HomeMy WebLinkAbout025-060-029�-AP 25-06-29 port. -�_- - -- ----- ��.5,,,�
Greg Davidson (� 7
3266 Dos Rios Rd., Biggs
CONTR: J -Cal Builders, Oroville I �
eermit 4811-80B R E ,M ( ew SF) /
I
V
PERMIT NO. 4817-80B,P,E,M
PERMIT EXPIRES_
OWNER Greg Davidson
CONTR. J -Cal Bldrs., Oroville
ASSESSOR PARCEL 25-06-29 port.
LOCATION 3266 Dos Rios Rd., Biggs
i
Temp. Power Pole
l Called PG&E
0.
Temp. Elec. Service
Called PZE —
`t
Temp. Gas Service
Called PG&E
t
JOB/INALED (Date
l vv
Signature
A
1
F w
J=OK
0 = Not OK
- = Not Applicable
* = Not Ready
MOBILEHOMES MISCELLANEOUS
i
Date
MOBILEHOME UTILITIES (Plans) OK except p's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except p's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
6. Carports; Windows -Doors
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except H's
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except q's
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4• Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector yl
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/O to Grade_ -11D Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
N
V = OK
O = Not OS
— = Not R'?adable
:{F Not R=adyRESIDENTIAL (Single and Duplex)
Date UNDERFLOOR Plans OK exce t#'s
Date FRAMING (Continued)
Zoning requirements -Setbacks asements
,48 --Property
Line Firewall & Openings
Ftg., Main; Soils -Steel -E c. Grnd.- / Ftg. Depth
49.
Ext. Doors -One 3'&hes6.GaLaa ,
I3. Ftg., Garage; Soils -Steel- /rL/" Ftg. Depth
50.
firs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
%Stemwalls, Main; Steel-Blockouts-Wrapped
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Zktr-
SZ Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access
Piers ..6toe1-
50r-T,Tzing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -T '-2 way -Se est
-3T. -Shear
Walls; Nailing -Bolts
9. Gas s
10. Water Pipe; Test -Anchors -Regulator -Service Test
1 . Electric; Underground
12. R1o� Du ts; CIe nce-Ma al -Su rt -Ins.
13. Gir s -S' -Ant olts-Jot s-Ve Wares es
Card -BI
Date ,/- Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI Date Card -BI Date
Date FIN
(PWrS0)o OK except q's
Card -BI Date Card -BI Date
Date PLUMBING (Permit) OK except q's
Ext. Steps -Door & Sidelight Protection -Landings
etector
eater Ht.; Vent -Access -Combustion Air
1i /7 r Pipe; Test & Anchors -Nail Protection
$8r�Furnace;
Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
1 D.W.V.; Test-Fttngs & Anchors -Nail Protection
JItedroom
Exiting
"tT" Shower Pan; Test, First Floor -Tub Access
G & a T Access
lec. Trim & Subpanel; Breaker Sizes -Labels
TQ"'Tast Tub & Shower, 2nd Floor -Tub Access
+eT-Gas Pipe; Size & Anchors
fZP,.8t2irs
& Rails
fireplace or Stove; Clearances -Hearth
Elec. Outlets at Wood Panel; Int. & Ext.
Card -B Date -a%D- Card -BI Date
xt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI Date Card -BI Date
lec. Outlets & Receptacles at Kit. Counter
Date ELECTRICAL Permit OK except q's
67,
'G,arege Fire Door; Swing -Landing -Closer
S
A. . Duct in Garage -Damper
�29r Fixture & Transformer Clearance -Ins. Protection
Ele:. Receptacles Spacing -Lights &Switches at Doors
6
/IVMarage;
tr. Htr.; Vents -Clearance -Comb. Air -Connector -P . .-
Above Floor-Mech. Protection
Plb. Elec. & Mech. Equip. Listed for Location
Size Boxes & No. of Conductors -Stapled
7
lec. Receptacles in Garage; (G.F.I.)-Romex Protec.
o Installed Close to Edge of Studs & C.J.
u,,p. Ground made up w/Mech. Fasteners -Bond Gas & Water
7 .nsu
in Attic 8s
n.
d RailFoam-Looked
d Rails &Deck Construction -Post Caps
2 Appliance Circuits in Kitchen & Conductor Size
—7<
r AI-A.C. Wire Size / / ga. Cu or
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
d under Floor R7es
ZPr-Range Circ. /(7 / ga. Cu 1
I ted Neutral ❑Yes No
Followinginstld.: Drive Yes No; Walks
❑ ❑ El Yes ❑ No;
Planters []Yes 0 N
8 Servi-,e iser Conductors -& Gr d -Main connect
76.
S co; Brown -Finish
quip. Clearances; Panels-Motors-Mech. Equip.
A C. Unit; Disconnect-613rkr. & Cond. Size -115V Outlet
-te-'Cloth,:s Closet Light -Shower Light
.
Ve is Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
7
r Well; Disconnect, Electrical, Plumbing
E rior Elec. Trim; G.F.I. Receptacle -Underground
Card B- Date -�O� �Cafd BI Date
.
V ntilation throughout House
Card B -I Date Card -BI Date
Glass Protection
Date MEC IC L (Permit) OK except #'s
Corrections from Previous Inspections
g.
r_,c Tact_Meters Tagged; Gas -E frit
A.C. Ducts; Insulation & Supportat
r & Sewer Connected -C/O to Grade -HD Approval
32. Vent Fan; Exhaust above Insulation
nergy Compliance Certificate -Other Certificates
33. Condensate Drain & Overflow; Size & Grade
34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access_ & Platform if Furnace in Attic
Card:PI
C d -BI
Dat and -BI Date
ate
Card-BI�, Q_Date`�BI Date
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Date FRA (Plans) OK except q's
C
is at Final:
Sill Proper Material & Anchors
Studs Nailing, Spacing & Bracing -Plates -Sound
_
Bearing (halls over Girders & Floor Nailing
t Stop in Walls (rat proof)
r r
4W -1 -Header & 3eam-_Size & Bearing _ _ -
42 l H ers-Post Caps -Anchors -Connectors
ng. Jois -Rftr. Ties-Purlin-Roof Brac.-9; es Shthnq.-Rfnq.
V�4�CFepiace-ies or Type A Flue -Fireplace Throat
4&00-Altic Acce.;s; Size & Romex Protection -Draft Stop -Ins. Baffles
drm Wind-)ws or Exiting Doors -Sill Hgt. & Dimensions
arage Fire Protection Framing /a A0a"O. jy
(NOT E: An entry must be made each time you visit job site)
RES IDENT IAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT 01 Ims V.- a -S
(location)
BUILDING PERMIT NO.�1S'/�7- FOR, P Ls_,_�1 A;P. NO. aZS-O/-Z9
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge.
Fdn. Walls��
Floors
Walls r/
Ceiling/Roof f
Ducts
Circulating Pipes VA
APPRQVED HEATER
APPROVED WTR.HTR.�_
GLAZING:
Single Glazed
AAA
Special (Insulated)
CERT. & LABELED WDS.
& SLIDING DRS.
WEATHERSTRIPPED DRS.
✓
BACK DAMPERED FANS
INTERMITTENT IGNITION
DEVICES—
EVICESCERT.
CERT.APPLIANCES
I DECLARE THAT ALL REQUIRED,ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name `ZIU, A',0,5
Signature of �(please print)
Insulation Applicator L -fit/
State Contractors
License No. 3 % LLe 7
General Contractor/Owner Name <J `C�'� 6C"1 Lames
Signature of (please print)
FV
General Contractor/Owner. a,Date l y '/
gV State Contractors
License No. 2 -
THIS
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND.SHALL BE POSTED IN A -CONSPICUOUS LOCATION
WITHIN THE DWELLING.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection Indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matterorite i"12
I explanation, please contact this office immediately.
.fir F44M bA 0 C C X -1-4'k, ! - ► r Re' #�'
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC'WORKS PE MIT NOLO
•,
(County Center'Drive=*Oroville, California 95965 - Telephone 916/534-4541 Udy'
APPLICATION AND PERMIT
ASSESSOR =ADRCEL NUMBER � V
ZO --2--
BU DING PER T 1 F,,O,
07Nft R
_a s
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S M LING ADDRESS
a /_
J 6o Ll
CORATOR' NA T TELEPHONE
C TRACTOR'S MAILING ADDRESS rov ,P
C,Q NST RU TIDE DE
Iµ1Total
UNKNOWN
Fireplace
Valuation $ AID
LENDER'S MAILING ADDRESS ,
V f Il -
Permit Fee
$ (0)
ARCHITECTOR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS �DS O
PLUMBING PERMIT
Filing Fee wo
Each Trap
2.00 7 6 ,DD
Repair drainage or vent piping
2.00
Water piping
LOT NO.SUBDI
VISION NAME
CEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
�% Duplex Mobilehome❑ Other
SF I"I
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: —
Permit Fee
$ Q
r
Contractor
ELECTRICAL PERMIT
Filing Fee I fiq0l)
Main service 100 AMP OR11 OR LESS5.00
6;01D
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OICYPX
AUC
`//�'iiO
22 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury one):
p y p I y (check one :
1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full orce and effect.
License N3 95' -I, 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. TI.LOUTs ET
BRANCH CIRC ITs
2.50 ea
NEW CONSTR (POWER APPARATUS fl
NON -RES,D. (SINGLE OUTLET CIR.
50 @ 25C
Ex. Occup(ouTLETs OR FIXTURES BAL@1W
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
a I e -L W
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
�y I have placed on file with the County of Butte Building Department
5� a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 00
Heating 4oAA s -r
Cooling
Hood
'.00 QD
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date ` -/�_�
Si ature of Applicant ! Owner ❑ ContractorX Agent ❑
An OSHA permit is required for excavations over 5'0'• deep and demolition or construct-
ion of structures o`vero3 storiesinheight.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE $ ���
OCCUP. GROUP
47,02
f` J
TYPE O CONST.
v�
PARCE
�
PD ND
ISSUE
/
D�
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO F PUBLIC
By
PE T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
—P
Date Z- —P
�� /L� /,/
Receipt No. "1"0� D 9 /
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
RECORDING REQUESTED BY
AND WHEN RECORDED NAIL TO ,
Name e IJ .Dnv1 yo
Shawl
Addtaa 3 �C.6 6 �a V Q4r`° a 0A
city .&
Sial. Lf3 jyY S cis I i �'
GIFT
TO 1923 CA (12.74)
♦ .. j
OFFICIAL r!
BUTTE
RECORDS REfi:_''; -:',PY
L 2ANTEE
OCT 6 3
CLARK A. Ii:;I_cE'�F
CLERK-RECOR
EE ..
3336111
SPACE ABOVE THIS LINE FOR R
Deed
THIS FORM FURNISHED BY TICOR TITLE INSURERS
The undersigned grantors) 'declare (s)
Documentary transfer tax is S
( ) computed on full value of property conveyed, or
( ) computed on full value less value of liens and encumbrances remaining at time of sale.
( ) Unincorporated area: ( ) City of
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Donald J. Davidson and gel en L• Davidson
hereby GRANT(S) to
Gregory David so.n and T;Relody He Davidson.
CORDER'S -•USE.
^.liip S;a:
� F,l... anent ryy.T
mar) f 5m td,� R 2` t
A ca d
Ccurnent
and
the following described real property in the
County of $Lit t e , State of California:
The ;,festerly 2001. of. the Northerly 2501 of that certain deed
..from L. ). pryer e & Carma pryd e .to. DonaldJ. Davidson g -el en L.
Davidson recorded r, are 7, 1960 in bOOK -1191 � 1046 Oa R. page 153
Dated
STATE OF CAf.lyPRNIA 1,
COUNTY OF AL1 j f e- J}SS.
On n;� �' 1'^ L"%?"� before me, the under-
signed, a Notar Public in and for said State, .personally appeared
LEW /— nAV/ /) S6
known to me
to be the person_whose name j" (2!6ubscribed to the within
instrument and acknowledged tha executed the same.
WITNESS my hand and official seal.
Signature
Jr/�� i •r� /i[ �lir� Z.r ��
MAIL TAX STATEMENTS TO
" ►�
$ARRME7 N
"tt'♦.,�'
NOTARY PU9LIC A '
ry
Name,
Street
5� M
Add(an
city a
Sp.le
L
GIFT
TO 1923 CA (12.74)
♦ .. j
OFFICIAL r!
BUTTE
RECORDS REfi:_''; -:',PY
L 2ANTEE
OCT 6 3
CLARK A. Ii:;I_cE'�F
CLERK-RECOR
EE ..
3336111
SPACE ABOVE THIS LINE FOR R
Deed
THIS FORM FURNISHED BY TICOR TITLE INSURERS
The undersigned grantors) 'declare (s)
Documentary transfer tax is S
( ) computed on full value of property conveyed, or
( ) computed on full value less value of liens and encumbrances remaining at time of sale.
( ) Unincorporated area: ( ) City of
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Donald J. Davidson and gel en L• Davidson
hereby GRANT(S) to
Gregory David so.n and T;Relody He Davidson.
CORDER'S -•USE.
^.liip S;a:
� F,l... anent ryy.T
mar) f 5m td,� R 2` t
A ca d
Ccurnent
and
the following described real property in the
County of $Lit t e , State of California:
The ;,festerly 2001. of. the Northerly 2501 of that certain deed
..from L. ). pryer e & Carma pryd e .to. DonaldJ. Davidson g -el en L.
Davidson recorded r, are 7, 1960 in bOOK -1191 � 1046 Oa R. page 153
Dated
STATE OF CAf.lyPRNIA 1,
COUNTY OF AL1 j f e- J}SS.
On n;� �' 1'^ L"%?"� before me, the under-
signed, a Notar Public in and for said State, .personally appeared
LEW /— nAV/ /) S6
known to me
to be the person_whose name j" (2!6ubscribed to the within
instrument and acknowledged tha executed the same.
WITNESS my hand and official seal.
Signature
Jr/�� i •r� /i[ �lir� Z.r ��
Title Order No. Escrow or Loan No
MAIL TAX STATF1,4FtJTS Ac rllDrrTrr% A 1)r-.t,r
OfIRY„ W:APRIL
" ►�
$ARRME7 N
"tt'♦.,�'
NOTARY PU9LIC A '
ry
MY COWXWON EXP4. 1981
(TIAs arra for official notarial seal)
Title Order No. Escrow or Loan No
MAIL TAX STATF1,4FtJTS Ac rllDrrTrr% A 1)r-.t,r
Donald J. Davidson D d 7
f E/S.Dos Rios Rd., app. 4 mi. S. of
'. Larkin Rd. -,'East Biggs Area
Per 11-`76P,E(util.,MH)
ELEC , 1p .5
GAS Cp r
SUPP RT STRUCTURE REQ. `
COMPACTION TEST REQ, yp /
25-6 -
Q/- f r
CONTR: Earle Towne, adise y
ermit ��2685-76
Issued / -'
25-06-29
Permit #3879-79E(ele ser ch) SF_
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COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT Q
r
Owner
Mailing Address do x 161
Contractor �- �Dtez
Mailing Address
Building Address
6
Telephone No.
S'G» -S r
Telephone No.
l
A t
A. P. No. 2S'--0 (P — 4aning & Planning—
F&41
lanning
F Sam4atLon Fire Dept. Fire Zone Use Permit
EOA Parking I Parcel Parcel Ma 60' R/W Im rovements
Plans Declaration P P
Porcel Approval Plans Approval
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Single Family Duplex ❑ Mobil Home ❑ OthersLe—
❑
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:
License No. Classification
am exempt from the Contractors License Laws of the State of California.
` 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.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
rpermit is issued I shall not employ any person in any manner
o as to become subject to the Workmen's Compensation Laws of
al i forni a.
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above- 'oned property inspection purposes.
$ignatur of ermitee or Agent
Receipt No
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
_ BUILDING
SO. FT. I OCC. I BUILDING VALUATION
Fireplace
Total Valuation
Permit Fee
P I an Checking Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each TraD
Repair drainage or vent piping
Water piping
Each gas water heater or vent
Gas piping system,1 - 5 outlets
Each additional outlet
Building sewer
Lawn sprinkler system
Permit Fee
ELECTRICAL
PERMIT FILING FEE
Main service 8001 OR LESS
100 AMP OR LESS
Main service EA. ADD•L 100 AMP
Main service OVER 600V
100 AMP OR LESS
Main service EA. ADD'L 100 AMP
NEW CONST. MUI 1 -VU 1
NON.RLRESID. BRANCH CI
$3.00
1.50
1.50
1.50
1.50
1.50
.30
5.00
2.00
@
$3.00
5.00
2.50
25.00
1.00
FEE
FEE
0D
Ex. OCCUD(OUTLETS OR FIXTURES
BAL@10�
FIXED APPLNS. OR
EX. OCCU P•(OUTLETS (RESID.) EA)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
6.25 n
Permit Fee $
MECHANICAL No.J @
PERMIT FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 1 1 2.00
Permit Fee $ $
Land Development Fee $
TOTAL PERMIT FEE $ Z
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.
DIR OF,,OF BLIC WORKS �7
By L Date l
permit expires Date ���
, C
util.,MH 1665-76P,E
PER+MIT NO.
PERMIT EXPIRES
OWNER Donald J. Davidcnn
CONTR. owner
LOCATION,(A..P. 25-6-29 i
-E/S Dos Rios Rd., app. '.mi. S. of Larkin Rd.,
East Biggs Area
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Temp. Powe Pole
Called G&E-
- Temp. EI a Serv.
Call d PG&E
Temp. as Serv.
J B �/_
INALED 6 � 26
(Date) _
(Signature)
I
Setback
Forms
Main Bldg.
Footings
Stemwa l l
Slab
Piers
Garage
Footings
Stemwa l l
Slab
Carport
Footings
Slab
Patio
Footings
Masonry Walls
Reinf. Steel
Framing',
Stucco
Mesh
Scratch
Brown
Finish
Interior Latl
Door Closer
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Firewall
Restroom Finish
Windows
Siding
Roof Sheathing
Roofing
Fdn. Vents
Garage Vents
Prov. for physically
handicapped
Conformance of ex.
structure
Final
FIREPLACE
Footino
FIRE SPRINKLERS
Final
MECHANICAL
Heating
Cooling
Ducts
Ventilation
Final
DATE REMARKS OR CORRECTIONS
a or a- �
� 1V�
Soil Piping
1st Floor
2nd Floor
3rd Floor
Topout
Water Piping
Sewer WA
Fixtures
Water Htr.
Heaters
Appliances
Gas Piping &
Temp. Gas /,
Fixtures
Motors
Water Htr.
Subpanels
Grd. Faul.LPn
ServiceLl
Temp. Pole
Undergroun
Penna t
Final
(NOTE:.An entry must be made on this form each time you visit the job. site.)
ELECTRICAL
. r
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
1 Is the mobilehome locatedwi�jh required separation from lot lines and buildings and generally
conform to -plot plan? Yes y No
Does the mobilehome have required clearances above ground? (Sec. 5085) YesX—
re
No
3. footings and supports properly sized, spaced, and braced as per ved plans? (Note
possible variation at spring shackles.) (Sec, 5082 & 5083) Yes o
4. Is the mobilehome level? (Sec. 5088) Yes No�
5. I.f mo)re than a single unit, are crossover, connections properly installed? (Sec. 5088)
Yes No
6.? Water
A. Is, fl xible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes 1 No
B: Test -Does water piping withstand working pressure or.50 lbs. air test? YesX No
C. Backflow - a a oueci,—does station have backflow device
and pressure -relief valve? Yes No
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? YesY No
B.' Does it have minimum k" per foot slope and is it properly supported? YesX _ No
Are any leaks detected in drainage system after runnin -gallons of water through each
fixture including washing machine standpipe? Yes No
D. coac is not a approved, does station have required trap and vent?
Yes No
Gas Piping and Gas Vents
A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum
mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as
large as the mobi ehome gas line inlet without reductions other than the mobilehome
connector. Yes No
B. Test OK as per following procedure? YesNo
1. Open all appliance connector valves. .
2.. Shut off appliance burner and pilot valves.
3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum
6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without
drop.
4. Connect gas meter to mobilehome with connector, turn on gas, test connections with
soapy water.
C. Are 411 appliance vents properly installed? -Yes No.
MOBILEHOME DATA
Manufacturer and/or Namestyle
Length �� Width
Vehicle Serial No. � - / 0� 1
State Identification No. 1Z I I
Additional,Informati.on or Comments:
9. Electrical
A.
Is
service large enough to provide adequate amperage -to mobilehome (must equal rating of
mobilehome with a minimumo 100 amp) and other facilities on,lot, i.e., water pumps,
garage, cabana, etc.? Yes No
B.
Is
there proper clearances around panels? YeNo
C.
Is
power supply cord or feeder assembly properly fused?' Yes No
I§
continuity test satisfactory as per the following procedure . Yes No
1.
De -energize electrical wiring system of the mobilehome at the pe e.stal..
2.
Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
3.
Switch all breakers and switches in the mobilehome to the "'on" position.
4.
Connect one lead of a test.instrument to the mobilehome grounding conductor and
apply the other lead to each m.obilehorae supply conductor, including neutral.
f 5.
All non-current., carrying metal parts of the mobilehome (aluminum siding, gas line,
water line),• including fixtures and'.appliances, shall be tested for continuity from
such equipment and the grounding conductor.
6.
Upon completion of the above procedure, the power supply cord or feeder.assembly
conduc:tors.shall be connected to the site service equipment. A further continuity
test'Ohall then be made between the grounding electrode and the chassis of the
mobilehome. Upon satisfactory completion of the electrical tests, the lot or site
service equipment may be approved for energizing.
10. Is
job
r
card signed by Health Department for water and sanitation?
11. If
everything okay, sign off card and tag services.
MOBILEHOME DATA
Manufacturer and/or Namestyle
Length �� Width
Vehicle Serial No. � - / 0� 1
State Identification No. 1Z I I
Additional,Informati.on or Comments:
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS /
7 County Center Drive Orovi lie, California 95965
Telephone: 534-;4541
APPLICATION AND PERMIT
aurrrurlce representanves of the county of tsutte to enter upon the
above-mentioned property for inspectign purposes.
4t_z_4&1 Date
Signature OP4
itee or Agent
Receipt No. / T .5—_,!rIg
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/ IBLIC WORKS
;ilding
tepermit expires Date _ S %�
BUILDING
Owner �A dN
SQ. FT. OCC. BUILDING VALUATION
Mailing Address /e /O/C—
�l
I el ephon
Telephone No.
G �5
Fireplace
GV_S
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee $
Building Address S nl O O
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
--�261S 2e
Repair drainage or vent piping 1,50
Water piping 't -5e- Q, vs
Each gas water heater or vent 1.50
A. P. No.� — :2-7Z
-
°"'"
Gas piping system 1 - 5 outlets 4-W d�C-0
i
Each additional outlet .30
Fees
W.C.
S Fire Dept.
Fire Zone
Use Permit
Building sewer 5-e0 C/D
Parking
De a '
Parcel M p
60' R/W
Improveme s
Lawn sprinkler system 2.00Plans
QEQQ�A
/ Brdg Plans eR ed
Parcel Approval
Plans Approval
Permit Fee $ OZ
I$
NEW ❑ ADDITION ❑ UTILITIES Q1:1�OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 d�
Main service 100 AMP ORSLESS 5.007, (J
Main service EA. ADD'L 100 AMP 2.50
^
Single Family EJ Duplex ❑ Mobil Home ED,' Others ❑
Main service OVER 600V
1100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW
OR ADDNST ( DWEACCLBLDGS.LING CCUP. &\ 2¢Sgft
/
NEW CONSTR. (MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS) 12.50ea
NEW CONST. POWER APPARATUS &
NON- R
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:
1 4 P Cud I hal P. I!1'D
Ex. Occup(OUTLETS OR FIXTURES) BA!21
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
Rin -
am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
k 1 certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
o as to become subject to the Workmen's Compensation Laws of
al i forni a.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood I J 2.00
Permit Fee $
$ �
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
TOTAL PERMIT FEE
$
aurrrurlce representanves of the county of tsutte to enter upon the
above-mentioned property for inspectign purposes.
4t_z_4&1 Date
Signature OP4
itee or Agent
Receipt No. / T .5—_,!rIg
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/ IBLIC WORKS
;ilding
tepermit expires Date _ S %�
V
I
DECLARATION REGARDING LOTS OR PARCELS
I certify that as owner of the property acquired by deed in Volume
Page o , Official Records of Butte County, (AP#�
I am requesting permission to build or install an additional living unit on this
property. I will not divide the aforementioned property for sale, lease, rent, or
financing unless all applicable land division laws and map requirements are com-
plied with.
y. 15.1-r�.r f. -,:'! • { , ...�.., i . . L' f
-.I-r•am•conversant with the present zoning regulations affecting rdmentioned
the--afa
property, and declare
that I
shall
not violate same. I represent that the proposed
' use of the additional
living
unit
isfw1��
and that further I shall not change this proposed use of the additional living unit
unless and until I receive written approval therefor from the County of Butte.
t
I fully understand that pursuant to Chanter 20 of the Butte County Code and §11535
..
COUNTY O
' F
'1^ _ "..a' s},.`.
�" .)A._I
et seq of the'Business and Professions Code that if I, in the
future, sell, lease
On this day of GC,
197,Zl before me, Ralph W. Miller
'
or. finance the area on' -df djacent to"said improvement without
fully complying with
,a
of
'
State
the applicable laws and ordinances, that I shall be guilty of.a'misdemeanor
and
M
therefore, subject to the aforesaid penalties.and imprisonment
pursuant to law.
T hr
Further, this sta"tement' shall be'�pirope'rly''acknowledged"aria e ord tt1i req est"
acknowledged to me that he_
•~� t.
':moi r"
of the -County of Butte.
gla+,'�".�''"!,
-fe{ `r `? g4N'Tlq" w }• r y, • �.tifi-` eeri r: #� y7 a0ii ,�'i` 4•y,y
e . A��l} •tf%a +'"'.....
29560 Owner ,
_
r, 1 21.4 f'ri197
EEE
Address ZI? .'
1-_T
Date
•
STATE OF CAL FORN A ) ss
..
COUNTY O
' F
'1^ _ "..a' s},.`.
�" .)A._I
�Y'�;�n. .J�,',<,'I a)61i. ! 1�i+.k �. �^"LJ.Y ~' • ,
On this day of GC,
197,Zl before me, Ralph W. Miller
a .PlotaryPublic i.n and for the County
of
'
State
of California, residing therein, duly commis-
sioned an sworn, personally
-appeared
Dan Davidson
known
to me to be the person whose name is subscribed to t•r,e within instrument
and
acknowledged to me that he_
executed
the same.
IN WITNESS WHEREOF I have hereunto set my hand and affixed my official seal in tie
County of Butte the day and year in this certificate first above
written.
OFRALPH W. MMLER
FICIAL SEAL
NOTARYPUBLIC- CALIFORNIA
BUTTE COUNTY
MY COMMISSION EXPIRES JUNE 22,`1977.'
S96-1275'.
i
Not ry Plic
S96-1275'.
i
Not ry Plic
w
IQ61
fez
yo end �'
11013 V
- COUNTY OF BUTTE — LEPARTIENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965 �y
Telephone: 534;4541 / Y�
APPLICATION AND PERMIT ( CJ
DO ILIA L /-J �7-.
BUILDING
OwnerVl QST
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor ESQ.e(- -04f v 10
Total Valuation
Mailing Address 5-03S7 e JWCL1z L N
Permit Fee
Plan Checking Fee &/or Penalty
1J0,AJ2/41)l SE �I�IZ
Permit Fee $
Building Address
PLUMBING No. @ FEEPERMIT
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. 2 s— = 2, 9
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
9erritation-
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Parcel
Declaration
parcel Ma P
60' R/W
ImprovementsLawn
sprinkler system 2.00
�Plannss
Bldg. filers Recd
Parcel A ovol
Plans provol
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
�(p�=
Main service i°o°o AMP ORV OR LESS5.00
Main service EA. ADD'L too AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service 1100EAMP OR LESS 25.00
Main service EA. ADD'L too AMP 1.00
NEW CONST OR ADDNS. ( ACCLBLOGS.LING CCUP. &) 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
s t y I f:
1� �LC9�%VlJ' '/%� V�•Z ��;%�Ep
Ex. Occup(OUTLETS OR FIXTURES) BALD
FIXED APP LNS. OR
Ex. Occup.(0UTLETs (RESID.) EA) 2.00
Temporary service 10.00
y
Mobile Home Facilities 15.00
License No.�- l7 � Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
certify that in the performance of the work for which this
ermit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
Cal i forni a.
MECHANICAL No. @ FEEPERMIT
FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
ac
TOTAL PERMIT FEE
autnunce representatives of the county of Butte to enter upon the
above-mentioned pro rty for inspection purposes.
X Dates :1-7 D
Signature o Permitee or Agent
Receipt No. ldlcla44E::�
.W.
White-D.P.W. — Yel ow- ssessor — 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 U LIC WORKS
By Date16-1?- 76
t (ding permit expires Date 45^-1 �?, 77
MOBILEHOME. SUPPURT DNIA
Mobilehome Mfr.5—AIT-1-2 06e,10Setup Model No.- )196-3-13 Year
Width / L- (ft.) Length .. U (ft.) --Expando Size _ 7 ft.x — ft.
(Draw support details below) .
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets ,(if. not .on .file with the County of Butte).
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
c Footings- (check.one)i
/1y1. Wood either
pressure treated or
fdn.: grade.:
/ j 2. -Concrete pad.
3. Other, 'specify
Supports (check one)
�x
/7 1. Concrete block
/ / 2. Concrete piers
r. ..:.1 Pill?
3. Steel piers
�Xq's........
4. Other, specify =:i
Typical Support
/Lx Footing Size
in. in.)
Max. Pier.
Spacing
in.
Max.
b ,Overhang
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
�Y
t
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville,.CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name: /�9)e k Y E, a A V/ as D /Lj
2. Installer's name: EA 12 ( E GfJ ti
3. Is the site currently under permit? Yes h l / No
(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.
teaway from septic tank and leach fields and
clear of all setbacks and easements? Yes V / No
(If no, clarify )
(This information not required if pipe length less than 6 ft. on natural gas
or less than] 50 ..ft . _.on, LPG. )
5.
What
is the
mobilehome electrical rating? -----------------------
D
Amps
6.
What
is the
mobilehome site -service rating? ---------------------
�
Amps
7.
What
is the
mobilehome site circuit breaker rating? -------------
%�'�.
Amps
.8.
Is there any other electric load to be served by the mobilehome
-- =` r-�-------J1_484- J__di
Yes / /
No
site
service.
-------------------
(If yes, identify the load and size: (Load)
(Amps)
3/�
9.
What
is the
-
mobilehome site gas pipe size? ---------------------
(in.)
10.
What
is the
type of gas service? ----------------------------- Natural / /
LPG'/-/
11.
What
is the
gas pipe length from meter or tank to the mobilehame?
Z
_(f t.)
o
y
12.
What
is the
mobilehome as demand. --
// 7✓, G
(BTU)
(This information not required if pipe length less than 6 ft. on natural gas
or less than] 50 ..ft . _.on, LPG. )
/
T.msr r eQ.,. s
D�ot✓azd .widso✓
7d9� -2S-06-'R9
. a .
• vz
o
NOTE:—All MnferiMlG. oNo4rnnnship Shcrf! Be in
Accordance with R^rnr+,n4�0.4 Gn %t4 P—r.+;ces nn
of a quol*+v nrP. cr;t,n-! -for •the, Srer.. f',e-1 use. in the
I Uniform Building, Pliarn�inq & Machanical Codes and
p pp.-o e. Joe, 'y the National Electrical_ Code.
Q -a � this set of lans
X P be i
W per it will be required for fl kept on the joy at a!! times a
mako a1 ci.1an �-s or f ierziiions er sy: :'.•,
installa ion of the mobilehom3. . U1 � �, Y � •;-.
wrlI-•:n permisson 'frorn .he U1:parim tnt c•# t
Woks, County of Butte.
A# 441`!'r'Septic system and location- d-
The,. Setback shall. be f+. frorn to be as per
the side property line arxr! +'^ ''•^m Butte County. Health Dept. Re-
the centerline of fhe roars. m;lquirements.
'• a maximum of a 2 ft, eave ovaph-1ro+,
Q3 �.
a
All utility, connettions shall b
located '� i I I xI ot:(s c:e the rea
third section of the mobil hom
on the left (road) side of the mobil -
Cj home.
P —
'i 2 O
30
N.o
BUTTE COON] Y
BUILDING DEPARTMEN i
APPROVPD
Exp sn.� rX+57la c
Ho 4s e- 734vM
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