HomeMy WebLinkAbout027-160-020w.
`- THU ,ITCH 716 "2Q
MOBILEHOME WITHOUT PERMITS. ` !+38 Dunstone,,,, Oroville �; 27=16 -ZOO
12/20/89 Permit#2312-84kP,,E(UTIL, MH)
ELEC �..'� ARTHUR SITCH '' _ ��� -
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GAS _ v
- 438 Dun�tone Dr., Orovil`le
SUPPORT TMTUCTURE REQ- ~ - B.P. #46-84A (Ag Bldg.)
COMPACTION TEST REQ
27-160- O - -- - - _
O�.Z 73 90
' SITCH, Arthur,
439 Dunstone Dr, Oroville w
(MH UTILITIES);,
LEC --
'AS UI .
OMPACTION TEST REQ'',-
UPPORT STRUCT.REQ
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027-16-0-020 93-315 B
SITCH, ARTHUR & MARION . ''
,
439 DUNSTONE DR, OROVILLE—;--,,
RAMADA/MH
i
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541
DATE April 2, 1993
Arthur Sitch
439 Dunstone Drive - - RE. Permit -applications for mobilehome
Oroville, cA 95966 utilities, mobilehome inst. & ramada)
A.P. # 027-16-0-020
With reference to the above subject:
Attached is:
Application for permit
Building Plans
Engr. Calcs
Owner -Builder Verification Form
OTHER
Mobilehome Utilities Installation Sheet
Mobilehome Installation Information Sheet
Typical Plan Sheet
List of Codes Enforced
We need the following information:
Permit application signed and completed where indicated with all copies returned.
XXX Fees of $ 720.50 payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check exemption statement.
XXX Complete plans in tri nl;ratP including plot plans.
Plot plans in
Structural details in
Complete plans and calcs.in, by registered engineer or architect..
Energy design including
Street and drainage..improvement.plan approval.from Land Development Section.. -(DPW).. -
sets of plans in accordance with the changes marked'in-r-ed.
XXX Sanitation approval from'Butte County Health Department at: -
1469 Humboldt Road,. Chico.
XXX 7 -County Center Dr.., Oroville
Skyway & Elliott 4d., Paradise
Planning approval from Butte County Planning Department, 7 County Center Drive,
Oroville, for
Completed Owner -Builder Verification form.
Recorded copy of deed showing
Recorded.copy of -agricultural acknowledgement statement..-. _ .. .
MOTHER (l) impact Fees (2) -Verify travel trailer stored
Should you have any questions concerning the above, please contact _ Bill Barron
of this office.
Yours very truly, 916-538-7541
7Y I
*r r William Cheff
a0`7, 7j Director of Public Works
711��
Glander -`-
JFG/aj - — ,
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VIOLATION
_ {h
CHECK LIST
A.P. #
027-16-0-020
Address
439 Dunstone Drive Oroville s
Owner
Arthur G. &
Marion B. Sitch
Owner's
Address
439 Dunstone Drive, Oroville, CA 95966
Owner's
Phone_ No. 5893823
Supervisoral District
Tenant's
Name
Phone No. 589-3823
Type'of-
Mn hi 1
Violation in
chnma l.ri thnlit
Detail with Code
^6rfRl�dc�l���
Section Priority No. 1
'i
Specific Plot Plan with C/V Noted Yes no Penalties Required
k
1st. Notice Sent 12/20/89 2nd. Notice Sent
ate Date
Co ents and/or Determination
I
a
Disposition For Citation Citation
Date) (Date)
Department Recommendation to Court
Court Action
Notice of Violation Recorded
(Date)
t
E-:
January 19, 1993
Arthur Gordon & Marion Brown Sitch
439 Dunstone Drive
Oroville, CA 95966
RE: Code Violations A.P. #027-16-0-020
439 Dunstone Drive, Oroville
Dear Mr. and Mrs. Sitch:
We sent you a warning letter dated December 20, 1989 notifying you that
you are in violation of the Butte County Code at the above referenced loca-
tion. As of this date, the following violations still exist.
Failure to obtain the required permits, inspections and approvals from
this office for installation of two mobilehomes and ramada in violation
of the Mobilehome Parks Act of Title 25, California Code of Regulations,
adopted by Section 28A-1 of the Butte County Code:
(a) 1018 -Permits Required for any Plumbing or Electric
(b) 1048 -Inspections Required for any Plumbing or Electric
(c) 1324 -Permits Required .for Mobilehome Installation
(d) 1326 -Inspections Required for Mobilehome Installation
(a) 1018 -Permits Required for any Mobilehome Accessory Structure
(b) 1048 -Inspections Required for any Mobilehome Accessory Structure
The above violation(s) shall be corrected or abated by you by submitting
three (3) complete sets of plans, applying for the required permits, and
paying the appropriate fees, including penalties, within thirty (30) days
of the date of this letter. After permit issuance and field authorization
to proceed, the work must be completed and approved by this office within
the permit specified time.
The second mobilehome is in violation of the Zoning Code as follows:
(a) Section 24-72 A-5 zone allows one single family dwelling per
parcel.
The above violation shall be corrected or abated by removal of the second
mobilehome from the property or applying for a use permit from the Butte
County Planning Department within thirty (30) days of the date of this
letter. If the use permit is granted, permits will be required from this
office to do the work.
Letter to Arthur Gordon and Marion Brown Sitch RE: Code Violations
(A.P. #027-16-0-020)
Page 2
January 19, 1993
Unless the violation(s),is (are) so corrected or abated, a citation shall
be issued to you to appear in court for said violation(s) and for failing
to comply with this notice. Upon conviction of said violation(s) or for
failing to comply with this notice, penalties shall he imposed and a Notice
of Violation recorded in accordance with Section 41-7 of the Butte County
Code.
Should you have -any questions concerning this matter, please contact David
Purvis of this office at (916)538-7541.
JFG:dms
cc: Building Inspector
Planning Department
Yours very truly,
original signed by
.L F. Glandes
J.F. Glander
Manager, Building Inspection
r
P'ZCCF CFS '%C BY Kn._s.
I am over c :e ase of la and no c a oarc T ca c.'is causes. .
a i - where e '?- =s�decc or and �sDT o;rec L c�e co�.c- �r c caa_ =3
Building Di}rision
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7/ Caunc7 . esc_r r, -,re
Ca? { `ar-a. Orov: ? e, CA g�9 5
ser -re -s a iora�v.r� 30-Dav V4 olati on Letter
= I by e^.c� a L se copy
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it a sealad ..^_ve? ape and de_os==mss sa z em re_are tie Ua .c
.19TH. .OF JANUARY
' T g
93,and w
aad adarassa_ a= _oi_o s:
ARTHUR GORDON AND MARION BROWN SITCH
439 Dunstone Drive
? Oroville, CA 95966
:7 = Ca4L Ca' ';= :i �a C=_. C C=_e rn^•T� :2 ==-'!aS==-'!aw d C=r . =c -
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anti CLac . t.s deer.:='_' C=Cry
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J.F. Glander
`Manager, Building Inspection
December 20, 1989
Arthur Sitch
439 Dunstone Drive
Oroville, CA 95966
RE; Permit Requirements A.P. #: 27-16-08
435 & 439 Dunstone Dr, Oroville
Dear Mr. Sitch:
This is a warning letter to- notify you that you are in violation of the
Butte County Code at the above referenced location as follows:
.Installed two2Peabove
bile homes vrithout the required.permits'and-
(i
inspections at t mentioned locations. Since zoning only
allows one dwelling per parcel in an A-5 zone you need to also obtain
a Use Permit from the Butte County Planning Department. -
Occupying mobile homes without the required approvals.
Since permits and inspections are required for the above work, please contact
this office within ten days of the date of this letter, submit two 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. This field authorization cannot be made
until the existing work is inspected and approved.
Please be aware that Butte County has entered into a Code Enforcement Program
that seeks voluntary compliance with the Butte County Code but provides
an effective means of enforcement if such compliance is not obtained. If
voluntary compliance is not obtained, enforcement will be pursued through
the issuance of citations, fines, and the recording of a Notice of Violation.
Your cooperation in resolving this matter would be appreciated. Should
you have any questions concerning this matter, please contact Jim Glander
or Bob Reith of this office.'
JFG:ds
cc: Assessor
Yours very truly,
William Cheff
Director of Public Works
J.F. Glander
Chief Building Inspector �21 -20 1Fy
s
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER i �`� �d-�S PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
4zs
S Tv 1-4e- 4-- 1-e.�- crrz i-�f a^ 7� �K
Date / '�%, Inspector
T�
REV 11/91
COMPLAINANT:
ADDRESS:
PHONE NUMBER:
OTHER COMMENTS•
e
i
Arthur Sitch
439 Dunston Drive
Oroville, CA 95966
RE:. Permit Requirements
435 & 439 Dunstone'Dr, Oroville
Dear Mr. Sitch:
December 20, 1989
A.P. ##: 27-16-08
1
This is a warning letter to notify you that you are in violation .of the
Butte County Code at the above referenced location as follows:
Installed two (2) mobile homes without the required.permits and
inspections at the above mentioned locations. Since zoning only
allows one dwelling per parcel in.an A-5 zone you'need to also obtain
a Use Permit from the Butte County Planning Department.
Occupying mobile homes without the required approvals.
Since permits and inspections are required for the above work, please contact
this officee within--ten-days-^of the date of this letter, submit 'two 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. This field authorization cannot be made
until the existing work is inspected and approved.
Please be aware that Butte County has entered into a Code Enforcement Program
that seeks voluntary compliance with the Butte County Code but provides
an effective means of enforcement if such compliance is not obtained. If
voluntary compliance is not obtained, enforcement will be. pursued through
the issuance of citations, fines, and the recording of a Notice of Violation.
Your cooperation in resolving this matter would be appreciated. Should
you have any questions concerning this matter, `please contact Jim Glander
or Bob Keith of this office.
Yours very truly,
William Cheff.
Director of Public Works
"." S"FO 99 WO SFS
F.
JFG:ds J.F. Glander
Chief Building Inspector l 2o'P
cc: Assessor
COUNTY OF BUTTE - #ARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER ZOtjING_
— % ^U o f
OWNER
%_ 617
OWN 'S MA LING ADDRES
-//3GI fory fir. L
CONTRACTOR'S AME mD
(D LeJ 1n e r
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MA, 27-160-08(portion)
ARCHITECT c SITCH, Arthur
ARCHITECT 439 Dunstone Dr., Oroville
(ISI INSTALLATION)
BUILDING ADDRESS
LOT NO. I SUBDIVISION NAME
(UNKNOWN
72-90 ^"
r
f w
ARCEL MAP
USE OF S7,RUCTURE
SF [I Duplex❑ Mobilehome/Other
SPECIFY
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ U t i Iities ❑ Installation Other ❑
Describe work: — —
�T
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
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
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.
19 1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
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 i-Bntte-a st
all liabilities, judgments, costs, and expenses which ma Fn any way accruZN
against aid County in cons e e of the granting of 's permit.
X� Dat 0
Signature of Applicant — Owner Contractor ❑ Agent
An OSHA permit isrequired for excavations over 5'0" deep and demolition or construct-
ion of structure,ssa eerr 3 stories in height.
Receipt No. 1 _
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
BUILDING PERMIT
SQ. FT. I OCC. I BUILDING VALUATION
Fireplace
Total Valuation $
Filing Fee
Permit Fee
Plan Checking Fee
Energy Plan Checking Fee
Penalty
Permit fee
PLUMBING PERMIT
Each Trap
Solar or heat pump water heater
Water piping
Each qas water heater or vent
Gas piping system 1 - 5 outlets
Building sewer
Mobile Home S I G 11
Permit Fee
Contractor
ELECTRICAL PERMIT
Main service HOOV OR LESS
100 AMP OR LESS
Main service EA. ADD'L 100 AMP
NEW CONST. ( DWELLING OCCUP
OR ADDNS. 1 ACC. BLDGS.
POWER APPARATUS e
SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESIO.) EA.)
Temporary service
Mobile Home Facilities
Misc. Wirina
Permit Fee
Contractor
MECHANICAL PERMIT
Heatina
Cooling
Hood
Ventilation
Permit Fee
Contractor
Mobile Home Installation Fee
Energy Inspection Fee
OCC I CONST TYPE
10.00
10.00
Filing Fee 10.00
10.00
2.50
2'/20sgft
2.50 ea
200SOS
SALO 30
2.00
10.00
15.00
15.00
TOTAL FEE $
CUA I PARK I SCHLLD PAR PD I HD .1 ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By. 1' Date
PERMIT EXPIRES Date
COUNTY OF BUTTE - DEPARTMENT OF P0BLlC'WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFOR, NIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER !f-/ �, .�� 7-r 1 A. P. No.27 -/66 -c;�R
Proposed Building Use % %- Building Inspector Date4!!t �qo
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 ..............
Engineered truss details and layout in duplicate (required prior to plan check)
=11--`09. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .,.................................... .
12. Park fees paid ......
�•3.+-• oc;Ap - School District fees paid ..............
arAal°i P lent
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: ......
Improvements may be required. Contact Land Development Section DPW
Drlvewa - _ Lmapproval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
2 Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
ricultural Acknowledgment Statement ..........
25t5#�feq�ofi-srgabrFe=authorization...................................
26.
27.
When you issue the permit, process as follows: _L--' Mail to owner. Mail to contractor.
9, Telephone.<63!! —3g23and hold for pickup at office. Deliver w/inspector.
Other
ppl icant
Copy of plans sent Health Dept., Fire Dept., Other Date
Date l -9 -/ U
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 of above required data by —phone _maiI—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in . File cabinet AP folder
Copy—DPW
COUNTY OF BUTTE - Department of,Public Works
7 County Center Drive, Orovil,le, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1, I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) signed an application for a building permit
for the proposed work.
3
4.
5.
I have contracted with the following person (fi
construction:
Name
Address
) to provide the proposed
Phone Contractors cense No.
I plan to provide portions of this wor
to coordinate, supervise, and provide
Name
Address
Phone Copt actors License No.
City
but I have hired the following person
major work:
City
I will provide some ofPwork
but I have contracted (hired) the following
persons to provide the ndica'ted:
Name hdress Phone
Signed:
Property Owner a�,�A
Social Security Number
Date 4 =:!; E_�,�
Type of Work
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and,returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 �—_
APPLICATION AND PERMIT `
ASSESSOR PARCEL NUMBER
027-160-020
ZONING
A-5
BUILDING PERMIT
OWNER -
Arthur Gorden & Marion Brown Stich
TELEPHONE
589-3823
SO. FT. OCC, BUILDING VALUATION
OWNER'S MAILING ADDRESS
439 Dunstone Dr., Oroville 95966
2.100 C 27 300.00
CONTRACTOR'S NAME
Owner
TEL€PHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $27,300.00
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE NO.
Filing Fee $ 15.00
Permit Fee $ 229.50
Plan Checking Fee $ 114.75
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
Permit fee $ 359.25
419 niingtirinp Dr-- Oroville
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP.
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other Ramnria
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer f15.00
Mobile Home Is G W 015.00
TYPE OF WORK
New ® Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work:_ Ramada
W/O Permit
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200A OR LESS 18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is In full force and effect.
License No. Classification
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)
F_] 1 am exempt under Sec. , Business and Professions Code
for this reason
Main service 200ATO1000AI 37.50
NEW CONST. ( DWELLING OCCUP.81 3.6Q sq.ft.
OR ACDNS. 1 ACC. BLDGS.
NEW CONSTRULT'-OUTLET
NON-RESID BRANCH CIRCITS 5.00
/POWER APPARATUS &)
(SINGLE OUTLET CIR.
Occup(OUTLETS OR FIXTURES 120@761
EX. OCCU
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring -15.00
Permlt 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 such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT Filing Fee 15.00
Heating
Cooling
Hood 6.50
Ventilation
Permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agains said C unty in co �sequence of a ran ing of this permit.
X ���'�Date �— / �3
Signature of Applicant — OwnerContractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 359.25
HAz
I DFEES
I IMPFLOOD
COF
PARCEL
PD
HD
ISSUE
This permit is hereby Issued under the applicable rovi
P Y PP p
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
Receipt No. 135404 $129.75//
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
OWNER /"/V
Proposed Building Use
PERMIT APPLICATION DATASHEET
--1--G- I� A No. U �--
Building Inspector Date _
J&-4-02_0
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ........................................
Plot plans, 3/4 sets, signed by preparer of plans. .
3, Complete plans, 3/4 sets, signed by preparer of plans. ..................... .
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ..............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehom d to ndd r gnufacturer's installation instructions; 2 sets. ...........
L-�10. Fees of $ �S U ..........................................
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ....................... .
Al, Flood elevation letter (100 year flood) by California Engineer.. .
�' 14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . ........................................ .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about '(A) Improvements (B) Drainage. ......... .
19. Driveway permit (construction approval required prior to occupancy). ...PRS! des on r6qu_eT_-
20. Pre -inspection for required. .. to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ......................... .
23. Owner -Builder Verification (Given to owner , Mail to owner . .......... .
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ......................................... .
29. Documentation of legal access . ..................... :................. .
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
.34.
When you issue the permit r cess as follows: Mail to owner. Mail to contractor.
Telephone d ;�a nd hold for pickup at office. Deliver with inspector.
Other
Parcel Creation,
Acreage Applicant � v�Date Z -/q/73
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
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 _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works 4
KA/MPA
9
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBE
'-02-0
ZONIN
BUILDING PERMIT
O NER
G01?D
OL l2 IU�I N S G
TELEPHONE
Sis 3k 3
SO. FT. OCC. BUILDING VALUATION
ER•S MAILING ADDRESS
3 r&w5 y,5� �liL 01z0 l� 6
d Z
o
C NT ACTOR• M{E�
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
-
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$ 2-7-1
ARCHITECT OR ENGINEER
LICENSE ND.
Plan Checking Fee
'7
$ 41 ,
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING DDRESS
YL �v
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
1 5.00
Solar or heat pump water heater
1 20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
1 7.00
Each qas water heater or vent
7.0
USE OF STRUCTURE n
SF ❑ Duplex❑ Mobilehome❑ Other j�WLA,-
SPECIFY
Gas piping system 1 - 5 outlets
.00
Building sewer
15.00
Mobile Home I S I G JW
@ 15.00
TYPE OF WORK
New Addition 1:1Remodel ElUti lities ❑ Installation ❑ Other ❑
De"scribe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200A OR LESS
1 18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER
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)
❑ 1, 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 200ATO1000A1
37.50
NEW CONST. ( DWELLING OCCUP.yd)
OR ADONS. ACC. BLDGS.
3.fidsq.ft.
NEW. NS
SD BRANTR U TI.OUTIRLET
NON 22S --, CC ITS
@ 5.00
APPARATUS Q
(SINGLE OUTLET C.R. z
Ex. Occup(OUTLETS OR FIXT Es20
@ 754
FIXED
Ex. DCCUp. OUT ETS ( R
(RESJ6.)
3.00
Temporary service IX
15.00
Mobile Home Facilitxs
15.00
Misc. Wiring
g
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 such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee W.66
Heating
Cooling
g
Hood
6.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in a y wa accrue
against said County in consequence of the granting of this permi
X Date `-Z 4
Signature of Applicant — OwnerElContractor E]Agent❑ I
An OSHAwork
over 5't)" deep on demolition or construct-
permit is required for height.
ion of structures over 3 stories in ei ht.
h
Receipt No. — 2
WHITE•D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLa[R e.�PPI if�ur
Mobile Home Installation Fee $
J,
Energy Inspection Fee $
occ
CONSTTYPE
TOTAL FEES ,
HAz
1 11FEES
IMP
r=
I CDF
I PARCEL
PD
HD
IssuE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
COUNTY OF BUTTE - Department of Public Works
•7 County Center Drive, Oroville, CA 95965- Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this.information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) 04 signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have.hired the following person
to coordinate, supervise, and provide the major work:
Name
Address. City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address . Phone Type of Work
Signed: ��?.,�.� ��'21',,11'1&i
Property Owner
Social Security Number
Date 2-
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 -of -the California Health -and Safety Code.
This verification must be completed and'returned to our office before we are per-
mitted to issue the permit.
£OLJ*TY OF BUTTE - DEPARTME NT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERM( O.
l
ASSESSOR PARCEL NUMBER
027-160-020
ZONING
A-5
BUILDING PERMIT
OWNER
Arthur Gorden & Marion Brown Sitch
TELEPHONE
589-3823
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
439 Dunstone Dr. Oroville 95966
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING A.ODRF_SS
027-16-0-020 93-317 MHI
ARCHITECT OR EI SITCH, ARTHUR & MARION
ARCHITECT OR EI 439 DUNSTONE DR, OROVILLE
MHI
BUILDING ADDRE:
Filing Fee
$ 155.00
Permit Fee
$
Plan Checking Fee
$ 20.00
Energy Plan Checking Fee
$
Penalty
$
Permit fee
$ 35.00
419 Ehinstonp Dr., Oroville
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome[2 Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
1 15.00
Mobile Home I S FIG W
015.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lationEX Other ❑
Describe work: MHI 2 Bedroom _
�p
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
18.50
CONTRACTORS LICENSE LAW
penalty perjury I declare under enalt of j
y (Check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
ryyl
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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
Main service 200ATO1000AI
37.50
NEW CONST. ( DWM ELLING OCCUP
OR ADDNS. ACC. BLDGS. //
3.64 sq.ft.
NEW CONSTR. ULT I -OUTLET
NON-RESID BRANCH CIRCUITS
5.00
/POWER APPARATUS e1
(SINGLE OUTLET CIR. /
EX. OCCU P OUTLETS OR FIXTURESF
20 76
AL P 46
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID,) EA.)
3.00
Temporary service
15.00
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 such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
Hood
6.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agai said ountyXC
'nsequencfh�e granting of this permit.
���%�%(o Date 2 "'�—%3
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S 70.00
Energy Inspection Fee $
occ
CONST TYPE
I TOTAL FEE $ 105.00
HAz
DFEES
IMP
FLOOD
CDT
PARCEL
PD
HE
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi
resolutions to do j
have been paid.
WORKS
Date
Receipt No. 135404
WNITC-D.P.W., YCLLOW-A59E9sOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
� „!, '�. 'J ,.•rt: k-,.i.`�.�r �,.,r..yJ`�"i •..r._+f,;.. ,... .y, ..�y•., .. � ,.,. r ..�.. fir_ ,. ... , �,
COUNTYOF BUTTE - DEPARTMENTOFDE.VEEOPMENTSERVICES -BUILDING DIVISION
7COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER
Proposed Building Use Building Inspector . Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted. ...... _ .............................. .
2. Plot plans, 3/4 sets, signed by preparer of plans. ..........................
3_ Complete plans, 3/4 sets, signed by preparer of plans. ......................
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ............. .
5. Hazardous Material Form. ........................................... .
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non-Heated and A/C Buildings. ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ ..........................................
11. Impact fees as shown on attached schedule.
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer. ................. .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit..........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). . .
20. Pre-inspection for required. .. o s�" * lo; r6doat (Date)
21. Contractor's license information. (No., Name Style, Classification). ..............
22. Certificate of Workmans Compensation Insurance. ..........................
23. Owner-Builder Verification (Given to owner , Mail to owner _). .......... .
24. Recorded copy of Agricultural Acknowledgement Statement. ..................
25. Letter of signature authorization.........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
Letter of intent on building use..........................................
28. Mobilehome utility clearance...........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements
..........
xisting violations/expired
32. Plan check list . .....................................................
33.
34.
When you issue the perinloss as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at _� ��2 - office. Deliver with inspector.
Other
Parcel Creation Acreage Applicant�����_A?00-kate
z
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
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 _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE - DEPARTME'NT'OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESS ARCEL NU B R
—Q _0 2(�
ZON
;7<
BUILDING PERMIT
°�
/ pj
T?
07� Y23
SO. FT. OCC. BUILDING VALUATION
OWNE MAILING ADDRESS
-3 ,�S E t 6t Det d 9
CON�RNTAC70ij'? Iy1pM E�
ADDRESS
TELEPHONE
CONTRACTOR'S MAILING
F i rep I ace
CONSTRUCTION LENDER -
UNKNOWN
Total Valuation Is
Filing Fee.
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ Q • Q O
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
. BUILDING A DRESS
Permit fee
$
PLUMBING PERMIT Filing Fee 15.00
Each Trap
I 5.00
Solar or heat pump water heater
20.00
LOT NO. SUBDIVISION NAME PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USOF STRUCTURE
SF ❑ Duplex[] Mobilel e,� Other
i—� SPECIFY
Gas piping system 1 - 5 outlets
5.00 _
Building sewer
15.00
Mobile Home S I G I W 1 1
@ 15.00
TYPE OF WORK
New ❑ Addition[] Remodel ❑ Utilities ❑ Installati0 Other ❑
Describe work: Al n c;2 &Z2
I
I-
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600vORLESS
200A OR LESS
18.50
Main service 200A TO IOOOAI
37.50
CONTRACTORS LICENSE LAW
I declare under penaltyof perjury (check one):
P I Y )
❑NON.RESID
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I. as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. / DWELLING OCCUPM
OR ACDNS. 1 ACC. BLDGS. //
3.64sq.ft.
NEW CONST R. U I.OUTLET
BRANC CIRC ITS
5.00
POWER APPARATUS a
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES20
@ 76d
FIXED
Ex. Occup. OUTLETS P(RESID.)REAJ
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. 4Yirin 9
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
1 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.
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
Cooling
g
I Hood
6.50
I Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this perm't.
X Date
Si nature•of Applicant - Owner
9 PP ❑ Contractor ❑ Agent ❑
An OSHA
ion of structures over 3Qstories o`in/he ghf Ions over 5'0" deep and demolition or construct-
Mobile Home Installation Fee S , Q
Ener Inspection Fee $
9Y P
occ
CONST TYPE
TOTAL. FEES
HAz
DFEES IMP
FLOOD
COF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
0c q0'�'1
wVITC-O. r. W., YELLOW-Ae e(33011, PINK -INSPECTOR. GOLD CN ROD-APrLICANT
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION
7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE (916)5387541
ti;iaNER
A.P. N0. 67 -77
FROPOSED BUILDING USE
DATE 2--./q
zq
V 1. School Distric Fees
(paid at District Office)
2. Sheriff Fees
(paid.at-Building Department)
Residential .. .....
t amt.
Commercial(per sq.ft.) X =$
sq.ft. amt. -
3. Urban Area Fees
(paid at Building Department
Residential (per unit) X =$
� units amt.
Commerical(per sq.ft.) X =$
sq.ft. amt.
4. Recreation District Fees
(paid at District Office)
5. Drainage District Fees
(Contact Land Development)
6. Other
7. Other
REC. # DATE_ REC
A" time of permit application, I was advised the above fees are required to be paid pr-;o7-
:o
r'=o issuance of the permit.
2PLICANT
DATE
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and.return this information at your earliest opportunity to avoid
unnecessary delay *in processing and .issuing. your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address . Phone Type of Work
Signed: •�
Property Owner '
Social Security Number
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831'and
19832 of -the California..Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND'PERWT
ASSESSOR PARCEL NUMBER
027-160-020
ZONING
A-5
BUILDING PERMIT
OWNER
Arthur Gorden & Marion Brwon Sitch
TELEPHONE
589-3823
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
439 Dunstone Dr., Oroville 95966
CONTRACTOR'S NA— - - - – - ---- - -
Owner ELEC
CONTRACTOR'S "GAS
CONSTRUCTION L-IOMPACTION TEST REQ
SUPPORT STRUCT REQ
LENDER'S MAI LIN
T
ARCHITECOR Er. 027-16-0-020 93-316 P' E
SITCH, ARTHUR & MARION
ARCHITECT oR Er.3439 DUNSTONE DR, OROVILLE
BUILDING ADORES MH UTILITIES
4 Dunstone Dr. Oroville
Fireplace
Total Valuation$
Filing Fee
Permit Fee
$
Plan Checking Fee
$20.00
Energy Plan Checking Fee
$
Penalty
$
Permit fee
20.00
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome[R Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W 12
015-00 30.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities® Installation ❑ Other ❑
Describe work: MHU Replace #2312-84
Permit Fee
$ 45.00
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 2OOAORLESS
1 __I8.50118.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSlness
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)
El 1, as the owner, am exclusively contracting with licensed contract -
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
Main service 200A TO IOOOAI
37.50
NEW CONST. DWELLING OCCUP. y\
OR ADDNS. ACC. BLDGS. /
3.6Q sq.ft.
NEW CONSTR. U TI.OUTLET
NON ESID BRANCH CIRC ITS
@ 5.00
/POWER APPARATUS 61
SINGLE OUTLET CIR. /
Ex. OCCU p OUTLETS OR FIXTURES
20 76
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA.)
3.00
Temporary service
15.00
Mobile Home Facilities
15. 00 15.00
Misc. Wiring
-15.00
Permit Fee
$ 48.50
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.
lC� I shall not employ any person in any manner so as to become subject
�f• 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 15.00
Heating
Cooling
Hood
6.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against aid County inAopisequence of ant'ng of this permit.
X Date ^ 9 23
Signature of Applicant — OwnerContractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
CONST TYPE
I TOTAL FEE $ 113.50
MAZ
1 11 FEES I
IMP
I FLOOD
I CDF
PARCEL
PD
HO
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
Work indicated above for which fees
DIRECTOR OF PUBLIC
BY
PERMIT EXPIRES Date
applicable provi-
resolutions to do j
have been paid.
WORKS
Date
Receipt No. 135404
WHITE -O. P. W., YELLOW-A9HE390R, PINK -INSPECTOR, GOLDENROD -APPLICANT
I� COUNTYOF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
Y" <
7 COUNTY CENTER DRIVE - OROVILLE, CALIFOt&IA'95§65 - TELEPHONE (916) 538-7541
PERMIT APPLI /CATION DATA SHEET
!TI—�
OWNER V x,11 VT I -(0,v � 1 �fi�-� A, P.,No.0-2-7- 6
Proposed Building Use f/// fi ( -1 Building Inspector V red Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
' DATE RECEIVED BY
1. All items have been submitted . ......................
2. Plot plans, 3/4 sets, signed by preparer of plans. ........ ............... .
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
A. Engineered plans and calcs, 3/4 sets, with wet signature on plans. .........'�.... - f
5. Hazardous Material Form . ........ .... ..................
6. Energy Design Compliance and supporting td6cumentation.) !:............
7. Statement of Intent for Non-Heated+and A/CBuildings. .............. -
8. Engineered truss details and layouduplicate licate (required prior to plan check). ... .
9. Mobilehome data,andymanufacturer's installation instructions,'2 sets. ...........
(Fees of $_ ............................... .
42 '1. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ....................... .
Flood elevation letter (100 year flood) by6alifornia Engineer. ...... .......
Q l�
Sanitation and plot plan approval Health Department. -,/ .......
City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. ............. .'
17. Planning approval for (A) Use: (B) Parking:
Contact Land Development about (A) Improvements (B) Drainage. .......... r
nveway permit (construction approval required prior to occupancy). :............
Pre -Inspection reques
M.Pre-inspection for required. .. to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _). ...........
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of,si 'nature authorization. L'..
26. Copy of recorded deed�of:parcel`creati n and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . ................. V ...................................
33.
-34.
When you issue the permit process as follows: Mail to owner. Mail to contractor.
Telephone - and hold for pickup at D 4eO office. Deliver with inspector.
Other
Parcel Creation '--'7IqT
Acreage Applicant4� Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
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. 14, /9;
2. Additional items required:
Contractor, designer, owner, was advised of above required data byhone _mail Counter by,Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC- WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSE ARCEL MBER
—��
ZONING
57
BUILDING PERMIT
WNER
EN p 0,t1ewbeJ S l
TEL PHONE
�3
SO. IT. OCC. BUILDING VALUATION
WN R'S MAILING ADDRESS
3 R V9_
CC5NT��{ACTOR'S E
TELEPHONE
CONTRACTO'R'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ '
LENDER'S MAILING ADDRESS
Filing Fee -
$ - 0
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ O V
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUIL;Z ADDRESS -'
49
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
1 5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE _
SF ❑ Duplex[] MobilehomeX Other SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home - SA L5Y 1@
15.00 , QG
TYPE OF WORK
New❑ Additiorw❑ Renmodel❑ Utilities Installation[] Other E]
Describe (� �� /�� Z ' 73
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 200A TO IOOOA1
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ 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 CONST. ( DWELLING OCCUP.EI\
OR ADDNS. ACC. SLOGS. II
3.64sq.ft.
NEW CONSTR. MULTI -OUTLET
NON.R ESID BRANCH CIRC ITS
@ 5•00
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 @ 760
FIXED
EX. Occup. OUTLETS 4RESIO )REA.)
I 3.00
Temporary service
1 15.00
Mobile Home Facilities
15.00 O O
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 such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
g
Hood
6.50
Ventilation
penult 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 OT
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 whichmay in any y accrue
against said County in consequence of the granting of this permi .
X Date w
Signature of Applicant — owner❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct•
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
_
TOTAL. FEE $ ��rS
HAz
DFEES
IMP
FLOOD
CDF
PARCEL
PD
HD
IssuE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES, Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
J
Receipt No. ��� , (��, (.
I �( �-I
WNITt-D.P.W.. YtLL0W-A3e C330R. PINK•IN3PCCTOR. GOLO[NR0D-APPLICANT
COUNTY OF BUTTE - Department of public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return.this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your bui.l.ding.permit. No building permit
will be issued until this verification is received.
1,. I personally plan to provide the major labor and materials for -.construction of
the proposed property improvement (yes or no)
2. I (have/have no signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of.this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address . Phone Type of Work
Signed: ,RL
Property Owner _4�J
Social Security Number
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
-19832-of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
17 - 3- 9y
n.o mJ>-vab(e w 0 �Jc 23 /Z-64le
/
/U ,(7a c� Ler %l,,v fyl N� s cv/o /�t'••�i `z -20 -8 9
COUNT TY . OF BUTTE - DEPARTM1 T OF' PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965
Arthur Sitch
439 Dunstone Drive
Oroville,CA 95966
With reference to the above subject:
PHONE: 916-538-7541
DATE April 110 1990
RE: Permit appin #73-90 for mobilehome
A.P.'# 27-16-08
Attached is:
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced
OTHER
We need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check e_-cemption statement.
Contractor's License Law information or check exemption statement.
Complete plans in including plot plans.
Plot plans in triplicate ,
Structural details in
Complete plans and calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land. Development Section (DPW),
sets of plans in accordance with the changes marked in red.
Sanitation approval from Butte County Health Department at:
196 Memorial Way,*Chico
7 County Center Dr., Oroville.
Skyway &.Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7 County. Center Drive,
Oroville, for
Completed Owner -Builder Verification form.
Recorded copy of deed showing
Recorded copy of agricultural acknowledgement statement.
Recorded Parcel Map
OTHER
Should you have any questions concerning the above, please contact Bob Keith
of this office.
Yours very truly,
JFG/aj
William Cheff
Director of Public Works
,J.F. Glander
Chief Building Inspector
Jim
Chuck went back out on this violation. He found
that the violations are on 27-16-08. He said
there is a ISI being lived in on the upper portion
of the parcel (probably the one under David Wood).
Also, o e lower portion of the parcel there
are t o 5nverted
and a building that looks like it
has been to a living unit.
Anne 4r -
1/20/88
L1/20/88 b
11
V
COUNTY OF BUTTE
Department of Public Works
ti 7 County Center Drive
Oroville, California
GRADING PERMIT FEES (effective 11/8/79)
Plan -Checking Fees:
50 cubic yards or less ------------------------------------------------ No Fee
51 to 100 cubic yards ------------------------------------------------- $10.00
*101 to 1000 cubic yards ______----------------------------------------- $15.00
1001 to 10,000 cubic yards -------------------------------------------- $20.00
10,001 to 100,000 cubic yards ----- $20.00 for the first 10,000 cubic yards plus
$10.00 for each additional 10,000 cubic yards or fraction thereof.
100,001 to 200,000 cubic yards ---- $110.00 for the first 100,000 cubic yards
c
plus $6.00 for each additional 10,000 cubic yards or fraction thereof.
j200,001 cubic yards or more ------- $170.00 for the first 200,000 cubic yards
plus $3.00 for each additional 10,000 cubic yards or fraction thereof.
4114,
COUNTY OF BUTTE - �"AFVMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
AGRICULTURAL BUILDING EXEMPTION PERMIT
Agricultural building is defined as follows: Agricultural building is a structure designed and construMd to
house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not
be a place of human habitation or a place of employment where agricultural products are processed, treated,
or packaged, nor shall it be a place used by the public.
ASSESSO P RCE NO.
r—
1z 4
ZONING
--S
OWNER
PHONE NO.
OWNER'S
tADDRESS
T
LOCATION OF BUILDING
USE OF BUILD NG
S all L
i
SIZE OF STRUCTURE
x _ %fl 4917 SQ. FT.
TYPE OF CONSTRUCTION:
�4 ST
WOOD FRAME EEL CONCRETE OTHER (Specify)
TYPE OF SIDING
ROO COVERING ,
FLOO
YPE
ESTIMATED COST OF C�Q�ISTRUCTION
��/
$
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as follows- r r
S (il
-_ r
FRONT SIDES REAR
-
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet
from a mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and
a mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated above and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect at that time and before occupancy.
Date C Signature of Owner Z�_
.vi
Permit Fee - $25.00 The above described AG Building -is exempt from a building permit.
Receipt No. C) Director of Public Works
By. Date
White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant
OWNER
., �`;;: ..
COUNTY �OF BUTTE - DEPARTMEK#T_6'F_'_0uI3:LIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
- PERMIT APPLICATION DATA SHEET
�-� ,_ Permit No.
A. P. No.
Proposed Building Use,
Permit Fee Based Upon
Complete Price . LD'PW Valuation Ve�
I J OY or (Eycfplain)
Building Inspector � Date w. r �"
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED t APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate/triplicate. . . . . . . . . . .
3. Complete plans in duplicate. /triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept. . .
11. Planning approval for (A) Use: (B) Parking: .
12. Certificate of Workmen's Compensation Insurance... . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ )
15.. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . .
.
17. Pre -Inspection for RequiredPre-Inspec. request to
. Building Inspector _(pate)
18. Other
When you issue the permit, process as follows: ail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other /?
A p p I i c a n t 4%i i � j/��/` Date q//
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By Date
Plans checked by.
Plans approved by
Other
Copy—DPW
Date
Date
PERMIT NO. 2312-84P E(MH)
PERMIT EXPIRES �` �✓
OWNER Arthur Sitch
CONTR.. owner
ASSESSOR PARCEL 27-1'6-08
LOCATION 438 Dunstone, Oroville
tO C S. "VO4- a fI. e-,
LVu w �g �vu • a( oivC . T
�cc.J ND} �oCu"fe— extV
P
C7 r
Temp. Power Pole_
Called PG&E _
Temp. Elec. Service
Called P,1
Temp. Gas Se
Called PG
JOB FINALEI
Signature
bei' 41/,o� V S7 -
J c OK
O = Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -.Easements
2. Footings; Size-Cepth-Spacing-Connectors
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Con nec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec. `
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Date - MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except q's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip.- Pool, Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Tes:-Water Supply Test
Card -BI
Date Card -BI Date
Card B -I Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK
O = Not OK
- = Not Applicable
* = Not Ready
' .0
RESIDENTIAL (Sing.le and Duplex)
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel -B lockouts -Wrapped -S lab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test-Anchors-Regulator-Seryice Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except q's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except #'s
14. Water Ht.; Vent -Access -Combustion Air
15. Water Pipe; Test & Anchors -Nail Protection
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
Card -BI
Date Card -BI Date
64.
65.
Elec. Outlets at Wood Panel; Int. & Ext.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
67.
Elec. Outlets & Receptacles at Kit. Counter
Garage Fire Door; Swing -Landing -Closer
Date
ELECTRICAL Permit OK except q's
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21. Elec. Receptacles Spacing -Lights & Switches at Doors
22.
Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec. & Mech. Equip. Listed for Location
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic E] Yes
25.
2 Appliance Circuits in Kitchen & Conductor Size
73,
Guard Rails & Deck Construction -Post Caps
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
Fdn. Vents &Crawl Hole Door -Drainage &Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes El No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Pibg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B-1 Date Card -BI Date
Date
MECHANICAL (Permit) OK except q's
31. A.C. Ducts; Insulation & Support
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING Plans OK except q's
Comments at Final:
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
43.
44.
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rflr. Ties-Purlin-Roof Brac.-Truss-Sh_thng.-Rfn_g_.__
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: Anentry must be made each time you visit job site)
JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Californf,4 95965 - Telephone 916/534-4541
APPLICATION- AND PERMIT
PERMIT NO.
� a -
ASSESSOR PA EL NU BER
t—
ZO WG
.�
BUILDING PERMIT
OWNER
TELEPHONE
SQ.FT. OCC.1 BUILDING VALUATION
OWNER'S AILI ADD 5
V S
CONTRACTOR'S NAME e,n
W
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRE S
Permit fee
$
BUILDING ADDRESS
C
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
Ir„�/
SF ❑ Duplex❑ Mobilehome Other
SPECIFY
Building sewer
5.00
Mobile Home
10.00 e
TYPE OF WORK
New ❑ Addition [:1Remodel ❑ Utilities C Installation ❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service j00 AMP OR00V OR LESS10.00
0
1
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.&
OR ADDNS. L ACC. BLDGS.
2h0sgft
CONTRACTORS LICENSE LAWNEW
I declare under penalty of perjury (check one):
F1NONRESID,
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
[, I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contractIV -
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
CON5TR ULTI.OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
NEW—CONSTR. POWER APPARATUS .&)
&
SINGLE OUTLET CIR
ExOccu zo@soa
. p�OUTLETS OR FIXTURES BAL®30
FIXED APPLNS. OR
EX. OCCUp. OUTLETS (RESID.) EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiri g
15.00
S,
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
f Consent to Self -Insure.
shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
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 agrees to save, indemnify and keep harmless the County of Butte against
all liab I s, 'Udgments, costs, nd expenses which may in any way accrueJEJ
again s 'd un y ' qu of the granting of this ermit.
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ��
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ 9 J
OCCUP. GROUP TYPE OF CONST.
PARCEL
D N
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR CTOR O PUBLIC
BY r
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date��
T
Receipt No. oZ J `f'
'
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
PONE R R. OF AT
Return to DPW AGRICULTURAL STATNT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEJELOPMENT
Section 26-8.1 of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building permit.
.OFFICIAL RECORng
?BUTTE ,'.ORO L'0(ih'TY C4t.l
S f3EUESTE: g�
JUL 16 II 53 fiN 1984
The property described herein is adjacent to land or included CLERK - R{cclfi ;CNr'
with -in an area zoned for agricultural purposes, and residents of this 4� ^� property may be subject to inconveniences or discomfort arising from 697 Q__
the use of agricultural chemicals, including,.but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit of agricultural operations including, but not lim
ite
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate duIstd
,
smoke, noise, and odor. Butte County has established agricultural zones which have as a
priority use for productive agricultural purposes, -and residents within said zones and on
adjacent property should be prepared to accept`s
necessary farm operations. uch inconvenience or disconform from normal,
All that real property situate in•the County of Butte, State of California, described
as follows:
Belli 1111iI1y at till` �„lllhl:'0SL
C„1'lll'r <,(
.q�: rt 1)e(I .111 "0 I)t (`ll t tT l ti 1 Uil ll I. I \'t'.
II"'ds,
iIl!>SIOrI O�1V(' OrCI1iI'd (.011lpd111' Tract, as de—
l l
01-i'luird (:cll:rl:tny
;It I' 1)'•t't,i Cu((r
►<< lrrlt' buunclrlrl'
r.ccorded in P,00k 1?_7 of
1', (*;Il iCc,rnirt;
,rt "did ;ii:;:;i, n Irl'i.vc�
(:uu11L1' ku;ld .:Intl lllit, u,ntl I
thence ;\Orth :11on<•
Or<h:lrcl t:c,nlprtnv 'I'r �, the
.pct to Pl.issioll
inl
(dive
N07 COMPARED \NITH
0MGINAL'0OCUMEN1..
t
Date:
PROPERTY OWNERS:
State of ) On this the " day of
County of ) SS• me, t� and iigned.Notar�i
1 /, before
p lie, rsonally appeared
known nown to roe.
_ /1117 Proved to me on the basis
to be the of s tisfactory evidence.
� person(s) name s
e within instrument and acknowledge ?Isl b cribed to
OFFICrqL SEq1, owledged that
KATHRYN L. RAGE ecuted the same for the purposes t1. hereincontned
NOtBUTTEIIOU CALIFORNIA WITNESS WHEREOF, I hereunto set- my hand and offs al seal.
d,
! MY commission E�EreS�U1VTY
P auno 19, 4987
Notary Public
Present A.P. No. ��7 --- f �,;, O �'
NT OF PUBLIC WORKS
PERMIT NO.
r! •.
ELEC q 35965
- Telephone: 915/538-7541
GAS- PERMIT
COMPACTION TEST REQ
SUPPO$T STRUCT REQ o
• 027-16-0=020 93-316 PIE —
SITCH, ARTHUR &MARION "
-BUILDING- PERMIT
SO. FT. OCC. BUILDING VALUATION
3439"DUNSTONE DR, OROVILLE
IIII UTILITIES
Fireplace
tea' W
Total Valuation $
_cNDER'S MAILING ADDRESS
Filing Fee $
Permit Fee $
ARCHITECT OR ENGINEER
LICENS
Plan Checking Fee $
20.00
'i
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAIL17 ADDRESS
\
Penalty $
BUILDING ADDRESS
Permit fee $0.00
PLUMBING PERMIT Filing Fee 15.00
439 Dunstone Dr. 0 i le
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
7.00
Each qas water heater or vent7.00
USE O -ST UCTURE
SF ❑ Duplex❑ Mobilehomea Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G JW I
15.00 30.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities[E Installation[] Other ❑
Permit Fee $ 45.00
Contractor
Describe work: MHU Replace #2312-84
ELECTRICAL PERMIT Filing Fee 15.00
6Main service 200A OR
00AAOR LESSS
18.50
1 18.50
Main service 200A TO IOOOA)
37.50
-
NEW CONST. DWELLING OCCUP.8i1 1
OR AODNS. ACC. BLDGS.
3.64 sq.ft.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
as the owner, or my employees withwages as their sole compen-
will do the work,and the structure is riot intended or offered
for sale. (Sec. 7044)
NEW CONSTR M ULT'_OUTLET
NON-RESID BRANC CIRCUITS)
@ cJ 00
POWER APPARATUS 6
SINGLE OUTLET CIR. I
Ex. Occup( OUTLETS OR FIXTURES03.00
FIXED APPLNS. ORI,
Ex. Occup. OUTLETS (RESID.) EA.�sation,
Temporary service
Mobile Home Facilities
15.00
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
Misc. Wiring
-15.00
❑ I am exempt under Sec. , Business and Professions Code
Permit Fee
$ 48-50
for this reason
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
MECHANICAL PERMIT
Filing Fee 15.00
Heating
❑ 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 sous to become subject
Cooling
Hood
6.50
Ventilation
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.
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Mobile Home Installation Fee
S
Ener Inspection Fee
Energy
$
occ
CONST TYPE
TOTAL FEE -$ 113.50
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
HA2
0FEES
IMP
FLOOD
CDF
PARCEL
PD
HD
ISSU
ainst aid County in o sequence of ant'ng of this permit.
This permit is hereby issued under the applicable provi-
si ons of the Butte County Code and/or resolutions to do
sions
work indicated above for which fees have been paid.
O
Date / l 3
Signature of Applicant — Owner Contractor ElElAgent
1
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories In height.
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
WORKS
Date
Receipt NO. 135404
COUNTY OF BUTTE - 'PARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
7
3- ?Q
ASSESSOR PARCEL. 7 — fib p t% UMBER �,
-� o
NG
'Op
BUILDING PERMIT
OWNER
14 4
TELEPHONE
58 7 -3 Sz3
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
vK
CONTRACTOR'S NAME
TELEP ONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
. iling Fee $ '
LENDER'S MAILING ADDRESS
Permit Fee / $ p 8
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Che g ee
E$.
Enerypfan C. Ing Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Pen I $
BUILDING ADDRESS
Permit f e $
BING PERMIT Filing Fee 10.00
Ea AMP 2.00
b_S9
N lur heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME PAR
Wa r piping 5.00
E ch qas water heater or vent 5.00
USEOF ST
SF ❑ Duplex❑ Mobilehome Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home G O.00e p_00
TYPE OF WORK
New❑ Addition❑ Remodel❑]Frl Utilities /Installation❑ Other[–].
Describe work;ls, B �K_H Li.— _
T
Permit Fee $ 40,WJ
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 100 AMP ORV OR LESS10.00 �11.da
Main service EA. ADD'L 100 AMP 2.50 eo
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
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
ElCyfor sale. (Sec. 7044)
ors. (Secas • owner, am exclusively contracting with licensed contract-
7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&OR ACDNS. (Ace. BLDGs. ) ,h¢sgft
NEW CONSTR. RANCH CIRCUITS)
NO ESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS
( &SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES 20®e0¢
SALO 30
FIXED APPLNS. OR
Ex. OCCUp- OUTLETS (RESID.), EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 . 0
Misc. Wiring 15.00
Permit Fee $ v
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F] 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.
Contractor
MECHANICAL PERMIT FiIingFee 10.00
Heating
Cooling
g
Hood 3.00
Ventilation
permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in an wa accrue
again�'dCountyn c9J�seque ce of he granting of this XN ,� Dae ! — —
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ J
ALL
HAz
J_.SUA�
PARK
ELD PAR
PD
HD
IssuE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
t
By �.� Date
PERMIT EXPIRES Date
Signature of Applicant — Owner, Contractor ❑ Agen
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Receipt No.,55-/ V 2
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
+-r c -r .c Tae-•4-•Y'evc.��„,� �N+34`:4["'aa.�rrK airtf."6c ase. •- .�+.r'7� .'lj. •.i r`..nr;W� Tom..-..+rk•.'aT`y&"";..ir-'�;�,i'li"'Y`S�,,,�,r �Aa�M1^Y.+1�'� i°�ry'!�'-i�"'�^t_ ."".�.�
COUNTY OF BUTTE - DEPARTMENT'.OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT. -APPLICATION DATA SHEET
Permit No.
OWNER�t '
� e �� � � � A. P..No. �.-�– �dy-y$ �
Proposed Building Use �� �/L _ Building Inspector, Date T 10
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
All items have been submitted. )
2. Plot plans in duplica riplica e, signed by preparer of plans........ 11r
3. Complete plans in duffIcacate, signed by preparer of plan
4. Complete engineered plans and calcs, with wet signature on, plans .t Ate
5. Hazardous Material Form ................
6. Energy Design Compliance and supporting documentation .`.......l►
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 man ufacturer'sinstallati'oJn
instructions ...... /!
10. Fees of $ . Jl' .. !� �tl'.... ....... .
11. Chico Urban Area fees paid....................I.0......../.........
12. Park fees paid ....................................................
13School District fees paid ..............
'Sanitation approval from �y�,/t.e� Health Department 1'10-S0
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: ......
19Improvements may be required. Contact Land Development Section DPW
. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
' Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
5. Letter of signatur aut rization .. ........................... .
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephon – and hold for pickup at • office. Deliver w/inspector.
Other
/ApplicantYDate —
Copy of plans sent Health Dept., '' \Fire Dept., Other Date
The following data must be submitted prior to permit issuance: ( ircI n w item not checked above),
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advlsedA6f above required data by_phone_—jnail—counter by ..date
Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date
Plans checked by 4)—_Date LJ I Plans approved by Date–
Sets of plans on hold in File cabinet AP folder
Copy—DPW
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage Disposal _
Hold final for:
Final clearance O.R. for:
Clearance for bedroo mobil home. Other
NOTE * * *
Sanitarian
Water Supply
Water Supply
Water Supply _
Date
' A setback of 5 ft. from the
0 property lines and a setback
of 50ft. from the road
.c
centerline shall be clear of
structures or equipment except
for a 2 ft. eave overhang.
Utility connections shall be within
4 ft. of the mobilehome, either
directly behind or within the rear
half s9saW&s0F& of the
mobilehome.
500 SQ. FT. MINIMUM NOTE:—All Materials & Workmanship Shall Be r i
Accordance with Recognized Good Practices a 11
n
FOR MOBILES of a quality prescribed for the Specified use in th
Uniform Building, Plumbing & Machanical Codts an
The National Electrical Code.
l
I WS set of plans and specifications MUST b@
ori the job at all times and it is unlawful t®
anv changes or alterntions on sam without
Wolten permission from the Depaf4hienf of h6he
V"rks, Cnunty of Butte.
1
N�J',�+'M new v. t< . ,. � 4t +'►�?,�.fi� c ��'
*M
—-
A setback of 5 ft. from the 7
_
ri` ; property lines and a setback
of 50ft. from the road
centerline shall be clear of
x
structures or equipment except s
y �•
r
x.5,•.
•t'- •� �, for a.2 ft. eave overhang.
p
1
,
Utility connections shall be within
"
4 ft. of the mobilehome, either
} .directly behind or within the rear
";
`;'° :
i -=•
`. s
` ., haif mWesimmis of the
a
rriobilehome. '~
{ .
!r [ , '''
'.. :P : a•:3n...
f f � .. .. -
f/L r _ - - :
. .-
Iy
ij
V. 3
-�- F
'
NOTE:—AII 9 '
500 SQ. FT. MINIMUIV� Materials & Workmanshi
Accordance with Recognized Good Prodigy
FOR MOBILES of
'
+' a quality -prescribed for the Specified
use in the."'
Uniform-Baitding,� Plumbing & Machanical
Co
he;Notional. Electrical
r
_ Code. '°n
.aN1r•
.a.t.q..,..=..�.m�+•.e•.n .s,.nt.¢•r....,..�.Ly _�a.«...W a.,.44W.}.: _ — ,may .. f
itis set 'of plans and specifications MUST 6@
r
on the iob at all times and It Is unlawful to
srsi anv changes or alterations on sem@ withOU .
`
wn , 'en permission from the Departmenf of Pul:iIic ` x
Works. County of Butte.
f o
r..f+ "4,;, " d,.
-
08
:t Iro
'7N A setback of 5 ft. from the
property lines and a setback
of 50ft. from the road
centerline shall be clear of
w•1- a .. .. _
�� ',S��Y. i r a _ ' C X rte• ... • rJ ''
structures or equipment except
for a 2 fteava overhang.. '" .����'"s' :F, ,.4Y. '4- .� •. • . � `' :' •.' ' . 1
Utility connections shall be within
4 ft. of the mobilehome, either
t, 7r directly behind or within the rear
haff of the _
mobilehome. r ,
fir, y .' h''�. `� { ,, �"k.�r �- - -- - - = - io .. `' � �e•..•::¢,.:` :i
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VOTE:—AII Materials
;500 SQ FT. �MINIMUt4. � & Workmanship Shall
Accordance with Recognized Good Prac+fices an ;
,FOR MOBILES qualify } , t •. ,t; r : of a q y prescribed for the Specified use in th
Uniform -Building, Plumbing & Machanical
C0
d66 an
v _ the ;National. Electrical Code.
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I
! Yetis set of plans and speciffcatlams MUST 6@
on the iob at all times and if is olawful f®
orrake anv changes or alterations on Sant@ wi#hell#
%4fen permission from the Deparfm6n} of public
Works, County of Butfe.
•tic 9r+�,'�' it ...r.,$+t _ti i.,E�Yr!r�•vr.'.�'iermM-n�aid..5'J,:��`:��-40,.,,.3,4�t,"i�:C.' i!fy`,�
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A setback of 5 ft. from the -
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property lines and a setback
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of 50ft. from the road
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centerline shall be clear of
structures or equipment except
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for a 2 ft. eave overhang. -'
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.f. ", Utility connections shall be within
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4 ft. of the mobilehome,
either
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r{, directly behind or within
the rear +
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;;500 SQ. FT.'MINIMUM
VOTE:—All Materials & Workmanship Shall
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FOR MOBILES `
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ccordance with Recognized Good practices
3
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of a quality prescribed for the Specified
s
use in th
Uniform -Building, Plumbing & Machanical
„
Co
Ae.,National Electrical Code. °�
• l
I
I ! Tai's set of plans and specifica+i®na MUST N
I ori the iob at all times and it it o1gW#U) #@
I 14?MAe anv changes or alters,+ions on germ@ WltheU#
Wdii`fien permission from the Deparfinen+ of Pu6ha r
i
Works,County of Butt
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This set of plans and specifications MUST be
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kept on the job at all times and it is unlawful te
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make any changes. or alterations on same with-
I un
out written permission from the Department of
Public Works, County. of Butte.
NOrb—All Maforlals A Workmanship Shag Be IV
44
Accordance with Recognized Good Prcctices- and
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of a quality prescribed for the Specified us9 in the
Uniform Building, Plumbing & Mechanical Codes
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and
-the. National Electrical Code.
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