HomeMy WebLinkAbout024-130-075. MERRILL S. COWEE 24-13-75
-1180 River Ave, 'Gridley
(AUNT MINNIE VARIANCE) 1/6/84)
� - --- ---- 24-13-75
IV ILE COWEE
118 River Rd, Gridley
Permi 65-84P�E(util, MH)
E L E C 2-1-?ot A
GAS 2- z -s4 5' 314"
SUPPORT STRUCTN. REQ110
COMPACTION TEST RE
24-13-75 - -
ROGER SCO
Permitj'6-84MHI/4 �-84)
Is.s�e'd� 2 -.-2. b r/
024-130-075 94-0250B
RAKOW, DON •
1180 RIVER AVE, GRIDLEY
ENCLOSE CARPORT/MH pr's T
r 024-130-075 .05-0921
RAKOW, DONALD
1180 RIVER AVE, GRIDLEY
CONT: BILLS ROOFING `%�
REROOF W/COMP(26)
6. L. Aq -()S
Butte County Department of Development Services
YVONNE CHRISTOPHER, DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
ADMINISTRATION * BUILDING * GIS * PLANNING
July 15, 2005
Sharon Tapia
2842 Royal Palm Way
Carmichael, CA 95608
Subject: Reconstruction of a Nonconforming Use; APN: 024-130-075
Dear Mrs. Tapia:
Non -conforming uses in Butte County are governed by Butte County Code Sections 24-35 though 24-
35.55 inclusive. These sections of the code provide for the replacement of a nonconforming use subject
to the requirements contained therein. This applies to all nonconforming uses in Butte County. The
applicable sections of the Butte County Code may be found on the Butte County Department of
Development Services website at www.buttecounty.net/dds
If you have any specific questions please feel free to contact my office.
e
hen Streeter
Interim Planning
Manager
Cc. Mann, Raj
Building File
NOTES RESIDENTIAL .
!�� 1 024-130-075 05-0921
PERMIT NO. _.RAKOW, DONALD --- -
t� 1180 RIVER AVE, GRIDLEY
CONT: BILLS ROOFING
REROOF W/COMP(26)
t
r
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
_ 1
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS ==,
SUB -STANDARD HOUSING LETTER
. IT,
• '� �y�6- 6FF �i �� �:e�r�'I
I
}
JOB FINALED (D te)
Signature
t
k� �y
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
_ 1
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS ==,
SUB -STANDARD HOUSING LETTER
. IT,
• '� �y�6- 6FF �i �� �:e�r�'I
I
}
JOB FINALED (D te)
Signature
J=OK
0 = Not OK
. = NotReadyable
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
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/O -Concrete
4.
Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or / /" L "ft./ P LPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
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
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Enclosure; Fencing -Alarms
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
Date
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify #'s with Office
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
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-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -Enclosures- Panel boards- Ins. to Main Conduit
9. Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J=OK
0 = Not OK
= Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
Hangers -Post Caps -Anchors -Connectors
1.
Zoning -Setbacks -Easements -Flood -Slope
49.
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
52.
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
Property Line Firewall & Openings
5.
Stemwalls, Main; Steel -Blockouts-Wrapped
55.
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
6a.
Hold Downs and Special Anchors
58.
7.
Slab, Steel -Wrapped
Glazing Area -Glass Protection -Skylights -Plastic
8.
Piers -Fireplace Ftg.-Steel
61.
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 -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
Date
78.
Card B-1 Date Card B-1
Date
79.
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Insulation -Foam -Looked in Attic y
17.
Water Htr.; Vent -Access -Combustion Air Baffle
Guard Rails & Deck Construction -Post Caps
18.
Water Pipe; Test & Anchor -Nail Protection
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
Clearance Looked under Floor ❑ Yes
20.
Shower Pan; Test, First Floor -Tub Access
Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No
21.
Test Tub & Shower, Second Floor -Tub Access
Stucco Brown -Finish
22.
Gas Pipe; Sixe & Anchors
A.C. Unit Disconnect, Electrical -Plumbing
23.
Fire Sprinkler; Test
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
90.
24.
Fixture & Transformer Clearance -Ins. Protection
91.
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
92.
26.
Size Boxes & No. of Conductors Stapled
93.
27.
Romex Installed Close to Edge of Studs & C.J.
94.
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
95.
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
96.
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral ❑ Yes ❑ No
32.
Service -Riser Conductors & Ground Main Disconnect
33.
Equip. Clearances Panels-Motors-Mech. Equip.
34.
Clothes Closet Light -Shower Light -Spa Light
35.
Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36.
A.C. Ducts Insulation & Support
37.
Vent Fan, Exhaust above insulation
38.
Condensate Drain & Overflow, Size & Grade
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41.
Sills Proper Materials & Anchors
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
43.
Bearing Walls over Girders & Floor Nailing
44.
Draft Stop in Walls (rat proof)
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46.
Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic y
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
_
83.
Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No
84.
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BPOS0921
n, t;. uuuamp Permit v i- iu-vv vu
LICENSED CONTRACTORS 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
Issued Date: 04/08/2005 APN: 024-130-075-000
the Business and Professions Code, and my license is in full force and
effect.
License Class : License Number:
Site Address: 1180 RIVER AVE GRI
Date: ^. 5 Contractor:
Map Index:
Description: REROOF W/COMP 26
p
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the
Contractors' Stale License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter. Improve, demolish, or repair any structure, prior
Owner: RAKOW DONALD TRUST ETAL
to its Issuance, also requires the applicant for such permit to file a
signed statement that he or she Is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
C/O RAKOW DONALD TRUSTEE ETAL
7000) of Division 3 of the Business and Professions Code) or that he or
1180 RIVER AVE
she is exempt therefrom and the basis for the alleged exemption. Any
GRIDLEY, CA 95948-9604
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than rive hundred dollars ($500).):
❑ 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 (Sec. 7044, Business and Professions
Code: The Contractors' Slate License Law does not apply to an
owner of property who builds or improves thereon, and who does
Applicant: BILL'S ROOFING
such work himself or herself or through his or her own employees,
GRAHAM, BILL
provided that such Improvements are not Intended or offered for
sale. If however, the building or improvements are sold within one
1770 KOFFORD ROAD
year of completion, the owner -builder will have the burden of
GRIDLEY; CA 95948
proving that he or she did not build or Improve for the purpose of
530-846-3981
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec.'7044, Business
and Professions Code. The Contractors' Slate License Law does
not apply to an owner of property who builds or Improves thereon,
and who contracts for such projects with a contractor(s) licensed
Contractor: BILL'S ROOFING
pursuant to the Contractors State License Law.).
GRAHAM, BILL
❑ 1 am Exempt under Article 3 of the Business and Professions Code
1770 KOFFORD ROAD
:.
GRIDLEY, CA 95948
Date: Owner:
530-846-3981
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
License #: 801512
❑ 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.
Architect:
❑ 1 have and will maintain workers' compensation Insurance, as
required by Section 3700 the Labor Code, for the performance of
Engineer:
the work for which this permit Is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 0 S. F.
Policy f/:
Valuation: $0.00
certify that in the performance of the work for which this permit Is
Census Code:
issued, I shall not employ' any person In any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisldns of Section 3700 of the Labor Code, I shall
forthwith comply with ose prns.
Date: O
Applicanl:
WARNING: Failure to secure workers' compensation coverage Is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), In addition to the cost of
compensation, damages as provided for In Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit Is hereby ssued under the applicable provisions of the Butte Cou ty Cod and/or
I hereby affirm that there Is a construction lending agency for the
Resolulio o k Indic ed above for vyhich tees have been paid. (]+��
4 16.5
performance of the work for which this permit Is Issued (Sec 3097 CIV.)
By. Date: v
Name:
.
G
PER MIT EXPIRES 0)(N -L)
Address:
(Da
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification In accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information Is correct, and that I`am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it Is unlawful to alter the substance of any official form or document of Butte County. I hereby
�
authorize representatives of Butte County to e r upon the above mentioned property for inspection purposes�`si;�%/�
Print Name: ZZ � -4-4Ld a,_r� — Signature:
ZZ
Dale: W 0
Contractor ❑ Agent for Owner ❑ Agent for Contractor
%] Owner A __ - - a
n, t;. uuuamp Permit v i- iu-vv vu
t
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
"PLEASE PRINT CLEARLY"
OWNER
Last Name
el 42
irst Name
r
Address
City � � / State
Z' S
Ph l�) , 9, �Fax
E-mail
ON
For office use on :
ARCHITECT/ENGINEER
Name
Flood Zone
Address
SRA
City
State
State
Zip
Phone
E-mail
Fax
E-mail
Planner
State License Number
ON
For office use on :
APPLICANT NAME
Name
Flood Zone
Address
SRA
Ciry
v- L
State
Occ•
d
Fax
E-mail
Page
ON
For office use on :
Zoning
Amount
V
Flood Zone
SRA
I Yes
I No
Occ•
Type Const
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NO.
.BP`
E
#
LOCATION
Property Address �f/J City 117
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description Scope of Work:
Gv
cJ
Sq. Footage
O Structure Built without Permits
O Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Amount
V
Bldg
SRA
Receipt #-
Sheriff
SMIP
Date: ti �/ � �
`l
Other
Total
SUBMITTAL REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply
for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED.. ALL PLANS MUST BE
LEGIBLE AND WINK.
Residential, New, Remodels, Additions, and Accessory Structures:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER!
❑ 2. '3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER!
OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed
calculations.
❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXESI).
❑ 4. Letter from Engineer or Architect for truss design review.
❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to.
mobile or modular homes.)
❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7. Detached Accessory Building Form, filled out by the property owner (if required).
❑ 8. Sanitation and site plan approval from the Environmental Health Department.
❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
Mobile, Manufactured, or Modular Homes:
❑ 1. 3 Site -Plans, signed by the preparer. NO GRAPHPAPERI
❑ 2. 2 Data sheets and installation instruction manual.
❑ 3.. 2 Marriage line information.
❑ 4. 2 Floor plans.
❑ 5. 2 Engineered Tie Downs or Foundation plans.
❑ 6. Sanitation and site plan approval from the Environmental Health Department.
❑ 7. 2 F1ood"Elevation Certificate, wet -stamped and signed (if required).
Commercial, New, Additions and Remodels:.
❑ 1.
4 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑ 2.
4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
with code analysis.
❑ 3.
2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 4.
Letter from Engineer or Architect for truss design review.
❑ 5.
2 Energy compliance design and supporting documentation (if required).
❑ 6.
2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7.
Statement of Intent for Non -heated and A/C (if required).
❑ 8.
Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
❑ 9.
Letter of intent.
❑ 10.
Hazardous Material Form.
❑ 11.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530) 538-7541.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04
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PERMIT NO. 46.E-84P,E(MH)
PERMIT EXPIRES�(�/ 7
4
OWNER MERRILE COWEE
CONTR. owner
ASSESSOR PARCEL 24-13-75
LOCATION 1180 River Ave, Gridley
G Temp. Power
Called F
i
Temp. Elec.
Called F
'f
Temp. Gas S,
Cal led P
OFFICE COPY
Address
GAS
Dat
Meter By
ELECTRIC Daus/�
Meter By
L
i
JOB FINALED (Date)
Signature
J = OK
0 = Not OK
- = Not Applicable
* = Not Ready
MOBILEHOMES
MISCELLANEOUS
Date
MOBILE OME UTILITIES (P _ s) OK except H's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's
1 oning Requirements -Setbacks -Easements
1, Zoning Requirements -Setbacks -Easements
oils; Special MH Support -Sketch
_
2. Footings; Size -Depth -Spacing -Connectors
�-Iewer;
Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
I.-Wa-ter; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_
5! Electricity; Location-Clearances-Grnd.-p1W Amp -Concrete
_
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or,0$7/"L"ft./ "LPG
L.,Jolfflity Clearance r
6. Carports; Windows -Doors -
7. Elec.
Ca1
ate ,�� Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION ( OK except M's
ming Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date _
POOLS (Plans) OK except It's
1. Setbacks -Easements
Ings; Size -Spacing -Marriage Line
2. Soils: Compaction -Structure Stability
if�rGas; MH a errand -Valve -Connector j
3. Pool Structure: Steel -Connections -Thickness -Dead Men-L,ning__
A_Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
8!6rain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
Mer; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
ater and Sewer Connected -C/O to Grade -HD Approval
7, Elec.; Bonding: Metal. w/5' -Circulating Equipment -Heater
8. Ga nd Ele ily Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
Defxits; Insp.-Sketch .
1QKCert. of Occupancy
9. Health Department Approval.
10. Plumb; Cir. Test -Water Supply Test
Card B -I
a�
Date - /- and -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date.9fQ and -B1 Date {
Card -BI
Date Card -BI Date
v_
607
V 0K,
0 = Not OK' '
Not Applicable
Not Ready RESIDENTIAL (Single 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- / /" Ftg. Depth
4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-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
FRAMING (Continued)
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
14.
Water Ht.: Vent -Access -Combustion Air
15.
Water Pipe; Test & Anchors -Nail Protection
_
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
_ -17.
53.
Shower Pan; Test, First Floor -Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
19.
Gas Pipe; Size & Anchors
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
ELECTRICAL (Permit) OK except q's
Date Card -BI Date
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.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes El No
_
28.
Service -Riser Conductors & Ground -Main Disconnect
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
30.
Clothes Closet Light -Shower Light
Card B -I
68.
Date Card -BI Date
Card B -I
69.
_
Date Card -BI Date
Date
MECHANICAL (Permit) OK except N's
Plb., Elec. & Mech. Equip. Listed for Location
A.C. Ducts; Insulation & Support
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
32.
Vent Fan; Exhaust above Insulation
_
_33.
Condensate Drain Overilow; Size & Grade
Guard Rails & Deck Construction -Post Caps
34.
_&
Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Card -BI
__
Date Card -B1 Date
Date Card -BI Date
Date
FRAMING(Plans) OK except q's
_
36.
37.
38.
39.
40.
_Sills; Proper Material & Anchors
Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing__
Draft Stop in Walls (rat proof)
_Fire Stops; Furred Ceilings -Stairs -Chases -Tub
_
41.
42.
43.
44.
45.
46.
47.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-R1tr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access; Size &_Romex Protection -Draft Stop -Ins. Baffles
Bdrm._Win_dows_o_r_Exiting Doors -Sill Hgt. & Dimensions____
Garage Fire Protection Framing^`
Date
FRAMING (Continued)
48.
Property Line Firewall & Openings
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
51.
52.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing -Veneer
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
54.
Glazing Area -Glass Protection -Skylights -Plastic
55.
Shear Walls; Nailing -Bolts
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
57.
Smoke Detector
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
59.
Bedroom Exiting
60.
G.F.I. & Bath Fixtures & Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
62.
63.
Stairs & Rails
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66.
Elec. Outlets & Receptacles at Kit. Counter
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meth. 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 Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes []No;
Planters El Yes CJ- 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.
80.
Water Well; Disconnect, Electrical, Plumbing
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
Comments at Final:
(NOTE:Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
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 conta
W thiso/fice immediately.
_ .
I 0 1.
Inspector(—/
nspector� - V� Date 3 � - =- r?/-
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER 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.
0
l.v
Inspector- Date ri
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
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.
A/VS r
O A 2i/SC_O K/u/ C
Inspector__ _V— Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California dministrative Code, Title 25, Chapter 5, under permit
number 41U 17" for the following location:
Owner Ami. -j X'i•I ! (- ( IOQ. A) e:e,
Owner's Address" R o )�) I u <!w A L) Q
Mobilehome Mfg. )-1 1'I r_P Y -Model �- Year 7`5-
Insignia No. Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
t / Director of Public Works,
Date � -\ `7 By l./ �I ! ,% i /"
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
`r.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California. Administrative Code, Title 25, Chapter 5, under permit
number for the following location:
Owner "Me r r P ("lu"o evt
Owner's Address WR D k 1 V �nff A LI P G I -I )I I�
Mobilehome Mfg. 1--M h e r Model Year7'5
Insignia No. Serial No.�� 7
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Pub=lic Works*
Date "� � By (y • ya
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
- 7 County Center Drive - Oroville, California -95965 - Telephone 916/534-4541 _
APPLICATIN AND PERMIT
ASSESS P RCEL NUMBER ��
r
ZONING
'
BUILDING PERMIT
OWNER,n
TELEPHONE
7
SQ. FT. OCC.1 BUILDING VALU TION
OW R'S MA N ADDRSSS CC
d�
XGO TRACTOR'S NAME
} r
TELEPHONE
CON'rRA.CT,OR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 9b -
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMITg
Filin Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
f d Ad
Water piping
5.00
LOT NO.
SUBDIVISION NAMEPARCEL
AP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobi lehome � Other SPECIFY
Building sewer
5.00
Mobile Home S G W.
10.00 e
TYPE OF WORKPermit
New ❑ Addition [Iodel ❑ Utilities Installation Other ❑
Describe work: —
Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
- /
(QXQ VN
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADONS. ACC. BLDGS.
2t/20sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
ElNON-R
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
LN 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 CONSTR ULTI-OUTLET 2,50 ea
NON.RESID BRANCH CIRC ITS
NEW CONSTR. (/POWER APPARATUS &
ESID. SiNG LE OUTLET CIR.
Ex. Occu 2Desoa
P�o Ts OR FIXTURES 6AL®30Q
FIXED
Ex. Occup- our OUTLETS P(RESID.)REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
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.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all H bil• 'es, judgments, costs, and expenses which may in any way accrue
against a' County in conseque ce of the granting of this permit.
X Date 6
Signature of Applicant – Ownerp Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $ ^
TOTAL PERMIT FEEJ $ 910 bc
occUP. GROUP
I TYPE OF CONST.
FFIPARCELI
PD
I ND
uE
This permit is hereby issued under
Bions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By —
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date'I –''�
,r� ® _
7 — -L — U\�
I '�DZ %
Receipt No. /
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL -DEVELOPMENT
Section 26-8.1 of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building permit.
64= 4521
i3OFF1CiAL RECORDS
BUTTE COUNTY -CA'.!:-
PAR�j Y, SHOWN
The property described herein is adjacent to land or included �Ea +5 J 18 r}' i"Ir"
within an area zoned for agricultural purposes, and residents of this
property may be subject to inconveniences or discomfort arising from CLE -RK - REr:;l1,UER
the use of agricultural chemicals, including, but not limited to herbicides,, pesticid
and fertilizers; and from the pursuit of agricultural operations including, but not limited
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural zones .which have as a
priority use for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm operations.
All that real property situate in the. County of Butte, State of California, described
as follows:
Seo 1/7 I'azq e z3 y� -� 6 ®F 1d le. �o%jti A. s,
�, y
QCCOrci/nom; IQ /-1a,/0 O .541 cf 1 OAy /
1 o tin oyo B o o � 1. L
S wD`ec- t -a r c -c J9-ci r 11 15 O T ��a� e9Ln 6( f°
aNy, of rn s-frc,rT enfis rep o, -d e.ct �h o , � 1R(
�Ourli"- k ma7K (14-1 1 -*--e V- moi
P� �Dee�� �
Date: P PERTY OWNERS:
:J.e 0 - `1/ 4
State of On this the iS day of /-6:- 19 , before
SS. me, the undersigned Notary Public, personally appeared
County of
t`1ERR��c S . Caw
XPersonally known to me. / / Proved tome on the basis
of satisfactoty evidence.
to be the person(s) whose names) (S subscribed to
the within instrument and acknowledged that N6
executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
Present A.P. No. --!N-1 s--7 C
tary Pub.l
Immm�lm�!
OFFICIAI, SEAL
GARY D. FIFE
mk... .� NOTARY MUBLIC•CALIFORNIA
PRINCIPAL OFFICE IN
BUTTE COUNTY
"J MV('rYmmICCInnUnireSMar .20.1985 i
BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS
' 7 County Center'Drive, Oroyille, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET '
1.
Owner's name:
2.
Installer's name: sorry,
3.
Is the site currently under permit? Yeh / /
'NoZM
(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 /D
No
( If no, clarify
)
(
)
5.
What is the mobilehome electrical rating? -----------------------
-, /D V Amps
6.
What is the mobilehome site service rating? ---------------------
Z.: O 2J Amps
7..
What is the mobilehome site circuit breaker rating?
-------------
/&0 Ames
S.
Is there any other electric, load to be served by the mobilehome
siteservice? ---------------------------------------------------
Yes No.
(I£.yes, identify the load and size:
(Load)
(Amps)
9.
What is the mobilehome site gas pipe size? ----------------
------
10.
What is the type of gas service? -----------------------------
Natural 1_7 LPG �L / '
>
11.
What is the gas pipe length from meter or tank to the mobilehome?
12.
What is the mobilehome gas demand?, ------------------
--------- =-
O.:EnBTU):
t
(This information not required if pipe, length
less than 6 ft.
on natural gas .
or less than 50 ft. on LPG.)
• rr �ti- �" t..
MOB ILEHOME SUPPORT DATA1/�
// If:other than single wide,
Mobilehome Mfr. /_ 0LK G ,eu . furnish Setup Model No. Year
Width (ft.). Box Length4,!Q (ft.) Tagalong or Expando Size . x ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
mobilehome unless otherwise specified.
® O
(ft.)(in;)
Center support
locations*
(ft.)(in.)
( in. ) ( in'. )
Center support
footing sizes
(in.)
(in.) (in.)
V�mo
(in.)) (in.)
Footings (check one)
• Single 0.1'. Wood either
A- pressure treated or
foundation grade.
*If center piers are other than drawn above,
draw in -locations, spacing, and dimensions.
2. Other: ( specify)
Supports (check one)
1: Concrete block.
Loa
[-]..2i Other,. ( specify)
Tagalong or Expando,'
show support details.
/ xZy J -- Typical Support
in. (in.) Footing Size
I A1,11 -- Max. Pier Spacing
(ft.)(in.)
I�� -- Max. Overhang
(ft.)(in.)
BUTTE COU TY
�UII,DING DEPARTMENT
APPROVED v
I
I
y
7(
� I
COUNTY OF BUTTE - DE.P'ARTNIENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
- APPLICATION AND PERMIT
M
ASSESSOR PARCEL NUMBER
r ®-- —
Qqm
zON NG
BUILDING PERMIT
ow/�y14F�5ele�t(j/C;,,�
///1%CICO/`M-'A eou_
T / {pH�d /
SQ. FT. OCC. BUILDING VALUAT
O
/Q per-• �%
IVL I /� (V C
CONTRACTOR'S NAME 0WAJEk
TELEPHONE
'
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESb
Permit Fee
$
ARCHITECT OR ENGINEE -
LICENSE NO.
Plan Checking Fee
$ 0-0
Penalty
$
ARCHITECT OR ENGINEE MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
r �
PLUMBING PERMIT
Filing Fee 10.00
r
Ca I sq
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00 ,
LOT NO. SUBDI VISION NAME
PARCEi_ MAP
�c Z/
Each qas water heater or vent
5.00
as piping system 1 - 5 outlets
5.00
USER7RUCTURE
SF [:1Duplex ❑ Mobi lehome Other
SPECIFY
Building sewer
5.00
Mobile Home TZ
10.00 e o0.6
TYPE OF WORK/
New F1 Addition ❑ Remodel [I Utilities I,�J,/ Instal lation ❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&`
OR ADDNS. ACC. BLDGS.
/ 2Ih0sgit
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 mylicense is in full force and effect.
License No. Classification
® I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. ULTI.OUTLET 2,50 ea
NON.RESID BRANCH CIRC ITS
NEW CONSTR. //POWER APPARATUS &'/
NON•R ESI D. ISINGLE OUTLET CIR. \
Ex. Occu 2A@50C
P�o OR FIXTURES BLQ 30Q
FIXED A
Ex. Occup. OUTLETS PLNS (RESID.)REA.) 2.00
Temporary service 10.00
Mobile Home Facilities
15.00 .(1()
Misc. Wiring 15.00
7 -
Virmit Fee $ 176, i<o
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
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.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against aid County in consp=ence of the granting of this permit.
X 2 jam_ yLl
c = �_s� l� Date c"fOC (9
Signature of Applicant — Owner U Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
occuP. GROUP
I TYPE OF CONST.
I PARCEL
PD
s�vE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
BY
PE9fiii4 EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date77�—-}—�(�`(�_
Receipt No._O
WHITE-D.P.W., YE OW --ns SCSSR , PINK -INSPECTOR, GOLDENROD -APPLICANT
This set of plans and specifications MUU ee
kept on the job at all times and it isaurr awf ••
make any changes or a. -rations on ame wit -
out written perm. ssion frog. the Dep rtme t o
Public Works, Coun;v o'`liutt
. I
t
NOTE:—All Materials & Workmansh $ all
Accordance with Recognized Good ra tic(
of a quality prescribed for the Specifi d se
Uniform Building, Plumbing & Mech ni al
and the National Electrical Code_
/o FT.
A setback of(!�O. from the
property lines and a setback
of 50ft. from the road
centerline shall be clear of
structures or equipment except
°nr a 2 ft. eave overhang. „
Utility connections shall be with n
4 ft. of the mobilehome, either
directly behind or within the ree i
half of the roadside (left) of the
mobilehome. , y
�i
th'
H'.
=Bl
S o
g
d a
v. -
A permit will
installation f
�
UNTY
H
_
gppR
VSD
w
M-0
L"T
P �l 44• Z2
required for the
mobilehome.
I s
v
q 4.30 -
/02.
BUTTE
UNTY
BUILDING D
PAR7MENT
gppR
VSD
.9%
SEWER
OUTLET
CLEANOUT-
MOBILE
LEANOUT-MOBILE
1
FLEX
COUPLING 3Max.
V. .. I
3 2 CON NCRETE!f�
PAD
DRAIN TO SEWER,
OR SEPTIC TANK _
GAS OUTLET
W/METER W/b
FLEX CONNECTORT—.--.
SHUT-OFF
�VALVE
METER
,I
METER - 6 Mina
II
if SUPPORT
11 fSTABILIZ(=R� II 12Min.
3 Min. OUTLET i
(SEE NOTE UNDER GAS)
MOSILEWOME UTILITIES
INSTALLATION GUIDELINES
NOTE: Contact Utility Company for
meter locations, clearance over
mobilehome, and other requirements.
MOBILE I r- CHAPTER 2, TITLE 25 of the California
( Administrative Code requires:
1
REAR — Utility connections shall be within 4 ft.
2 I of the mobilehome, either directly behind
I ! or within the rear half of the roadside
(left) of the mobilehome. See (A)
I I opposite and Sections 1184 (Electric),
FT SIDE 18 B. I 1222 (Gas) . Sewer and water may be
6 located under the mobilehome within 18"
�4A of the left side rear half. $ee (A) or
(B) and Sections 1256 (Sewer), 1274
(Water).
----
-ELECTRIC Electric: Equipment installed to supply
..PEDESTAL OR. POL power to a mobilehome shall be of not
. less than 150 amperes rating. W/over-
current protective device and disconnect.
(Section 1142(b)(6). Additional loads
(well pumps, garage, shops, etc.) will
require additional power. An approved
power supply cord or feeder assembly shall
be used to connect the mobilehome to the
36"Min. mobilehome .service equipment.
CLEARANCE (Sect ion'13.52).
Gas: An approved adequate sized gas
36" Min.connector not more than 6' in length
CLEARANCE shall.be'used;to connect the mobilehome
the.'gas outlet. (Section 1354).
COPPER iiROUND to.
CONDUCTOR Note `Yf� ;n� tutal, gas piping over 6'
W/ACCESSIBLE ; from ,the .me;ter nor LPG piping over 50'
GROUND CLAMP + £'om.the tank; 'compute demand to establish
the' a,ize ;of, gas 'pipe required. .
6.. r .
Mln. � r: •A 3" drain connector consisting
�_�' I 11 I : ; 1 of approvsdi pipe not less than Schedule
I
„ T`40 ;with' appxoved fittings and .& flex
3 2 CONCRETE _ �� I) ► 1 coupling iat the inlet end. shall be used
PAD I 01 1 1 to connect the mobilehome drain outlet
11 o",
I to the. sewer inlet' (Section 1358) .
1 1 . 8� GROUND • ROD I 1 ! ester., Approved connector or copper
i , tubing ;shall be used. (Section 1282).
WAT E R
&
SUPPLY
FLEX
CONNECTOR
SHUT-OFF
1
VA LV E
6
--� M i
n�
V. .. I
3 2 CON NCRETE!f�
PAD
DRAIN TO SEWER,
OR SEPTIC TANK _
GAS OUTLET
W/METER W/b
FLEX CONNECTORT—.--.
SHUT-OFF
�VALVE
METER
,I
METER - 6 Mina
II
if SUPPORT
11 fSTABILIZ(=R� II 12Min.
3 Min. OUTLET i
(SEE NOTE UNDER GAS)
MOSILEWOME UTILITIES
INSTALLATION GUIDELINES
NOTE: Contact Utility Company for
meter locations, clearance over
mobilehome, and other requirements.
MOBILE I r- CHAPTER 2, TITLE 25 of the California
( Administrative Code requires:
1
REAR — Utility connections shall be within 4 ft.
2 I of the mobilehome, either directly behind
I ! or within the rear half of the roadside
(left) of the mobilehome. See (A)
I I opposite and Sections 1184 (Electric),
FT SIDE 18 B. I 1222 (Gas) . Sewer and water may be
6 located under the mobilehome within 18"
�4A of the left side rear half. $ee (A) or
(B) and Sections 1256 (Sewer), 1274
(Water).
----
-ELECTRIC Electric: Equipment installed to supply
..PEDESTAL OR. POL power to a mobilehome shall be of not
. less than 150 amperes rating. W/over-
current protective device and disconnect.
(Section 1142(b)(6). Additional loads
(well pumps, garage, shops, etc.) will
require additional power. An approved
power supply cord or feeder assembly shall
be used to connect the mobilehome to the
36"Min. mobilehome .service equipment.
CLEARANCE (Sect ion'13.52).
Gas: An approved adequate sized gas
36" Min.connector not more than 6' in length
CLEARANCE shall.be'used;to connect the mobilehome
the.'gas outlet. (Section 1354).
COPPER iiROUND to.
CONDUCTOR Note `Yf� ;n� tutal, gas piping over 6'
W/ACCESSIBLE ; from ,the .me;ter nor LPG piping over 50'
GROUND CLAMP + £'om.the tank; 'compute demand to establish
the' a,ize ;of, gas 'pipe required. .
6.. r .
Mln. � r: •A 3" drain connector consisting
�_�' I 11 I : ; 1 of approvsdi pipe not less than Schedule
I
„ T`40 ;with' appxoved fittings and .& flex
3 2 CONCRETE _ �� I) ► 1 coupling iat the inlet end. shall be used
PAD I 01 1 1 to connect the mobilehome drain outlet
11 o",
I to the. sewer inlet' (Section 1358) .
1 1 . 8� GROUND • ROD I 1 ! ester., Approved connector or copper
i , tubing ;shall be used. (Section 1282).
Address !
Reply to
Merrill S. Cowee
1180 River.Avenue
Gridley, CA 95948
.Dear Mr..Cowee:
LAND OF NATURAL WEALTH AND BEAUTY
DEPARTiMENT OF PUBLIC HEALTH
DIVISION. OF ENVIRONMENTAL HEALTH
❑ 695 Oleander Avenue, P.O. Box 1100 IN 7 County Center Drive ❑ 747 Elliott Road
Chico, California 95927 Oroville, California 95965 Paradise, California 95969 .
Telephone: 916/891-2727 Telephone: 916/534.4281 Telephone: 916/ 872-2961, Ext. 58
January 6, 1984
This is to advise you that pursuant to Section 19-19 of the Butte
County-.Code,.the Board of Supervisors has approved a variance to
Sections 19 -10 -and 19-12 of the Butte County Code for the placement of
a mobile home on your property located at 1180 River Avenue,
Gridley, CA and identified as Assessor's Parcel Number 24- ,.13 -=07:5:°"" --
-his variance was granted on December 6, 1983 and includes the
following conditions:
1. The variance is granted only for a term of one year. At the end
of one year you must apply for a new variance if the use is to continue.
2. If the applicant residing in the mobile home or conventional ---.
residence moves to another location or is deceased, the variance
automatically expires and the mobile home shall be moved within 120 days.
If the mobile home is not removed within 120 days, the County may remove
said mobile home and -store it at the owner's expense.
3. The mobile home shall be placed on the property without violating
any of the setback requirements of the zone'in which the property is
located:
4. The applicant shall secure all necessary sewage disposal, electrical,.
plumbing and building permits necessary to install the mobile home.
Very truly yours,
Lynn E. Vanhart, Director
Division of Environmental Health
ALL STRUCTURES AND EQUIPMENT INCLUDWO
OVERHANGS SHALL RE CLEAR OF ALL EASEMENTS.'
A SET BACK OF -IQ FT. Fr;o.m THr= SIDE ASC
-10 FT. FROM THE REAR PROPER' TY LINES AN
FT. FROM THE ROAD CENTERLINE SHALL. 6 E
LEAR OF STRUCTURES AND EQUIPMENT EXCEF T
FORA 2 FT._.EAVE.OVERHANG.
BUTTE COUNTY
BUILUNG DEPARTMEW
APF OVER
o�
C
•aaroustrcioua � �. uo�ar 14-
sy� a!nboa
�u
OWY -'I1 --�
os
V=OK
O=Not OK >,
-=Not Applicable
Not Ready MOBILE HOMES
' =
Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Teat -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Teat -Wrap: / /"L"ft.
/ /"Net. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date/Initials MOBILE HOME INSTALLATION (Plana) OK except #'a
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 Teat -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water, and Sewer Connected -C/O to Grade -HD Approval
S. Gas and Electricity Tagged
9. Exits; Insp.-Sketch _
10. Cert. of Occupancy
MISCELLANEOUS
Date/Initial DEC OVERS CARPORTS, GARAGES Plana OK except #'a
Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg: Rfg.-Bracing
Date/Initials POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Pane lboards- Ins. to Mein in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
V=OK
O = Not OK
- = Not Applicable
Not Ready RESIDENTIAL
' =
Date/Initials UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance -Material -Support -Ina.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation ,
16. Insulation
Date/Initials PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Neil Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/initials ELECTRICAL (Permit) OK except #'a
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels -Motors -Mach. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
_Date/Initials MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date/Initials FRAMING (Plans) OK except #'s
39. Sils, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Wells (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
Single & Duplex)
Date/Initials - FRAMING (Continued)
45. Hangers -Post Ceps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ina. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Wells; Nailing -Bolts
59. Insulation -Wells -Ceilings
60. Infiltration -Walls -Windows
Date/Initials FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd :Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door, Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor -Meth. Protection
75. Plb., Elec. & Mach. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive Cl Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg: Appliance -Fireplace -Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Comments at Final:
V/ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 [, PERMIT NO.
APPLICATION AND PERMIT �T- q,:;n
ASSESSOR PARCEL NUMBER 24-13-0-075
A10 ZONING
BUILDING PERMIT Id \_
OWNER DON RAKOW
T L }�"�986
SQ. FT. OCC. BUILDING VA UATIO
EST 2,125.00
OWNER'S MAILING ADDRESS 1180 RIVEN AVE GRIDLEY
CONTRACTOR'S NAME OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
54.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
-35.10
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
1180 RIVER AVE
PERMIT FEE $
109.10
GRIDLEY
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,pp
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF CY Duplex ❑ Motilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ElUtilities ❑ Installation ❑ Other ❑
Describe Work: ENCLOSE CARPORT
PERMIT FEE g
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
• �L /�n /-'
Main Service ( BOOV OR LESS )
200A OR LESS
23.00
Main Service ( 200A To 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. OLDS. )
s0-
3.5C FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON.RESIo. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
& SINGLE OUTLET CIN.
Ex. Occup. ( OUTLET OR FIXTURES )
B20AL. @ 1.00
Ex. Occup.FIXED APPLNS.
( OUTLETS (RESID.I EOR
A. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County i7Nonsequence of the anti g of this permit.
X Date % — 3 /" /
Signature Z4 Applicant_-?
pplicant -Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Mocc
/"
o TA TP
TOTAL FEE $
HAZ. D. F P
FLOOD
CDP
PARCEL PD HD 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 E�;i� �l Date 1gr
^
PERMIT EXPIRES ON L 9�
/Da e/
Receipt No. 155977
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
1-1
�'C('i". _ ' _ ^O+P',,�-�!"�1�,b'rt,�-r.. '.']rij„zy `.F� ) ��,�%..ta`i.•.a. '"r+.n�--'r-hti'.'�.'1.�R"F`-�'. �,,�"N�t:..�..:�:�.� .
i
V40 N
COUNTYOPBUTTE - DEPARTMENTOF D�V.E-LOPMENTSERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNX95965 - TELEPHONE (916) 538-7541 t
PERMIT APPLICATION DATASHEET
OWNER r_- U U A. P. o.
Proposed Building Use D _ Building Inspector Date -2/ 4-/
At time o�Tt t application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
/. All items have been submitted. ....... ..........................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3_ Complete 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). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $.........................................
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . ........................................ .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) 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 Pie..anspe.. .
clon request
required. . . to Bu;,d;ng Inspector. (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner ) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
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 . ..........................................
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 . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows:Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other 17
Parcel Creation
Acreage Applicant .���� , 0f Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit'for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer,or, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date , -?A lZ Plans approved by Date�
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
CO
PERMIT NO.
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 explanation,
please contact this office immediately.
I -=O 12 S
REV 10/92
COUNTY OF
BUTTE
- Department of Public
Works
7 County
Center
Drive, Oroville, CA
95965
Phone: 916-538_7341
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and 'nearing
your signature.
Please complete and return this information at your earliest opportunity.to avoid
unnecessary delay in processing and -issuing -your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I.(have/have not) signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name'
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address . Phone Type of Work
Signed:
Property Owner Lie
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to. our.office'before we are per-
mitted to issue the permit.
C.)s ('M.�
Lit PIA
Yi u.,
NOTE -:—All Mcferials & Wo4anqcnship Shall Be .,
Accordance wifh Recoqm',zed Good Practices and
Of a quaiity preserib-c-d' . for tho SpeciT.'ed Uto in tho
Uniform Building, Plumbing t36 CQ%IQA and
the Ntstio-6alliecirical Coj'e'.'
Provide one-hour protection ora
Provide approved flasbing at ox-terjor garage side of common wall to.
openings, typjwj gether with self-closing 1-3/8
thick solid -core door.
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BUTTE COUNTY
SUILMNG DEPARTME
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