recorded I Check 11.50 `
Official Records I
County of I
And when recorded mail to: Butte I
Building Division Candace J. Grubbs 1
#7 County Center Drive Recorder I
Oroville, Ca. 95965 11 : 53am 15 -May -96 I PUBL XX 2
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit.. The
property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this
property may be subject to inconveniences or discomfort 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 purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or
discomfort from normal, necessary -farm operations.
All that real property situate in the County of Butte, State of California, described as follows:
Se e atA
State of California
County of Sutter
On 5-6-96 before me, J. Hart
personally appeared Penny Loudermilk personally
known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and
that by his/her/their signatures) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted,
executed the instrument.
WITNESS my hand and official seal. J. HART
N COMM. #1075430
fr 'm NOTARY PUBUC{AUFORNIA N
Signature Seal: Q COUNTY OF BUTTE V
My Comm. Expires Od.15,1999
A.P.#
- ~ " A.A. -1
NOTE TO RECORDER: DU NOT RECORD THIS SIDE •.
...AGRICULTURAL STATEMENT .OF AKNWLED.EN` ::::<:::
Instructions for recording Agricultural Statement of Acknowledgement:
1. Insert the legal description of the property in the space provided on the other side of this
form. The legal description is the narrative description of the property - which will be on
your deed. If you don't have access to the .deed, the Recorders Office can provide this
information. ( The description may be handwritten or typed in the space provided or attached
on a separate sheet if more space is required).
2. Property owners must sign in the presence of a Notary Public and have the form notarized.
3. Make a copy of the form and then take the original and copy to. the Recorder's Office at 25
County Center Drive, Oroville (the Administration Center building). The Recorder will
record both the original and copy. They will keep the original and return the copy to you.
Just bring the copy back to the Building Division at 7 County Center Drive.
RECORDER'S FEES: $6.00 - 1st. Page
$3.00 - Each Additional Page
RECORDER'S OFFICE HOURS: 9:00a.m. - 3:00p.m. (Monday - Thursday).
/17
� • .. - ��:. - - --- .. ,,,,..._ ..-,..,- - OVER
The undersigned grantor(s) declare(s1:
Documentary transfer tax is $ 33• 0 PAJO
( X) computed on full value of propertyconveyed, or
( ) computed on full value less value of liens and encumbrances remainingat time of sale.
( X) Unincorporated area: ( ) City of , and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, JOE TERRY and
FREEDA M. TERRY, his wife
hereby GRANTS) to LARRY LOUDERMILK and PENNY LOUDERMILK,
husband and wife, as Joint Tenants
the following described real property in the
County of Butte , State of California:
Parcel 3, as shown on that certain Map entitled, "Parcel Map being
a portion of Lot 33, Gridley Colony No. 4", which said Map was
recorded in the office of the Recorder of the County of Butte,
State of California, June 22, 1973 in Book 46 of Maps, at page 42.
Dated: January 11, 1989
''
STATE OF CALIFORNIA JTerry
COUNTY OF Butte �CS Free a Terr
On January 13, 1989 befoore
me, the undersigned, a Notary Public in and for said State,
personally appeared _Joe Terry and Freeda
M. Terry ---------------------
persorralirkrmwn'tv-mc-or proved to me on the basis of sat-
isfactory evidence to be the person, whose name S
subs9ked to the within instrument and acknowledged
that ey executed the same.
WITNESS my hand and official seal.
Signaturc
Linda F. Wilson
'ORM eBTE-DEDA! (War) U A II T A V�e-...-
OFFICIAL SEAT,
LINDA F. WILSON
,.� NOTA$:YPI1F.LiC-CALIFORNIA
1: j rr ;:OUNTY
15.1992
(This arcs for official notarial real)
C
.... _._....
Lin mc nfV4 11
a ma rgrsCGUtl
, CAUVE a. 1ACKM
END OF DOCUMENT
741!
.: `6-18 111s-oi4s
•
RECORDING REGUESTEO BY '_
BIDWELL
TITLE &'ESCROW COMPANY
ORDER.
4-143887 -
AND WHEN RECORDED MAR TO
H„a
rMR. 6 MRS. LARRY LOUDERMILK'
1152 Dewsnup Avenue
a�
Gridley, Ca., 95948
c"y
L —OD 57
J
; Rec Fee 5.00
DOC
Rec rded
33.00
; Total 38.00
-
-
MAIL TAX STATEMENTS TO 0 f f i C iI Records
;
Cou�ity of
Butte
Noma
Candace J. Grubbs
BH)WELLTITLE Co.
StreetRecorder
were..
Same as above 8:00am
Dara
17 -Jan -89
;
vs 1
s1■ro
I
L
J
"'0
SPACE ABOVE THIS LINE FOR REC ER'S USE —
Individual
021-32-0-033-0 nt Deed
..
!
THIS FORM FURNiqurn av mnu.r..
The undersigned grantor(s) declare(s1:
Documentary transfer tax is $ 33• 0 PAJO
( X) computed on full value of propertyconveyed, or
( ) computed on full value less value of liens and encumbrances remainingat time of sale.
( X) Unincorporated area: ( ) City of , and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, JOE TERRY and
FREEDA M. TERRY, his wife
hereby GRANTS) to LARRY LOUDERMILK and PENNY LOUDERMILK,
husband and wife, as Joint Tenants
the following described real property in the
County of Butte , State of California:
Parcel 3, as shown on that certain Map entitled, "Parcel Map being
a portion of Lot 33, Gridley Colony No. 4", which said Map was
recorded in the office of the Recorder of the County of Butte,
State of California, June 22, 1973 in Book 46 of Maps, at page 42.
Dated: January 11, 1989
''
STATE OF CALIFORNIA JTerry
COUNTY OF Butte �CS Free a Terr
On January 13, 1989 befoore
me, the undersigned, a Notary Public in and for said State,
personally appeared _Joe Terry and Freeda
M. Terry ---------------------
persorralirkrmwn'tv-mc-or proved to me on the basis of sat-
isfactory evidence to be the person, whose name S
subs9ked to the within instrument and acknowledged
that ey executed the same.
WITNESS my hand and official seal.
Signaturc
Linda F. Wilson
'ORM eBTE-DEDA! (War) U A II T A V�e-...-
OFFICIAL SEAT,
LINDA F. WILSON
,.� NOTA$:YPI1F.LiC-CALIFORNIA
1: j rr ;:OUNTY
15.1992
(This arcs for official notarial real)
C
.... _._....
Lin mc nfV4 11
a ma rgrsCGUtl
, CAUVE a. 1ACKM
END OF DOCUMENT
741!
PERMIT NO. 3427-77P,E
PERMIT EXPIRES
F
OWNER Joe Terry
�CONTR. owner
LOCATION (A.P. 21-16-75
E/S Dewsnup Ave.,app.600'S.of West Liberty Rd.,
Gridley.
1,
4
Yj
ll
9
Temp. Power Pole
} Called PG&E
j Temp. Elec. Serv.
r, Called PG&E
i; Temp. Gas Serv. j 09
Called PG&E � 14' 92
JOB i
FINALED
(Date)
r
(Signatur
i
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
A PLUMBING
tback
Fire II
Y SOXI Piping
F ms
Paraphs
At Floor
in Bldg.
Restroo Finish
2n Floor
otin s
Windows
3rd Noor
St wall
Siding
To out
Sla
Roof Sheaths
Water Pi
Pier
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footingk
Garage Vents
Water Htr.
StemwaI I
Insulation
Heaters
Slab
Carport
Footings
Prov. for phsically
handicaped
Conformance of ex.
structure
Appliances
Gas Piping & Test
Temp. as
Slab
Final
Sanitation
Patio
REP CE
Final
Footings
Footing
EL CTRI L
Masonry Walls
Throat
Rou h
Reinf. Stee
Final
Fixtures
Bond Bea
FIRE SPRINKLE
Motors
Grd. FauJ1 Prot.
Service/
Pole
IrJeAor Lath N I entllation I Permanent
oor Closer VIFinal final
MOBILEHOMEUTI (TIES ---------------- Elec- Service,�,/3 W. Elec. Pedestal _—
Water Piping y7' Sewer Gas Piping d°� %
ME INSTALLATION --- Support / Elec. Continuity
Water Piping 1Cf'/ Drainage Q Gas Piping
DATE REMARKS OR CORRECTIONS
U /�717
1r'2�-
L������
rl;/� 7 Z&I olf
(NOTE: An entry must be made on this form each time you visit the job site.)
ti0}3Ti,EliUL11� I1VS7'ALLA'1`BR4 INSPECTION CHECK LIST
1. Is the mobilehome located wi.i.h required separation from lot lines and buildings and generally
conform to plot plan? Yes No
?, Does t11E'. mc)bil.ehome have required clearances above ground? (Sec.5085) YesNo
-A-1
3. Are foot.in,s and supports properly sized,'spaced,' and braced as -er-approved plans? (Note
possible variaL-ion at spring shackles.) (Sec. 5082 & 5083) YesNo_
4. Is the mobilehome level.? (Sec..5088) Yc sx. No+
5•. If more than a single unit, are 'crossover connections properly installed? (Sec. 5088)
Yes No
a. Water
A. Is f�exible connector of adequate size and properly installed (.1/2" ID min,)? (Sec. 5566)
Yes No
B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes XNo
7- C. Backflow�Ih is not State of Cali�nia approved, does station have backflow device
and pressure -relief valve? Yes No
7. Wastes and Drains
A.. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No
B. Does -it have minimum per foot slope and is it properly supported? Yes- No
C. Are any leaks detected in drainage system after running 3 -gallons of water through each
fixture including washing machine standpipe? Yes— No_)�
D. if -coag net -S" a oo CML -F rnia approved, does station have required trap and vent?
Yes No
8. Gas Piping and Gas Vents
A. Connector - Is mobilehome connected to the gas silpply'with an approved 3/4" minimum
mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as
large as the mobil/ehome gas line inlet without reductions other than the mobilehome
connector. Yes X No
B. Test OK as per following procedure? YesNo
1. Open all appliance connector valves.
2. Shut off appliance burner and pilot valves.
3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum
6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without
drop.
4. Connect: gas meter to mobilehome with connector, turn. on gas, test connections with
soapy water.
C. Are all appliance vents properly installed? Yes No ,
9. Electrical
A. Is service large enougl. to provide :adequate ampc>.rage to mobilehome (must equal rating of
mobilehome caitit a. ::;'inirtum of 100 amp) and other faciliti_r.s on lot, i.e., water pumps,
garage, cabana, etu.`l Yes. X, No
li. Is ther�-� proper clearances around panels? Yes Y No_
C. Is power supply cord or feeder assembly properly fused? Yesy No
D. Is continuity test satisfactory as per the following procedure? YesNo+
1. De -energize electrical wiring, system of the mobilehome at the pedestal.
2. Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
3. Switch all breakers, and switches in the mobilehome to the "on" position.
4. Connect one lo -.-id of a test instrument to the mobilehome grounding conductor and
: t Lid
ltYeLtai ."y CUntiCtUi, 111cl l
apfily the ULiie lead %o each mobilehome slP;
5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line,.
water line), including fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conductor.
6. Upon completion of: the above procedure, the power supply cord or feeder assembly
conductors shall be connected to the site service equipment. A further continuity
te::;L shall then be made between the grounding electrode and the chassis of the
111.0bilehome. Upon saLi_sfactory completion of the electrical tests, the lot or site
service equipment may be approved for energizing.
;.`?, I�> _;ob card signed by Health Department for water and sanitation?
11. If everything ol:ay, sign off card and t.a; services.
' iOBILZi'OME DATA / 7;7
Manufacturer and/or Namestyle
Length Wicith
VeYiicle Serial
State Identification No.
Adel4tional Infor;natiOn or Comments:
a COUNTY.OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 /) / {�
77
Telephone: 534-4541 �—
APPLICATION AND PERMIT
autnor)ze representatives of the county of tsutte to enter upon the
above-mentioned property for inspection purposes.
e
x Date
Signature ooff P rmitee or Agent
Receipt No. v Z"
White-D.P.W. — Yellow -Assessor — P' k -Inspector — Goldenrod-A"pplicont
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR 0rPUBLIC WORKS
By Date
wilding permit expires Date 7�
BUILDING
Owner J n e
SO. FT. OCC. BUILDING VALUATION
Mailing Address
�I Telep one No.
Fireplace
Contractor t 14
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Addresss .S Q S
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 :per
R l9 Q
Each Trap 1.50
�C
Repair drainage or vent piping 1.50
Water piping 1.50 0.�
j?ep�Verif Pion Only
ki pa
Each gas water heater or vent 1.50
A. P. No .
4a-2-
ZO
Gas piping system 1 - 5 outlets 1.50 (),C-6
Each additional outlet .30
F e AsT
W. S i on Fire Dept. Fire Zone
Use Permit
Building sewer 5.00,
EOA
Parking
Plans
Parcel
Declara�
P r R/W
Im roveme s
P
Lawn sprinkler system 2.00
Bldg. Plops Recd • "Parc Approval
Plans App vol
Permit Fee $
$ .� m
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00 ,&-V
Main service 100 AMP ORSL_ V OR , 5.00 ,b0
Main service EA. ADD'L too AMP 2.50 J-0
Single Family ❑ Duplex ❑ Mobil Home E4 Others ❑
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
-
NEW CONST DWELING
OR A.D.S. ( ACCLBLDGS.CCUP. &) 2¢sgft
NEW CONSTR. MULTI -OUTLET
NON.RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONST R. (POWER APPARATUS .&
NON-RESID. SING E OUTLET CIR.
CONTRACTORS LICENSE LAW1Q
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
50
Ex. Occup(OUTLETs. OR FIXTURES) BAL�
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.000D
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
A 4
Oro
TOTAL PERMIT FEE
$
autnor)ze representatives of the county of tsutte to enter upon the
above-mentioned property for inspection purposes.
e
x Date
Signature ooff P rmitee or Agent
Receipt No. v Z"
White-D.P.W. — Yellow -Assessor — P' k -Inspector — Goldenrod-A"pplicont
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR 0rPUBLIC WORKS
By Date
wilding permit expires Date 7�
COONTY OF BwJTTE', — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Uroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
isDate I `
Signatur�arPerrnitee or Agent
Receipt No. roZ_j�xy
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have b paid.
DIRECTOR F UBLIC WORKS
By Date a 7-7-7
wilding permit expires Date ?—� — -77
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address
Telephone No.
Fireplace
Contractor/~ C�
Total Valuation
Mai I ing Address
Permit Fee
Plan Checking Fee &/or Penalty
dzvq
I hone No.
Permit Fee
Building Address A64LIfAIV440Q/1
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
0/ S
Each Trap 1.50
7
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P.o. — — %
Zoning 8 Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fkdes
CYC Safliwftom
Fire Dept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
tans
Parcel
Declaration
parcel Ma 60' R/W
P
Improvements
P
Lawn sprinkler system 2.00
B g. Plans Recd
Parcel royal
Plans provol
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
! r14!
Main service 600v OR LESS 5.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
OVER 600V
Main service 100 AMP OR LESS 25.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD -L 100 AMP 1.00
NEW CONST. OR ADONS. ( ACCLBLDGS.LING 0 CCUP. &) 22sgft
NEW CONSTR MULTI.OUTLET
NON.RESID. (BRANCH CIRCUITS) 2.50ea
NEW CONSTR (POWER APPARATUS &
NON-RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style_
C 1
^.e
Ex. Occup(OUTLETS OR FIXTURES) @@1
109
FIXED APPLNS. OR
EX. OCCUp. OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
% 7..-�-5- &Alep �J� twol, (f ,c
Mobile Home Facilities 15.00
r711
License No.gg4* — Classification C__6/
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
PPhave placed on file with the County of Butte a certificate of
Uorkmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above,a
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
,
Q!
TOTAL PERMIT FEE
$ OC
��
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
isDate I `
Signatur�arPerrnitee or Agent
Receipt No. roZ_j�xy
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have b paid.
DIRECTOR F UBLIC WORKS
By Date a 7-7-7
wilding permit expires Date ?—� — -77
In .
MOBILEHOME'SUPpORT DATA
Mobilehome Mfr. �/ /�e``G/ �S Setup Model No, c.7D Year
Width �(ft.) Length:- (ft.) ..'Ekpando Size ft.x ------- ft.
(Draw support details below) .
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and, structural setup sheets (if not.on .file with the County of Butte).
iv L - Sin le - a Footings- (check- one)
_CA 1. Wood.: either-.
pressure treated or
Center Center Support fdn-. grade.
Support Footing Sizes
Locations (in.) 2. Concrete pad.
Ain.
3. Other,:specify
&
_ Supports (check one)
/ 1. Concrete block
2�Lx ® 2. Concrete piers
ft}�Zin7 (in:)(in•)
3. Steel piers
4. Other, specify
_ ( Typical Support
xFooting Size
• (in.)(in.) �
i
Max. Pier
Spacing
a '� -
i (in,) (in.) ( j 1 _ Max.
g
i
*If center piers are other than drawn above, E COUN11
draw in locations, spacing, and dimensions. Q BV
gvlL
PP '0\1
A
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name: J° e- 1 -r-)A
2. Installer's name: J7 V 061 I -e 5f'+y/
3. Is the site currently under -permit? Yes. / / No 77
7-
(If yes, furnish permit number ) OR
Is the site an existing site? Yes / / No / /
(If yes, furnish two (2) plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and
clear of all setbacks and easements? Yes No
( If no, clarify )
5. What is the mobilehome electrical rating? ----------------------- Amps
6. What is the mobilehome site service rating? --------------------- Amps
7. What is the mobilehome site circuit breaker rating? ------------- Amps
8. Is there any other electric load to be served by the mobilehome
site service?---------------1-,-�----------------------------------
W1e fl(If yes, identify the load•a d size: (Load)
Yes Z47 /_ No
(Amps)
9. What is the mobilehome site gas pipe size? ---------------------- 3 (in.)
10. What is the type of gas service? ---=------------------------- Natural /n / LPG
L
11. What is the gas pipe length from meter or tank to the mobilehome?
12. What is the mobilehome gas demand? ------------------------------
UP is -information not required if pipe length less than 6 ft. on natural gas
orrless -thane 50: ft. on LPG.)
�J
(ft.)
(BTU)
07
NOTE -,All Material g Workmanship Shall i@ 1@
Accordance with Recognized Good Prnatl@@l and
t .,,�. ._�_�___-,,,...�.'— of a,giaalaiy�ressri3�ad,.far thegSpeciflmd•us@ In fI�@
i� iforM Building. gybing- b Mechanical Codes and
the National �eehica�
This set of plan• '
kept on the job at all im s and it is unlawfOl •fes
make any changes or ter Itions on same wallo@t
writrten permis-'on fro iDepartment o� fPVVi
lic Works, C my of But ((�
q. Setback shal e 5 ft. from tare
peSIds Property line an 50 ft. from the
`m°frlinedf fhe ted. ermitting a maxi.
066 rm �F 2 f#. ave g but entirety
of of aJl' Qasena�en!'s;
` r/v "ho6 .
All utility connections shall
located within 4 ft. outside the re r
third section of the mobile ho #
on the left (road) side of the mob e
l home.
a
p �X.
3o 0
0
m
O�
tBOTTE COUN I Y
6 ILDING DEPARTMENT
APPROVED
143
. 1 /
TLE _
aecti.on 53 "2 a
Equipment installed
to supply power to
a mobilehome shall
be 'o£ not less than
100 amperes- rating.
T, 1'us- ' � eco:
either switch or
ci.rclii_t brepJcer.
See l till ty Company
i'or Lncati6n & Detail
o f Servi. ce'- Pole and
.deter.
14obilehome Site
i
A\'" A
?,Sobilehome- to a building ----- 10 f ,
Mobilehonte &/or accessory structures.
to side or rear property line -5 ft.y
to centerline of road -50 ft. (except
FA6 roads --55 ft.)
Approved
" Flex Line
Recept
iacrwlted in
raintighta;..:�
egIllpmer;t.
v .tate ,,valve
Cold Water
I Line Stand ,
Pipe
411
Concrete
Pad
3/4" 1.1i n. Galy.
Gz'ound +.;' Pipe 'dater
--level +
�.j
_ 3'/ml.n ilex Clean
onnector /Out
" 4" Concrete
-- - Pad
''Approved `�''� 4., Longi; bend
Gas Cock
Drain line to
sewer or septic
1 tank,
3/4" Min.
Gas Pipe
factory wrapped
12 inches deep
CHAPTER 5. TITLE 25 of the California
Administrative Coe requires the
following:
All facilities serving the mobilehome
shLM be located with n 4' outside the
gear third section and on the left
G�oad Side) of the mobilehome. (See A
opposite and Sections 5356 (U. ectri'e)
5432 (Gas), 5532 (Sewer), 5552 ( [~Tatem .
!in approved :.ower supply cord or
feeder assembly not more than 201 in
length shall be used to connect the
mobilehome to the mobilehume service
equipment. (`section 5360)
An approved 3/4" cl: araeter gas cotmec'-
tor not ,core than 61 in length shall
be used to connect the mobilehome to
the gas outlet. (Section 5434)
A -.train connector consi-sting of
approved pipe not less than S. iked7ale
40 with approved fittings and a flex
connector at each end shall be used
to connect the mobilehome drain out-
let to the sewer inlet. (S;=ction
54.8 )
H flexible connector such as copper
tub::ng shall be used to connect the
mobilehome to the water serv_ce out-
let. (Section 5566)
NOTE: A reL.ef valve and spring
loaded check'valve on the water line
and a vent and trap on the drain in-
let may be regtLired for mobilehomes
not bearing -the insignia of approval
issued by the California Department
of mousing & Co m ni•ty Development.
i
f�
Owner:
Address: ,
Tenant:
Building Location:
Type of Inspection requested:
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
77 1. Housing / / 2. Financing
L/ 4. Other (specify)
Present use of building:
A. P. # ,-:? /✓/VI -'.S_
Date of Inspection
Inspector
= 3. Change of Occupancy to
A. 'Sanitation (Housing)
1. Water closet:
2. Lavatory:
3. Bathtub or shower:
4. Kitchen sink:
5. Hot and cold water to fixtures:
6. Heating facilities:
7. Natural light and. ventilation:
8. Room and space requirements:
9. Bedroom window or door for second exit:
10. Infestation of insects, vermin, or rodents:
11. Connection to sewage disposal:
•12. Connection to water supply:
13. Rubbish and garbage facilities:
14. Comments:
B. Structural
1. Piers and footings:
2. Floor construction:
3. Wall construction:
4. Ceiling and roof construction:
5. Fireplaces:
6. Comments:
C. Electrical
1. Service and ground:
2. Receptacles:
3. Fusing:
4. Comments:
-
D. Plumb in
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4. Comments:
/..,..... 4......,7 .... l.e..l.\
E. Other
1. Maintenance and repair:
2. Fire hazards:
3. Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation:
6. Comments:
F. Commercial Buildings
1. Roof covering:
2. Distance to property lines:
3. Physically handicapped:
4. Restroom floors and walls:
5. Exits:
6. Improvements:
7. Zoning:
8. Comments:
G. Field Problems or Violations
l: Problem or violation (give co lete description):
- - - c rP eco
2. ]haact�ipntaken (give complete description):
3. What action recommended:
7-7 A. information only
t
B. Hold for tea (10) days, then write letter.
C. Write letter.
77D.. Other.•
Complaint Date.
S
Other Date f
BUTTE COUNTY COMPLAINT FORM
OWNER
2-o 0
A.P. #
Address
/i, -S �. i e .,,; .;Yv f�
- �, cT L,
,
Zoning
Complaint
Location /l ��Z fit'^-�'
�1
Taken By':
VIOLATION
TYPE [] BUILDING Q
HEALTH PLANNING
-OTHER
COMPLAINT:
rW �i; (o A,_ l 1 s
PERMIT HISTORY ON FILE Q NONE f AS FOLLOWS: 41
TENANT: Name
Description of Violation
OTHER COMMENTS:
--------------------
FIELD'INFORMATION
Address
Approx. Bldg./MH SizeApprox. Bldg./.MH Ager % %
Under Construction Built By/Fort] Present Owner Q Previous Owner LV Occupied
E�rHas Power Has Gas 7a�s Sanitation Facilities
F7 Written Notice Given & Attached Person Contacted a�1/1-�-�
Describe Action Taken:
ACTION RECOMMENDED:
BY:
Information .only,
—Letter
nt-h=r
U/t!O Cit/ o jos- urw3
�w
f it ;�� n������
10 Day) Letter
for Days
DATEI�. //
- , µy s y
' •�' ', t• ear r .� ..:�` =r'
1 ,
i
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i- -,moi- '•T'
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COMPLAINANT
ADDRESS:
PHONE NUMBER:
OTHER COMMENTS:
IMPORTANT .ME0SGE
FOR
4 A.M.
DATE TIME P.M.
C�
nn _ v
O F
PHONE'
AREACODE- :NUMBER
4 =
:NSION
��xs�tyx3�,ar. �,
TELEPHDNEDPLEASE
maw.
3�r`✓Ki .. �" ,� �,�
CALL
�yy�CAME TO -SEE YOUk
SWILL CALL AGAIN: - a �f
L {, ..
v.�pY..al'l7•�.'kY'v.'�,`L` A. �. J v^:
ANTS T4 EE Y01J,
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3�Z�Y4Y�,eL2. 52La i'' F£ v� /x., "Y`
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'RETYU<RNED YOUR CALL
��
�,xSPECIAL�ATTENTION�' , �� � �`
:'<'�°">'�i✓,".Wi•Sx�.�s%:✓f�6�5.:�`,�:���
�A�[S�i�"d�i,+�'�i�c,�1��.h��.f:M,.. ., .lt
MESSAGE A 9.• n.0 �,4 "J
SIGNED'
LITHO IN U.S.A.
T
TOPS FORM 3002S
je
PERMIT NO. 6436-77B
PERMIT EXPIRES
OWNER Joe Terry
CONTR. owner..
LOCATION (A.P. 21-16-75
E/S Dewsnup Ave.,app.600'S.of. W. LibertyRd.,
GRIDLE Y
COUNTY OF BUTTE — DEPAWrMEN'f OF PUBLIC WORKS
BUILDINGINSPECTION RECORD
,WILDING
BUILDING (Cont'd)
PLUMBING
Setback 3
Firewall
Z Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows 7.,
-3rd Floor
Stemwall
Sidina
To out
Slab
Roof Sheathing
Water PI in
Piers
Roofing
Sewer
Garage
Fdn. Vents V
Fixtures
Footin s
StemwaI I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physically
Conformance of exhandica ed
structure :
Appliances
Gas Piping &Test
Temp. Gas
Slab A
Final
Sanitation
Patio
FIREPLACE
Final
Footin s
Footina
EL CT ICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIAE SPRIN LERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
M H ICAL
Grd. Fault Prot
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES Elec- Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MQBILEHOME INSTALLALIPN'-
...... - - - - - - -Support
Elec. Continuity
Water Piping.
Drainage
Gas Piping
DATE REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
st
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
s 7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
0- 7
le6 - 7,
,t-.Ie�
uLi Ur1 a r6preJCIILaLIVeS UI LIIC LUUtlly of Butte io enter upon the
abov -mentioned property for inspection purposes.
X Date —
Signature of Pe mitee or Agent
Receipt No.
14R 3
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
ZZIR%�ER 40F PUBLIC WORKS
- . -12 1 ?�)
Date 7n1 -1W -7r/
cBg permit expires Date �l 7d
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address �.
1490 U
r I CL ephon t�oS
'{
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
$ O ^
Permit Fee U
lob
Building Address ES 5
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
i'
Each Trap 1.50
Gri .46-A
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
v1
A. P. No. pC
�� 7,5
Zoning 8 Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
W'
S n tion Fire Dept.
FireZone
Use Permit
Building sewer 5.00
EQA Parking
Declaration
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
Id s JWec'd
Parc Approvol
P ns Approval
Permit Fee $
$
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE J$3.00
Main service 1000 AMP ORV OR LESS5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
OVER 600V
Main service 1100 AMP OR LESS 25.00
Main service EA. ADO'L 100 AMP 1.00
V
NEW OR ADDNST ( ACC. BLDGLING OCCUP. &) 22 sq ft
NEW CONSTR MULTI -OUTLET
NON.RESID. (BRANCH CIRCUITS) '2.50ea
NEW CONSTR /POWER APPARATUS &
NON.RESID. \SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES) BAOL @;
Ex. Occup.FIXED LNS
(OUTLETS PRESID )REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of. Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ to p y an y person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
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
MECHANICAL No. @ FEE
PERMIT' FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
TOTAL PERMIT FEE Is
A®
uLi Ur1 a r6preJCIILaLIVeS UI LIIC LUUtlly of Butte io enter upon the
abov -mentioned property for inspection purposes.
X Date —
Signature of Pe mitee or Agent
Receipt No.
14R 3
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
ZZIR%�ER 40F PUBLIC WORKS
- . -12 1 ?�)
Date 7n1 -1W -7r/
cBg permit expires Date �l 7d
r �iflZE —dill` ? afi rials & W r
{ or rrranship fit,{� " ¢ . i.
j 7' ��. C3Qd pencfi� t tin.
]o,S y.....: a SI �jfi �C r ,� •a F.�` A Y. ��y �,r��� ii'C' 14
t L', r� Unica! . ` til �.
This set plans _ Ccd„ _
of :. t�.�ilJ�Tf ba
kept, on the job at-.all;.firs and.i•} is unlawfil:fo
male any,cl,ana or �l'�eT�atiors on sare:v�'TH"Qif
from e Departrmenttc3:a
of Buiie.
:r The q
Setbcck shall
side Property lie 5 ft: from the
cenferline of e're and 50 ft. front the
A'
d
Permit :nu v� of a 2 ft. ®® Permitfing a ma.
' itollati w111 be r�. �� out ai A.all easeme tsve veri°nq but entirely,
of �aire�
t1� Mobiler
�: ; ��•
P 3 ��2L7,7
All utility connwtions shall b
located within 4 ft: outside the ►tea
third section of ,the mobile horns,
on the,64 (road) side of the mobil® t
home. �, '
A4&
ge
6urT COUNTY
BUILDING D1 PARTMEN
APPRoV�D