HomeMy WebLinkAbout027-250-0300
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27-25
i Steve Berr man - �2% �2y�
'
;SIS Almy App.3/.10 i of�E-tr-. ii
r. Pate-r�mo �7
Pe mit -77B,PP (nerrwLSiLng _
anvil ) I ti} _N ,
02-3487. Z 027=250-030
------ RAYMER, ROBERT
ew Owner INALE
VE;PALERM2878,ALMY
J6hW-:Mi11s''
?
�_,. c,•
i
a f:
j S/,W corner @ inters. Almy Avenue ;and
• CONT: JEREMY HANSON=
Homestak�''e��Rd, Palermo ' EX MH PERM'FNDN , ,s,,.
I Permit-,#13+0-82P,E (uti]�,MH)
i j _ G
Electric -$Z ' 2vvW
Gas %Z' &Z S' -34 ' GPC
Support structure Te
-- — -� rotnpaction-test" ' q
CPO
27-25-30
Permit#-1490-82NIHI �„ -r• '
+Issued °71901Kz
' 27-25-30
BOB'Z�& SHARON RAYMER t 'A
•� , � 2878 .A my�Ave, Palermo-
+ Contr: Pacrfic Modular Concepts, Par
Permit#47-85PP-E-(util, MH) i
ELEC �D� �' !!!
I
SUPPORT STRU TURE REQ Al
(; COMPACTION TEST REQ IyD :` Fqn,
27-2
� 5-40
CuuLr., rACitief-Modular Concepts ,
lPermit#48�85MHI
Is�su�edo"o-/, /,Y 3(4--
27-25-30
(Sf27-25-30
Permit#2404-86B(new garage) 9Ic;2
` 1'i r�" 13o g
7-25-30
Permit#3140- 6B (new covered porch/MH)
1 - I-
L�F-dA
27-25-30 ,
16-87 (comer over exist deck)MH
! {{ —2-7---25-30_ _ �.
` f oliday Pools83-87B,PE,M(new swimmin
P o )
.r%
L0,)-
1
•
t
PERMIT NO. 2404-86B .
PERMIT EXPIRES AO
OWNER ROBERT L. RAYMIIt
CONTR. unknown
ASSESSOR PARCEL 27-25-30
LOCATION 2878 Almy Avenue, Oroville
.OFF-
Temp.
O_F-
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
(
i; Temp. Gas Se
f
Cal led PI
j 'JOB FINALE
Signature
i/,.=. OK _
0 = Not OK
Not Applicable MOBILEHOMES
* = Not Ready
4'
MISCELLANEOUS
.;Y, i --`.--
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements—Setbacks—Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except'#'s
1, Zoning Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
_
2. Footings; Size—Depth—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.—Connec.—Shthg.—Rfg.—Bracing
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6, Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
7, Utility Clearance
6. Carports; Windows—Doors _
7. Elec.
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements—Setbacks—Easements
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
POOLS (Plans) OK except #'s
1. Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
4. Electricity; MH Test—Crossovers—Breakers—Clearances
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
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— Enc losures—PaneIboards— Ins. to Main in Conduit
9. Exits; Insp.—Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B-1
Date Card -BI Date ..
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
J OK
OM- Not OR
Not Applicable
Not Ready
W • t
RESIDENTIAL (Single and Duplex)
Date UNDE (Plans) OK except #'s
_ Zo requirements -Setbacks -Easements
_ _ t Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
tg., Porches & Decks: Soils -Steel- / /'' Ftg. Depth
Its, Main; Steel-Blockouts-Wrapped-Slab
emwalls, Garage; Steel-Blockouts-Wrapped-Slab
-?--iilr s_ Fireplace Ftg.-Steel
4-9'11tyi' Fall -Fittings -Test -2 way C/O -Sewer Test
9-EiaS'Piipe; Size -Anchors
1Q-_ Jplaie ipe: Test -Anchors -Regulator -Service Test
11_x; Underground
12.--P�e+rmrrs & Ducts; Clearance -Material -Support -Ins.
13-_C. -Sills-Anchor Bolts -Joists -Vents -Cripples
C _BI _ _ate' r Card -BI Date
Card -BI Date Card -BI Date
Date PLUMBING (Permit) OK except q's
14. Water Ht.: Vent -Access -Combustion Air
15. Water Pipe: Test & Anchors -Nail Protection
16. D.W.V.: Test-Fttngs & Anchors -Nail Protection
17. Shower Pan: Test, First Floor -Tub Access
18. Test Tub -& Shower, 2nd Floor -Tub Access
19. Gas Pipe: Size & Anchors
Gard -BI Date _ _ _ Card -BI _ Date
Card -BI Date Card -BI Date
Date ELECTRICAL (Permit) OK except p's
20. Fixture & Transformer Clearance - Ins. Protection
21. Elec. Receptacles Spacing- Lights & S_witches at Doors
22. Size Boxes & No. of Conductors -Stapled_
23. Romex Installed Close to Edge of Studs & C.J.
24. Equip. Ground made up w/Meth. Fasteners -Bond Gas & Water
25. 2 Appliance Circuits in Kitchen & Conductor Size _
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI
27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral Yes _7No _
28. Service -Riser Conductors & Ground -Main Disconnect_
29. Equip. Clearances: Pane ls-Motors-M_ech. Equip.
30. Clothes Closet Light -Shower Light
Gard B -I Date Card -BI Date
Gard B-1 Date Card -BI Date
Date MECHANICAL (Permit) OK except N's
31. A.C. Ducts. Insulation & Support
32. Vent Fan: Exhaust above Insulation
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
Date FRA>O/NG(Plans) OK except p's
IIs; Proper Material & Anchors
Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
38.s over Girders & Floor Nailing _
39.rn Walls (rat proof)
40. tops: Furred Ceilings -Stairs_ -Chases -Tub
Header & Beam -Size & Bearing
42. yang - hors -Connectors
Ging. Joist-Rftr. Ties-Purlin-Root Brac.-Truss-Shthnq.-Rfnq.
44. Fir A Flue -Fireplace Throat
Date
FRAMING (Continued)
XProp enings
Doors -One 3' -Check Garage -3rd story, 2 exits
50/8t - a room- ise- Run- Land ing-Fire Protection
Sl, -Plywood -on Roof Overhang -Attic Vents -Rafter Outriggers
52. Siding -Nailing -Veneer
53. Stu - rip cre<
54. Gla2 ng rea-Glass Pr
n. Vents-Underflr. Access
ion -Skylights -Plastic
55. She
- is
AISpSTIB"iLA; Grnd.-Air Gap -Cooking Clearance
66.
Elec
cies at Kit. Counter
67.
Gar
Ing -Landing -Closer
68.
Card-BIDate
.11
and -BI
Card -BI Date
Card -BI
Card -BI Date
Card -BI
Date
Date
Date
Date FI (Plans) OK except hi's
6. Ext. Steps -Door & Sidelight. Protect ion -Landings
57. Srneke-BeFeeier-
58. Furrtace-NeRtS=Clearance-Comb. Air -Connector -
II 59. Bede
II bU G & Tub Access
61. Etc Tn'el; Breaker Sizes -Labels
62. St-
�� 63. learances-Hearth
II 64. Elec; anel; Int. & Ext.
tis.
Kit.-Fi .-S
AISpSTIB"iLA; Grnd.-Air Gap -Cooking Clearance
66.
Elec
cies at Kit. Counter
67.
Gar
Ing -Landing -Closer
68.
A.
rage- a per
69.
Wt.. - Baran -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meth. Protection
70.
Plb ,
. Listed for Location
71.
EIe
e; (G.F.I.)-Romex Protec.
72.
73.
Insu
Gua
- am -Looked in Attic ❑Yes
nstruction-Post Caps
74.
Fdn. Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
75.
Follow
Planters
❑ Yes ❑ No: Walks ❑ Yes ❑ No;
❑Yes❑No
76.
Std
77.
A.C"
Clrnces-Brkr. & Cond. Size -115V Outlet
78.
Ven+& Abovt?"RSoTPIbg.-Appliance-6T',-Clearance
to Opngs.
79.
WatgrR&,
Electrical, Plumbing
80.
Exte4ef-E4ee
G.F.I. Receptacle -Underground
81.
Ventilatio`�throu9hout
House
G I aLr.eiesLi -
83.
84.
Cor
Gas--:-
o s Inspections _
agged; Gas -Electric
85.
Water*-9ewer-evnm-cted-C/O
to Grade -HD Approval
86.
En
nce Certificate -Other Certificates
Card -BI ( Oate
Card -BI Date
Com ients at Final:
45. AMCex Protection -Draft Stop -Ins. Baffles
--
46. Bdrm. ws or xrtmg oors-Sill HgI. & Dimensions
47. Garage++re-Prore TMTrFraming
(NOTE An entry must be made each time you visit jobsite)
Card -BI Date
Card -BI Date
Card -BI Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive., Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
A routine inspection indicates that the following violations of County Ordinance
exist at the above address. and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
a�)t(\ttee�r,, dor need additional explanation, please contact this offices immediately.
I
Inspector_. J Date'77
�
F
Q=
Inspector_. J Date'77
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMI N0.
7 County Center Drive - OroviIIe, CaIifornAt 95965•- Telephone 916/534-4541 U
APPLICATION AND PERMIT
ASSESS R PARCE NUMBER
1 �-
ZONING
BUILDING PERMIT
OWNERTELEP
e rfi L- a
O E
SQ. FT. OCC. BUILDING VALUATION
I t 19
OWNER'S MAILIN DDRESS If
r/� ✓'� v
CON CT R'S NAME �q
Y �.
TELEPHONE
CONT ACTOR'S MAILING ADDRESS
Fireplace
CONST UCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDS 'S MAILING ADDRESS
Permit Fee
$
ARCHI CT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ `
Energy Plan Checking Fee
$
AR HITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS -
Permit fee
$ /
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
(/'O v
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCT E
SF ❑ Duplex❑ Mobilehome❑ Other-
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G W
10.00ea
TYPE OF WORK
New r Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR00V OR LESS10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury check one
p Y p I Y( : )
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.SINGLE
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
r 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
NEW CONST. DWELLING OCCUP.
( yd
OR ADDNS. C ACC. BLDGS.
,
2/20sgft
NEW CONSTR. MULTI -OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS &)
OUTLET CIR.
EX, QCCUp(OUTLETS OR FIXTURES
BA @30
FIXED APLNS.
EX. OCCup. OUTLETS P(RESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I'declare under penalty of perjury (check one):
❑ 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 expenses which may in any way accrue
aga' st sai o my in con uence of he granting of this permit.
X L�- ,/ � -j S—_�//
Date �/
Signature of Applicant — Owner Contractor [DAgentF]work
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 $
Energy Inspection Fee $
TOTAL PERMIT FEE $
occu P.
COHST.TYPE
FLOOD P GEL
PD
I VDYSSUE
This permit is hereby issued under
sions of the Butte County Code and/or
indicated above for which fees
DIRECTOR OF P LIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date le
M" 1
Receipt No. Ll
WHITE-D.P.W., TELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF,,PUBLI9 WORKS - BUILDING DIVISION_
7 COUNTY CENTER DRIVE - OROVILLE;V_M0F_&NIA 95965 - TELEP-iONE: 9,16/534=4541
PERMIT APPLICATION DATA SHEET -
Y f, �� � - Fermit No.
OWNER (� 2 ate ... A. P. No.
Proposed Building Use '� ✓G
Permit Fee Based Upon: Complete Contract Price DPW Valuation
Building Inspector
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. . . . . . . . . . .
OCZA,'
Plot plans in duplicate/triplicate . . . .
Complete plans in plicate/ ri.plicate. 4ed G
4.
Complete engineered and calcs. (�
plans . . . . . . .
5.
Plans with Energy Design Compliance Statement. . . . . .
6.
CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . .
7
Statement of Intent for Non -Heated and AC Buildings.
8.
Fees of $ . . . . . . . .
Letter of signature authorizat • n.
0.
_6F.
Sanitation approval from V i Health Dept.
11.
lanning 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-Inspec. request to
Pre -Inspection for Required. Building Insp=ctor
-1pate)
18.
Recorded CODv of Agricultural Acknowledgment Statement.
19. Other V v When ou issue the permi d pr cess as follows: Mao owner. Mail to contractor.
Telephone _ - iand hold for pickup office. Deliver w/inspector.
Other
r
Applicant Date s---,/-�
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:
f
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By Date
Plans checked by Gate
Plans approved by Gate r7 =
Other:
Copy—DPW
TO: Building
From:
.7, u b j eb t:a 1. 1 t, C- "C' . -I r I �,j - -
" PC"-,
--2 7 -
Owner Loc"A,A.Orl AP#
PI.,,)n App., -o -v -,-,r fo.-,.-
Hold fin'..11. for: ::.apply
Final clearance 0.',,'. Icl)-:
Clearande for hovie..
fi-
'init
+rr. ID L
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
2004-01004364
�--.. Recorded
i REC FEE' 10.00
Official Records
I CONFORM 1.00
County Of
1
BUTTE
I
CANDACE J. GRUBBS
I
Recorder
I
ROSEMARY DICKSON
I
Assistant
1 Barbara
12:07PN 26 -Jan -2004
I Page 1 of 2
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated .is in accordance with California Health and Safety Code Section
18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described
hereon, upon the real property described with certainty below, as of,the date of recording. When recorded, this document shall be
indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents
to all persons thereafter dealing with the real property. S6_� .41 _5`4` `q r� �GGG yg
7.G y C.
ROBERT LOWIS RAYMER AND
SHARON KATHLENE RAYMER
REAL PROPERTY OWNER/LESSOR
2878 ALMY AVE.,
MAILING ADDRESS
PALERMO BUTTE CA 95965
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
SAME
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write "SAME")
SAME
MAILING ADDRESS
SAME
CITY COUNTY STATE ZIP -
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS '
OROVILLE BUTTE CA
95965
CITY COUNTY STATE
ZIP
02-3487 (530)
538-7541
BUILD G PERMIT N0. TELEPHONE NUMBER
( //�✓7 109dX&
/-/3-r1 -�,
SIGNATURE OF LOCAL AGENCY OFFICIAL
DATE
NONE
DEALER NAME (if not a dealer sale, write "NONE")
NONE
DEALER LICENSE NO.
GOLDEN WEST HOMES 11-02-1981 SOMERSET / SM64F7
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
GW12CALSM71435A&B 52 X 28 228811/12
SERIALNUMBER(S) LENGTH XWIDTH INSIGNIA/LABELNUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION
ASSESSOR'S PARCEL NUMBER -# 027-250-030
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept.
�� �... 4N, min m - -0.100 a
tG rfeuo.i
311UH
AWk, . ti LAW
74070')04
' k i- A 'y MU"
ORDER NO.: 00213711-099 - DRK
SCHEDULE C
THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS:
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE
OF CALIFORNIA, DESCRIBED AS FOLLOWS:
LOT 5, IN BLOCK 139, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OFFICIAL MAP
OF SUBDIVISION NO.3 OF THE PALERMO CITRUS TRACT", WHICH WAS FILED IN
THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, JANUARY 2,1889.
AP NO. 027-250-030
PRELIM
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DMSION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COPY of Document Recorded
26 -Jan -2004 - 2004-0004364
Has not been compared vith
original
BUTTE COUNTY RECORDER
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section
18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described
hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be
indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents
to all persons thereafter dealing with the real property.
ROBERT LOWIS RAYMER AND
SHARON KATHLENE RAYMER
REAL PROPERTY OWNER/LESSOR
2878 ALMY AVE.,
MAILING ADDRESS
PALERMO BUTTE CA 95965
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
SAME
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also Property owner, write "SAME")
SAME
MAILING ADDRESS
SAME
CITE' COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
SOMERSET / SM64F7
MAIIaIG ADDRESS
DATE OF MANUFACTURE
OROVILLE BUTTE CA
95965
CIfY COUNTY STATE
ZIP
02-3487 (530)
538-7541
BUU.7DG PERMIT NO. TELEPHONE NUMBER
SIMATURE OF LOCAL AGENCY OFFICIAL
DATE
NONE
DEALER NAME (if not a dealer sale, write "NONE'
NONE
DEALER LICENSE NO
GOLDEN WEST HOMES
11-02-1981
SOMERSET / SM64F7
MANUFACTURER'S NAME
DATE OF MANUFACTURE
MODEL NAMEINUMBER
GW12CALSM71435A&B
52 X 28
228811/12
SERIAL NUMBER(S)
LENGTH X WIDTH
INSIGNIA/LABEL NUMBERS)
REAL PROPERTY LEGAL DESCRIPTION ASSESSORS PARCEL NUMBER # 027-250-030 ..
HCD FORM 433(A) REV. 8/91
ORDER NO.: 00213711-099 - DRK
SCHEDULE C
THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS:
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE
OF CALIFORNIA, DESCRIBED AS FOLLOWS:
LOT 5, IN BLOCK 139, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OFFICIAL MAP
OF SUBDIVISION NO.3 OF THE PALERMO CITRUS TRACT", WHICH WAS FILED IN
THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, JANUARY 2, 1889.
AP NO. 027-250-030
PRELIM
BUILDING PERMIT NUMBER: 02-3487
Address or location of unit: 2878 ALMY AVE:, PALERMO CA 95969
Legal Description of Real Property: A.P. 027-250-030,
SEE ATTACHED
(x) Mobilehome/Manufactured Home,
O Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
H.C.D. 5130
L
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
005tivc,�Y
Division of Codes and Standards �.r S
0 a13� n1 Z
3 "
'
^® W
Title Search �G��oa�
Date Printed: 10/23/2002 DE`X
Decal #: LAH3147
Use Code:
SFD
Manufacturer: 09248 GOLDEN WEST HOMES
Original Price Code:
ALW
Tradename: SOMERSET
Rating Year:
Model: SM64F7
Tax Type:
LPT
Manufactured Date: 11/02/1981
Last ILT Amount:
Registration Exp:
Date ILT Fee Paid:
First Sold On: 01/25/1985
ILT Exemption:
NONE
Serial Number HUD Label / Insignia
Length
Width
GW 12CALSM71435A 228811
52'
14'
GW 12CALSM71435B 228812
52'
14'
Registered Owner:
ROBERT LOWIS RAYMER
SHARON KATHLENE RAYMER (Tenants in Common Or)
2878 ALMY AVE
PALERMO, CA 95965
Last Title Date: 04/04/1990
Last Reg Card: . 04/04/1990
Sale/Transfer Info: Price $43,000.00 Transferred on 01/25/1985
Situs Address:
2878 ALMY AVE
PALERMO, CA 95965
Situs County: BUTTE
Open Escrow:
MID VALLEY TITLE
PO BX 1068
2295 FEATHER RIVER BL
OROVILLE, CA 95965
Escrow File No: 202921AM
Pending Buyer: KENNETH ELMORE
VIVIAN ELMORE
Dealer Name: None Reported
Escrow Opened On: 10/23/2002 Expires on: 02/20/2003
*** END OF TITLE SEARCH ***
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*Iona) 0 National city Mortgage co.
IM(WRIL° 1601 Response Road, Suite 260 Sacramento, California 95815
Mortgage Telephone (916) &64-0600. & j -5D1'{-
(888) 310-7782 �[ S- I tl
Fax(916)567-4546
January 7, 2004
Dear Tammie,
BUTTE
COUNTY
JAN 0 8 2004
DEVELOPMENT
SERVICES
There is a 433A that was never recorded because the legal description was missing
on it. Here is the legal description for that document.
If you would complete the 433A form so that is would be ready for pickup by the
borrowers Vivian and Kenneth Elmore that live at 2787 Almy Avenue in Oroville,
CA 95966 can come and pick it up and take it to the recorders office and then back
to you for a copy of the recorded document.
The APN # for this address is: 027-250-030
Title of this property is held in the names of: Kenneth L. Elmore Jr. and Vivian
Elmore, husband and wife, as Joint Tenants
If you need anything else to complete this request, please call me directly at 916-
561-5014. Thank you in advance f6r your help on this request Tammie.
Sincerely,
? exv,4,
Michelle Jones
hmci� orlu-SZ I -c�v4
- °1) to - 6'1e'7 -L} 947
No one Cares More
.-:�,t... e..: r' „-4„v_.......'•`:`%... e.T.^,.l C.F,. -
�4
RECORDING REQUESTED ey 94-01817
"NO W"`""E`°ME° To 44-001.8271 Ree Fee 9.00
r _ 1 Cash 9.'00
�iat�7 %. • %ZAyN� �R Recorded 1
.b� .717.e OA, -*-y /QV.2 Official Records 1
County of 1
Butte
Candece .J. Grubbs 1
Recorder 1
10s08a'a 11 -Jan -94 1 FUBL XX 2
WAIL VAR RATEkIOMTo /NTzA SPowtA� .
F
i �,.r 1Z11LW A.- ooaaMtrAavTwA•e►aTAX •
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'Q AA'�+0 AT 7aE 0: iA1.L
Aq�...r D.�Ar Apw rr+rnO�Rirr;.,A
y Quitclaim Deed
I. •.! Pavpn �.... quitclaim to ...
,'� 4 all my sight, title, and interest is the real property situated in the City of ...........•.•.......
• t
i
q a Yor in an unincorporated area o ...
f).......... .H ........ .........�... County, CaUomia,
with the legal description as follows: / 3,9
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4 in the State of ............ .......:
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Quitclaim Deed
W
is.............
DATED...............................
W
ORDER NO.: 00213711-099 - DRK
SCHEDULE C
THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS:
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE
OF CALIFORNIA, DESCRIBED AS FOLLOWS:
LOT 5, IN BLOCK 139, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OFFICIAL MAP
OF SUBDIVISION NO.3 OF THE PALERMO CITRUS TRACT", WHICH WAS FILED IN
THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, JANUARY 2,1889.
AP NO. 027-250-030
PRELIM
uj
L
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Cb
WAM` M
9�igg rs.
0
f6wa fAle
3
;, $ 7'8'
!�r S" S�eAt
d
O
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L
Z
N
PLANNING DIVISION- BUILDING PLAN APPR
� Date: )2 SO— Q) �—
Use:
Parking:._— Landscaping:--
andscaping:— —Other•
Other.
Signature:
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WAM` M
9�igg rs.
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!�r S" S�eAt
NOTES
f
PERMIT NO.
RESIDENTIAL
. 02 34g7
.027-25 0"0 pBER� . OO
RPYMERY. AVE, P NSON
2VB P EMY NA
FN�_.� p -
SPECIAL CONDITIONS
CHECKED
. BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date) C
v
t Signature
J=OK
0 = Not'0K
: = NotReadyabte
Card B-1 Date Card B-1
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Zqning Requirements -Setbacks -Easements
1.
Zoning Requirements -Setbacks -Easements
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
2.
Soils; Special MH Support Sketch
GasMH Test -Demand -Valve
3.
Sewer; Location -Test -Fall -C/O -Concrete
6.
4.
Water; Location -Test -Easement Needed (Sketch)
Waper`and Sewer Connected
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Q'
6.
Gas; Location -Test -Wrap;-/ P' L 'ft.
/ P Nat. or/ P' L "ft./ P LPG
License Decals
7.
Well Clearance & Disconnect
Date
8.
Utility Clearance
Card B-1 Date Card B-1
Date
Card B-1 Date • Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected=C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date Uf
WANENT END SYSTEM (ONLY)
1.
Zqning Requirements -Setbacks -Easements
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
Fo ' gs• Size -Spacing -Marriage Line
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
ng
,00'
GasMH Test -Demand -Valve
Carports; Windows -Doors
ectricity; MH Test
6.
Water; MH Test
7.
Waper`and Sewer Connected
a4) $i6raVnd
Electricity Tagged
Q'
its
10.
License Decals
Card B-1 Date Card B-1
Verify #'s with Office
Date
Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
CS;�4mets et
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J=OK
0 = Not
- =Not AAppplicable
. = Not Ready
Card B-1 Date Card B-1
RESIDENTIAL
Date
UNDERFLOOR (Plans) OK except #'s
PLUMBING (Permit) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
19. D.W.V.; Test Fittings & Anchor -Nail Protection
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
22. Gas Pipe; Sixe & Anchors
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
Card B-1 Date Card B-1
6a.
Hold Downs and Special Anchors
Date
7.
Slab, Steel -Wrapped
24. Fixture & Transformer Clearance -Ins. Protection
8. Piers -Fireplace Ftg.-Steel
25. Elec. Receptacles Spacing -Lights & Switches at Doors
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
26. Size Boxes & No. of Conductors Stapled
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
Date
11.
Water Pipe; Test -Anchors -Regulator -Service Test
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
12.
Electric Underground,
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
32. Service -Riser Conductors & Ground Main Disconnect
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
35. Smoke Detector
16.
Insulation
(Single & Duplex)
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
Date
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Date
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
Date
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral 0 Yes 0 No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
Date
Card B-1 ' Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
_
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F. F.I.)-Romex Protection•
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
_
83. Following Instld./Drive 0 Yes 0 NoMalks O Yes O No/Planters O Yes O No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing.
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev.12/96) ' APPLICATION AND PERMIT 02 -?&R7
ASSESSOR PARCEL NUMBER
097-2.50-030
ZONING
A-9
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
l
r
.OWNERS MAILING ADDRESS
2872, i
CONTRACTOR'S NAME 9
TELEPHONE
CONTRACTORS MAIL! ADD
T
CONSTRUCTION LENDER 7 -' 95969
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation Is
78-624.00
ARCHITECT OR ENGINEER
LICENSE NO. \
/
Filing Fee
$ 20.00
Permit Fee 542a
$ 272.50
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 9 00
BUILDINGADDRESS
Q Q
ALW u,
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 315.50
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00 15,00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ?'Y i� } �M F=N
Gas piping stem 1 - 5 outlets
15.00 J_5.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
S 50.00
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 2o0A OR IESS
23.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is I full force and effect. '' ``/'�
License Class ' / Lic. No. 65;621, (, —
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
O 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
f one hundred dollars ($100) or less.)
certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensate n ws of California, and agree that f I should become subject to the
workers' c mp sation provisions of section 3700 of the Labor Code, I shall
orthwith c mpl ith those rovisions.
%
X Date L
Signa ' of Applicant - ❑ Owner Contractor ❑ Agent
An OS A permit is required for excavations over 5'0" deep and demolition or construction
of stru ures over 3 stories in height.
Main Service goal TO 1000A
46.00
NEW CONST. DWELLING OCCUCCUP, SO
OR ADDNS. ( & ACC. BUDS. 3.5QFT;
NOON-REOSID. MULTI -OUTLET RANCH CIRCUITS
@G 7.50
POWER APPARATUS
6 SINGLE OUTLET CIR.
20 Q 1.00
Ex. Occup. OUTLET OR FIXTURES BAL @ .50
Ex. Occup. DL�EE°S A= -.OE. 5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 365.50
HAZ.
D. FEES IMP
X
FLOOD
---
CDF
---
PARCEL
X
PO
X
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
EXPIRES ONQ
the applicable provisions
Resolutions to do work
been paid.
7
Dete
Receipt No.PERMIT
WHITE Bt fi R PINK -INSPECTOR GOLDENROD -APPLICANT
I
N . •
Feb 01 02 08:13a
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT
SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965
• Telephone (530) 538-7540. P RMIT NO.
APPLICATION AND PERMIT
tRev.12/96)
zowNo A �
BUILDING PERMIT
ASSESSOR PARCEL NUMBER 2��ZsQ/ O •-----•—
/
'
TELEPHONE
SO OCC- BUILDING VALUATION
OWNS mer-
,
OWN �f��/D �
s �-- -• � � � O
` I.EPHONEE
' CONTRACTOR'S NAME
V
..Co OR'S MAID RESS
l
CON TRUCTION LENDER
---
Fire lace_—
' LENDER'S MAILING ADDRESS
Total Valuation $
LICENSE NO.
Filin Fee $ 20.00
�----
MCHRECT OR ENGINEER
Permit Fe _
TECT ORENGINEER5 MASJNG ADDRESS
Plan Checkin Fee
CLDI�*6
Ao��_-----
Energy Plan Checking Fee
-
PERMIT FEE $ ✓
_
SUgpN6bN5 NAME PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00_
LOT NO.
Each Trap7.00
USEOFSTRUCTURE v AC,
Solar or heat um water heater 23.00
SF ❑ Duplex ❑ Mobilehome ❑ Other 8PCC1F,
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
Gas i in s s e tlets 15.00
New ❑ Addition ❑ Remodel [3 Utilities 13 Installation E3 Other E3in
sewer t 5.00
o e
Describe Work:
_
y y
!!
P�MlEE $
ELECTRICAL PERMIT Riing Fee 20.00
eoov oR LEss
Mein Service 1ooAORLEss
A l
0� J
Main Service 100A TO 1000A
NEW CONS . DWELLING OCCUP.
OR ADDNS. 6 ACC. BLDS. CO MULTI.OIrTIkT
t
POWER APPARATUSe
SINGLE OVTLEr 010. _
OUTLET OR FDRURES zo ®Loo
Ex. Occu sAL a .so
FIRED APPLNS. OR
oce Eslo. EATem
Service 2*PERAAIT
,Te
poraoccu
orar
L
FEE PAM
Mobile Home Facilities 2
n.
SHERIFF
P RMIT FEE 1 $
oTHzk
MECHANICAL PERMIT Filing Fee 20.00
Heating_
Cooling
Hood 6.50 ;
Ventilation
�y ��r /�
AA0* V It
1
PERMIT FEE S
Mobile Home Installation Fee S
Energy Inspection Fee $ _
occ CONST. TYPE TOT L FEE
*
HO '
-" TO *a wr _ CON�tl1'ER
.• E I' P FLOOD CDF P
...- _
This permit is hereby issued under the applicable Provisions
of the Butte County Code and/or Resolutions to do work
Indicated above for which fees have been-paid.
By Date
ReceiptNo.
PERMIT EXPIRES ON
---
WHITE-D.D.S. B.D. CANARY-ASSESSOR PINK-INSPECTOR GOLDENROD-APPLICANTero-
•.�` .... .. _. � -.. . � � .,�- _-.. .rte � .....,.,.N.... ... -.
COUNTY OF. BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -.BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 !
PERMIT APPLICATION DATA SHEET
OWNER: %/ ASSESSOR PARCEL NUMBER 1, Pj-
Proposed Building Use: A? `� /� C"^--*' Counter Technician: C VDate:
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
lot plans, 3 or 4 sets, signed by the preparer of the plans.
Complete plans, 3 or 4 sets, signed by the preparer of the plans.
CK27#, Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review' cannot proceed. The permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot plan and business license approval from the City of Biggs ................................ _..
❑ 10. Letter of intent for non-residential buildings.........................................................
❑. 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form...............................................................................
❑ 13. Other
Remai g items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
4. Fees as shown on the attach�-d,ScM 'dule of Fees Due Sheet ....................................... —/0-63 k P
r � L•
❑ 15. Statement of Intent for Non -heated and A/C Buildings .............................................
❑ 16. Sanitation and plot plan approval from the Environmental Health Department in
❑ 17. City of Chico Plumbing permit..................................................................... ....
❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................
❑ 19. Planning approval for (A) Use: a K (B)Parking: (C) Parcel Check:
❑ 29. Contact Land Development about ❑ Improvements, ❑ Drainage ..............................
I
. achment Permit for driveway from h Public Works Dept. (construction approval prior to occupancy).
re -Inspection for required ................
. ntractor's license informati number,Name Style, Classification)......................� ID. Worker's Compensation Carrier and Policy Number ..............:..............................
. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 26. Letter of Signature authorization.....................................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance................................................................
❑ 29. Existing violations and/or expired permits........................................................
❑ 30.-S�Grant Deed�.H. Title/Statement of Facts, O Letter from Legal OwneF Check to H.C.D. $
❑ 31. Other:
When issued elephone and hold for pickup.
I have been i formed of th ab v 'tem d requirements for obtaining a building permit.
Applicant: Date:
1. Index perm t application for the above it ms nu eyed: Plan Check Letter
2. Additional tems required r
�ntrasigner, owner, was advised t a ove data by ❑ phone, ❑mail, ❑counter, by Date: L 3D /OZ--
co
ontractor, designer, o ner, was advised of the ab zzednat by ❑ phone, ❑ mail, = ❑ countesr, byDate:
Plans reviewed by: Date: ;9.,[.v 7a Plans approved by: �Lji. 3 d Q/ 2_ Date:
Structural reviewed by: Date: / Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
SCHEDULE OF FEES DUE C Q�j
OWNER C/1 0,;�
l -7A.P.
PROPO D BUILDING USE � DATE
RECEIPT # DATE REC.
1. B LDING PERMIT FEES
alance Due ....................... $
Additional Fees Due ................. $
Additional Fees Due ................. $
Revised Plan Checking Fee .............$
2. SCHOOL DISTRICT FEES
(paid at District Office) (Available after Plan Check)
3. SHERIFF FEES (paid at Building Division)
Residential x $360.00 = $
Units
Commercial (sq. ft.) ............... x $0.03 = $
Sq. ft.
4. URBAN AREA FEES (paid at Building Division)
Residential ................... -x-=$
# Units Amt.
Commercial (sq. ft.) ............ -x-=$-
Sq.
x=$Sq. ft. Amt.
5. RECREATIONAL DISTRICT FEES
(paid at District Office) (Available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees
may be changed during the plan checking process.
APPLICANT
DATE
Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been
imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned
items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a).
Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner '
(Rev. 6/00)
r
L .
OWNER
vnridf i'fi'rw.. �+• .• .y"r w.�.,r.r-..r.4. -,;;s. ��-,.i... gip. ...� � ••-.,s��. en.S:.,..� .... .._o, w.. rte.•.-,r.._.r..��..+....'`�, .......�
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
SCHEDULE OF FEES DUE
r=h- A.P. #
PROPO D BUILDING USE v M ` Y Y ` DATE
RECEIPT # DATE REC.
1. B ILDING PERMIT FEES $
alance Due .................... Vr
Additional Fees Due ................. $
Additional Fees Due ................. $
Revised Plan Checking Fee $
2. SCHOOL DISTRICT FEES
(paid at District Office) (Available after Plan.Check)
3. SHERIFF FEES (paid at Building Division)
Residential x $360.00 = $
Units
Commercial (sq. ft.) ................ x $0.03 = $
Sq. ft.
4. URBAN AREA FEES (paid at Building. Division)
Residential ................... x = $
# Units Amt.
Commercial (sq. ft.) ............ -X-=$
Sq. ft. Amt.
5. RECREATIONAL DISTRICT FEES
(paidat District Office) (Available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
10. OTHER
At time of permit application, I was advised the above fees are required'to be paid prior to issuance of the building permit. These fees
may be changed during the plan checking process.
APPLICANT DATE
141-l. - .3
Pursuant to Government Code Section 6620, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been
imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned
items during which%ydiismay protest. The regtiriri�r'�en��Lfo�r a protest are specified in Go �r�ngteny �vodSection 669G20�('
Original - Buidin Div. 2nd Copy" // / / // '
gi g py -Applicant 3rd Copy -Owner (Rev. 6/00). :'
I
OWNER
4
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
SCHEDULE OF FEES DUE .�7 //,,5�
Rc;� �/� A.P. # � IL • v J
PROPOSED BUILDING USE �J V t\"\ TS t' M.2(Y_C r�
r 1. BUILDING PERMIT FEES r_
Balance Due ........................ $
Additional Fees Due ................. $
Additional Fees Due .......... 1 ...... $
Revised Plan Checking Fee .............$
2. SCHOOL DISTRICT FEES
(paid at District Office) (Available after Plan Check)
3. SHERIFF FEES (paid at Building Division)
Residential ...................... � $360.00 = $
Units
Commercial (sq. ft:) ............... x $0.03 = $
Sq. ft.
4. URBAN AREA FEES (paid at Building Division)
Residential ................... -x-=$
# Units Amt.
Commercial (sq. ft.) ............ -x_=$
Sq. ft.. Amt.
S: RECREATIONAL DISTRICT FEES
(paid at District Office) (Available after Plan Check)
.r
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
` 7. SRA FIRE INSPECTION AND PLAN CHECK
�,•�� $89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
10. OTHER
DATE
RECEIPT # . DATE REC.
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees
may be changed during the plan checking process.
APPLICANT
DATE
/e/. .'�
Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been
imposed on your project. You have 90 days from tike date of approval of the project or from the imposition of the above,mentioned
items during whiclisyou;may protest. The requir Pe
a protest are specified in Government, Code Section 66020(a):
Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner �pp (Rev. 6/0.4
w
OU
LOCATION:
PRE -INSPECTION REPORT
CONTRACTOR:7:::0yk -. o n S-sn
PRE-INSPETION
t j
DATE TO INSPECTOR: PERMIT HISTORY:( )NONE AS
BUILDING INSPECTOR'S REPORT
Building Description:
Commercial/Usage:
Residential/# of Units:
Currently Occupied
Abandoned/Vacant
Electric:
Yes No Electric currently On Off
Condition of Electric
Gas:
DATE:
A.P. #IDI.056-6-36
ZONING:
Natural Propane None Currently On Off
Obvious Problems:
Sanitation:
Plumbing Working
Well Working Potable Water
Obvious SewageProblems
ACTION RECOMMENDED: ISSUE: tl HOLD FOR
Inspector. /^/.�� " Date
Sketch buildings on reverse and indicate location on p'roperi
4
M
ON
Feb 01 02 08:13a
COUNTY OF BUTTE - DEPAR
7 County Center Drive •
(Rev.12/96) Al
ASSESSOR PARCEL NUMBER /�?i -Zsa,
OWN
OW S 1
rnNfM=R'S NAME
LENDER'S "UNG ADDRESS
ARCHfrECT OR ENGINFFA
.erunr4T.T'on.EN0LNEERS MA41tNi A0DRES6
LOT NO. 1 sUBDNOIDNSHAME
USEOFSTRUCTURE
TO ,DEVELOPMENT SERVICES - BUILDING DIVISION
ille California 95965 • Telephone (530) 538-754
C TION AND PERMIT
:,wNa BUILDING PERMIT
OCC. BUILDING V
eF fio
SF ❑ Duplex ❑ Mobilehome ❑ Other sPEolFY
TYPE OF WORK
New ❑ Addition ❑ Remodel. ❑ U61'ities ❑ installation ❑ Other ❑
Describe Work:
' *PERJIIIIT FEE P. lb
SHERIFF # -
OTM.s
rota) Valuation $
Fling Fee - $
Permit Fee 3 `�5 S
Plan Checkin Fee $
Energy Plan Checking Fee $
b
PERMIT FEE $
PLUMBING PERMIT
Each Tr
Solar or heat purr water heater
Water i in
Each gas water heater or vent
Ex. Occup. ( OST OR FO(TURES
FIXED APPLHS. OR
Ex Occup.-
Temporary
ccup.•Temporary Service
Mobile Home Facilities
Misc. Wiring
NO.
20.00
ling Fee 20.
7.00
23.00
15.001
15.00
15.00
15.00
@20.00
AW
ig Fee 20.00
23.00
46.00
3.50FT.
@7.501 _
5.00
23.00
PERMIT FEE S
MECHANICAL PERMIT Firing Fee 20.00
Hood 6.50
Ventilation
AMOVNT It PERMIT FEI: S
Mobile Home Installation Fee $
_- ---- -"' /� % ✓� `^/ Energy Inspection Fee $
occ CONST•'NKE TOTAL FEE aZPARCEL
, D
qP
/* `✓/�� • [ U Ham, D. MR IMP FLOOD CDPO ISSUE
* TO 14 K" CONtK1TER
This permit is hereby Issued under the applicable pTbvtsibns'
of the Butte County Code and/or Resolutions to do work
Indicated above for which fees have been-pald.
By Date -
Receipt No. PERMIT EXPIRES ON
rc --
WHITE-D.D.S,B.O. CANARY•ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -
�. "•
!MoLbileHome
PERMIT FEE $
ELECTRICAL PERMIT
OOOv OR LESS
Main Service
aoO oR s
Main Service
200A TO IOWA
NEW OONO
/ OWEWMI OCCUP.
oR ADDNS.
\ _ & ACC. BLDS.
Ex. Occup. ( OST OR FO(TURES
FIXED APPLHS. OR
Ex Occup.-
Temporary
ccup.•Temporary Service
Mobile Home Facilities
Misc. Wiring
NO.
20.00
ling Fee 20.
7.00
23.00
15.001
15.00
15.00
15.00
@20.00
AW
ig Fee 20.00
23.00
46.00
3.50FT.
@7.501 _
5.00
23.00
PERMIT FEE S
MECHANICAL PERMIT Firing Fee 20.00
Hood 6.50
Ventilation
AMOVNT It PERMIT FEI: S
Mobile Home Installation Fee $
_- ---- -"' /� % ✓� `^/ Energy Inspection Fee $
occ CONST•'NKE TOTAL FEE aZPARCEL
, D
qP
/* `✓/�� • [ U Ham, D. MR IMP FLOOD CDPO ISSUE
* TO 14 K" CONtK1TER
This permit is hereby Issued under the applicable pTbvtsibns'
of the Butte County Code and/or Resolutions to do work
Indicated above for which fees have been-pald.
By Date -
Receipt No. PERMIT EXPIRES ON
rc --
WHITE-D.D.S,B.O. CANARY•ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -
27-25
Steve Ber man
Almy p.3/10 i
Pa m
PeB,P, n s
i W5
2 30
Owner
Joh W. Mills'
S/W c er 0 inters. Almy Avenue and
Homestak Rd, Palermo
I . . 1 i Permit #13 -82P,E (uti:!,,MH)
I L
Electric - -62 Zav,4
Gas 7-Z742 241" LPC JV
Support structureNeq A10'7 W
Compaction test q - I A
UV
C.�127-25-30
Permit 0-8ZZfHI
Issu '71901
Is
27-05-30
BOB SHARON RAMMER
2878 AAve, Palermo
Contr: Pad c Modular Concepts, Par
Perm'it#47-8.5P,-`E,(. til, M)
ELEC 00
A's i- 11 .2
SUPPORT STRUdTURE REQS
COMPACTION TEST REQ AfV
7-25-40
Contr: Pacifl**14od-uLar Concepts
Permit#4 MHI
27-25-30 Pltta-f
Permit#2404-86B(new gprpge) q1c;2 3/8
91-07
4 f7-25-30
Permit#3140 6B(new covered porch/M)
-�27-25-30
Permit 166--1 V1((9!o)Zcer over exist deck I)MH
27-25-30
Contr: Holiday Pools do'-7A@AAf
IOZ-7 -OTNA-N
I
. 7-.1
iii r, -F4
_J1
PERMIT NO. 3140-86B --
PERMIT EXPIRES
OWNER BOB & SHARON YMER
CONTR. owner _
`ASSESSOR PARCEL 27-25-30
LOCATION 2878 Almy Avenue, Oroville
I '
,
!
I
1 r
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas
Cal led I
JOB FINAL
Signatu
V = OK ✓
O = Not OK
— = Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1, Zoning Requirements—Setbacks—Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
Zoning Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
_
Footings; Size—Depth—Spacing—Connectors
3. Sewer; Location—Test—Fall-C/O—Concrete
_
1/T.—Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
4, Water; Location—Test—Easement Needed (Sketch)
Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
5. Alum. Awn.1 Gel uffws—Connections—Splice—Decal—Enclosures
6, Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6 Doors
7, Utility Clearance
Z —.des. J
Card -BI
Date Card -BI Date
Card -BI
Datel-30:" Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except H's
1, Zoning Requirements—Setbacks—Easements
Date
P OLS (Plans) OK except #'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—GF]
6. Water; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7, Water and Sewer. Connected—C/O to Grade—HD Approval
7, Elec.; Bonding; Metal w/5'—Circulating Equipment—.Heater
8. Gas and Electricity Tagged
9. Exits; Insp.'—Sketch
8, Elec.; Grounding' Equip;w/5'—Circulating Equip. -Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
10, Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date '
J = OK i
0 = Not OK
- = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex)
Date UNDERFLOOR (Plans) OK except #'s
Date
1.
Zoning requirements-Setbacks=Easements
48.
2.
Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
3.
Fig., Garage; Soils -Steel- / /" Ftg. Depth
50.
51.
4.
Ftg., Porches & Decks; Soils -Steel- / /" Fig. Depth
52.
5.
Stemwalls, Main: Steel -Blackouts -Wrapped -Slab
53.
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
54.
7.
Piers -Fireplace Ftg.-Steel
55.
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
9.
Gas Pipe; Size -Anchors
10.
Water Pipe: Test -Anchors -Regulator -Service Test
11.
Electric: Underground
12.
Plenums &_Ducts; Clearance -Material -Support - Ins.
FINAL (Plans) OK except #'s
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
DateCard-BI Date
Car'd-BI
Date Card -BI Date
Date
PLUMBING (Permit) OK except #'s
60.
14.
Water Ht.: Vent -Access -Combustion Air
61.
15.
Water Pipe: Test & Anchors -Nail Protection
62.
16.
D.W.V.: Test-Fttngs & Anchors -Nail Protection
63.
17.
Shower Pan: Test, First Floor -Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
19.
Gas Pipe: Size & Anchors
Card -BI
Date _ Card -BI Date
Card -BI
Date Card -BI Date
Date
ELECTRICAL (Permit) OK except #'s
20.
Fixture & Transformer Clearance -Ins, Protection
21.
Elec. Receptacles Spacing -Light s & Switches at Doors
22.
Size Boxes & No. of Conductors -Stapled
23.
_
Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
25.
2 Appliance Circuits in Kitchen & Conductor Size
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral Yes ;No
28.
_
Service -Riser Conductors & Ground -Main Disconnect
29.
_
Equip. Clearances: Panels-Motors-Mech. Equip.
30.
_
Clothes Closet Light -Shower Light
Card B -I
Date Card -Bi Date
Card B -I
Date Card -BI Date
Date
MECHANICAL (Permit) OK except #'s
31.
A.C. Ducts. Insulation & Support
32.
Vent Fan: Exhaust above Insulation
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
Caid-Bt
Date Card -BI Date
Date
FRAMING(Plans) OK except #'s
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: FurredCeilings-Stairs_-Chases-Tub -
41
Header & Beam -Size & Bearing
42.
Hangers -Post Caps -Anchors -Connectors
43.
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shlhnp.-Rfng.
44.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiling Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
Date
FRAMING (Continued)
48.
Property Line Firewall & Openings
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
50.
51.
Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection _
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
52.
Siding -Nailing -Veneer
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
54.
_
Glazing Area -Glass Protection -Skylights -Plastic
55.
Shear Walls; Nailing -Bolts
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except #'s
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
59.
Bedroom Exiting
60.
G.F.I. & Bath Fixtures & Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64. Elec. Outlets at Wood Panel; Int. & Ext.
65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66. Elec. Outlets & Receptacles at Kit. Counter
67. Garage Fire Door; Swing -Landing -Closer
68. A.C. Duct in Garage -Damper
69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meth. Protection
70. Plb., Elec. & Mech. Equip. Listed for Location
71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
72. Insulation -Foam -Looked in Attic E) Yes
73. Guard Rails & Deck Construction -Post Caps
74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
75. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
76. Stucco; Brown -Finish
77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79. Water Well; Disconnect, Electrical, Plumbing
80. Exterior Elec. Trim: G.F.I. Receptacle -Underground
81. Ventilation throughout House
82. Glass Protection
83. Corrections from Previous Inspections
84. Gas -est-Meters Tagged; Gas -Electric
85. Water & Sewer Connected -C/O to Grade -HD Approval
86. Energy Compliance Certificate -Other Certificates
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Com tents at Final:
(NOTE Anentiy must be made each time you visit job site)
COUNTY OF BUTTE- DEPA!3TMEt4T OF PUBLIC WORKSPERMIT NO.
- " - - 7 County Center Drive - Oroville; California' 05965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSES PARCEL NUMBER
27)
ZONI G
BUILDING PERMIT
OW R
TELEPHONE
J3-91
BUILDING VALUATION SQ..FT. OCC.
OW GESS_
Vl ��
ONTRA TO 'SNA
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
S
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee,!
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee I.$
Energy Plan Checking Fee
$
A CHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
�
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
f
Water piping
5,00
Each qas water heater or vent
5,00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome[ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00ea
TYPE OF WORK
New x Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:
(/-
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 110.00
00V OR
Main service 100 AMP ORSLESS
10.00
Main Service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the BuSinesS
and Professions Code and my license is in full force and effect.
License No. Classification
Q� 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.8 ,h¢sgft
OR ACDNS. ACC. BLDGS.
NEW
NON•R ESID R BRANCH CIRCUITS) 2.50 ea
POWER APPARATUS6
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES AL@
a2L03030
FIXED ALNS.
EX. OCCup. OUTLETS P(RESID,)REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. bYirin 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
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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
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 sat County in cor� sequence of the granting of this permit
%�y�� /L.LLL�/%i�y Date /O ��
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 heigh .
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE 1
OCCuP.
CONST.TYPC
[NODIPARCFLI
\ ,
V
PD ND 890E
This permit is hereby issued under
sions f the Butte County Code and/or
wor i dicated above for which
�WDIECTOR OF PUBLIC
BL�- �'
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
141 -NO �
Receipt No. ��y _
WHITE-O.P.W.. YELLOW-ASS[990R, PI .INSPECTOR, a NROD-APPLICANT
x
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
J
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) _vzzy
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 OwnerI
Social Security Number
Date 9
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.
OWNER
COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
Permit No.
Proposed Building Use
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. . . . . . . . . . . .
z0K2. Plot plans in up 1'e�
" triplicate, signed by preparer of plans. .
3. Complete plans In uplicate./triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization.. . . . . . .
M v�
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. . . . . . . . . .
Pre-Inspec. request to (Date)
17. Pre -Inspection for Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21.
22.
When you issue the permit, process as follows: Mail t wner, Mail to contractor.
�aeIephone �3�-9/9�o and hold for pickup atL�office, Deliver w/inspeector..
Other .���iTlDJ7.9—� OETs�iGs
A p p I i c a n t ��y mate
Copy of plans sent Health Dept., Fire Dept., Other. Date
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, design r, owner was advised of above required data by�lphone_Jn I_counter by date 0 0
Contractor, designer, owner, was advised of above required data by—phone— a unter by date
Plans checked by �ate��'>�Plans.approved by Date MAI �6
Sets of plans on hold in File cabinet. AP folder
Copy—DPW
— Hours: 10:00 a.m. - 3:00 p.m.
To: Building Departs ic%i;t
From: environmental Heath
Subject: Sanitation Clearance
(LA--ZL,m6 Q
Owner ocati n
Plan Approved for: Seiage dispo,;al �Q
Hold final for:
Final clearance O.K. for:
Clearance for bedroor: mobile home.
Sanitarian �!
�a
AP//
v;ater supply
v;_.ter supply
eater supply Q
0the r
Date:
October 17, 1986.
Bob and Sharon Raymer RE: Building Permit
2878 Almy Ave: I f A.P. #27-25-30
Oroville, CA' 95966
Dear Mr. and Mrs; .Raymer: ;
With reference, totheabove subject, we have been advised by one of our
building inspectors that you have not ;'obtained the required permits and
inspections from this office for the work'you are doing.as follows:
Constructed a•icovered porch on rear of.mobilehome.
Since permits and ?inspections are required -by both State and, `County laws,
please contact this office within ten days.,of the date of this letter, submit
two complete sets, of plans, apply forfthe required permits, and pay the
appropriate fees. }
i I � 3 .• -
All work must stop until you obtain these permits and are authorized ,by
our field inspector to; proceed. This ,'field authorization cannot beKmade
until the existing work is inspected and.'approved.
Your cooperation in resolving this mattei would certainly be appreciated.
Should you have any questions concerning; this matter, please .contact this
office. j
i Yours very truly,
fI William Cheef'
I� Director of.Publlc Works.
Original sign by
J• F. Glands.
J.F. Glanders
JFG:ahb. i Chief Building Inspector
cc: Building Inspector - Oroville. _
t ..
M ,
i
BUTTE COUNTY (For Action 1, 2, 3)
_ 1'
Public Works Dept. (For.Information V )
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
Bldg. Insp. Admin.
Design Engr,
Bridge Engr.
Constr. Engr.
Surveys
Mapping
Transp.
Land Dev.
Drng. /S.I.
Sub, & Pcl. Maps
Permits
Addr.
❑ Complaint -Date
❑ Other -Date
Owner:
Addres
Tenant:
Building Location:
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
ZONING)
Date of Inspection -/�
Inspector
Type of Inspection requested:
Housing / / 2. Financing / / 3. Change of Occupancy to
f 4. Work W/0 Permit / / 5. Other- (specify)
Present use of building: \l.�
A. Sanitation (Housing)
1. Water closet:
2. Lavatory:
3. Bathtub or shower:
4. Kitchen sink:
5. Hot and cold water to,fixtures:
6. Heating facilities:
7. Natural light and ventilation:
8. Room and space requirements:
9. Bedroom window or door for second exit:
10. Infestation.of insects, vermin, or rodents:
11. Connection to sewage disposal:
12. Connection to water supply:
13. Rubbish and garbage facilities:
14. Stairs:(Rise, Run, Headroom, 1HR, Tolerance$,Handrails)
15. Comments:
B. Structural
I. Piers and footings:
2. Floor construction:
3. Wall construction:
4. Ceiling and roof construction:
5. Fireplaces:
6. Comments:
C. Electrical
1. Service and ground:
2. Receptacles:
3. Fusing:
4. Comments:
D. Plumbing
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4. Comments:
E. Other
1. Maintenance and repair:
2. Fire hazards:
3. Safety hazards: _
4. Weather protection:
5. Underfloor and attic ventilation:
6. Energy:.
7. Comments:
F. Commercial Buildings
1. Roof covering:
2. Distance to property lines:
3. Physically handicapped:
4. Restroom floors and walls:
5. Exits:.
6. Improvements:
7. Zoning:
8. Comments:
G. Field Problems or Violations
1. Problem or vi`o� on (give complete desc i ion
'4-61eA r /Tt A A! t ., o r k I. ... �C) n
2. What aq o_n taken (give complete description)
3. What action recommended: ` '
A. Information only - file.
B. Hold for ten days, then write letter.
C. Write letter.
/ / D. Other:
AP #
OWNER
PERMIT - #
MI UTIL.CLEARANCE DATE
INSPECTOR
ELECTRIC
GAS
Support
Struc,
Compaction.
iTest.Req*.
Service
Other
Pipe
YES NO
YES NO
Size
Load
Type
Size
Length
t
a
.
t
CIA
C�
Y
C�
wis int of plans and specifications MUST &*
`kept on the job at all times and it is unlaw""O
make any changes or alterations on some withol
written permission from the Department of Public
• Works, County of Butte.
P� of FL A N
P fj27- 25.: D30 -O
Fo&�-RT- 1—
z�'78
�Rov.11�,
53z- 919
�M G PA 5�
SLe� e..
/y2
NOTE:—AliMaterials & Workmanship Shall % .m
Accordance with Recognized Good Practices and
of a quality prescribed for the Specified use in the
Uniform Building, Plumbing & Machanical Codes and
the National Electrical Code.
A setback of 5 ft. from th6
property lines and a setback
of 50ft. from the road
centerline shall be clear of
structures or equipment except
for a 2 ft. eave overhanq.
- - - - - L.c.,.cly L1.✓� - .- -s�slr fr
.�
D�
OF
wU� E COQ NTN
r OUILING DEPARTMENT
APPKIIJVELA
6�9.73�
1
eouta-*
OROVILLE, CALIFORNIA
GENERAL CLAIM
Steve Berryman
CLAIMANT:
ADDRESS:
1229 Feather Ave. "
'
CA. 95965
Oroville,, '
CITY &STATE: IMPORTANT:
October 5,, 1978 F r SEE INSTRUCTIONS
DATE OF CLAIM: ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS' OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO. AVOID DELAY)
AMOUNT
Decided not to build. (Permit #5173-77B P S M - Receipt #170149
-
---
AP 27-25-9)
}
_
Building permit fee $118.00
Retain 1/3 of fee ------- 39.33
Amount'of refund due -------------- 78'.67
FIX ming permit tee -----16.50
Retain filing fee ------ 3.00
Amount of refund due --------------
Electrical permit fe-e-$ 44.35
Retain.filing fee -------- 3.00
Amounto refund due --------------
Nechanical permit fee ---17.50
Retain filing fee -------- - 3.00
Amount of refund due -------------- 14.50
•Totai Permit Fees Refund Due ------$148:02
---
Land Development Fee Refund.Due ---
TOTAL REFUND DUE -----=------------$173.02
$17
_--
.02
TOTAL
$17
.02
I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this.
claim is true-and'correct'as stated.
Datedthis .................................. day of ............................ , 19....... at................................, Calif...............,.....................................................................
' Signature of Claimant
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles'specified above have been performed or de-
livered and that there is a Budget ApproprietionE]'or Specific Board Approvals (Check one) for'the same. .
Datedthis 5th .................. day of ... OCt!............... 1978, at ... Oragille.... Calif.....................................................................................
Department Head or Authorized Deputy -
Dept. Exp.
Code Code ................................................PAYABLE FROM........................................................................................... FUND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S, USE ONLY.
.-VENDOR
CODE
DEPT.
8 SUB.
PROD•
SUB.
OBJ.
CLAIM
NO,
INVOICE
NO.
INVOICE
DATE
DISC.
GROSS, .
AMOUNT
ENCUMB. _
SUB -DIST.
INSTRUCTIONS to, CtMMANTS
All claims against the county must- -be- itemized; giving -dates -and
character of service rendered or work performed, quantities, de-
scription and unit prices of articles furnished of delivered.
Claims must be certified by* the claimant -and submitted to the De-.
partment head for approval. Upon approval the Department head
will forward claim to County Auditor for payment -procedure. Do
not file with the County Auditor first.-
Claims
irst:Claims should be presented to officials for approval immediately
upon completion of services requested or material ordered.
Claims are paid every Tuesday; however, same must be approved by
officials and in Auditor's office before preceeding. Wednesday noon.
Compliance with above will expedite payment of claim, failure to do
so may delay payment considerably.
C
s
M; PERMIT NO. 5173-77B,P,E,M
PERMIT EXPIRES /0 .1129179
OWNER Steve Berryman
CONTR. owner
LOCATION (A.P. 271-25-9 )
S/S Almy.,app.3/10 mi-E.of Citrus, Palermo.
Temp. Power Pole
Called PG&E
Temp. Elea Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
i FINALED ,
(Date)
} (Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwall
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for ph e.1
handlca ed
Conformance of ex.
structure
Appliances
Gas Piping &Test
Temp. as
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footina
ELECTRICAL
Masonry Walls
Throat
Rou h
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Under round
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES ------------------
Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
" COUNTY OF BUTTE — DEPARTMENT OF PUBLIC . U C WORKS
7 County.Center Drive — Oroville, California 95965 `7 7/�
'R Telephone: 534-4541 1-61&-7
APPLICATION AND PERMIT to
authorize representatives of the County of Butte to enter upon the
above- entioned propert or inspection purposes.
X ate
Signature a? Per(mii�tee or AgWht
Receipt No. T71,
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF -PUBLIC WORKS
BY
wilding perm=xpi`=esDa`te / �- i-
BUILDING
Ownerf
SO. FT. OCC. BUILDING VALUATION
Mailing Address) '°�9,
0 1 0
Telop
Fireplace '7670 , 0 0
Contractor
Total Valuation 4
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee $
Building AddressPLUMBING
No.1 @ FEE
PERMIT FILING FEE $3.00
%%��
\.Ota --V
Each Trap X 1.50
Repair drainage or vent piping 1.50
� E- h, � kry 1��� toning Verificetioq •
Water piping 1.50
Each as water heater or vent 1.50
A. P. No P 57r4--9.
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
W. C.
�+ ation
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EOA
ParkinPlansg
Declaration
I Parcel M9,]60'
R/W
I Improve me is
Lawn sprinkler system 2.00
B iranls c� _
Parcel pproval
r Plans pproval
Permit Fee $
$
NEW ��DDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE 1 $3.00 13a>6
Main service 100V OR L
00 AMP 0RSLESS 5.00
Main service EA. ADD'L too AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 1100 AMP oR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
-T
I-1. MINIMUTA
rVl
NEW CONST. D �g CUP. &
OR ADDNS. ( {��,Q- ) 20sq ft
'
NEW -ONS'-MULTI.OUTLET
NON-RESID. BRANCH CIRCUITS) 2.50ea
i ._
y ��\d
(rVR MOBILES
NEW CONSTR. POWER APPARATUS &
NON.RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES)50 @25a
BAL@1
Ex. Occup.(OUTLETSP(RESID)REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
I`Aisc. Wiring 6.25
t$kamexempt from the Contractors License Laws of the State of California.
Permit Fee $ is
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
ermit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling t `
Ventilation
Hood 2.00 t
Permit Fee $ 5b
$
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
.P's��
Z
TOTAL PERMIT F E
i
authorize representatives of the County of Butte to enter upon the
above- entioned propert or inspection purposes.
X ate
Signature a? Per(mii�tee or AgWht
Receipt No. T71,
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF -PUBLIC WORKS
BY
wilding perm=xpi`=esDa`te / �- i-
OWNER M `l'.- - \A)Q�j-^�
Zoning Use Proposed
Permit fee .based upon: 1.
2.
3.
PERMIT APPLICATION WORK SHEET
Permit No.
A. P. No.
Approved
Not approved
Complete contract price.
Partial contract price.(explain).
DPW Valuation (show):
At time of permit application, the applicant was advised the following data or information must be
submitted prior to permit processing and/or issuance:
1. All items have been submitted- ------------------------------
�2. Plot plans in duplicate/triplicate. -------------------------
3. Complete plans in duplicat e- ------- -------------
4. Complete engineered plans and calcs-------------------------
5. Fees of $ ------------------------
Letter of signature authorization- --------------------------
7. Sanitation approval-----------------------------------------
8.
------------------------- -_--__8. Planning approval for
9. Workmen's Compensation Insurance Certificate - ---------------
10. Contractors license information- ----------------------------
11. Parcel declaration, recorded copy. --------------------------
12. Access declaration- --=--------------------------------------
,13. Aunt Minnie information. ------------------------------------
14. Deed of access, recorded copy.
15. Deed of parcel creation, recorded copy. ---------------------
16. Parcel map, recording data- ---------------------------------
17. Pre -inspection request for
18. Improvements - plans required & DPW approval - ---------------
During plan checking process, the following data
or information must be submitted prior to permit
issuance:
1. Index permit for items
above and in addition the following:
2. Applicant advised by Telephone
Mail
her 4 �
1 q1-7
.3. Plans checked by Date
4. Plans approved by Date P
When permit is issued, process as follows:
1. Mail to owner.
2. Mail to contractor.
eliver with inspectigZ
4. Telephoneahold
for ni�kup.
5. Other
Date Received
/b -/Q-77
6
Before permit issuance, all of the following
items must be signed or marked NA:
1. Zoning use
2. Legal parcel
3. Envir. Health Plans Serit
A. Sanitation
B. Restaurant
C. Other
4. Public Works • Plans Sent
A. Street Imp.
B. Drainage
C. Permits & Fees
D. Other
5. Planning
A.Use Permit
B. Variance
C. Other
6. Other Agencies Plans Sent
A. Fire Dept.
B. Other
• COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center,Drive, Oroville, California 95965 PHONE: 916-534-4541
/AYE -P tr
DATE
RE. ..
With reference to the above subject:
Attached is:
Application for permit Typical Plan Sheet
Building Plans Mobile Home Sheet
Engr. Calcs. List of Codes Enforced
OTHER
We need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of $
Certificate of Workmen's Compensation Insurance. or check exemption statement.
Contractors License Law information, or check exemption statement.
Letter -authorizing signature of
Complete plans, in duplicate, eluding plot & floor plans and complete structural
details.
Plot plans in duplicate:'
Structural details in duplicate.
Complete plans, in duplicate, prepared by registered civil engineer or architect.
E . 'talcs.
Two (2) sets of.plans in accordance with changes marked in red.
Sanitation approval from Butte County Health Dept. 695 Oleander Ave., Chico -
7 County Center Dr., Oroville.
Skyway & Elliott Rd.,Paradise
Planning approval, i.e., use permit, variance, rezoning, etc., from Butte County
Planning Dept., 7 County Center Dr., Oroville.
Improvement Plans.
Parcel declaration recording data.
Verification of access or right of way by deed.. (Recorded copy)
Verification of legally created parcel by deed. (Recorded copy)
Deed for right of way.
Parcel.map recorded.
As soon as we receive the above data, we will process your application, or, should you have
any questions concerning the above, please contact this office.
Yours very truly,
Clay Castleberry
Director of Public Works
J.F. Glander'
JFG:dd AsDirector
RESIDENTIAL PLAN CHECKING GUIDE
(S.F.;-DUPLEX, & MISC. ONLY)
Bldg. Pe it #
A. P. # r,.t
1.
A. `GENERAL vim`
.1. Zoning requirements (sideyards and parking).
2. Valuation.
3. Signature by R.C.E. or Architect (if required).
B. PLO PLAN
Complete parcel size and dimensions.
Setback*, sideyards, easements, etc.
Other buildings` or structures.
Grading, fills, drainage.
C. FL R PLAN
Complete to scale plan with dimensions.
Required windows for light and ventilation'(Sec. 1405).
Required windows for second exit (Sec. 1404).
llowable glazing for energy requirements (20% max. per State law).
uman impact glass (Sec. 5406).
�,,,-Required room sizes, ceiling heights (Sec. 1407).
G.F.C.I.'s in baths and exterior outlets (Sec. 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
Lechanical equipment.
ocations of water heater, heating & cooling equipment, other electrical or gas
/equipment, and plumbing fixtures.
Garage firewall, door size, and closer (Sec. 503(d)(4)).
1- 3'0" exterior exit door (Sec. 3303d).
Fireplace location.
Smoke -detectors (Sec. 1413).
Foundation plan complete enough to construct building.
TFIoo� construction details complete enough to construct building.
K Elevations and wall construction details complete enough to construct building.
4. Roof'construction details complete enough to construct building.
. .Fireplace construction details and calcs if over one-story in height.
6.. Sufficient data and details to satisfy energy insulation requirements (State law).
E. MISDELLANEOUS ITEMS TO LOOK OUT FOR
!1! CCX plywood on exposed locations and overhangs.
Stairway details (Sec. 3305).
uardrail details (Sec. 1716).
Brick or stone veneer (Chapter 30).
X. Exterior plaster — weep screeds (Sec. 4706 & 4708).
Proper roof pitch for roof covering.(Chapter 32).
7. Rafter ties or bearing ridge beam.
Garage door or porch header sizes.
-,-�Adequate bracing.
Living area over garage - complete 1 -hour separation
walls and posts, etc. .
11 Two (2) exits on three-story dwellings (Sec: 3302).,
required including supporting
PERMIT NO.
PERMIT EXPIRESek Y -1-S,
OWNER -John W. Mills
y CONTR. Owner
ASSESSOR PARCEL 27-25-30
LOCATION -S/W corner @ inters. Almy Avenue
and Homestake Rd, Palermo
�s
p_
fl.
� Temp. Power Pole
i Called PG&E
f. Temp. Elec. Service -s
Called PG&E
� Temp. Gas Service
Cal led PG&
JOB L 1' LED (Date)
Signat
J OK
0 = Not Olt
– = Not Applicable MOBILEHOMES
= Not Ready
v
MISCELLANE01 eC
t'
Date
MOBILE !jPME UTILITIES (P s) OK except N's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #,.-
f--fo_n!,gg Requirements—Setbacks—Easements
oils; Special MH Support—Sketch
ewer; Location—Test—F I-C/0—Concrete
1. Zoning Requirements—Setbacks—Easements
2. Footings; Size—Depth—Spacing—Connectors _
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails!
4. Water; Lo on asement Needed (Sketch)
4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing_
V-ffre-ericity; Location—Clearances—Grnd.—/ / Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
s; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
6. Carports; Windows—Doors
7Vt9tility Clearance
7. Elec.
C@rd
,pW
Date 7—A and -BI Date
Card -BI
Date Card -BI Date
rd -BI
Date and -BI Date
Card -BI
_
Date Card -BI Date
Date
BILEHO E INSTALLATION (Vo<OK except H's
Date
_
POOLS (Plans) OK except N's
oning Requirements—Setbacks—Easements
1. Setbacks—Easements
gratings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
Ga H Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
I ricity; MH Test—Crossovers—Breakers—Clearances
4. Elec.; Receptacles and Lighting; Distances—GFI
r MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
er; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
Wa nd Sewer Connected—C/O to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
and Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.—
Boxes—Enclosures—Panelboards—Ins. to Main in Conduit
_ 5""; Insp.—Sketch
VIO'Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
d B -I
Date and -BI Date
Card -BI
Date Card -BI Date
Card 13-1
Date Card -BI Date
Card -BI
Date Card -BI Date
= OK
= Not OK
= Not Applicable
= Not Ready RESIDENTIAL (Single and Duplex)
,
Date
UNDERFLOOR (Plaps) OK except #'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel -B loc kouts-Wrapped-S lab
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/0 -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
PLUMBING (Permit) OK except k's
Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
57.
Smoke Detector
_
14.
Water Ht.; Vent -Access -Combustion Air
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
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.
19.
Test Tub & Shower, 2nd Floor -Tub Access
Gas Pipe; Size & Anchors
61.
62.
Elec. Trim & Subpanel; Breaker Sizes -Labels
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
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
23.
Romex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic E] Yes
Guard Rails &Deck Construction -Post Caps
25. 2 Appliance Circuits in Kitchen & Conductor Size
- -
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive ❑Yes C] No; Walks El Yes ❑ No;
Planters ❑Yes []No
_
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
---
79.
Water Well; Disconnect, Electrical, Plumbing
Card B-1
Date Card -BI Date
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
82.
83.
Ventilation throughout House
Glass Protection
Corrections from Previous Inspections
Card B -I Date Card -BI Date
Date
MECHANICAL (Permit) OK except q's
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/0 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
Card -BI
_
---
Date _ - Card -BI Date
Date Card -BI Date
C
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except p's
Comments at Final:
36.
Sills; Proper Material & Anchors
37. --Wal
38.
38.
39.
Is:Studs-Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls_ over Girders & Floor Nailing _
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
46.
47.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _
Garage Fire Protection Framing
(NOTE: Anentrymust be made each time you visit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Ph4,ne: 891-2751
7 County Center Drive, Orovi Ile — Phone: X34-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 5, under permit
number for the following location:
Owner =
Owner's Address
Mobilehome Mfg. Model 2'/ Year
Insignia No. IL' Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date By L
-
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
V
COUNTY OF I�UTTE.- DEPARTMENT OF PUBLIC WORKS
h 7 County Center Drive-P)roville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NOAA
-,J
PARCEL NUMBER
—� •-3
ZO IN
L9
BUILDING PERMIT
°W
T 3.-e �4�
Y'O
SQ. FT. OCC. BUILDING VALUATION
OWN MAILING
AILIN G ADDRESS
C TR AC TOR'S� E
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CO STRUCTION LENDER
UNKNOWN
Total Valuation $
'Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
AR H ECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 1(0
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 0—
BUILDING ADDRESS
S w �'
PLUMBING PERMIT
Filing Fee 10.00
JL AJ eF
Each Trap
2.00
Repair drainage or vent piping
5.00
Of
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome"K' Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationK Other ❑
Describe work: �f�— «��-�2
T
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR0V OR LESS5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. / DWELLING OCCUP.81
OR ADDNS. ( ACC. BLDGS.
22 sq It
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
F/] I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. -OUTLET
BRH CIRCUITS 2.50 ea
NEW-CONSTR. (POWERCAPPARATUS y\
NON-RESID. SINGLE OUTLET CIR. /
S0@z5¢
Ex. Occup OUTLETS OR FIXTURES BAL@1 OT
FIXED APPLNS. OR
Ex. Occup.(ouTLETS (RESID.) EA.1 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insureence or a Certificate
of Consent to Self -Insure.
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.
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
n the above-mentioned property for inspection purposes.
I alve, indemnify and keep harmless the County of Butte against
ButtVid
all gments, costs, and expenses which may in any way accrue
agaity in consequen he granting of this permit.
', _ ?
X Date
SignafA
e of Applicant — Owner ❑ Contractor ❑ Agent ❑
An permit is required for excavations over 5'0" deep and demolition or construct-
i, oructures over stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD
ND
1550
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC R OF PUBLIC
_
;I�TFXPIRFSDate
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
O3.
Receipt No. � fi 7'
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
MOBILEHOME SUPPORT DATA
If other than single wide,
Mobilehome Mfr.C/�/yl /7,or� furnish Setup Model No. C H 67 R 2– Year /91a'
Width(ft.) Box Length y (ft.) Tagalong or Expando Size ft. x ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of t
mobilehome unless otherwise specified.
t Footings (check one)
Single 1. Wood either",
pressure treated or
foundation grade.
� v 2. Other (specify)
(ft.)(in:) 2 Cin. (in.) ❑ (P Y)
Center support Center support
locations* footing sizes Supporta (check one)
tD (in.) 01"1: Concrete block.
2
dj i ❑' 2: Other. (specify)
(ft.)(in.) (in.) (in.)
F—Tagalong or Expando,'
2 ® show support details.
-- Typical Support
QIAL j4 Footing Size
24x
(ft.)(in.) (in.) (in.) �J _ O -- Max. Pier Spacing
2�X'So
` •-J ; ,� <� -- Max. Overhang
(ft.)j(in.
t(f t.) (in.)
/1O
b.UVTE COuNI r
3UILDING DEPARTMEN'
*If center piers are other than drawn above, A P PSC $ ® -
draw in •locations,.spacing,, and dimensions.
BUTTE 001)NTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
2. Installer's na
siteservice? ----=--------------------------------------- ------- Yes No 7-1
(If yes, identify the load and size: Gt��/% /Gvi/1-"(Load) / (Amps)
9. What is the mobilehome site gas pipe size? ---------------------- 3 (in.)
10. What is the type of gas service? ----------------------------- Natural /% LPG / T
11. What is the gas pipe length from meter or tank to the mobilehome?
12. What is the mobilehome gas demand? ------------------------------ (BTU)
(This information not required if pipe length less than 6 ft. on natural gas
or less than 50 ft. on LPG.)
3.
Is the site currently under permit? Yes /1i/"
No
( If yes, furnish permit number 13 V 4)
OR
Is the site an existing site? Yes / /
No
(It yes_;:;•fumr sh' two (2) plot plans.)
4.
.,Will the 'mob ilehome.be located at least 5 ft. away
from
septic tank
and leach fields and
clear of. all setbacks.and easements? Yes /y/�
No
( If no, clarify
)
(
)
5.
What is the mobilehome electrical rating? -----------------------
A2 Amps
6.
What is the mobilehome site service rating? ---------------------
rl b 'Amps
7..
What is the mobilehome site circuit breaker rating?
D Amps
8.
Is there any other electric load to be served by the
mobilehome
siteservice? ----=--------------------------------------- ------- Yes No 7-1
(If yes, identify the load and size: Gt��/% /Gvi/1-"(Load) / (Amps)
9. What is the mobilehome site gas pipe size? ---------------------- 3 (in.)
10. What is the type of gas service? ----------------------------- Natural /% LPG / T
11. What is the gas pipe length from meter or tank to the mobilehome?
12. What is the mobilehome gas demand? ------------------------------ (BTU)
(This information not required if pipe length less than 6 ft. on natural gas
or less than 50 ft. on LPG.)
COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
:?� 4 -8;1-
A ot
ASSESSOR PARCEL NUMBER
ZONI G
BUILDING PERMIT
0 WNT, (,N V v ( r/ I I J (
t-+
LEP H°
SQ. FT. OCC. BUILDING VALUATION
OWNER'Stvi ,LIN %ADDRESS L)'LILL CA (q9-1(4�
a„
CONTRACTORS NAME `wtj lF—'i
E
TELPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LEND
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILINGA D SS
Permit Fee
$
ARCHITECT OR ENGINEE
LICENSE No.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINE 'S MAILING ADDRESS
Permit fee
$
Bull c I<,DD,gE,�sl t� t S ��
L7 (�' K�V
PLUMBING PERMIT
Filing Fee 10.00
PJ E E � �D'
l�
Each Trap
2.00
Repair drainage or vent piping
5.00
p D
Water piping
0-0
LOT NO.
SUBDIVISION NAMEPARCEL MAP
Each gas water heater or vent
5.00
Gas piping system 1 -5 outlets
I to-oo
USEOF ST CTURE
SF ❑ Duplex ❑ Mobilehome Other
SPECIFY
Building sewer
j(D -00
Lawn sprinkler system
5.00
TYPE OF WORK/
New F-1 Addition❑ Remodel❑ Utilities ,L-,L'f,/Installation❑ Other❑
Describe work:
Permit Fee
$ X00
Contractor
r
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP 00V OR OS
OR LESS
O•��
Main service EA. ADD'L 100 AMP
2'.50
NEW CONST. ( DWELLING OCCUP.DI)
OR ADDNS. \ ACC. BLDGS.
20 sq
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 I am exempt under Sec. , Business and Professions Code
for this reason
NNEW O R BRANCH COUT
TS 2.50 ea
NEw CONSTR. / POWER APPARATUS 6)
NON-RESID. (SINGLE OUTLET CIR.
so @ 2ac
Ex. OCCUp OUTLETS OR FIXTURES BAL@1 Ot
IXED APPLNS. OR
Ex. Occup. TLETS (RESID.) EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50 r
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 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 shal I 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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agto sa , indemnify and keep harmless the County of Butte against
all liabi ti Sr, ju ments, costs, and expenses which may in any way accrue
agains sai Co ty in c/onnse/quen e f granting of this permit.
X �j r F/C�
Date
Sig at a of Applicant — Owner Contractor ❑ Agent ❑
A A permit is required for excavations over 5'0" deep and demolition or construct-
i o structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
TYPE OF CONST.
PARCE
PD
ND,
SsSyc
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
l
P MIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date.
Receipt No. (�j IBy
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
Return to DPW AGRICULTURAL -STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code requires this acknowledi;ement
be'recorded prior to issuance of a building permit. UZ
The property described herein is adjacent to land or included ? 01
within an area zoned for agricultural purposes,.,,'and residents of �/
this property may be subject to,inconveniences .. 'or discomfort arising R
from the use of agricultural chemicals, includinf.;, but not limited to herbt
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural 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 such
inconvenience or discomfort from normal, necessary farm operations.
All that real, property situate in the County of Butte, State of California,
described as follows:
A _e
/* x e 1-te r e c:, 1:il el`i-
7V
.J
Date:
State of Oc,__
SS.
County of-
2�, \,N;a__ )
OFFICIAL SPAL
ANC-ELA D. KELLY
NOTARY PUBLIC CALIFORNIA
PRINCIPAL f)F'F:CE IN
BUTTE COUNTY
MY COMMISSION EXPIRES SEPT. 71 1962
Present A.P. NO.
On this the � day of
before me, the undersigned Notaiy Public, personally
appeared
known to me to be the person(s) whose name(s)
subscribed to the within instrument and acknowledged
that A':�&\s_ �,� executed the same for the purposes
therein contaid. t
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
Tyry Public
This set of plans and specifications MUST be
kept -on the job -at all times and it is unlawful tv
make any changes or alterations on same with-
out written permission from the Department. of
Public Works, County of Butte.
,A Iwopl be required for the
sM115 - n of the mobilehome.
i1
has
500 S FT. MINIMUM
r
FOR MOBILES
NOTE:—All Mate & Workmanship Shail Be iq
Practices ancl,
Accordance with Recognized Goo
ed use n the
of a quality prescribed for the Sp
Uniform Building, Plumbing & Mechanical Codes
and the National Electrical Code.
A setback of ft. from the
Property lin s and a setback
of 50ft. fro theroa
Centerline s all be clear of
s}pUtiUres o equipment exce0
UfMty connection's shall be within
4 ft of the mobilehome, eith ar
directly behind or within the rear
half of the roadside (left) of I/
i-robilehorne. Ti
(1:�40 - U
8Urf L C OUN I t
BUILDING DEPARTMEN1
.PROVE'.
NOTE:—All
Materials & Workmanship Shall Be' its ( I
ibis set of plans and specifications MUS•I
Accordance
with Ro.:,-gnizeel Oooca Practices
'
an>i t
be
Cept on the job at all times and it is unlawful
of a-qu i fy
err c L)� s t°,,: ,,� �'y�.od use in
the -�—
to
make any changes or alterations on same
tlniforrn ; + ;;, , aQ t,,Iechaolcal Codes
ant -
withou,
written permisson from the Departmccvt P
the National
.. Icor;,-al CC: e.
of
Works, County of Butte,
1Rct FLA A/
f�t� b27-25-030-0
Z�76 61-
53z-g�19(0
BUTTE COUNTY
UILD.ING DEPARTMEN
APPROVED
• If2
l
Utility
connect; shall be within
4 ft. of the mobilehome, either
d'+
directly behind or within the rear
'half of the roadside (left) of the
mobilehome.
v
�5.e WE
neMP• , ` y
co,.
500 SO. FT. MINIMUM
A setback of.5 ro FOR MOBILES � ��
propert ne a. setback
of 5 I om th'e road w
cerline shall be clear of
structures or equipment except i I
for a 2 ft. eave overhang. /
PERMIT NO. j1983-87B,P,E
PERMIT EXPIRES
OWNER ROBERT & SHARON RAYMER
CONTR. Holiday Pools
ASSESSOR PARCEL 27-25-30
LOCATION 2878 Almy, Oroville
-ZAP d�
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp.'Ges Service
Called PG&E
JOB FINALED (Date)
Signature
= OK
0 = Not OK
= NotReaable dy• MOBILE HOMES
- A 'MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
`Date
DECKS,COVERS;CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2.. Soils; Special MH Support -Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
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.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ P'LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures.
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8..Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -131
Date Card -B1, Date
10. Roof; Shthg-Roofing
Card -81
Date Card -B1 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -81
Date Card -81 Date
2. Footings; Size -Spacing -Marriage Line
Card -131
Date Card -81 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
P90LS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. etbacks-Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction-Uucture ility
7. Water and Sewer Connected -C/O to Grade -HD Approval
vT1-Conn ctions-Thic ess-
Dead-AAen-L+r-�
.8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
�` �—�
e & fllec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
L Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
��
Elec .;Groynding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
Card -81 Date Card -131 Date
Card -131
Date Card -131 Date
g, pproval
0. Plumb.; Cir. Test -Water Supply Test
Card -131
Date and -131 Date
Lo Card -B1
Date Card -131 Date
(��� ` _a'
= OK
0 = Not
- = Not Applicable plicable RESIDENTIAL (Single and Duplex)
=Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
44. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth
46. Fireplace Ties or Type A Flue -Fireplace Throat
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
49. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
50. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
51. Ext. Doors -One T -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
54. Siding -Nailing Veneer
12. Electric; Underground
55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
56. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
57. Shear Walls; Nailing -Bolts
15. Insulation
58. Insulation-Walls-Clg.
59. Infiltration -Wal is-Wndws
Card -B1
Date Card -B1 Date
Card -B1
Date Card -B1 Date
Card -131
Date Card -B1 Date
Card -B1
Date Card -B1 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
60. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
61. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
62. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
63. Bedroom Exiting
64. G.F.I. & Bath Fixtures & Tub Access -Spa
65. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -B1
Date Card -B1 Date
66. Stairs & Rails
Card -B1
Date Card -B1 Date
67. Fireplace Stove; Clearances
or -Hearth
Date
ELECTRICAL (Permit) OK except #'s
68. Elec. Outlets at Wood Panel; Int. & Ext.
22. Fixture & Transformer Clearance -Ins. Protection
69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
23. Elec. Receptacles Spacing -Lights & Switches at Doors
70. Elec. Outlets & Receptacles at Kit. Counter
24. Size Boxes & No. of Conductors -Stapled
71. Garage Fire Door; Swing -Landing -Closer
25. Romex Installed Close to Edge of Studs & C.J.
72. A.C. Duct in Garage -Damper
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
27. 2 Appliance Circuits in Kitchen & Conductor Size
74. Plb., Elec. & Mech. Equip. Listed for Location
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
76. Insulation -Foam -Looked in Attic ❑ Yes
77. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
80. Stucco; Brown -Finish
Card -B1
Date Card -131 Date
81. A.C. Unit; Disconnect, Electrical, Plumbing
Card -131
Date Card -B1 Date
82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
83. Water Well; Disconnect, Electrical, Plumbing
33. A.C. Ducts Insulation & Support
84. Exterior Elec. Trim; G.F.I. Receptacle -Underground
34. Vent Fan; Exhaust above insulation
85. Ventilation throughout House
35. Condensate Drain & Overflow; Size & Grade
86. Glass Protection
36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
87. Corrections from Previous Inpections
37. Attic Access & Platform if Furnace in Attic
88. Gas Test -Meters Tagged; Gas -Electric
89. Water & Sewer Connected -C/O to Grade -HD Approval
90. Energy Compliance Certificate -Other Certificates
Card -B7
Date Card -131 Date
Card -B1
Date Card -131 Date
Card -131
Date Card -131 Date
Date
FRAMING (Plans) OK except #'s
Card -B1
Date Card -131 Date
38. Sills, Proper Material & Anchors
Card -B1
Date Card -B1 Date
39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Comments at Final:
40. Bearing Walls over Girders & Floor Nailing
41. Draft Stop in Walls (rat proof)
42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
43. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS pE IT f
- 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541-�/
APPLICATION AN[f PERMIT v
ASS PAR L NU MBE
--
ZONIN
BUILDING PERMIT
OWN
HONE
SQ. FT. OCC. BUILDING VALUATION
ER'S M LIN b ESS -
k1lut v
C NTR Ch O 'S NAME
Oki
L€�.}ION�,"
TE11 AUUU �JL/L
ON RACTM OR'SLIN ADDRESS'—C/LT/`,/
I
Fireplace
CONS RUCTION LEN R
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
Energy Plan Checking Fee
$ ,
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
keSolar
or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME PARC L MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE�.
SF F1Duplex❑ Mobilehome❑ Other pECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New EA Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:
Permit Fee
$ 5•
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00.
Main service 100 AMP OR1 OR LESS10.00
Main service EA. ADO'L 100 AMP
2.50
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.
/� C- S�
License No. :32 70— Classification
F-1 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.d ,
OR ADONIS. ACC. BLOGS. 2hQSgft
NEW CONSTR. MULTI -OUTLET
NON.RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS tr
(SINGLE OUTLET CIR.
200SOQ
Ex. Occup OUTLETS OR FIXTURES .1-930
FIXED
Ex. Occup. OUTLETS PR
(RESID )EA.� 1 2.00
Temporary service 1 10.00
Mobile Home Facilitie 15.00
Misc. Wiring15.00
Permit Fee $ S,
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of 'Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in -any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 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 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 co qu of th r ting of this permit.
X Date
Sig rut of Applicant — Owne Contr or ❑ Agent
An HA permit is required for excavation er S'0" deep and demolition or construct-
ion of structures_ over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 3.
occu P.
CONST.TYPE
aLOOD
RPJ
PD
�-
N
890E
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which
DIRECTOR PUBLIC
BY
PE T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
//�' L•3 - ?7
/9
Receipt No.
WHITE-D.P.W.• YELLOW-ASSE330R. PINK -INSPECTOR, GOLD ENROD-APPL I CANT
COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS BUILDING DIVISION
.7 COUNTY CENTER DRIVE - OROVILLE, CAJJF_SJWA 5965 - TELEPHONE: 916/534-4541
PERMIT APPLICA-1*0WDATA SHEET '
Permit No.
OWNER sAa-,� . ,P. No. a7- � 5
Proposed Building Use Building Inspector r`z Date1
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. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . .
9. Letter of signature authorization.
10. Sanitation approval from 0 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 owner0, Mail to ownerEJ).
_15. Improvements may be required. . . . . . . . . . . . '
16.u'Mobilehome Installation Data. . . . . . . . .
17. Pre -Inspection for Pre-Inspec. request to (Date)
Required. Building Inspector
18.
19.
20.
21.
22.
Recorded copy of Agricultural Acknowledgment Statement.
Driveway Permit.
Plot plan approval from city of
61
W�he/n f `
ou issue the er t, p as follows: —Mail owne
ickua r, —Mail to contractor.
`�
—Telephone.andand hold for pp office, Deliver w/inspector..
Other
Copy of plans sent
Applicant S/'Tty ate C1✓ ,?— F'7
Health Dept., Fire Dept., Other L Z Date
The following data must be submitted prior to permit issuance
1. Index permit for above items No.
2. Additional items required:
(Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by_phone_-naII—counter by date
Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date
Plans checked by Date Plans approved by ate 6 23 47
Sets of plans on hold in File cabinet AP folder
Copy—DPW
— Hours: 10:00 a.m. - 3:00 p.m.
TO Buildina Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
ovner Location AP#
Plan Approved for: Sewage Disposal _ /� _ Water Supply
Hold final for:
Final clearance O.R. for:
Clearance for _ _ — bedroom mobile home.
NOTE ***
7 7f
Sanitarian
Other
Water Supply
Water Supply
Dat
. , ., rte, i I• ' *s • �
PERMIT NO. E(MH)
PERMIT EXPIRES
OWNER BOB & SHAROWRAYMER
I
�CONTR.. Pacific Modular Concepts
ASSESSOR PARCEL 27-25-30
t Y
LOCATION 2878 Alm Ave, Palermo
" '• l•
r
sA
-
I j Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&EAV-
r
Temp. Gas Service
'• { I !. Called PG&E -
t JOB FINALED (Date)
Signature
J = OK
0 = Not OK
— = Not Applicable
* = Not Ready
MOBILEHOMES
MISCELLANEOUS
Date
MOBIL ME UTILITIES (P s) OK except #'s
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
on' Requirements—Setbacks—Easements
1. Zoning Requirements—Setbacks—Easements
J, -10-11s; Special MH Support—Sketch
2. Footings; Size—Depth—Spacing—Connectors
ewe ; Lo ion—Test— / Concrete
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
ater; Location-Test—Easement Needed (Sketch)
4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
5. Electricity; Location—Clearances—Grnd. ~Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6. Gas; Location-- p Wrap:/ - /-"L"ft./ /"Nat.ora//"L"ft./ LPG
6. Carports; Windows—Doors
7. Utility Clearance
7. Elec.
Card -BI
ate, ✓ Card -BI Date
Card -Bl
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -Bl
Date Card -BI Date
Date
MOBIL ME INSTALLATION (P s) OK except #'s
oning Requirements-Setbacks—Easements
Date
POOLS (Plans) OK except #'s
1. Setbacks—Easements
ootings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
as; MH Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men -Lining
j,iElectricity; MH Test—Crossovers—Breakers—Clearances
4, Elec.; Receptacles and Lighting; Distances—GFI
"rain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
Water; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
Water and Sewer Connected—C/O to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gas and Electricity Tagged
. Exits; Insp.—Sketch
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
1 Cert. of Occupancy
g. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
C B -I
�y
Date ��� 0 Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date EEICard-BI
Date Card -BI Date
.2,;7-
00I/`-
YY
J = OK
0 = D!ot OK
SIE = Not Read cable RESIDENTIAL (Single and Duplex)
Ready
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel -B lockouts -Wrapped -S lab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area=Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except q's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except q'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.
19.
Test Tub & Shower, 2nd Floor -Tub Access
Gas Pipe; Size & Anchors
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
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
23.
24.
Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
72.
Insulation-Foam-Looked
am -Looked in Attic ❑Yes
25.
2 Appliance Circuits in Kitchen &Conductor Size
73.
74.
Guard Rails Deck Construction -Post Caps
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or A1,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive El Yes ❑ No; Walks [I Yes El No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
80.
Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B-1
Date Card -BI Date
81.
82,
Ventilation throughout House
Glass Protection
Card B -I Date Card -BI Date
Date
MECHANICAL (Permit) OK except q's
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/0 to Grade -HD Approval
32.
33.
34.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
86.
Energy Compliance Certificate -Other Certificates
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 p'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.
Hangers -Post Caps -Anchors -Connectors
43.
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfn_g_.
44. 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: An entry must be made each time you visit job site)
_ COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS "J
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and.EIIiott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
'ERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspec
Date
COUNTY OF BUTTE k.
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE 01F OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 51 under permit
number 4 �� = for the following location:
OwnerAl
Owner's Address •'-�' '
Mobilehome Mfg. Model 1 K X Year K/
Insignia No. a--' Serial No. 1/4+_; A — - t_1
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date j' '` ',/' B(_:t-
Y_
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White -Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
v
ASSE ARCEL NUMBER
• 0 — U — 3 Z)
ZONING '
45
BUILDING PERMIT
TELEPHONE
SQ. FT. OCC. BUILDING VALIJATION
O,(JNER'S�MAI ING A%
O'CJ
N[rJJT7ACTOR'(/SJN,MJv"`•• AVIA�'
U[1L A/ l J ✓
T EPHO E
_54
O RACTOR'S AILING ADDR-
w , (� 759
Fireplace
CONSTRUCTIO q L ND
UNKNOWN
Total Valuation $
filing Fee
$ 10.00
LENDER'S MAILING AD R SS
Permit Fee
$
ARCHITECT OR ENGI EER
LICENSE NO.
Plan Checking Fee
$ r -C)
Penalty
$
ARCHITECT OR ENG NEER'S MAILING ADDRESS
Permit fee
$
BUIL ING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Q
Water piping
5.00
LOT NO.
SUBDIVIs ON NAMEPARCE
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF SyRUCTURE
ul;/
SF ❑ ❑ DuplexMobilehome Other
SPECIFY
Building sewer
5.00
Mobile Home
10.00e 00.00
TYPE OF WORK
New r-1 Addition❑ Remodel❑ Utilities Installation❑ Other [I
Describe work:
In
Permit Fee
$ V%P
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP 001 OR OL
SLESS
10.00 & I- .
Main service EA. ADD•L too AMP
2.50 9.5'0
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. SLOGS.
2I/20sgft
CONTRACTORS LICENSE LAW
I declare der penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profess' y license is in f I force an effect.
License N 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 NON.RESID R BRANCH CIRC TITS. 2.50 ea
NEW CONSTR POWER APPARATUS &'
NON-RESIO. %SINGLE OUTLET CIR.
2D®s0c
Ex. Occup�OUTLETS OR FIXTURES 6AL®30
11
Ex. Occup. OUTLETS P(RESID.)FIXED APLNS.REAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 7Q()
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ Thq permit is for $100.00 (valuation) or less.
F-1,--f-have placed on file with the County of Butte Building Department
(yam 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 shal I be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
o agree to save indemnify and keep harmless the County of Butte against
all li lit,es, judgm nts, costs, and expenses which may in any way accrue
against id Coun y in conseque ce of the granting of thi ermil I
11 P&7
o Date
Si gnctur of Ap licant - caner❑ Contractor ❑ Agent
OSHA er it is required for excavations over 5'0" deep and demolition or construct-
ion o res oveerro3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ c?
OCCUP. GROUP
TYPE OF CONST.
/,
PARC PD
N
SSU
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for whi h
DIRE OF LIC
By
PERMIT EXPIRES Date-_
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date -'
Receipt No. le'7D !7
WHITE-D.P.W.• YELLOW -ASSES OR, PINK -INSPECTOR, GOLDENROD -APPLICANT
t
COUNTY OF BUTTE - D,EPA-RTMENT OF PUBLIC WORKS
* ' "7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION -AND PERMIT
PERM T NO/✓
d�� 04�% I
ASSESSOR (L NUtyLBER., — 4) 3 4
o -C) J`
Z/Iy,G -
S
BUILDING PERMIT
Ow R
TELEPHONE
SQ. FT. OCC. BUILDING V LUATI N
ER'S MAIL-' G AD
NDRESSS
O RAC SNA TELEPHONE
CON R C TOR'SS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee Al
$ /
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
(�
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
JPARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USEOF�TURE
[_1SF Duplex❑ Mobilehome Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
El"
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑
Describe work:
1_
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST.(DWELLING OCCUR.&
OR ADDNS. ACC. BLDGS.
t
2/20sgft
CONTRACTORS LICENSE LAW
I declar nder penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Cod�+Q,4nd my license is in full ce a d ffect.
,. 75 Classification
License No.y
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULTI-OUTLET 2,50 ea
NON.RESID BRANCH CIRCUITS)
NEWCONSTR POWER APPARATUS &'
NON . RES] D. ( SINGLE OUTLET CIR.
20@50a
Ex. Occup(o X OR FIXTURES BAL090
IED A PLNS R
EX. Occup. OUTLETS (RESID )EA. 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ Th ermit is for $100.00 (valuation) or less.
L21 -'have placed on file with the County of Butte Building Department
e. Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 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
building construction, and hereby authorize representatives of the Countyot
B e to enter upon the above-mentioned property for inspection purposes.
1 also gree to save indemnify and keep harmless the County of Butte against
all liabl 'ties, judgm ts, costs and expenses which may in any way accrue
against Coun i nseque c of the granting of this per
DaPe
Signatur of Ap licant — Owner ElContractorAgent ❑
OSHA p rmis required for excavations over 5'0" deep and demolition or construct-
on truc s over 3pstCries in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ a
OCCUP. GROUP
I TYPE 01 CONST,
1�1PARCEL
ND 55
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
By
P MIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. �0
WHITE-D.P.W., TEL LOW -ASSES SO4, PINK -INSPECTOR, GOLDENROD -APPLICANT
AP #
OWNER -
PERMIT
MH UTIL.CLEARAWdLIDATE
INSPECTOR
ELECTRIC
GAS.
Support Compaction
Struc. Test -Req.
Service
Other.
Pipe
YESI NO YES NO
Size
Load
Type
Size
Length
i
• - '. BOTTE COUNTY DEPS OF PUBL`IC' WORR5
-� 7='County Center Drive, Oraville;• CA.
PHONE: 534-4541
' 'S� 3 '.i�.i! s.��i�v=-�?� �' �l; �`%"i'4r' '`�' ..�+,Ci � v �+a�..xa,.,�' •�` .. �+e{F .rt; "��` + f �-s as '
(-^s :d V; .".I,wt�,,MBU.EROMAIWTALIAT,IONi,Sam - x{ C� r `� }, -• .,
T. 1 f 4,r'.I,r..: 3 •.:.v.e 1. N ""1 4 h
1'0
14, OWMW
2. Installer's name:: v
t _, 1 A
�. 'Is the 'site Ourrently :under 'permit? YeS ,No'��
(If yes, furnish peffiit number ' y 616R
S,
_the»• ite-•an existing site? Yes hk _/
-:Ti
l e,t' #urnish two �(2) -plot plans:) R _,
.40 -Vill ``Lhe mobilehome :be located at least :5 ft.' away from septic tank and leach fields and
` '.clear 'of all setbacks =and -easements? -Yes -No _ 4
(if no, clarify , )
5. •What is ,the mobilehome electrical rating? ----------------------- Amps
6. What is the mobilehome site service rating? --------------------- C'�)w Amps
Amp
7.- What is the mobilehome site circuit brealcer`rating? ------- ------ ,_...__�
w s
8. Is there any other electric load to be'served by the mobilehome
site service? --- y-r--rc---------------- ;----------- ;------------ Yes No �[
r
(If yes; -;identify ,the load :and .;size: (Load) y (Amps)
'9. Nhat 1s themobilehome site .gas +,pipe size? i --- ----= _ s . +•t ,. • . (in. )
�fc°:•t• -.....f•.k.liy«w.�..�,.»� r -.a i.+ -..
`What -is .the type of gas service?'w =�==- -= '= �= ==-==�'� natural 77-
,10.
ll.. =_What is :the ;gas pipe "length -from meter,vor tank to the mobilehome?
12. What is the mobilehome gas demand? :---_ 1 - ({ --- -- ----- -� t(BTU)
- • < ".' �. �. .�'� f A f 1 , � .J �. � �•-. .. -'.... Vit. . j.
.(This information not required .if pipe -length less than t6 ft. ,,on. natural gas '-
or less than r50 .ft.. on ,LPG.`)
_�.�.��. :.�. _ i - . �, � •- # � - , . - BUTTE: ,�
f �CQ`U NT-
rBU1LD(NGr.DEPAR,,,, 1ENT- .
+�. ��A PtRR OVE.D
If other than single wide,
C;t1i ehome Xf r. �d furnish Setup Model No. Srn year_
V* i dth (ft.) Box Length AD (ft.)' Tagalong or Expando Size. _ft. x ft.
(SHOW SUPPORT DETAU-S BEL(W)
ju:211 nobilehmes manufactured after October 7, 1973j furnish manufacturer's itistailation
ramal and structural setup sheets',(If not -'on file with,, the .County of Butte).
center supports measured from front ,of
-�ilehtme unless otherwise
(check one)
.. _� �� . �-.F� � .�. �..S:gII$�e ...� �,,y; �; `��,,�. Wood wither ,.
,ressure -,treated oi
.1
(in.) (in.)
AD
(in.)
.32)
lin.)l (in.)
W X
Ig
-enter piers are other than drawn above,
in -locationi,' spacing, 'and dimensions.
.1ouvidation grade.,
2.. Other -' (specify)
.. R.,-upports
spqcLfy)gpgoktg-(;heck one)
Concrete"block.
ify)
*----Jfagal=g or-Expando
show support --details.
/�, x3o I -- Typical -6upport
in. (in.) Footing Size
Max:.Pier ,Spacing
4 -
Max. Overhang
(f
(in.)
ert e r 8 port
Center support
�Gcaii s*
-footing sizes
jux
in.)
(in.) (in.)
(in.) (in.)
AD
(in.)
.32)
lin.)l (in.)
W X
Ig
-enter piers are other than drawn above,
in -locationi,' spacing, 'and dimensions.
.1ouvidation grade.,
2.. Other -' (specify)
.. R.,-upports
spqcLfy)gpgoktg-(;heck one)
Concrete"block.
ify)
*----Jfagal=g or-Expando
show support --details.
/�, x3o I -- Typical -6upport
in. (in.) Footing Size
Max:.Pier ,Spacing
4 -
Max. Overhang
(f
f
--IT ---7
OR
�dB
Z'
X
FOR RESIDEtTIAL DEVELOPMENT
Section,- -8.1 of the Butte County Code rbquires this acknowledgement
be recorded prior to issuance of a building permit.
s5-- 487
DFWMAL
The property described herein is adjacent to land or included �jY\U
within an area zoned for agricultural purposes, ,and residents of this JAN 7 3 38 i ).113 i
Property may be subject to inconveniences or discomfort .arising from
the use of agricultural chemicals, Including, brat not limited to herbiir'd';A # etlitic e
Pu agricultural operations :inclu " '
and .fertilisers; and from ttie; -pursuit .of ut��:#� ed
.to cultivation, plowing, spraying, pruning, and harvesting which *ccaaionally,generat ust,
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 .such inconvenience or disconform from normal,
necessary farm operations.
All that real property situate in the County of Butte, State of California, described
as follows: A.P. # 27-0-025-0 -030-0
Lot 5, in Block 139, as sham on that certain Map entitled, "OFFICIAL MAP
OF SUBDIVISION NO . 3, OF ME PAIE+D CITIW TRACT" which Map was filed in the
offioe.of the Rea er of the County of Butte, State of California, January
2, 1889.
Date: 1 - 11 — L;- PROPERTY OWNERS:
ti
State
of ) On this the
day of 19 before
, ,
)_ jSS .. me. _._the_ Anders -Used -Botany _Jttbl �—
STATE OF CALIFORNIA SS.
COUNTY QF
On / _ACJ /Nj % /y � before me,
the unde tgned, a No Public in and for said County and State, per -
n
sonally appeared ,ZVAA)
"� ;
personally known to me (or proved to me on the basis of satisfactory
evidence) to be the person whose name is subscribed to the within
IL
Instrument (or proved to be such by the oath of a credible witness who
v
is personally known to me), as a subscribing Witness thereto, who
being by me duly sworn, deposes and says.
�g tAD/JE
rsAL
V
That S h e resides in
OFFICIAL
49 :
and that A was present and saw
KATHY DANCE
�
/Q kq personally known to
NOTARY PUBLIC CALIFORNIA'
PRINCIPAL OFFICE IN
(%;��
W;
e r to be the same person described in
BUTTE COUNTY
�
and whose name 51 A46B subscribed to the within and annexed
MY COMMISSION EXPIRES OCTOBER 3, 1988
~
Instruments as :I%19 Part /PS thereto,
s
execute and deliver the same, and S� a acknowledged Yo
v
•
said affiant that se a executed the same, and that said
_,affiant subscribed 0 / name thereto as a Witness.
_
Signature
FOR NOTARY SEAL OR STAMP
Name (Typed ovr Printed)
Notary Public in and for said County and State
FCi
PACIFIC MODULAR CONCEPTS °+ 12933 ESPLANADE o CHICO, CALIFORNIA 95926
MANUFACTURED HOME. SALES •,:LICENSE NUMBER 435936 + 'PHONE (916)895-8541 !=:(916) 877-2243
ve
J14U"60
.
PERMIT NO. 16-87B .
PERMIT EXPIRES
OWNER BOB & SHARON RAYMER
CONTR. owner
ASSESSOR PARCEL 27-25-30
• LOCATION,
2878 Almy Avenue, Oroyi116
,I
Temp. Power Pole_
�i Called PG&E
t
Temp. Elec. Service_
j
` n
Called PG&E—
Temp.
G&E_Temp. Gas Service _
Called PG&E
JOB FINALED (Date)
Signature
J � OK
0 = Not OK
— = Not Applicable
* = Not Ready
MOBILEHOMES MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements—Setbacks—Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
h�.oning Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
_
Foo ' gs; Size—Depth—Spacing—Connectors
3. Sewer; Location-Test—Fall-C/0—ConcreteIf
ecks; Girders and/or Joists—Decking—Bracing—Stairs a'
4. Water; Location—Test—Easement Needed (Sketch)
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
fmod Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.=Rfg.—Bracing _
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
Card -B
Date Card -BI Date '
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements—Setbacks—Easements
Date C
LS (Plans) OK exc pt #'s
. 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 C'dnduit'
9. Exits; Insp.—Sketch
10. Cert. of Occupancy
9. Health Department Approval "
10. Plumb; Cir. Test—Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
J -ilz- OK
0 = Not OK
- = Not Applicable
* = Not Ready
Date UNDERFLOOR (Plans) OK except N's
1. Zoning requirements -Setbacks -Easements
2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Fig. Depth
3. Fig., Garage: Soils -Steel- / /" Fig. Depth
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
6.Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
7_Piers_-Fireplace Ftg.-Steel
_ 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
9. Gas Pipe: Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
11. Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. 'Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI Date _ Card -BI Date
Card -BI Date Card -BI Date
Date PLUMBING (Permit) OK except q's
14. Water Ht.: Vent -Access -Combustion Air
15. Water Pipe: Test & Anchors -Nail Protection
16. D.W.V.: Test-Fttngs & Anchors -Nail Protection
17. Shower Pan: Test, First Floor -Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
19. Gas Pipe: Size & Anchors
Card -Bt Date Card -BI Date
Card -BI Date Card -BI Date
Date ELECTRICAL (Permit) OK except q's
20. Fixture & Transformer Clearance -Ins. Protection
21. Elec. Receptacles Spacing -Lights & Switches at Doors
22. Size Boxes & No. of Conductors -Stapled
23. Romex Installed Close to Edge of Studs & C.J.
24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
25. 2 Appliance Circuits in Kitchen & Conductor Size
26. Subfeed Wire Size i / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral Yes No
28. Service -Riser Conductors & Ground -Main Disconnect
29. Equip. Clearances: Panels-Motors-Mech. Equip.
30. Clothes Closet Light -Shower Light
Card B -I Date Card -BI Date
Card B -t Date Card -BI Date
Date MECHANICAL (Permit) OK except N's
31. A.C. Ducts. Insulation & Support
32. Vent Fan: Exhaust above Insulation _
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 -Bl Date Card -BI Date
Date FRAMING(Plans) OK except q's
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. Hangers -Post Caps -Anchors -Connectors
43. Cing. Joist-Rfir. Ties-Purlin-Root Brac.-Truss-Shthng.-Rfng.
44. 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
11-- - -- --
(NOTE Anentrymust be made each time yoUVisit jobsite)
RESIDENTIAL• (Sing•le and Duplex)
11 Date FRAMING (Contin
ued)
48. Property Line Firewall & Openings
49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
50. Stairs; Width -Headroom -Rise -Run -Landing -Fire P
51. -Plywood on Roof Overhang -Attic Vents -Rafter Outr
52. Siding -
53. Stucco
Screed-Fdn. Vents-Underfir. Access
54. Glazing Area -Glass Protec
55. Shear Walls; Nailing -Bolts
lights -Plastic
tion
s
tis. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66. Elec. Outlets & Receptacles at Kit. Counter
67. Garage Fire Door; Swing -Landing -Closer
68.. A.C. Duct in Garage -Damper
69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
70. Plb., Elec. & Mech. Equip. Listed for Location
71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
72. Insulation -Foam -Looked in Attic ❑Yes
73. Guard Rails & Deck Construction -Post Caps
74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
75. Following instld.: Drive ❑ Yes No; Walks ❑ Yes ❑ No;
Planters El Yes 0 N
76. Stucco; Brown -Finish
77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79. Water Well; Disconnect, Electrical, Plumbing
80. Exterior Elec. Trim; G.F.I. Receptacle -Underground
81. Ventilation throughout House
82. Glass Protection _
83. Corrections from Previous Inspections _
84. Gas Test -Meters Tagged; Gas -Electric
85. Water & Sewer Connected -C/O to Grade -HD Approval
86. Energy Compliance Certificate -Other Certificates
Card -BI Date Card -BI Date _
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Com lents at Final:
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
57.
Smoke Detector
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
59.
Bedroom Exiting
60.
G.F.I. & Bath Fixtures & Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
tis. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66. Elec. Outlets & Receptacles at Kit. Counter
67. Garage Fire Door; Swing -Landing -Closer
68.. A.C. Duct in Garage -Damper
69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
70. Plb., Elec. & Mech. Equip. Listed for Location
71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
72. Insulation -Foam -Looked in Attic ❑Yes
73. Guard Rails & Deck Construction -Post Caps
74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
75. Following instld.: Drive ❑ Yes No; Walks ❑ Yes ❑ No;
Planters El Yes 0 N
76. Stucco; Brown -Finish
77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79. Water Well; Disconnect, Electrical, Plumbing
80. Exterior Elec. Trim; G.F.I. Receptacle -Underground
81. Ventilation throughout House
82. Glass Protection _
83. Corrections from Previous Inspections _
84. Gas Test -Meters Tagged; Gas -Electric
85. Water & Sewer Connected -C/O to Grade -HD Approval
86. Energy Compliance Certificate -Other Certificates
Card -BI Date Card -BI Date _
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Com lents at Final:
COUNTY OF.BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751 Y
7 County Center Drive, Oroville — Phone: 534-4api
Skyway and Elliott Road, Paradise — Phone: 872-2961; Ext. 57
'CORRECTION NOTICE
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional a lanation, please contact this office immediately.
Z_\ -°l A o 5, A ' n t
Inspector_ -- — Date_
i
Inspector_ -- — Date_
COUNTY OF BUTTE - DEPARTME,NT".0F PUBLIC WORKS PERMIT
7 County Center Drive - Oroville, Caiifornia 95965 - Telephone 916/534-4544
APPLICATION AND PERMIT �3�7syf
A55E,5oR P RL NUM�,E�._
,�
BUILDING PERMIT
OWNER
TELEPHONE
a-
SQ. FT. OCC. BUILDING VALUATION
aOWNER'S
ow
MM/AI INd ADD SS
CONTRACTO SNAME
TELEPHONE
ACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$44
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
PLUMBING PERMIT
FiIingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome�Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work:
1 -
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10,00
001 OR
Main service 100 AMP ORSLESS
10.00
Main service EA. ADO'L too AMP
2.50 °•
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$
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.a ,
OR ACDNS. ACC. BLDGS. /zQsgft
NEW CONSTR ULTI.OUTLET -
NO N.RES'D BRANCH CIRC ITS 2.50ea
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. Occu 20050c
p OUTLETS OR FIXTURES SAL* 30C
FIXED APLNS.
Ex. Occup. OUTLETS P(RESID )REA.1 2.00
Temporary service 10.00
Mobile Home Facilities 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 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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against sai County in c equence of the granting of this permit. p
X ' /-�D 7
Date
Signature of Applicant — Owner � Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE
OCCUP.
CONST.TYPE
FLDOM
PD
ND
ISSOE
This permit is hereby issued"under
sio f the Butte County Code and/or
w rk i 'ca d `ove for which
CTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
.fees have been paid.
WORKS ?VA
A1
Date��"""�
9✓�,
Receipt No. %i / � � �
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
.moi .._ F ..� ... � W .. ss. u _ a•d••.G •S\%t>'4.i !r it '- e.r't _ rc•C�;:. :�- :,c s::
, A..v.•i
COUNTY OF BUTTE - DEPARTMENT�,OF i�Uetrc WORKS - BUILDING DIVISION }
7 COUNTY CENTER DRIVE - OROVILLE, G`AL"IFORNIA 95965 - TELEPHONE: 916/534-4541 /
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER A. P. Noe,) 7S '
Proposed -Building Usel% Building Inspector / Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
andJor, 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. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . .
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.
arking: 12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif,)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ),
_15. Improvements may be required. . . . , , • , • , , ,
16. Mobi lehome Installation Data. . . . . . . . . .
17. Pre -Inspection for Pre-Inspec. request to (Date)'
Required, Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21.
22.
When you issue the per it,�proc ss as follows: Mail to owner, Mail to contractor.
�'-Telephone. S3�-�l� and hold for pickup atC LIMVoffice, Deliver w/inspector,
Other
Applicant
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1,/Index permit for above items No.
i
2. Additional items required:
Contractor, designer, owner, was advised of above required data by—phone _Mail—co unter.by date
Contractor, designer, owner, was advised of above required data by—phone _maII—counter by date 55.
Plans checked by Date Plans approved by _ .. Date 7
Sets of plans on hold in File cabinet AP folder W1_ -I"*'
i
Hours: 10:00 a.m. - 3:00 p.m.
Copy—DPW
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
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 /19`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.
VARIES 36" MIN.
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Top rail to be 36 in, high with
intermediate relic f§ 6.9 Ff*
�
nvprc? in. aoart.
Cr.�G.,
Max. Rise
Min. Run
Run measured toe to too.
3/s" max. tolerance between
largest & smallest rise/run.
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WILDING DEPARTMEN1
APPROVED
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SUILDNG- DEPARTMEN,1
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THARP & ASSOCIATES, INC.
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G EOTECHNICAL CONSULTANTS
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