HomeMy WebLinkAbout026-100-02226-10-22
Paul Daugherty?///
`9Wcorner of North Villa & Occidental
Ave., Palermo r
Permit 420-79P,E(util.,MH)
5'
GAS
SUPPORT STRUCTU Q._.A/0 ,
COMPACTION TEST REQ. a
' -26-10-2 !
Contr: Oroville Trailer S es
Permit' #3 73-79MHI —7
uIssued /3
t r
26-10-22 r
Haka
' 7111
Occidental, Palermo
{ Permit //2207-81B,P.,E(new covered deck.
j & .laundr
. I y room/MH)
r _
4
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;, �] Ct71 � r�Q
2207-81B,P,E
PERMIT NO.
PERMIT EXPIRES
Teres �.
ri `t
OWNER
.
,ani
D ae.�. ►. ,,..-E a, �...1
CONTR.
owner
626-10-22
ASSESSOR PARCEL
7111.Occidental, Palermo
LOCATION
i
''7 .
t
Temp. Power Pole
f,
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
a
JOB'FINALED (Date)
Signature
J =OK
1 0 = Not OK
= Not- Applicable MOBILEHOMES "MISCELLANEOUS
_ Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except N's
Date
DEC COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
, Zo ing Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
Footings; Size—D pth—Spacing— onnectors
3. Sewer; Location—Test—Fall-C/0—Concrete
ecks; Piaes and/or J--Decking—Bracing—Stairs—Rails
4. Water; Location—Test—Easement Needed (Sketch)
4. Wood Awn.; Posts—Beams-Rftrs.—Conneo.—Shthg.—R(g.—Bracing
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6. Gas; LocatiorrTest—Wrap:/ ./"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
6. Carports; Windows -Doors
7. Elec.
Card -BI
Date Card -BI Date
Card -B1
L+Ae-;) Dateg -/4r— n Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
_
Date Card -BI Date
Date
MOBILEHOME INSTALLATION.(Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
Date
POOLS (Plans) OK except k's
1. Setbacks—Easements
2. Footings; Size—Spacing-Marriage Line
3. Gas; MH Test—Demand-Valve—Connector
2. Soils; Compaction—Structure Stability
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
7. Water and Sewer Connected—C/O to Grade—HD Approval
6. Elec.; Enclosures; Conduit Entries-Terminals—Listed
7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gas and ElectricityJagged
8. Elec.; Grounding; Equip.w/5'—Circulating Equip. -Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
9. Exits; Insp.—Sketch
10, Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B-1
Date Card -BI Date f
Card -BI
Date . Card -BI Date
Card B -I
Date Card -BI Date
Card -I31
Date Card -BI Date
r
= OK
= Not OK
= Not Applicable
= Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
•49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5.
Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
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 Card -BI Date
Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
57.
Smoke Detector
14.
Water Ht.; Vent -Access -Combustion Air
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
17.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
Shower Pan; Test, First Floor -Tub Access
59.
Bedroom Exiting
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.
63.
Stairs & Rails
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
Date Card -BI Date
ELECTRICAL Permit OK except q's
66.
Elec. Outlets & Receptacles at Kit. Counter
67.
Garage Fire Door; Swing -Landing -Closer
68.
69.
A.C. Duct in Garage -Damper
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
20.
21.
22.
23.
Fixture & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights &Switches at Doors
Size Boxes & No. of Conductors -Stapled
Romex Installed Close to Edge of Studs & C.J.
70.
Plb., Elec. & Mech. Equip. Listed for Location
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
Guard Rails & Deck Construction -Post Caps
25. 2 Appliance Circuits in Kitchen &Conductor Size
_
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
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 AI,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters El Yes E) No
28.
29.
Service -Riser Conductors & Ground -Main Disconnect
Equip. Clearances; Panels-Motors-Mech. Equip.
76.
Stucco; Brown -Finish
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-1
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Permit) OK except N's
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86,
Energy Compliance Certificate -Other Certificates
_
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
---
Card -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
36. Sills; Proper Material & Anchors
Comments at•Final:
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.
42.
43.
44.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
_
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
_
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
ae
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c ;U;
Chris J. Haka
7111 Occidental Avenue
Palermo, CA 95968
Dear Mr. Hakra :
�iuite Count
LAND OF NATURAL WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC WORKS
- CLAY CASTLEBERRY, Director
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965
Telephone: (916) 534-4541
WILLIAM (Bill) CHEFF
Deputy Director
November 9, 1982
RE: Building Permit No. 2207-81
Expires 6/16/82
(A.P. No. 2.6-10-2.2 )
With reference to the above subject, our records indicate that your Building Permit
will expire on the above date. Building permits are valid for one year and should
construction be started but not completed by the expiration date of the permit, the
permit shall be renewed for 1/2 the original Building Permit Fee (plus a $10.00
"Filing Fee"). The renewal permit will extend the Building Permit for an additional
year from the original expira'tion date.
Should you not renew your permit in a timely manner, it cannot be renewed and all
work must cease until a new building permit is issued.
If your construction is completed or should you have any question concerning this
matter, please contact the Oroville office.
For your convenience, we are enclosing a renewal application form and an owner -
builder form to be completed and signed by you where indicated and returned to this
office together with the fee shown.
Thank you in advance for your prompt attention concerning this matter.
JFG:ds
cc: Building Inspector, Oroville
Enclosures: Permit Application
Owner -Builder Information
Owner -Builder Verification
Yours very truly,
Clay Castleberry
Director of Public Works
..',#F:
Chief Building Inspector
Chico - 196 Memorial Way - 891-2751 Paradise - 747 Elliott Rd - 872-2961, Ext. 57
Chri® J. Iiaka
7111 Occidental Avenue
Palermo, CA 95968
Dear rir. Haka :
jeutte count,
LAND OF NATURAL WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC WORKS
CLAY CASTLEBERRY, Director
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965
Telephone: (916) 534-4541
WILLIAM (Bill) CHEFF
Deputy Director
November 9.,.1952
RE: Building Permit No. 2207.81
Expired 6/18/82
(A.P. No. 26-10-22 )
With reference to the above subject, our records indicate that your Building Permit
will expire on -the above date. Building permits are valid for one year and should
construction be started but not completed by the expiration date of the permit, the
permit shall be renewed for 1/2 the original Building Permit Fee (plus a $10.00
"Filing Fee"). The renewal permit will extend the Building Permit for an.additional
year from the original expira'tion date.
Should you not renew your permit in a timely manner, it cannot be renewed and all
work must cease until a new building permit is issued.
If your construction is completed or should you have any question concerning this
matter, please contact the Oroville office.
For your convenience, we are enclosing a renewal application form and an owner -
builder form to be completed and signed by you where indicated and returned to this
office together with the fee shown.
Thank you in advance for your prompt attention concerning this matter.
JFG:ds
cc: Building Inspector, Oroville
Enclosures: Permit Application
Owner -Builder Information
Owner -Builder Verification
Yours very truly,
Clay Castleberry
Director of Public Works
j7&iGBuildi
Chief Building Inspector
Chico - 196 Memorial Way - 891-2751 Paradise - 747 Elliott Rd - 872-2961, Ext. 57
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR ARC7L NUMBv ' ZONA- �
r
BUILDING PERMIT
OWNER �i _ TELEPHONE
�.
SO. FT. OCC. BUILDING VALUATION
OWNER' MAILING ADDR Sof
VC 1
CON RA TORS NAME
E EPHONE
CONTRACTOR'S MAILING ADDRESS
_
Fireplace
CONSTRUCTION L DER
UNKNOWN
Total Valuation $
Filing Fee
$ C 10.00
LENDER'S MAI LI G ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ r`(�
BUILDING ADDRESS '
PLUMBING PERMIT
Filin Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.SUBDIVISION
NAME --]PARCEL.
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTRE
SF ❑ Duplex❑ Mobilehome�Other_JJ" ?L4r�i
SPECIFY
Building sewer
5.00
Mobile Horne S G W
10.00e
TYPE OF WORK
New❑ Addition❑1Rer del❑ Utilities:Installation❑(�Otlher[✓r
Describe work:��������—C� /
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00
'
Main service EA. ADO'L TOO AMP
2.50
NEW CONST. / DWELLING OCCUP.&
OR ADDNS. C ACC. BLDGS.
21h0sq ft
40NTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
NON-RESID R`BRANCH C�:RLE
CTITS 2.50 ea
NEWCONSTR. (POW'ER APPARATUS &1
NON .RESID. SINGLE OUTLET CIR, /
20-950e
Ex. Occup Llrs GR FIXTURES BALM 30C
Ex. OCCllp. FIX -APPLr; S. OR
OUTLETS (RESID,) EA.)A15.00
Temporary service
Mobile Home Facilities
Misc. Wiring
Permit Fee $ a
Contractor
MECHANICAL PERMIT
FilingFee 10.00
UXORKMEN'S COMPENSATION INSURANCE
I declare unlly 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.
Gl I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
ignoture 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 in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE
A ��
$ c�
OCCu P. GF.OuP
I TYPE OF CONST,
I
PARCEL
P11 1
110
1 ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHITE-D.P,W., YELLOW-ASSE550R, PINK -INSPECTOR. GOLDENROD-APPL I CANT
COUNTY OF BUTTE - DEPARTMENT 0F
7 County Center Drive - Oroville, California 95965 -
APPLICATION AND PER
PUBLIC WORKS PERMIT NO.
Telephone 916/534 41�
MIT r,
AS SSOR PAR EL NU1111ER ZO ING
BUILDING PERMIT
Ow R -TTELEPH NE
SO. FT. OCC. BUILDING VALUATION
the 1
77)
OWNER'S MAILING ADf)RESJ
CONTRACTOR'S NAME TELEPHONE
r
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ /
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADORES
\
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00 100
Repair drainage or vent piping
5.00
(�
Water piping
,b
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❑ Mobilehome4eOther
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Additio Remodel ❑ )ti liti s ❑ Installation❑ Other ❑
Describe work: au .4 r
"
Permit Fee
$ 170
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service Q$o AMP ORV OR LESS5.00
Main service EA. ADD'L tOo AMP
2.50
NEW CONST-( DWELLING U
OR ADDNS. ACC. BLDG .(J
) 22 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
icense No. Classification
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
NEN -;0 ID R BRANCH CIRCTITS 2.50 ea
NEW CONSTR. ( POWER APPARATUS 6)
NON.RESID. (SINGLE OUTLET CIR.
Ex. OCCUp OUTLETS OR FIXTURES BAL@i
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 $ ,lam
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
Certificate of Workmen's Compensation Insurance or -a Certificate
of Consent to Self -Insure.
EK 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 shal I 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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keipp harmless the County of Butte against
all liabilit' s, judg nts, costs, and penses which may in any way accrue
against s Count i con ue ce the granting of this permi . P
%� Date /
Signature of Applic t — Owner �` Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE
OCCUP. GROUP
r
I TYPE OF CONST.
V
PARCEL
v
PD
v
N
ssu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR R OF PUBLIC
BY
PE T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS - BUILDING DIVISION
'~ 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE 916/534-4541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER A. P. No. _ —/ n
Proposed Building Use 92
Permit Fee Based Upon: Complete Contract Pricey ✓ DPW Valuation
Other (Explain)
Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or Issuance: DATE RECEIVED APPROVED
21A11 items have been submitted.
. Plot plans indupl�li a%�triplicate. . . . . . . . . . .
3. Complete plan:li•n luplicate./triplicate. . . ..
.
' . 44 Complete engineered plans and calcs.
5. Plans with Energy Design Compliance tatement. . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
getter of signature authorize, ion.
10. Sanitation approval from Health .Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner[], Mail to owner ❑.)
15. Improvements may be required. . . . . . . . . . . .
16. Mobi lehome Installation Data. . . . . . . ..
17. Pre -Inspection for
,Pre-Inspec. request to
Required. Building Inspector (Dote)
18. Other
When you issue the permit, process as follows: Mail to owner. Mail to contractor, t
�elephone , !n and hold for pickup at office. Deliver w/inspector.
Other
Applicant / "14,4" "/. r 4iQ,/1_44Date 61�A?l
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of a icati , circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By Date
Plans checked by Date
Plans approved by Date
Other:
Copy—DPW
r� Y^M
To: Building Department
From: • Environmental health
tation, Clearance
as Lut
Loen•
Plan approved for:
Hold final for:
Final clearance O.K. for:
Sevmge disposal
Clearance for bedroom mobile home. Other
Note***
Water Supply -
Water Supply
Water Supply
f -
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA. 95965 (Phone: 916-534-4541
I
OWNER -BUILDER VERIFICATION
I
Attention Property Owner:
-An "owner -builder" building permit has been applied for in your name -'and bearing
your signature.
i
Please complete and return this information in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this verification is received.
1. I personally plan,to provide the major labor and materia lsifor construction
.of the proposed property improvement (yes or no)
2. I (have" /have not) GiR V e— signed an application fo'r a building
permit for the proposed work.
3. I have contr cted with the following person (firm) to provide the proposed
construc
Addres
4. I plan to p
person to. c
Name
Address
Phone
5. I will provide
persons to pro
Name j
City
Contractors License No. I
i
ide portions of this work, but I have hired the following
dinate, supervise, 'and provide the major work:
City
Contractors License No. i
some of the work but I have contracted (hired) the following
ide the work indicated:
Address Phone Type of Work
w
Signed:
Property Owner 112,
Social Sec%�rity
Date._4
k
NOTE: This Owner -Builder Verification is sent to you as required bylSections 1983.1
and 19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are
permitted to issue the permit. i
r I
i
AA-+--L--3Y 3-- 717 0o
.-PERMIT NO.
PERMIT EXPIRES
OWNER Paul,Daugherty
`CONTR. owner
"LOCATION (A.P. 26 -10 -22 -
SW corner of North Villa & Occidental Ave.,
Palermo
Temp. Power Pole
Called PG&E
pElec. Serv.
Called PG&E
✓v
� em rGas Serv.
/JOB
FINALED
(Date)
�
(Sign ure
N
i±
COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION, RECORD
BUILDING BUILDING (Cont'd) PLUMBING
zoetwwk
I FI wall
SaU Piping
Forms
Para is
1% Floor
Main dg.
Restroxn Finish
2nNFloor
Footi s
Windows
3rd Npor
Stemwa
Siding
To out
Slab
Roof SheathAU
Water Pi i lft
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwa I I
Insulation
Heaters
Slab
Carport
Footings A
Prov. for phsically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping 8 Test
Temp. Gas
Slab
Final
Sanitation
Patio
FAEPLAV, E
Final
Footings
Footing
E CTRIC L
Masonry Walls
Throat
Rough
Relnf. Steel
Final
Fixtures
Bond Beam/
IRE SPRINKLERS
Motors
Mesh MECHANICAL Grd. Fa Prot.
Scra Heatl Service/
Broin Coo g Te p. Pole
F ish D s der round
In rlor Lath ntilation ermanent
oor Closer it /InaI
MOBILEHOMEUTILITIES------------------ Elec. Service o Elec- Pedestal ti
Water Piping Sewer Gas Piping
1 E
)ME IKISTULATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage 6 Gas Piping
DATE REMARKS OR CORRECTIONS
QV/1W 70 opo
G�
(NOTE: An entry must be made on this form each time you visit the job site.)
9. Electrical
A. Is service large enough to provide adequate amperage -to mobilehome (must egty9.1 •-ri ting of
mobilehome with a minimum of 100 amp,)iand 01-ther facilities on lot, i.e., water pumps,
garage, cabana, etc.? Yeses/No_
B. Is there proper clearances around panels? ,i Yes-3L�1`�O_
C. Is power supply cord or feeder assembly properly fused? Yes_4,--No_
D. Is continuity test satisfactory as per the following procedure? Yeses o
1. De -energize electrical wiring system of the mobilehome at the pedestal.
2. Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
3. 'Switch all breakers and switches in the mobilehome to the "on" position.
4. Connect one lead of a test instrument to the mobilehome grounding conductor and
apply the other lead to each mobilehome supply conductor,*including neutral.
5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line,
water line), including fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conductor.
6. Upon completion of the above procedure; the power supply cord or feeder assembly
conductors shall be connected to the site service equipment. A further continuity
test shall then be made between the grounding electrode and the chassis of the
mobilehome. Upon satisfactory completion of the electrical tests; the lot or site
service equipment may be approved for energizing.
10. Is job card signed by Health Department for water and sanitation?
11. If everything okay, sign off card and tag services.
MOBILEHOMEanufactur DATA Z*�,
Manufacturer and/or Namestyle
Length_, Width
Vehicle Serial No. J ( Z
State Identification No.
Additional Information or Comments:
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
1. Is the mobilehome located with required separation from lot lines and buildings and generally
conform to plot plan? Yes v%O
2. Does the mobilehome have required clearances above ground? (Sec.5085) Yesi,/ No
3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes i/. No
4. Is the mobilehome level? (Sec. 5088) Yes. / No
5. If more than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes I No
•6. Water
A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes, No
B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No
C. Backflow - If coach is not State California approved, does station have backflow device
and pressure -relief valve? YesX
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes l/ No
B. Does it have minimum '" per foot slope and is it properly supported? Yes VINO—
C.
/NoC. Are any leaks detected in drainage system after running 3 -gallons of water through each
fixture including washing machine standpipe? Yes_ No
D. If coach 's of State of California approved, does station have required trap and vent?
Yes No
8. Gas Piping and Gas Vents
A. Connector - .Is mobilehome connected to the gas supply with an approved 3/4" minimum
mobilehome Is
not more than 6.ft. long? Note: All piping is to be at least as
large as the mobileh me gas line-irilet without reductions other than the mobilehome
connector. YesIo_
B. Test OK as per following procedure? Yes_o
1. Open all appliance connector valves.
2. Shut off appliance burner and pilot valves.
3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum
6oz.=maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without
drop.
4. Connect gas meter to mobilehome with connector, turn on gas, test connections with
soapy water.
C. Are all appliance vents properly installed? Yes No.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California _Administrative Code, Title 25, Chapter 5, under permit
number ���-�— /tr for the fol Iowing, location:
^Owner
Owner's Address r ��'�✓�
Mobilehome Mfg. -%�'�� Model Year
Insignia No.A. 5 13 ? f 51 Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Work's j
Date By--" �✓ '•'�
-THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White- Owner, Yellow- Installer, Pink - D.P.W.
M'.1 COUNTY OF BUTTE — DEPART&NT OF PUBLIC WORKS
7 County Center Drive - Oroville; California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
autnorize reprentatives of the County of Butte to enter upon the
above -mention d property for inspeeecc�cttion purposes. C�
�:�X �� Date
Si ature o ermitee or Agent
Receipt No. .23F73
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
IRE T R OF P B IC WORKS
Date -)
Building permit expires Date
BUILDING
OwnerL vr Uiv
SQ. FT. OCC. BUILDING VALUATION
Mailing Address I
U
Tele hone No.
,5p33 -a,8 0
Contractor .L —
Mailing Address 7yb WMA o91116A &, VP
Fireplace
Total Valuation
Tele hone No.
Permit Fee
Building Address ,.5133-ZU
Plan Checking Fee&/or Penalty
Permit Fee
7/11 OCCIOCATAL
PLUMBING No.1 @ FEE
C ig
PERMIT FILING FEE $3.00
Each Trao 1.50
Repair drainage or vent piping 1.50
A. P. No. 626 - /d -� •►� -P � O
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F es
San<ation
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map 0' R/W
Improvemen
Each additional outlet .30
Building sewer 5.00
g. Plans Recd
Parcel 40roval
PI s pproval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
$
�(f /5/a0 r7
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family ❑ Duplex ❑ Mobil Home JQ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. ( OR ADDNS. ACCLLING BLDGS.CCIIP. 9) 20sgft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
04V0(1AZ.z'- ZA11 '1 -CR 51465
NEW CONSTR BRTl.OUTL T
NON-RESID BRANCH CIRCUITS 12.50ea
NEW CONSTR POWER APPARATLUS 8
NON-RESID, (SINGLE OUTET CIR.
Ex. Occup(OUTLETS OR FIXTIIRES@�
BAL@1
FIXED ALNS
Ex. Occup. ( OUTLETS P(RESID,)REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
6 90
License No. Classification e`61
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
Ali I have placed on file with the County of Butte a certificate of
W� Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ I FEEPERMIT
FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
I TOTAL PERMIT FEE
is 8o a C
autnorize reprentatives of the County of Butte to enter upon the
above -mention d property for inspeeecc�cttion purposes. C�
�:�X �� Date
Si ature o ermitee or Agent
Receipt No. .23F73
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
IRE T R OF P B IC WORKS
Date -)
Building permit expires Date
;BUTTE.COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
A "
MOBILEHOME INSTALLATION SHEET
1. Owner's name: (zL DA(lbllF/-? &-uwC )
2. Installer's name:' Oftli-LE TRRILLEX ✓/gLQS
I. Is the site currently under permit? Yes 7EK No./ /
(If yes, furnish permit number ) OR
Is the site an existing site? Yes / / No
(If yes, furnish two -(2) plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and
clear
of
all
setbacks and easements? Yes No
No TZZ
(If
no,
clarify
(Amps)
9.
)
is
the mobilehome site gas pipe size? --------------------=-
(in.)
(
What
is
the type of gas service? ---=-------------------------
Natural / /
)
5. 'What
is
the
mobilehome
electrical rating? -----------------------
%U d
Amps
What
is
the mobilehome gas demand? -----------=---------------;--
(BTU)
ao v
6. What
is
the
mobilehome
site service rating? -------------------
-
Amps
7. What
is
the
mobilehome
site circuit breaker rating? -------------
Amps
8. Is there any other electric load to be served by'the mobilehome
(This information not required if pipe length less than 6 ft..on natural*gas '
or less than 50 ft. on LPG.)
t t.'
site
service? ---------------------------------------------------
Yes./ /
No TZZ
(If
yes, identify the load and size:
(Load)
(Amps)
9.
What
is
the mobilehome site gas pipe size? --------------------=-
(in.)
10.
What
is
the type of gas service? ---=-------------------------
Natural / /
LPG /
11.
What
is
the gas pipe length from meter or tank to
the mobilehome? i
(ft.)
12.
What
is
the mobilehome gas demand? -----------=---------------;--
(BTU)
(This information not required if pipe length less than 6 ft..on natural*gas '
or less than 50 ft. on LPG.)
t t.'
MOBILEHOME SUPPORT DATA
If other - than single wide,
Mobilehome Mfr. ��� M57_
furnish Setup Model No. Year
Width �7_ 7 (ft.) Box Length _(ft.) Tagalong or Expando Size x ft. ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
mobilehome unless erwise spe ified. /�%u
Footings (check one)
�v Single 1. Wood either
pressure treated or
foundation grade.
(ft1)(in.) I (-in.') (in.)
Center pport Center support
locatons* footing sizes
(in.)
I E�
(ft. ) (in.) (in.)
(in.) (in.)
xb
(in.) (in.)
*If center piers are other than drawn above,
'draw in. -locations, spacing, and dimensions.
2. Other (specify)
Supports (check one)
M1: Concrete block.
E] 2. Other (specify)
¢—Tagalong or Expando,
show support details.
_x3( I -- Typical Support
.) (in.) Footing Size
!;" 6// -- Max. Pier Spacing
(ft.)(in.)
1 Q / -- Max. Overhang
(ft.)(in.)
BUTTE COUNT1
BUILDING DEPARTME01
APPROVED
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Tel gphone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X 1-1 4 Date�� /Ctr
Signature of Permitee . ,Agent
Receipt No. 6
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECT R OF PUBLIC WORKS
ByDate - -2-1 -7
",ding permit expires Date 7 -Zi —d'D
BUILDING
Owner
ax
SQ. FT. OCC. BUILDING VALUATION
fva_
Mai I ing dress
Tele hone o
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address
P Ian Checking Fee &/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 3,00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. ^^' L f✓ �'�
Hing & P ning
Water piping 1.50 ®oo
Each gas water heater or vent 1.50
F
S r on Fire Dept.
Fire Zone
Use Peit
Gas piping system 1 -5 outlets 1.50
EQA
Parking FNarcel
Plans Declaration
0— f
Parcellap(
1 60' R/W
I Improve ents
Each additional outlet .30
Building sewer 5.00
Bldg. Plans Recd
F Parcel A royal
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
Permit Fee $
$ 1
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 100 AMP OR00V OR SLCSS 5.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMF 2.50
Main service OVER 600V 100 100 AMP OR LESS
Main service EA. ADD•L 100 AMP 1.00
NEW CONST OR ADDNS. ACCLLING BLDGS,CCUP. 4\ 2¢sgft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
TLET
NEW "E S,., / BRANCH CIRCU
NON -REBID 1 BRANCH CIRCUITS 2•50ea
NEW CONSTR. (POWER APPARATUS .&,
NON.RESID. SINGLE OUTLET CIR.
Ex. Occup {OUTLETS OR FIXTIIREs 50*25Q
BAL ®10S
FIXED APPLNS. OR
Ex. OCcup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
* �ob�
�I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ £>'
$ 1% 1S
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL N0.1 @ FEEPERMIT
FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and herebyIst
Land Development Fee
Is —
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X 1-1 4 Date�� /Ctr
Signature of Permitee . ,Agent
Receipt No. 6
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECT R OF PUBLIC WORKS
ByDate - -2-1 -7
",ding permit expires Date 7 -Zi —d'D
- NOTE:—A11
Materials & Workmanship Shah $e' in
1.'7 :� ' .%�
Accord c
with Recognized: Good Practices and
.. N / .�- a - �`► ` `j �. y6.
of a gaali t
Uniform Budding,
rescribed for the . Specifi ' d use in the !
Pl mbing & Mechanical Codes and
JR..� -�' ,moo o p1 6 k �.-D" p�:o - � '
the Nation?l
Electrica�Code.
T�.1is salt
�.
of plans and specifications• MUS
w:.. be required' for' Me _ -
installation of the mobilehome.
kept on i�he
job at all times •and it is I wful tc
wi ,
make an
writrten permission.
changes or alterations on same
from the Department of Pub
Iit Works,
County of Butte.
fa
The° Setba`
k shall be 5 ft. from the
• side property lige
centerline of the
and 50 ft. from the
road, a
permitting maxi-
axi-
m
mum of a 2 ft. eve
overhang. but entire ly.
,.:
Out of all ease
ents:
Septic system and locatioti vq� - :
_ *s- Nk _
to be
L -�
ro
De is . Re-:
Butte -County Health p
!
,
;-�`�1. .
quirements.
be
All utility connections shall , ar
located within 4 ft. outsidethe r':,e
C�
third section of the ;mobile home ?
the mobile
a y '
on the -left (road) side of _
5
home.
3UILDING-EPARTK
'.�. llL.���
.�� _.;k.r�.Q�l.�..stiar ✓s0.0..{q' .. ` .� - - !
1
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