HomeMy WebLinkAbout026-070-0014
27
26-07-1
•' iam�Stanhope � _ '
915 Meil�vi.na Ave., Palermo -
ermit #45�-80B,.P,E,M(new single}`.
mily) _ l
X26�-0,,7-1 '
Permit #3399-81B 't renwal for
permit #4527-81 File
io131g3 _ uH
26-07-1
it # 2715-82B(2nd renew/SF) x'
02 = 70-001 01-2880
ME ONNIEY s, ,,
6925 MELVINA A LERMO
CONT: D & D HOMES )• 30.
DEMO/SF
0 -070-001 01-28
ME CONNIE � nq I
6925 MELVINA A ., ALERMO
CONT: D & D HOMES I -
MH ON PERM FND
r6925
B07-1035 - - —.026=070-001
MISCELLANEOUS Wood Deck
OPEN DECK (400 S.F.)
MELVINA AVE
MEAHAN, CONSTANCE
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: B07-1035 Issued: 06/12/2007
Address: 6925 MELVINA AVE Area: PALERMO
Owner: MEAHAN, CONSTANCE APN: 026-070-001
Applicant: MEAHAN, MARC Map Page:
Permit Type: Wood Deck
Description: OPEN DECK (400 S.F.)
Flood Zone: None SRA Area: No
SETBACKS
Front Setback: 20' Side Setback: 10'
Rear Setback: 10, Other Setback:
Minimum Setback From Centerline of Street:
11 1
ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING
Inspection Type
IVR INSP DATE
Setbacks
132 ,per -10-0'1
Foundations / Footings
111
Pier/Column Footings
122 pc— _/0-01
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
Building Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Pool Final
802
Mobile Home Final
802
I
Inspection Type I
IVR I INSP 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
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:
Date of Manufacture:
Model Name/Number:
Serial Numbers:
Length x Width:
Insignia:
Finals �--
Public Works Fina
538-7681
Fire Department/CDF
538-6837 cxt 169
Env. Health Final
538-7281
Sewer District Final
"PROJECT FINAL
801 C— 11 - - C
-rrolecc rinai,s a i-ermicare of vecupaney for (xesiaennai Vniy)
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 PF [OR TO EXPIRATION
Inspector Copy
7
COUNTY OF BUTTE
RI
BUILDING DIVISION
``t' . p�;a DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
6-)1/—
3
OWNER PERMIT NO.
'> A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
j{y work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
r..
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4
Date w i Inspector
REV 4/05 Phone #
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
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: 6925 MELVINA AVE
Owner:
Permit NO: B07-1035
APN: 026-070-001
MEAHAN,
CONSTANCE
Issued Date: 06/12/2007 By KCG
Permit type: MISCELLANEOUS
6925 MELVINA
Subtype: Wood Deck
PALERMO, CA 95968
Expiration Date: 06/11/2008
Description: OPEN DECK (400 S.F.)
Occupancy: Zoning: AR -1
Contractor
Applicant:
Square Footage:
MEAHAN, MARC
Building Garage RemdUAddn
6925 MELVINA AVE
PALERMO,
CA 95968
Other Porch/Patio Total
400 400
FEE INFORMATION
DBEH Building Review Fee $75.70
DBMSC Deck (Wood) $150.00
DBSMIP Residential $0.50
Total Charged: $226.20 Fees Paid: $226.20
Balance Due: $0.00 Receipt No: B3042
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,
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
also requires the applicant for such permit to file a signed statement that he or she is licensed
(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 fprce and effect.
of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the
X
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the aEN,
06/12/2007
penalty of not more than five hundred dollars [$500);
Ple the following:
Contractor's Signature Date
F THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License
WORKERS'COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
Law does not apply to an owner of the property, who builds or improves thereon, and who does
❑ I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
the work himself or herself or through his or her own employees, provided that such improvements
are not intended 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
❑❑
Section 3700 of the Labor Code, for
I, As OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
the performance of the work for which this peril is issued.
My Workers' Compensation insurance carrier and policy number are;
The Contractors License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Cartier: Policy Number: Exp. Date:
Contractors License Law.).
(This s tion nee not be completed if the permit is or one hundreddollars ($100) or less.)
❑ I AM EXEMPT under Section B. 8 P.C. for this reason:
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'
?7:�
Compensation laws of California, and agree that if I should become subject to the workers'X
06/12/2007
cem sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owners Signature Date
p ovis s.
X 06/12/2007
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
Signature Date
ordinances, rules, regulations, and Stale laws relating to building
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
injury, including death, and properly damage dge that
t is arising out of, a in any way connected with
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
ATTORNEY'S FEES.
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
o rtyownero guthorizedtoact property o er behalf.
7/ G!/ � ��� �� 06/12/2007
CONSTRUCTION LENDING AGENCY
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for'Name
of Permittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
Owner ❑ Contractor OR. 2<gent for Owner DAgent for Contractor
FILE COPY
Lender's Address City State zip
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
COUTE
N1'r
DEvELOP
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the 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:
If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal
income tax withholding, federal social security.taxes, workers/. compensation insurance, disability insurance coss,-and unemployment compeasation contributions. -
There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
° For more specific information about your obligations under federal law, contact 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 thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" 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 contacting the Contractors' State License Board's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
I PERSONALLY PLPROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT. YES NO)
�. ' 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:
ADDRESS
PHONE
CITY
CONTRACTORS LICENSE NO
�4. 1 PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE
THE MAJOR WORK:
NAME
ADDRESS CITY.
PHONE CONTRACTORS LICENSE NO
5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED:
NAME ADDRESS PHONE TYPE OF WORK
Description: OPEN DECK (400 S.F.)
Reference Number: B07-1035
Applicant Name: MEAHAN, MARC
Owner's Name: MEAHAN, CONSTANCE
Signatttre of PropertyOwner: _
AP # : 026-070-001
-mine
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
OWNER INFORMATION
Last N e �Ja
Firste o /I /?r.e_
Mailing Addrest q Lp— fU/N
City
�f'eY�ro
State
C_
City
Phoney?6_5-33_/syl_
Fax
E-mail
APPLICAN
CONTRACTOR
Name
Address
-� -
City
Type Const.
State
Zip
Phone
Fax
E-mail
Lic. #
Class
APPLICAN
ARCHITECT/ENGINEER
Name
,-Address
-� -
City
Type Const.
State
Zip
Phone
Fax
E-mail
State License Number
APPLICAN
INFO ATION
Name
Address q a2
r� '
CityS � 8��0
Type Const.
Statp _
Zig, J. 4p
Phone `—_7 � _ /qy�
Fax
E-mail
APPL ANT GNATURE
X
PERMIT
NO.
BIN #
PROJECT LOCATION
AP# 0,2, �'- 0 70_ 00/
Property Address c C, Zs-- /11
City 4 /e r/�7D
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:
e G
Sq FT- Living Garage pen a icd
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning
Flood Zone
SRA I Yes
I No
Occ.
Type Const.
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
PERMIT APPLICATION DATA SHEET
Reference Number::
B07-1035
Date: 05/11/2007
Location:
6925 MELVINA AVE
By: KCG
i
Parcel Number:
026-070-001
Sub Type: Wood Deck
Owner Name:
MEAHAN, CONSTANCE
Phone:
Description:
OPEN DECK (400 S.F.)
The above permit application has the following Clearances required prior to permit issuance. Please contact each department
indicated below regarding specific requirements pertaining to your permit application.
Yes No
❑ ❑
❑ ❑
❑ ❑
❑ ❑
■M■
❑ ❑
❑ ❑
❑ ❑
❑ ❑
❑ ❑
Im
DRAINAGE DISTRICTS
Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740
LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000
City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711
PARKS & RECREATION DISTRICTS
Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711
Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921
Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011
Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393
SCHOOL DISTRICTS
Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281
Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006
Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675
Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723
Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000
Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000
Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105
❑ Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400
OTHER
❑ Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions
❑ City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447
Other:
❑ Other:
F1 Other:
Signature of Property Owner: Date: 05/11/2007
FILE
BUTTE COUNTY FEE SUMMARY
7 County Center Drive
Oroville, CA 95965
Department of Development Services
Phone (530) 538-7541 Fax (530) 538-2140
Printed: 05/11/2007
2:01 pm
Permit Number: B07-1035
Job Address: 6925 MELVINA AVE
Contractor:
Fee Description Account Number Fee Amount Paid Date Pmt Amt
DBMSC Deck (Wood)
0010-440001-4210500-1010 $150.00 05/11/2007 $150.00
DBEH Building Review Fee
0021-540013-4614901-1010 $75.70 05/11/2007 $75.70
DBSMIP Residential
1001-0-280-1011298 $0.50 05/11/2007 $0.50
Printed By: Kourtni Graham
226.20 $226.20
Balance Due: $0.00
At the time of permit application, I was advised the above fees are required prior to issuance of the
permit. Th
e may change r the p checking process.
2.li
Signature: Date: 05/11/2007
Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days
from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments
for a protest are specified in Government Code Section 66020(a).
Butte County Department of Public Works
J. MICHAEL CRUMP, DIRECTOR
LAND DEVELOPMENT DIVISION
Storm Water Managment Program
7 County Center Drive
Oroville, CA 95965
(530) 538-7266 Telephone
(530) 538-7171 Fax
www.buttecounty.net/dds
National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm
Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment
[LESS THAN 1 ACRE 1
Reference Number: B07-1035 Date: 05/11/2007
Location:
6925 MELVINA AVE By: KCG
Parcel Number:
026-070-001 Sub Type: Wood Deck
Owner Name:
MEARAN, CONSTANCE Phone:
Description:
OPEN DECK (400 S.F.)
By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more
of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California
Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but
when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm
Water Permit from the state of California Regional Water Quality Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water
Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or
more of land may result in revocation of grading and/or other permits or other santions provided by law.
Signed:
Title:
FILE
Date: 05/11/2007
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
NOTICE TO BUILDERS
Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In
addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental
Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to
expedite your permit:
0 Make sure your application is complete.
0 Be responsive to requests from County departments for any additional materials or requirements.
The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes
without a complete application adds to processing time.
Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not
started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to
expiration an indefinite number of times, provided construction progress has been documented by the Building Division during
each year during scheduled inspections.' No changes may be made in the original plans and specifications for such work. In
order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking
and documentation may be required. Upon completion of work covered by this permit, please contact this office for final
inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is
issued without a final inspection.
EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY
Application for which a permit has not been issued will expire one year after date of application.
Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications
(not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are
for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn
before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of
$54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration
of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any
refund amount) to determine no work was done.
Fee/refund information can be read on-line at hitp:Hmunicipalcodes.lexisnexis.com/codes/butteco/
Reference Number: B07-1035
Location: 6925 MELVINA AVE
Parcel Number: 026-070-001
Date: 05/11/2007
Owner Name: MEAHAN, CONSTANCE Phone:
Description: OPEN DECK (400 S.F.)
Signature of Property Owner: 2L��Date: 05/11/2007
FILE
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SUT�F Department of Development Services
• ,r. Building Division
o a 7 County Center Drive
—? r' Oroville, CA 95965
o O
0 : �� (530) 538-7541 (530) 538-2140 FAX•
UN
GUARDRAIL DETAIL HANDOUT
Nailing shall comply with Table UBC 23 -II -8-1.
Lumber shall be at least Douglas Fir #2 or better (D.F. #2)..
Minimum concrete compressive strength shall be 2,500 psi at 28 days. (UBC 1922.2.4)
Minimum underfloor clearances from finish grade to wood joists is 18'; (UBC°2306.3)
and minimum 12" from the finish grade to wood girders or treated wood js required.
No wood shall be placed closer than 6" to earth unless it is foundation grade or
pressure treated. (UBC 2320.13)
4' Max.
4'
! Max.
36" Min.
aLL
Top of
Deck SIDE VIEW 4' Max.
P727?2 V77771 MKS" 02,77-71 E
Min. 2x pressure, tre ate d ledger
Min. 2 — 3/8" x-' lag
bolts or screws.
TYPICAL LEDGER
If the deck/porch is 30"
Pier posts greater
or greater above the
than 3 feet in height
finish grade a guardrail is
need to be diagonally
required.
braced between posts
4 - 16d nails or
an approved
post base connection
If using precast piers,
wet set precast pier
.into concrete footing
Guardrail 1997 UBC.xis
Min. 4 x 4 post
@ 5'- 0" 0. c.
Intermediate rails
spacing shall
prevent the
passage of a 4"
diameter sphere.
Top of 3/4" clearance
Joist to the edge of
--the wood
F➢ ��TT member joist
Min. 2 - 1/2"
dia. thru
bolts required
GUARDRAIL
An approved post
cap connection
Girder or connect girder
and post with
1/2" plywd gussett
Post and 3 - 16d nails
top & bottom
6" Min.
i r
12" x 12" Footing 1 8" Min. embedment
TYPICAL PIER FOOTING
r y
111,11 pill
i
tLIANNING DIVISION - BUILDING KAN ARPROVA(
User Date:
Parking: landscaping:
Other:
Signature:
I DECK OR PATIO COVER
SHALL NOT BE
ATTACHED TO
MANUFACTURED HOME
�, --- --- - -- --
1C�
X�sTiNG _
J
ck
' FILE COPY
OWNER Alf-A At ^)
y i i APNO16- O� 00l
BPNo ---Zg 3,5'41
iyl//✓��p,� �I�r I4-�2f��7 C�✓
77,67
-770,06
Burr -E
COUNTY
MAY 1 12007
DEVELOPMENT
SERVICES
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NOTES RESIDENTIAL
UZ6=0 007 01 01-288
PERMIT NO. _ �
',�; MEAHAN; CONNIE_
6925 MELVINA AVE., PALERMO
CONT: D & D HOMES
MH ON PERM FND
' r
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
r
VERIFY
I USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
OFFICE COPY
Address
GAS
Meter By Date
ELECTII
Meter B Date
A
J
JOB FINA4re
Signat
V=OK
0 = Not OK
- = Not Applicable MOBILE HOMES
= Not Ready
Date MOBILE HOME UTILITIES (Plans) OK except #'s
oning Requirements -Setbacks -Easements
2�<il&Slmdial MH Support Sketch
ewer; Location -Test -Fall -C/O -Concrete
4. " ater; L cation -Test -Easement Needed (Sketch)
ectricity; Location-Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L'ft.
/
/'Nat. or/ /"L"ft./ /'LPG
7. Well Clearance 8 Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HQME INSTALLATION (Plans) OK except #'s
Zoni equirements-Setbacks-Easements
ootings; Size -Spacing -Marriage Line
as; MH Test -Demand -Valve -Connector
4 ectricity; MH Test -Crossovers -Breakers -Clearances
5. Drai MH Test -Fall -Flex Connector
"'' ater; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas -add -Electricity Taqaed
die Downs -Type -Installation Cent.
l A,-Ezits: I nsD.-S ketch
ti"
q i 12/Permanent Foundation Only; License Decal
Dat$ f (g p— Card B-1 Date Card B-1
Date' Card B-1 Date Card B-1
7`1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
t
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosure s- Pane lboards-Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
t
/= OK
0 = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (;
Date
Underfloor (Plans) OK except #'s
Hangers -Post Caps -Anchors -Connectors
1.
Zoning -Setbacks -Easements -Flood -Slope
Cling. Joist-Rttr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng.
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
Garage Fire Protection Framing
6.
Stemwalls, Garage; Steel -Blackouts -Wrapped
Property Line Firewall & Openings
6a.
Hold Downs and Special Anchors
Ext. Doors -One X -Check Garage 3rd Story, 2 Exits
7.
Slab, Steel -Wrapped
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
8.
Piers -Fireplace Ftg.-Steel
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
9.
D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
Siding -Nailing Veneer
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
11.
Water Pipe; Test -Anchors -Regulator -Service Test
Glazing Area -Glass Protection -Skylights -Plastic
12.
Electric Underground
Shear Walls; Nailing -Bolts
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
Brace Interior/Exterior Wall Panels
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
Insulation -Walls -Ceilings
15.
Access & Ventilation
Infiltration -Walls -Windows
16.
Insulation
Date
Date
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Ext. Steps -Door & Sidelight Protection -Landings
17.
Water Htr.; Vent -Access -Combustion Air Baffle
Smoke Detector
18.
Water Pipe; Test & Anchor -Nail Protection
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
Bedroom Exiting
20.
Shower Pan; Test, First Floor -Tub Access
G.F.I. & Bath Fixtures & Tub -Spa
21.
Test Tub & Shower, Second Floor -Tub Access
-Access
Elec. Trim & Subpanel, Breaker Sizes & Labels
22.
Gas Pipe; Sixe & Anchors
Stairs & Rails
70.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
72.
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mach Fasteners -Bond Gas & Water
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / ; ga Cu or AI
30.
Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At
Insulated Neutral Q Yes O No
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
84.
A.C. Unit Disconnect, Electrical -Plumbing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Water Well, Disconnect, Electrical, Plumbing
MECHANICAL (Permit) OK except #'s
87.
35.
A.C. Ducts Insulation & Support
88.
36.
Vent Fan, Exhaust above insulation
89.
37.
Condensate Drain & Overflow, Size & Grade
90.
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
91.
39.
Attic Access & Platform if Furnace in Attic
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Date
FRAMING (Permit) OK except #'s
Date
40.
Sits Proper Materials & Anchors
Card B-1 Date Card B-1
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
'Ingle & Duplex)
Date
FRAMING (Coritinudd),-
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rttr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One X -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub -Spa
68.
-Access
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor -Mach. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.FI.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
82.
Following Instld./Drive 7 Yes ❑ No/Walks O Yes :1 NotPlanters :1 Yes ] No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 Courlty Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev.12/96) APPLICATION AND PERMIT ni -gRRR
ASSESSOR PARCEL NUMBER
026-070-001
ZONING
AR1
BUILDING PERMIT
OWNER
TELEPHONE
SO. Fr, OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
6999 MRT.VTNA AVE, PATERM0 95968
1492 _ f
CONTRACTOR'S NAME
TELEPHONE
532-3301
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDERS MAILING ADDRESS
Fireplace
Total Valuation $
on ;A2 on
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee S
$ 277.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ n nn
BUILDING ADDRESS
6925 MELVINA AVE,PALERMO
Energy Plan Checking Fee
$
$
PERMIT FEE
$ n
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome 6 Other
SPECIFY
Each Trap
1 7.00
Solar or heat pump water heater
23.00
Water piping
15.00 00
Each gas water heater or vent
15.00
TYPE OF WORK
New M Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: NEW MH EX SITE PERM FNDN
Gas piping system 1 - 5 outlets
15.00 S
00
Building sewer
15.00 ,
90
Mobile Home I S I G 1W
@20.001
PERMIT FEE
$
ELECTRICAL PERMIT
JFNn60ee 20.00
Main Service oon oa .ss
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 I& In f l force and effect.G +y
License Class Lic. No. 3 % n (-(T
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
I Pereby affirm under penalty of perjury one of the following declarations:
I 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
Policy Number 40Q I 1 C'2e-> b2' I _h Li
(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
work s' compensation provisions of section 3700 of the Labor Code, I shall
fo th co w' ose provisions.
X Av Date 1 C O C
S7/
SI n t e of A Iic t - ❑ Owner ❑ Contractor ❑ Agent�-
An OSHA permLsorlequired for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
'
Main Service 200A TO 1000A 46.00NEW
CONST. DWELLING OCCUP. SO
OR ADDNS• ( a ACC. stns. 3.5¢FT;
NoNa°ss,D ' MULTI.OLlTLET @7,50
POWER APPARATUS
8SINGLE OUTLET CI R.
Ex. OCCU OUTLET OR FDRURES �0 @1 1.000
Ex. Occup. ountTs AEES,6.UNISGEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fl Ing' a 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT PERMIT FEP_ $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TAL FEE $
r
HAZ
—
D
FLOOD
CDF
—
PARCEL�Fyl
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
(�� -� VL
By Date
PERMIT EXPIRES ON 2 -I`-z '01 7-
(Da fe
ReceiptNo.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
w• COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
(Rev. 12/96)' APPLICATION AND PERMIT o1`aW�R?0T NO
ASSESSOR PARCEL NUMBER
BUILDING PERMIT
OWNER
NE
Jn SO. FT. OCC. BUILDING F
ER
owNy MAu . MATION
CONTRACTOR? MA11N0 ADORESS
CONS TRUCTION LENDER
UNDEWS WUUNG ADORESS
ARCNRECT OR ENGINEER LICENSE N0.
ARCHITECT OR ENGNEEM S MALNO ADORES! 0 D
&ADINGAOORESS/L /iCl� YY1 /..r -
j *L BE7
SLe0NNt PARCEL
a3 i,1z F3 4 �LZ.�.3
USEOFSTRUCTURE
SF ❑ Duplex O Mobilehome O Other
8PEcsv
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
FL SRX 01) �
"PERAAIT FEE PAlb
SRA -
SHERIFF
OTHER
AMOVNT RECEZVEb
" TO 0E PVT zwo COMPUTER _ ..
Fireplace
Total valuation E
Filing Fee
E
Permit
20.00
Plan Checking Fee
E
cd
Energy Plan Checking Fee
E
E
PERMIT FEE
S
PLUMBING PERMIT
Filing Fee
20.00
Each Trap
7.00
Solar or heat Rump water heater
23.00
Water Eiping
15.00
cv
Each gas water heater or vent
15.00
Gas piping systern 1 • 5 outlets
15.00
cd
Buildin sewer 115.00
js ct)
Mobile Home S1 G W
(920.00
PERMIT FEE
S
w
ELECTRICAL PERMIT
Flln Fee
20.00
Mein Service 200A OR LESS3
23.00
ffs
Main Service 20" TO iowA
48.00
NEW CONST. Dwn, OcCUP.
OR ADDNS. i ACC. MMS.
3.StFT.
NON-RESiD. MULTI -OWLET
(97.50
POWER APPARATUS
✓1 spimx OUTLET GR
Ex. Occup. OURET OR FOMAES
200 I.00
Ex. OCCU
SAL .50
oUTvnETs EssEDAo. EA.
ESI M
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE __
MECHANICAL PERMIT Fling Fee 20.00
9.50
PERMIT FES t
Mobile Home Installation Fee E
Energy Inspection Fee E
OCC CONST. TYPE
TO AL FEE $
KA I D. FEES 1 i171 RMpCO: P , � GSUE
X �-
This permit is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
Indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
'COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: 0u 111, ASSESSOR PARCEL NUMBER:
Proposed Building Use: Building Inspector: Date:'r/./— Ci(
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 the preparer of plans..........:................................................................f.
❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans........................................................i..........'.
❑ 4. Engineered plans and calculations, 3/4 sets, with wet signature on plans.
All engineering must be shown on plans . ........ :...................................................................................
❑
5.
Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ...............
❑
6.
.Energy Design Compliance and supporting documentation................................................................
❑
7.
Statement of Intent for Non -Heated and A/C Buildings......................................................................
❑
8.
Hazardous Material Form....................................................................................................................
❑
9.
Manufactured Home Data and Installation Instructions including Tie Down Specifications ..............
❑X Fees of $
..........................................................................................................
11. Impact Fees as shown on the attached schedule..................................................................................
12. California Department of Forestry Plan Approval/Fees......................................................................
13.. Flood Elevation Certificate............................:.....................................................................................
Sanitation and Plot.Plan Approval ir�'`+�tL, �� o , Environmental Health Department..........
1I IF Vril p
5. ' City of Chico Plumbing Permit............................................................................................................
❑ 16. Plot Plan and Business License Approval from the City of Biggs .......................................................
❑ 17. Planning Approval for (A) Use: W< (B) Parking: ...........T_
❑ 18. 'Contact Land Development about ❑ Improvements, ❑ DrainagS;45�k_egal Parcel ...........................
❑ 19. Encroachment Permit for Driveway (construction approval prior to occupancy) ...............................
❑ 20. Pre -Inspection for required. Request to Building Inspector (Date)
❑ 21. Contractor's License Information (Number, Name Style, Classification) .........................%................
❑ 22. Workers' Compensation carrier and policy number..............................................................................
23. Owner -Builder Verification (❑ Given to Owner, ❑ Mailed to Owner) .............................................
`4 Letter of Signature Authorization........................................................................................................
Recorded Copy of Agricultural Acknowledgment Statement..............................................................
26. Letter of Intent on Building Use/Detached Accessory Building Form ................................................ z;
!+ .
❑ 27. Manufactured Home Utility Clearance................................................................................................
❑ 28. Existing violations and/or expired permits ............................... .<.............`..
LlL]...................................
29. ❑ 433 A, Grant Deed, ❑ M.H. Title, Ll Check to H.C.D. $ tri 7_2.
❑ 30. Other
When you issue the permit, process as follows: ❑ Mail to Owner, ❑ Mail to Contractor.
❑ Telephone _"Z ]� 2 -3 301 and hold for pickup at tit
SArah
Applicant:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Del
Copy of Plans sent ❑ Health Department, ❑ Fire Department,
1. Index permit Application for the above items numbered: —
2. Additional items required:
Pollution/ Date:
Date:
iver with Inspector.
Date: 6
4y:
By:
❑ Plan Check List
Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Date:
Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail; ❑ Building Division counter, By: Date:
Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Date:
Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Date:
Plans reviewed by` 1311.15 f Plans reviewed by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services - Building Division
E.H. USE ONLY
Plot Plan 2 Atttache 4 Floor Plan Attached
/ Sant to B.O. / j: 1
T
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
06
4�2cll 2-6
Owner Location AP#
Plan Approved for: w Sewage Disposa\ Water Supply: Public Pr a Well
Clearance for dwelling. Other22 . ` ) ^� �•
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental
8/96
Z�/ -6 )
Date
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541
r`
SCHEDULE OF FEES DUE
OWNER'1��JI e� 1� ' �- hair
PROPOSED BUILDING USE Np,(",t.) M H an Qaw
1. BUILDING PERMIT FEES
-- Balance Due ................ $
-- Additional Fees Due ........... $
-- Additional Fees Due ........... $
-- Revised Plan Checking Fee ....... $
2. SCHOOL DISTRICT FEES
(paid at District Office)
3. SHERIFF FEES (paid at Building Division)
Residential ........ x $360.00 = $
Units
Commercial (sq.ft.)... x $0.03 = $
Sq.Ft.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit) . x : = $
#Units Amt.
Commercial (sq.ft.) .. x =$
Sq.Ft. Amt.
5. RECREATION DISTRICT FEES (paid at District Office)
6. THERMALITO DRAINAGE DISTRICT.FEES
$510.00 (paid at Building Division)
7. SRA FRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion # ' )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division)
10. OTHER
At time of permit app
These fees may be ch
A.P. # '0 W{fY%/
DATE
RECEIPT # DATE REC
)n, I was advised the above fees are required to be paid_ prior to issuance of the building permit.
. during the planphgcking process.
APPLICANT DATE S U
Pursuant to Government Co Sectio 6020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your
project. You have 90 days ro a date of approval of the project or from the imposition of the above mentioned items during which you may
protest. The requirements for a protest are specified in Government Code Section 66020(a).
Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2197)
.� 1 4 �+ilt t:.. r t : iL�;1��. �Rg�r , / � `'� 1 •1
�� "!.� �� Io f.�' /•' Yt'�!V `! f, f '),� tip. �°• I i � ) '_'n."
r` 1'BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM ?r
(One form per Building)
School District -i j �/� Building Department No.
A.P. Number T 91_0') � Jurisdiction: city"'. County
I
s
Property Owner
Property Location/A(
Subdivision
Residential Development
No of Living
Mobile Home
Units
Installation
Commercial/Industrial
New
Adddion
~ T,
..1�
.
Residential Development
No of Living
Mobile Home
Units
Installation
Commercial/Industrial
New
Adddion
Sq. Footage
Addition/ 'Supplemental to (Group R)
Conversion Permit # "
i '(No foundation inspection):
w
Plans reviewed by School District
District Identification No. % U 2 O V b 4
Y l' It UL( 6Y4 School District certifies that
(City)
has complied with the requirements of Resolution No.
representlrfgset= square feet.
School District Representative
Paid by.Check # Remarks:
(State)
!Os q0
j Sq. Footage
(Including Exterior
Roofed Areas)
Date
(Applicant)
.533---/9�f'Z....
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a). within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.,
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.x(s (10/98)dmm
G�
42'-5' ELEC
42'-1' WATER
1 39'-10' GAS
31'-3' SEWER 40'-0'
9'-5' 6'-7
1pl- .1 - CATHEDRAL
i I A 3058 3058 3058
Wr.f SHELVES 61' SHELF 3280
OPWAIJ(-mul 11Q DINING
Fpp LWSHR ll DRYERS ca
L__JL__J pp y
0T LU
I vy
D O O
E�
018T a � �(
®Ah
Q [n
OPT OVAL T/
1440 (D EREFER
28 28 SHELF
ctl
36'
MIRROR 30
m
®,
UJ r -
o ma
nUrn
00 -moo -
LIVING RObA
MASTER BEDROOM
`5'-5j'
3058 1-4610
56'-0'
�`. T766'-TA9
O
C
j 0
24•
28 MIRROR
OPT 0
0
LINEN ♦ � a 10
CLOSET ♦ co O M
�� 2p
2� 10F
wl,M 0.�
0 � 0 r"o\,
28
3658 3658 BEDROOM 42 11 1 11 - BEDROOM #3
3680
305816'-0' 3058 9 6 88' —'-3 j� 106580'
S.W. S. N. 2 S.W.CAT EDRAL
18'-0'
NOTESo TITLE- WOODLAND PARK J!'AL GARCIA SCALES3/16'=1'-0' MODEL NO. SERIAL Na SHT. 1
2. LINE DRAWING STANDARD LINE DRAWING DATES s/zz/o1 - P4563J - °F 1
Environmentaln%alth
Date
- igna ure _
1�
APPROVED
OT 60 Butte County
nvironmental Health
OIc1G1lE�%y%ffA I -
Al�pplEi�•
4
` all
E
PARK IN G I
3 8//� /N 9i3 --- - �•' � i
N�i�✓t%M6r >3>~ QL,AGFD��/ Nor, 6As 1
Illy
1 ;
S!�`rTf�% c Ul
As AIov11 ,
67A
.. FAyi� A VK
-770,06?
1" 10, 014c
R COUNTY OF BUTTE
N BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
pleaseyagtact this office immediately.
Date L — Inspector
REV 10/92
AND NVIIEN RECORDED MAIL TO:
BUTTE COUNTY BUILDINC DIVISION
7 COUNTY CENTER DRIVE,
OROVILLE CA 95965
IIII III III I IIII I II II IIT III II IIII
20tm 1—0Q155rM.3Es
Recorded
Official Records
CoBBUUTy Of
TE
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
01:03PM 27 -Nov -2001
REC FEE .0
CONFORM 10.00
Kristy
Page 1 of 2
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
rr FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building
The property. described herein is adjacent to land or included within an area zoned fora cultural Permit.
ents of
this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,Pn luding, but rnot dlimited
to herbicides, pesticides, and fertilimrs; and from the pursuit of agricultural operations including, but not limited to cultivation,
Plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has
established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the Countyof Butte, State of California, described as follows:
Dale:_
PROPERTY OWNERS:
4
0_00 ��'� I ' 1El�-t+Aly
State of Califor is
County of clr-li 1
On t�C%`,�� ffo ic m
personally appeared _ % IQ / d o e����� d
known to me (or
s }to be the crson personally
within Instrument and acknowledged to me that•4Wshel14ov executed the same in4tWher/S44wir authorized calacit bed to the
that by hh/her/ter signaturgWn the instrument, the crson p "d
executed the Instrument.T;� - A 101 dk"dh'a
P (� or the entity upon behalf of which the persora(�}-acted,
WITNESS my hand and official seal. JENNIFER L KAY
Commission # 1261171
1 -d Notary Public - California
Signatu Seal: Glenn County
My Comm. Byes May 15,2M4
A.r" 02G U� U - 66 /
IPA
�, air o�sAyyl�t�i'itl
vi�t�r ! trb�aiazA
TS MgEO: t6
1
i ORDER NO.: 00198372-001 - CAC
SCHEDULE C
THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS:
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE
OF CALIFORNIA, DESCRIBED AS FOLLOWS:
LOTS 1, 2 AND 3, IN BLOCK 81, OF SUBDIVISION NO. 1 OF THE PALERMO CITRUS
TRACT, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE
COUNTY OF BUTTE, STATE OF CALIFORNIA, SEPTEMBER 17,1888.
AP NO. 026-070-001
N
- it
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COPY of Document Recorded
31 -Jan -2002 2002-0005366
Has not been compared with
original
BUTTE COUNTY RECORDER
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section
18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described
hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be
indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents
to all persons thereafter dealing with the real property.
E' LOISE ROGERS
REAL PROPERTY OWNER/LESSOR
6925 MELVINA AVENUE
MAILING ADDRESS
PALERMO, BUTTE, CA 95968
CITY COUNTY STATE ZIP
SAME
INSTALLATIONMAILING ADDRESS. IF DIFFERENT
CITY COUNTY STATE ZIP
CONNIE MEAHAN
UNIT OWNER (if also propenyowner. write "S A\IE")
6925 MELVINA AVENUE
MAILING ADDRESS
PALERMO, BUTTE, CA 95968
CI'T'Y COUNTY STATE ZIP
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCYASSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
DIAILING ADDRESS
OROVILLE, BUTTE, CA 95965
'ITN' COUNTY STATE ZIP
1-2 88 (530)538-7541
D Q, -R\ I'f, 1 TELEPHONE NUMBER
1/30/02
SIGNATURE OF LOCAL AGENCY OFFICIAL DATE
NONE
DEALER NAME (if not a dealer sale. write "NONE"
NONE
DEALER LICENSE NO
UNIT DESCRIPTION
FLEETWOOD 2001 WOODLAND PARK
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NA\IE!N(i\IBI:R '
CAFL 117A/B25270-WP 12 267' X 56' PFS0738415/6
SERIAL NU\IUER(S) LENGTII N WIDTH INSIGNI:V'LAUEL NUMBER(S)
REAL PROPERTY LEGAL DFSCRIPTION
SEE ATTACHED
ASSESSOR'S PARCEL NUMBER A.P. 9026-070-001
I ICD FORM 433(A) REV. 8/91
WRITE - County Recorder CANARY - I ICD PINK -Applicant GOLDENROD -Building Dept
BUILDING PERMIT NUMBER: 01-2888
Address or location of unit: 6925 MELVINA AVENUE, PALERMO, CA 95968
Legal Description of Real Property: A.P.026-070-001
SEE ATTACHED
(x) Mobilehome/Manufactured Home
O 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: E'LOISE ROGERS
Owner's address: 6925 MELVINA AVENUE, PALERMO, CA 95968
INSIGNIA OR HUD NUMBER: PFS0738415/6
SERIAL NUMBER OR V.I.N.: CAFL 117A/B25270-WP 12
MANUFACTURER'S NAME: FLEET OOD AR:
2001
OFFICIAL APPROVING INSTALLATION:'
DATE: 1/30/02
PHONE: (530) 538-7541
H.C.D. 513C
09/05/01 08:56
rilcunolw(, REOL.FSTEo et'
BIDWELL TITLE CUSTOMER SERVICE 4 530 532 3304
'40 %vHEll AECORDED MAIL THIS DEED AND, UNLESS
114ERWISE SHO\vN BELOW. MAIL TAX STATEMENT TO:
•A�1 , U S 0--. I1�0 t r$,�
torts
('09 �S F,I F.�\� C' RU Q
1rr. irArt s ?0'k9- r•1}\0 C N q,-96�
•�toN r
Itis 044X NO __—ISCFWW No__ .
9f) -01944:31'
1
Recorded
Official Recorda 1
County of '1
• Butte , • 1
Candace J. Grubb& 1
Recordeir 1
2:11pm 23 -hay -96 I
NO.731 P009
96-19443
nv, Fee 6.00 �(1
DOC 27.50 �V
Cash 33.50
PURL XX 1
DEB'S USE
DOCUMENTARY TRANSFER TAX $ S4- /, S U
0 computed on full velua of proper y conveyo , or
QUITCLAIM DEED
Ipcomputed on full value lass liens and
�
p cumbrari�pf remaining at time of sale.
.�'„'
'Signature of Declprant oft►gent Determining Tea Firm Name
INAME OF GRANTOR191)
the undersigned orantor(s), for a valuable consideration, receipt of which Is hereby acknowledged, do_ horoby remiso, release and
Iotever quitclaim to __ _n 1 , tZ t --.JOG P .i S
the following described real property in the City of Q� Q-'Y'�►Y�� , County of t.� CL�_, State of;
1-c ej <X-\ -P t S c ,
L `A• S �� l y C_T.g 3� 't •1 31 O
G� �Q1-o- Mo , C,fi rk<, Tr &I .Lok' L\ ry,Ck-P.
Assessor's parcel No.
Executed on j. , ' , at
STATE OF "fYi6.r'L iYlun Y�,�
COUNTY OF/,�t�_
<-�L
C.
On . � �� before me, �T ad r �, t•ati 14fvylZUI&
RIGHT THUMBPRINT 40p6onall
Mjrt4MtLA MN mt, rg1AAV •Y4f't
personally appewo 1�t� /we personally
EafIS
o me 1 rove bmeanthe
Orsatisfactoryevi rial Io t e perso whose nameQOscribed
zilto the within instrumen a to fn0 liT he he/that' aaetuted the Gamet/their
authorized capecityfitTE , and that b N ritheir 0i urakil A the Instrument the
persowtea..o( the entity upon behalf o1 which the pereorOW-ectad, executed the instrument.
V
B
WITNESS my hand and official coal, Ir
3
CAF10LMUJEA
/� lfallRrRCC/IliGi�6+1
CAPACITY CLAIMED BY SIGNERIS)
_. pr f
INDIVmCIMY 7 I
1S,GeArurtt•pr ltaTAeVI IL[AU WQvm E0% 9. in ♦
II CORPORATE
CORPORATE
OFFICERISI
r
PARTNERISI :,LIMITED
r
TAX Gl�It>��
LMAIL
:.1GENERA
STATEMENTS TO: _
:; ATTORNEY IN FACT
Belnrt rat, t,se tDH lean fi l at •a blankc end mega vrhalpvot changes era epotopr,ile and netessatyto your verbcblar
1,s,•set VOn Consull • 1egry0r d a
you doubt the len f fMet[ to, VOW GutFQse ane uii• V Glcatti ,roe►e• ,w
: TRUSTEUS)
: GUAn0I Ar:: E A VA . C.1
1�p,a«.,w,.n V �w .•o� n, y, •.r•.a♦ e• rMpA•w• ,.,nn sesCetl to the ow—chentab.btr or hlnsiT : 1 this forrn lel in
, : OTHER: •___—•
t•:OLCCITS FORI.1 %9C "'t99a V/OLZOTTS fORMS, 11/C.N!
I1I1I
I{1
II� (IIIIIII�
1III
1
SIGNER IS REPRESENTING:
9
oulICLAIM OECD flev .94b Ipute class 3A1
ql.V„t,n Pn,w N
IIIIII�III�II
7 67775 3979
III
t
-------
-
MI Cr- DOCt AAWNT
LEGAL DESCRIPTION
A.P. 9026-070-001
All that certain real property situate in the County of Butte, State of California, described as follows:
LOTS 1, 2, AND 3, IN BLOCK 81, OF SUBDIVISION NO. 1 OF PALERMO CITRUS
TRACT, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF
COUNTY OF BUTTE, STATE OF CALIFORNIA, SEPTEMBER 17, 1888.
1
W>p STATE OF CALIFORNIA NUMBER:
T of
BUSINESS. TRANSPORTATION AND HOUSING AGENCY Q [ A e] C C _
DEPARTMENT OF MOUSING AND COMMUNITY DEVELOPMENT Q u o .7 J J
® DIVISION OF CODES I1ND'STANDAADS
MANUFACTURED HOUSING PROGRAM
rfMANUFACTURER CERTIFICATE RT ICATE OF ORIGIN'
�• CHECK1F�YtiIS IS`A OUPUC�ATE MCO-ENTEf>rOkIOINAL MCQ NO..
MANUFA095EQ
MA ORI TI= ,N,. F R' D INC . .
LJ. SFD (SINGLE F-/)MILY DWELtINGl.._�.MUM(i (MULTI. UNIT MANUFACTURED HOUSING'TNS 0 -
•RTABLESECTIOIVS ••
['OMMERCIAI COACH:
OCCUPANCY GROUP
MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER:
FLEXTWOOD HOKES OF LIFORNZA, INC. 9534
CA
MAIyyAfiTU gWSAVg. SUGGESTED RETAIL PRICE:
PO sox 1309
S P :,- WOODLAND CA
�;(''Py �:i' Ci " ; % ($tE(e ' • ' J i`.. •. W: i ..I , iv ' •.l: T .'•P�
DATE OF MANUFACTURE:
MANUFACTURER TRADE NAME:•MODEL NAME AND/OR NUMBER: {y ; •:' " `
_...._. ..... 2002._.,.... 12/17/2001
4563)
WOODLAND PARR I -
NAME OF DEALER OR TRANSF REE (OWNER SHIPTRANSFERRED TO)!- ' CALIF. DEALER: NUMBEW'OR' DATE OF TRANSFER:
FLEETWOOD RETAII. CORPORATION• OF CALIFORNIA. TRANSFEREE DESIGNATION:. _
DBA: D&D HOMES 1061581.... 12/17/2001
DEALER OR TRANSFEREE ADDRESS: ,
2243 FEATHER RIVER BLVD CI OROVILLS .'..., State ' CA; ZI 959(15 I:.i;a'^
tree is
INVENTORY CREDITOR NAME' j
FLHETWOOD RETAIL.. ORP
ty� Y �R pq ADDRffSS
'.Zl W WR%AH.aTRLET..
-•SIII7'8 :300-:._.._:_::... _.: a .,._..:...:.. - -HOUSTON: .. Stata TX..... 21' 79009.
Streeq . , . Clry)
SECTION'' DTH WEIGHT
MANUFACTURER SERIAL NUMBER 'MCO INSIGNIA OR HUD IABEL NUMBER • LENGTH
(INCHES)
41
Igo
:. .1..... _-CAFL117A25270-WP12 .- ....._..-._.._ PFS0738
115i
TRANSPORTER NAME: .. -
TRANSPORTER ADDRESS: - ••
t$et
'PDX- 17;9'.
C DVRFIAb! .
Slele
DESTINATION Ft]g,UgfT:D66Ci)I@�D ABAVE
.NAME' I 61raal _ •• C? •. (Staley .. .. Z••.. ,
..i nM undw, Peaeltr bf Wul* Wider OW IAWI of the SWA of C�Ifarno ftl-1116 "Ova lam ere YU0 prld'mnedL'
oe. ..
Exev,Awd a, 13 / 17 et mnnnr aTarW vnt
(Date) (CaunlT) Is -c* .
SIGNATURE OF AUTHORIZED AGENT:
DISTRIBUTION: ORIGINAL•IPINIU FORWMD TO INyENTOAY CREOITOR,.UNLESS THERE IS NONE. THEN FORWARD TO THE PURCwABER (DEALER OR TRANSFEREE):
COPY 1 (1Nt1ITE) FORWARD TO E DEPARTMENT AT P.O. BOX 1028. SACRAMENTO. CA 85812.1629, WITHIN FIVE (5) DAYS OF RELFASE.
DOPY2(YF,LLOW) _DELIVER YO•TNE TRANSPORTgR TO ACCOMPANY-TH.&UNIT•TOIrt6DESTINATiON.
COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER.
MCD 403.0 - Side 1 • (719T)
STATE OF CALIFORNIA
At . • , ,
L: -SS, TRANSPORTATION AND HOUSING AGENCY
:11-1'ARTNMNT OF HOUSING AND COMMUNITY DEVELOPMENT
DMSION OF CODES AND STANDARDS
REGISTRATION AND TITLING PROGRAM
nr
STATEMENT OF FACTS
This unit is a: Mobilehome El Commercial Coach Floating Home 0 Truck Camper
Decal (License) No.(s) Trade Name Serial No.(s)
-40
F I e cl c.C-)C:X—
I/We, the undersigned, hereby state:
THE ABOVE DESCRIBED MOBILE HOME HAS BEEN INSTALLED ON
AN APPROVED PERMANENT -FOUNDATION SYSTEM AND IS PRESENTLY
IN ESCROW WHICH WILL CLOSE WITHIN 45 DAYS.
I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State
of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of
the above-described unit in California, or from issuance of a California certificate of title covering the same.
I/We certify under penalty of perjury that the foregoing is true and correct.
Executed on at nQDOtL.LC '
(Date) (City)
Address 4,01 0L 5_ ` kVI f / ✓i r.14
Printed name(s)
CAC-- t t -
City (D20JlLS_;C- State<�_A� I;✓
HCD 476.6 (REV 9/91)
(State)
.. ..... ._. �.�. �...w. .�_.: �.,.....�,e.. ,,: T --•fir.• ac .,.i :.•....rr a� �+�+� • r �_�',�:� ...r. - . ..
r 026-070-001 01-288
DE MEAHAN, CONNIE
6925 MELVINA AVE., PALERMO
CONT: D & D HOMES
DEMO/SF .
WE
y
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND P RMIT "'-'pQ^
ASSESSOR PARCEL NUMBER
ZONNQ \
BUILDING PERMIT
OWNER
T r� A u *�
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. oVYNERs'MA� ; AtIDRESS
AKH"" 95968
"
h1NT1`15T6F - -- 1
1)
TELEPHONE
CONTRACTORS MAILING ADDRESS
2243 SFATVn-T 45 5
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 15,00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
11975 MVFMTJIA AMMIE,VAI ERW), CA 95%Q
Energy Plan Checking Fee
$
$
PERMIT FEE
$ ac,
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPEC
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:
DEMO 1636 SQ FT. (._cTIa RUITT,11) MW
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 2�0. oa LEN
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. -
t ' r-' ' t ^ //
License Class L I`j -f' Lic. No. l � � 7 T
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
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 Lt_ .I L -C-1 L � 0
Policy Number C�, --1, 1.1(', -r, I U I,L4
(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 comply with"those provisions.
yy // d0
X _x�lu Date o
Signature of Applicant - ❑ Owner 13 tractor ❑ Agent/ !
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO lOooA 46.00
NEw CONST. DWELLMJCi OCCUP. 3.5QF°;
OR ADDNS. ( 6 ACC. BLOS.
LNOWR61D. MULTI -OUTLET 97,50
POWER APPARATUS
6 SINGLE OUTLET CIR.
Ex. OCCU OUTLET OR FIXTURES 20 ® I'00
SAL 0 .50
Ex. Occup. OUTLETS R ,° 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEL: $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $.35. 00
HA2.
I D. FEES
IMP
I FLOOD
COF
I PARCEL
I PO
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
% 1
By,\ /0
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date(J
eta
ReceiptNo.
WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND -PERMIT --03 4220
ASSESSOR PARCEL NUMBER
026-070-001
ZZNG
R- i
BUI LD I NG P ERM IT
OWNER
AVE. ! ! GA 9;968
TELEPHONE
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
CONTRACTORS MAILING ADDRESS
2241 FEATHER RTUB RTVT)- 0-RONITTLE, CA 999(;-)
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fire lace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 19.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
Energy Plan Checking Fee $ -
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT F ing rcie 20.00
USEOFSTRUCTURE
SF ❑ 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 ❑ Other ❑
Describe Work:
DRM19 3a SQ. FT. (STIGK BUILT) HOME
Gas piping stem 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home IS 1131 W 920.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
Main Service 200A OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
19 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is,full force and effect. Q 'y
License Class C_ N 11 Lic. No. '39!2 � l . T
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 exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' ompen tion insurance carrier and policy number are:
Carrier _.LC..1
Policy Number (✓ I I QC-D'L` V I U (,,--
(The above sections need not be completed 9 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
work s' compensation -provisions of section 3700 of the Labor Code, I shall
forth 'h co wit se provisions.
L% ad a /
X Date d
Signature of Appl' - ❑ Owner ❑ Contractor 13 Agent
An OSHA perm' quired for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. ( & ACC. BUDS. 3.50FT.
N" ONEW ' MULTI.OUTLET 97,50
POWER APPARATUS
8 ..SIN.CIR.
Ex. Occup. OUTLET OR FIXTURES @'
BAL O .SO
Ex. Occup. OFucs RLN6 oR� 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring
±::!!l
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEPE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $
Haz.
D. FEEs IMP
0
COF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated Ove for i fees have been paid.
B Date
PERMIT EXPIRES ON S')OIL
Date
ReceiptNo. 5
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
l
PERMIT NO.
,Is .
oPERMIT EXPIRES / /°
a. OWNER William Stanhope
CONTR. owner
L � .
ASSESSOR PARCEL 26-07-1
i
. LOCATION
6915 Melvina Ave., Palermo
z
't
(
�i
I
Temp. Power Pole
Called PG&E
1 ,
Temp. Elec. Service'
'. Called PG&E
Temp. Gas Service
Cal led PG&E
d,
JOB FINALED (Date)
• i
Signature
%t = OK r•�p.:pr .
0 = Not OK
- = Not Applicable MOBIILEHOMES
= Not Ready
Jti �
i MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N'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
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
t
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'s k
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 -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
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
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval'
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
_
-
B. 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-1
.Card B-1
Date Card -BI Date
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
IF
V = OK
0 = Not OK
= Not Applicable
* Not Ready RESIDENTIAL (Single dnd Duplex)
Date
UNDE OOR Plans OK except#'s
Date
FRAMING (Continued)
o 'ng requirements-Setbacks-Eas � ents
48.
Property Line Firewall & Openings
,Main; Soils-Steel-Ele d.- / " Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
Ft Garage; Soils -Steel- / " Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
tg., Tbreher&.9ecks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
to walls, Main; St - lockouts-Wrapped-9talb-
52.
Siding -Nailing -Veneer
Ae,liternwalls,
Garage; User-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 ad ;O/Zaard-BI Date
Date
FINAL (Plans) OK except H's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date I f Card -BI Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail 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 q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
21.
Fixture & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights &Switches at Doors
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
70.
Plb., Elec. &Mech. Equip. Listed for Location
22. Size Boxes & No. of Conductors -Stapled
23.
Romex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
72.
Insulation -Foam -Looked in Attic E] Yes
25.
2 Appliance Circuits in Kitchen &Conductor Size
73.
Guard Rails &Deck Construction -Post Caps
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes El No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-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.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Permit) OK except
31. A.C. Ducts; Insulation &Support
83.
84.
_
Corrections from Previous Inspections
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86.
Energy Compliance Certificate -Other Certificates
34.
35.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
_Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except q's
Comments at Final:
36.
Sills; Proper Material & Anchors
_
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
-
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
_
42.
43.
44.
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
_
46.
Bdrm. Windows or Exiling Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovil'le, Californla 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
_0 —
ZONING
UILDING PERMIT
OW ER
/ /�„/�
�',CQ/i/
T EPHO
_rVH0 Ej
SQ. FT. OCC. BUILDING VALUATION
�,��-�%�� �/� /�J�7 �T�v
OWjr�.1�.�R'S MAILING ADDRESS
CONTRACTOR'S NAME
le /V
TELEPHONE
CONTRACTOR'S MAILING ADDRES
Fireplace
CONSTRUCTION LENDER k
UNKNOWN
Total Valuation is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ p
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDINp y.PSCL IVA C�C.
(s� �%
PLUMBING PERMIT'
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
/0
Water piping
LOT NO.
SUBDIVISION NAME PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New❑ Additio Remoddel�❑ Ut' tij� /Ig6taIIation❑ Other
Describe work: _Vl T.7 Z%7��
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main Service EA. ADD'L 100 AMP
2.50
NEW CONST DWELING
OR ADDNS. �ACCLBLDGS.CCUP.01)
20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
p y p y (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
&,*'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. I.Ou LET 2.50ea
NO N.R ESID BRANCH CIRC ITS)
NEW CONSTR. I POWER APPARATUS h1
NON-RESID, \SINGLE OUTLET CIR, i
Ex. OCCUp OUTLETS OR FIXTURES BA @j
FIXED APPLNS, OR
Ex. Occup.(OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIirig Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
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 shal I be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
S
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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
i also -agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said o �y in conseqyenpfof t granting of this permit.
X �� �Q
--, Date / '
Signature of Applicant — Owner � Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories
Mobile Home Installation Fee $
TOTAL PERMIT FEE 7�
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
Po
I NO
I ISSUE
issued under
Thi p mit is her7,voet
si ns f the Buttenty Code and/or
rk i d a forwhich
CTOR OF PUBLIC
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date ,/0
X/y
—�0 V-3
siin/height.
Receipt No. /�V 72�
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERM
7 County Center Drive ;Orovilie, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
(E; -477 - Ge '�
ZONINJG
W`Z
BUILDING PERMIT
OWNERTELE
'Q
ONE
3 X605—
SO. FT. OCC.1 BUILDING VALUATION
O ER'S AILING ADDRESS
.0. a aX c€ Gvuc o
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER UNKNOWN
Fireplace
C
dotal Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
--
Permit Fee
$ ca'�
ARCHITECT OR ENGINEER /�
" " k
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
1
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
()
Water piping
LOT NO.
SUBDIVISION NAME :::PARCEL
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF 9 Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
++
TYPE OF WORK
New 09 Add ition❑ Re ode l Utilities❑ Installation❑ Other❑
Describe work: % PSA-t2w�9r.�
♦� Z� \GOOV
��`��
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
OR LESS
Main service 100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
CCUP.y�
NEW CONS. DWELING OR ADDNST (ACCLSLOGS.
20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
p y p f y (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
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. I.OUTL T 2.50 ea
NON-RESID BRANCH CIRC ITs
NEWCONSTR. ( POWER APPARATUS 6)
NON.RESID. SINGLE OUTLET CIR.
TLE
EX. OCCUp(OUTLETS OR FIXTURES_ a ��
APPLNS. OR
Ex. Occup.(ourLE TS (RESID,) EA. 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
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
of Consent to Self -Insure.
21 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
S
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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 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
again/n/q"' Dsttssaid C my in copse a of t granting of this permit.
/�
%� `r! 'L�'t� Date " g- /
Signature of Applicant — Owner V Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE7 >S�
occuP. GROUP
TYPE OF CONST.
PARCEL PD
ND
IssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
�IIMECTO_R OF PU LIC
01,r
By
PERMIT EXPIRES Date_
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Da�t_e
�'!®���
Receipt No. S6 Z % 4,
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
r 7 County Center Drive - Or,oville, Galifornia 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.�
O
AS 55 P PAR L NUMER a,
—(� --
ZO ING
BUILDIN P
d
Ow ER
S
r
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
lir
.,D
O NER'S MAI NG ADDRESS
TOR.5 NAME
CIELE PHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
UNKNOWN
Y rr
Fireplace I
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$ 1A% no
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDIB 69 ADDRESS
PLUMBING PERMIT
FiIingFee 00
Each Trap
qJ 2.00
Repair drainage or vent piping
2.00
IWater
piping
o
LOT NO.
SUBDIVISION NAMEPARCEL MAP
Each qas water heater or vent
•e'�,9@•
Gas piping system 1 - 5 outlets
,
USE OF STRUCTURE
SFU Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
� TYPE OF WORK
New ,� Addition ❑ Remodel ❑ Utilities ❑ InstallationEl Other ❑
Describe work:
Permit Fee
$ t
Contractor
ELECTRICAL PERMIT
Filing Fee 600
Main service 100 AMP OR011 OR SLESS
5.00 ^`
Main service EA. ADD'L too AMP
2.50
NEW
OR ADDNSCONST ( ACCLBLD 5 120
r
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
ElI am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
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
NNE WCO ON•RESID F2 BRANCH CIRCU`TLE1 T5 2.50 ea
NEw CONSTR POWER APPARATUS
NON.RESID. (fYSINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES 50@�
BAL0tOC
FIXED APPLNS. OR
Ex. Occup.(0UTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
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
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 31AA.87U
I^ .
Cooling
'
Hood
2.00 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 Cou ty in consequ nce f the/ranting of this permit.
^5 lam D
1 �y �y Date 7
41
Signature of Applicant — Owner i Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE $
occuP.GROUP
I TYPE OF�ONST.
V
V
I PARCEL
;;f::,
ssuE
V/
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT F PUBLIC
BY
PE IT EXPIRES Date_
the applicable toprovi-
resolutions to do
fees have been paid.
WORKS
Date 9—/J—y
��
Receipt No. 4auo �
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
OWNER OVA$
RES IDENT IAI, *PLAN', CHECKING GU IDE
(S.F. , 'D(JELEX; & MISC. ONLY)
0.
A. G NERAL
—2FZoning requirements ideyards and parking). �s 2
Valuation. ,
Signature by R.C.E. or Architect (if required).
B. PLOT PLAN
Complete parcel size and'dimensions.
Setback$, sideyards,"easements, etc.
Other buildings or structures.
Grading, fills, drainage..
Bldg.
A.P.
Permit # 46Q -No
#. 2!A-647 -
C. FL9PR PLAN'
Complete to scale plan with dimensions.
.e. Required windows for light'and ventilation (Sec. 1405).
9'`_Required windows for second exit (Sec. 1404).
40'�Allowable glazing for energy requirements (20% max, per.State law).
Human impact glass (Sec. 5406).
Aoll'' Required room sizes, ceiling heights (Sec. 1407).
G,F.C,I,°s in baths and exterior outlets (Sec. 210-8).
PO'Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.
Locations of water heater, heating & cooling equipment, other electrical or gas
equipment, and plumbing fixtures.
l .Garage firewall, door size, and closer (Sec. 503(d)(4)).
1 1 -.3°0" exterior exit door (Sec, 3303d).
1� Fireplace location,
Smo1.e detectors (Sec. -1413).
D. STRUCTURAL DETAILS
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
-V',' Elevations and wall construction details complete enough to construct
Roof construction details complete enough to construct building.
Fireplace construction details and calcs if over one-story in height.
6&** Sufficient data and details to satisfy energy insulation requirements
E. MI. F.LIANF.OUS_ITEMS TO LOOK OUT FOR
CCX ply-✓ood on exposed locations and overhangs.
;0 StairUny details (Se_�c. 3305).
I' Cuardra"il details (Sec. 1716) .
Z00*0Brick or stone veneer (Chapter 30)..
Exterior plaster - weep screeds (Sec. 4706 & 4708).
t�o'�ropes roof pitch -for roof covering (Chapter 32).
after ties or bearing ridge beam,
80***Garage door or porch header sizes.
,,Adequate bracing. ^
building.
(State law).
1 . Living area over garage - complete 1 -hour separation required including supporting ..
1 ���al1s and posts, etc,
Two (2) exits on three-story dwellings (Sec. 3302).
J
6
0
17716-7,
1
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si
ti
sY
R
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0
17716-7,
D
-770,®9
~I
D
-770,®9
pe
Mobtiehome Manufaeturer: 4 `3 `
If other than single wide furnish Setup Model Number: 2viarbufacturd Year:
Width: � � (ft.) Length: � G � �� � �
on
On all mobilehomes rr�anufact�ared )aft e�®cioberg or Ex7� 1973do , (� )'t �(�•)
installation manual and structural setup sheets. • e h �nanufacfurer's
®®TIIy S° Wood pressure treated or foundation grade[ Other:
�WPQRTS,• Concrete block[ ®thee: —
Provide Tie Down Specifications for all Mobilehornes:
maces; V_
T'aer Fobtings Sizes And Location
We a sea �
Lice
Line2�......................................:!........................,.....,,.......°.......
Line 1................................................
........................................
.................................................•..........................................
.........................
Line I'piers:
Size um:
Spacing maximum: d
From ends -maximum. a a
Line 2 Piers:
Size um:
Spacing maximum:
0 � 0
From ends -maximum. .2 s �
Line 3 Hoof Loads:
Size tninimurn
Location (from front):
.l
Line 5 Roof I: oads:
Size minimum:
Location (from front):
Z0,d
I
® Lim 2
,I" �
%LIn* a
® Line 3
Line 2
> Line 2
Linc fl
Dine 1 Openings
Sizerninimurn: [ i x [
Each side of openings
with 'width over: �' s V
Line 4 Piers-,
size minimum:
Spacing
X3c� ffF36`x3o aG}c-3oti°r r" _�i 6 L 5"G. �.
OVER
L" Owner's Marne: C
2.Assessor's Parcel Number: b-:)-6 6-
3. Installer's Name:
4. Is the site currently under permit? Yes �J'N®j' ➢ Perirat No.
5. Is the site an existing site? fifes �I' NOj ] (Ifyes, fimnish two plot plans).
6. What is the electrical rating of the mobilehoirae? .
pares.
7. What is the mobilehome site circuit breaker rating? /0
�irap ares:
B. What is the electrical rating of the rnobUchorne site?
amperes.
9. Is the main service remote from the mobilehome site? Yes( � Ivo[ � Tit is, ghat is
the rate? Amperes.
10. Isothere any other electric load to be served by the mobilehome site electric service
(i.e. well, garage etc.)? Yezj D Nni I If yes, please identify the load and size:
a) The mobile hosae site:
Load®
b) The rxaai� sere: Amp ares-
vic
Load® Amperes®
11, Type of gas service at mobilehome site: Natural[ ] Propaner l Fonar t
12. Size of as pipe at the mobilehome site from the meter or
�taak:`%tI inches.
e
13. What is the gas pipe length from the meter or tank to the mobilehome?
14. What is the mobilehome gas demand?
"(This information is not required if the pipe length is less than 6 feet on natural gas or
less than 50 feet on propane).
to'd
E.S
H/T�n
ra1
PZ' _.7"
77'-0'
1) This floor plan may be built as an exact mirror
Image about the length and/or width axis.
2) Egrem wlmdaw(s) shown with less than 5.0 ftz
vwd area meat agmas requiraments through samh
rammal per window manufar-tuting insb-uctjw-s,
located art the window.
WINDOW / DOOR SCHEDULE
NN a.7
0) ESS �CR RIFT 0 N —7
M�
I f,7AZ IVEPiT
= isA v cr inco 1-i q c! = m I A I -iF;--vpn-- 4
N
IS' ®1 Q?"
5'-51"
ME4 EL.Mr, F&NL ROX
swfrH
5XIL0 Alit qfM.
Mff FDMWRE
AJR SUPPLY
(D T-. nMI3SrAT'
Ef CEILNG. REGIVES!
0 EXHAUST at CST' NG
FAX V SHEMNALL
77 SMOKE: DE1j--rMR
:I SUFFORT POST
NA OoGff BELLT se.
RAff,,.URN AN ' GRIIJ-
F(DERALMANUFACTUR ED 0
(D HOUSING CONSTRUCTION
SAFETY STANDARDS
V_-
>
AUG 0 9 ZOO]
STANDAR0
Al WOODLAND 17
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FLOORPLAN
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DOABLE WIDE TYPICAL
4.
«k
A
WIDE A:,COACH
scale: I"
y MORE THAN TRIPLE WIDE uNITs,
R1AYy ( 4. y'"APPROVAL SUBMIT
"'TANDARD PIER & FOOTING SPACING
PER MOBILZ HOME MANUFACTURER'S.
INSTALLATION MANUAL
msmic Pit".
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scale: I"
y MORE THAN TRIPLE WIDE uNITs,
R1AYy ( 4. y'"APPROVAL SUBMIT
"'TANDARD PIER & FOOTING SPACING
PER MOBILZ HOME MANUFACTURER'S.
INSTALLATION MANUAL
msmic Pit".
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§INGU WIDE MOBILE COACH
Scale- i" - iib°
STANDARD PIER k F01I G SPACING
PER M0012 ®ICAME MANUFACTURER'S
INS?ALI,ATION PIUA-L
a ;w.
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Scale- i" - iib°
STANDARD PIER k F01I G SPACING
PER M0012 ®ICAME MANUFACTURER'S
INS?ALI,ATION PIUA-L
TYPICAL BEAM
CONNECTIONS
Not to Sole
It so w ®vMIZC fog CHIu�,
0e
amg opt
INSERT f
1 13' 24'
I
30°x32
Pl.
11111 1.5 1, UR
PLYWOOD
AI.,TLRNA`I'IV%I.� PLYWOOD
FOUNDATION PAD
E ` v -15,
1.5 Ur.
AMLWAM SM LAWS AND > j ftlMS ' �� ,
ivCsi;it.:0t �i/ 4r" ell')
PATENT N 559, 6RENEWAI, OF
of
STATE SL)I3MITTAL 30 -SF
a ;w.
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4
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TYPICAL BEAM
CONNECTIONS
Not to Sole
It so w ®vMIZC fog CHIu�,
0e
amg opt
INSERT f
1 13' 24'
I
30°x32
Pl.
11111 1.5 1, UR
PLYWOOD
AI.,TLRNA`I'IV%I.� PLYWOOD
FOUNDATION PAD
E ` v -15,
1.5 Ur.
AMLWAM SM LAWS AND > j ftlMS ' �� ,
ivCsi;it.:0t �i/ 4r" ell')
PATENT N 559, 6RENEWAI, OF
of
STATE SL)I3MITTAL 30 -SF