HomeMy WebLinkAbout026-100-02826'-'10-x•;26`{ y 2599-90P; E, t
DAUGHERTY, Paul
7024'.Occidental Ave Palermo
(util'ities'/MH)
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GAS T/ �� `10�
COMP, CTION TEST REQ
SUPPORT ST_RUCT,,REQX.
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
INSPECTION CARD MUST BE ON JOB SITE
24 Hour Inspection Line (IVR).: (53.0) 538-4365
Office: (530) 5384601- Fax: (530) 538-2140 Website: www.buttecounty.net/dds
Permit No: B09-1560 Issued: 10/21/2009
Address: 7024 OCCIDENTAL AVE', PALERMO
APN: 026-100-028
Owner: KNAPP, JIM
Permit Type: FIRE SUPPRESSION
Description: FIRE SPRINKLERS FOR B09-0027'
AREA
Flood Zone: SRA Area:
SETBACKS for Zonine. AG. SRA. PW
Front: Centerline of Road:
Rear,: SRA:
Side: AG:
Other::
Total Setback from Centerline of Road:
ALL PLAN REVISIONS MUST -BE APPROVED BY THE COUNTY BEFORE PROCEEDING
Inspection Type
IVR.' INSP . DATE
Setac s
131
Foundations / Footings
1,
111 I I 1
Pier/Column Footings
122 !
Grade Beams
114
Eufer Ground
216
Forms Steel/Holdowns
112 u
Do Not Pour Concrete Until Above are Signed
Pre -Slab
124
Gas Test House or Yard
404
Gas Piping House or Yard
403
Masonry Grout
120
Masonry Bond Beam
119
Underfloor Framing
149 '
Underfloor Ducts
319
Shear Transfer
136
Under Floor Plumbing
412 i
Under Slab Plumbing
411
Do Not Install Floor Sheathing or Slab Until Above Signed
Straps/Holdowns
154
Shearwall/B.W.P.-Interior
134
Shearwall/B.W.P.-Exterior
135
Roof Nail/Drag Trusses
0129 I
Do Not Install Siding/Stucco or Roofing Until Above'Signed
Rough Framing
153
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
4 -Way Rough Framing
128
Gas Piping House or Yard
403 i
Shower Pan/Tub Test
408
Fire Sprinkler Test or Final
702
Do Not Insulate Until Above Signed
Permit Fina
802'
Electrical Final
803:
Mechanical Final
809 +
Plumbing Final
813
Swimming Pools
Setback;
+
Iris ection Type
IVR INSP DATE
T -Bar Ceiling / RC
145
Stucco -Lath
142
Stucco Brown
144
Swimming Pools
Setback;
131
Pool Plunbing Test
504
Gas Test
404
Pre-Gunute
506
Pool Ele.c/Bonding/Light Nitch
502
Pool Feiacing/AlarmsBarriers
503
Pre -Plaster
507
Manufactured Homes
Setbacks
131
Blockir-g/Underpining
612
71edowi/Soft Set System
611
Permanent Foundation System
613
Site Utflities/Trench Insp.
137
Gas Teat Yard
404
Manometer Test
605
Continxity Test
602
Skirting/Steps/Landings
610 .
Coach Info
Manuft ctures Name:
Date of Manufacture:
Model Name/Number:
Serial Numbers:
LenE± x Width:
Insignia:
Fna`Is
Public Works Final 538-7681
Fire D artment/CDF 538-6226
Env. H;alth Final 538-7281
Sewer District Final
**PROJECT FINAL im
"Project rinal is a l.ernncare of Occupancy for (Residential Only)
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. Ir WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR
RENEWAL 30Ij+*f'iP�b%W'f) EXPIRATION
BUTTE COUNTY,. _ 'r
I
BUTTE
k^^•
DEPARTMENT,OF DEVELOPMENT SERVICES
j + BUILDING,; PERMIT
24 HOUR INSPECTION (IVR)#: (530) 534-4,365
} # i OFFICE #: (530) 538-7601 FAX#: (530) 538-2140
1 WEBSITE: www.buttecounty.net\dds
'If i
PRU_ JEGT INFORMATION
Site Address: 7024 OCCIDENTAL AVE '
Owner:'
Permit No: $09-1560
APN: 026-100-028
KNAPP, JIM
Issued Date: 10/21/2009 By: NJS
Permit type: MISCELLANEOUS
i j ,
1774 PALERMO RD
; I
•'
Subtype: FIRE SUPPRESSION j !
I ''PALERMO,
CA 95968
(530) 370-2113
Expiration Date: 10/21/2010
Description: FIRE SPRINKLERS FOR •B09-0027
Occupancy: Zoning:
Contractor 1
i Applicant:
Square Footage:
SQUYRES WILLIAM F JR I
)i
SQUYRES WILLIAM F JR
Building Garage RemdUAddn
P0BOX 3176
Pb BOX 3176,.
1
CHICO, CA 95927
C
CHICO, CA 95927
Other Porch/Patio Total
(530) 345-1012
(530) 345-1012
"FEE INFOk4,00N
DBMSC Fire Sprinkler Permits/1 $254.00
!
E'
Total Charged: $254.00 Fees Paid: $254.00
I
Balance Due: $0.00 Receipt No: B001635
' , _ ' '
_LICENSED CONTRACTOR 8 DECLARATION J
a OWNER [BUILDER DECLARATION
._ _
"
_ ,d
CgntraCtor (Name) State Contractors- License N0. / CIOSS / Expires
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for
SQUYRES WILLIAM F JR 275206 / C4/1613i/2009 j
the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(section 7031:5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions' Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
applicant for the permit to file a signed statement that he o- she is licensed pursuant to the provisions
is in full force and effect. '.If
of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the
i i •
Business and Professions Code) or that he or she is exempt from licensure and the basis for the
X !. ' 10/21/2009 I
alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant
to a civil penalty of not more than five hundred dollars ($500).):
es owner of the property, or my employees with wages as their sole compensation,
will do U all.of or U portions of the work, and the structure is not intended or offered for
sale'(Section 7044, Business and Professions Code: The Contractors' State License Law does
not apply' to an owner of property who, through employees' or personal effort, builds or
timproves the property, provided that the improvements are not intended or offered for sale. If,
Contractor's Signature I ? Date
I1� -
WORKERS COMPENSATION'DECLARA_ TION !l r _
I41
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ;!
+
❑I have and will maintain a certificate of consent to ' self4nsure for workers'
however, the building or improvement is sold within one year of completion, the Owner -Builder
I will have the burden of proving that it was not built or
compensation, issued by the Director of Industrial Relations as provided for,by Section
improved for the purpose of sale.).
3700 of the Labor Code, for the performance of the work for which this permit is issued.
Policy No. II+
t 11
1 have
I, as'owner of the property, am exclusively contracting with licensed Contractors to
construct the project (Section 7044, Business and Professions Code: The Contractors' State
and will maintain workers' compensation insurance„as required by Section 3700
aI
the Labor Code, for the the for is issued.
License Law does not apply to an owner of property who builds or improves thereon, and who
of performance of work which this permit My workers'
I I' .'li
State Fund 1617846
contracts for the projects with a licensed Contractor ursuant to the Contractors' State License
P 1 P
�')
Cartier. Policy Number. Exp. Date:10/1/2009
�I
I • I I
am exem t from licensure under the Contractors' State License Law for the following
P 9
❑ reason: '
❑I certify that, in the performance of the work for which this permit Is issued,'I shall not
I
X 10/21/2009
employ any person in any manner so as to become subject to' the workers'
compensation laws of Califomia,'and agree that, if I should become subject to the workers'
compensation provisions Section 00 of the Labor ode, I shall forthwith comply with
those provisions. ;j
Owner's Signature Date
PE
- RMIT APPLICANT�DECLARATION'_-.�_ :.
- �._
X 10/21/2 091 �
Signature (. Date' lj
. By my signature below, I certify to each of the following:
WARNING: FAILURE TO SECURE WORKERS' •COMPENSATION COVERAGE IS
. I am U a California licensed contractor or U the property owner` or U authorized to
UNLAWFUL, AND SHALL SUBJECT'AN EMPLOYER ,TO iI RIMINAL PENALTIES
act on the property owner's behalf”.
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN
I have read this construction permit application and the information I have provided is
ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
correct
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. , '
1, il.
I a ree tocom I with all applicable city and county ordinances and state laws relating
g, PY pP tY tY g
to building construction.
I authorize• representatives of this city or county to enter the above -identified property
. for inspection purposes. California Licensed Contractor, Property Owner' or Authorized
-
_ —CONSTRUCTION, LENDING -AGENCY, DECLARATION-_m
hereby affirm under penalty of perjury that there is,a construction lending agency for the
i
performance of the work for which this permit is issued (Section 3097, Civil Code). j ' ; I' t
X �' 10/21/2009
Lender's Name and Address �,
Name of Permittee [SIGN] Print Date
INSPECTOR COPY
i 1 I j
Lender's Name & Address , Ci .) '
ty , • I , State � zip
j
w< RESIDENTIAL
26-10-0'� ? 2599-90P,E
DAUGHERTY, Paul
7024 Occidental Ave, Palermo
`_(utilitie's/MH)
V
JOB FINALED
Signature —
Address—
GAS
ddress_
GAS
Meter By_
ELEC F�RI
Meter B
OFFICE COPY
Date s J�
J=OK
O = Not,OK
= Not Readyable MOBILE HOMES
Date I NESILE HOME UTILITIES Plans OK except #'s
1. Zoning Requirements -Setbacks -Easements
Soils; Special MH Support Sketch
S er; Location -Test -Fall -C/ Cn e
Water; Location -Test -Easement Needed (Sketch)
Lr
5 lectricity; Location-Clearences-Grnl:b�Amp-Concr to
6. Ga ; Locatio - est -Wrap: / /"L" ft. qPW
'Nat. orL" ft.VKLPG
7. Utility Clearance
Date Card B-1 Date Card B-1
Date Card 8-1 Date Card B-1
Date ILE HOME INSTALLATION Plans OK exce t #'s
,77 1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
L,,-'3. Gas; MH Test-Demand-Valve—Connector
1/4. Electricity; MH Test -Crossovers -Breakers -Clearances
Drain; MH Test -Fall -Flex Connector
at r; MH Test -Regulator -Connector
1 and Sewer Connected -C/O to Grade -HD Approval
Gas and Electricity Tagged
,/t1f. Cert. of Occupancy
Date 3.� ` Card 13-1 Date Card B-1
Date Card B-1 Date Card B-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; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors
Shthg.-Rfg: Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (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, Distances-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-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O = Not OK '
= Not Applicable
Not Ready RESIDENTIAL (Single
=
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral 0 Yes 11 No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
39. Sils, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
& Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic.
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic 0 Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No;
Planters 0 Yes 0 No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
MOBILEHOME INSTALLATION ACCEPTANCE
t COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
i OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541
Address or location of
> Owner's name
;. Owner's address
Insignia or hud number
Manufacturer's name_
I•.
Serial number of V.I. ,
(official
PERMIT NO. CS I�?cl 0
mobi lehome�O r r,1 /7&4177 -1_
ving`lnstoIIation)
Year of manufacture
r :w
IF.THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
�` y
i
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 / OO `
Y APPLICATION AND PERMIT 1 1 -91
E�
ASSESSOR PARCEL NUMBER
26-10-02 (port)
ZONING
ARM5
BUILDING PERMIT
OWNER
TELEPHONE
913-2840
SQ. FT. OCC. BUILDING VALUATION
OWNER'S AILING AD RESS .
1784 PAlprmn Rd- nrnvillp 99C)66
CONTRACTOR'S NAME TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$
oce_j&4jad AtPLUMBING
-
PERMIT
Filing Fee 10.00
Each Trap
2,00
Solar or heat pump water heater
20.00
LOT NO. SUBDIVISION NAME
1
PARCEL MAP
Water piping
5.00
Each pas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ MobilehomeCa Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti I'ties ElInstallationU Other E]
Describe work: MHI 4 14—LI 5' Tr�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1$°D AMP ORV OR LESS10.00
CONTRACTORS LICENSE LAW
I declare nder 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. `' CIaSSI f'cation /A o
�-
❑ I, as the o ner, 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
Main service EA. ADD'L 100 AMP
2.50
NEW CONST.(DWELLING OCCUP.5i
OR ADONS. ACG. BLOGS.
,
2/4sgit
NEW CONSTR ULT' -OUTLET
NON-RESID BRANCH CIRC ITS
2.50 ea
(POWER APPARATUS e)
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20@9A ®g30
EX. Occup. OUTLETS FIXED PIRESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
havepermit is for $100.00 (valuation) or less.
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.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation l
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 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 dgments, costs, and expenses which may in any way accrue
again s i uun�y in copse ence of the granting of this ermit.
X L` Date �% c
Signature of Applicant Owner Contractor ❑ A nr ❑
An OSHA permit is r quired for exca ations over 5'0" deep and de olition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 7 ,
HAZ
cuA
PARK
Sc
'r/
FLD PA
PD
[_HD
ISSUE
.This permit is nereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMI XPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
`/j
Receipt No. 70446
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
'.,."R'e im►'+;'"''r'F+"r!'1Fr �•S""` �Qr�r'R'�A1fAil�+t'� rK
1 V
COUNTY OF BUTTE - DEPARTMEN'�t�Of PUBLIC WORKS - BUILDING DIVISION
1 , :,�;.,
7 COUNTY CENTER DRIVE - OAiOVJl-'L-EmCALIFORNIA 96966 - TELEPHONE: 916/636-7641
PERMIT APPLICATION DATA SHEET
//�� $
Permit No.
OWNER loa,61�.Daw(/LQ/l� A. P. No. 2&-/00' 002
„.:
Proposed Building Use M-4 T building Inspector/ Date 7127190
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . .....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4.' Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ...............
8. Engineered truss details and layout in duplicate (required prior to pIan check)
4,9. Mobilehome installation data including manufacturer's installation QQ
instructions ............... ............... ..........................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid
3. 0610. vu)/ 410 8 S' School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Cohtact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -inspection for required Pre-Inspec. request to
Building Inspector
21. Contractor's license information (No., Name Style, Classification) ...
22. Certificate of Workmans Compensation Insurance ....... .....:.....
23. Owner -Builder Verification (Given to owner ❑, MMail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement ......... __7-2-7-
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: <r�a Mai l to owner, _
v
Telephone 5 3 3r 2840 and hold for pickup at off ice.
Other 1
Applicant
Mail to contractor.
_Deliver w./inspector.
Date
Q
Copy of Haz-Mat form sent Health Dept. Fire Dept. _L___Air PQ11ution Dat
e
Copy of plans sent �Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new.,item not checked above).
1. Index permit for above items'No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone�nail—counter by ..date
Contractor, designer, owner, was advised- I above required data by—phone —mal l—counter by date
��11 �
Plans checked by Date 0 Plans approved by hka,,q m Date .9--07— �h
Sets of plans on hold in —File -cabinet AP folder
Copy—DPW
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCiEL NUMBER
0 Z60 — 100 -0 O Z ons
OWNER
IOe h��
j
ZONING
rn iy
TELEPHONE
rJ3j -a
BUILDING PERMIT
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
D
ADDRESS-
/ -79
/-7 8 9- P&&Vrna 1U OIZ6 9 �9
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE NO.
Filing Fee
$ 10.00
Permit Fee
Plan Checking Fee
$
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
f
Permit fee
$ ZSOd
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
P 11
W. Water piping
500
Each qas water heater or vent
5,00
USE OF STRUCTURE
SF ❑ Duplex[] MobilehomeE]/ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G I W
0.00e
TYPE OF WORK
New El Addition❑ Remodel[] Utilities❑ Installation F=n**'0ther❑
Describe work: Irn H ':E
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 8000 AMP ORLESS10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
1 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
❑EX.
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
Main service EA. ADD'L 100 AMP
2,50
NEW CONST. DWELLING OCCUP.&
OR AODNS. ( ACC. BLDGS.
, h¢sgft
NEW CONSTR ULTI.OUTLET
NON.RESID BRANCH CIRCUITS)
2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR =1XTURES
20050t
SAL030
OCCU FIXED APPLNS. OR
p. OUTLETS IRESIO.) EA.F
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with suchee$provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
d
HLPennit
3.00
on
r
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
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ I •
An OSHA permit is required for excavations over 5'0" deep and demolition Or construct-
ion of structures over 3 storriiess in
Mobile Home Installation Fee $ �6-`
Energy Inspection Fee $
occCONST
TYPE
TOTAL FEE $ 761
HAZ
CUA
PARK
SCHL
I FLO
PAR
ro
HD ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS.
Date
-height.
Receipt No. -4-76
WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
I
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form per Building)
A:P. Number 0Z(c-100 00Z(Pdr�foduilding Department No.
School District,/X6 01V6 Hi City D County Q Jurisdiction
Property Owner pd,Q Q 44 kA�r
Project Location/Address �nljf`{JU�y //�jyjpp/Y1�jy�a %7dp - Qi2Q
Subdivision Lot Number
Residential Development:
a � Sq. Footage 720
# of Living MHI Addition (Group ,R)
t
'r Units
Commercial/Industrial:
Sq. Footage
!i New Addition (Including Exterior
Roofed Areas)
ng -'Department Representative
?/2 - 9'0
Date
(Floor Plans reviewed by School District Personnel)
School District certifies that
9,j-yOlf
has complied with the requirements of Resolution No. 1QCnw ✓ / CJ
by t e payment of $ 149 representing 7,? square feet..
School Distic Representative Fate
u.
PAID BY CHECK NO. ���
BANK NO ��CA.J
REMARKS:
PAID BY CASH
• K
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
.,
Ti
Ahis set OT ptarrs and specifications MUS, t, -
,Opt on Ae jots ch a!1 tunes and R is unlawW k
naive �y chOnges or c rofiam on sane withoui
.n itten permission frem the Department of Put
'.)voAs.. County of Butte.
:vim l e --AllMCITerllrls ec W orrc►ransnt �hNN
Accordance with Recognized Good
radices +and
a¢ a quality .prescribed for the Specified use in .fhe
JniforPn Building, Plumbing & MachaniodesSno
cd C
�e� ��Fional �iecF'reCai CoQiea
A setback of eft. from the
property lines and a setback
of 50ft. from the road
centerline shall be clear of
structures or equipment excer t
LR -no 4- tS.
-Frrr� ft ele�yr r.�e oar a�1 eusea�e
4. ..
0
--I, S � /(t
4
I
A]71ACq
60 ' 9O i -L ado
BUTTE COUNT
lx BUIL6ING DEPARTMENT
APPR VED
bwW
9l)-?ICIO
Owner:
LOCATION
N
Permit No.
ENERGY CERTIF ICATION
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR WALL
Material
Thickness(inches)
CEILING
Batt or Blanket Type
Thickness(inches)
Loose'Fill Type
Minimum ThicknesWnches)
Area covered(ft. )
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
W idth(inches)
FOUNDATION WALL
A. P. No.
Brand Name
Thermal Resistance (R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Number of Bags Wt. per bag lb.
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Material Brand Name
Thickness(inches) Thermal Resistance(R Value)
I hereby certify that -the above insulation was installed in the above building
in conformance with the State of Californi,a�Ener'y'Requirements.
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF INSTALLATION APPLICATOR
DATE
I hereby certify the above insulation and all required items as shown on the
Building Department approved plans and attachments have been installed as
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
FIRM NAME/OWNER_ ,(Please print) STATE CONTRACTOR'S LICENSE NO.
I.�A SIGNATURE `OF QENERAL.'CONTRACTOR OWNER
DATE
6:
�
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
January 1984
1. Owner's Name:
2. Installer's Nam
3. Is the site cur
(If yes, f
Is the site an existing site? Yes No
ti.
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive., Oroville, CA
PHONE: 538-7541. ,-
MOBILEHOME INSTALLATION SHEET
a
(If yes, furnish two plot plans.)
4. Will the�obilehome be located at least 5 ft. away from s ptic tank and leach
fields and°°.clear of all setbacks and easements? Yes No
(If no, clarify
5. What is the mobilehome electrical rating? -----=--------- Q Amps
6. What is the mobilehome site service rating? -----=------- Q Amps
7. What is the mobilehome site circuit breaker rating? ----- �� Amps
8. Is there any other electric load to be served by -the
------------- ------------
mobilehome site service. ----- -- Yes � No
(If yes, identify the load and size: (Load) (Amps)
9. What is the mobilehome site .g as pipe size? --------------
(in.)
YP g ? ------ ----- I _
10. What is the type of as service. -- ------ Natural G LPG
11. What is the gas pipe length from meter or tank to the
mobilehome?--------------------------------------------- (ft.)
12. What is the mobilehome gas demand? --------------------- (BTU)
*(This information not required if pipe length less than 6 ft. on
natural gas or less than 50 ft. on LPG.)
MOBILEHOME SUPPORT DATA f C' (} C�a /7 1 1 `0'r
MSD• ��-1�y3 Jr-AvC lVd.r
If other than single wide, �y/ f� 4�&-7
Mobilehome A1fr.�5, � [(�CD�P�/9yfurnish Setup Model No. �r b ZZ Z`(� Year
Width(ft.) Box Length4_01(ft.) Tagalong or Expando Size ft." )E - ft.:
On all mobilehomes manufactured after October 7, 1971, furnish manufacturer's installation
manual and structuraVsetu eets (if not on file with the County of Butte).
FOOTINGS (check one)od-pressure ,treated or foundation grade.
Other (specify)
SUPPORTS (check one)l. Concrete block.2. Other (specify)
Pier Footing Sizes and Locations
SINGLE -WIDE MULTI -WIDE
Main Beams
:ne.a tine 2
Line 3
Main Beams „
— — — — — — w -Line 4
Tag or Triple
..
Line 1
P '-
Line 1 Piers: 130
3 CJ A Line 1 Openings:
Size -Min. --- -- ----J( "x 11 Size -Min. ------------------
x '
Spacing -Max. --" Each Side of Openings
From Ends With Width Over"--'"""'"
Line 2 Piers: y Line -3 Piers: (Under Bearing Wall Only)
Size -Min ------------ 7a "x J 0„ Size -Min -------------------
Spacing-Max -
------------------
Spacing-Max.--------- „ Spacing -Max ________________ „
From Ends -Max.------- - From Ends -Max --------------
Line 3 Roof Loads: �q
t Size -Min.--- - ---� "x "x k "x
Location (From Front)
Line 4 Piers:
Size -Min -------------
Spacing-Max ----------
From
------------Spacing-Max.---------
From Ends -Max .------- „
Line 5 Roof Loads:
Size -Min. ------------
e 5 Piers: (Under Bearing 'Wails Unly)
Size -Min .------------------
Spacing -Max.--------------- „
From Ends -Max .-------------
Location (From Front)I
L
i
AP #
PERMIT .4
Nii I UT IL . CLEARANCE DATE — G v
INSPECTOR
ELECTRIC
GAS
Support
Struc.
Compaction
Test -Req.
iervice
iize
Other
Load
Type
Pipe
Size
Length.
YES NO
YES NO
lie
2
gyp,
�1`�
f
1
a
MICHAEL MOONEY
CIVIL ENGINEER '
RCE 24647
i
Butte County August 169 1994
Building Inspection Department
7 County Center.Drive
Oroville, CA 95965. If
Ree Flood Plain Elevation'
AP # 26-144-442
Paul Daugherty
This transmits the results of an investigation I made to determine'
(1) the elevation of the 144 Flood Plain, and (2) the elevation of the
proposed site.
Using the FIRM maps I_determined the elevation of the 144 year
f 1 ood -at .the proposed si te' to be 159.8 feet.
On August 15th, using a Butte County Public Works Dept.TBM # 15 -
concrete headwall on the.north side of Palermo road elevation 153-67
-feet'- I set a spike in the utility pole adjacent' -to themobile home.
The elevation of the spike is 159.1 feet. I also measured the
elevation of the finished f1oor at 160.5 feet. The finished f1oor of
the mobile d s therefore above the elevation of the 144 year flood.
Butte County "TBM #15 was established using a USGS Bench Mark. V-847
set in 1948 and its elevation is 154.875 feet.. This information
courtesy of 3im'Waugh of the Public Works Department.
Yours,
v a •BUTTE
F<
UllDING oEPAM
r„
Michael Mooney
*.
APPROVED 5 Madrone Ave Suite A
�. Orovi 1 1 e, CA' 95966
a � 916-533-2131•
My License Expires 9/34/93
pi
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovjlle, California 95965.- Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
T
ASSESSOR PARCEL NUMBER
ZONING
6-10-02
ARMH5
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING A RESS
CONTRACT R'SNAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
VNKNOWN
Total Valuation is
LENDER'S MAILING ADDRESS
Filing Fee
$ XKM
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$ 1 S.00
7�� -e
PLUMBING PERMIT
Filing Fee 10.00
G7e,1,
•
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
1
Each qas water heater or vent
5.00
USE OF STRUCTURE
Gas piping system 1 - 5 outlets
5.00
SF ❑ Duplex[] Mobilehomen Other
Building sewer
5.00
Mobile Home XG W
0.00e 30.00
SPECIFY
TYPE OF WORK
New❑ Add ition❑ Remodel❑ Utilities Installation❑ Other
Permit Fee
$
Describe work: IjI � 00 �✓t _
Contractor
4000
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1000V OR 0 AMP ORSLESS
10.00 10,00
Main service EA, ADD'L 100 AmP200
2.50 2.50
CONTRACTORS LICENSE LAW
I declare der penalty of perjury (Check One):
NEW CONST. DWELLING OR ADDNS. ACC. BLDGS. / JCCUP.&`
I /24Zsq ft
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
NEW CONSTR ULT' -OUTLET
NON-RESIO BRANCH CIRC ITS
2.50 ea
and Professio Code and MI license is in full force and effect.
POWER APPARATUS &)
SINGLE OUTLET CIR. I
License No. Classification /�
Ex. Occu P� OUTLETS OR FIXTURES
zo ®50a
BAL030
�,_�
❑ I, as the owner, or my employees with wages as their sole compen-
Ex. Occup. OUTLETS ((RESID,)FIXED APPLNS. REA.)
2.00
sation, will do the work,and the structure is not intended or offered
Temporary service
10.00
for sale. (Sec. 7044)
EII, as the owner, am exclusively contracting with licensed contract -
Mobile Home Facilities
15.00 15.00
ors. (Sec. 7044)
Misc. Wiring
15.00
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Permit Fee
$ 37.50 =
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury' (check one):
MECHANICAL PERMIT
FiIingFee 10.00
2,_TbLe permit is for $100.00 (valuation) or less.
Heating
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.
Cooling
❑ I shall not employ any person in any manner so as to become subject
Hood
3,00
to the W. C. laws of California.
Ventilation
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
Permit Fee
$
provisions or this permit shall be deemed revoked.
Contractor
I certify that I have read this application and state that the above information
Mobile Home Installation Fee
$
is correct. I agree to comply to all County Ordinances and State Laws relating
Energy Inspection Fee
$
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
occ CONST TYPE
I also agree to save, indemnify and keep harmless the County of Butte against
TOTAL FEE $
92. 20
all liabilities, judgments, costs, and expenses which may in any way accrue
HAz CUA PARK SCHL FLD
PAR PD, HD Issu
against a u ty in cons q�uence of the granting of this permit.
--
�—
X - S
This permit is hereby issued under the applicable provi-
Date
sions ' the utte County Code and/or resolutions to do
Signature o Applicant Owner❑ Contractor ❑ Ag r ❑
work/in i ted ab ve r which fees have been paid.
ion of structures ove 3 stories in heig t.
An OSHA permit is r quired for excov tions over 5'0" deep and de olition or construct-VRMILTEXPIR;ESS
DIR O OF PUBLIC WORKi//
Receipt No. 7(1446
Date
WHITE•D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
Date
� f � _
COUNTY OF BUTTE - DEPARTMEN OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROF I tlfE OkIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER % C D" A. P..No. Z%-160 -OOZ
Proposed Building Use Inn U Building Inspector Date 7 27 1%
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1.
All items have been submitted . ........................ .........
-� 2.
Plot plans in du licate triplicate, signed by preparer of plans........ 90
3.
Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4.
Complete engineered plans and calcs, with wet signature on plans . .
5.
Hazardous Material Form ..........................................
6.
Energy Design Compliance and supporting documentation .........
7.
Statement of Intent for Non -Heated and AC Buildings ...............
8.
Engineered truss details and layout in duplicate (required prior to plan check)
9.
Mobilehome installation data including manufacturer's installation
instructions.......................................................
1'0:
Fees of $.........................
11.
Chico Urban Area fees paid .......................................
12:,
Park fees paid ....................................................
13 .
i14. 'Sanitation
School District fees paid ..............
approval from 020 UK_( E Health Department
15.
City of Chico plumbing permit .....................................
16.
Plot plan and business license approval from City of
•rl
(see City for other requirements)
17.
Planning approval for (A) Use: (B) Parking: ......
18.
19.
Improvements may be required. Contact Land Development Section DPW
Driveway permit (construction approval required prior to occupancy) LA" /Ciit�_
20.
Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21.
Contractor's license information (No., Name Style, Classification) ..
de 22.
Certificate of Workmans Compensation Insurance ..................
23.
Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24.
Recorded copy of Agricultural Acknowledgment Statement .........t Z`7 ►_
25.
Lett r of s'gna ure uthorization .............................. ►.
27.
`
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone 533' 21-40 and hold for pickup at 026 office. Deliver w./inspector.
Other
Applicant Dat
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Poll tion Date
Copy of plans sent Health Dept. Fire Dept. Other Date By.
The following data must be submitted prior
1. Index permit for above items No.
2. Additional items required:
it issuance: (Circle new item not checked above).
Contractor, designer, CE;)was advised of above required data byzphone—Lnall_countet byl�m _date
Contractor, designer, ownef, was advjgsed of above required data by—phone _mail—counter bvZ_ date /
Sets of plans on hold in File cabinet AP folder
Copy—DPW
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
CL JA I
Owner Location AP#
Plan Approved for: Sewaqe Disposal Water Supply
Fold final for: Water Supply
Final clearance O.R. for: , Water Supply
Clearance for <zP�edroom obile ome. Other
NOTE*•
Sanitarian ate
DQ2
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovilj,-„C,aliffornia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
-100 `00Z n
ZONING
�12VnEF Cj
BUILDING PERMIT
OWNER
TELEPHONE
�J�J_`ZPJ
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1-784 IDA&,tY1zft' f2t/ �Q 9S9G6
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ ..�.�..�_
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ ISr�
J
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit tee
$ I cb
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5,00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome f' Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10-00 ea 30.a
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities EjKlinstallationEl Other ❑
Describe work: M 0
01�,Q�A7lf/Ih” 5RLv d7 4—
Permit Fee
$ w
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service V OR L
too AMP OFSLES S
Main Service EA, ADD'L 100 AMP
10.00
2.50 2•�
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑I am licensed under p
pfOVl$IOn$ 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
NEW CONST. // DWELLING OCCUPM`
OR ADONS. ` All. BLDGS, f
/z¢sgIt
NEW GONSTR ULTI-OUTLET
NON-RESID BRANCH CIRC ITS
2.SOea
/POWER APPARATUS 6
\SINGLE OUTLET CIR.
Ex. OCCUp�OUTLETS OR FIXTURES
200501
OALeP 30q 1
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS (RESID.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00 5.0
Misc. Wiring
15.00
Permit Fee
S
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. I
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Ll
Cooling
Hood
3,00
Ventilation
Permlt 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 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 County in consequence of the granting of this permit.
X
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures ever stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
HAZ
CUA
PARK
SCHL
FLD
PAR
Po
Ho IssuE
This permit is nereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. -% O -(o
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
N
MICHAEL MOONEY
CIVIL ENGINEER '
RCE-20647
Butte County August 16, 1990
Building Inspection Department
7 County Center' Drive
Orovi l l e,,, ,CA 95965 ,
Rea Flood Plain E1 evati,on
AP # 26-100-002
P9u ,Da��gt�erty
.This transmits the results of an investigation I made to determine
(1) the elevation of the 100 Flood Plain, and (2) the elevation of the
proposed site.
Using the F-IRM maps I determined the elevation of the 100 year
flood at the proposed site to be 159.8 fee
On August 15th,'using a e County TemPorary.Bench Mark,(TBM) on
Palermo Road I set a spike the.utality pole ad'a i e
home. The elevation of the spike is 159.1 feet. I also measured the
. el evat i,on of the finished f1oor at 160.5 feet. The finished f1oor of,
the mobile is therefore above the elevation of the 100 year flood.
Thank you for your consideration.
1
- F
My License Expires•9/30/93
f_ YOur se,
Michael -Mooney
5 Madrone Ave Suite A
Oroville, CA 95966
916-533-2131
r MICHAEL MOONEY
CIVIL ENGINEER }
RCE 20647
��6 L19Q
Paul DaughertyJune 13, 1990
le- '0
-Palermo Road
�
Palermo, CA 95968 IoCQ f1"o ki O
Re: 100 Year Flood Plain
/Y1(� s fiP
This transmits the results of an investigation. I made`on the 10th,
and 11th. of June to determine 1) the elevation of the 100 year plain,
and 2) elevation of the "finished floor" of your residence on Palermo
Road.
j.
I determined the elevation of the 100 year flood to be 154 feet
using the "FIRM" (Flood Insurance Rate Map) from the Federal Emergency
i
Management Agency.
A survey made on the 12th of June from BM # 15 (Butte County),
elevation 153.67 feet, a concrete headwall on the north side of
Palermo Road approximately 300 feet east of Occidental Ave, to your
front porch landing results in an elevation of 154 feet for the
landing.
The f i ni sh floor of your home at. 154.3 feet is therefore above the
100 year flood plain.
I
Thank you for considering me for this work.
i
E Slp
Yours,
My license expires 9/30/93
i
Michael Mooney
5 Madrone Ave Suite A
Oroville, CA 95966
916-533-2131
m
COO
ASSOCIATES
Bill Cheff, Director
Department of Public Works
7 County Center Drive
Oroville, Ca. 95965
Re: Mobile Home Site A.P. 26-10-02
Dear Bill:
ENGINEERING CONSULTANTS
2060 PARK AVENUE
OROVILLE, CALIFORNIA 96966
PHONE 1916) 633-6467
CALIFORNIA P. E. NEVADA n. E. OREGON P. E.
December 16, 1987
I have personally inspected the proposed mobile home site
location at the corner of Palermo Road and Occidental
Avenue. This proposed mobile home site is approximately 5
feet above the Wyman Ravine Flood Plain.
After consulting the Wyman Ravine Drainage Study the
proposed mobile home site is above the areas of potential
inundation and therefore should be approved. The flood
elevation will be approximately 156.5 msl and the 100 year
flood elevation is approximately 152.0.
Your attention is directed to Crossing 25 of the Wyman
Ravine Drainage Study Map`16. This crossing, across Palermo
Road just east of Wyman Avenue, is considered adequate. It
is expected that flooding will occur downstream of this
crossing.
Enclosed for your review is a general plan of the area with
the mobile home site superimposed.
Should you have any questions, please call.
Very truly yours,
BUTTE COUNTY COO x AS I
BUILDING DEP r,MtW!tiIT
DJC: n j APP SOV: an Cook
Enclosure Civil Engineer
DR. LLOYD M. COOK ED. D. JOE E. COOK M. E. DAN J. COOK C. E.