HomeMy WebLinkAbout025-020-027J
AP 2 5
lob
Q@ F3
FHwy
001 off
S/s Welsh Rd, 1000, W. o�
70, Oroville 0,95
ermit# 3674-74P,E (u"l., Mir)
75
AP 25 -Q -
Permit# 1036-75B(coverg4
_pgL io, NH)
.Permit - w o ere, - ec
025-020-027 PERk-T#95-3153
WILSON, Rodney Lynn -
63 Welsh Rd., Oroville
Cont; Sharp Electric, ,� ,.�/y� `
Eie,Ser Ch/MH
-4-
025-0207027 PERMIT#46=0140,,,
WILSON, Rodney
63 Welsh,.Rd.„ Oroxiille!t
New, pr'i'Det . ar
B07-1110 025-020-027
RESIDENTIAL SFD-Mobile Home RET
EX MOBILE HOME PERM FND - R -ETI
}63)WELSH RD
WILSON, RODNEY Ll "Z3-67
I
:_...,,r
,_
� L!� � � i
OWNER:
LOCATION: --Id-i
CONTRACTOR:
pRE-INSPECTION FOR:
le AP*
PERMiT HISTORY: [ ]NONE owoLLows:-4 L&
TYPE OF OCCUPANCY:
ZONING:
JJAJ Z 1 V 114Orz%. ivn rri./
BUILDING INSPECTOR'S REPORT
uuuing Description:
[ ] Commercial/Usage:
[ ]
Residential/4 of Units:
[ ] Currently Occupied.
[ ] AbandonedNacant.
lectric:
[ ] Yes [ ] No
Electric is currently :[ ] On [ ] Off
Condition of electrical?
l , Mobile Home: Yes[ ] No[ ]
Natural [ ] Propane[ ] None[ ] Currently On[ ] Off[ ]
Obvious problems:
tion:
Plumbing working Yes[ ] No[ ]
fr
H;h
Well: Yes[ ] No[ ] Potable water: yes[ ] No[ ]
i
Obvious Sewage Problems:
s
t Recommended: Issue [ ]Hold for:
Date:
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSORPAR HHVMBEn
ZONING -
BUILDING PERMIT
aIrNER 1
(
11NE y�l
SO. FT. OCC. BUILDING VALUATION
OWMM'$ "NO ADORES /• `
� NAME ,
oc
TELEPHONE _
Q
CON7TOFL _) ,agCRESS �. �t I , / <- / �S (�
Fireplace
CoNLENDER
CONSTRUn
f
UNIQiOWN
Total Valuation $
Fling Fee $
20.00
1 ENOEFCS MAILING ADDRESS
Permit Fee S
ARCNDEOR ENGPIM
/h %
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGWEERS MAILING ADDRESS
Penalty $
SUIDMADDRESSPERMITFEE
CG " �� [ '
$
PLUMBING PERMIT
Filing Fee 20.00
_r_
Each Trap
7.00
LOT NO. SUBDN610NS NAME °ATC A1AP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF ; Duplex C3Mobilehome Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer I
15.00
TYPE OF WORK
New O Addition O Remodel ❑ Utilities}' Installation ❑ Other ❑
/ n / �j
Cc
Describe Work: ( ���1 .n r' �` "./ ;'yt A
Y- L1 < C
Mobile Home IS i Gi W1
1 920.00
PERMITFEE S
Contractor
ELECTRICAL PERMIT _::�Filincl
Fee 20.00
00
Main Service ( 20 AORLEss ) I
23.00 ,l
Main Serrce ( .20A TO IoxA ) I
I 46.00 I
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 Divisicn 3 cf the Business and Professions Code.
and my license is in lull force and effect.
License Class Lic. No.
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.
O I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.PERMITFEE
❑ 1 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:
O 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 forwhich this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above seciions 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 iso 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 comply with those provisions.
X ____ Date
Signature of Applicant - ❑ Owner ❑ Contractor O Agent
An OSHA permit is required for excavations over 5'9" deep and demolition or construction
of structures over 3 stories in height. ` U�
NEW CONST OWELLING OCCUR
OR ADONS. ( d ACC. SLOS. ) I
I . SO
I 3.5¢ FT.
NEW CONST-ULTI.OUTLET
NON-AESIO ( BRANCH CIRCUITS ) I ! @7.50 l
POWER APPARATus 1
(s SINCL= SLITL-. CHR.) ! !
Ex. Occup. (OUT ET OR FIXTURES ) I SA 'a ' .00
`
Ex. Cccu ( ""EO APPL.'IS OR 5.00
p' OUTLETS (RESID) EA f I ,
)
Temporary Service ! I 23.00
Mobiie home Faciiities 20.00
Misc. Wiring 23.00
S C•� �`�
Contractor
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE S
Contractor
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST TYPE
I TOTAL FEE $ C,•�. �/ ,
HA:
I D FEES I IMP I FLOOD I COF I PARCEL I PO
HO SSUE
This permit is hereby issued under me applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
BY
PERMITEXPIRESON
provisions
to do work
paid.
Date
BUTTE COUNTY AREA
DEPARTMENT OF DEVELOPMENT SERVICES 1
INSPECTION CARD MUST BE ON JOB SITE
24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico)
Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds
Permit No: B07-1110 Issued: 5/21/2007
Address: 63 WELSH RD Area: PALERMO
Owner: WILSON, RODNEY L APN: 025-020-027
Applicant: WILSON, RODNEY L Map Page:
Permit Type: SFD-Mobile Home RET
Description: EX MOBILE HOME PERM FND - RETROFI
Flood Zone: None SRA Area: No
SETBACKS
Front Setback: Side Setback:
Rear Setback: Other Setback:
Minimum Setback From Centerline of Street:
ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING
Inspection Type
IVR INSP DATE
Setbacks
132
Foundations / Footings
111
Pier/Column Footings
122
Grade Beams
114
Eufer Ground
216
Forms/Steel/Holdowns
122
Do Not Pour Concrete Until Above are Signed
Pre -Slab
124
Gas Test House
404
Gas Test Yard
404
Masonry Grout
120
Masonry Bond Beam
119
Underfloor Framing
149
Underfloor Ducts
319
Shear Transfer
136
Under Floor Plumbing
412
Under Slab Plumbing
411
Gas Piping
403
Do Not Install Floor Sheathing or Slab Until Above Signed
Holdowns/Straps
122
Shearwall/B.W.P.-Interior
135
Shearwall/B.W.P.-Exterior
135
Roof Nail/Drag Trusses
129
Do Not Install Siding/Stucco or Roofing Until Above Signed
Rough Framing
128
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
Gas Piping
403
Shower Pan/Tub Test
408
Fire Sprinkler Test
702
Fire Sprinkler Final
702
Finals
Building Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Pool Final
802
Mobile Home Final
802
Ins ection Type I
IVR I INSP I DATE
Do Not Insulate Until Above Signed
Wall Insulation
117
Ceiling Insulation
118
Do Not Cover Until Above Signed
T -Bar Ceiling / RC
145
Stucco Lath
142
Stucco Scratch
143
Stucco Brown
144
Swimming Pools
Setbacks
132
Pool Plumbing Test
504
Gas Test
404
Pre-Gunute
506
Pool ElecBonding/Light Nitch
502
Pool Fencing/Alarms/Barriers
1
503
Pre -Plaster
507
Manufactured Homes
Setbacks
132
Blocking/Underpining
612
Tiedown/Foundation System
611
Site Utilities/Trench Insp.
137
Gas Test Yard
404
Manometer Test
605
Continuity Test
602
Skirting/Steps/Landings
610
Coach Info
Manufactures Name: UNKNOWN
Date of Manufacture: 1974
Model Name/Number: MOUNTAIN ALLEY
Serial Numbers: S2143U/X
Length x Width: 24X60
Insignia: 183448/9
Public Works Fina
538-7681
Fire Department/CDF
538-6837 cxt 169
Env. Health Final
538-7281
Sewer District Final
"PROJECT FINAL
801 _
-rrolect rmai is a t,ermicate of vccupancy xor tKesioenuai vmy)
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR
RENEWAL 30 DAYS PRIOR TO EXPIRATION
Inspector Copy
no;z-
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 63 WELSH RD
Owner:
Permit No: B07-1110
APN: 025-020-027
WILSON, RODNEY L
Issued Date: 5/21/2007 By GLB
Permit type: RESIDENTIAL
63 WELSH RD
Subtype: SFD-Mobile Home RET
OROVILLE, CA 95965
Expiration Date: 5/20/2008
Description: EX MOBILE HOME PERM FND - R
(530) 521-0034
Occupancy: Zoning: U 00
Contractor
Applicant:
Square Footage:
WILSON, RODNEY L
Building Garage Remdl/Addn
63 WELSH RD
OROVILLE, CA 95965
Other Porch/Patio Total
(530)521-0034
a FEE INFORMATION
DBF MH Plan Check $219.96
DBMSC Mobile Home $329.94
Total Charged: $549.90 Fees Paid: $549.90
Balance Due: $0.00 Receipt No: B3165
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
,
also requires the applicant for such permit to file a signed statement that he or she is licensed
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
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect.
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
X 5/21/2007
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Contractors Signature Date
Z1. 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
WORKERS' COMPENSATION DECLARATION
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are notintended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors License Law.).
Carrier: Policy Number: Exp. Date:
(This section need not be competed if the permit is for one hundred dollars ($100) or less.
❑ I AM EXEMPT under Section B. & P.C. for this reason:
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 Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
X 5/21/2007
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
provisions.
Owners Signature Date
X y�j�/C�• 5/21/2007
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Signa ure Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
injury, including death, and property damage caused by, arising out of, or in any way connected with
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
props owns am authorized to act on the property owners behalf.
CONSTRUCTION LENDING AGENCY
5/21/2007
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Per ittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
Owner ❑ Contractor OR. Agent for Owner Agent for Contractor
FILE COPY
Lender's Address City State Zip
BUTTE COUNTY
g��o DEPARTMENT OF DEVELOPMENT SERVICES
C , o BUILDING PERMIT APPLICATION
° o OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
o -y=` ". =�- a A FEE WILL BE REQUIRED AT TINE OF APPLICATION
Website: www.buttecounty.net/dds
C�UN�� **PLEASE PRINT CLEARLY**
OWNER INFORMATION
Last W�4S0
Firs Name�
Mailing Address
City SOU/LL
St tem
Zi ,q e ,
Phone .$�.J�
Fax
E-mail
' APPLICANT INFORMATION
CONTRACTOR
Name
LQ e
Address
Zip
City
Fax
State
Zip
Phone
Fax
E-mail
Lic. #
Class
' APPLICANT INFORMATION
ARCHITECTIENGINEER
Name
City ni�DU/4L�
`Addfess
Zip
City
Fax
State
Zip
Phone
Fax
E-mail
State License Number
' APPLICANT INFORMATION
Name
/�ODrvC tom./l S6N
Address
City ni�DU/4L�
State,Q
Zip
Phone s.
Fax
E-mail
APPLICANT SIGNATURE
0
PROJECT LOCATION
AP# Zs..., v 70 - 02 7
Property Address
City
PERMIT
NO. I I fi
BIN # .
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 OR SCOPE OF WORK:
Zoning
Flood Zone
4 ,h r: N T ov�a�r�an� 433
SRA
I Yes I No
Occ.
Type Const.
I
Sq FT- Living Garage
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
Open Cov
1 qO
For office use only:
Zoning
Flood Zone
SRA
I Yes I No
Occ.
Type Const.
I
"x "x 3/16"
STE;— ANGLE
UETAIL "Al"
CHASSIS FRANIE
1/4" GRIPPER PLATE
(2) REQUIRED
1/4" GRIPPER BASE
1/2-13UNG-A307 x 4"
BOLT WITH NUTS
(4) REQUIRED
01 1/2" SCR 40 PIPE RESER WITH
01/2" ADJUSTER HOLES AND 3/8"
THICK TOP PLATE
02" SCH 40 PIPE STAND WITH TWD
01/2" ADJUSTER HOLES _
ABESCO ABS PAO #503
STEEL FRAME
SEE DETAIL "A
3/8" CAO PLATEO BOLT, i l' & WASHER
GOUNTER GORED FLUSH WITH BOTTOM
� 18" 01171. (8) RECIARED
,-1/4" STAND BASE.
--- l.RFSf O ABS PAO 050.1
1
36" MAX
TO BOTTOM
OF PAD
01/2"x 3" C.R.
LOCK PIN WITH
01/8' BRIDGE
PIA!
COACF; "C" FRA!~"
' 2" CHANNE
1/4"x1-1/4
TEK STS
(2) REQUIRE
1/4" GRIPPER
BASE
1/2" A307 BOLT
(2) REQUIRED
STEEL PLATE`'
/a.°° A.307 eOLT�G-BE.4
(2) REVUIREO ATTACHMENT
10.00 --moi
0 0
10.00
I'
09/16 HOLE (TYP)
STAND BASE
TOP VIEW
—ufta17-DISf
9k i .�3,
-. COACH "3" FRAIAE
GRIPPER _ 1 TEK STS/4"
LATE �r
(4) REOUIREO
_ J -
1/4" GRIPPER
BASE
�` \ i/i" A507 BOLT
^ (4) REQUEREO
1 -BEAM
ATTACHMENT
8" 1/2" DIA. HOLE (8) PLACES
4- #r
STEEL FRAME
TOP VIEW
STATE APPROVAL
MANQPACTORED 1RO?%% MORMZ ROME
FOUNDATION SYSTEM
RBAT.THAND SAIF -ETV COBE, EIMMON IWi
APPROVED
SUBJECT TO CORRECTIONS NOTED
APPROVA1. T]OFS NOT AUTHORIZE OR APFROVBANY
OMISSLONS OR DFVIATIO14 FROM REQUIR61I1Eiv*'IS OF
APPLTCABLE STATE LAWS AND REGULAnOAB
StWa of Cal;fom1B.
Depatlment of Housing and Camnlo ity Daveleprmtt
TUE-1 PERMANENT Si ' OFCODES ANG STANDARDS
FOUNIDATIQN �;YSTFM BY .� —DATA
i aa�..�..C. v:� -. � � vVn rv.. �..i f 2._ �.• f �8i0 fC�
5851 FZ,flRIh' - PERK[Iw'S RUAI? Ti,is i'ign Ap�rot� iv:pir4.a o I / �� Ir) �_,
Cllr:
BUTTE COUNTY
' . . - c -- a .,ra. r.it: T. x(11 i�rif'st-� a'}v -- .i=i'I?�:i. ,_ .-�Td;•�� . -.
BUI
APPROVED. `� CSP Is(a to -
V
GENERAL .._NOTES GUS GUARD_TUF-
I. D.EST GN.. LOAFS: LIVE LOAD - 30 LB.
FLOOR LIVE LOAD -- 4C PSF
V,'INn I(1Qn — As i.{PI.1 t-kPll4[IRG IIr,,,
S£ISf/IC ZONE "4"
31
SNOW LOAD 100 PSV (SEE NOTE #1 S)
TIi15 FOUNDAT'0141 SYSTEM JS DESIGNED TO BE CONSTRUCTED ON
A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS.
3. CHASSIS BEAM SUPPORTS SHALL BE LOCATED A14D SIZED FOR THE LOADS
AS SHOWN It: jqf ".MoBllf Ynl.lf IN51411ATIrna INSTRIIrrItlNs"
4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR,
MANUFACTURED HOWE SHALL BE READJUSTED WHEY DS CXCEEOS 1/4".
OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT.
5, CARRY ALL FOOTINGS DOWN TO FIRM., UVOISTUIRBED SOIL. FOOTINGS
ARE DESIGNED FOR 1,000 PSf TOTAL LOAD SOIL PRESSURE, AND
SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED, SAND
MAY 8E USED TO FILL LOCAL VOIDS URDER PADS,
6. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION.
WELD ACCORDIIIG TO AWS SPECIFICATIONS, ELECTRODES -370 PLATES -ASTM
A36 6OLTS-SAE GR 5=ASTM A449=ASTM A3725.
7. THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AND
LABELED BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS:
ALLOWABLE LOADS: HORIZONTAL VERTICAL
GUS GUARD TUF-T 2200# 6000#
GUS GUARD MGP PAD 2200# 6000#
GUS GUARD E -Z TIE PAD 2200# 6000#
8. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAT
MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION.
9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY
IRSTALLING GUS GUARD TUF-I UNITS AS SHOWN ON THIS PAGE OF TYPICAL
FOUNDATION PLANS.
10, THE GUS GUARD, TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD
PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT
OF T44REE FEET,
I I. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED
THE NUMBER OF TUF- i UNITS UNDER EACH UNIT IS
THE SAME AS SHOWN REQUIRED FER EACH UNIT.
12 GINCIF_WIfIC 1WITC prniI1RC A1T11Tin"m OPM)A1NT i 1CtC CZWM kit t
13. ALL METAL COMPOKENTS AND ATTACHVENTS ITEVS SHALL BE PP.OTECTIVF COATED.
16. FOUNDATION BLOCKS ifi"x 16">:12' POURED IN PLACE AT GROUFID LEVEL qAY
BE USED AT INSTALLCRS DISCRETION ALTERNATIVE TO PADS.
SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES
E= 2' MIN. / 8' VAX, E= 2' FAIN. / i t' MAX.
S= 6' MIN. /16' MAX. S= 6' M,IN. / 22' MAX.
- VARIES 10'-70' (SEE 748i.E ON SHEET #3) ---.
-S--�.
— -- S •!� E
RIDGE BEAM SUPPORT AS
REQUIRED BY MANUFACTURER
Cl (TYPICAL) ( ❑ ❑ ❑
❑-�- ❑ ❑ ❑ ❑
a' noT,s.
2' t10M. F-1 E I
PADS IN ANY PAIR MAY 8E STANDARD M.H. FOUNDATION \` '
ROTATED 30 DEGREES OR PIERS AS RECOMMENDED BY PVC: SERIES
OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPPORT
AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PAD (TYP)
STATE APPROV
14. WHEN CONCRETE' SLAB 1S IN EXISTANCE, PAD IS NOT
REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH TUF — 1 PERMANENT�►sTvN 017 -CODES A -ND STANDARDS
uuk kat 1/Z x i i/ i r �cPOOWN ANLHUN:a.
r r e L--
_ F0I_INDATIDN SYSTEM j BY—
ALLOWABLE SNOW LOAD TO 1G0 PSF WHEN INSTALLED TgBgCo,
un�a.1 rV,CT11.I/'+ C. TA ►1n AbRC Ornlhorn OV nnlr`U ... -"--
'•'-" i 1711; Pl.l 1H IIV-I'1tKKIfi11:1 lXk 4 1
iL
1'C-0.)lilV6 ivV. rah!_9:, �'•-t.c -
FOUNDATION SYST'StIT ..
HEALTH AND SAFETY CODF> SECTION 16551
I
i4l
II>
APPROVED
SUBJECT TO COP.RECTIOAS NOTED
APPROVAI--D1F.SN107AUTHORIZE OFAPPROVE ANY
t1T.41551(13:S OR I FROM REQUIRFd.t NTS OF
APPLICABLE STATE LAWS AND REGULATIONS
State of California
ze/o(x c/r'
Deparhr urt of Nousiag and Community Development -
14. WHEN CONCRETE' SLAB 1S IN EXISTANCE, PAD IS NOT
REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH TUF — 1 PERMANENT�►sTvN 017 -CODES A -ND STANDARDS
uuk kat 1/Z x i i/ i r �cPOOWN ANLHUN:a.
r r e L--
_ F0I_INDATIDN SYSTEM j BY—
ALLOWABLE SNOW LOAD TO 1G0 PSF WHEN INSTALLED TgBgCo,
un�a.1 rV,CT11.I/'+ C. TA ►1n AbRC Ornlhorn OV nnlr`U ... -"--
'•'-" i 1711; Pl.l 1H IIV-I'1tKKIfi11:1 lXk 4 1
iL
1'C-0.)lilV6 ivV. rah!_9:, �'•-t.c -
is" x 11/14" S EL RODS w/ 3/16' HOLES
1/2'x 3 1/2' 1/2'x 8' LONG 0 1 1/2' C.C.. HOLES ARE OFFSET 90'
£J(PAN514N ANCHOR ANCHOR BOL? 3/9' CAD PLATED DOLT. NUT do WASHER
(4} REOUIREO
(
4} RFQUIR.0
COUNTER BORED FLUSH WITH BOTTOM
:; .: r AT B' O.C. (6) RECUIRFO
- -:tis .! •�.•it.k'. '
CONCRETE PAG iNS T A'uAArtu—N
P%^.'JREC Nt: PLAICE I 8x1Sx12 CONCRETE__ --
FOUNDATION INSTALLATION =
CHASSIS FRAME��
1/4' GRIPPER PLATE
(2) REQUIRED
1/4' GRIPPER BASE
1/2-13UNG-A307 x 4'
BOLT VATH NUTS
{4) REQUIRED
01 ie2- SCH 40 PIPE RISER WITH -
01/2 ADJUSTER BOLES AND 3/a'
THICK TOP PLATE
02' SCN 413 PIPE STAND WJTH TWO
0112' ADJUSTER HOLES
ASESCO ASS PAD #303 r�
STEEL FRAME
36` IMAX
TO BOTTOM
OF PAT)
IFI/2'x 3' C.R.'
LOCK PIN WITH
01f� a' BRIDGE '
Pl
I � ;
SIGHT HEAVY—WEIGHT
PLASTIC PAD INSTALLATION
YEiI.34-11m8 IIN[7'A
LENGTH OF..WID
HOME
2428
WIDTH OF HOME
12 IVI fir]
OF HOME
28 A!
UP TO 44'
8
I a
I 8 12
41-1' 1n 66-1
12
12
1 12 18
86'-1' to 60'
20
1 20
1 20 24
MNGLZ VMR TrNm.
LENGTA OF
HOME
10
WIDTH OF HOME
12 IVI fir]
rup—T-0-4--r-1
8
1 6 18 8
E4 -1 fo 65'
8
8 8 8
ee'-�' to ec
t 0
14 t 0 10
tRUNULK yr ruF-1 NLQUIKE9 NUMBER OF TU'F-1 REQUIRED
SM SINGLE. WIDE UNITS REQUIRE (4) E -Z TIE PADS. GUS GUARD TLIT-1 PIERS ARE
TO BE PLACED AT APPROXIMATELY EQUAL INTERVALS ALONG EACH FRAME RAIL
lq�®��ss�°��� STATE .APPROVAL
MftUiF_ACTtMl T'i4 HomsgAt01liLU KO1,Ig
€E UNDATIOA' SYSTBIAj
Ti LTH AND mrny 6`Ci l% SJamoh,' I8S31
C � �iP1'RG\�Qd
`% Ap".�1t'At.flhP?:?�t1'FAiSY1Tn�(gPf��Is3'1IiC7\�6AN\'
� . (;ht1S l�;�; iil2 iif?t'I�TIf11i Fl;fihl hK0t1I�Ft FNTS OF
Pd Hy' s+r�-iwni��i! `a il�sj?. 6/1 ii•x AI�I)-}��SpilLlt. �1VNA
Sta[P s+f(=allfurttio
s!o /� � i7s�,E;th'aen! ntllevxin� p.n[1 t:c,hintanity 1',e��clepnrnt
�•, j/ 37" TUF-1 PERMANENT Div)s-lmgcll• rop . Alm CTANi,r,At,C
FOUNDATION SYSTEM R�.__ •C_ ; f �� t rr.��-�c%��{1 li��.�
_ .....
ABESCrD •. _. see, fats..._ .. � t� -
ot+�
SA RAiWLtiiQ; �;A 95523
�.,I-FAX: (916) 3ISa-5207 iiA e ivy, �'tiLVAuv, ri -b, l itvu 1`u. r �4t+ia Siitli ar 3
mkt
yy'•
NEW REGISTERED OWNER ' Fill m Items below (please print)
teasing Registered Owner(s) must sign below.
(4)
PRINTED NAME(S)
'tf
El"JTRS TENCOMOR ' TENCOMAND CUMPRO
.+.SIGNATl1Rl". OF RELEASING REGISTERED OWNERS)
-
CURRENT MAILING ADDRESS
'c stered Owner(s) must sign below to encumber title'.
CITY COUNTY STATE ZIP
(6)
FUTURE MAILING ADDRESS
' SICNATURE OF REGISTERED OWNER(S)
CITY COUNTY STATE E ZIP
' Registered Owner(s) must sign below.
LOCATION ADDRESS
'
CITY COUNTY STATE ZIP
�5
(g)
rt tSIGNATURE OF NEW REGISTERED OWNER(S)
'PURCHASE PRICE DATE EQUIPMENT NUMBER
�A
p• VGA
ARTRW
NEW LEGAL OWNER Fill in items below (please print)
RY
iii•'. ENTER NAME OF LEGALOWNER
3 —
l69e initial appropriate box and sign below.
" ; PRINTED NAME(S)
F]RELEASE OF LEGAL OWNER
ya .r
(4)
❑ RETENTION OF LEGAL OWNER
MAILINGADDRESS
4
❑ ASSIGNMENT OF LEGAL OWNER
ZIT'
i.4-
CITY COUNTY STATE
�.:.
(5)
• SIGNATURE OF AUTHORIZED AGENT
(` CUSTOMER NUMBER h„
:y r.
..
('�'(1�
rco.,;, µ°i•r,¢�`..H*"�.t'I.R�t
17
'�"� ;� .-, (J ,yT ' ° �^PS. J �`t;:' 2�^��:• n}+l
e.9:z... '....:,�v`�•x:.. .�
NEW JUNIOR' LIEN HOLDER 'Fill in items below (please print)
ENTER NAME OF JUNIOR LIENHOLDER
(3)
PRINTED NAME(S)
.Please initial appropriate box and sign below.
)^;, ❑ RELEASE OF JUNIOR LIENHOLDER
(4)
MAILING ADDRESS
'"' ❑ RETENTION OF JUNIOR LIENHOLDER
A� .kms
-I-
' OF JUNIOR LIENHOLDER
cITY. COUNTY STATE ZIP
.'�k F-1ASSIGNMENT
•
(5)
i
CUSTOMER NUMBER .
SIGNATURE OF AUTHORIZED AGENT
fw m
'� .. , Sr 'y if
r c`*, su t a `. r {' 4. + (, a � �• Y MRAS9 .0v "ALM, �e::a ,A.a•.,n,r..�'.,4!�'Tr, ��a
k�D
Y�
(2)
nn wu„nucu
STATE OF CALIFORNIA - DEPI'MENT OF HOUSING AND COIV1TNITY DEVELOPMENT
CERTIFICATE OF TITLE
Manufactured Home Decal No: LAE8454
Manufacturer ID/Name Trade Name Model I DOM I DFS I Ry
Exp.
MOUNTAIN VALLEY 10/04/1974 Date
Serial Number
S2143X Label/Insignia Number Weight Length Width SPC I SCC Exempt Use I Type
183449 60' 12' I ! 04
S2143U 183448 60, 12' I SFD LPT !
Issued Total Fees Paid
jSep 20, 2000 $100.00
Addressee
AMERICAN GENERAL FINANCEJNC� -. .
2260 "C" ORO DAM BLVD -
OROVILLE, CA 95965
Legal Owner(s)
AMERICAN GENERAL FINANCE]NC' `
2260 "C" ORO DAM BLVD
OROVILLE, CA 95965
Lien Perfected On:, 09/1'5/00 10:38 23
IMPORTANT
THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT.
THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT.
FOUNDATION SYSTEM'
e .e CERTIFICATE OF OCCUPANCY
BUILDING PERMIT NUMBER: B07-1110
Address or location of unit: 63 WELSH RD PALERMO CA 95968
Legal Description of Real Property: 025-020-027
SEE ATTACHED
(x) Mobilehome/Manufactured Home
() Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: WILSON, RODNEY L
Owner's address: 63 WELSH RD OROVILLE CA 95965
INSIGNIA OR HUD NUMBER: 183448/9
SERIAL NUMBER OR V.I.N.: S2143U/X
MANUFACTURER'S NAME: UNKNOWN YEAR: 1974
OFFICIAL APPROVING INSTALLATION:
DATE: 519l�-`J/ Z007
PHONE: (530) 538-7541
H.C.D. 513
.
i
PERMIT NO.
P
E
M
;MH UTIL.
PERMIT NO. 3674-74P,E
PERMIT EXPIRES / �I -7`
OWNER Leroy Tiedemann
CON TR.
LOCATION (A.P. 25-23-58 )
400'. off s/s Welsh Rd, 1000' W. of
Hwy 70, NOroville
Temp. Power Pole
Called PG&E
Temp. EIec. Serv.�l��%
Called PG&E
Temp. Gas Serv.
Called PG&E
f JOB / / t r-
FINALED_ it (7 ^ J
(Date)
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Gara a Vents
Water Htr.
StemwaII
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Pi Test
Temp -hes
Slab
Final
Sanitation
Patio
FIREPLACE
Final -
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final .2 io % �
DATE REMARKS OR CORRECTIONS
Ag
n
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO&
1
r 7 County Center Drive — Oroville, California 95965 ��/
Telephone: X34-4541 (d i SCS
APPLICATION AND PERMIT
BUILDING
Owner j SQ. FT. OCC. BUILDING VALUATION
04,
Mailing Address
O � elepho No.
Fireplace
Contractor Total Valuation
Mailing Address Permit Fee
Plan Checking Fee &/or Penalty
Telephone Na. Permit Fee $ $
Building Address PLUMBING No. @ FEE
PERMIT FILING FEE $2.00
IIA1,40, 1-7 Al lear7� Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
r Gas piping system 1 - 5 outlets 1.50
�Z
A. P. No° P i Each additional outlet 30
F ' s Sani n Fire Dept. Fire Zone Use Permit Building sewer 5.00
EQA Par ing Parcel Parcel Ma 60' R/W Im rovements Lawn sprinkler system 2.00
ans Declaration P P
"—P lans Rec'd Porce Approval Plans Approval Permit Fee $ $
NEW ❑ ADDITION ❑ UTILITIES ELECTRICAL No• @ FEE OTHER ❑
PERMIT FILING FEE 1 $3.00
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures 201W
Receps., switches & fix outlets
CONTRACTORS LICENSE LAW Hood, Ex. Fan or F. A. Furn. Motor 1.00
I am licensed under the provisions of Chapter 9, Div. 3, of the Evap. cooler, gar. disp. or D.W. 1.00
State of California Business & Professions Code under the name Air conditioner or heat pump
style of: Water pumpMr Q
Mobil Home. Facil i ties'5.00
Temp. Power Pole 5.00
Misc. wiring
License No. Classification
I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE $3.00
1 am aware of the provisions of Section3700 of the California Labor Heating
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ 1 have placed on file with the County of Butte a certificate of Cooling
Workmen's Compensation Insurance.
XVI certify that in the performance of the work for which this Ventilation
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of Hood 1 2.00
California. $ $
Permit Fee
I certify that have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X � �t—s✓�^� Date lD
$ignatur of Permitee or Agent
Receipt No. ��
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
TOTAL PERMIT FEE Is
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF P LIC WORKS
By Date 9-12 —
Bui ng permit expires Date......................��..%.....7J.....
shall be
connecoutside the rear
pill utility 4 ft. e
within of the mobile home
located of the mobile
third section side
on the left lroadl
• � � �' home.
®---- 6G
Septlo SYstem apdjaGaIAG
i
tub -out to be as per
Butte County Health Deft,,��� 31
NQ
Quirements.lip.� I
dC.` a p0
GAS
ooy
�0l CAw�
r •�� o
z Q 0
�O<
6UTTE COUNT Y
SUILDING DEPARTMENT
AP
PROVED
141,EtSlllRa
PERMIT NO. 1036-75B
P
E
M
), MH UTIL.
rPERMIT NO.
PERMIT EXPIRES
OWNER ..LeRoy Tiedemann
,,CONTR.
LOCATION (A.P. 25-23-58 )
400, off s1s Welsh Rd, 1000t W. of Hwy 70, Oro.
1
r
't
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB S
FINALED
(Date)
(Signatur )
COUNTY OF BUTTE - DEPARTMENT bF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing .—
Water Piping
Piers
Roofing 4C
ewer
Garage
Fdn. Ven s
Fixtures
Footings
Garage Vents
Water Htr.
StemwaII
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final % J
Sanitation
Patio
FIREPLACE
Final
Footings
r— s noting
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
S "—`---L Test
Water Htr.
Stucco.
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE
REMARKS OR CORRECTIONS
r
A
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 0 S/
��
lG�
7 County Center Drive — Oroville, California 95965
Tel ephpne: 534-4541
✓APPLICATION AND PERMIT
authorize representatives of the county of Butte to enter upon the
above-mentioned property for inspection purposes.
Dater.3 —22 __73�
Signat re of Permit�teee or Agent
Receipt No. / 7 nt2
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
, DIRECTOR OF P JTeLIC WORKS
By Date 3 -74P 71
��
Ilding permit expires Date.................:�`�...................�
BUILDING
Owner � � �
SQ. FT. OCC. BUILDING VALUATION
Mai I Ing Address Q x
TelephonLNo No.
Fireplace
Contractor
Total Valuation 3 �Q�� O
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee ` O Q
to Z
71
Building Address (�Q f S' �/ S
PLUMBING No. @ FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
O /� Lr
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
_
A. P. ��
Zoning 8 Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fes I
W.
Fire Dept.
Fire Zone
I Use Permit
Building sewer 5.00
EQA
Parkin—g7—Parcel
Plans Declaration
Parcel Ma P
60' R/W
Im rove nts
P
Lawn sprinkler system 2.00
Bldg. Plans Rec'd
Parcel Approval
Plans(Approval
Permit Fee $
$
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home [R Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures 20
bal(dio
Receps., switches & fix outlets 20(625
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp.`Power Pole 5.00
License No. Classification
Misc. wiring
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
I 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.
1:1 I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
<
authorize representatives of the county of Butte to enter upon the
above-mentioned property for inspection purposes.
Dater.3 —22 __73�
Signat re of Permit�teee or Agent
Receipt No. / 7 nt2
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
, DIRECTOR OF P JTeLIC WORKS
By Date 3 -74P 71
��
Ilding permit expires Date.................:�`�...................�
1
•c�.a.: uc�-�YM.va;x}: g.r-}T4hYf,�:Y3,�
f
i
OFFICE COPY
Address
ti
GAS
Meter By - �Date
ELECTRIC '
Meter By Date
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION
7 County Center Drive - Oroville, CEfrfOrnia ;95965 - Telephone (916) 538-754 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
025-02-0-027
ZONING
1
BUILDING PERMIT
O0Cvi)M LY14N WILSON
T 53N3 94663
SO. Fr. OCC. BUILDING VALUATION
U-) V,1T,':', 0PLErr D, OROVILLE 95965
°0 M`nF 'S 2CTRIC
I 33- 3218
Cprlfv T.[J�/.A I�I��AD.4,EsbmvIId..E CA 95965
jjCO'NS'
Fireplace
TRUCTIONLENDER
14314b
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
NONE
Filing Fee $ 20,00
Permit Fee $
ARCHITECT OR ENGINEE9
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESs
63 WEIS1i ROAD, OROVILLE
PERMITFEE $
PLUMBINGPERMIT Fling Fee 20.00
Each Trap 7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar Or heat pump water heater 23.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome 15 Other
SPECIFY
Water piping 15.00
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities El Installation ❑ Other ❑
Describe Work: _ REPLACE 200 AMP 3=1,112 ,,112 SERVICE
Mobile Home I S I GI W 1 @20.00
PERMITFEE 1$
Contractor
ELECTRICAL PERMIT Filina Fee 20.00
Main Service E00v OR LESS
( 200A OR LESS ) 23.00 23.00
Main Service ( 200A TO 1000A ) 46.00
LICENSED CONTRACTOR'S DECLARATION I
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 full force and effect.
License Class �'- /J Lic. No. 3q/ 93 3
OWNER -BUILDER DECLARATION
1 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.
❑ 1 am exemot under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP. SO.
OR ( a ACC. BLDS. ) 3.SQ FT.
NEWA. CNS.
CONST./ MULTI -OUTLET
NON-RESID. \ BRANCH CIRCUITS ) 97.50
POWER APPARATUS )
a SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES ) 20 Q 1.00
BAL 50
Ex. Occup. (ouTLEEDrs RESID.oEA) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
• TU
PERMITFEE $ 66.00
Contractor
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 I have and will maintain workers' compensation insurance, as requiredby Section
3700 of the Labor Code, for the performance of work for which this perrr,it is issued.
My workers' compensation insurance carrier and policy number are:
Carrier `7iiTc" r�r)Z.P
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE S
Contractor
Policy Number /Z12 /,_5 - `/
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)OCC
❑ 1 certify that in the performance of the work for which this permit is issued, !`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" ply -With those provisions.
�-
X Date 12
Sigr'Bture of Applicant i ❑ Owner .B Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee Is
Energy Inspection Fee $
CONST. TYPE
TOTAL FEE $ 66.00
HAZ.
I D. FEES
IMP
FLOOD
c6F PARCEL
PD HD
ISSUE
V
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.
�'—"�-'----
B ,��+fy�';�' Date //%
Y
PERMITEXPIRESON
(Date)
Receipt No. 40
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -
7 County Center Drive - Oroville, ralifor?Aa 95965 - Telephone
APPLICATION AND PERMIT
BUILDING DIVISION
(916) 538-7541 PERMIT NO.
ASSESSOR PARCEL NUMBER
025-09-0-097
ZONING
BUILDING PERMIT
A
°MNEY LYNN WILSON
X533-94663
SO. FT. OCC. BUILDING VALVA
OVT �r �glf'rAD, OROVILLE 95965
`MA,'V'sft"tCTRIC
NE
T 533-3218
CQ{lTiYTf6 f'Ln16RESSOROVILLE CA 95965
U
Fireplace
CQ,nONLENDER
UNW40WN
Total Valuation $
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
NONE
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDINGADDRESS
63 WELSH ROAD, OROVILLE
PERMITFEE
$
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar Or heat pump water heater
23.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ff Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities 00 Installation ❑ Other ❑
Describe Work: REPLACE 200 AMP ELFCTRIC SERVICE
Mobile Home ITF; W
@20.00
PERMITFEE
J$
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
Main Service ( eoov OR LESS)
200A OR LESS
23.00 23.00
Main Service ( zooA To ,000A )
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 full force and effect.
License Class L'—/t� Lic. No. 39/ 933
OWNER -BUILDER DECLARATION
1 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, army 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 ADDNS. ( & ACC. BLDS. )
SO.
3.50 FT.
NEW CONST.MULTI-OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES)
zo a I.50
�^�
Ex. Occup. ouTlEe°rsjaEso.�eA
( )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PRE—INSPECTION
23.00
PERMITFEE
$ 66,00
Contractor
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.
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 :57-19TE C.Q/y1P
Policy Number 12/Z(D,$ >;
(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
WpAeTs—qompensation provisions of section 3700 of the Labor Code, I shall
forthwi I h those provisions.
_ Z %� �J
X Date �_Z
Sign ure of Applicant - ❑ Owner JR Contractor ❑ Agent
An OSHA permit is required for excavations over 50" deep and demolition or construction21
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Mobile Home Installation Fee $
Energy Inspection Fee
Is
occ
CONST. TYPE
TOTAL FEE $ 66.00
HAZ.
D. FEES
IMP FLOOD
COP PARCEL PD HD
ISS
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
BY
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
%
Dae
20/
(Date)
Receipt No. 190748
I
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COL) NTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
' f
PERMIT APPLICATION DATA SHEET i
OWNER A. P. No. 0,9
Proposed Building Use Building Inspector Date S
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
1. 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:
. Contact Land Development about (A) Improvements (B) Drainage.
19. Driveway permit (construc ion app . p J. oval require or t occupancy).
20. Pre -inspection for required.
21. Contractor's license information. No., Name4Styld,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
Applicant Date
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew
action on an application after expiration, a new application, plans and fees will be required.
FEE REFUNDS
Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from
the date of fee payment on permits not issued, and one yearfrom the date of permit issuancefor permits issued; however, on issued
permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked
and other department costs are not refundable.
Original - Applicant
.j.-ru ��. �..T..ti. _..,.,.:'�c•a_��;.�:.=�S,�i.-:adr.��,^r�eyGy�-r*,,:�.�,�'�;�lkss'r�a:.��+�w,::...;;: „. .. _- _ ..
w-COU:NTYOFBUTTE '= DEPARTMENTOFDEMELO OENTSERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
PE
OWNER pot,
Proposed Building Use
IT APPLICATION DATA SHEET '
C f Building Inspector 4k Date ;9 i
At time of permit application, I was advised the following data must be submitted prior to permit processing�and/or issuance:
(j DATE RECEIVED BY
1. 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: . ........
K18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construc ion apgrovalrequire p,p occupancy).
20. Pre -inspection for L" r C C / 1^ E /// q ana"sDeg °� qor (Date
i re wired. .. to Building �ne�� )
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.
Wn you issue the permit, process as follows: Mail to owner. Mail to contractor.
_; - Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant 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, owner, was advised of above required data by _ phone - mail Counter by _ Date
Plans checked by Date Plans approvedrby' , Date
Sets of plans on hold in File cabinet AP folder r ,
Copy - Department of Public Works
"�-PEAMIT NO. 957-76B
s PERMIT EXPIRES
'OWNER LeRoy Tiedemann
r, CONTR. owner
LOCATION (A.P. 25-23-58
--.400' off W/S Welsh Rd., 1000' W. of Hwy 70, Oro.
• w. Z H ��,o r �iJl�l�rrstc fZ�/
i
is
r
r
Temp. Power Pole
Called PG&E
_ Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv. f
Called PG&E
1
VFJOB y�
INALED
(Date) v
(Sign ure)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
a
Stemwall Prov. for physically Heaters 1
Slab handicapped X Appliances
Carport Conformance of ex Gas Piping & Test
Footings structure , 7 Temp. Gas r {
Slab / Final Sanitation t
Patio FIREPLACE Final
Footings Footing ELECT ICAL
Masonry Walls Throat I Rough
1
Reinf. Steel Final J Fixtures
Bond Beam FIR SPRINKLERS Motors
Framing % Test Water Htr.�
Stucco Final Subpanels
Mesh MEC'4ANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish A Ducts Underground
Interior Lath Ventilation Permanent I
Door Closer Final Final
DAT REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
% J
Windows
3rd Floor
Stemwall
Siding_
To out
Slab
\
Roof Sheathing / s`
Water Pi in
Piers
Roofing !
Sewer
Garage
\
Fdn. Vents /
Fixtures
Footings
Garage Vents
Water Htr.
a
Stemwall Prov. for physically Heaters 1
Slab handicapped X Appliances
Carport Conformance of ex Gas Piping & Test
Footings structure , 7 Temp. Gas r {
Slab / Final Sanitation t
Patio FIREPLACE Final
Footings Footing ELECT ICAL
Masonry Walls Throat I Rough
1
Reinf. Steel Final J Fixtures
Bond Beam FIR SPRINKLERS Motors
Framing % Test Water Htr.�
Stucco Final Subpanels
Mesh MEC'4ANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish A Ducts Underground
Interior Lath Ventilation Permanent I
Door Closer Final Final
DAT REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
1! • t
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Tel epl;one: 534-4541 J
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
to
ignature o Permitee or )ent
Receipt No.
White-D.P.W. —ellow-Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OFABLIC WORKS
BYDate ` l''7J�
ilding permit expires Date
BUILDIN
Owner
SO. FT. OCC. BUILDING VALUATION
L� S
Mailing Address
Telephone No.
11190
Fireplace
Contractor
Total Valuation
Mai I ing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address `
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1,50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No, S = _ ��
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
Sant
Fire Dept.
Fire Zone
Use Pen -nit
Building sewer 5.00
EGA
Parking
Parcel
Declaration
Parcel Ma
60' R/W
Improvements
P
Lawn sprinkler system 2.00
�Pllaans
Bldg. Rg5ns Rec'd
Parce pprovaI
Plan pprovol
Permit Fee $
$
NEW ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No.1 @ I FEE
PERMIT FILING FEE $3.00
Main service I00°o AMP ORV OR LESS5.00
Main service EA. ADD'L too AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
OVER Main service 00 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONS. OR ADDNST (ACCLBLDGOCCUR. &) 20sgft
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) BAL@2r1
Ex. Occu FIXED APPLNS. OR
P• ( OUTLETS (RESID.) EA) 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 Cal ifomia.
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.
Elhave placed on file with the County of Butte a certificate of
'workmen's Compensation Insurance.
1ZI certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
to
ignature o Permitee or )ent
Receipt No.
White-D.P.W. —ellow-Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OFABLIC WORKS
BYDate ` l''7J�
ilding permit expires Date
,RESIDENTIAL
025-020-027 PERMIT#96-0140
WILSON, Rodney
63 .Welsh Rd., Oroville
New Pri Det
JOB FINALED (Date)—
Signature
t
V=OK
O = Not OK .Not -
`=NotReady MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1,26ning Requirements -Setbacks -Easements
j 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
1. Zoning Requirements - Setbacks - Easements
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg: Rfg.-Bracing
2. Soils; Special MH Support Sketch
S. Alum. Awn.• mns-Connections-Splice-Decal-Enclosures
3. Sewer; Location -Test -Fall -C/O -Concrete
6. Ca s; Windows -Doors
4. Water, Location -Test -Easement Needed (Sketch)
lectric
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
. Frmg,; Sils-AnchorsStuds-Rttrs-Trusses
6. Gas; Location -Test -Wrap; / /'L'ft.
/ /Nat. or/ /"L"ft./ /LPG
idi ailing Veneer-Stuc co -Mesh
7. Well Clearance & Disconnect
1 oof; Shthg-Roofing
8. Utility Clearance
11. Ext.; Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
P LS Pla cet #'s
1. Zoning Requirements -Setbacks Easements
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness
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
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES Plans K except #'s
44
S,[ :�
1,26ning Requirements -Setbacks -Easements
j 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg: Rfg.-Bracing
S. Alum. Awn.• mns-Connections-Splice-Decal-Enclosures
6. Ca s; Windows -Doors
lectric
. Frmg,; Sils-AnchorsStuds-Rttrs-Trusses
idi ailing Veneer-Stuc co -Mesh
1 oof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date
- and B-1 Date Card B-1
Date
Card B- Date Card B-1
Date
P LS Pla cet #'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/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/8 Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Vater Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
.5-1y-9�c � 6raeej rvr-it
r
5Aeefraf��'//� d
4 O
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (Single.
=
Date UNDERFLOOR (Plans) OK except ff'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 -Bloc kouts-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. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except n's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
----- -------------------------------------------------------------
17. Water Pipe; Test & Anchor -Nail Protection
- - 18. D.W.V.; Test -Fittings & Anchor -Nail Protection
-------------------------------------------------- ---
19. Shower Pan: Test. First Floor -Tub Access
20. Test Tub & Shower. -Second Floor -Tub Access
----------------------------------------------------------
21. Gas Pipe: Size & Anchors
--------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
------------------------------------------------------ -----------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except a's
22. Fixture & Transformer Clearance -Ins. Protection
------------------------------------------------
23.
-----------------------------------
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 wrMech. Fastners-Bond Gas & Water
--------------------------------------------
27.
---- -------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor S1zerGFI
---------------------------------- -------....... ... ..
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu or At
-------------------------------------------- ` ---------------------------------- ..
29. Range Circ r , ga. Cu or AI -Oven Circ. r r ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
----- ------------------------------- I ............... ..
30. Service -Riser Conductors & Ground -Main Disconnect
----------------- - ----------- -
---------------- --------- ---... ._...... .
31. Equip. Clearances Panels-Motors-Mech. Equip.
- - - -- -------------------- ----- -
32. Clothes Closet Light -Shower Light -Spa Light
- - -
------------------------- ------ ---............. ... .
33. Smoke Detector
------------------------------- ----- - ---- - ---------_ ........ _.............. ..
Date Card B-1 Date Card B-1
-
- -------_...... _..... .... ......... ... .......-------. - ... ....... ... ..
Date Card B-1 Date Card B -t
Date MECHANICAL (Permit) OK except n's
34. A.C. Ducts Insulation & Support
-------------- -- -- -- ------ -- - -- ...... -' - _.................. ... ....... . .
35. Vent Fan: Exhaust above insulation
------------------- . .._.... -- . ...._.. .. ... ..
36. Condensate Dram & Overflow: Size & Grade
-------------- .. ............ ....... ....... .. .. .
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet----------------------
....... ... ... ---
._. ... ... ..
38 Attic Access & Platform t Furnance in Attic
------ -- ---- --- --- .... _ . .. .. ......... ..
Date Cartl B -t Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except n's
39. Sils. Proper Material & Anchors
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
...... ....
.......
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
..... . -....... ... ... .. .... ..... .... ... ..
43. Fire Stops: Furred Ceilings -Stags -Chases -Tub
44. Headers & Beam -Size & Bearing
& Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46 Cing. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shthng.-Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance_
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
----------------------------------
51. Property Line Firewall & Openings _
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
---------------------- --------------------
53. _Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
-----------------
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls: Nailing -Bolts
59. Insulation -Walls -Ceilings
-----------------------------
60. Infiltration -Walls -Windows
- -- -- - -- --..------------------------------- -
Date Card B-1 Date Card B-1
- - ---- ---------------------------
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except a'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. Stags & 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.
----------------------------74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor -Meth. Protection
......------------------------------------------
----------------------- ----
75. Plb.. Elec. & Mech. Equip.
quipListed for Location
...... ....... ------------------------------------
-------- -
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
-------------------------------------------
7; 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.1 Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No:
Planters ❑ Yes ❑ No
--------------- ------------------------------------------
81. Stucco: Brown -Finish
__........-_.._...------------------------------------
82 A C Unit: Disconnect. Electrical, Plumbing
. ... ... ... ... ... -----------------------
83.
--.-------------------83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
. - - - - - - .. _ --------------------------------
84
------------------------------84 Water Well: Disconnect. Electrical, Plumbing
- - -------------- ----------------
85 Exterior Elec. Trim: G.F.I. Receptacle -Underground
86 Ventilation Throughout House
-- - - -------------------------
87 Glass Protection
----------------------
86 Corrections from Previous Inspections
-- -- - - --------------
89 Gas Test -Meters Tagged: Gas -Electric
- -----------------------------
90 Water & Sewer Connected-C'O to Grade -HD Approval
. .. . .---.._..----------------------------------
91 Energy Compliance Certificate -Other Certificates
-- -- ------- - -
---------------
Date Card B-1 Date Card B-1
-------------------------------
Date
----------------------------Date Card B-1 Date Card B-1
Date Card -B-1- Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 -County Center Drive - Orovillb, Calif6rnia 95965 - Telephone (916) 538-7541 PERMITN
APPLICATION AND PERMIT --nom �
ASSESSOR PARCEL NUMBER ` 25-02-27
ARI ZONING
BUILDING PERMIT . L
OWNER �hf ..
RODIVEY WEE -5H
TELEPHONE
53339463
SO. FT. OCC. BUILDING VALUATI
.iV
OWNER'S MAILING ADDRESS
63 WELSH RD OROVILLE, 95965
R64 XJL
CONTRACTOR'S NAME OWNTER
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is 15
ssq nn
Filing Fee
$ 20,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHfTECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDINGADDRESS
63 WELSH RD
PERMITFEE
S
'
OROVILLE, 95965
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New [X Addition ❑ Rem el ❑ Utilities ❑ Installation ❑ Other �1
Describe Work: (PRI ATE)
24 X 36
Mobile Home TS IG W
920.00
PERMITFEE
;
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
Main Service 000 OR LESS
( 200A OR LESS )
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 full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
fiD 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.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ( a ACC. )
/.
SD. 30
FT. J�F
3.5Q C
CNS.
NEW CONST. MULTI -OUTLET
UTLE
NON-RESID. ( BRANCH CIRCUITS )
@7.50
S
( POWER APPARATUS )
8 SINGLE OVTLET UCIR
Ex. Occup. (OUTLET OR FIXTURES)
BAL 0 1.50
S5O0
Ex. Occup. I FIXED
PRESID.�AA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc . Wiring
23.00
D PERMITFEE
$ 50.54
Contractor
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
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
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
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 Comly with those provisions.
X+ L Date /��
Sig ure of Applicant - ❑ Owner ❑ Contractor .lel Agent
An OSHA permit is required for excavations over 60" deep and demolition or constructionq
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee Is
Occ
CONST. TYPE
TOTAL FEE $ 352.69
HA2.
D. FEES
IMP
FLOOD
CDF PARCEL
PD HD
ISSIj�
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
BY
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
Dat
(Date)
ReceiptNo._ /_9Q 864
WHITE-D.D.S.-E.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
...�`ll'.s{'}. , 4 ,:�: J"f"� ,�-� '::1Jr^�• I('. yYx�fY.
1 ,
COUNTYUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
44 .1, t'-{Y-
7COUNTY CENTER DRIVE -OROVILLE,CALIFORNIA95965-TELEPHONE (916)538-7541
r -
k PERMIT APPLICATION DATASHEET
OWNER � ( N � �tT� 15 fL W i 1So✓ ) A. P. No. c� S'O.Z " 1
Proposed Building Use 'VRtJ 5`X30 17e Building Inspector Date /-/F' F -Z
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 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 ................... r�
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). .... .
Pia"spedion requeis
20. Pre -inspection for
required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
X22. Certificate of Workmans Compensation Insurance. . .
CA(<, 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.
Whe you issue the a alt, p Q ess as follows: Mail to owners Mail to contractor.
Telephoned y 10- and hold for pickup at Oro u < <TiC7-- office. Deliver with inspector.
Other
Parcel Creation
Acreage Applican / 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: y
Contractor, designer, owner, was advised of above required data by_phone _mail Counter by _Date r
Contractor, designer, owner, was advised of above required data by _ phone _ ma/il Co er _ Date
Plans checked by Date Plans approved by L,-1 3 Date��n
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
: USBNLY
Plot PLo Attached
Plow PI= AuacW
Sot to B.D. /
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
CQ�c 0 C��� ����. 2�. rS`6 0-0-7
Owner Location APIs
Plan Approved for: Sewage Disposal_ Water Supply: Public Private Well k
Clearance for bedroom mobile home. Other ,� (� ' �C 4-/
Hold final for:
Final clearance O.K. for:
NOTE:
(Y\ yn q
Environmental Health Specialist Date
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit will
be issued until this verification is received.
/* 1. I personally plan to provide the major labor and materials for construction of the
proposed property improvement : YES[ ] 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: CONTRACTOR'S 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: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide'the work indicated:
NA_lff ADDRESS PH0NI E TYPE OF WORK
SIGNED: _
PROPERTY OWNER:`
SOCIAL SECURITY NUMBER: - �/
DATE: l — / IF —
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
OVER
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they -are personally
performing their own work If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors- are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit. and protection: .
0 If you employ or otherwise engage any persons other than your immediate family, and the -work (including
materials and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tar withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor -or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
S� &rel
Michail C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
NON-RESIDENTIAL BUILDINGS
ENERGY CONSERVATION STANDARDS
Statement of Intent for Non -Heated and/or Non -Air Conditioned Buildings
I, IYVViVE!V L� W11-SoAt , owner of -the -building to be constructed asa
(please print)
5 Ta &f6e l 1p4 /f oG under at 6 3
(bldg.permit no.) (location)
hereby certify that I
do not intend to heat or.cool this building in such a manner as to be subject to
other than the mandatory sections of the State Energy Requirements.
I understand that if I do heat or cool this building in the future, that I
.will be subject to the energy requirements in effect at that time.
I understand that if I change the use or occupancy.of this building in the
future, that I will be subject to the energy requirements in effect at that time
for that specific occupancy.
I also understand that if I become subject to the energy requirements in the
future, it maybe necessary to redesign and/or alter (1)•the building envelope,
(2) the insulation requirements of the heating, ventilating, and air conditioning
systems, (3) the heating, ventilating, and air conditioning equipment, (4) the
service water heating, and (5) the lighting of the building to comply with the
regulations.
I understand.that any -of the above changes will require me to obtain the
necessary permits, inspections, and approvals from the Butte County Building
Department.
Signature of Building Owner2.�--
Mailing Address 3 G�i�LSN �d p,pdvaur� �iy, fs-��j-
Telephone No. 5-.?) y��a
TABLE 25 -ALLOWABLE SHEAR FOR WIND OR SEISMIC FORCES IN POUNDS PER FOOT FOR VERTICAL DIAPHRAGMS OF LATH AND
PLASTER OR•GYPSUM BOARD FRAME WALL ASSEMBLIESI
TYPE OF MATERIAL
THICKNESS OF
MATERIAL
WALL
CONSTRUCTION
NAIL SPACING2 '
MAXIMUM
(Inches)
SHEAR VALUE
MINIMUM NAIL SRE3
x 25.4 for mm
x 25.4 for mm
x 14.5 for N/tn
x 25.4 for mm
1. Expanded metal, or woven
wire lath and portland
cement plaster
7/8-
-Unblocked '
6'
180
No. 1 I gage, 11/2" long, /16" head
Nb. d6 gage staple, o/g" legs
2. Gypsum lath
/8" lath and c:..
/2" plaster; -
Unblocked
a,......
;:15 - ,
100. - r
i
;No. 13 gage, 11/8" -.long, .19/64" head, plasterboard blued.
nail
3. Gypsum sheathing board
I/j'x2' x 8' 1
Unblocked
;4
75
No. 1 I gage, 13/4" long, 7/16" head,
-� -
t/2r,.x.4<+c •I
"92" x 4'
Blocked
-"Unblocked
4
7
175
100
diamond -point; galvanized
Unblocked
_ 7
100'
r
- -
-1 I/2
5d cooler (0.086" dia., 15[g" long, IS/64" head) or
wallboard (0.086" dia., It" long, 9/32" head) ;.
4
1.25
Blocked -
7
125
r�
4
150
r4. Gypsum wallboard or
veneer base
"'
Unblocked r ,
to 1, 7,,., ,
115
6d cooler (0.092" dia., 17/11' long, I/4 " head) or
wallboard (0.0915" dia., 1/8" long, 19/64" head)
4
145
: Blocked
7
145
'
4
175
Blocked
Two ply
Base ply: 9
Face ply: 7-
'• 250
Base ply -6d cooler (0.092" dia., 17/8" long, 1/4"head)
or wallboard (0.0915" dia., 1�/g" long; 19/64" head)
--.
Face ply -8d cooler (0.113" dia., 23/8" long, 9/32" head)
or wallboard (0.113" dia., 23/8" long, 3/8" head)
•Csc - • tarapnragms „tail nut ue used to resist loans tmposea by masonry or concrete construction.,See Section 2513.2. Valuesshown are for short-term loading due
to wind or due to seismic loading.in Seismic Zones 0 1, 2A and 2B. Values shown must be reduced 25 percent for normal loading. The values shown in Items 2, 3 and
4 shall be reduced 50 percent for loading due to earthquake in Seismic Zones 3 and 4.
Applies to nailing at all studs, top and bottom plates and -blocking. rl.
Alternate nails may be used if their dimensions are not less than the specified dimensions.;
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%��;CALIFORNIA
4 " ' COMMERCIAL DRIVER -LICENSE., *1
-- K0565649 CLASS: R Ml,
RODNEY LYNN;IILSON;1\�`t'�r_
63 WELSH RD
OROUILL a R 9S965'
SEX: N SIR. BRN.rEYES;: BLU t
'HT:6-01 T- 2 O DOS: 09, 04-42 r
09/04/921 522/ 1 ,0H/ IFD/96 { k1025
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04,o &iGLEle-19
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
OWNER PERMIT
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 ou have any questions pertaining to this matter, or need additional explanation,
please cont his office immediately. I
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BUTTE COUNTY
BUILMNG DIVISION
APPROVED * .....
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Assessor's Parcel Number Fol Mi F,: 9-1 RZ ®m Er. -I ME -i [21 scale: v
OwnerNama
-Addr--.-Ss / Phone Me.
Site Location
7 A 1r,-1 lei"'"1.?�4
FOR OFFICE USE ONLY
Zoning:
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