HomeMy WebLinkAbout025-220-02225-22-22
CLAUDE & VIRGINTHIS
206 Stimpson Rd, oville
Permit#3374-83P,E(ltiN , )
ELEC '�- > i' -$t✓ 9, .
'AS -�4-, ...S-R-r�.
COMPACTION TEST RE _
SUPPORT STRUCTURE REQi
Permit#3375-83MHI 25-22-22
Issued --/
-025-220-022 '- PERMIT#98-0312-
.MATHIS,'Virginia
206 Stimpson Rd., Oroville
'Cont: George Roofing
Reroof/SFf1�%fG //_/ y�
25-22-22
Claude & Virginia Mathis
(AUNT MINNIE VARIANCE, 11/8/83) f ,
LtD
r
Address ❑ 695 Oleander Avenue, P.O. Sox 1100
Reply to Chico, California 95927
Telephone: 916/891-4727
`, Irz W!f,
BEAUTY
DEPARTMENT OF PUBLIC HEALTH
DIVISION OF ENVIRONMENTAL HEALTH
7 County Center Drive ❑ 747 Elliott Road
Oroville, California 95965 Paradise, California 95969
Telephone: 916/534-4281 Telephone: 916/ 872-2961, Ext. 58
November 23, 1983
Claude & Virginia Mathis
Box 206 Stimpson Road
Oroville, CA 95965
Dear Mr. & Mrs. Mathis'
This is to advise you that pursuant to Section 19-19 of the Butte
County.Code, the Board of Supervisors has approved a variance to
Sections 19-10 and 19-12 of the Butte County Code for the placement of
a mobile home onyour property located at Stimpson Road area,
Oroville, CA and identified. as Assessor's Parcel Number 25-2�2-22_...------
This variance was granted on November 8, 1983 and incl u e� s the
following conditions:
1. The variance is granted only for a term of one year. At the end
of one year you.must apply for a new variance if the use is to continue.
2. If the applicant residing in the mobile home or conventional -.
residence moves to another location or is deceased, the variance
automatically expires and the mobile home shall be moved within 120 days.
If the mobile home is not removed within 120 days, the County may remove
said mobile.home and store it at the owner's expense.
3. The mobile home shall be placed on the property without violating
any of the setback requirements of the zone in which the property is
located.
L�. The applicant shall secure all necessary sewage disposal, electrical,
plumbing and building permits necessary to install the mobile home.
Very truly -yours,.
Lynn E. Vanhart, Director
Division of Environmental Health
L:EV/lld
cc: Clerk of the Board
Planni-n-g- Department
"ilding Department
IAaV(g9-
hill I's
025-220-022 PERMIT#98-0312
MATHIS, Virginia
.206 Stimpson Rd., Oroville
Cont: George Roofing'
Reroof /SF _- — 3131 q
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION '
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERO- NO.
(Rev. 12/96) APPLICATION AND PERMIT -z---
ASSESSOR PARCEL NUMBER Q.S 0
ZONING
BUIL GPERMIT
OWN R
,~Sa�tifa, Virginia
TELEPHONE
533-5409
SO. FT. OCC. BUILDING VALUATION
500 comp_300.00
OWNER'S MAILING ADDRESS
206 Stimpson Rd Orovilla CA 95965
CONTRACTOR'SNAME
George Roofing
TELEPHONE
533-6393
CONTRACTOR'S MAILING ADDRESS
6010 Lincoln Blvd Orovilla CA 95966
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation Is 300.00
ARCHITECT OR ENGINEER
LICENSE NO.
-Filing Fee $ 20.00
Permit Fee $ 15.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
206 Sti Son Rd Oroville CAS95965
Energy Plan Checking Fee $
• '
I PERMIT FEE $ 35.00
LOTNO.
SUBDIVISION'S NAME
`PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF.O,: Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 0 Other 0
Describe Work: Composition Shingles
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W 920.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
Main Service OOOV OR LESS
z.OA OR LEss 23.00
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.PSINGL
License Class C-39. C-1 �, Lic. No. 452266
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 propertyfor my employees with wages as their sole compensation,
will do the wdrk, and the structure is not intended or offered for sale.
i
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct°the project. `«
'❑ 1 am exempt,4nder Sec. + Business and Professions Code for this
reason
Main Service ( 200A TO IOOOA 46.00
NEW CONST. DWELLING OCCUP. s0
OR ADDNS. ( a ACC. S.3.5QFT.
NPN-REOULTI.
S�.. MOU CIRCUITST 97.50
ATUS
8 OUOWER APPARTLET CIR.
E
Ex. Occup. OUTLET FIXTURES p I:so
D APEA 5.00
Ex. Occup. OUTELETSRES O.PLNSO
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
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:
CarrierLegion ins. Co�c/o American Patriot
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Policy Number►F C n SI %
(The above sections need not be completed if 1heepI ��
permittiis'for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comp y with those provisions.
Date�---
�hgnnature-OfApplicant - 'owner—Q Contractor ,O -Agent
An OSrHA-permit is required for exc va a Ions over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 3"00
NAZ.
.FEES IMP
FLOOD
CDF
PARCEL PD
HD
ISSU
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.
t '
By/?I• I �: -' Date ."' C _
PERMIT EXPIRES ONL: /.
' Date
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIV ION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 1 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT g� x
ASSESSOR PARCEL NUMBER OQS-c_� 0 ^ Do
ZONING
BUILD4NG PERMIT
PfatRhis, Virginia
53LE 3 -5409
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAIUNG ADDRESS
206 Stimpson Rd Oroville CA 95965
500 comp 300.00
CONTRACTOR'S NAME
George Roofing
TELEPHONE '
533-6393
CONTRACTOR'S MAILING ADDRESS
6810 Lincoln Blvd, Oroville CA 95966
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ 300.00
ARCHITECT OR ENGINEER
UCENSE NO.
Film Fee $ 20.00
Permit Fee $ 1 5.0 0
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
206 Stimpson Rd Oroville CA 95965
Energy Plan Checking Fee $
$
PERMIT FEE $ 35.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF XX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat*pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑
Describe Work: Composition Shingles
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W 920.00
PERMIT FEE S
ELECTRICAL PERMIT Filing Fee 20.00
Main Service OOOV oR LEss
2o0A OR LEss 23.00
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.Pow
License Class C- 3 9, C -1 4 Lic. No. 452266
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
_
Main Service ( 200A TO IOOOA 46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( & ACC. BLDS. 3.5¢SO
FT.
NEW
NON -R S DT MULCTI.OUTLET CiG 7.50
ER APPARATUS
d SINGLE OUTLET CIR.
20 Q I ao
EX. OCCU OUTLET OR FIXTURES BAL @ .50
Ex. Occup. OUTELETSRESDPUNSO
PEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
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:
CarrierLe ion Ins. CO C O American Patriot
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number # /_ n_�7 d / �z
(The above sections need not be completed ifhe 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 1 should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
fo hwith Comp y with those provisions.
_DateoZ
A It
na f Applicant - Owtor,�AgenAn O ermit is required for ex0" deep and demolition or construction
�ions
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 35.00
HAZ.
1 0. FEES
IMP
I FLOOD
CDF
PARCEL
I PD
71
ISSU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated abovefor which fees have been paid.
��
By ate c7/ V 1qy
EXPIRES O %
A
ale
Receipt No. 4s 377-72PERMIT
WHITE-D.D.S.-B.D. CANARY-ASSE SOR PINK -INSPECTOR GOLDENROD -APPLICANT
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE—
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY.
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 5, under permit
number -? for the following location:
Owner (J t/GICs° 11z-,1_Qa.-..4_,,. Lt�.,r
Owner's Address
Mobilehome Mfg. + * ' Mode1,42 X %47 Year
Insignia No. '� '�� < r% Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
Direct�or,of'Public Works -2
Date »- / `-- By.
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White- Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORDS ,
196 Memorial Way,,Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise-- Phone: 872-2961, Ext. 57
CORRECTION NOTICE
IT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
.. r
X oo`
T _
. n .�f/L1ii1 /
V
Inspector_ _�-► Date�—
• COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, 'or need additional explanation, please contact this office immediately.
z") . —
Inspector
ate_ '! G
— COUNTY OF BUTTE ,
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
ORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
mater, or need additional explanation, please contact this office immediately.
CEJ
MF -?1 to
�
Inspector t... Date �� V
i
J = OK
0 = Not OK 1
- = Not Applicable ` ���•
* = Not Ready -
RESIDENTI..AL (Single and Duplex)
Date
UNDERFLOOR (Plans) OK except N's
Date
FRAMING (Continued)
ddress
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Temp. Power Pole
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6.
Stemwalls, Garage; Steel=Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
_
9.
Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
15. Water Pipe; Test & Anchors -Nail Protection
57.
Smoke Detector
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
--
`
63.
Fireplace or Stove; Clearances -Hearth
_-
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except N's
67.
Garage Fire Door; Swing -Landing -Closer
68.
69.
A.C. Duct in Garage -Damper
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
20. Fixture & Transformer Clearance -Ins. Protection
---
21.
Stec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
_
23.
Romex Installed Close to Edge of Studs & C.J.
72,
Insulation -Foam -Looked in Attic , E] Yes
24.
25.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
2 Appliance Circuits in Kitchen &Conductor Size
73.
Guard Rails & Deck Construction -Post Caps
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes - -
- _
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
27.
28.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes ❑No
Service -Riser Conductors & Ground -Main Disconnect
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters Oyes ❑No
76.
Stucco; Brown -Finish
-__
29.
Equip. Clearances; Pane ls-Motors=Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light _
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
Card B -I
-_--.-
Date Card -BI _ Date
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Permit) OK except M's
83.
_
Corrections from Previous Inspections
84.
85.
Gas Test -Meters Tagged; Gas -Electric
Water & Sewer Connected -C/O to Grade -HD Approval
31. A.C. Ducts; Insulation .& Support
.--,-.-32.
33•
Vent Fan_Exhaust above Insulation
Condensate Drain _& Overilow; Size & Grade
86,
Energy Compliance Certificate -Other Certificates
_ 34. -.Furnace
-Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
-
Card -BI
Card -BI
_ _
----
DateCard-BI Y Date
-Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date FRAMING(Plans) OK except q's
_
-36.
_37.
38.
39.
Sills; Proper Material & Anchors_ _
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing_
Draft Stop in Walls (rat proof)
-
__
40.
41.
42.
43.
_Fire Stops; Furred Ceilings -Stairs -Chases -Tub
Header & Beam -Size &_Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rttr. Ties-Purlin-Roof erac.-Truss-Shthn.1.-Rfnq.
Fireplace Ties or Type A Flue -Fireplace Throat
_
_
45.
46.
47.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm._Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing -
(NOTE: Anentry must be madeeach time youvisit jobsite
i; a{
�37r-Sy
PI MIT No. / l 337-4-83P;E (MH)
I PERMIT EXPIRES
r OWNER CLAUDE & VIRGINIA MATHIS
CONTR. owner
i
ASSESSOR PARCEL 25-22-22
206 Stimpson Rd, OR
LOCATION oville
r
Temp. Elec. Service
f Called PG&E_
Temp. Gas Service
C;
s JOB F
Si
OFFICE COPY
ddress
.' GAS
'Meter By
Date Al
ELECTRIC
Meter B Y
'•":
Dat
e - 9
Temp. Power Pole
Called PG&E
Temp. Elec. Service
f Called PG&E_
Temp. Gas Service
C;
s JOB F
Si
J = OK
O = Not OK 0.4
— = Not Applicable MOBILEHOMES
= Not Ready
. , Or
•:tea,
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
o g Requirements—Setbacks—Easements
Dale
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except fl's
1. Zoning Requirements—Setbacks—Easements
So' s; Special MH Support—Sketch
2. Footings; Size—Depth—Spacing—Connectors_4.11
ewer; Location—Test—Fall-C/O—Concrete
_
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
; Location—Test—Easement Needed (Sketch)
4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing_
Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6.kGas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
6. Carports; Windows—Doors
7. Utility Clearance
7. Elec.
Card -BI
Bate--/ — and -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date .— r and -BI Date
Card -BI
Date Card -BI Date —
Date
dLObILEHOME INSTALLATION (PI s) OK except k's
Date
POOLS (Plans) OK except #'s T
o ing Requirements—Setbacks—Easements
1. Setbacks—Easements
ootings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3 as; MH Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
�. ectricity; MH Test—Crossovers—Breakers—Clearances
4. Elec.; Receptacles and Lighting; Distances—GFI
rain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
ate ; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
1 ater and Sewer Connected—C/O to Grade—HD Approval
7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghig.
Boxes— Enc losures— Pane [boards—Ins. to Main in Conduit
xits; Insp.—Sketch
1 ert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
C d BTZdf?2te
i1 and -BI Date
Card -BI
Date Card -BI Date
Card B -I
r Date Card -BI Date
Card -BI
Date Card -BI Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIITT NO.
f1
ASSESSO PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER J r Q
p
C�V E,
TELEPHONE
S0. FT. OCC, BUILDING
VAL TI
OWNER'S MAILING ADDRESS
2f)C0 /'-30
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee .
$ AGTIod)
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ -St 20
BU•ILDING ADDRESS
�Co rim a
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO. SUBDIVISION NAME PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehom� Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationV Other ❑
Describe work:
V/ -7;?
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 00V OR LESS
1AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2:50
NEW CONST.(DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
t
2/20sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business20@50e
and Professions Code and my license is in full force and effect.
No. Classification
roll".
r 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR.ULTI.OUTLET 2,50 ea
NON -REBID BRANCH CIRC ITS
NEWCONSTR. /POWER APPARATUS &i
NON .RESID. (SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES BAL®30
FIXED APPLNS. OR
EX. OCCUp. OUTLETS (RESID,) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
q! -Consent to Self -Insure.
shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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 C onse gra ti of this permit.
- ��Jd ^
X��5ate
Signator Appli nt - Owner Contractor ❑ Agent ❑
An OSH is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $ s -
TOTAL PERMIT FEE $ 70,aq
OCCUP. GROUP
TYPE of CONST.
PARCEL
PD
NO
ISSUR
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
BY l
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
=ate S
Receipt No.—��� I
WNITE-D.P.W., YELLOW-ASSe9SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE= DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, Califqrnia 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT �1
ASSESSOR PARCEL NUMBER
s— _
ZO NG
r
BUILDING PERMIIC�,4
OWNER
TELEPHONE'
SO. FT. OCC. BUILDING VA U ION
OWNER'S MAILING ADDRESS ,'
L66 b v 0V1' 1U_e_
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ IU.VV
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 5, Q'o
BUILDING ADDRESS
..20(12 S0t,)
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO. SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome Other
SPECIFY
Building sewer
5.00
Mobile Home W
10.00 e , 60
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ UAs4pIns Ila 'on❑ Ot4er❑
Describe work: • �® a, 1AP t P AtJ yT
Permit Fee
$ IQ, 00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100v OR LESS
100 AMP OR LESS
10.00 0,6?0
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
2t/20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
[Vy 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
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
NE NON -RESIT CO R BRANCH CIRCTITS. 2.50 ea
POWER APPARATUS '
NEW CONSTF NON.RESID. SINGLE OUTLET CIR. 6
(
Ex. Occup(o OR FIXTURES
LC
AL®
BAL@50C30
IXEDTs
PR\\
Ex. Occup. OUTLETS (RESID,)EA./ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 .15-1for
Misc. Wiring 15.00
Permit Fee $ rs
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
0 Consent to Self -Insure.
Lm�J/1 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
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against sai in conseq nce of the nting of this permit.
X Date �- _ �� _ �%�
Sign re of pplicant — Ow Contractor ❑ Agent ❑.
An permit is required for excavations over 5'0" deep and demolition or construct-
on of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
I MPAr
I P"
155
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR TO OF PUBLIC
BY.
PERMIT EXPIRES Date t
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Da
"IWNITE-D.P.W.,
Receipt No.
YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH
DIVISION OF ENVIRONMENTAL HEALTH
196 MEMORIAL WAY 7 COUNTY CENTER DRIVE 747 ELLIOTT ROAD
CHICO, CALIFORNIA OROVILLE, CALIFORNIA PARADISE, CALIFORNIA
891-2727 534-4281 872-2961 Ext. 58
APPLICATION FOR PERMIT TO CONSTRUCT A SEWAGE DISPOSAL SYSTEM
Owner's Name
Applicant's Name _
Mailing Address
1. Construction site
2. Lot size
feet x
Assessor's Parcel No.
Phone
(Street and number or direction and distance to nearest crossroad)
feet.
I APPLICATION FOR: new system for new building ❑
Repair of or addition to old system ❑
4. Type of building to be served by proposed system:
Mobile Home E] (size )
House ❑ No. Bedrooms
Other ❑ (specify)
acres
Auxiliary or secondary system ❑
New system to replace existing facilities ❑
No. Bedrooms garbage disposal?
garbage disposal?
5. Water supply for premises: (Must be safe, potable water) Community ❑ Private well ❑ Other
Water supply for adjoining properties: Community ❑ Private well ❑ Other
have placed on file with the County of Butte a certificate of Workmen's
WORKMEN'S COMPENSATION INSURANCE 'Compensation Insurance.
6. 1 am aware of the provisions of Section 3700 of the California Labor Code
Which requires every employer to be insured against liability for Workmen's ❑ I certify that in the performance of the work for which this permit is issued
Compensation. 1 shall not employ any person in any manner so as to become subject to the
Workmen's Compensation Laws of California
7. SCALE PLOT PLAN TO BE FURNISHED
Sketch to scale on reverse side hereof, or attach scale sketch of plot plan of the premises showing:
a. Property lines. e. Show direction and approximate amount of slope.
b. Location of all proposed and existing buildings, f. Source of water.
structures, driveways and parking areas. g. Water lines.
c. Location of large trees, rocks, or other obstacles. h. Set back lines and easements.
d. Location of any well, spring, creek or other body of i. Proposed sewage disposal system and area
water on the parcel and within 100 feet of property line. for replacement.
I hereby state that the information above and on the reverse side hereof or attached hereto is
correct and true to the best of my knowledge. I understand that the permit must be obtained before
any construction is begun either on the building or on the sewage disposal system, and that a
satisfactory inspection of the system is required before the new building or dwelling may be
occupied or the system backfilled, or put into use. I also understand that a safe potable water
must be supplied to the new building or dwelling before occupancy can take place.
Signed Owner ❑ Authorized agent ❑ Licensed contractor ❑
Date (An original letter of authorization must accompany this application in order
for an authorized agent to sign.)
FOR OFFICE USE ONLY
Legal parcel? Zoning Use permitted?
Access Rcpt. No. ' 4 Amount `
Water plans cleared Potable water
Comment
S4 - 579R
COUNTY DEPARTMENT OF PUBLIC WORKS
'BUTTE
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
.1.
owner's name: et4aDgZ 111y261A2111 Ind ZALS
2.
Installer's name: 6t4)eE;P
3.
Is the site currently under permit? Yeh�_/ No
(If yes, furnish permit number375-8_2S OR
Is the site an existing site? Yes] No
(If yes, furnish two (2) plot plans.)
4.
Will the mobilehome be located at least 5 ft. away from septic tank
and leach
fields and
clear of. all setbacks.and easements? Yes No
(If no, clarify
5.
What is the mobilehome electrical rating? -----------------------
%0 0
Amps
6.
What" is the mobilehome site service rating? --------------------- -
Zoo
Amps
-
7..
What is the mobilehome site circuit breaker rating? -------
100
Amps
8.
Is there any other electric load to be served by the mobilehome
siteservice? ---------------------------------------------------
Yes
No
(If yes, identify the load and size: V-4EFLL?tAM' (Load)
SO
—(Amps)
9.
What is the mobilehome site gas pipe size? ------------- .; ------
. .
Natural 7-7
LPG
10.
What is the type of gas service? ------------------ ------
11.
What is the gas pipe length from meter or tank to the mobilehome?
VESSEL—
—(ft.)
12.
What is the mobilehome gas demand? ------------------------------
(BTU)
(This information not required if pipe length less than 6 ft.
on natural
gas..
or less than 50 ft. on LPG.)
MOBILEHOME SUPPORT DATA
If other than single wide,
Mobildhome Mfr. furnish Setup Model No. Year
Width_I'Z— (ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
mobilehome unless otherwise specified.
Footings (check one)
• Single U.1'. Wood either
pressure treated or
f oundat ion grade .
L.� x
2. Other: (specify)
Center support Center support
locations* footing sizes Supporta (check one)
(in.)
1: Concrete block.
x [].-L Other. (specify)
(ft.)(in.) (in.) (in.)
<---Tagalong or Expando,'
show support details.
(in.) (in.)
Typical Support
(in. (in.) Footing Size
(ft.)(in.)
(in.) (in.)
S �(o
-- Max. Pier Spacing
Max. Overhang
(ft.V in.)
1t
(in.) (in.)
(ft.)(in.)
3 3 719f83
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
*if center piers are
other than drawn above,
draw inlocations,
spacing,_ and dimensions.
Return to DPW_ AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building permit.
,. ••, �:TEO SY
I I (,) 2'�, Q3
*4
The property described herein is adjacent to land or included ELF t.14Gil4.gf"�1,tR
(; t:RK - R "CUnCER FEF
within an area zoned for agricultural purposes, and residents of this ��.,340
property may be subject to inconveniences or discomfort arising from
the use of agricultural chemicals, including, but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit of agricultural operations including, but not limited
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural zones which have as a
priority use for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm operations.
All that real property situate in the County of Butte, State of California, described
as. follows:
f/a
Q� ..ez. i�ox� e�-E%c=�'% �y � �i�i.,t�lil� ���,�.-�.1 j%2�z� �i•��:�ef�•/,// /u!
9/e,�, y� � '�/!•Go�• ,52�/ ,t�i��
[�..L+�.E.I�L.�-'W .GCrV/ rY...c-�O•'c.�i '.✓ /;- .� l ((�� �I i( r . _ - yG�l(////
� . CL �-c�.lE'��.-L�-rpt,/ ..Q.I.Lc-�� •�i..�l �GI.C/yfi
v 4v eeZi°r.����.v¢ la�lo,''� S'%v'o� ` rUe. boy
Date.
Jul Pt�O�E
TY ERS : E> �p1.iG�ii,E� %%O72
l
State of i �_) On this the day of �'� �n,3Fil , 19F, before
SS. me, the undersigned Notary Public, personally appeared
County of
n9i�'t�irs-
Ll Personally known to me. tV Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose hame(s) subscribed to
the within instrument and acknowledged that
executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official
Present A.P. "' 0�.�:•"Q
i' e"
Notary Public
seal.
NOThkY
CWTE COUNTY
�', ;
My comm. expires SSP_?9,
1987
Ll Personally known to me. tV Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose hame(s) subscribed to
the within instrument and acknowledged that
executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official
Present A.P. "' 0�.�:•"Q
i' e"
Notary Public
seal.