HomeMy WebLinkAbout027-060-050i
Fca�0650
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„ 7019 Upper Palermo Rd., Orovi11
Permit A�,8 2-78P,E'(ut9�. ,MH) SU
ELEC . �5
GAS o G (r—
SUPP T S, RU REQ.
COMPACTION TEST REQ.
7`• Kd���� 7-06-50
Contr! Linco n illage Mobile Home
Permit #543-78MHI ,
Issued
27-06-50
Permit #3206-81P(inst . nat . gas �line/
027-060- - 99=4380
BAILEY, Calvin
7019 Upper Palerm .1 Road Palermo
Contr: Owner
New Private Detached Garage
_ 10;-5 0;-5
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NOTES RESIDENTIAL
027-060-049r 99-1380
PERMIT NO.
BAILEY, Calvin
7019 Upper Palermo Road, Palermo
Contr: Owner
New Private Detached Garage
Iw
L
SPECIAL CONDITIONS
CHECKED
RY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
is VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date)
Signature���
✓=OK
0 = Not OK
- = Not Applicable MOBILE. HOMES
= Not Ready
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2.
Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/O -Concrete
4.
Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or/ /'L"ft./ PLPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
Shthg.-Frg-Bracing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain: MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity .Tagged
9. Tie Downs-TVDe-Installation Cert.
10. Exits; Insp.-Sketch
11. Cert. of Occupancy
12. Permanent Foundation Only; License Decal
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS; CARPORTS GARAGES (Plans) OK except #'s
oning Requirements -Setbacks -Easements
ootings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rhrs.-Connectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carpo. s; Windows -Doors T
-Sir i c
rmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Fjpe , Shthg-Roofing
E teps-Doors-Landings
C
Braced Wall Panels
Date
-
and 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- Enclosures- Panelboards-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
,/ = OK
0 = Not OK
- = Not Applicable
= Not Ready
8.
4
`
RESIDENTIAL (:
Date
9.
Underfloor (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
Date FRAMING (Permit) OK except #'s
40. Sits Proper Materials & Anchors
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
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
Date
55.
Card B-1 Date Card B-1
Date
56.
Card B-1 Date Card B-1
Date
57.
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
ELECTRICAL (Permit) OK except #'s
63.
23.
Fixture & Transformer Clearance -Ins. Protection
64.
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
65.
25.
Size Boxes & No. of Conductors Stapled
66.
26.
Romex Installed Close to Edge of Studs & C.J.
67.
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
68.
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
69.
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
70.
30.
Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At
Insulated Neutral ❑ Yes O No
71.
31.
Service -Riser Conductors & Ground Main Disconnect
72.
32.
Equip. Clearances Panels-Motors-Mech. Equip.
73.
33.
Clothes Closet Light -Shower Light -Spa Light
74.
34.
Smoke Detector
75.
A.C. Duct in Garage -Damper
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Elec. Receptacles in Garage (F RI.)-Romex Protection
35.
A.C. Ducts Insulation & Support
Insulation -Foam -Looked in Attic
36.
Vent Fan, Exhaust above insulation
Guard Rails & Deck Construction -Post Caps
37.
Condensate Drain & Overflow, Size & Grade
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
Clearance Looked under Floor p Yes
39.
Attic Access & Platform if Furnace in Attic
Following Instld./Drive ❑ Yes Q No/Walks ❑ Yes 0 No/Planters 0 Yes ] No
83.
Stucco Brown -Finish
84.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date FRAMING (Permit) OK except #'s
40. Sits Proper Materials & Anchors
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 (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rffr. 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 3' -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-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
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-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F RI.)-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 p Yes
82.
Following Instld./Drive ❑ Yes Q No/Walks ❑ Yes 0 No/Planters 0 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:
L ,
C�9111� COUNTY..OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County,Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ER IT NO.
(Rev. 12/96) APPLICATION AND PERMIT 4v—.,o
ASSESSOR PARCEL NUMBER o t^V
ZONING
BUILDING PERMIT
OWNS 0,061
-7t�� 11PPFIR PALERMO ROAD, RA
T
So. FT. OCC. BUILDING VALUATION
31,248
-LER -MID
.OWNERS MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee
$ 20.00
Permit Fee
$ 297.50
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan CheckingFee
$
BUILDING
'PALERMO 7
Energy Plan Checking Fee
193.35
$
$
PERMIT FEE
$ 510.85
LOT NO.
SUBDNISIOWS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE
SPECIFY
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: NEW PRIVATE PETAC:HED (-,ARAGE
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 20.Av OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.POWER
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
Al, 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
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 workers'
compensation laws of California, and agree that f I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
/
X0Date (� _ 2 Z —_
Ignature of ApplicantOwner ❑ ntractor ❑ Agent
An OSHA permit is required fo excavations over 60" deep and demolition or, construction
of structures over 3 stories in height.
Main Service 200A TO t000A
46.00
NEW CONST. DWELLING Occup.
OR ADONS. ( 6 ACC. BUDS.
so
3.5¢'. 60.75
P1OµgalpT MULTI.OUTLET CIRCUITS @7,50
APPARATUS
& SINGLE OUTLET CI R.
20
Ex. OCCu OUTLET OR FIXTURES SAL@ . 0
Ex. Occup. OFuc�E�oTSA Aa ORS
5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ CONST. TYPE
TOTL FEE $ 5 1.60
HAZ.
D. FE IMP
FLOOD
r•
CDF C
PD
SUE
This permit is hereby issued under
of the Butte County Code and/or
indica bove f r which fees have
By If
PERMIT EXPIRES ON -7
the applicable provisions
Resolutions to do work
been paid.
Da�tre�,
/f/f""g:51p
Date
ReceiptNo. 265490
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
W
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
�r v 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 9� PERMI.
(Rev. 12/96) APPLICATION AND PERMIT ✓ �
ASSESSOR PARCEL NUMBER O� //�
OS�i
(,,//
ZONIN �a --
BUILDINGPERMtT
OWNER
0 alum
1
T""o"E
r7
SO. FT. OCC. BUILDING VALUATION
OWNER'SESS _
M P_Q,V1. ✓{'I
�/�/�
V I -D
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—FilingFee $
20.00
Permit Fee $
50
ARCHITECT OR ENGINEERS MAILING ADDRESS
o 17
Plan Checking Fee $
BUILDING ADDRESS /--y�q„
- Y(/—I/1601/1
`
/VI
Energy Plan Checking Fee $
$
PERMIT FEE $ l Dd
S
LOT NO.
SUBDfVMION'S NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee
20.00
Each Trap 7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
P�
Solar or heat um water heater 23.00
Water i ing 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New kAddition ❑ Remodel ❑ Utilities ❑ Installation
Describe Work:
❑ Other ❑
Gas piping system 1 - 5 outlets 15.00
sewer 15.00
—Building
Mobile Home I S I G I W @20.00
PERMIT FEE _
ELECTRICAL PERMIT Fling Fee
20.00
Main Service 2. oa LEss 23.00
_ ._ ......... _
•
-
•
Main Service 200A TO 1000A 46.00
NEW CONST. ( DWELLING DOCUP. 3.5QF0 .
OR ADDNS. & ACC. BLDS.
NEW CONST. MULTI -OUTLET
NON•RESID. @7.50
POWER APPARATUS
& SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURESB L 9 1.00
.5
EX. Occup. GURETSMBM.) EA, 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
_
PERMIT FEE $ 7
MECHANICAL PERMIT Fling Fee -20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST, TYPE
TOTAL FEE $'
HAZ. 1
D. FEES
I IMP
I FLOOD
I CDP
PARCEL
I PO
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.
By Date
PERMIT EXPIRES ON
ere
COUNTY OFR, UTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: (,� t ASSESSOR PARCEL NUMBER: 00 �%oobu
Proposed Building Use: Building Inspector: Date:
At time of permit applic , I 'onwas vise the following data must be submitted prior to permitvoce sing and/or issuance:
,\ r Date Received By
items have been submitted--------------------------------------------------------------------------------------
plans, 3/ sets, signed by the preparer of plans.------------------------------------------------------------ � ?z'!!:a
nplete plans sets, signed by the preparer of plans. ----------------------------------------------------- 4 �z'z
sneered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.--------
jngpiineered truss details and layout in duplicate (required prior to plan review) No faxes! ---------
Energy Design Compliance and supporting documentation.-------------------------------------------
117.
------------------------------------------
❑7. Statement of Intent for Non -Heated and A/C Buildings. -------------------------------------------------
118.
-----------------------------------------------
❑8. Hazardous Material Form. ---------------------------------------------------------------------------------
❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications.---------
0,4 Fes of $----------------------------------------------------------------------------
fees as shown on the attached schedule.
Department of Forestry plan
Flood elevation certificate. ------------------------- -------------------.
`'I. Sanitation and plot plan approval Do Health Department.
(D 15. City of Chico plumbing permit. ---------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs.
❑ 17. Planning approval for (A) Use: (B) Parking:
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -----------------
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ------------------- 7-
E3 20. Pre -inspection for required. Request to Building Inspector on
021. Contractor's license information. (Number, Name Style, Classification). -----------------------------
0 22. Workers' Compensation carrier and policy number. -----------------------------------------------------
023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------
tter of signature authorization. ------------------------------
ecorded copy of Agricultural Acknowledgment Statement.
tier of intent on building use. --------------------------------
27. anufactured Home utility clearance. -------------------------
1128. Existing violations and/or expired permits.
an
❑433 A, ❑Grant Deef, ❑ M.H. Title, ❑ ChecN to H.C.D $ .---------------
11
.Other: Q..CCPSS 0 �ut 1 i r1
you issue th'F ermit, process as follows ❑Mail to owner, ❑Mail to contractor.
El Telephone 97 Z — 2-4-47 and hold forpickup at office. C1Deliver with inspector.
YV�49�.22 n ° /3 s
Sig o 72 Q a4v f- TQ Applicant: /1iv1 Gt,,.�r Date:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department Other: Date: By:
G -z i-5,5;
(Date)
`7 7
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items
Contractor, design , o er, as advised of the above required data b phone,ko mail, ❑,Building Division counter, b ate:
Contractor, designer, ,was of the above required data�y ❑phone, ❑mail, ❑Building Divi ion counter, by Date:
Contractor, designer, owner, was sed of the above required data by ❑ phone, ❑ mail, ❑ Building Div' ion counter, by Date•
Contractor, designer, o advised of the above r to by ❑phone, ❑ mail, ❑ Bail i rsion counter, by Dat :
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in 11 Plan Cabinet, 11 A.P. folder. Note transfer by: Date:
OWNER -BUILDER VE RIFI CATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
Please complete and return this information at your earliest opportunity to avoid unneeess
MP
in processing and issuing your building permit. No building permit will be issued until WS
verification is received. :..i-3
2.
3.
CI
I personally plan to provide the major labor and materials for construction of the proposed.
property improvement : YESq NO O
I HAVE k HAVE NOT Qsi'ged an application for a building P't for the proposed aro,ft�
:: •
I have contracted with the following person (firm) to provide the proposed construction:Ar
NA
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
I plan to provide portions of this :work, but I have hired the following person to coordiobe;
supervise, and provide the major work: ' M'
NAME:
ADDRESS: CITY: ,
PHONE: CONTRACTOR'S LICENSE NO. -'
5. I will provide some of the work but I have contracted (hired) the following persons to gravida
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED: A
PROPERTYOWNER:
S OCI AL SE CURITY ]
DATE:
NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of W.
California Health and Safety Code. This verification must be -completed and
returned to our office before we are permitted to issue the permit.
OVER
OWNER BUILDER INFORMATION I
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of property.
improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible -party offecord on such
a permit.- Building permits are not required to be signed by property owners unless they are personally performing the[r
own work. If your work is being performed by someone other than yourself, you may protect yourself.f om 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 w do your own work, with the exception of various trades that you plan to subcontract, you.ihould
be aware of the following information for your benefit and protection:.'
♦ [f you employ or otherwise engage any persons other than your immediate fainily,'and the work (including anaterials
and other costs) is 5300 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 Governments as an employer and you are
subject to several obligations.including stateand.federal income tax withholding, federal social security:ta:te.;
workers compensation insurance, disability insurance cots, and unemployment c9mpensatioa contri'butiotts.J
. .
�:► : .
1 There may be financial risks for you if you do not carry out these obligations, and these risks are especially.serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract 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 their own employees, without a licensed contractor or subcontractor, only undeiiimiied
conditions.
A frequent practice of unlicensed persons professing to be contractors 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 contragprs may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you..
are aware of these matters. The building permit will not be issued until the verification is returned.
C. Vidira, C.B.O.
Building Inspection
NOTE: This 0wner-Builder.lnformation is required by Sectlon 19830 of the California Health and Safety Code-
OVER
oda
OVER
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
OWNER'S STATEMENT OF USE - DETACHED ACCESSORY BUILDING
OWNER:
MAIL ADDRESS:
SITE ADDRESS: /.Yv Y r v
PMT. # ,
PHONE: 6,2 y - 3 5 p p I.
PROPOSED USE: tly
PLEASE ANSWER QUESTIONS 1-20. PLEASE EXPLAIN YES ANSWERS (2-18) IN THE SPACE PROVIDED ON THE REVERSE OF THIS FORM. (PLEASE
PRECEDE EACH COMMENT WITH RELATED QUESTION 0)
SITE CONDITIONS:
10. Is the structure foundation within 5' of septic tank or 10' of leach fines? Yes: No:
11. Is any portion of the proposed structure located closer than 20' to your front property line? Yes: No:
12. Do you plan to add a driveway or modify ebsting access to a county maintained road? Yes: No:
13. Will the proposed structure encroach within any recorded easement? Yes: No: t/
CONSTRUCTION FEATURES:
14.
GENERAL INFORMATION:
Yes:
No:
C/
1.
Is there a primary dwelling on the property?
Yes:
y No:
✓
2.
Is the structure already built, under construction, or under notice of code violation?
Yes:
(/ No:
L--
3.
Will items produced in this building be offered for sale?
Yes:
No:
v
4.
Will the public have access to this building?
Yes: _ j� No:
No:
5.
Will any advertising, on or off site, be associated with the use of this building?
Yes:
No:
>/
6.
Will this building be occupied at any time as a sleeping quarters?
Yes:
No:
�
7.
Will this building be occupied at any time as an eating area?
Yes:
'No:
i
8.
Will this building be occupied at any time as a cooking area?
Yes:
No:
i/
9.
Will this building be occupied at any time as a living area?
Yes:
No:
1
SITE CONDITIONS:
10. Is the structure foundation within 5' of septic tank or 10' of leach fines? Yes: No:
11. Is any portion of the proposed structure located closer than 20' to your front property line? Yes: No:
12. Do you plan to add a driveway or modify ebsting access to a county maintained road? Yes: No:
13. Will the proposed structure encroach within any recorded easement? Yes: No: t/
CONSTRUCTION FEATURES:
14.
Will this building have insulated floor, walls, or ceiling?
Yes:
No:
C/
15.
Will this building be heated or cooled?
Yes:
No:
✓
16.
Will this building have a water closetftoilet?
Yes:
No:
L--
17.
Will this building have a sink?
Yes:
No:
1
18.
Will this building have a water heater?
Yes:
No:
19.
What type of floor covering will the building have?
(,'a
20.
What type of wall covering will the building have?
Ll
o- d
ADDITIONAL INFORMATION:
I hearby affirm under penally of perjury the above infromation is true and correct. I understand that any changes to the use, or character of use, of this building will
require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when offered for sale.
OWNER'S SIGNATURE DATE
FOR DEPARTMENTAL USE
e—
EWS SIGNATURE DATE
REVIEWED BY: DATE:
COMMENTS:
a,
E.H. USE ONLY
!' Plot Plan Attached
Root Plan Anz
had
Sant to B.O. /A9
TO: - Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
7001
0,o
Owner Location AP#
Plan Approved for: Sewage Disposl:'�, Water Suppl : Public Priv to Well
Clearance for dwelling. Other MYh y�
C�
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
8/96
Date
C141
August 9, 2001
Mr. Calvin P. Bailey
7019 Upper Palermo Rd.
Palermo CA 95968
RE: Building Code Violation
7019 Upper Palermo Rd., Palermo CA 95968
AP # 027-06C -@,*
Dear: Mr. Bailey:
BEAUTY
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA95965-3397
TELEPHONE: (530) 538-7541
FAX: (530) 538-2140
This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the
above -referenced location.
Failure to obtain the required permits, inspections and approvals from this office for the
conversion of a garage to living space.
Since permits and inspections are required for the above work, please submit three (3) complete sets of
plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits
are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made
until the existing work is inspected and approved.
It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should
be advised that Butte County has an active Code Enforcement Program which provides an effective means
of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance
of citations, fines and the recording of a Notice of Violation including a description of the action necessary
to abate the violation.
You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan
for abatement or corrective actions to be taken by you. Should you have any questions concerning this
matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number
listed above.
s r 1 D a
fS� r A ,
Michae ieira
Manager, Building Inspection A4
MCV:tp
cc: Assessor
f BUTTE COUNTY DEVELOPMENT SERVICES
Complainant:
Address:
Phone Number:
Other Comments:
Inspector must draw a plot plan with all building locations:
Additional Comments from Inspector:
COUNTY OF BUTTE
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 osb
OWNER
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,
please contact this office immediately.
FS
du
Date - 3 l — i Inspector
REV 10/92
i.
COUNTY OF BUTTE=DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NU ER
d�o
ZONING
BUILDING PERMIT
OWNER�'
LVIV VILIY
TELEPHONE
x .3 7/
SQ. FT. OCC. BUILDING VALUATION
OWNER'S ADDRESS
��MAILING
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS!
Fireplace
CONSTRUCTION LENDER �-
I ���
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
f /t,C
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUI/DIv�qRE s G
PLUMBING PERMIT
F i I i n9 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
1/0'.0 C
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome5l,i0ther
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ,❑ Remode/l ❑ Utilities ❑ Instal lation ❑ Other [g.,.
Describe work: I`y�5^ M/` �Lf��+''� /�6��e444 - � %'
�f�. - 0(, 4+ / (�L. D1_& F � r C)
R.- r if f.i C. (((V ! Gr Lr lr+^ I 44/11
Permit Fee
$ • 0o
--Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR00V OR LESS5.00
Main service EA. ADO'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP-11)
OR ADDNS. ACC, SLOGS.
/ 20 sq it
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
FINON
I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIne$S
and Professions Code and my license is in full force and effect.
License No. Classification
0 I, as the owner, or my employees with wages as their sole compen-
N 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. MULTI -OUTLET 2,50 ea
NON -RES'.. CIRCUITS
NEW -CONSTR. (POWER APPARATUS.&)
RESID. ` SINGLE OUTLET CIR, 6)
Ex. OCCUp OUTLETS OR FIXTURES BAL@1
00
(.FIXED APPLNS. OR
Ex. OCCup.UTLETS (RESID.) EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee ; $
Contractor
MECHANICAL PERMIT
FiIingFee 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.
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 County of
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` �'� _ Cla►I Date a w '+ u
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 storiesinheight.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ ,
00Butte
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
I ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
' OJRECTOR OF PUBLIC
BY i •[ �
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
C, Date�/)� Q /
•� G 7 C\ Z_
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Olewder Avenue, Chico — Phone 343-4211, ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and.Elliott Road, Paradise — Phone 877-3435
CORRECTION N'19�1
BUILDING OR'4RR( P`�RTY AD
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
A�
i /-
Inspector ' /./�, �
Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534 541 �p r%O .1 j
APPLICATION AND PERMIT C w
ASSESSOR PARCEL NUMBER
0 o
ZONING
BUILDING PERMIT
OW r R„ /I&L-
�LLEPP'ONE 7
✓•��
SQ. FT. OCC. BUILDING VALUATION
OWN�E$OSLMAILING AD RESS_��r%�O
CONT/RAC OR'S NAM ., -
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINE
LICENSE No.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINE R'S MAILING ADDRESS
Permit fee
$
BUI I6P R!Vf
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
- p
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome Cher
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition [J Remodel Utili es ❑Installation❑ 0 er
Describe work: �� 77 �-5
ZMain
Permit Fee
$ o
ontractor
ELECTRICAL PERMIT
Filing Fee 10.00
service 100 AMP ORSLESS
5.00
Main service EA_ ADD'L 100 AMP
2,50
NEW CONST. / DWELLING OCCUP.Ei�
OR ACDNS. `ACC, BLDGS.
2� Sq ft
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
NEW CONSTR. MULTI 2,50 ea
NON -REBID BRANCH CIRC ITS
NEW CONSTF;L IPOWER APPARATUS &I
NON.RESID. %SINGLE OUTLET CIR.
50 @ 25¢
Ex. OCCUp OUTLETS OR FIXTURES BAL@1
LNS
Ex. Occup.(OU LETS FIXEDP(RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 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.
jW I shall not employ any person in any manner so as to become subject
L031 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 County of
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 2 — 0
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct -TOR
ion of structures over 3 stories in height.Ci
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
!fin 19c)Butte
OCCUP. GROUP
I TYPE OF CONST.
I
PARCEL
PD
I HD
ISSOE
This permit is hereby issued under the applicable to do'
Sion f thButte County Code and/or resolutions to do
wor ft:at ove for which fees have been paid.
OF PUBLIC WORKS
By�f"v Date
PERMIT EXPIRES Date ���
Receipt No. O
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
.-882-78P,E
:'PERMIT NO. —�
PERMIT EXPIRES
DOWNER Calvin D. Bailey
fCONTR. owner
LOCATION
(A. 27-06-50
�.
7019 Upper Palermo Rd., Oroville
f
i,
{re
,
s
i
`L
i
f}
tr
i
Y
l
Temp. Power Pole
Called PG&E
Temp. Elec. Serv. o
Called PG&E
Temp' Gas Serv.If
/OB
alled PG&E
f
FINALED
(Date)
(Signature)
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
I
1. Is the mobilehome located wit required separation from lot lines and buildings and generally
conform to plot plan? Yes No
2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes No_
3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Ye s_X1No
4. Is the mobilehome level? (Sec. 5088) Yesj No
5. If motr _- - -'-o'erun�r�-crossover connections properly installed? (Sec. 5088)
Yes - No
6. Water
A. Is le,p e connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
YesNo_
•
B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No
C. Backflow - If coach is not State of California approved, does station have backflow device
and pressure -relief valve? Yes_ No_
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes, 'No
B. Does it have minimum" per foot slope and is it properly supported? Yes No
C. Are any leaks detected in drainage system after runnin-gallons of water through each
fixture including washing machine standpipe? Yes No
D. If coach is not 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 connector not more than 6 ft. long? Note: All piping is to be at least as
large as them it home gas line inlet without reductions other than the mobilehome
connector. Yes No
B. Test OK as per following procedure? YesNo
1. Open all appliance connector valves.)
2. Shut off appliance burner and pilot valves.
3. Air test with manometer to 10"-14" water column, or'test with slope gauge (minimum
6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without
drop.
4. Connect gas meter to mobilehome with connector, turn on gas, test connections with
soapy water.
C. Are all appliance vents properly installed? Yes No
9. Electrical ,
A. Is service large enough'to provide adequate amperage -to mobilehome (must equal rating of
mobilehome with a minimumo 100 amp) and other facilities on lot, i.e., water pumps,
garage, cabana, etc.? Yes No
B. Is there proper clearances around panels? Yes& No
C. Is power supply cord,or feeder assembly properly fused? Yes o
D. Is continuity test satisfactory as per the following procedure? Yes No
1. De -energize electrical wiring system of the mobilehome at the pe estal_
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.
MOBILEHOME DATA
Manufacturer and/or Namestyle %ZadZf4L
Length D' Width •/
Vehicle Serial No.
State Identification No.
Additional Information or Comments:
COUNTY OF ETUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING A BUILDING (Cont'd) PLUMBING O
be DaCK
I Fikowall
S6JI Piping
Fors
Par ets
t Floor
Ma Bldg.
Rests om Finish
2n .Floor
F tins
Windowk
3rd Xloor
Ste all
Siding
To out
Slab
Roof Sheaking
Water Pipvg
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwal I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for ph slcall
handica ed
Conformance of ex.
V structure
Appliances
Gas Piping & Test
Temp. Gas
Slab
A Final
Sanitation A.
Patio
IREP L. CE
Final
Footings
Footing
E CTRI AL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLER
Motors
R-aming
Test
Water Htr.
Stucco
Final
Subpanelif
Mesh
Scrajih
MECHANICAL
Heating
Gird. F It'Prot.
Servigi
B n
Co Ing
T mp. Pole
nish
D116ts
nder round
Interior Lath
entilation
Permanent
M Closer
Final
inal
MOBILEHOME UTILI
Water Piping
IES - - - - - - - - - - - Elec- Service
Sewer
Elec. Pedestal
Gas Piping
E ME STA
Water Piping •
LATION - - - - - - - - - - - • Support
� Drainage
Elec. Continuity
Gas Piping
DATE REMARKS O�RECTIONS
tl
S' ji� yL i
(NOTE: An entry must be made on this form each time you visit the job site.)
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 7 for the following location:
Dwnec
ner's Address
Mobilehome Mfg. Model Year 4izy
Insignia No. 5- Serial No. /./ 2
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date -r . // lC/�� By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 53J-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X OALV✓V 94. '" Date
Signature of,,L or A ent
Receipt No. �G�� _.7
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions'to do work indicated
above for which fees have been paid.
DIRECTOR 0 ELIC WORKS
By Date
v 3-/.7- T
Building permit expires Date
A
BUILDING IF
Owner &
SQ. FT. OCC. BUILDING VALUATION
Mailing Address 6-2�yjal�
Telephone No.
Contractor
Mailing Address
Fireplace }
Total Valuation
Telephone No.
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 21,06
Each Trap 1.50
arification Onfx
Repair drainage or vent piping 1.50
A. P. No. `
Zo
Water piping 1.50 Q. 00
Each gas water heater or vent 1.50
F
Sa ' Ire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50 /,0,00
EQA
Parking Parcel
Plans Declaration
Parcel Ma p
60' R/W
Im rovements
p
Each additional outlet 30
Building sewer 5.00 /0, 00
Bldg. Plans
a rove
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
Permit Fee $ —
$
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE J$3.00 .0()
800V OR LESS 5•00 O
Main service 100 AMP OR LESS Z
Single Family ❑ Duplex ❑. Mobil- Others ❑
Maid -service EA. ADD'L 100 AMP 2.50
5004Q. FT. MINIMUM
EOR MOBILESMain
Main service OVER 60.v 25.00
100 AMP OR LESS
service EA. ADD'L 100 AMP 1.00
NEW CONST. � DWELLING OCCUP. 4') 22sq ft
OR A.D.S. ACC, BLDGS.
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:
NEW CONSTR. (MULTI-OUTL T
NON-RESID BRANCH CIRCUITS) 12.50ea
NEW CONSTR. POWER APPARATUS &
NON.RESID. SINGLE OUTLET CIR.
Ex. OCCUP(OUTLETS OR FIXT11RES B L@;
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classifications
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ +
$
MECHANICAL N0.1 @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
00 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.
PERMIT FILING FEE J$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
$—
TOTAL PERMIT FEE
$yq
Ist
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X OALV✓V 94. '" Date
Signature of,,L or A ent
Receipt No. �G�� _.7
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions'to do work indicated
above for which fees have been paid.
DIRECTOR 0 ELIC WORKS
By Date
v 3-/.7- T
Building permit expires Date
A
IQ ..ALI
'cs+erials'i�Vdorkmarashi Sltll E1iq` ^�/j�l►T" �'
COT,, :w 4 r^1d. R""ctices and � �i►
use, in the .
nifo�r't5'`Odildinq.- Nitq-?�tnq :& Mcrchdniccr!. Codes and
is National Elec.+rival Code.
i his set of
-° _cept on the j
=' rake any c
t_* rVritten per
to! Works, Cou 1
_1,
�i1,lf
The B_�iq. S
aide prope I
a-=
cehierline cf
.tnun) of a 21
".out of all
k
fla•
antes and specifications MUST Co
at all times and it is unlawful �o
ies or alterations on same without
in from the Department of Pubiit
of Butte.
ack shall be 5 ft. from the
line and 50 ff. from the
ie road, permitting a maxi-
eave overhang but entirety
Se nd location _
to be as per
Butte County Health Dept. Re-
quirements.
All utility connections shall be
located within 4 ft. outside the rear
third section of the mobile home
on the left (road) side of the mobile
home.
6 5 , i5w�
A permit
installatic
A
> U U1) J
p �
v �0
re wre. fo the
612 S T of 7 br
AF /7��S.�1N1�1
�N
BUI TE COUNTY
BUILDI G DEPARTMEN
_
ARPROVD
COUNTY-OF,BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965 !—� Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
abo a -menti ned property for inspection purposes.
i
X-A-'�Dte
Signature f Perinie or Agen�
Receipt No. CC (/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.
,DIREQTOR OF—RUBLIC WORKS
.Vilding permit expires Date Vd -1
BUILDING
Owner � IN ZA ILC Y
SQ. FT. OCC. BUILDING VALUATION
Mailing Address ) p) a vo.
L) l L' ii t LC6
Telephgpe No.
�•a�
Fireplace
r /' ��JJ� " //
Contractor /NO—d1% 0111)gO.c= 1911 9i•l_L -XON
Total Valuation
Mailing Address [
a W if L' meltb k 1 /moo d
Permit Fee
Plan Checking Fee&/or Penalty
// II �,,��••�� Cl [[ r�/
� IJ 1 t�L� 0A. • .IL3+►1
Telephone No. `�
.S%3 -J-:):)) T •
Permit Fee
Building Address eA.!l, r�� 11]L to IVr7�
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
}� _ 1
rX�/C ,lLi0 )C- Soo oo tk. 6P
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. o. •— �v
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F1s
89"t4e &A
FireDept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
provements
Lawn sprinkler system 2.00
BI . lans Recd
Parcel Ap val
Plans Approval
Permit Fee
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No.1 @ I FEE
PERMIT FILING FEE J$3.001
Main service 100 AMP ORSLESS 5.00
Main service EA. ADD -L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑
Main service 1100EAMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELING
OR ADDNS. ( ACCL BLDGS.CC VP. &) 20sg ft
NEW CONST R. ( MULTI.OUTLET
NON•RESID, BRANCH CIRCUITS) 2.50ea
NEW CONSTR. ( POWER APPARATUS &
NON•RESID. SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
styl r1lV.Vf1 /'�. V l / /
,a
Ex. Occup(OUTLETS OR FIXTURES)@25¢
log
FIED APPLNS. OR
Ex. Occup. (ouXTLETs (RESID,) EA) 2•�0
Temporary service 10.00
Mobile Home Facilities 15.00
G
License No. ��Classification � I
Misc. Wiring 6.25�-�/
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
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.1 @ FEEPERMIT
FILING FEE J$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
tZ"tis:� -� TWLAT, alb
>30e on
TOTAL PERMIT FEE
so- VJ
oc
authorize representatives of the County of Butte to enter upon the
abo a -menti ned property for inspection purposes.
i
X-A-'�Dte
Signature f Perinie or Agen�
Receipt No. CC (/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.
,DIREQTOR OF—RUBLIC WORKS
.Vilding permit expires Date Vd -1
MOBILEHOME SUPPORT DATA
Mobilehome Mfr. "' Setup Model No. Year
-7
Width %c;t, (ft.) Length 1�-� (ft.) Expando size ft.
(Draw support details below) .
On all mobilehomes manufactured after October 7, 19.73, furnish manufacturer's installation
manual and structural setup sheets (if not on .file with .the County of Butte).
in.
ft. in.)I
L._. _-- -
(in.) .)
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
"07
Footings (check -one)
/ 1. Wood.: either .
pressure treated.or
" fdn. grade.
Lj 2. Concrete pad.
3. Other,: specify
Supports (check one)
Concrete block
2. Concrete piers
3. Steel piers
4. Other, specify
F _ Typical Support
x Footing Size
in. in.
1
Max. Pier
�ft:�- ,) Spacing
Ci -n-
Max.
i L Overhang
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED �
Center
Gen r Support
Support
F ting Sizes
Locations
(in.)
x
- -
4,1
►ftS--Z�ln-J
X
�
(in.)(in.)
in.
ft. in.)I
L._. _-- -
(in.) .)
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
"07
Footings (check -one)
/ 1. Wood.: either .
pressure treated.or
" fdn. grade.
Lj 2. Concrete pad.
3. Other,: specify
Supports (check one)
Concrete block
2. Concrete piers
3. Steel piers
4. Other, specify
F _ Typical Support
x Footing Size
in. in.
1
Max. Pier
�ft:�- ,) Spacing
Ci -n-
Max.
i L Overhang
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED �
1. Owner's name:
t'-,
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
LF -
2. Installer' s name: �� N I/' %b•://� `� ��=
3. Is the site currently under permit? Yes / / No
(If yes, furnish permit number ) OR
Is the site an existing site? Yes / / No /SC/
(If yes, furnish two (2) plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and
clear of all setbacks and easements? Yes No
( If no, clarify )
5. What is the mobilehome electrical rating? ----------------------- a Amps
6. What is the mobilehome site service rating? ---------------------
Amps
7. What is the mobilehome site circuit breaker rating? ------------- �'�Q 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: Acs (Load) (Amps)
9. What is the mobilehome site gas pipe size? ---------------------- �/%� (in.)
10. What is the type of gas service? ----------------------------- Natural / / LPG W7
11. What is the gas pipe length from meter or tank to the mobilehome? / O (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.)
v
I f 4
I
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/ N
J. xt o I
SLRI
I ,-
� M
PAtop �'�
1 ,
CAS. �- w
p� �h _ AR. NOR - - - - - --F - - - --f
� ` s6 '
fi 0�Butte County
�AV, Environmental Health
�a?- .. 494
y I 95 --------- --
��60
� D � X11-------Signaftire
----- ---- -
1
f
`i
r
J�
Environmental Health
JUN 2 2 1999
County Center unvt
i� nroville. Ca
p/
�M
Et SACK